Strategies for the facilitation of implementation of best practice guidelines in operating theatres at public hospitals
- Authors: Owolabi, Olukemi Olufunmilayo
- Date: 2020
- Subjects: Operating rooms—Safety measures
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46422 , vital:39594
- Description: Best practice guidelines (BPGs) are the use of scientific evidence to direct patient care and guide clinical care to integrate best patient outcomes. The implementation of BPGs in operating theatre nursing improves patient safety and quality of care and enhances patient outcomes. Although BPGs are crucial, the implementation thereof is not well operationalised in clinical practice, especially in an area such as the operating theatres in public hospitals in the Nelson Mandela Bay Health District(NMHD)in the Eastern Cape Province. The study thus developed strategies that could be used to facilitate the implementation of best practice guidelines in the operating theatres at public hospitals in the NMBHD. Understanding registered nurses’ knowledge, attitudes, and practices (KAP) with regard to implementing BPGs in the operating theatre is important, as it will assist in the development of strategies to facilitate the implementation of BPGs.The study was conducted in three phases. Phase One comprised of a quantitative approach. Data collection was achieved by means of a self-administered questionnaire which was distributed to registered nurses in the operating theatres of public hospitals in the NMBHD. The purpose of the questionnaire was to establish their knowledge, attitude and practice with regard to best practice guidelines and the implementation thereof. Recommendations made by participants for strategies to facilitate the implementation of BPGs in operating theatres were also explored. Descriptive and inferential statistics were utilised to analyse and describe the data. Descriptive statistics were used to describe the profile of the sample, including the demographic data measures of central tendency, for example the mean and standard deviation (SD) and correlation techniques.Chi²analysis was performed to test for significance of the associations between the registered nurses’ demographic variables and their KAP. Data were categorised into three levels, namely lower (score < quartile 1 i.e. bottom 25%). Middle (quartile1 ≤ score ≤quartile i.e. in the middle 50%) and higher (score > quartile 3 i.e. top 25%).Findings from this research study revealed the limited knowledge, attitude and practice of OT nurses about BPGs. During Phase Two an integrative literature review approach was followed in order to identify the best available evidence with regard to the facilitation of the implementation of best practice guidelines in operating theatres. Lastly, Phase Three: strategies that could be used to facilitate the implementation of best practice guidelines in operating theatres were developed. The researcher developed the conceptual framework using the six elements of Dickoff, James and Weidenbach (1968:422). The conceptual framework informed the development of strategies. The strategies are a synthesis of the conclusions drawn from the research findings (phase one and two) and the conceptualization thereof. The strategies were reviewed by six-panel members. Each panel member was supplied with the format for evaluation of the strategies which was based on the criteria established by Chinn and Kramer (2018:156) the results of which included in chapter 7. The researcher ensured that the data obtained was valid and reliable, necessary to assist the researcher to produce quality research. Ethical considerations were maintained throughout. In general, the results of this thesis indicate that the developed strategies that could be used to facilitate the implementation of best practice guidelines, in operating theatres at public hospitals in the NMBHDare unique and could be implemented in theatres in public hospitals. The researcher succeeded in achieving the purpose for this study, because the strategies which are understandable, clear, simple, applicable and significant to operating theatre unit has been developed for use by operating theatre nurses, to facilitate the implementation of best practice guidelines in operating theatres at public hospitals in the NMBHD.
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- Date Issued: 2020
Triggering physics lecturers' reflections on the instructional affordance of their use of representations: a design-based study
- Authors: Lombard, Elsa Helena
- Date: 2014
- Subjects: Physics -- Study and teaching , Physics -- Research
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/2899 , vital:20361
- Description: There is growing awareness in the physics education research community about the importance of using representations in physics teaching and the need for lecturers to reflect on their practice. This research study adopted a design-based research approach in an attempt to design a reliable, valid and practically useful artefact (framework/strategy) that could be used to trigger introductory physics lecturers’ reflections on their instructional use of representations. The artefact, which was instantiated with physics lecturers, comprised an observation protocol, an accompanying definitions key, a communication platform, and an instrument to assess the outcome (the levels of reflection). The video-data of lecturer practice were analysed using a priori codes to generate profiles of teaching practice. The resulting profiles were used to trigger individual video-stimulated reflection. The levels of reflection were assessed using a purpose-designed ‘Expectations of Reflection’ taxonomy. Thereafter a set of design guidelines and design principles were generated to guide further similar design-based educational studies. The process was validated via interview data but, while it was deemed a valid and reliable solution to the research problem, there were varying levels of perceived value of the artefact among the participating lecturers.
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- Date Issued: 2014