An exploration of spirit possession and psychological praxis in South Africa: implications for a culturally competent psychological practice
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
Assessing Diabetes distress amongst type 2 Diabetic patients at the Mhlontlo sub-district healthcare clinics in the OR Tambo health District
- Authors: Mboniso, Veronica
- Date: 2022-12
- Subjects: Diabetes , Medical care , Primary health care -- OR Tambo Health District
- Language: English
- Type: Master's theses , Thesis
- Identifier: http://hdl.handle.net/10948/60111 , vital:63096
- Description: Diabetes mellitus is a chronic endocrine condition that requires lifestyle changes and a commitment to its management to ensure patient well-being, although this can be challenging for various reasons. In addition, diabetes is a behavioural and emotionally demanding condition that could affect the psychosocial well-being of a patient. Diabetes distress is quite common in people living with diabetes, as they lose hope easily, especially when their diabetes is uncontrolled. The research study identified and described factors contributing to diabetes distress amongst type 2 diabetic patients at Mhlontlo Sub-District healthcare clinics in the OR Tambo Health District. Probability sampling was used to select patients who were 18 years and older after approval from Nelson Mandela University (NMU) and relevant authorisation was obtained. The study was conducted between August and October 2021, using a quantitative, exploratory and descriptive research design. The data were collected using a self-administered questionnaire, which had been adapted from the Diabetes Distress Scale-17 (DDS-17) created by Polonsky et al. (2005). A total of 136 diabetic patients completed the questionnaire, which comprised three sections: demographic information (Section A); the DDS-17 (Section B); and contributing factors to diabetes distress in diabetic patients at Mhlontlo Sub-District healthcare clinics (Section C). The researcher conducted a pilot study in one of the clinics to check the feasibility of the questionnaire. After the data were collected, it was statistically analysed with the assistance of a statistician to generate descriptive and inferential statistics. The analysed data revealed that most of the diabetic patients indicated that they found travelling far to fetch medication and standing in long queues at the clinic distressing. Therefore, they wanted the Central Chronic Medicine Dispensing and Distribution (CCMDD) programme to be rolled out to bring medication to them. The results also revealed that the patients' diabetes distress was exacerbated by them having to travel to clinics in search of medication when their usual clinic had no adequate v stocks of medication. Another factor contributing to the patients’ diabetes distress was the lack of a doctor on site. The patients indicated that doctors should be available at the clinics, even periodically, to address problems that cannot be solved by nurses. The absence of haemoglucotest (HGT machines at clinics was another contributing factor to diabetes distress. Most of the patients in the study felt that they would manage their diabetes better if the government supplied these machines. The results informed various recommendations that might help the management of OR Tambo Health District to make changes and thus minimise the diabetes distress reported by its patients. However, the study had limitations, although it observed the principles of reliability and validity. Moreover, ethical considerations were guided by the Belmont Report, and the study adhered to the principles of informed consent, respect for persons, anonymity, confidentiality, beneficence, nonmaleficence and distributive justice. , Thesis (MNur) -- Faculty of Health Sciences, School of Lifestyle Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Mboniso, Veronica
- Date: 2022-12
- Subjects: Diabetes , Medical care , Primary health care -- OR Tambo Health District
- Language: English
- Type: Master's theses , Thesis
- Identifier: http://hdl.handle.net/10948/60111 , vital:63096
- Description: Diabetes mellitus is a chronic endocrine condition that requires lifestyle changes and a commitment to its management to ensure patient well-being, although this can be challenging for various reasons. In addition, diabetes is a behavioural and emotionally demanding condition that could affect the psychosocial well-being of a patient. Diabetes distress is quite common in people living with diabetes, as they lose hope easily, especially when their diabetes is uncontrolled. The research study identified and described factors contributing to diabetes distress amongst type 2 diabetic patients at Mhlontlo Sub-District healthcare clinics in the OR Tambo Health District. Probability sampling was used to select patients who were 18 years and older after approval from Nelson Mandela University (NMU) and relevant authorisation was obtained. The study was conducted between August and October 2021, using a quantitative, exploratory and descriptive research design. The data were collected using a self-administered questionnaire, which had been adapted from the Diabetes Distress Scale-17 (DDS-17) created by Polonsky et al. (2005). A total of 136 diabetic patients completed the questionnaire, which comprised three sections: demographic information (Section A); the DDS-17 (Section B); and contributing factors to diabetes distress in diabetic patients at Mhlontlo Sub-District healthcare clinics (Section C). The researcher conducted a pilot study in one of the clinics to check the feasibility of the questionnaire. After the data were collected, it was statistically analysed with the assistance of a statistician to generate descriptive and inferential statistics. The analysed data revealed that most of the diabetic patients indicated that they found travelling far to fetch medication and standing in long queues at the clinic distressing. Therefore, they wanted the Central Chronic Medicine Dispensing and Distribution (CCMDD) programme to be rolled out to bring medication to them. The results also revealed that the patients' diabetes distress was exacerbated by them having to travel to clinics in search of medication when their usual clinic had no adequate v stocks of medication. Another factor contributing to the patients’ diabetes distress was the lack of a doctor on site. The patients indicated that doctors should be available at the clinics, even periodically, to address problems that cannot be solved by nurses. The absence of haemoglucotest (HGT machines at clinics was another contributing factor to diabetes distress. Most of the patients in the study felt that they would manage their diabetes better if the government supplied these machines. The results informed various recommendations that might help the management of OR Tambo Health District to make changes and thus minimise the diabetes distress reported by its patients. However, the study had limitations, although it observed the principles of reliability and validity. Moreover, ethical considerations were guided by the Belmont Report, and the study adhered to the principles of informed consent, respect for persons, anonymity, confidentiality, beneficence, nonmaleficence and distributive justice. , Thesis (MNur) -- Faculty of Health Sciences, School of Lifestyle Sciences, 2022
- Full Text:
- Date Issued: 2022-12
Barriers to participation in sports among urban adolescents at an International School in Cape Town, South Africa
- Authors: Klaasen, Robyn Jade
- Date: 2021-10
- Subjects: Urban teenagers -- Sports , Sports administration
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22155 , vital:51991
- Description: The benefits of participating in sport have been well documented and great emphasis has been placed on the role that it plays in the development of character and social skills, apart from physical and psychological benefits. Sport represents an optimal means of enabling children and adolescents to meet their daily requirements for physical activity to maintain health. Conversely, despite all of the widely acknowledged benefits, participation in sport among children and adolescents continues to decline throughout the world. Although a great deal of research has been conducted to identify barriers to participation in sport, most of it has concerned poor, rural, disadvantaged, or other marginalised groups. As a consequence, a large proportion of the research has attributed low rates of participation in sport to practical barriers, which usually take the forms of either logistical problems or a lack of resources. The aim of this study was to identify the barriers to participation in sport among adolescents in an affluent, urban setting, at an international school in Cape Town, South Africa. The Barriers to Sport Participation Questionnaire was used to identify the social, personal, and practical barriers that affected 107 adolescents who were enrolled in the school. The data was analysed by means of the SPSS (IBM, Version 27) software package and seven significant barriers were identified. Fear of academic failure, environmental constraints, and lack of interest were identified as the primary barriers, thereby emphasising the significant influence of personal barriers, rather than practical ones. It was also found that the influence of particular barriers was greater on females than their male counterparts and that the respondents who either did not participate in sport themselves or were from households in which other members did not do so were more adversely affected by some barriers than the others. Significant correlations were found between some grades and certain barriers, the most notable being those between respondents in Grades 7, 9, and 10 and the fear of academic failure barrier. In light of these findings, it could be concluded that the global decline in participation in sport among the youth is a complex problem and that particular barriers, which might not have been identified in previous research, could be particularly influential in affluent environments. As it is evident that as barriers can be specific to particular groups and settings, the optimal means of overcoming them is unlikely to be found through the adoption of a one-size-fitsall approach. Instead, further research and customised interventions are required. , Thesis (HMS) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-10
- Authors: Klaasen, Robyn Jade
- Date: 2021-10
- Subjects: Urban teenagers -- Sports , Sports administration
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22155 , vital:51991
- Description: The benefits of participating in sport have been well documented and great emphasis has been placed on the role that it plays in the development of character and social skills, apart from physical and psychological benefits. Sport represents an optimal means of enabling children and adolescents to meet their daily requirements for physical activity to maintain health. Conversely, despite all of the widely acknowledged benefits, participation in sport among children and adolescents continues to decline throughout the world. Although a great deal of research has been conducted to identify barriers to participation in sport, most of it has concerned poor, rural, disadvantaged, or other marginalised groups. As a consequence, a large proportion of the research has attributed low rates of participation in sport to practical barriers, which usually take the forms of either logistical problems or a lack of resources. The aim of this study was to identify the barriers to participation in sport among adolescents in an affluent, urban setting, at an international school in Cape Town, South Africa. The Barriers to Sport Participation Questionnaire was used to identify the social, personal, and practical barriers that affected 107 adolescents who were enrolled in the school. The data was analysed by means of the SPSS (IBM, Version 27) software package and seven significant barriers were identified. Fear of academic failure, environmental constraints, and lack of interest were identified as the primary barriers, thereby emphasising the significant influence of personal barriers, rather than practical ones. It was also found that the influence of particular barriers was greater on females than their male counterparts and that the respondents who either did not participate in sport themselves or were from households in which other members did not do so were more adversely affected by some barriers than the others. Significant correlations were found between some grades and certain barriers, the most notable being those between respondents in Grades 7, 9, and 10 and the fear of academic failure barrier. In light of these findings, it could be concluded that the global decline in participation in sport among the youth is a complex problem and that particular barriers, which might not have been identified in previous research, could be particularly influential in affluent environments. As it is evident that as barriers can be specific to particular groups and settings, the optimal means of overcoming them is unlikely to be found through the adoption of a one-size-fitsall approach. Instead, further research and customised interventions are required. , Thesis (HMS) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-10
Perceptions of mental illness among the residents of the Eastern Cape Province in South Africa: The influence of culture and religion on their coping strategies.: subtitle if needed. If no subtitle follow instructions in manual
- Authors: Sikrweqe, Odwa
- Date: 2023-04
- Subjects: Mental illness , Mental illness--Religious aspects , Mental illness-- Culture aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60445 , vital:65507
- Description: Mental illness has become a global concern, with consequences that may result in a mental health pandemic. Studies conducted on mental illness suggest that religious and cultural beliefs not only affect the expression of mental illness, but also the diagnosis and treatment of mental conditions. South Africa is a country imbued with cultural and religious diversity, which creates different groupings of people, holding diverse beliefs regarding mental illness. In many contexts, supernatural beliefs, traditional healing and indigenous medicines and treatments are considered in the treatment of the symptoms associated with mental illnesses, especially on contexts where there is a reliance on religio-cultural beliefs. Even though there has been a significant increase in the contribution to research focusing on mental health in diverse contexts, much of this research has focused on subjective experiences. Little to no information is available on population-based studies in South Africa regarding mental illness in diverse contexts, thus limiting the generalisation of findings related to cultural and religious influences on mental illness. This dearth of information further limits the development of psychological interventions. The study aimed to explore how mental illness is perceived by the participants and thereafter explored the influence of culture and religion in coping with mental illness by the residents of the Eastern Cape. The study was quantitative in nature and adopted an exploratory-descriptive design. The researcher made use of a questionnaire as a research tool and QuestionPro was utilized as a platform. A convenience sampling technique was utilised. In ensuring rigour of the study, the researcher ensured maximal validity (accurate representation of the data) and reliability (ability to repeat the research procedure). Ethical principles have been adhered to as per the principles on the Belmont Report, to ensure safety of the participants and this includes anonymity, confidentiality and the right to withdraw from participation in the study. Data has been analysed using descriptive and inferential statistics. A sample size of 101 participants from the general population of residents of the Eastern Cape completed the online survey. The results of the study revealed that the residents of the Eastern Cape have substantial knowledge pertaining the cause of mental illness and indicated both positive and negative attitudes towards the mentally ill and possess coping strategies to deal with a mental illness. In addition, the results show that there is a relation between religion/culture and coping with a mental illness by the participants of the study. The findings of this study emphasize the necessity of public education efforts that understand and respect people's cultural diversity, as well as teamwork among traditional and medical professionals. Future studies should focus on the use of discourse analysis to better investigate indigenous groups' conceptions of mental illness and their views about its aetiology and treatment. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Science, 2023
- Full Text:
- Date Issued: 2023-04
- Authors: Sikrweqe, Odwa
- Date: 2023-04
- Subjects: Mental illness , Mental illness--Religious aspects , Mental illness-- Culture aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60445 , vital:65507
- Description: Mental illness has become a global concern, with consequences that may result in a mental health pandemic. Studies conducted on mental illness suggest that religious and cultural beliefs not only affect the expression of mental illness, but also the diagnosis and treatment of mental conditions. South Africa is a country imbued with cultural and religious diversity, which creates different groupings of people, holding diverse beliefs regarding mental illness. In many contexts, supernatural beliefs, traditional healing and indigenous medicines and treatments are considered in the treatment of the symptoms associated with mental illnesses, especially on contexts where there is a reliance on religio-cultural beliefs. Even though there has been a significant increase in the contribution to research focusing on mental health in diverse contexts, much of this research has focused on subjective experiences. Little to no information is available on population-based studies in South Africa regarding mental illness in diverse contexts, thus limiting the generalisation of findings related to cultural and religious influences on mental illness. This dearth of information further limits the development of psychological interventions. The study aimed to explore how mental illness is perceived by the participants and thereafter explored the influence of culture and religion in coping with mental illness by the residents of the Eastern Cape. The study was quantitative in nature and adopted an exploratory-descriptive design. The researcher made use of a questionnaire as a research tool and QuestionPro was utilized as a platform. A convenience sampling technique was utilised. In ensuring rigour of the study, the researcher ensured maximal validity (accurate representation of the data) and reliability (ability to repeat the research procedure). Ethical principles have been adhered to as per the principles on the Belmont Report, to ensure safety of the participants and this includes anonymity, confidentiality and the right to withdraw from participation in the study. Data has been analysed using descriptive and inferential statistics. A sample size of 101 participants from the general population of residents of the Eastern Cape completed the online survey. The results of the study revealed that the residents of the Eastern Cape have substantial knowledge pertaining the cause of mental illness and indicated both positive and negative attitudes towards the mentally ill and possess coping strategies to deal with a mental illness. In addition, the results show that there is a relation between religion/culture and coping with a mental illness by the participants of the study. The findings of this study emphasize the necessity of public education efforts that understand and respect people's cultural diversity, as well as teamwork among traditional and medical professionals. Future studies should focus on the use of discourse analysis to better investigate indigenous groups' conceptions of mental illness and their views about its aetiology and treatment. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Science, 2023
- Full Text:
- Date Issued: 2023-04
Perceptions of blended learning by academic staff in the Health Sciences Faculty at Nelson Mandela University
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
An educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in the operating theatres
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
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
Caregivers’ Knowledge, Attitude and Practices (KAP) of breastfeeding and prevention of mother-to-child transmission (pmtct) in Nelson Mandela Bay Health District: impact of a community dialogue intervention
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Knowledge, attitude and perception of uninitiated adolescents towards customary male initiation practices in selected schools in Buffalo City Municipality, Eastern Cape
- Authors: Igaba, Nelson Kibiribiri
- Date: 2022-07
- Subjects: Circumcision , HIV infections -- Prevention , Initiation rites
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26896 , vital:66061
- Description: Background: Based on evidence that Voluntary Medical Male Circumcision (VMMC) significantly reduces the risk of human immunodeficiency virus- HIV transmission by 60percent, the World Health Organization (WHO) recommends implementing VMMC programs in countries with a high HIV prevalence, considering the unique sociocultural and economic dynamics of each setting. However, in South Africa (SA), multiple tribes including the AmaXhosa in the Eastern Cape (EC) province practice Customary Male Initiation (CMI) also known as Ulwaluko as a rite of passage of males from boyhood to manhood, and this involves circumcision. In recent years, this practice has been riddled with deaths of initiates, admissions to hospital, amputation of penis, assaults, drug and alcohol, and crime. Hence, this study aimed at understanding the knowledge, attitude, and perceptions of uninitiated adolescents towards the CMI practice in Buffalo City Municipality (BCM), EC to aid in developing strategies to solve current challenges. Methods: Between June and December 2021, this cross-sectional descriptive study was conducted in selected schools within BCM, in the EC, using a quantitative research approach. The study population included adolescent males aged 15 to 19 years who had not attended CMI. Applying a multistage random sampling technique, three (3)BCM towns (Bhisho, King William Town-KWT and East London-EL) and the Mdantsane township (MT) were selected and further the schools from which consenting pupils were enrolled into the study. Data was collected using a validated self-administered questionnaire which was captured on excel and analysed using STATA version 16.1. Categorical variables were summarized using percentages. Bivariate and multivariate regression was used to determine factors associated with a level of knowledge, attitude, and perception towards CMI and VMMC. The odds ratio with a 95percent confidence interval was calculated. A p–value of <0.05 was considered statistically significant. Results: Among 297 participants that responded 251 (84.51percent) were between the ages of 15-19 years and had not undergone circumcision or CMI. These were included in this analysis. Majority of participants 181 (72.11percent, 95percent CI 66.21-77.33) lacked knowledge on whether circumcision reduces risk of HIV acquisition. More than three quarters of participants 195 (77.69percent, 95percent CI 72.09-83.87) showed absence of knowledge on whether circumcision reduces risk of STIs. Close to all participants 244 (97.21percent, 95percent CI 94.25-98.67) indicated that they would choose CMI over VMMC due to cultural reason. More than three quarters of participants 193 (76.89percent, 95percent CI 71.24-81.72) agreed that CMI/Ulwaluko proves manhood. The presence of knowledge on the benefits of VMMC was positively dependent on the location where a participants lived (uOR 2.32, 95percent CI 1.09-4.97, p-value 0.029) and access to internet more than once a week (uOR 3.44, 95percent CI 1.14-10.43, p-value 0.029. The choice for CMI over VMMC was positively associated with participants living in Mdantsane Township than those living in urban areas (Coef. 1.55, 95percent CI 0.77-2.33, p-value 0.001). Conclusion: This study found lack of knowledge on benefits of VMMC, laws governing and on risks associated with CMI/Ulwaluko practices among uninitiated adolescents. The study further found that CMI/Ulwaluko was still highly regarded despite current challenges and most adolescents would choose CMI/Ulwaluko over VMMC. There is urgent need to integrate VMMC services into CMI/Ulwaluko to include health education on benefits of VMMC, infection prevention and control, male circumcision by trained medical personnel and education on laws governing CMI/Ulwaluko. These interventions should also target uninitiated adolescents. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-07
- Authors: Igaba, Nelson Kibiribiri
- Date: 2022-07
- Subjects: Circumcision , HIV infections -- Prevention , Initiation rites
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26896 , vital:66061
- Description: Background: Based on evidence that Voluntary Medical Male Circumcision (VMMC) significantly reduces the risk of human immunodeficiency virus- HIV transmission by 60percent, the World Health Organization (WHO) recommends implementing VMMC programs in countries with a high HIV prevalence, considering the unique sociocultural and economic dynamics of each setting. However, in South Africa (SA), multiple tribes including the AmaXhosa in the Eastern Cape (EC) province practice Customary Male Initiation (CMI) also known as Ulwaluko as a rite of passage of males from boyhood to manhood, and this involves circumcision. In recent years, this practice has been riddled with deaths of initiates, admissions to hospital, amputation of penis, assaults, drug and alcohol, and crime. Hence, this study aimed at understanding the knowledge, attitude, and perceptions of uninitiated adolescents towards the CMI practice in Buffalo City Municipality (BCM), EC to aid in developing strategies to solve current challenges. Methods: Between June and December 2021, this cross-sectional descriptive study was conducted in selected schools within BCM, in the EC, using a quantitative research approach. The study population included adolescent males aged 15 to 19 years who had not attended CMI. Applying a multistage random sampling technique, three (3)BCM towns (Bhisho, King William Town-KWT and East London-EL) and the Mdantsane township (MT) were selected and further the schools from which consenting pupils were enrolled into the study. Data was collected using a validated self-administered questionnaire which was captured on excel and analysed using STATA version 16.1. Categorical variables were summarized using percentages. Bivariate and multivariate regression was used to determine factors associated with a level of knowledge, attitude, and perception towards CMI and VMMC. The odds ratio with a 95percent confidence interval was calculated. A p–value of <0.05 was considered statistically significant. Results: Among 297 participants that responded 251 (84.51percent) were between the ages of 15-19 years and had not undergone circumcision or CMI. These were included in this analysis. Majority of participants 181 (72.11percent, 95percent CI 66.21-77.33) lacked knowledge on whether circumcision reduces risk of HIV acquisition. More than three quarters of participants 195 (77.69percent, 95percent CI 72.09-83.87) showed absence of knowledge on whether circumcision reduces risk of STIs. Close to all participants 244 (97.21percent, 95percent CI 94.25-98.67) indicated that they would choose CMI over VMMC due to cultural reason. More than three quarters of participants 193 (76.89percent, 95percent CI 71.24-81.72) agreed that CMI/Ulwaluko proves manhood. The presence of knowledge on the benefits of VMMC was positively dependent on the location where a participants lived (uOR 2.32, 95percent CI 1.09-4.97, p-value 0.029) and access to internet more than once a week (uOR 3.44, 95percent CI 1.14-10.43, p-value 0.029. The choice for CMI over VMMC was positively associated with participants living in Mdantsane Township than those living in urban areas (Coef. 1.55, 95percent CI 0.77-2.33, p-value 0.001). Conclusion: This study found lack of knowledge on benefits of VMMC, laws governing and on risks associated with CMI/Ulwaluko practices among uninitiated adolescents. The study further found that CMI/Ulwaluko was still highly regarded despite current challenges and most adolescents would choose CMI/Ulwaluko over VMMC. There is urgent need to integrate VMMC services into CMI/Ulwaluko to include health education on benefits of VMMC, infection prevention and control, male circumcision by trained medical personnel and education on laws governing CMI/Ulwaluko. These interventions should also target uninitiated adolescents. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-07
Factors influencing the performance of staff members in a tertiary hospital
- Combrink, Cornelius Johannes
- Authors: Combrink, Cornelius Johannes
- Date: 2021-12
- Subjects: Community health services
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21642 , vital:51737
- Description: Healthcare services within a hospital setting are the basic aspects for the success of service delivery and staff performance in this regard. The paramount component of human resources makes a positive contribution to a healthcare system. Recently, it has been recognised that the performance of healthcare personnel ought to be a key factor for a sustainable performance system. Nevertheless, it is generally known that healthcare workers fail to accomplish the anticipated outcomes of health interventions. This concept leads to the research question: Why is the public sector known for poor service delivery and poor performance? This study aims to determine the factors that impact on the health worker’s performance in a tertiary hospital in South-Africa. A framework will be carefully constructed and cautiously implemented to improve and develop the performance of healthcare workers in this hospital. The vast scope and population involved in this study make a quantitative research approach most suitable, along with a non-probability purposive sampling method. A survey method using an electronic questionnaire that was circulated via a web survey, and a paper-based questionnaire that was distributed within the hospital were used to obtain a diverse perception of the healthcare workers. Data analysis included determining factors, group differences and correlations using the SPSS-27 program. The target population included all healthcare workers in the tertiary hospital – from junior employees to senior management level staff. Statistical data analysis collected for this study revealed four major factors (politics-related resources, resource, training and socioeconomic) that play a major role in the trends of performance culture at the selected tertiary hospital. These results lead to the understanding that the hospital is currently experiencing inadequate human resources management components such as recognition of employees who perform above expectations; execution of a performance appraisal system; lack in implementing the annual salary increase; unfavourable working conditions (lack of resources); troublesome management skills, and insufficient feedback on performance outcomes. These features are directly associated with the quality and degree of the performance of healthcare personnel. Based on the results, a management framework was proposed. The framework consists of activities that will improve the healthcare profession; strengthen expertise and knowledge; develop management skills; enhance knowledge through research and, ultimately, upgrade the performance of healthcare personnel. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2021-12
- Authors: Combrink, Cornelius Johannes
- Date: 2021-12
- Subjects: Community health services
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21642 , vital:51737
- Description: Healthcare services within a hospital setting are the basic aspects for the success of service delivery and staff performance in this regard. The paramount component of human resources makes a positive contribution to a healthcare system. Recently, it has been recognised that the performance of healthcare personnel ought to be a key factor for a sustainable performance system. Nevertheless, it is generally known that healthcare workers fail to accomplish the anticipated outcomes of health interventions. This concept leads to the research question: Why is the public sector known for poor service delivery and poor performance? This study aims to determine the factors that impact on the health worker’s performance in a tertiary hospital in South-Africa. A framework will be carefully constructed and cautiously implemented to improve and develop the performance of healthcare workers in this hospital. The vast scope and population involved in this study make a quantitative research approach most suitable, along with a non-probability purposive sampling method. A survey method using an electronic questionnaire that was circulated via a web survey, and a paper-based questionnaire that was distributed within the hospital were used to obtain a diverse perception of the healthcare workers. Data analysis included determining factors, group differences and correlations using the SPSS-27 program. The target population included all healthcare workers in the tertiary hospital – from junior employees to senior management level staff. Statistical data analysis collected for this study revealed four major factors (politics-related resources, resource, training and socioeconomic) that play a major role in the trends of performance culture at the selected tertiary hospital. These results lead to the understanding that the hospital is currently experiencing inadequate human resources management components such as recognition of employees who perform above expectations; execution of a performance appraisal system; lack in implementing the annual salary increase; unfavourable working conditions (lack of resources); troublesome management skills, and insufficient feedback on performance outcomes. These features are directly associated with the quality and degree of the performance of healthcare personnel. Based on the results, a management framework was proposed. The framework consists of activities that will improve the healthcare profession; strengthen expertise and knowledge; develop management skills; enhance knowledge through research and, ultimately, upgrade the performance of healthcare personnel. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2021-12
Perceptions of Kwazulu-Natal radiographers regarding the role of professional development in clinical practice
- Authors: Zulu Anelisa
- Date: 2022-12
- Subjects: Radiography -- KwaZulu Natal , radiographers regarding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60290 , vital:64292
- Description: Professional development in the form of continuing education is associated with professional competence and good service delivery to the patient, and this understanding of professional development applies to the radiography profession. A manager may prompt participation in professional development, or the needs of a radiography department may influence it, or it may be driven by the personal and professional ambitions of the radiographer. Participation could also be due to regulatory body requirements, which require tracking and documentation as in the case of the Health Professions Council of South Africa (HPCSA) which may audit the professional’s continuing professional development (CPD) compliance. Professional development is a concept inclusive of all learning such as CPD; postgraduate qualifications; staff development; and reflective practice, pursued for the betterment of the radiographers’ professional expertise. Few if any qualitative studies have sought to explore South African radiographers’ perceptions of professional development as a concept inclusive of all learning. The purpose of the study was to explore and describe the perceptions of KwaZulu-Natal radiographers regarding the role of professional development in clinical practice to make recommendations to radiography managers on how to optimise the participation of radiographers in professional development. Bandura’s social learning theory was used as the theoretical framework for a study of the perceptions of practising KZN radiographers regarding the role of professional development in clinical practice and exploring how people learn from one another, including concepts such as observational learning, imitation, and modelling. The target population for the study consisted of practising radiographers working in the public and private, rural and urban hospitals in KZN. Data were gathered using semi-structured one-on-one interviews and were coded using Tesch’s eight steps. The trustworthiness of this study was enhanced using Lincoln and Guba’s (1985) model of trustworthiness, namely: credibility, transferability, dependability and confirmability. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Zulu Anelisa
- Date: 2022-12
- Subjects: Radiography -- KwaZulu Natal , radiographers regarding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60290 , vital:64292
- Description: Professional development in the form of continuing education is associated with professional competence and good service delivery to the patient, and this understanding of professional development applies to the radiography profession. A manager may prompt participation in professional development, or the needs of a radiography department may influence it, or it may be driven by the personal and professional ambitions of the radiographer. Participation could also be due to regulatory body requirements, which require tracking and documentation as in the case of the Health Professions Council of South Africa (HPCSA) which may audit the professional’s continuing professional development (CPD) compliance. Professional development is a concept inclusive of all learning such as CPD; postgraduate qualifications; staff development; and reflective practice, pursued for the betterment of the radiographers’ professional expertise. Few if any qualitative studies have sought to explore South African radiographers’ perceptions of professional development as a concept inclusive of all learning. The purpose of the study was to explore and describe the perceptions of KwaZulu-Natal radiographers regarding the role of professional development in clinical practice to make recommendations to radiography managers on how to optimise the participation of radiographers in professional development. Bandura’s social learning theory was used as the theoretical framework for a study of the perceptions of practising KZN radiographers regarding the role of professional development in clinical practice and exploring how people learn from one another, including concepts such as observational learning, imitation, and modelling. The target population for the study consisted of practising radiographers working in the public and private, rural and urban hospitals in KZN. Data were gathered using semi-structured one-on-one interviews and were coded using Tesch’s eight steps. The trustworthiness of this study was enhanced using Lincoln and Guba’s (1985) model of trustworthiness, namely: credibility, transferability, dependability and confirmability. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
Low uptake and early removal of Implanon NXT among women of reproductive age in Limpopo
- Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Authors: Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Date: 2021-11
- Subjects: Contraceptive drug implants
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21849 , vital:51829
- Description: Implanon NXT also referred to as subdermal Implant, is a long-acting subdermal contraceptive method available in the South African public health care system since 2014. The implant was introduced to broaden the choice for women of childbearing age to delay or prevent unwanted pregnancies. Following a surge in popularity, reports of early removals and frequent adverse effects led to a significant decrease in its uptake in the country. Insufficient knowledge on Implanon, poor management of side effects, poor counseling by health care workers, and lack of partner support were the main themes that were picked from the interview, influencing uptake or early removals of the Implanon. The major concerning side effect reported was uncontrolled and irregular heavy bleeding The purpose of the study was to explore the factors associated with low uptake and early removals of Implanon NXT among women of reproductive age in one district in Limpopo province. A qualitative research design was used, primarily as exploratory and descriptive in nature. Participants were identified using non-probable, purposeful voluntary sampling. Data collection was achieved using open-ended structured interviews with sixteen (16) women aged from18-49. Data was analysed using thematic method of organizing data into categories, followed by coding and sorting the data to identify patterns and interpret the meanings and responses. An independent consultant was involved to confirm the thematic areas identified after which consensus discussions took place to finalize the analysed data. From the results, it appeared that there was a need that Implanon should be marketed by use of digital platforms and print media for information sharing. These platforms should be utilized by DOH from the National, provincial, district, facility and community levels. There should be clear protocol on how to manage different kinds of side effects, and this information should be rolled out to the implementation level. Health Care workers should provide client education and counselling services to the clients about the effectiveness of the method. Male partner involvement is crucial to provide support for women on contraceptives and to support their contraceptive choices. Mentorship will help providers to attain their proficiency in Implanon counselling, insertions, and removals. Lastly, availing adequate and effective youth-friendly services to enable young people to open up more about challenges and options that can be explored. For the adolescents and youth, these services should be provided by trained providers not at the general unit, where there is a mixture of adult population and the elderly, but at youth zones to enhance the uptake of Implanon NXT. Recommendations are for clinical practice area, for generic student education as well as for further research. The conclusions confirm that the government need to revitalise the Implanon program, to drive the uptake and reduce early removals. Training of health workers and mentorship should emphasize more comprehensive counselling, provide adequate information on what is to be expected and more importantly, how to treat and manage the side effects. That early removals due to side effects become the last option as information need to be widely available to all users utilising the traditional methods and modern methods such as digital platforms to spread the correct information and create demand for the Implanon. The functional service-provision-based youth-friendly services which will cater for the needs of young women and adolescents is highlighted as it provides a comfortable and conducive environment to provide and receive a comprehensive sexual reproductive health and rights services. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-11
- Authors: Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Date: 2021-11
- Subjects: Contraceptive drug implants
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21849 , vital:51829
- Description: Implanon NXT also referred to as subdermal Implant, is a long-acting subdermal contraceptive method available in the South African public health care system since 2014. The implant was introduced to broaden the choice for women of childbearing age to delay or prevent unwanted pregnancies. Following a surge in popularity, reports of early removals and frequent adverse effects led to a significant decrease in its uptake in the country. Insufficient knowledge on Implanon, poor management of side effects, poor counseling by health care workers, and lack of partner support were the main themes that were picked from the interview, influencing uptake or early removals of the Implanon. The major concerning side effect reported was uncontrolled and irregular heavy bleeding The purpose of the study was to explore the factors associated with low uptake and early removals of Implanon NXT among women of reproductive age in one district in Limpopo province. A qualitative research design was used, primarily as exploratory and descriptive in nature. Participants were identified using non-probable, purposeful voluntary sampling. Data collection was achieved using open-ended structured interviews with sixteen (16) women aged from18-49. Data was analysed using thematic method of organizing data into categories, followed by coding and sorting the data to identify patterns and interpret the meanings and responses. An independent consultant was involved to confirm the thematic areas identified after which consensus discussions took place to finalize the analysed data. From the results, it appeared that there was a need that Implanon should be marketed by use of digital platforms and print media for information sharing. These platforms should be utilized by DOH from the National, provincial, district, facility and community levels. There should be clear protocol on how to manage different kinds of side effects, and this information should be rolled out to the implementation level. Health Care workers should provide client education and counselling services to the clients about the effectiveness of the method. Male partner involvement is crucial to provide support for women on contraceptives and to support their contraceptive choices. Mentorship will help providers to attain their proficiency in Implanon counselling, insertions, and removals. Lastly, availing adequate and effective youth-friendly services to enable young people to open up more about challenges and options that can be explored. For the adolescents and youth, these services should be provided by trained providers not at the general unit, where there is a mixture of adult population and the elderly, but at youth zones to enhance the uptake of Implanon NXT. Recommendations are for clinical practice area, for generic student education as well as for further research. The conclusions confirm that the government need to revitalise the Implanon program, to drive the uptake and reduce early removals. Training of health workers and mentorship should emphasize more comprehensive counselling, provide adequate information on what is to be expected and more importantly, how to treat and manage the side effects. That early removals due to side effects become the last option as information need to be widely available to all users utilising the traditional methods and modern methods such as digital platforms to spread the correct information and create demand for the Implanon. The functional service-provision-based youth-friendly services which will cater for the needs of young women and adolescents is highlighted as it provides a comfortable and conducive environment to provide and receive a comprehensive sexual reproductive health and rights services. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-11
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: Midwives , Maternity nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23521 , vital:58085
- 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 (MPH) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwives , Maternity nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23521 , vital:58085
- 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 (MPH) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
Perceptions of stakeholders in schools on the implementation of school sport policy in school sport development in the Amathole-west district, Eastern Cape
- Authors: Xakaxa, M Z
- Date: 2022-11
- Subjects: Sports administration , Sports and state
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27959 , vital:70943
- Description: This study aimed to explore the perceptions of stakeholders in schools regarding the implementation of school sport policy and its impact on school sport development in the Amathole-west district of the Eastern Cape, South Africa. The research sought to examine teachers' knowledge of the Department of Basic Education's school sport policy, assess whether the policy promotes school sport development, identify ways to enhance its implementation in Amathole-west, and propose strategies for the effective implementation of the policy by the Department of Basic Education. Adopting a qualitative interpretivist research approach, the study employed in-depth one-on-one interviews, focus group discussions, and document analysis. A purposive sample of 20 participants was selected, grouped into four focus groups, to contribute valuable insights to the study. Drawing on the Participatory School Governance model and the Social Ecological Model, the findings revealed that teachers, members of the School Management Team, and School Governing Body members perceive sports as essential for learners, as they promote physical health and instill discipline and moral behavior. However, the study also highlighted that teachers and School Governing Body members play a limited role in the implementation of school sport policy and development. Instead, they tend to rely on externally qualified sports experts, resulting in reduced involvement in policy implementation. The study emphasizes the need for improved involvement and investment in school sport policy implementation. Additionally, several strategies were suggested to ensure the effective implementation of school sport policy. These include providing Continued Professional Development (CPD) opportunities for teachers and increasing awareness about the sports policy. In conclusion, this study sheds light on the perceptions of school stakeholders regarding the implementation of school sport policy and the development of school sports in Amathole-west, South Africa. The findings underscore the importance of enhancing teachers' involvement and knowledge in policy implementation and recommend strategies for the successful implementation of the school sport policy , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-11
- Authors: Xakaxa, M Z
- Date: 2022-11
- Subjects: Sports administration , Sports and state
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27959 , vital:70943
- Description: This study aimed to explore the perceptions of stakeholders in schools regarding the implementation of school sport policy and its impact on school sport development in the Amathole-west district of the Eastern Cape, South Africa. The research sought to examine teachers' knowledge of the Department of Basic Education's school sport policy, assess whether the policy promotes school sport development, identify ways to enhance its implementation in Amathole-west, and propose strategies for the effective implementation of the policy by the Department of Basic Education. Adopting a qualitative interpretivist research approach, the study employed in-depth one-on-one interviews, focus group discussions, and document analysis. A purposive sample of 20 participants was selected, grouped into four focus groups, to contribute valuable insights to the study. Drawing on the Participatory School Governance model and the Social Ecological Model, the findings revealed that teachers, members of the School Management Team, and School Governing Body members perceive sports as essential for learners, as they promote physical health and instill discipline and moral behavior. However, the study also highlighted that teachers and School Governing Body members play a limited role in the implementation of school sport policy and development. Instead, they tend to rely on externally qualified sports experts, resulting in reduced involvement in policy implementation. The study emphasizes the need for improved involvement and investment in school sport policy implementation. Additionally, several strategies were suggested to ensure the effective implementation of school sport policy. These include providing Continued Professional Development (CPD) opportunities for teachers and increasing awareness about the sports policy. In conclusion, this study sheds light on the perceptions of school stakeholders regarding the implementation of school sport policy and the development of school sports in Amathole-west, South Africa. The findings underscore the importance of enhancing teachers' involvement and knowledge in policy implementation and recommend strategies for the successful implementation of the school sport policy , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-11
Knowledge and attitudes of women regarding cervical cancer and papanicolau smear screening in Caleb Motshabi, Bloemfontein
- Authors: Gwavu, Zintle
- Date: 2021-08
- Subjects: Cervix uteri -- Cancer -- South Africa , Pap test
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21816 , vital:51795
- Description: The aim of the study was to explore the knowledge and attitudes of women in Caleb Motshabi location regarding cervical cancer and Papanicolaou (Pap) smear screening in order for district management to develop a health education programme on cervical cancer and the benefits of screening. Cervical cancer amongst women worldwide has been identified as the fourth most common cancer. A qualitative descriptive explorative contextual design was employed in this research study. A non-probability purposive sampling method was used. Women between the ages of 18-60 years’ old who reside in Caleb Motshabi location were the target population. Four focus group interviews were conducted. The groups consisted of four to six participants grouped together to discuss the matter. Ethical principles were maintained as well as the concept of trustworthiness throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of seven themes and eight sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that the majority of the participants were aware of cervical cancer and Pap smear, but they lacked knowledge of what cervical cancer is or its causes. Although some of the participants had done a Pap smear in their lifetime, knowledge about how and the reasons the procedure is done still lacked. The majority of participants had received information about Pap smear procedure from peers rather than from health care workers. A significant finding was the fact that the participants who had done the procedure were open to attending regular screenings since they had experience on how it is performed. In conclusion It was recommended that educational programmes relating to cervical cancer and Pap smear screening be intensified in the area. This can be done through increasing awareness programmes in the communities and during clinic visits. To try and increase the uptake of the Pap smear screening it was also recommended that mobile clinics should be introduced to encourage women in the communities. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
- Authors: Gwavu, Zintle
- Date: 2021-08
- Subjects: Cervix uteri -- Cancer -- South Africa , Pap test
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21816 , vital:51795
- Description: The aim of the study was to explore the knowledge and attitudes of women in Caleb Motshabi location regarding cervical cancer and Papanicolaou (Pap) smear screening in order for district management to develop a health education programme on cervical cancer and the benefits of screening. Cervical cancer amongst women worldwide has been identified as the fourth most common cancer. A qualitative descriptive explorative contextual design was employed in this research study. A non-probability purposive sampling method was used. Women between the ages of 18-60 years’ old who reside in Caleb Motshabi location were the target population. Four focus group interviews were conducted. The groups consisted of four to six participants grouped together to discuss the matter. Ethical principles were maintained as well as the concept of trustworthiness throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of seven themes and eight sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that the majority of the participants were aware of cervical cancer and Pap smear, but they lacked knowledge of what cervical cancer is or its causes. Although some of the participants had done a Pap smear in their lifetime, knowledge about how and the reasons the procedure is done still lacked. The majority of participants had received information about Pap smear procedure from peers rather than from health care workers. A significant finding was the fact that the participants who had done the procedure were open to attending regular screenings since they had experience on how it is performed. In conclusion It was recommended that educational programmes relating to cervical cancer and Pap smear screening be intensified in the area. This can be done through increasing awareness programmes in the communities and during clinic visits. To try and increase the uptake of the Pap smear screening it was also recommended that mobile clinics should be introduced to encourage women in the communities. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-08
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
- Ramoshaba, Mapule Petronella
- 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
- Full Text:
- Date Issued: 2022-12
- 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
- Full Text:
- Date Issued: 2022-12
Challenges faced by healthcare professionals in reporting near miss incidents in a hospital, at the Amathole District, Eastern Cape Province, South Africa
- Authors: Ntlanganiso, Lindiwe
- Date: 2022-12
- Subjects: Industrial accidents , Accident investigation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27094 , vital:66276
- Description: Background Recording and investigation of NMIs can provide valuable information on monitoring and enhancing patient safety in the healthcare facilities. This in turn, can reduce the likelihood of medico-legal claims. Regardless of attempts to establish efficient incident reporting systems across the entire healthcare industry, underreporting of errors persists worldwide. Therefore, not only do near miss incidents serve as early warning signs of impending potential failure in the healthcare system, but they also provide a chance for patient safety improvement. With that in mind, this study was undertaken to investigate challenges faced by health care professionals in reporting near miss incidents at a hospital in the Amathole District, in the Eastern Cape province of South Africa. Aim The aim of the study was to develop recommendations for healthcare management and healthcare professionals on how to better manage NMIs, and by identifying the challenges faced by health care professionals and the impact they have on the quality of care at one state-funded district hospital. Setting The study was conducted with healthcare professionals at a district hospital in the Amathole District, Eastern Cape Province, South Africa. Methods This study used a mixed method study design. Purposive and convenience sampling were used for participants’ selection for the study. Quantitative data was collected using the WHO Near-Miss Approach while individual and focus group interviews with healthcare professionals were carried out for collecting qualitative data. The maternity and neonatal intensive care units were identified as the two high-risk areas from which most medical negligence claims are lodged. The number of complications that occurred in each month of the year 2019 was determined by using components of the WHO near miss approach. The researcher adopted this approach to serve as a baseline assessment. Data was analysed using both Nvivo Version 10 and SPSS Version 20. Findings The challenges that healthcare professionals face in reporting near miss incidents at the study site included lack of knowledge about the reporting tool and system, inability to identify a near miss incident and healthcare professional attitudes and practices. The document review revealed that the NMIs are existent but not reported on the prescribed reporting system, a total of 210 actual incidents had occurred in the maternity and neonatal units of the hospital, which accounts for 62% of the 357 deliveries in the year 2019. Conclusion Based on the study result and findings, the healthcare system should shift towards a proactive rather than a reactive approach to medical and clinical errors. Continuously reducing the incidence of all patient safety incidents requires improved prevention strategies and effective strategies for recovery from possible medico-legal claims. The study further suggests that additional focus should be placed on NMI reporting and investigation so that operative improvement plans can be developed, implemented, monitored and evaluated. In essence, these improvement plans should be designed to progress patient care, reduce avoidable PSIs and reduce medico-legal claims. , Thesis (MCur) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Ntlanganiso, Lindiwe
- Date: 2022-12
- Subjects: Industrial accidents , Accident investigation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27094 , vital:66276
- Description: Background Recording and investigation of NMIs can provide valuable information on monitoring and enhancing patient safety in the healthcare facilities. This in turn, can reduce the likelihood of medico-legal claims. Regardless of attempts to establish efficient incident reporting systems across the entire healthcare industry, underreporting of errors persists worldwide. Therefore, not only do near miss incidents serve as early warning signs of impending potential failure in the healthcare system, but they also provide a chance for patient safety improvement. With that in mind, this study was undertaken to investigate challenges faced by health care professionals in reporting near miss incidents at a hospital in the Amathole District, in the Eastern Cape province of South Africa. Aim The aim of the study was to develop recommendations for healthcare management and healthcare professionals on how to better manage NMIs, and by identifying the challenges faced by health care professionals and the impact they have on the quality of care at one state-funded district hospital. Setting The study was conducted with healthcare professionals at a district hospital in the Amathole District, Eastern Cape Province, South Africa. Methods This study used a mixed method study design. Purposive and convenience sampling were used for participants’ selection for the study. Quantitative data was collected using the WHO Near-Miss Approach while individual and focus group interviews with healthcare professionals were carried out for collecting qualitative data. The maternity and neonatal intensive care units were identified as the two high-risk areas from which most medical negligence claims are lodged. The number of complications that occurred in each month of the year 2019 was determined by using components of the WHO near miss approach. The researcher adopted this approach to serve as a baseline assessment. Data was analysed using both Nvivo Version 10 and SPSS Version 20. Findings The challenges that healthcare professionals face in reporting near miss incidents at the study site included lack of knowledge about the reporting tool and system, inability to identify a near miss incident and healthcare professional attitudes and practices. The document review revealed that the NMIs are existent but not reported on the prescribed reporting system, a total of 210 actual incidents had occurred in the maternity and neonatal units of the hospital, which accounts for 62% of the 357 deliveries in the year 2019. Conclusion Based on the study result and findings, the healthcare system should shift towards a proactive rather than a reactive approach to medical and clinical errors. Continuously reducing the incidence of all patient safety incidents requires improved prevention strategies and effective strategies for recovery from possible medico-legal claims. The study further suggests that additional focus should be placed on NMI reporting and investigation so that operative improvement plans can be developed, implemented, monitored and evaluated. In essence, these improvement plans should be designed to progress patient care, reduce avoidable PSIs and reduce medico-legal claims. , Thesis (MCur) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
University students’ perceptions of the influence of cannabis use on mental health
- Ramodumo, Itumeleng Adolphina
- Authors: Ramodumo, Itumeleng Adolphina
- Date: 2021-04
- Subjects: Mental health -- Education (Higher) , Marijuana -- Physiological effect , Cannabis -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51611 , vital:43322
- Description: This study explored university students’ perceptions of cannabis use on mental health at a higher education institution (HEI). Cannabis is described as the most commonly used drug by youth, especially, those who are in tertiary institutions (Allen & Holder, 2014; Arria, Caldeira, Bugbee, Vincent & O’Grady, 2015). The use of cannabis has both negative and positive effects; this is evident in different areas of human functioning. Cannabis usage has been debated upon in courts, regarding its legalisation and decriminalisation, and on the 18th of September 2018, the South African High Court legalised cannabis for personal use. A qualitative study with an explorative- descriptive design was used to give a broader exploration of university students’ perceptions of the influence of cannabis on mental health. The study was conducted at an HEI in the Nelson Mandela Bay and purposive sampling was used to select 15 participants for the study. Data was collected using focused group interviews, following the granting of permission by the Nelson Mandela University Research Ethics Committee. The collected data was analysed and interpreted using thematic analysis. The research findings indicated both positive and negative influences of cannabis use on mental health. Most participants who expressed positive effects are pervious cannabis users, whereas, most participants with negative perspectives of cannabis use on mental health are non- cannabis users. The findings revealed that participants perceived that the quantity of cannabis smoked determined whether there was a positive or negative effect on mental health, that is, large doses of cannabis had negative effects. The research findings also revealed that the legalisation of cannabis is very likely to increase its use, and the precautionary measures users take to avoid the substance’s negative effects on mental health. The Cognitive Behavioural Theory was used as the lens to better understand how students perceive cannabis use and its influence on mental health. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Ramodumo, Itumeleng Adolphina
- Date: 2021-04
- Subjects: Mental health -- Education (Higher) , Marijuana -- Physiological effect , Cannabis -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51611 , vital:43322
- Description: This study explored university students’ perceptions of cannabis use on mental health at a higher education institution (HEI). Cannabis is described as the most commonly used drug by youth, especially, those who are in tertiary institutions (Allen & Holder, 2014; Arria, Caldeira, Bugbee, Vincent & O’Grady, 2015). The use of cannabis has both negative and positive effects; this is evident in different areas of human functioning. Cannabis usage has been debated upon in courts, regarding its legalisation and decriminalisation, and on the 18th of September 2018, the South African High Court legalised cannabis for personal use. A qualitative study with an explorative- descriptive design was used to give a broader exploration of university students’ perceptions of the influence of cannabis on mental health. The study was conducted at an HEI in the Nelson Mandela Bay and purposive sampling was used to select 15 participants for the study. Data was collected using focused group interviews, following the granting of permission by the Nelson Mandela University Research Ethics Committee. The collected data was analysed and interpreted using thematic analysis. The research findings indicated both positive and negative influences of cannabis use on mental health. Most participants who expressed positive effects are pervious cannabis users, whereas, most participants with negative perspectives of cannabis use on mental health are non- cannabis users. The findings revealed that participants perceived that the quantity of cannabis smoked determined whether there was a positive or negative effect on mental health, that is, large doses of cannabis had negative effects. The research findings also revealed that the legalisation of cannabis is very likely to increase its use, and the precautionary measures users take to avoid the substance’s negative effects on mental health. The Cognitive Behavioural Theory was used as the lens to better understand how students perceive cannabis use and its influence on mental health. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Infant feeding practices of mothers with infants under six months of age in the Nelson Mandela Bay Community Health Centres within Sub-district C
- Authors: Moss, Caryn Ruth
- Date: 2022-12
- Subjects: Breastfeeding , Breastfeeding -- Complications
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60177 , vital:63212
- Description: Background: Infant feeding practices refers to the type of feeding methods that are used to provide nutrition to the infant. This includes breastfeeding, donor milk, formula milk, and complementary feeds. Globally, breastfeeding is the recommended infant feeding practice for infants under six months of age with the introduction of complementary feeds after six months of age (WHO, 2018a). The purpose of the study was to explore and describe the infant feeding practices of mothers with infants under six months of age in Nelson Mandela Bay. The researcher explored and described the different infant feeding practices of mothers with infants under six months of age. Method: A quantitative, descriptive study design was conducted and included 150 respondents, 18 years old and above, with infants under six months of age. Convenience sampling was used, and the respondents were from five Nelson Mandela Bay Community Health Centres (CHCs) in Sub-district C. Data were collected using a fieldworker employing a mask-to-mask approach to adhere to COVID-19 principles and a questionnaire with open-ended and closed-ended questions. Data were analysed using the statistical package for the social sciences (SPSS®) software with the use of descriptive statistical analysis. Results: The results revealed that 63% (n=94) of the respondents had breastfed their infant while 37% (n=56) had never breastfed their infant. Most of the respondents, 85% (n=128) recorded that they received advice after birth. Of the respondents, 37% (n=56), gave their infant formula milk instead of breastfeeding. In addition, 33% (n=29) of the infants were given soft foods at two months old as well as 32% (n=32.3) were given liquids at the same age. Conclusion: The study findings revealed that most mothers with infants under six months of age in the Nelson Mandela Bay CHCs Sub-district C introduced complementary feeds before their infants turned six months old. The results also revealed that respondents introduced complementary feeds because the infant was still hungry. Family members, friends, and healthcare practitioners play an important role when a mother chooses a feeding practice for her infant. Recommendations are made to mothers to provide age-appropriate feeding practices. Furthermore, viii recommendations are made to nurse educators to include training regarding up-to-date infant feeding practices to undergraduate nursing students. Lastly, it is recommended that research comparing infant feeding practices in the three Sub-districts in Nelson Mandela Bay be conducted. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Moss, Caryn Ruth
- Date: 2022-12
- Subjects: Breastfeeding , Breastfeeding -- Complications
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60177 , vital:63212
- Description: Background: Infant feeding practices refers to the type of feeding methods that are used to provide nutrition to the infant. This includes breastfeeding, donor milk, formula milk, and complementary feeds. Globally, breastfeeding is the recommended infant feeding practice for infants under six months of age with the introduction of complementary feeds after six months of age (WHO, 2018a). The purpose of the study was to explore and describe the infant feeding practices of mothers with infants under six months of age in Nelson Mandela Bay. The researcher explored and described the different infant feeding practices of mothers with infants under six months of age. Method: A quantitative, descriptive study design was conducted and included 150 respondents, 18 years old and above, with infants under six months of age. Convenience sampling was used, and the respondents were from five Nelson Mandela Bay Community Health Centres (CHCs) in Sub-district C. Data were collected using a fieldworker employing a mask-to-mask approach to adhere to COVID-19 principles and a questionnaire with open-ended and closed-ended questions. Data were analysed using the statistical package for the social sciences (SPSS®) software with the use of descriptive statistical analysis. Results: The results revealed that 63% (n=94) of the respondents had breastfed their infant while 37% (n=56) had never breastfed their infant. Most of the respondents, 85% (n=128) recorded that they received advice after birth. Of the respondents, 37% (n=56), gave their infant formula milk instead of breastfeeding. In addition, 33% (n=29) of the infants were given soft foods at two months old as well as 32% (n=32.3) were given liquids at the same age. Conclusion: The study findings revealed that most mothers with infants under six months of age in the Nelson Mandela Bay CHCs Sub-district C introduced complementary feeds before their infants turned six months old. The results also revealed that respondents introduced complementary feeds because the infant was still hungry. Family members, friends, and healthcare practitioners play an important role when a mother chooses a feeding practice for her infant. Recommendations are made to mothers to provide age-appropriate feeding practices. Furthermore, viii recommendations are made to nurse educators to include training regarding up-to-date infant feeding practices to undergraduate nursing students. Lastly, it is recommended that research comparing infant feeding practices in the three Sub-districts in Nelson Mandela Bay be conducted. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
Invasive radiological procedures: patients’ satisfaction with radiographers’ care in public hospitals in Ghana and South Africa
- Authors: Denteh, Derrick Kofi
- Date: 2022-04
- Subjects: Hospitals -- Radiological services , Patient satisfaction -- Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58772 , vital:60097
- Description: There has been a steady increase in invasive radiological procedures throughout the world. The situation is no different in Ghana and South Africa where the governments have sought to increase the equipment available for such procedures in public hospitals. However, complaints by patients and radiographers at the two public hospitals in Ghana and South Africa suggested that not all patients are satisfied with the radiographers’ care provided during invasive radiological procedures. The study aimed to investigate patients’ satisfaction with radiographers’ care during invasive radiological procedures at two public hospitals in Ghana and South Africa, and thereafter to do a comparison of the two hospitals. The study utilised a quantitative, comparative descriptive design. The theoretical framework that guided this study was Cox’s Interaction Model of Client Health Behaviour. The research population consisted of participants who had undergone various invasive radiological procedures. The data were collected by means of a structured self-administered questionnaire. The reliability and validity of the data collection instrument was enhanced by conducting a pilot study as well as through peer review and the guidance of a statistician. Descriptive and inferential statistical analyses were undertaken and presented in the form of tables and graphs. The study was conducted in an ethical manner by adhering to the principles of beneficence, justice and respect for persons. Overall, there was greater patient satisfaction with radiographers’ care in Ghana than in South Africa. Regarding patient satisfaction and health information, a statistically significant difference was observed between both countries (t = 10.02, df = 218, p = 0.000 and d = 1.36). Concerning patient satisfaction and affective support, a statistically significant difference was observed with a medium effect size (t = -4.34, df = 22, p = 0.000, d = 0.59). Patient satisfaction and decisional control was shown to have a statistically significant difference between the two countries (t = 20.27, df = 218, p = 0.000 and d = 2.73). Regarding professional/technical competencies, a statistically significant difference was observed with large size effect between the two countries (t = -6.77, df = 22, p = 0.000 and d = 0.91). In conclusion, the two countries were shown to differ regarding patient satisfaction in relation to Cox’s domains of health information, decisional control, affective support v and professional/technical competencies. In Ghana, there was greater patient satisfaction in relation to health information and decisional control than in South Africa. Conversely, in South Africa patient satisfaction in relation to affective support and professional/technical competencies was higher than in Ghana. As such, patient satisfaction could be improved if radiography management seeks to find ways to address these aspects in the hospitals under study in Ghana and South Africa. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
- Authors: Denteh, Derrick Kofi
- Date: 2022-04
- Subjects: Hospitals -- Radiological services , Patient satisfaction -- Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58772 , vital:60097
- Description: There has been a steady increase in invasive radiological procedures throughout the world. The situation is no different in Ghana and South Africa where the governments have sought to increase the equipment available for such procedures in public hospitals. However, complaints by patients and radiographers at the two public hospitals in Ghana and South Africa suggested that not all patients are satisfied with the radiographers’ care provided during invasive radiological procedures. The study aimed to investigate patients’ satisfaction with radiographers’ care during invasive radiological procedures at two public hospitals in Ghana and South Africa, and thereafter to do a comparison of the two hospitals. The study utilised a quantitative, comparative descriptive design. The theoretical framework that guided this study was Cox’s Interaction Model of Client Health Behaviour. The research population consisted of participants who had undergone various invasive radiological procedures. The data were collected by means of a structured self-administered questionnaire. The reliability and validity of the data collection instrument was enhanced by conducting a pilot study as well as through peer review and the guidance of a statistician. Descriptive and inferential statistical analyses were undertaken and presented in the form of tables and graphs. The study was conducted in an ethical manner by adhering to the principles of beneficence, justice and respect for persons. Overall, there was greater patient satisfaction with radiographers’ care in Ghana than in South Africa. Regarding patient satisfaction and health information, a statistically significant difference was observed between both countries (t = 10.02, df = 218, p = 0.000 and d = 1.36). Concerning patient satisfaction and affective support, a statistically significant difference was observed with a medium effect size (t = -4.34, df = 22, p = 0.000, d = 0.59). Patient satisfaction and decisional control was shown to have a statistically significant difference between the two countries (t = 20.27, df = 218, p = 0.000 and d = 2.73). Regarding professional/technical competencies, a statistically significant difference was observed with large size effect between the two countries (t = -6.77, df = 22, p = 0.000 and d = 0.91). In conclusion, the two countries were shown to differ regarding patient satisfaction in relation to Cox’s domains of health information, decisional control, affective support v and professional/technical competencies. In Ghana, there was greater patient satisfaction in relation to health information and decisional control than in South Africa. Conversely, in South Africa patient satisfaction in relation to affective support and professional/technical competencies was higher than in Ghana. As such, patient satisfaction could be improved if radiography management seeks to find ways to address these aspects in the hospitals under study in Ghana and South Africa. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04