Knowledge, attitude and perceptions of pre-hospital emergency care providers concerning pre-hospital clinical practice guidelines in the Mangaung Metropolitan area, Free State, South Africa
- Authors: Ramoshaba, Mapule Petronella
- Date: 2022-12
- Subjects: Emergency medical services
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27220 , vital:66471
- Description: Background and Introduction. Pre-hospital emergency care provided in a timeous and efficient manner is a pivotal component in improved patient prognosis, after a life altering situation has occurred. This management of patients is rendered prior to arrival at a medical facility. This service is provided by pre-hospital emergency care providers who apply life saving techniques and knowledge within their scopes of practice and then transporting patients to appropriate medical facilities for definitive care. Pre-hospital emergency care providers of all levels of care, namely: Basic life support, Intermediate life support and Advanced life support render emergency care services to patients with a main goal of seeing patients return back to normal life living. For this to be achieved, the providers must be empowered with the best knowledge, appropriate skills and adequate equipment at their disposal. Clinical practice guidelines are recommendations that are based on evidence in order to support beneficial clinical practices. These were introduced in the pre-hospital setting in South Africa in 2018 to review the scopes of practice of all levels of care, and make appropriate changes and additions for the betterment of the patient and the upskilling of pre-hospital emergency care providers. Since the providers are the end users of these guidelines, and are expected to apply them on patients, they are the best candidates to provide clarity on their perceptions, experiences and challenges which leads to the research questions being: What are the perceptions of the Pre-hospital Emergency Care Providers on the Pre-hospital Clinical Practice in the Guidelines? And What are the challenges experienced by the Pre-hospital Emergency Care Providers with regards to the implementation of the Pre-hospital Clinical Practice Guidelines in the application of Pre-hospital emergency medicine? The aim of the study was to explore the perceptions of the Pre-hospital Emergency Care Providers using the implemented Pre-hospital Clinical Practice Guidelines. Methods The study adopted a qualitative research approach with a purposive sampling method used to select the participants. This type of non-probability technique was suitable in the study as it is based on the researcher’s judgement of the participants being knowledgeable on the questions asked. An interview guide was utilised to collect data through semi-structured one on one interviews during which participants perceptions on the Clinical practice guidelines were shared. The data analysis process brought forth themes and sub themes that were aligned to the research findings which yielded the results. Results/findings The results encompassed the participants’ perceptions about pre-hospital clinical Practice Guidelines, as well as their knowledge, attitude, challenges, suggestions and recommendations. These results unearthed some of the reasons for the pre-hospital emergency care providers perceptions towards the guidelines. The majority of PECPS have a positive attitude towards the pre-hospital clinical practice guidelines, but have challenges with the availability of equipment and drugs which is caused by the lack of due diligence in complying with the implementation of the guidelines. Conclusion The recommendations and suggestions from the participants and researcher come with divisive strategies to the implementation of the guidelines and activities to be applied for the smooth implementation of the pre-hospital clinical practice guidelines. The basis for these recommendations and suggestions were the results as per the research findings. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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- Date Issued: 2022-12
Linkage to care of HIV clients following diagnosis in Engcobo Sub-district, Eastern Cape
- Authors: Mthini, Sandiso
- Date: 2022-04
- Subjects: Primary care (Medicine) , HIV infections AIDS (Disease) -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27017 , vital:66223
- Description: Background: “Linkage to care” is an essential strategy in place for the retention of HIV diagnosed clients on treatment. It is vital throughout the management and care of an HIV client. Aim of the study was to explore the effectiveness of “linkage to care” of HIV clients following the diagnosis in the Engcobo sub-district, Eastern cape. Methodology: Qualitative, explorative, descriptive study design was used to explore and describe the effectiveness of “linkage to care” of HIV clients following diagnosis in the Engcobo sub-district. The population for the study were all healthcare workers, who are involved in the program of “linkage to care” of HIV positive clients. Purposive Sampling was used to select professional nurses, Community healthcare workers, Lay counsellors, linkage officers who are involved in the linkage of HIV positive patients and the facility managers whom their facilities provide HIV care services. Interview guide was used to collect data and Tesch’s method was used to analyse data. Findings: Themes that emerged from the study were flexible time to “linkage to care”; use of different policies; administration; team activities and “linkage to care” benefits. Recommendations: Training on “linkage to care”; case management model; TIER.NET system upgrade/ linkage App development, patient information packs; standardised extended hours; transport assistance/outreach mobile services. Conclusion “Linkage to care” is a team effort, it needs collaboration and knowledge. Despite the implementation of a linkage program, there are challenges that the department of health needs to act on as addressed on researcher’s recommendations. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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- Date Issued: 2022-04
Disquieting high school learners’ indiscipline behaviour: A systematic review exploring the impact of learner indiscipline on learning and teacher’s impetus
- Authors: Vuyolwetu Soni https://orcid.org/0000-0002-7306-0368
- Date: 2022-03
- Subjects: High school students -- Conduct of life , School discipline
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23829 , vital:60913
- Description: High school teachers in South Africa have been voicing out their distress to the government, caused by the indiscipline of learners. The indiscipline became evident after the South African government scrapped punitive behaviour modification methods such as corporal punishment. Although the government had introduced alternative forms of behaviour modification, the teachers still maintain that these are not effective hence the rife indiscipline behaviour among high school learners. This study reviewed 14 articles on the impact of the alternative forms of punishment on high school learners’ indiscipline and the teachers’ motivation. Further, the studies highlight several factors involved in developing the learners’ indiscipline. This review indicates that high school learners’ indiscipline continues to be rife in South African schools and negatively affects high school teachers’ motivation. This is regardless of the government's introduction of alternative forms of punishment. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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- Date Issued: 2022-03
Treatment adherence among tuberculosis patients in Nelson Mandela District, Eastern Cape Province
- Authors: Sohuma, Ntombifikile
- Date: 2019-09
- Subjects: Patient compliance , Tuberculosis -- Patients , Tuberculosis -- Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22957 , vital:53254
- Description: Tuberculosis (TB) morbidity and mortality rates remain high globally and are even higher in Africa. The key factor that continues to drive the burden of disease is poor compliance / adherence to treatment regimens. This study aimed to identify determinants that continue to drive poor treatment adherence among low-income communities in South Africa. Methods A cross-sectional survey was conducted, drawing on TB patients who were defaulting on treatment. An assessment tool with several socio-economic and disease-related determinants was administered to participants. Data was entered into MS Excel and analysed in SPSS version 24. Results Regarding health services factors generally, all participants agreed that health service delivery was conducted in a conducive environment and that facilities were reasonably close to their places of residence. Participants demonstrated that health workers do not provide adequate information regarding medications that patients receive. Of patients cited, 11percent indicated that they stopped medications owing to health services. When questioned, participants reported that health workers shouted at them for coming late (e.g. after lunch) and that waiting times were very long. Approximately 85percent of the study participants were more likely to adhere poorly to TB medication owing to various factors such as comorbidities and personal perceptions of wellbeing / health status. Comorbidities are high among patients, with 58percent taking other medication while on TB treatment. Self-prognosis on wellbeing is significantly high, and 44percent reported a tendency to stop medication when they were seemingly in recovery. The unemployment rate among respondents was 78percent, with limited education: 69percent had below matric. Of the respondents, 40percent showed an unsatisfactory perception of their social and economic life, 55percent were somewhat satisfied and only 5percent were very satisfied. These indicators constitute a highly vulnerable community that depends heavily on subsidised healthcare from the state. Adherence to TB treatment is mainly influenced by poverty, the health service provider–patient relationship and perceived stigma. Limited family support was noted towards the treatment of patients. , Thesis (MPH) -- Faculty of Health Sciences, 2019
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- Date Issued: 2019-09
An investigation into factors influencing lack of improvement towards achieving compliance with the quality national core standards in KSD clinics, O.R. Tambo District
- Authors: Mnyamana, Tozama Nobom
- Date: 2018
- Subjects: Health facilities--Standards , Health facilities--South Africa , Medical care--South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19498 , vital:43133
- Description: The purpose of this study was to explore factors associated with lack of improvement in the health care provided towards achieving compliance with the National Core Standards (NCS) in King Sabata Dalindyebo (KSD) sub-district clinics, in OR Tambo District in the Eastern Cape. A quantitative design was seen as the most suitable for this study. This method was chosen as the one that would best assist the researcher to meet the objectives of the study. A purposive sampling method was chosen, according to which the researcher selected five sites; all clinics that had been previously inspected for quality standards by the Office of Health Standards Compliance at least once. Participants for the study were all employees of those clinics and one representative of the governing structure of each. Twenty-eight participants in total formed part of the study as two did not return their responses. For collecting data from the participants, self-administered questionnaires were used. Throughout the data collection process, ethical standards of nursing research regarding anonymity, confidentiality and privacy were adhered to. Collected data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of results is presented in tables and bar graphs. The results of the study reveal that a quality-oriented culture is lacking in our clinics with poor participation of clinics teams in quality improvement processes. Leadership and management at clinic level need strengthening. It was also found that there is insufficient capacitation of departmental strategic shift innovations, revealed in the complete absence of information sharing and feedback regarding previous assessments. In addition, there is a shortage of resources including basic equipment in clinics. , Thesis (MPH) -- University of Fort Hare, 2018
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- Date Issued: 2018