Perceptions of patients about poor attitudes and behaviours of midwives in the maternity sections in a public hospital of East London South Africa
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
“Attitudes of community members on the professional behaviour displayed by nurses towards their clients in Mnquma Local Municipality, Dutywa
- Authors: Bomela, Nobantu
- Date: 2019
- Subjects: Nursing ethics
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10353/16199 , vital:40695
- Description: This study explored the attitudes of community members on the professional behaviour displayed by nurses towards their clients in Dutywa location of Mnquma local Municipality, Eastern Cape. The study endeavoured to achieve the following specific objectives: (i) to explore the community members’ perceptions towards the professional behaviour displayed by nurses towards their clients; (ii) to establish the community members’ perceptions on the impact of nurses’ professional behaviour towards the healing of patients; and lastly (iii) to establish strategies to enhance the nurses’ positive professional behaviour towards their clients. The study was premised on Socio-Ecological Model. Methodologically, the study used both qualitative and quantitative paradigm and was thus guided by mixed research designs, which were a case study and a mini survey. The data was collected through in-depth interviews, and focus group discussions in the qualitative aspect of the study. In addition, the quantitative data was gathered through the use of questionnaires. The study used both nonprobability and probability methods of sample selection. Specifically, purposive sampling for qualitative sample and cluster random sampling for quantitative sample was used. Using these techniques, ten (10) participants were selected for qualitative individual interviews, and two focus groups which comprised of five (5) members for each group. Furthermore, questionnaires were (30) individual respondents. Qualitative data was analysed using content thematic analysis, while descriptive statistics was used to analyse quantitative data. The study revealed the following: maltreatment of patients by the nurses; nurses’ behaviour revealed professional deficit; nurses manifested bias in treating their patients; the phenomenon of patients being arrogant and impulsive, negative v treatment dissuades patients from visiting the health-care services and a need for more training or holding workshops for in patient-nurse relationship. Based on the evidence gathered in this study, the following recommendations were made: nurses should revisit their nurses’ code of conduct; improving communication between both the nurses and the clients; and lastly increasing of staff members in the clinic. The study concluded that patient abuse has a long-standing history that can be traced back to ancient times, which is mostly common against women and children, in most cases; the client is often vulnerable because the nurse has more power than the client. Moreover, the nurse has influence, access to information, and specialized knowledge and skills, of which that alone can lead to the nurses mistreating their patients.
- Full Text:
- Date Issued: 2019
- Authors: Bomela, Nobantu
- Date: 2019
- Subjects: Nursing ethics
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10353/16199 , vital:40695
- Description: This study explored the attitudes of community members on the professional behaviour displayed by nurses towards their clients in Dutywa location of Mnquma local Municipality, Eastern Cape. The study endeavoured to achieve the following specific objectives: (i) to explore the community members’ perceptions towards the professional behaviour displayed by nurses towards their clients; (ii) to establish the community members’ perceptions on the impact of nurses’ professional behaviour towards the healing of patients; and lastly (iii) to establish strategies to enhance the nurses’ positive professional behaviour towards their clients. The study was premised on Socio-Ecological Model. Methodologically, the study used both qualitative and quantitative paradigm and was thus guided by mixed research designs, which were a case study and a mini survey. The data was collected through in-depth interviews, and focus group discussions in the qualitative aspect of the study. In addition, the quantitative data was gathered through the use of questionnaires. The study used both nonprobability and probability methods of sample selection. Specifically, purposive sampling for qualitative sample and cluster random sampling for quantitative sample was used. Using these techniques, ten (10) participants were selected for qualitative individual interviews, and two focus groups which comprised of five (5) members for each group. Furthermore, questionnaires were (30) individual respondents. Qualitative data was analysed using content thematic analysis, while descriptive statistics was used to analyse quantitative data. The study revealed the following: maltreatment of patients by the nurses; nurses’ behaviour revealed professional deficit; nurses manifested bias in treating their patients; the phenomenon of patients being arrogant and impulsive, negative v treatment dissuades patients from visiting the health-care services and a need for more training or holding workshops for in patient-nurse relationship. Based on the evidence gathered in this study, the following recommendations were made: nurses should revisit their nurses’ code of conduct; improving communication between both the nurses and the clients; and lastly increasing of staff members in the clinic. The study concluded that patient abuse has a long-standing history that can be traced back to ancient times, which is mostly common against women and children, in most cases; the client is often vulnerable because the nurse has more power than the client. Moreover, the nurse has influence, access to information, and specialized knowledge and skills, of which that alone can lead to the nurses mistreating their patients.
- Full Text:
- Date Issued: 2019
Barriers to implementation of evidence-based practices in a critical care unit
- Authors: Bowers, Candice Andrea
- Date: 2013
- Subjects: Evidence-based medicine , Critical care medicine , Nursing ethics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10048 , http://hdl.handle.net/10948/d1013612
- Description: Over the last three decades there has been a greater need for health care practitioners to base their decision on the best available in order to optimise quality and cost-effective patient care. Evidence-based practice necessitates guideline development, education and review in order to achieve improved patient outcomes. However, initiatives that endeavour to disseminate and implement evidence-based practice have faced barriers and opposition. Barriers that might hamper the implementation of evidence-based practice include characteristics of the evidence itself, personal, institutional or organizational factors. The research study explored and described the barriers to implementation of evidence-based practices in a critical care unit. Based on the data analysis, recommendations were made to enhance the implementation of evidence-based practices in the critical care unit. A quantitative, explorative, descriptive and contextual research design was used to operationalize the research objectives. The target population comprised professional nurses in the critical care unit. Non-probability sampling was used to obtain data by means of a structured self-administered questionnaire. Descriptive data analysis was applied, using a statistical programme and the aid of a statistician. The results are graphically displayed using bar graphs and tables. Recommendations for nursing practice, education and research were made. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2013
- Authors: Bowers, Candice Andrea
- Date: 2013
- Subjects: Evidence-based medicine , Critical care medicine , Nursing ethics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10048 , http://hdl.handle.net/10948/d1013612
- Description: Over the last three decades there has been a greater need for health care practitioners to base their decision on the best available in order to optimise quality and cost-effective patient care. Evidence-based practice necessitates guideline development, education and review in order to achieve improved patient outcomes. However, initiatives that endeavour to disseminate and implement evidence-based practice have faced barriers and opposition. Barriers that might hamper the implementation of evidence-based practice include characteristics of the evidence itself, personal, institutional or organizational factors. The research study explored and described the barriers to implementation of evidence-based practices in a critical care unit. Based on the data analysis, recommendations were made to enhance the implementation of evidence-based practices in the critical care unit. A quantitative, explorative, descriptive and contextual research design was used to operationalize the research objectives. The target population comprised professional nurses in the critical care unit. Non-probability sampling was used to obtain data by means of a structured self-administered questionnaire. Descriptive data analysis was applied, using a statistical programme and the aid of a statistician. The results are graphically displayed using bar graphs and tables. Recommendations for nursing practice, education and research were made. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2013
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