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
- Subjects: Surgical wound infections -- Prevention , Surgical nursing Operating room nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/47937 , vital:40454
- 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. Phase 1 consisted of the administration of the pre-test questionnaire relating to Objective One: “To explore and describe the practices of professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 2 consisted of the contextualization and implementation of the educational intervention, which related to Objective Two: “To contextualize and implement an educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 3 consisted of the administration of the posttest questionnaire, which related to Objective Three: “To evaluate whether an educational intervention regarding the use of surgical attire in the prevention of surgical site infections in operating theatres enhanced professional nurses’ practices”. 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 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. The data collection instrument was also reviewed by a statistician. Ethical clearance and permission was obtained from the relevant institutions. The following ethical principles were adhered to during the study: justice, respect and beneficence. The overall score of pre-test and post-test questionnaires for the control group revealed means of 3.96 and 4.01, with a standard deviation of 0.40 and 0.38, with a difference of -0.06 and a degree of freedom of 59. The overall score of the pre-test and post-test of the intervention group revealed means of 3.68 and 4.22, a standard deviation of 0.47 and 0.36, with a difference of -0.53, degree of freedom of 61 and a large significance difference of Cohen’s d= 1.26. 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. Recommendations for education, practice as well as future research were provided.
- Full Text:
- Date Issued: 2020
- Authors: Alayemi, Joshua
- Date: 2020
- Subjects: Surgical wound infections -- Prevention , Surgical nursing Operating room nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/47937 , vital:40454
- 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. Phase 1 consisted of the administration of the pre-test questionnaire relating to Objective One: “To explore and describe the practices of professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 2 consisted of the contextualization and implementation of the educational intervention, which related to Objective Two: “To contextualize and implement an educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 3 consisted of the administration of the posttest questionnaire, which related to Objective Three: “To evaluate whether an educational intervention regarding the use of surgical attire in the prevention of surgical site infections in operating theatres enhanced professional nurses’ practices”. 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 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. The data collection instrument was also reviewed by a statistician. Ethical clearance and permission was obtained from the relevant institutions. The following ethical principles were adhered to during the study: justice, respect and beneficence. The overall score of pre-test and post-test questionnaires for the control group revealed means of 3.96 and 4.01, with a standard deviation of 0.40 and 0.38, with a difference of -0.06 and a degree of freedom of 59. The overall score of the pre-test and post-test of the intervention group revealed means of 3.68 and 4.22, a standard deviation of 0.47 and 0.36, with a difference of -0.53, degree of freedom of 61 and a large significance difference of Cohen’s d= 1.26. 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. Recommendations for education, practice as well as future research were provided.
- Full Text:
- Date Issued: 2020
Care and handling of surgical instruments by professional nurses in the operating rooms in the Nelson Mandela Bay
- Bloemetje, Virginia Victoria
- Authors: Bloemetje, Virginia Victoria
- Date: 2018
- Subjects: Surgical nursing -- South Africa -- Nelson Mandela Bay Municipality , Operating room nursing -- South Africa -- Nelson Mandela Bay Municipality Surgical instruments and apparatus
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21779 , vital:29776
- Description: Hospital-acquired infections (HAIs), caused by viral, bacterial and fungal pathogens, can have a devastating effect on patients, families and health-care organisations. Furthermore, dealing with HAIs can be costly and add to an increase in hospital stays, medical costs, as well as the rates of morbidity and mortality. Operating rooms (OR) are dynamic units that pose a high risk for surgical infections in health-care organisations. In order to minimise surgical-site infections (SSI) and other related infections in ORs, it is important to care for and handle surgical instruments correctly and in accordance with what is considered to be best practice. This research study was conducted to explore and describe the knowledge of professional nurses related to the care and handling of surgical instruments in the ORs in the medical facilities both in the private and public sectors in Nelson Mandela Bay (NMB). The research design was quantitative, explorative, descriptive and contextual in nature. The research sample comprised of professional nurses in the ORs in the public and private hospitals, who made themselves available and who were willing to participate in the study. The data was collected by means of a structured self-administered questionnaire that was based on a narrative literature review. Descriptive statistics were used to analyse the responses from the professional nurses in the OR, collected using the questionnaire. Ethical considerations have been applied throughout the research study and all the relevant findings have been disseminated accordingly. Recommendations, based on best-practice guidelines, were developed to optimise the care and handling of surgical instruments by professional nurses in the ORs. Professional nurses in the ORs who are involved in cleaning surgical instruments should know how to manage certain cleaning procedures. Disinfection and the sterilisation of surgical instruments can only be achieved by following efficient cleaning procedures. When performed properly, cleaning can effectively reduce the growth of microorganisms on surgical instruments, in order to prepare the instruments for disinfection and sterilisation. The importance of this step cannot be overemphasised since organic material, soil and debris can block the disinfectant or sterilising agent from making complete contact with the surface of the instruments. Additionally, cleaning allows for the safe handling of the instruments by professional nurses.
- Full Text:
- Date Issued: 2018
- Authors: Bloemetje, Virginia Victoria
- Date: 2018
- Subjects: Surgical nursing -- South Africa -- Nelson Mandela Bay Municipality , Operating room nursing -- South Africa -- Nelson Mandela Bay Municipality Surgical instruments and apparatus
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21779 , vital:29776
- Description: Hospital-acquired infections (HAIs), caused by viral, bacterial and fungal pathogens, can have a devastating effect on patients, families and health-care organisations. Furthermore, dealing with HAIs can be costly and add to an increase in hospital stays, medical costs, as well as the rates of morbidity and mortality. Operating rooms (OR) are dynamic units that pose a high risk for surgical infections in health-care organisations. In order to minimise surgical-site infections (SSI) and other related infections in ORs, it is important to care for and handle surgical instruments correctly and in accordance with what is considered to be best practice. This research study was conducted to explore and describe the knowledge of professional nurses related to the care and handling of surgical instruments in the ORs in the medical facilities both in the private and public sectors in Nelson Mandela Bay (NMB). The research design was quantitative, explorative, descriptive and contextual in nature. The research sample comprised of professional nurses in the ORs in the public and private hospitals, who made themselves available and who were willing to participate in the study. The data was collected by means of a structured self-administered questionnaire that was based on a narrative literature review. Descriptive statistics were used to analyse the responses from the professional nurses in the OR, collected using the questionnaire. Ethical considerations have been applied throughout the research study and all the relevant findings have been disseminated accordingly. Recommendations, based on best-practice guidelines, were developed to optimise the care and handling of surgical instruments by professional nurses in the ORs. Professional nurses in the ORs who are involved in cleaning surgical instruments should know how to manage certain cleaning procedures. Disinfection and the sterilisation of surgical instruments can only be achieved by following efficient cleaning procedures. When performed properly, cleaning can effectively reduce the growth of microorganisms on surgical instruments, in order to prepare the instruments for disinfection and sterilisation. The importance of this step cannot be overemphasised since organic material, soil and debris can block the disinfectant or sterilising agent from making complete contact with the surface of the instruments. Additionally, cleaning allows for the safe handling of the instruments by professional nurses.
- Full Text:
- Date Issued: 2018
Effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public college
- Authors: Booysen, Cindy Lynn
- Date: 2019
- Subjects: Nursing -- Simulation methods
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/36423 , vital:33940
- Description: Nurse educators must be prepared and feel comfortable using clinical simulation as a strategy in order for it to be successful as a teaching and learning approach. In terms of an educational intervention, orientation and training pertaining to simulation terminology for nurse educators can improve their capacity and strengthen the clinical simulation experience. The researcher observed a lack of knowledge regarding the terminology of clinical simulation among nurse educators at a public nursing college and this study therefore aimed to determine the effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public nursing college. The researcher conducted a small-scale intervention study utilizing a positivist, quantitative paradigm with a quasi-experimental pre-test, post-test design. The researcher purposively selected the five main campuses at a public nursing college in South Africa. The five main campuses were purposively selected into control (two main campuses; campus A, campus B) and experimental group (three main campuses; campus C, campus D and campus E). Convenience sampling was used by including all nurse educators of each campus. A self-administered pre-test questionnaire was developed and used in Phase one in order to explore and describe the knowledge of nurse educators with regard to the terminology applied in clinical simulation. A total of 125 nurse educators were included (experimental group n=65; control group n=60). Phase two involved the development, review and implementation of an educational intervention based on the standards of best practice: standard 1: terminology, developed by the International Nursing Association for Clinical Simulation and Learning (INACSL). Methods for the educational intervention included a PowerPoint presentation and pamphlets administered to the purposively selected experimental group (three campuses; campus C, campus D and campus E). The educational intervention was implemented per campus. The control group did not receive any educational intervention (two campuses; campus A and campus B). Phase three comprised a self-administered post-test that was developed to evaluate the effects of the educational intervention pertaining to the nurse educators’ knowledge of the terminology applied in clinical simulation and was completed by the nurse educators who participated in Phase one of the study. A total of 70 participants completed Phase three of the study, (n=31 from the control group and n=39 from the experimental group). The data was analysed using descriptive and inferential statistics (ANOVA and Chisquare testing), with the assistance of a statistician. A pilot study was conducted to prove the reliability of the pre-and post-test questionnaires and the educational intervention and a review by the statistician as well as the supervisors and five experts in the field of clinical simulation for the pre-test post-test questionnaires and educational intervention was done prior to its implementation. The pre-test was completed by (n=81) participants and the post-test by (n=70). The majority age category for participants was 50 years and older (n=32, 40%). Almost one third of the participants had less than 5 years’ experience as nurse educators (n=25, 31%). A statistically significant difference was found for pre-knowledge by age relationship (pvalue= ,036). The pre- and post-difference by age (p-value=.035) as well as work experience (p-value= .017) was also found to be significant (p-value= ,035). The older age groups (40-49 years of age) benefited more from the study as their knowledge on clinical simulation terminology significantly increased (Cohen’s d= 0,77 and 0,76- medium score) as well as those that were more inexperienced (1-4 years of working experience) (Cohen’s d= 1,10- large). The majority of participants did not receive any training in simulation-based education (n=69, 85%). The participants who received simulation-based education training versus the participants who did not receive any training showed a statistically significant variance for the pre-knowledge scores (pvalue= ,001) (Cohen’s d= 1,06- large). The mean score for the knowledge section (section B) of the questionnaire was 59,72 and the mean score for the pre-test-posttest difference was 12,64. The findings of the t-test had a small significant value for the pre-test and a medium significant value for the post-test. A significant medium Cohen’s d value was evident after correlating the difference between the knowledge scores for the pre- and post-test questionnaires. The 15 minutes educational intervention thus had a medium effect (pre-post difference of the knowledge scores: p-value=<.0005, with a Cohen’s d score of 0.67-medium significance) on the knowledge findings of nurse educators. However, as gaps in knowledge were evident among nurse educators in this study, further recommendations for practice, education and research were provided. Ethical principles such as informed consent, confidentiality and anonymity as well as permission to conduct the study were taken into consideration through all phases of the study.
- Full Text:
- Date Issued: 2019
- Authors: Booysen, Cindy Lynn
- Date: 2019
- Subjects: Nursing -- Simulation methods
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/36423 , vital:33940
- Description: Nurse educators must be prepared and feel comfortable using clinical simulation as a strategy in order for it to be successful as a teaching and learning approach. In terms of an educational intervention, orientation and training pertaining to simulation terminology for nurse educators can improve their capacity and strengthen the clinical simulation experience. The researcher observed a lack of knowledge regarding the terminology of clinical simulation among nurse educators at a public nursing college and this study therefore aimed to determine the effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public nursing college. The researcher conducted a small-scale intervention study utilizing a positivist, quantitative paradigm with a quasi-experimental pre-test, post-test design. The researcher purposively selected the five main campuses at a public nursing college in South Africa. The five main campuses were purposively selected into control (two main campuses; campus A, campus B) and experimental group (three main campuses; campus C, campus D and campus E). Convenience sampling was used by including all nurse educators of each campus. A self-administered pre-test questionnaire was developed and used in Phase one in order to explore and describe the knowledge of nurse educators with regard to the terminology applied in clinical simulation. A total of 125 nurse educators were included (experimental group n=65; control group n=60). Phase two involved the development, review and implementation of an educational intervention based on the standards of best practice: standard 1: terminology, developed by the International Nursing Association for Clinical Simulation and Learning (INACSL). Methods for the educational intervention included a PowerPoint presentation and pamphlets administered to the purposively selected experimental group (three campuses; campus C, campus D and campus E). The educational intervention was implemented per campus. The control group did not receive any educational intervention (two campuses; campus A and campus B). Phase three comprised a self-administered post-test that was developed to evaluate the effects of the educational intervention pertaining to the nurse educators’ knowledge of the terminology applied in clinical simulation and was completed by the nurse educators who participated in Phase one of the study. A total of 70 participants completed Phase three of the study, (n=31 from the control group and n=39 from the experimental group). The data was analysed using descriptive and inferential statistics (ANOVA and Chisquare testing), with the assistance of a statistician. A pilot study was conducted to prove the reliability of the pre-and post-test questionnaires and the educational intervention and a review by the statistician as well as the supervisors and five experts in the field of clinical simulation for the pre-test post-test questionnaires and educational intervention was done prior to its implementation. The pre-test was completed by (n=81) participants and the post-test by (n=70). The majority age category for participants was 50 years and older (n=32, 40%). Almost one third of the participants had less than 5 years’ experience as nurse educators (n=25, 31%). A statistically significant difference was found for pre-knowledge by age relationship (pvalue= ,036). The pre- and post-difference by age (p-value=.035) as well as work experience (p-value= .017) was also found to be significant (p-value= ,035). The older age groups (40-49 years of age) benefited more from the study as their knowledge on clinical simulation terminology significantly increased (Cohen’s d= 0,77 and 0,76- medium score) as well as those that were more inexperienced (1-4 years of working experience) (Cohen’s d= 1,10- large). The majority of participants did not receive any training in simulation-based education (n=69, 85%). The participants who received simulation-based education training versus the participants who did not receive any training showed a statistically significant variance for the pre-knowledge scores (pvalue= ,001) (Cohen’s d= 1,06- large). The mean score for the knowledge section (section B) of the questionnaire was 59,72 and the mean score for the pre-test-posttest difference was 12,64. The findings of the t-test had a small significant value for the pre-test and a medium significant value for the post-test. A significant medium Cohen’s d value was evident after correlating the difference between the knowledge scores for the pre- and post-test questionnaires. The 15 minutes educational intervention thus had a medium effect (pre-post difference of the knowledge scores: p-value=<.0005, with a Cohen’s d score of 0.67-medium significance) on the knowledge findings of nurse educators. However, as gaps in knowledge were evident among nurse educators in this study, further recommendations for practice, education and research were provided. Ethical principles such as informed consent, confidentiality and anonymity as well as permission to conduct the study were taken into consideration through all phases of the study.
- Full Text:
- Date Issued: 2019
Registered nurses' experiences of working with patients diagnosed with substance-induced psychosis in a tertiary psychiatric hospital
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
Digital storytelling as a teaching and learning strategy: experiences of student nurses
- Authors: Espach, Juanita
- Date: 2018
- Subjects: Nursing -- Study and teaching -- South Africa , Nursing students -- South Africa Storytelling -- South Africa -- Computer network resources College teaching -- South Africa Competency-based education
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21549 , vital:29552
- Description: The ever changing landscape of technology influences every aspect of modern society, also education. Within recent years, technological advancements and inventive educators have transformed traditional teaching and learning strategies to innovative technology infused strategies. These strategies could potentially meet the learning style of the millennial student. One such strategy is described as digital storytelling, during which student groups create a three to five minute multimedia video, utilizing a combination of digital elements such as a narrative voice recording, music, pictures, video and animation. After creating the digital story, the end product is shared with peers. Paucity in research regarding the use of digital storytelling in the context of nursing education in the Republic of South Africa was found. Thus the aim of the study was to explore and describe the experiences of student nurses during the use of digital storytelling as a teaching and learning strategy at a private Nursing Education Institution in Port Elizabeth. The researcher conducted an exploratory, descriptive, contextual and qualitative study which utilized a connectivism framework as the paradigm. Digital storytelling was used as a teaching and learning strategy in the researcher’s own class. A convenience sampling method was therefore employed to select participants. Data was gathered through documenting observational notes during the process of utilizing digital storytelling in the classroom. After the student nurses had utilized digital storytelling, five focus group interviews with twenty four research participants were conducted, which provided data saturation. The data was transcribed and analysed utilizing Tesch’s thematic analysis method and three themes emerged from the data. The benefits of digital storytelling were voiced by the participants since digital storytelling gave them a means to express themselves and they gained new skills while collaborating with others and improving their learning. There was a negative side to it as well, during which research participants experienced negative emotions, lacked the necessary technological skills and found peer teaching an obstacle to their own learning. The participants also provided suggestions to improve the use of digital storytelling during teaching and learning. A thick description of the data with a literature control was provided. The researcher utilized the findings of this study to develop guidelines for Nurse Educators in order to optimize the use of digital storytelling as a teaching and learning strategy. Rigour and trustworthiness were ensured by utilizing Guba and Lincoln’s four criteria. In this study the researcher adhered to the ethical principles as described by the Belmont Report and paid specific attention to the application of these ethical principles in the context of conducting research on one’s own teaching practices. The limitations of this study were that data was collected from only one group of student nurses at one private NEI, after the student nurses’ utilized digital storytelling for the first time in their training. The findings of this study can be used by Nurse Educators to optimize the use of digital storytelling as a teaching and learning strategy. The recommendations of this study include the implementation of the guidelines developed for Nurse Educators.
- Full Text:
- Date Issued: 2018
- Authors: Espach, Juanita
- Date: 2018
- Subjects: Nursing -- Study and teaching -- South Africa , Nursing students -- South Africa Storytelling -- South Africa -- Computer network resources College teaching -- South Africa Competency-based education
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21549 , vital:29552
- Description: The ever changing landscape of technology influences every aspect of modern society, also education. Within recent years, technological advancements and inventive educators have transformed traditional teaching and learning strategies to innovative technology infused strategies. These strategies could potentially meet the learning style of the millennial student. One such strategy is described as digital storytelling, during which student groups create a three to five minute multimedia video, utilizing a combination of digital elements such as a narrative voice recording, music, pictures, video and animation. After creating the digital story, the end product is shared with peers. Paucity in research regarding the use of digital storytelling in the context of nursing education in the Republic of South Africa was found. Thus the aim of the study was to explore and describe the experiences of student nurses during the use of digital storytelling as a teaching and learning strategy at a private Nursing Education Institution in Port Elizabeth. The researcher conducted an exploratory, descriptive, contextual and qualitative study which utilized a connectivism framework as the paradigm. Digital storytelling was used as a teaching and learning strategy in the researcher’s own class. A convenience sampling method was therefore employed to select participants. Data was gathered through documenting observational notes during the process of utilizing digital storytelling in the classroom. After the student nurses had utilized digital storytelling, five focus group interviews with twenty four research participants were conducted, which provided data saturation. The data was transcribed and analysed utilizing Tesch’s thematic analysis method and three themes emerged from the data. The benefits of digital storytelling were voiced by the participants since digital storytelling gave them a means to express themselves and they gained new skills while collaborating with others and improving their learning. There was a negative side to it as well, during which research participants experienced negative emotions, lacked the necessary technological skills and found peer teaching an obstacle to their own learning. The participants also provided suggestions to improve the use of digital storytelling during teaching and learning. A thick description of the data with a literature control was provided. The researcher utilized the findings of this study to develop guidelines for Nurse Educators in order to optimize the use of digital storytelling as a teaching and learning strategy. Rigour and trustworthiness were ensured by utilizing Guba and Lincoln’s four criteria. In this study the researcher adhered to the ethical principles as described by the Belmont Report and paid specific attention to the application of these ethical principles in the context of conducting research on one’s own teaching practices. The limitations of this study were that data was collected from only one group of student nurses at one private NEI, after the student nurses’ utilized digital storytelling for the first time in their training. The findings of this study can be used by Nurse Educators to optimize the use of digital storytelling as a teaching and learning strategy. The recommendations of this study include the implementation of the guidelines developed for Nurse Educators.
- Full Text:
- Date Issued: 2018
Experiences of young adults living with type 1 diabetes mellitus regarding self-management and lifestyle adaptation in the Nelson Mandela Bay Health District
- Fayindlala, Meliswa Theodora
- Authors: Fayindlala, Meliswa Theodora
- Date: 2019
- Subjects: Diabetes -- Treatment , Diabetes Lifestyles -- Health aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39818 , vital:35476
- Description: Living with type1 diabetes mellitus (T1DM), which is a challenging disease, is especially difficult during the young adult stage of development. This developmental stage is characterised as complex; difficult even for healthy individuals. There is an estimated worldwide increase of 415 million young adults living with T1DM, and this number is projected to rise to 642 million by 2040. Recent statistics indicate that this increase holds true for South Africa. T1DM has an early onset and is treated with insulin injections up to four (4) times a day. The management of T1DM is best achieved through self-management of an individual living with the disease as well as support from the health care providers, community, and the family. Young adults living with T1DM experience difficulties maintaining optimal blood glucose levels, ranging between four (4) and seven (7) millimoles, during this stressful transition period from childhood to young adulthood. Transitional actions include moving away from home for the first time to study at a tertiary institution, joining the work-force, or entering new relationships, such as getting married and becoming a parent. This phenomenon motivated the researcher to explore and describe the experiences of young adults living with T1DM regarding self-management and lifestyle-adaptation. The study followed a qualitative, exploratory, descriptive, and contextual design. The research population included young adults living with T1DM between the ages of 18 and 25 years in the Nelson Mandela Bay Health District, attending a diabetic clinic at a public tertiary hospital. Purposive sampling was utilised to select the 11 participants. A pilot study was conducted with one (1) participant before the main study commenced to ensure the trustworthiness of the findings. The researcher obtained data through semi-structured one-on-one interviews. Tesch’s method was used to analyse the research data. Once data were analysed; the findings underwent literature control. Lincoln and Guba’s model of trustworthiness was utilised to ensure that the study was trustworthy and credible which consists of the following four criteria: credibility, transferability, dependability, and conformability. Ethical principles such as autonomy, informed consent, beneficence, and justice were considered throughout the study to ensure that participants do not experience any violations during the research study. The results of the data analysis revealed the following main findings: Participants had negative experiences in relation to T1DM. Participants shared their experiences in relation to achieving self-management of T1DM. Recommendations were made to assist registered nurses to manage young adults living with T1DM adequately. The study achieved its intended objective.
- Full Text:
- Date Issued: 2019
- Authors: Fayindlala, Meliswa Theodora
- Date: 2019
- Subjects: Diabetes -- Treatment , Diabetes Lifestyles -- Health aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39818 , vital:35476
- Description: Living with type1 diabetes mellitus (T1DM), which is a challenging disease, is especially difficult during the young adult stage of development. This developmental stage is characterised as complex; difficult even for healthy individuals. There is an estimated worldwide increase of 415 million young adults living with T1DM, and this number is projected to rise to 642 million by 2040. Recent statistics indicate that this increase holds true for South Africa. T1DM has an early onset and is treated with insulin injections up to four (4) times a day. The management of T1DM is best achieved through self-management of an individual living with the disease as well as support from the health care providers, community, and the family. Young adults living with T1DM experience difficulties maintaining optimal blood glucose levels, ranging between four (4) and seven (7) millimoles, during this stressful transition period from childhood to young adulthood. Transitional actions include moving away from home for the first time to study at a tertiary institution, joining the work-force, or entering new relationships, such as getting married and becoming a parent. This phenomenon motivated the researcher to explore and describe the experiences of young adults living with T1DM regarding self-management and lifestyle-adaptation. The study followed a qualitative, exploratory, descriptive, and contextual design. The research population included young adults living with T1DM between the ages of 18 and 25 years in the Nelson Mandela Bay Health District, attending a diabetic clinic at a public tertiary hospital. Purposive sampling was utilised to select the 11 participants. A pilot study was conducted with one (1) participant before the main study commenced to ensure the trustworthiness of the findings. The researcher obtained data through semi-structured one-on-one interviews. Tesch’s method was used to analyse the research data. Once data were analysed; the findings underwent literature control. Lincoln and Guba’s model of trustworthiness was utilised to ensure that the study was trustworthy and credible which consists of the following four criteria: credibility, transferability, dependability, and conformability. Ethical principles such as autonomy, informed consent, beneficence, and justice were considered throughout the study to ensure that participants do not experience any violations during the research study. The results of the data analysis revealed the following main findings: Participants had negative experiences in relation to T1DM. Participants shared their experiences in relation to achieving self-management of T1DM. Recommendations were made to assist registered nurses to manage young adults living with T1DM adequately. The study achieved its intended objective.
- Full Text:
- Date Issued: 2019
Knowledge and practices of primary health care professional nurses: screening and identification of intimate partner violence
- Authors: Felix, Rehanna Theresa
- Date: 2018
- Subjects: Marital violence -- South Africa -- Psychological aspects , Nursing -- Social aspects Primary health care -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/29816 , vital:30781
- Description: Intimate partner violence is a global concern that affects most countries. In South Africa women are mostly affected by intimate partner violence, which often results in physical injuries or mental disorders. The World Health Organization compiled guidelines to combat the problem of intimate partner violence against women with emphasis on screening for intimate partner violence. However, a screening tool to identify intimate partner violence in female patients was absent in the Nelson Mandela Bay Health District, resulting in cases of intimate partner violence being unidentified. The aim of the research study is to determine the knowledge and practices of professional nurses regarding intimate partner violence and to introduce the use of an intimate partner violence screening tool in primary healthcare facilities to assist professional nurses to identify intimate partner violence. The objectives were firstly, to determine the current knowledge and practices utilized by professional nurses to identify intimate partner violence; secondly, to introduce an intimate partner violence screening tool to identify intimate partner violence; thirdly, to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The researcher conducted a small intervention research study using quantitative, quasi-experimental one group pre-and post-test design. An all-inclusive sample consisting of professional nurses working in primary healthcare facilities in Nelson Mandela Bay Health District was included in the study. The research study was conducted in three phases: Phase one, the pre-test determined the current knowledge and practices of the professional nurses to identify intimate partner violence. Phase two, entailed educational sessions to educate professional nurses that participated in Phase one regarding intimate partner violence and the intimate partner violence screening tool. Phase three, focused on the post-test to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The data was analysed through descriptive and inferential statistics with assistance of the statistician using frequency distribution, central tendency, Chi-square, t-test, Cohens’d and Cramér’s V and Cronbach’s alpha. The researchers ensured reliability and validity throughout the study. The researcher applied the ethical principles of beneficence, non-maleficence iii and autonomy, as well as privacy and confidentiality. Ethical permission was obtained for the study. The response in the pre-test was (n1=128) and the post-test (n2=63). Most participants were between the ages of 41-50 years in both the pre-test (n1=40, 31%) and the post-test (n2=63, 33%). The majority of the participants worked more than 15 years as professional nurses (n1=47, 37%) in the pre-test findings and 11-15 years (n2=19, 30%) in the post-test findings. All the participants were trained in general nursing science in the pre-test (n1=128, 100%), as well as post-test (n2=63, 100%) and the majority of participants were trained in community nursing science in the pre-test (n1=106, 83%) and post-test (n2=58, 92%). However, the majority of participants have indicated to receive no informal intimate partner violence training in the pre-test test (n1=11, 9%) versus the informal training that most participants received in the post-test (n2=50, 79%). Tests scores for knowledge ranged between 29% (n1=37) and 29% (n1=120) in the pre-test and 27% (n2=17) and 94% (n2=59) in the post-test. Test scores for practice ranged between 7% (n1=8) and 46% (n1=59) in the pre-test and 10% (n2=6) and 65% (n2=41) in the post-test. The mean score for knowledge in the pre-test (n1=8,17) and the post-test (n2=8,83) were better than the practice scores in both the pre-test (n1=2,44) and the post-test (n2=2,68). The 20-minutes’ educational session made a slight difference regarding the knowledge as statistically a significant difference was found regarding knowledge between the pre-test and post-test (d.f.=,204; Cohens’d 0.29). However, there is still a gap in knowledge among professional nurses regarding IPV in the Nelson Mandela Bay Health District. Further recommendations for practice, research and education were given.
- Full Text:
- Date Issued: 2018
- Authors: Felix, Rehanna Theresa
- Date: 2018
- Subjects: Marital violence -- South Africa -- Psychological aspects , Nursing -- Social aspects Primary health care -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/29816 , vital:30781
- Description: Intimate partner violence is a global concern that affects most countries. In South Africa women are mostly affected by intimate partner violence, which often results in physical injuries or mental disorders. The World Health Organization compiled guidelines to combat the problem of intimate partner violence against women with emphasis on screening for intimate partner violence. However, a screening tool to identify intimate partner violence in female patients was absent in the Nelson Mandela Bay Health District, resulting in cases of intimate partner violence being unidentified. The aim of the research study is to determine the knowledge and practices of professional nurses regarding intimate partner violence and to introduce the use of an intimate partner violence screening tool in primary healthcare facilities to assist professional nurses to identify intimate partner violence. The objectives were firstly, to determine the current knowledge and practices utilized by professional nurses to identify intimate partner violence; secondly, to introduce an intimate partner violence screening tool to identify intimate partner violence; thirdly, to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The researcher conducted a small intervention research study using quantitative, quasi-experimental one group pre-and post-test design. An all-inclusive sample consisting of professional nurses working in primary healthcare facilities in Nelson Mandela Bay Health District was included in the study. The research study was conducted in three phases: Phase one, the pre-test determined the current knowledge and practices of the professional nurses to identify intimate partner violence. Phase two, entailed educational sessions to educate professional nurses that participated in Phase one regarding intimate partner violence and the intimate partner violence screening tool. Phase three, focused on the post-test to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The data was analysed through descriptive and inferential statistics with assistance of the statistician using frequency distribution, central tendency, Chi-square, t-test, Cohens’d and Cramér’s V and Cronbach’s alpha. The researchers ensured reliability and validity throughout the study. The researcher applied the ethical principles of beneficence, non-maleficence iii and autonomy, as well as privacy and confidentiality. Ethical permission was obtained for the study. The response in the pre-test was (n1=128) and the post-test (n2=63). Most participants were between the ages of 41-50 years in both the pre-test (n1=40, 31%) and the post-test (n2=63, 33%). The majority of the participants worked more than 15 years as professional nurses (n1=47, 37%) in the pre-test findings and 11-15 years (n2=19, 30%) in the post-test findings. All the participants were trained in general nursing science in the pre-test (n1=128, 100%), as well as post-test (n2=63, 100%) and the majority of participants were trained in community nursing science in the pre-test (n1=106, 83%) and post-test (n2=58, 92%). However, the majority of participants have indicated to receive no informal intimate partner violence training in the pre-test test (n1=11, 9%) versus the informal training that most participants received in the post-test (n2=50, 79%). Tests scores for knowledge ranged between 29% (n1=37) and 29% (n1=120) in the pre-test and 27% (n2=17) and 94% (n2=59) in the post-test. Test scores for practice ranged between 7% (n1=8) and 46% (n1=59) in the pre-test and 10% (n2=6) and 65% (n2=41) in the post-test. The mean score for knowledge in the pre-test (n1=8,17) and the post-test (n2=8,83) were better than the practice scores in both the pre-test (n1=2,44) and the post-test (n2=2,68). The 20-minutes’ educational session made a slight difference regarding the knowledge as statistically a significant difference was found regarding knowledge between the pre-test and post-test (d.f.=,204; Cohens’d 0.29). However, there is still a gap in knowledge among professional nurses regarding IPV in the Nelson Mandela Bay Health District. Further recommendations for practice, research and education were given.
- Full Text:
- Date Issued: 2018
Association between maternal health status and birth outcomes in the Nelson Mandela Bay Health District
- Authors: Hawkins, Althea Anita
- Date: 2018
- Subjects: Birth weight, Low -- Nelson Mandela Bay Municipality , Birth weight Premature infants
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30039 , vital:30812
- Description: In 2011, the South African low birth weight rates varied between 9% and 15.5%, according to different sources. This means that about one out of every ten babies born alive weighed less than 2500g. Furthermore, six of South Africa’s nine provinces, including the Eastern Cape, reported low birth weight rates equal or higher than the national average. These figures raise serious concerns about the health status of infants, their chances of survival and their quality of life, particularly in provinces with a high incidence of low birth weight. Literature has linked the maternal health status to adverse birth outcomes. Statistics from the district office of the Nelson Mandela Bay Health District (NMBHD) indicates that for the fourth quarter of 2015, between 16.65 and 20.9% low birth weight infants were born. However, limited information is available regarding the causes and maternal health status of the mothers of the infants born with adverse birth outcomes in the Nelson Mandela Bay Health District (NMBHD). The objective of the research study is to investigate the associations between maternal health status and birth outcomes in order to identify the major drivers of adverse birth outcomes in NMBHD. The study used a quantitative research approach. In order to enhance the design, the researcher used an explorative, descriptive, cross-sectional, contextual and survey research design. The study was conducted at the regional hospital in Nelson Mandela Bay Health District (NMBHD) and Midwifery Obstetric Units (MOU). The participants were selected using a convenient and purposive sampling technique. A structured, self-administered questionnaire was used as the data collection tool. A statistician assisted with the data analysis. Descriptive and inferential statistics were used. The researcher ensured that ethical considerations were maintained throughout the study to protect the participants. Reliability and validity were also ensured throughout the study. The total sample of the study was 207 and the mean age of the participants was 26,9 years. Hypertension and HIV were the conditions most diagnosed prior to, and during, pregnancy. Most of the delivered infants were females. The findings of the study revealed a significant association between maternal diabetes, maternal hypertension and the infants’ birth weight. Additional findings iv revealed that independent of gestational age, mothers with hypertension are likely to deliver low birth weight (LBW) infants. Antenatal care is of the utmost importance during pregnancy and special attention should be given to the management of hypertension. The researcher developed recommendations for primary health care (PHC) nurses in antenatal clinics (ANC) to address the management of the major maternal drivers of LBW infants in order to decrease and prevent adverse birth outcomes.
- Full Text:
- Date Issued: 2018
- Authors: Hawkins, Althea Anita
- Date: 2018
- Subjects: Birth weight, Low -- Nelson Mandela Bay Municipality , Birth weight Premature infants
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30039 , vital:30812
- Description: In 2011, the South African low birth weight rates varied between 9% and 15.5%, according to different sources. This means that about one out of every ten babies born alive weighed less than 2500g. Furthermore, six of South Africa’s nine provinces, including the Eastern Cape, reported low birth weight rates equal or higher than the national average. These figures raise serious concerns about the health status of infants, their chances of survival and their quality of life, particularly in provinces with a high incidence of low birth weight. Literature has linked the maternal health status to adverse birth outcomes. Statistics from the district office of the Nelson Mandela Bay Health District (NMBHD) indicates that for the fourth quarter of 2015, between 16.65 and 20.9% low birth weight infants were born. However, limited information is available regarding the causes and maternal health status of the mothers of the infants born with adverse birth outcomes in the Nelson Mandela Bay Health District (NMBHD). The objective of the research study is to investigate the associations between maternal health status and birth outcomes in order to identify the major drivers of adverse birth outcomes in NMBHD. The study used a quantitative research approach. In order to enhance the design, the researcher used an explorative, descriptive, cross-sectional, contextual and survey research design. The study was conducted at the regional hospital in Nelson Mandela Bay Health District (NMBHD) and Midwifery Obstetric Units (MOU). The participants were selected using a convenient and purposive sampling technique. A structured, self-administered questionnaire was used as the data collection tool. A statistician assisted with the data analysis. Descriptive and inferential statistics were used. The researcher ensured that ethical considerations were maintained throughout the study to protect the participants. Reliability and validity were also ensured throughout the study. The total sample of the study was 207 and the mean age of the participants was 26,9 years. Hypertension and HIV were the conditions most diagnosed prior to, and during, pregnancy. Most of the delivered infants were females. The findings of the study revealed a significant association between maternal diabetes, maternal hypertension and the infants’ birth weight. Additional findings iv revealed that independent of gestational age, mothers with hypertension are likely to deliver low birth weight (LBW) infants. Antenatal care is of the utmost importance during pregnancy and special attention should be given to the management of hypertension. The researcher developed recommendations for primary health care (PHC) nurses in antenatal clinics (ANC) to address the management of the major maternal drivers of LBW infants in order to decrease and prevent adverse birth outcomes.
- Full Text:
- Date Issued: 2018
Continuous professional development for medical sales representatives: a needs assessment
- Authors: Heleta, Jade Lana
- Date: 2020
- Subjects: Career development -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46366 , vital:39576
- Description: Employees in any industry need to continuously update their skills in order to be knowledgeable and competitive. Conducting a needs assessment plays an instrumental role in ensuring that continuous professional development (CPD) training is relevant to the target audience. In many organisations, however, CPD training programmes are often planned and delivered without a comprehensive needs assessment first being undertaken. This was a quantitative study that used a descriptive survey design and an online survey tool for data collection and analysis. Using an all-inclusive sample, the purpose of this study was to explore and describe CPD needs of medical sales representatives at an international medical devices company that operates in South Africa. Descriptive and inferential statistics were used to analyse the data. Research findings are depicted in frequencies, percentages, tables and figures. The findings of the study reveal specific training needs of the respondents and the shortcomings of the existing CPD offerings. The findings show that the CPD training offered by the company under study is mostly product specific and about sales. The respondents have highlighted that they would like to see more practical training to be incorporated into the CPD training programmes. It was also noted that the respondents would like to provide more input into the training programmes that are being offered by the company under study. The study has also identified areas where the company can improve in order to make these CPD training opportunities a more satisfying, educational and developmental experience for the employees. While the study focuses on one company, findings are relevant for other similar companies, as well as companies in other industries, since CPD at the workplace is a necessity in any competitive business environment or industry in order to increase productivity, sales, staff retention and customer satisfaction.
- Full Text:
- Date Issued: 2020
- Authors: Heleta, Jade Lana
- Date: 2020
- Subjects: Career development -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46366 , vital:39576
- Description: Employees in any industry need to continuously update their skills in order to be knowledgeable and competitive. Conducting a needs assessment plays an instrumental role in ensuring that continuous professional development (CPD) training is relevant to the target audience. In many organisations, however, CPD training programmes are often planned and delivered without a comprehensive needs assessment first being undertaken. This was a quantitative study that used a descriptive survey design and an online survey tool for data collection and analysis. Using an all-inclusive sample, the purpose of this study was to explore and describe CPD needs of medical sales representatives at an international medical devices company that operates in South Africa. Descriptive and inferential statistics were used to analyse the data. Research findings are depicted in frequencies, percentages, tables and figures. The findings of the study reveal specific training needs of the respondents and the shortcomings of the existing CPD offerings. The findings show that the CPD training offered by the company under study is mostly product specific and about sales. The respondents have highlighted that they would like to see more practical training to be incorporated into the CPD training programmes. It was also noted that the respondents would like to provide more input into the training programmes that are being offered by the company under study. The study has also identified areas where the company can improve in order to make these CPD training opportunities a more satisfying, educational and developmental experience for the employees. While the study focuses on one company, findings are relevant for other similar companies, as well as companies in other industries, since CPD at the workplace is a necessity in any competitive business environment or industry in order to increase productivity, sales, staff retention and customer satisfaction.
- Full Text:
- Date Issued: 2020
Knowledge and responsibility regarding teaching teenage girl’s reproductive healthcare: views of Eastern Cape Province teachers
- Authors: Hendricks, Thenjiwe
- Date: 2018
- Subjects: Reproductive health -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Port Elizabeth High school teachers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30094 , vital:30824
- Description: Teachers play a vital role in educating and teaching of children at school. One of the areas for teaching responsibility is development of the individual learner to be a competent community member, either as a professional or as an otherwise- skilled person. It is therefore for that reason that the South African government introduced into the curriculum at school level a subject that is directed at life orientation to empower learners. Teachers bear the responsibility of teaching this subject. One of the topics in the Life Orientation subject is Reproductive Healthcare, which is supposed to empower the learners especially with matters of sex and sexuality, diseases included. Despite the teaching of this topic in schools, the rate of teenage pregnancies and occurrence of sexually -transmitted infections remains on the increase in the country. Although much literature exists about teenage pregnancy in the country, there is theoretical paucity on how teachers view their responsibility to teach reproductive healthcare. The questions that prompted and have been raised in this study have been: How much do school teachers know about reproductive healthcare? How do school teachers view the responsibility given to them of teaching the reproductive healthcare? What kind of assistance is needed by the school teachers with regard to their responsibility towards teaching the reproductive healthcare topic? The objectives developed for the study were to: explore the knowledge of school teachers with regard to reproductive healthcare; explore and describe the views of school teachers with regard to their responsibility to teach the reproductive healthcare topic to teenage girls ;and develop guidelines for schools to assist school teachers with regard to their responsibility to teach the reproductive healthcare topic to teenage girls. Following the granting of the necessary university permission and approval from other relevant authorities, the study was conducted between May and June 2017, using a qualitative explorative, descriptive and contextual design. The research population and sample was school teachers specifically those who were working at public high schools, in the Sarah Baartman and Makana districts and Nelson Mandela Bay Municipal area. Furthermore, the teachers were from schools that were using the Life Orientation curriculum. Sampling was done purposively. Data was collected by means of focus-group semi-structured interviews that were captured by means of a digital voice-recorder and an interview schedule consisting of four questions. The number of participants ranged from four to five per focus group. Field notes were also written down to record non-verbal cues and events observed from the participants during the interview sessions. Altogether twenty teachers participated in this study. From the twenty participants six teachers were part of the pilot study and an additional fourteen were the ultimate sample size. From the fourteen participants four focus -group interviews were conducted. The collected data was analysed following the spiral data -analysis method as indicated by de Vos. As findings, three themes emerged and were the following. Teachers view their responsibility to teach reproductive healthcare to teenage girls as burdensome. Teachers identified the changes to the curriculum as a concern that was affecting their teaching of the topic. Furthermore, the teachers related positively to the need for teaching of the reproductive healthcare topic at schools. Based on these findings and the guidance of the model adopted for the study, that of the Health Promotion Model, three main guidelines were developed. These guidelines will teachers on how best to meet their responsibility of teaching the reproductive topic to teenage girls. The guidelines were to: create a set of core values that form the basis of responsibility to teach reproductive healthcare to teenage girls; devise a plan that will assist participants to deal with the immediate burden of teaching reproductive healthcare but also for future purposes and create an atmosphere that would increase the positivity of teachers towards teaching reproductive healthcare to teenage girls. Furthermore, recommendations for clinical nursing practice, nursing education and nursing research were developed. Trustworthiness of the study was maintained by using the criteria of credibility, transferability, dependability and confirmability. Ethical principles adopted in this study were those of beneficence, maleficence, justice and respect while applying the strategies of permission, informed consent, privacy, confidentiality and anonymity.
- Full Text:
- Date Issued: 2018
- Authors: Hendricks, Thenjiwe
- Date: 2018
- Subjects: Reproductive health -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Port Elizabeth High school teachers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30094 , vital:30824
- Description: Teachers play a vital role in educating and teaching of children at school. One of the areas for teaching responsibility is development of the individual learner to be a competent community member, either as a professional or as an otherwise- skilled person. It is therefore for that reason that the South African government introduced into the curriculum at school level a subject that is directed at life orientation to empower learners. Teachers bear the responsibility of teaching this subject. One of the topics in the Life Orientation subject is Reproductive Healthcare, which is supposed to empower the learners especially with matters of sex and sexuality, diseases included. Despite the teaching of this topic in schools, the rate of teenage pregnancies and occurrence of sexually -transmitted infections remains on the increase in the country. Although much literature exists about teenage pregnancy in the country, there is theoretical paucity on how teachers view their responsibility to teach reproductive healthcare. The questions that prompted and have been raised in this study have been: How much do school teachers know about reproductive healthcare? How do school teachers view the responsibility given to them of teaching the reproductive healthcare? What kind of assistance is needed by the school teachers with regard to their responsibility towards teaching the reproductive healthcare topic? The objectives developed for the study were to: explore the knowledge of school teachers with regard to reproductive healthcare; explore and describe the views of school teachers with regard to their responsibility to teach the reproductive healthcare topic to teenage girls ;and develop guidelines for schools to assist school teachers with regard to their responsibility to teach the reproductive healthcare topic to teenage girls. Following the granting of the necessary university permission and approval from other relevant authorities, the study was conducted between May and June 2017, using a qualitative explorative, descriptive and contextual design. The research population and sample was school teachers specifically those who were working at public high schools, in the Sarah Baartman and Makana districts and Nelson Mandela Bay Municipal area. Furthermore, the teachers were from schools that were using the Life Orientation curriculum. Sampling was done purposively. Data was collected by means of focus-group semi-structured interviews that were captured by means of a digital voice-recorder and an interview schedule consisting of four questions. The number of participants ranged from four to five per focus group. Field notes were also written down to record non-verbal cues and events observed from the participants during the interview sessions. Altogether twenty teachers participated in this study. From the twenty participants six teachers were part of the pilot study and an additional fourteen were the ultimate sample size. From the fourteen participants four focus -group interviews were conducted. The collected data was analysed following the spiral data -analysis method as indicated by de Vos. As findings, three themes emerged and were the following. Teachers view their responsibility to teach reproductive healthcare to teenage girls as burdensome. Teachers identified the changes to the curriculum as a concern that was affecting their teaching of the topic. Furthermore, the teachers related positively to the need for teaching of the reproductive healthcare topic at schools. Based on these findings and the guidance of the model adopted for the study, that of the Health Promotion Model, three main guidelines were developed. These guidelines will teachers on how best to meet their responsibility of teaching the reproductive topic to teenage girls. The guidelines were to: create a set of core values that form the basis of responsibility to teach reproductive healthcare to teenage girls; devise a plan that will assist participants to deal with the immediate burden of teaching reproductive healthcare but also for future purposes and create an atmosphere that would increase the positivity of teachers towards teaching reproductive healthcare to teenage girls. Furthermore, recommendations for clinical nursing practice, nursing education and nursing research were developed. Trustworthiness of the study was maintained by using the criteria of credibility, transferability, dependability and confirmability. Ethical principles adopted in this study were those of beneficence, maleficence, justice and respect while applying the strategies of permission, informed consent, privacy, confidentiality and anonymity.
- Full Text:
- Date Issued: 2018
An educational intervention on sepsis related to mechanical ventilation in adult public critical care units in the Eastern Cape
- Hlungwane, Emmanuel Zamokwakhe
- Authors: Hlungwane, Emmanuel Zamokwakhe
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units Septicemia -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/40139 , vital:35759
- Description: Sepsis is a leading cause of mortality and morbidity worldwide, and local adult public critical care units continue to experience incidences of sepsis. Professional nurses (PNs) need to base their nursing care on sepsis guidelines in order to properly manage sepsis on a mechanically ventilated adult patient in the critical care units. Adequate knowledge on sepsis guidelines remains crucially indicative to PNs as they endeavour to maintain asepsis on a critically ill patient. The aim was to develop, review and implement an educational intervention and investigate the effect of this intervention on the professional nurses’ knowledge and practices of sepsis in mechanically ventilated patients in adult public critical care units in the Eastern Cape Province. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental pre-post-test design, with an intervention research approach conducted in three phases. A pre-test questionnaire was administered to explore and describe the knowledge and practices of professional nurses related to sepsis in the mechanically ventilated patients in the adult public critical care units (Phase One). An educational intervention was developed, reviewed, and used to implement the sepsis guideline (Phase Two). The effect of the guideline on the knowledge and practices of the professional nurses in public adult critical care units were assessed through a post-test questionnaire (Phase Three). The questionnaires (pre-and post-) were developed by the researcher to collect the relevant data and were pilot tested to ascertain validity and reliability. The educational intervention to be implemented was developed based on the Surviving Sepsis Campaign Guidelines, reviewed by experts, implemented, and evaluated based on the sepsis guideline. A non-probability purposive sampling method was implemented. The intervention was implemented amongst three groups of PNs, namely experimental group one (EG1) (Powerpoint, Surviving Sepsis Campaign Guidelines and two monitoring visits), experimental group two (EG2) (Powerpoint and Surviving Sepsis Campaign Guidelines) and the control group (CG) (no exposure to intervention). Data was collected by means of a structured questionnaire. The target population was professional nurses working in selected adult public CCUs in the Eastern Cape. Descriptive statistics, such as mean, mode and median and inferential data analysis such as ANOVA and Chi square, have been conducted with the assistance of a statistician. The pre- and post-test questionnaire results on the knowledge related to SSC guidelines revealed a means of 57.72 and 54.61, as well as standard deviations of 13.99 and 12.15 with a difference of 3.11 for EG1. For EG2, the results revealed means of 53.28 and 62.18, standard deviations of 14.39 and 13.60 with a difference of -8.89 indicating a medium difference around 0.63 standard deviation. EG2 indicated more difference of above 0.5 standard deviation as compared to EG1. The control group on the other hand had produce large effect of mean difference above 0.8 standard deviation. Although there was no statistical significance found between the knowledge score between the three groups (EG1, EG2, CG), implementing the SSC guidelines (full intervention) in EG1 had medium effect on the knowledge of PNs on MV adult patient in the CCU. For EG2, there were positive relationships between the knowledge related to SCC Guidelines and practices related to SSC Guidelines. Ethical principles such as respect for person/informed consent, beneficence, privacy, and confidentiality, as well as rigour were maintained throughout the research study.
- Full Text:
- Date Issued: 2019
- Authors: Hlungwane, Emmanuel Zamokwakhe
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units Septicemia -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/40139 , vital:35759
- Description: Sepsis is a leading cause of mortality and morbidity worldwide, and local adult public critical care units continue to experience incidences of sepsis. Professional nurses (PNs) need to base their nursing care on sepsis guidelines in order to properly manage sepsis on a mechanically ventilated adult patient in the critical care units. Adequate knowledge on sepsis guidelines remains crucially indicative to PNs as they endeavour to maintain asepsis on a critically ill patient. The aim was to develop, review and implement an educational intervention and investigate the effect of this intervention on the professional nurses’ knowledge and practices of sepsis in mechanically ventilated patients in adult public critical care units in the Eastern Cape Province. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental pre-post-test design, with an intervention research approach conducted in three phases. A pre-test questionnaire was administered to explore and describe the knowledge and practices of professional nurses related to sepsis in the mechanically ventilated patients in the adult public critical care units (Phase One). An educational intervention was developed, reviewed, and used to implement the sepsis guideline (Phase Two). The effect of the guideline on the knowledge and practices of the professional nurses in public adult critical care units were assessed through a post-test questionnaire (Phase Three). The questionnaires (pre-and post-) were developed by the researcher to collect the relevant data and were pilot tested to ascertain validity and reliability. The educational intervention to be implemented was developed based on the Surviving Sepsis Campaign Guidelines, reviewed by experts, implemented, and evaluated based on the sepsis guideline. A non-probability purposive sampling method was implemented. The intervention was implemented amongst three groups of PNs, namely experimental group one (EG1) (Powerpoint, Surviving Sepsis Campaign Guidelines and two monitoring visits), experimental group two (EG2) (Powerpoint and Surviving Sepsis Campaign Guidelines) and the control group (CG) (no exposure to intervention). Data was collected by means of a structured questionnaire. The target population was professional nurses working in selected adult public CCUs in the Eastern Cape. Descriptive statistics, such as mean, mode and median and inferential data analysis such as ANOVA and Chi square, have been conducted with the assistance of a statistician. The pre- and post-test questionnaire results on the knowledge related to SSC guidelines revealed a means of 57.72 and 54.61, as well as standard deviations of 13.99 and 12.15 with a difference of 3.11 for EG1. For EG2, the results revealed means of 53.28 and 62.18, standard deviations of 14.39 and 13.60 with a difference of -8.89 indicating a medium difference around 0.63 standard deviation. EG2 indicated more difference of above 0.5 standard deviation as compared to EG1. The control group on the other hand had produce large effect of mean difference above 0.8 standard deviation. Although there was no statistical significance found between the knowledge score between the three groups (EG1, EG2, CG), implementing the SSC guidelines (full intervention) in EG1 had medium effect on the knowledge of PNs on MV adult patient in the CCU. For EG2, there were positive relationships between the knowledge related to SCC Guidelines and practices related to SSC Guidelines. Ethical principles such as respect for person/informed consent, beneficence, privacy, and confidentiality, as well as rigour were maintained throughout the research study.
- Full Text:
- Date Issued: 2019
Experiences of mothers attending well-baby clinics in the Buffalo City Metro Health District regarding exclusive breastfeeding
- Authors: Joseph, Valerie Jennifer
- Date: 2018
- Subjects: Breastfeeding -- South Africa -- Buffalo City Municipality , Infants -- Nutrition Mothers -- South Africa -- Buffalo City Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30517 , vital:30956
- Description: The researcher observed that exclusive breastfeeding amongst women for the first six months of a baby’s life is very low. The researcher therefore undertook this study to explore and describe the experiences of mothers attending well babies clinics in the Buffalo City Metro Health District regarding exclusive breastfeeding. A qualitative, explorative, descriptive and contextual research design was used to conduct this research. The research population included mothers that visited the postnatal clinics and were exclusively breastfeeding their babies for the six weeks and more. Purposive sampling was used to select the research participants. The data was collected using in-depth one-on-one interviews and all interviews were recorded using a voice recorder. The data analysis was done using Tesch’s method to make sense out of the text and data. A pilot study was conducted before undertaking the actual research using the same methods and design as those in the main study. Strategies were implemented throughout the study to ensure trustworthiness and adherence to ethical principles. Three themes and fourteen sub-themes emerged from the data analysis. The three main themes that emerged highlighted challenges experienced by mothers who exclusively breastfeed their babies as well as the positive experiences that they experienced. The participants also made some suggestions with regard to how exclusive breastfeeding could be enhanced among mothers who have babies. Based on the research findings, several recommendations were made, including the involvement of the private sector and Non-Profit organizations in order to improve the exclusive breastfeeding rate.
- Full Text:
- Date Issued: 2018
- Authors: Joseph, Valerie Jennifer
- Date: 2018
- Subjects: Breastfeeding -- South Africa -- Buffalo City Municipality , Infants -- Nutrition Mothers -- South Africa -- Buffalo City Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30517 , vital:30956
- Description: The researcher observed that exclusive breastfeeding amongst women for the first six months of a baby’s life is very low. The researcher therefore undertook this study to explore and describe the experiences of mothers attending well babies clinics in the Buffalo City Metro Health District regarding exclusive breastfeeding. A qualitative, explorative, descriptive and contextual research design was used to conduct this research. The research population included mothers that visited the postnatal clinics and were exclusively breastfeeding their babies for the six weeks and more. Purposive sampling was used to select the research participants. The data was collected using in-depth one-on-one interviews and all interviews were recorded using a voice recorder. The data analysis was done using Tesch’s method to make sense out of the text and data. A pilot study was conducted before undertaking the actual research using the same methods and design as those in the main study. Strategies were implemented throughout the study to ensure trustworthiness and adherence to ethical principles. Three themes and fourteen sub-themes emerged from the data analysis. The three main themes that emerged highlighted challenges experienced by mothers who exclusively breastfeed their babies as well as the positive experiences that they experienced. The participants also made some suggestions with regard to how exclusive breastfeeding could be enhanced among mothers who have babies. Based on the research findings, several recommendations were made, including the involvement of the private sector and Non-Profit organizations in order to improve the exclusive breastfeeding rate.
- Full Text:
- Date Issued: 2018
Coping and support needs of midwives caring for women with perinatal loss in the Nelson Mandela Bay health district
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
Professional nurses’ experiences regarding the management of patients on drug-resistant tuberculosis treatment at primary health care clinics
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Tuberculosis--Patients -- South Africa , Tuberculosis--Nursing Primary nursing--Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45031 , vital:38227
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Tuberculosis--Patients -- South Africa , Tuberculosis--Nursing Primary nursing--Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45031 , vital:38227
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
Professional nurses’ experiences regarding the management of patients on drug-resistant tuberculosis treatment at primary health care clinics
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Drug-resistant tuberculosis -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44703 , vital:38146
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
- Authors: Kramer, Mercia Virginia
- Date: 2019
- Subjects: Drug-resistant tuberculosis -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44703 , vital:38146
- Description: Drug-resistant tuberculosis (DR-TB) is a significant health burden in South Africa because it challenges the control of TB in the community since the decentralization of treatment. As a community health nurse who has previously worked in clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed numerous challenges resulting from the decentralization of DR-TB in the community. The workload of professional nurses, who are the first point of contact for patients accessing primary health care services, has increased significantly since the management of patients on DR-TB treatment has become part of their responsibilities due to the previous mentioned decentralization. The researcher was therefore motivated to establish how professional nurses at primary health care (PHC) clinics experience the management of patients who are on DR-TB treatment. The study employed a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who were managing the DR-TB programme in PHC clinics in the NMBHD. The appropriate research sample was identified and selected using a non-probability, purposive technique. In-dept interviews were used to collect the data, and Tesch’s model was used for data analysis. The researcher adhered to the ethical considerations of research throughout the study, and ensured the trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. The study findings revealed that the participants had diverse experiences of the management of DR-TB. In this regard, the professional nurses expressed both negative and positive experiences. Two themes emerged from the study. Theme 1 and its subthemes related to the challenges encountered when managing patients diagnosed with DR-TB. Theme 2 and its subthemes related to the positive aspects of managing patients diagnosed with DR-TB. In conclusion the study highlighted that professional nurses had fear and real challenges, but also experienced positive experiences of the management of patients on DR-TB treatment. In light of the study findings, recommendations were made regarding nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2019
Social factors that contribute to poor academic performance of second-year nursing students at a public nursing college
- Authors: Luzipo, Nomawabo Lessie
- Date: 2018
- Subjects: Nursing students -- South Africa , Nursing -- Study and teaching -- South Africa Academic achievement - -South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30897 , vital:31211
- Description: The study sought to discover the determinants of the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. Poor academic performance results in a number of consequences, for example: an increased cost for students and their parents when the study period is prolonged; a larger number of discontinuations; an increase in students who repeat modules, which has cost implications for institutions; and many personal effects on students, such as depression, demotivation and lack of confidence. Paucity was found regarding the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. This paucity led to this study being conducted.The aim of the study was to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa, in order to develop strategies to assist nursing college management and staff to manage the social factors that contribute to the poor academic performance of these students. The researcher utilized a quantitative, exploratory, and descriptive design that was contextual in nature. The study was conducted in two phases. In the first phase, a self-administered questionnaire was used to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. The second phase included the development of strategies for managing the social factors that contribute to poor academic performance of second-year nursing students at the public nursing college. The research population consisted of 304 second-year nursing students. A census sampling method was used to select 293 respondents. The data was collected by means of a self-administered questionnaire that was developed based on a literature review and existing questionnaires. The questionnaire consisted of questions and statements. It was comprised of three sections: demographic information (Section A), social factors that contribute to the poor academic performance (Section B), and additional relevant information on social factors that contribute to the poor academic performance (Section C). Descriptive and inferential statistics were used to analyse the data, with the assistance of a statistician. The study revealed a number of factors that negatively affect students’ academic performance for instance, drug and alcohol abuse, absenteeism and stress were discussed in Chapter Four. The findings were used to develop strategies for educators and managers to manage the social factors that contribute to poor academic performance of second-year nursing students at a public nursing college. The limitations and recommendations were identified and can be found in the closing chapter. Reliability and validity were ensured. Ethical principles such as respect for persons, beneficence were upheld throughout the study.
- Full Text:
- Date Issued: 2018
- Authors: Luzipo, Nomawabo Lessie
- Date: 2018
- Subjects: Nursing students -- South Africa , Nursing -- Study and teaching -- South Africa Academic achievement - -South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30897 , vital:31211
- Description: The study sought to discover the determinants of the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. Poor academic performance results in a number of consequences, for example: an increased cost for students and their parents when the study period is prolonged; a larger number of discontinuations; an increase in students who repeat modules, which has cost implications for institutions; and many personal effects on students, such as depression, demotivation and lack of confidence. Paucity was found regarding the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. This paucity led to this study being conducted.The aim of the study was to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa, in order to develop strategies to assist nursing college management and staff to manage the social factors that contribute to the poor academic performance of these students. The researcher utilized a quantitative, exploratory, and descriptive design that was contextual in nature. The study was conducted in two phases. In the first phase, a self-administered questionnaire was used to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. The second phase included the development of strategies for managing the social factors that contribute to poor academic performance of second-year nursing students at the public nursing college. The research population consisted of 304 second-year nursing students. A census sampling method was used to select 293 respondents. The data was collected by means of a self-administered questionnaire that was developed based on a literature review and existing questionnaires. The questionnaire consisted of questions and statements. It was comprised of three sections: demographic information (Section A), social factors that contribute to the poor academic performance (Section B), and additional relevant information on social factors that contribute to the poor academic performance (Section C). Descriptive and inferential statistics were used to analyse the data, with the assistance of a statistician. The study revealed a number of factors that negatively affect students’ academic performance for instance, drug and alcohol abuse, absenteeism and stress were discussed in Chapter Four. The findings were used to develop strategies for educators and managers to manage the social factors that contribute to poor academic performance of second-year nursing students at a public nursing college. The limitations and recommendations were identified and can be found in the closing chapter. Reliability and validity were ensured. Ethical principles such as respect for persons, beneficence were upheld throughout the study.
- Full Text:
- Date Issued: 2018
Social factors that contribute to poor academic performance of second-year nursing students at a public nursing college
- Authors: Luzipo, Nomawabo Lessie
- Date: 2018
- Subjects: College students -- South Africa -- Social conditions , Nursing students -- South Africa , Academic achievement -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30902 , vital:31210
- Description: The study sought to discover the determinants of the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. Poor academic performance results in a number of consequences, for example: an increased cost for students and their parents when the study period is prolonged; a larger number of discontinuations; an increase in students who repeat modules, which has cost implications for institutions; and many personal effects on students, such as depression, demotivation and lack of confidence. Paucity was found regarding the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. This paucity led to this study being conducted. The aim of the study was to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa, in order to develop strategies to assist nursing college management and staff to manage the social factors that contribute to the poor academic performance of these students. The researcher utilized a quantitative, exploratory, and descriptive design that was contextual in nature. The study was conducted in two phases. In the first phase, a self-administered questionnaire was used to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. The second phase included the development of strategies for managing the social factors that contribute to poor academic performance of second-year nursing students at the public nursing college. The research population consisted of 304 second-year nursing students. A census sampling method was used to select 293 respondents. The data was collected by means of a self-administered questionnaire that was developed based on a literature review and existing questionnaires. The questionnaire consisted of questions and statements. It was comprised of three sections: demographic information (Section A), social factors that contribute to the poor academic performance (Section B), and additional relevant information on social factors that contribute to the poor academic v performance (Section C). Descriptive and inferential statistics were used to analyse the data, with the assistance of a statistician. The study revealed a number of factors that negatively affect students’ academic performance for instance, drug and alcohol abuse, absenteeism and stress were discussed in Chapter Four. The findings were used to develop strategies for educators and managers to manage the social factors that contribute to poor academic performance of second-year nursing students at a public nursing college. The limitations and recommendations were identified and can be found in the closing chapter. Reliability and validity were ensured. Ethical principles such as respect for persons, beneficence were upheld throughout the study.
- Full Text:
- Date Issued: 2018
- Authors: Luzipo, Nomawabo Lessie
- Date: 2018
- Subjects: College students -- South Africa -- Social conditions , Nursing students -- South Africa , Academic achievement -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30902 , vital:31210
- Description: The study sought to discover the determinants of the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. Poor academic performance results in a number of consequences, for example: an increased cost for students and their parents when the study period is prolonged; a larger number of discontinuations; an increase in students who repeat modules, which has cost implications for institutions; and many personal effects on students, such as depression, demotivation and lack of confidence. Paucity was found regarding the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. This paucity led to this study being conducted. The aim of the study was to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa, in order to develop strategies to assist nursing college management and staff to manage the social factors that contribute to the poor academic performance of these students. The researcher utilized a quantitative, exploratory, and descriptive design that was contextual in nature. The study was conducted in two phases. In the first phase, a self-administered questionnaire was used to investigate the social factors that contribute to the poor academic performance of second-year nursing students at a public nursing college in the Eastern Cape, South Africa. The second phase included the development of strategies for managing the social factors that contribute to poor academic performance of second-year nursing students at the public nursing college. The research population consisted of 304 second-year nursing students. A census sampling method was used to select 293 respondents. The data was collected by means of a self-administered questionnaire that was developed based on a literature review and existing questionnaires. The questionnaire consisted of questions and statements. It was comprised of three sections: demographic information (Section A), social factors that contribute to the poor academic performance (Section B), and additional relevant information on social factors that contribute to the poor academic v performance (Section C). Descriptive and inferential statistics were used to analyse the data, with the assistance of a statistician. The study revealed a number of factors that negatively affect students’ academic performance for instance, drug and alcohol abuse, absenteeism and stress were discussed in Chapter Four. The findings were used to develop strategies for educators and managers to manage the social factors that contribute to poor academic performance of second-year nursing students at a public nursing college. The limitations and recommendations were identified and can be found in the closing chapter. Reliability and validity were ensured. Ethical principles such as respect for persons, beneficence were upheld throughout the study.
- Full Text:
- Date Issued: 2018
Exploration of breastfeeding mothers’ knowledge and attitudes toward human milk donation in Nelson Mandela Bay
- Madlingozi, Nompumelelo Sibusisiwe
- Authors: Madlingozi, Nompumelelo Sibusisiwe
- Date: 2018
- Subjects: Breast milk , Breastfeeding promotion Breastfeeding
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/31510 , vital:31499
- Description: The beneficial effects of breastfeeding for mothers and babies are well recognized. When maternal breast milk is not available in sufficient quantity, an alternative source of nutrition is donated breast milk, particularly for ill preterm and other high-risk infants. Therefore, it was important to explore the breastfeeding mothers’ knowledge as well as their attitudes toward human milk donation and the possibilities of enhancing it. The objectives of this study were to: • To explore and describe the breastfeeding mothers’ knowledge as well as their attitudes toward human milk donation in Nelson Mandela Bay. • To make recommendations to operational/unit managers and midwives, based on the findings of the study, in order to enhance and promote human milk bank donation in Nelson Mandela Bay. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design after obtaining the necessary approval from the university and relevant authorities. The research population consisted of breastfeeding mothers who were in maternity units in either a public or a private hospital in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants by using set inclusion and exclusion criteria after obtaining the necessary informed consent. Data was captured by the researcher on a Microsoft Excel spread sheet and was reduced and analysed with the help of a statistician who used a software package called IBM SPSS Statistics 24 to ensure the efficacy of the results. One hundred and twenty questionnaires were distributed and 104 were returned, meaning that a response rate of 87% was achieved. From the research findings it was found that breastfeeding mothers in Nelson Mandela Bay do not know about human milk banking and donation. Breastfeeding mothers acknowledged the fact that they lacked information about human milk banking and donation. Furthermore, there are safety concerns regarding donated breast milk and all the breastfeeding mothers that were part of the study, had never used milk bank services. Based on these findings, recommendations for the incorporation of v breastfeeding and human milk bank services were made. Further recommendations were made on the inclusion of human milk services in the health education that is given during antenatal and postnatal care. The researcher used a literature control to ensure the validity and integrity of the study. Further, the quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report by adopting the principles of autonomy, non-maleficence, beneficence and justice.
- Full Text:
- Date Issued: 2018
- Authors: Madlingozi, Nompumelelo Sibusisiwe
- Date: 2018
- Subjects: Breast milk , Breastfeeding promotion Breastfeeding
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/31510 , vital:31499
- Description: The beneficial effects of breastfeeding for mothers and babies are well recognized. When maternal breast milk is not available in sufficient quantity, an alternative source of nutrition is donated breast milk, particularly for ill preterm and other high-risk infants. Therefore, it was important to explore the breastfeeding mothers’ knowledge as well as their attitudes toward human milk donation and the possibilities of enhancing it. The objectives of this study were to: • To explore and describe the breastfeeding mothers’ knowledge as well as their attitudes toward human milk donation in Nelson Mandela Bay. • To make recommendations to operational/unit managers and midwives, based on the findings of the study, in order to enhance and promote human milk bank donation in Nelson Mandela Bay. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design after obtaining the necessary approval from the university and relevant authorities. The research population consisted of breastfeeding mothers who were in maternity units in either a public or a private hospital in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants by using set inclusion and exclusion criteria after obtaining the necessary informed consent. Data was captured by the researcher on a Microsoft Excel spread sheet and was reduced and analysed with the help of a statistician who used a software package called IBM SPSS Statistics 24 to ensure the efficacy of the results. One hundred and twenty questionnaires were distributed and 104 were returned, meaning that a response rate of 87% was achieved. From the research findings it was found that breastfeeding mothers in Nelson Mandela Bay do not know about human milk banking and donation. Breastfeeding mothers acknowledged the fact that they lacked information about human milk banking and donation. Furthermore, there are safety concerns regarding donated breast milk and all the breastfeeding mothers that were part of the study, had never used milk bank services. Based on these findings, recommendations for the incorporation of v breastfeeding and human milk bank services were made. Further recommendations were made on the inclusion of human milk services in the health education that is given during antenatal and postnatal care. The researcher used a literature control to ensure the validity and integrity of the study. Further, the quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report by adopting the principles of autonomy, non-maleficence, beneficence and justice.
- Full Text:
- Date Issued: 2018
Perceptions of nurse educators regarding the information required by undergraduate nursing students for clinical decision making at the point of care
- Authors: Mganto, Nolwandle Gloria
- Date: 2017
- Subjects: Nursing -- Study and teaching -- South Africa , Nurse educators -- South Africa Nursing students -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14080 , vital:27415
- Description: The researcher observed that some nursing students lacked the necessary knowledge and confidence in the clinical practice areas whilst accompanying students. The researcher was therefore of the opinion that the aforementioned gaps needed to be addressed to ensure that students developed more confidence in their clinical decision making skills. The researcher was of the opinion that the nurse educators would be the ideal persons to identify the information required by undergraduate nursing students at the point of care for clinical decision-making, because they are the primary teachers of nursing students and are the experts with regard to the content needed for clinical decision making at the point of care in the clinical areas. The aim of the study was therefore to explore and describe the perceptions of nurse educators regarding the information required by the undergraduate nursing students for clinical decision making at the point of care. A qualitative, explorative, descriptive and contextual research design was used to conduct this research. The study was conducted among the nurse educators who are employed by Nelson Mandela Metropolitan University, lecturing and accompanying students for at least 12 months. In-depth interviewing was conducted to obtain the data. The data analysis was done using Tesch’s method to make sense out of the text and data. Strategies to ensure trustworthiness and a high ethical standard were implemented throughout the study. Three themes with eight sub-themes emerged, namely, the importance of students having sound basic knowledge of theory and practical skills before entering the practical field, students to have available, accessible and up to date information at the point of care and importance of mentorship when students are seeking information. Recommendations were made pertaining to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2017
- Authors: Mganto, Nolwandle Gloria
- Date: 2017
- Subjects: Nursing -- Study and teaching -- South Africa , Nurse educators -- South Africa Nursing students -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14080 , vital:27415
- Description: The researcher observed that some nursing students lacked the necessary knowledge and confidence in the clinical practice areas whilst accompanying students. The researcher was therefore of the opinion that the aforementioned gaps needed to be addressed to ensure that students developed more confidence in their clinical decision making skills. The researcher was of the opinion that the nurse educators would be the ideal persons to identify the information required by undergraduate nursing students at the point of care for clinical decision-making, because they are the primary teachers of nursing students and are the experts with regard to the content needed for clinical decision making at the point of care in the clinical areas. The aim of the study was therefore to explore and describe the perceptions of nurse educators regarding the information required by the undergraduate nursing students for clinical decision making at the point of care. A qualitative, explorative, descriptive and contextual research design was used to conduct this research. The study was conducted among the nurse educators who are employed by Nelson Mandela Metropolitan University, lecturing and accompanying students for at least 12 months. In-depth interviewing was conducted to obtain the data. The data analysis was done using Tesch’s method to make sense out of the text and data. Strategies to ensure trustworthiness and a high ethical standard were implemented throughout the study. Three themes with eight sub-themes emerged, namely, the importance of students having sound basic knowledge of theory and practical skills before entering the practical field, students to have available, accessible and up to date information at the point of care and importance of mentorship when students are seeking information. Recommendations were made pertaining to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2017
Experiences of police officers interacting with mentally ill persons in a rural town in the Eastern Cape Province
- Authors: Mjali, Ntombekhaya Mildred
- Date: 2018
- Subjects: Mentally ill -- Care , Mentally ill offenders -- South Africa -- Eastern Cape Offenses against the person -- South Africa -- Eastern Cape Mentally ill -- Commitment and detention -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/32120 , vital:31964
- Description: The researcher worked as a psychiatric nurse in a psychiatric hospitalin Chris Hani District Municipality and observed when police officers brought mentally ill persons for admission. The mentally ill persons were dealt with harshly and in a degrading manner which raised concerns. It would seem as if police officers did not take into consideration that they were dealing with innocent individuals who were mentally ill. Therefore the researcher sought to explore how police officers experienced interacting with mentally ill persons during their everyday duties. The aim of the study was to explore and describe the experiences of police officers interacting with mentally ill persons in a rural town in the Chris Hani District Municipality. The study utilised a qualitative, explorative, descriptive and contextual design. The research population consisted of police officers working in a Community Service Centre in a rural town who regularly came into contact with mentally ill persons in the course of their duties. Purposive sampling was utilised to select participants.Data was collected by doing in-depth, semi-structured interviews with an interview guide until data saturation was reached. Data analysis was done using Tesch’s method of content analysis. Three themes with subthemes were identified and described. A literature control was done to compare the findings with current literature. Trustworthiness was ensured using Guba’s Model of trustworthiness. A high ethical standard was ensured throughout the research process. Police officers had regular contact with the mentally ill, usually when they were called out to a community venue where they had to intervene between an aggressive mentally ill person and the community. This gave them a skewed view of mental illness which they always associated with aggression. Police officers found it difficult to communicate with both the mentally ill person and his/her family. They stated that they did not know how to manage aggressive individuals who were not criminals. Police officers also related that they themselves felt vulnerable, they became very angry with the families and the mentally ill persons and feared that they will be harmed. They also expressed empathy with mentally ill persons. Recommendations were made that police officers should be trained on what their responsibilities were related to the mentally ill person they encounter. To equip them better to deal with the mentally ill, they should also receive training in effective communication and the management of aggression.
- Full Text:
- Date Issued: 2018
- Authors: Mjali, Ntombekhaya Mildred
- Date: 2018
- Subjects: Mentally ill -- Care , Mentally ill offenders -- South Africa -- Eastern Cape Offenses against the person -- South Africa -- Eastern Cape Mentally ill -- Commitment and detention -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/32120 , vital:31964
- Description: The researcher worked as a psychiatric nurse in a psychiatric hospitalin Chris Hani District Municipality and observed when police officers brought mentally ill persons for admission. The mentally ill persons were dealt with harshly and in a degrading manner which raised concerns. It would seem as if police officers did not take into consideration that they were dealing with innocent individuals who were mentally ill. Therefore the researcher sought to explore how police officers experienced interacting with mentally ill persons during their everyday duties. The aim of the study was to explore and describe the experiences of police officers interacting with mentally ill persons in a rural town in the Chris Hani District Municipality. The study utilised a qualitative, explorative, descriptive and contextual design. The research population consisted of police officers working in a Community Service Centre in a rural town who regularly came into contact with mentally ill persons in the course of their duties. Purposive sampling was utilised to select participants.Data was collected by doing in-depth, semi-structured interviews with an interview guide until data saturation was reached. Data analysis was done using Tesch’s method of content analysis. Three themes with subthemes were identified and described. A literature control was done to compare the findings with current literature. Trustworthiness was ensured using Guba’s Model of trustworthiness. A high ethical standard was ensured throughout the research process. Police officers had regular contact with the mentally ill, usually when they were called out to a community venue where they had to intervene between an aggressive mentally ill person and the community. This gave them a skewed view of mental illness which they always associated with aggression. Police officers found it difficult to communicate with both the mentally ill person and his/her family. They stated that they did not know how to manage aggressive individuals who were not criminals. Police officers also related that they themselves felt vulnerable, they became very angry with the families and the mentally ill persons and feared that they will be harmed. They also expressed empathy with mentally ill persons. Recommendations were made that police officers should be trained on what their responsibilities were related to the mentally ill person they encounter. To equip them better to deal with the mentally ill, they should also receive training in effective communication and the management of aggression.
- Full Text:
- Date Issued: 2018