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
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
An educational intervention on the liberation of ventilated adult patients in public critical care units
- Oamen, Benedict Raphael, ten Ham-Baloyi, Wilma
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
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
Attitudes of midwives towards the use of traditional medicine among pregnant women in Nelson Mandela Bay
- Simelane, Nompumelelo Andiswa
- Authors: Simelane, Nompumelelo Andiswa
- Date: 2018
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnancy -- Alternative treatment -- South Africa -- Nelson Mandela Bay Municipality Women's health services -- Social aspects -- South Africa -- Nelson Mandela Bay Municipality Traditional medicine -- South Africa -- Nelson Mandela Bay Municipality Integrative medicine -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23197 , vital:30452
- Description: The use of traditional medicines by pregnant women is a global concern. Despite limited theoretical evidence on the safety profile of traditional medicines to substantiate their use in pregnancy, expectant mothers are found to be widely using them. Safety concerns related to traditional medicine use in pregnancy include its use during the critical embryonic period, antenatal and intrapartum periods. These medications were associated with complications such as obstructed labour, foetal distress, emergency caesarean sections having to be performed and neonates delivered with low Apgar scorings. Midwives are usually the first and at times the only healthcare providers that come into contact with pregnant women. It was therefore necessary to investigate the midwives’ attitudes towards the use of traditional medicine among pregnant women. The objectives of this study were to: Explore and describe the attitudes of midwives towards the use of traditional medicine in Nelson Mandela Bay. Based on the findings of the study, make recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design having obtained the necessary approval from the university and relevant authorities. The research population was midwives who work in maternity units in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants using set inclusion and exclusion criteria after obtaining informed consent. Data were captured by the researcher on a Microsoft Excel spread sheet and were reduced and analysed with the help of a statistician using the software package IBM SPSS Statistics 24 to ensure efficacy of the results. One hundred and twenty questionnaires were distributed and 89 were returned, yielding a 74% response rate. From the research findings, midwives in the Nelson Mandela Bay do not support the use of traditional medicine during pregnancy. Midwives acknowledged their responsibility to enquire and provide relevant information regarding the use of traditional medicine in pregnancy. Furthermore, midwives associated the use of traditional medicine with womens’ cultural diversity and lack of knowledge about pregnancy and labour. Based on these findings, recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy were made. Further recommendations were made for midwifery practice, nursing education and future research. The researcher used a literature control to ensure validation and integrity of the study. Further quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report adopting the principles of respect for persons, beneficence, and justice.
- Full Text:
- Date Issued: 2018
- Authors: Simelane, Nompumelelo Andiswa
- Date: 2018
- Subjects: Midwifery -- South Africa -- Nelson Mandela Bay Municipality , Pregnancy -- Alternative treatment -- South Africa -- Nelson Mandela Bay Municipality Women's health services -- Social aspects -- South Africa -- Nelson Mandela Bay Municipality Traditional medicine -- South Africa -- Nelson Mandela Bay Municipality Integrative medicine -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23197 , vital:30452
- Description: The use of traditional medicines by pregnant women is a global concern. Despite limited theoretical evidence on the safety profile of traditional medicines to substantiate their use in pregnancy, expectant mothers are found to be widely using them. Safety concerns related to traditional medicine use in pregnancy include its use during the critical embryonic period, antenatal and intrapartum periods. These medications were associated with complications such as obstructed labour, foetal distress, emergency caesarean sections having to be performed and neonates delivered with low Apgar scorings. Midwives are usually the first and at times the only healthcare providers that come into contact with pregnant women. It was therefore necessary to investigate the midwives’ attitudes towards the use of traditional medicine among pregnant women. The objectives of this study were to: Explore and describe the attitudes of midwives towards the use of traditional medicine in Nelson Mandela Bay. Based on the findings of the study, make recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy. The study was conducted between November 2016 and January 2017, using a quantitative approach with an explorative, descriptive, and contextual design having obtained the necessary approval from the university and relevant authorities. The research population was midwives who work in maternity units in Nelson Mandela Bay. Self-administered questionnaires were used to collect data from conveniently sampled participants using set inclusion and exclusion criteria after obtaining informed consent. Data were captured by the researcher on a Microsoft Excel spread sheet and were reduced and analysed with the help of a statistician using the software package IBM SPSS Statistics 24 to ensure efficacy of the results. One hundred and twenty questionnaires were distributed and 89 were returned, yielding a 74% response rate. From the research findings, midwives in the Nelson Mandela Bay do not support the use of traditional medicine during pregnancy. Midwives acknowledged their responsibility to enquire and provide relevant information regarding the use of traditional medicine in pregnancy. Furthermore, midwives associated the use of traditional medicine with womens’ cultural diversity and lack of knowledge about pregnancy and labour. Based on these findings, recommendations for midwives and nurse managers on how they could inform pregnant women of the benefits and harms of using traditional medicine during pregnancy were made. Further recommendations were made for midwifery practice, nursing education and future research. The researcher used a literature control to ensure validation and integrity of the study. Further quality of the study was maintained by observing the principles of reliability and validity. Ethical considerations were guided by the Belmont Report adopting the principles of respect for persons, beneficence, and justice.
- Full Text:
- Date Issued: 2018
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
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
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
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
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
Establishing baseline data of Cradock and Tarkastad’s communities’ disease profile ahead of hydraulic fracturing and shale gas development
- Authors: Olivera, Shanene
- Date: 2019
- Subjects: Medical care -- South Africa -- Eastern Cape , Diseases -- South Africa -- Eastern Cape South Africa -- Eastern Cape -- Statistics, Medical Surveys
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43088 , vital:36734
- Description: The South African government is investigating alternative ways to address the electricity crisis and has identified fracking as an alternative energy source. Specific areas have been identified for the implementation of Shale Gas Development. Various research studies have connected fracking to the incidence of certain diseases. Since Cradock and Tarkastad have been identified as prospective areas for the implementation of fracking, the primary aim of this study was to determine the disease profile of the community members in Cradock and Tarkastad. This baseline data could be utilised at a later stage as a benchmark when similar studies are conducted after the implementation of Shale Gas Development in these communities. A quantitative approach utilising a comparative descriptive survey design was adopted to conduct this study. The research population comprised all community members in Cradock and Tarkastad. A multi-staged sampling process was applied namely, cluster, convenient and stratified random sampling process; 489 respondents were included in the research sample. Two structured questionnaires and checklists were developed and administered by Registered Nurses, who were recruited as fieldworkers, to collect the data for the study. One questionnaire and checklist were designed and used for the age groups five-year and under population (n=43), and the other questionnaire and checklist were used for the over five-year population group (n=446). This allowed for the establishment of a disease profile of all ages in both areas. Descriptive and inferential statistics were used to analyse the data, and a pilot study was conducted before the primary study. The results of the study revealed the current disease profile in Tarkastad and Cradock. One of the objectives of the study was to compare the prevalence of diseases and abnormalities found in Cradock and Tarkastad. Thereafter the disease profiles were combined in a single profile for both Cradock and Tarkastad. Statistical analysis among the five-year-old and under population group indicated significant associations between area and physiological status, birthweight and physical conditions identified and monthly household income and physiological status (p<0.05). The over five-year-old population group revealed a greater significance between the independent and dependent variable categories than in the age group five years and under. The study revealed that South Africa’s burden of disease is evident in these findings with HIV/AIDS topping the list. The prevalence rates of HIV/AIDS and Hypertention are higher than the national prevalence rates, in Cradock and Tarkastad. It was also worthwhile to mention that Tarkastad faces more socio-economic challenges compared to Cradock. Recommendations were made for nursing practice, nursing education and further development of nursing research based on the research findings.
- Full Text:
- Date Issued: 2019
- Authors: Olivera, Shanene
- Date: 2019
- Subjects: Medical care -- South Africa -- Eastern Cape , Diseases -- South Africa -- Eastern Cape South Africa -- Eastern Cape -- Statistics, Medical Surveys
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43088 , vital:36734
- Description: The South African government is investigating alternative ways to address the electricity crisis and has identified fracking as an alternative energy source. Specific areas have been identified for the implementation of Shale Gas Development. Various research studies have connected fracking to the incidence of certain diseases. Since Cradock and Tarkastad have been identified as prospective areas for the implementation of fracking, the primary aim of this study was to determine the disease profile of the community members in Cradock and Tarkastad. This baseline data could be utilised at a later stage as a benchmark when similar studies are conducted after the implementation of Shale Gas Development in these communities. A quantitative approach utilising a comparative descriptive survey design was adopted to conduct this study. The research population comprised all community members in Cradock and Tarkastad. A multi-staged sampling process was applied namely, cluster, convenient and stratified random sampling process; 489 respondents were included in the research sample. Two structured questionnaires and checklists were developed and administered by Registered Nurses, who were recruited as fieldworkers, to collect the data for the study. One questionnaire and checklist were designed and used for the age groups five-year and under population (n=43), and the other questionnaire and checklist were used for the over five-year population group (n=446). This allowed for the establishment of a disease profile of all ages in both areas. Descriptive and inferential statistics were used to analyse the data, and a pilot study was conducted before the primary study. The results of the study revealed the current disease profile in Tarkastad and Cradock. One of the objectives of the study was to compare the prevalence of diseases and abnormalities found in Cradock and Tarkastad. Thereafter the disease profiles were combined in a single profile for both Cradock and Tarkastad. Statistical analysis among the five-year-old and under population group indicated significant associations between area and physiological status, birthweight and physical conditions identified and monthly household income and physiological status (p<0.05). The over five-year-old population group revealed a greater significance between the independent and dependent variable categories than in the age group five years and under. The study revealed that South Africa’s burden of disease is evident in these findings with HIV/AIDS topping the list. The prevalence rates of HIV/AIDS and Hypertention are higher than the national prevalence rates, in Cradock and Tarkastad. It was also worthwhile to mention that Tarkastad faces more socio-economic challenges compared to Cradock. Recommendations were made for nursing practice, nursing education and further development of nursing research based on the research findings.
- Full Text:
- Date Issued: 2019
Experiences and mentoring needs of novice nurse educators at a public nursing college in the Eastern Cape
- Authors: Sodidi, Khanyisa Annelice
- Date: 2018
- Subjects: Nurse educators -- South Africa -- Eastern Cape , Nursing -- Study and teaching -- South Africa -- Eastern Cape College student development programs Nursing students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23175 , vital:30450
- Description: The nurse educator role is challenging to novice nurse educators and even more so when mentorship is lacking or ineffective. Novice nurse educators who enter the academic world are expected to demonstrate knowledge of both the clinical and classroom environment. Such an expectation creates role strain, stress and frustration. Mentorship has proved to make this entry easier. There appears to be a lack of mentorship for newly-appointed nurse educators in most schools and/or departments of nursing at higher education institutions in South Africa. This phenomenon prompted the researcher to investigate the experiences and mentoring needs of novice nurse educators with the goal of making recommendations on the mentorship of novice nurse educators. A qualitative, exploratory, descriptive, contextual design and phenomenological approach was used to explore and describe the experiences and mentoring needs of novice nurse educators at a public nursing college in the Eastern Cape. Purposive sampling of nurse educators with less than five years’ experience at a public nursing college in the Eastern Cape, South Africa and with no experience, or less than one year’s previous experience as a nurse educator at any other nursing education institution (NEI) was used. Data was collected using face-to-face, semi-structured individual interviews and unstructured observations. Sixteen in-depth, semistructured interviews that were digitally recorded provided saturated data that was then transcribed verbatim. To ensure that the study was trustworthy, the researcher used Guba and Lincoln’s criteria, namely: credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with the ethical principles: respect for persons, beneficence and justice. Tesch’s method of thematic analysis was used by the researcher and the independent coder to analyse data and to draw meaning from the content. The five themes that emerged from the data were: novice nurse educators experience challenges related to theoretical mentoring; novice nurse educators experience challenges related to clinical mentoring; novice nurse educators experience a lack of orientation; novice nurse educators experience a lack of resources and novice nurse educators provide recommendations in order to optimise the experience and performance of the novice nurse educators in their first year of teaching at a nursing college. The results of the study reveal that novice nurse educators have reservations about their experiences. Their insights on how their mentoring needs could have been realized were incorporated into recommendations for the mentoring of novice nurse educators. These recommendations can be adopted at local, provincial, and national levels.
- Full Text:
- Date Issued: 2018
- Authors: Sodidi, Khanyisa Annelice
- Date: 2018
- Subjects: Nurse educators -- South Africa -- Eastern Cape , Nursing -- Study and teaching -- South Africa -- Eastern Cape College student development programs Nursing students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23175 , vital:30450
- Description: The nurse educator role is challenging to novice nurse educators and even more so when mentorship is lacking or ineffective. Novice nurse educators who enter the academic world are expected to demonstrate knowledge of both the clinical and classroom environment. Such an expectation creates role strain, stress and frustration. Mentorship has proved to make this entry easier. There appears to be a lack of mentorship for newly-appointed nurse educators in most schools and/or departments of nursing at higher education institutions in South Africa. This phenomenon prompted the researcher to investigate the experiences and mentoring needs of novice nurse educators with the goal of making recommendations on the mentorship of novice nurse educators. A qualitative, exploratory, descriptive, contextual design and phenomenological approach was used to explore and describe the experiences and mentoring needs of novice nurse educators at a public nursing college in the Eastern Cape. Purposive sampling of nurse educators with less than five years’ experience at a public nursing college in the Eastern Cape, South Africa and with no experience, or less than one year’s previous experience as a nurse educator at any other nursing education institution (NEI) was used. Data was collected using face-to-face, semi-structured individual interviews and unstructured observations. Sixteen in-depth, semistructured interviews that were digitally recorded provided saturated data that was then transcribed verbatim. To ensure that the study was trustworthy, the researcher used Guba and Lincoln’s criteria, namely: credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with the ethical principles: respect for persons, beneficence and justice. Tesch’s method of thematic analysis was used by the researcher and the independent coder to analyse data and to draw meaning from the content. The five themes that emerged from the data were: novice nurse educators experience challenges related to theoretical mentoring; novice nurse educators experience challenges related to clinical mentoring; novice nurse educators experience a lack of orientation; novice nurse educators experience a lack of resources and novice nurse educators provide recommendations in order to optimise the experience and performance of the novice nurse educators in their first year of teaching at a nursing college. The results of the study reveal that novice nurse educators have reservations about their experiences. Their insights on how their mentoring needs could have been realized were incorporated into recommendations for the mentoring of novice nurse educators. These recommendations can be adopted at local, provincial, and national levels.
- Full Text:
- Date Issued: 2018
Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay
- Authors: Zambodla, Ayanda
- Date: 2020
- Subjects: Primary health care -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46456 , vital:39604
- Description: Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to work alone and require supervision Theobjectiveofthisstudywastoexploreanddescribetheexperiencesofcommunity service nurses with regards to the supervision and support they received from professional nurses at primary healthcare clinics inNelsonMandelaBay.The researcher utilised a qualitative research approach, with an explorative, descriptive and contextual research design inorder to achieve the objectives of this study. The research population comprised community service nurses who had completed their one-year community serviceduringthe2016-2017cycleinaprimary healthcarefacilityinNelsonMandelaBay.Purposivesamplingwasusedtoselectthe research sample. Data collection was done by conducting 10semi-structured interviews. Descriptive field notes supplemented the data. Tesch’smethod of qualitative data analysis was employed to analyse the data. Ethical considerations were applied throughout the study. Trustworthiness of the study was maintained by applyingGuba’s criteria of credibility, transferability, dependability and confirmability. Two main themes emerged from the study. Theme1 focused on the participant's experiences regarding the diverse needs related to the community service placement at primary healthcare clinics. Theme2 related to the participants expressed experiences with regard to social interaction during community service at primary healthcare clinics. The findings of the study enabled recommendations to be made for nursing practice, education and research.
- Full Text:
- Date Issued: 2020
- Authors: Zambodla, Ayanda
- Date: 2020
- Subjects: Primary health care -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46456 , vital:39604
- Description: Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to work alone and require supervision Theobjectiveofthisstudywastoexploreanddescribetheexperiencesofcommunity service nurses with regards to the supervision and support they received from professional nurses at primary healthcare clinics inNelsonMandelaBay.The researcher utilised a qualitative research approach, with an explorative, descriptive and contextual research design inorder to achieve the objectives of this study. The research population comprised community service nurses who had completed their one-year community serviceduringthe2016-2017cycleinaprimary healthcarefacilityinNelsonMandelaBay.Purposivesamplingwasusedtoselectthe research sample. Data collection was done by conducting 10semi-structured interviews. Descriptive field notes supplemented the data. Tesch’smethod of qualitative data analysis was employed to analyse the data. Ethical considerations were applied throughout the study. Trustworthiness of the study was maintained by applyingGuba’s criteria of credibility, transferability, dependability and confirmability. Two main themes emerged from the study. Theme1 focused on the participant's experiences regarding the diverse needs related to the community service placement at primary healthcare clinics. Theme2 related to the participants expressed experiences with regard to social interaction during community service at primary healthcare clinics. The findings of the study enabled recommendations to be made for nursing practice, education and research.
- Full Text:
- Date Issued: 2020
Experiences of female adolescents attending community health centres regarding the use of contraceptives in Buffalo City Health District
- Authors: Summerton, Glenda
- Date: 2019
- Subjects: Contraceptives -- South Africa -- Buffalo City Metropolitan Municipality , Teenagers -- Sexual behavior -- South Africa -- Eastern Cape Teenagers -- South Africa -- Eastern Cape -- Attitudes Adolescence -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43968 , vital:37088
- Description: Family planning is a broad term that encompasses the provision of contraceptive methods to sexually active women or girls and includes fertility planning. Despite the widespread availability of knowledge about modern contraception, many young people do not use contraception or use it inconsistently and incorrectly. The purpose of the study was to explore and describe the experiences of female adolescents attending community health centres regarding contraceptive usage. The study also intended to provide recommendations to the district health office and facility managers at community health centres regarding care and support of adolescents concerning their use of contraceptives. The study utilised a qualitative, exploratory, descriptive, and contextual research design. The target group comprised of female adolescents attending community health centres in Buffalo City Health District, for contraceptive and adolescentfriendly services. A purposeful sampling technique was used to select the community health centres in the study and the researcher used convenience sampling to select participants at each community health centre. The researcher used semi-structured interviews to interview the participants regarding their experiences of using contraceptives. Tesch’s thematic method of data analysis was used to analyse the data. The researcher adhered to all the ethical principles of the Belmont Report while conducting the study. The analysed data indicated the issue of access to contraceptives and their usage as a challenge to many female adolescents attending the community health centres in Buffalo City Municipality. Adolescents expressed a range of negative emotions regarding the consequences of not using contraceptives and some also complained about the side effects of using contraception. Some adolescents felt that nurses did not always provide them with quality care, while others experienced receiving patient-centred, holistic care from clinic nurses, as well as health education regarding contraceptive usage from nurses and life orientation teachers. However, female adolescents called for an increase in reproductive health education at clinics and hospitals. They also expressed the need for regular school involvement regarding the education of adolescents on the various aspects of contraceptive usage. Hence, it is hoped that the recommendations from this study will assist the DoH to better assist adolescent females with contraceptive usage.
- Full Text:
- Date Issued: 2019
- Authors: Summerton, Glenda
- Date: 2019
- Subjects: Contraceptives -- South Africa -- Buffalo City Metropolitan Municipality , Teenagers -- Sexual behavior -- South Africa -- Eastern Cape Teenagers -- South Africa -- Eastern Cape -- Attitudes Adolescence -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43968 , vital:37088
- Description: Family planning is a broad term that encompasses the provision of contraceptive methods to sexually active women or girls and includes fertility planning. Despite the widespread availability of knowledge about modern contraception, many young people do not use contraception or use it inconsistently and incorrectly. The purpose of the study was to explore and describe the experiences of female adolescents attending community health centres regarding contraceptive usage. The study also intended to provide recommendations to the district health office and facility managers at community health centres regarding care and support of adolescents concerning their use of contraceptives. The study utilised a qualitative, exploratory, descriptive, and contextual research design. The target group comprised of female adolescents attending community health centres in Buffalo City Health District, for contraceptive and adolescentfriendly services. A purposeful sampling technique was used to select the community health centres in the study and the researcher used convenience sampling to select participants at each community health centre. The researcher used semi-structured interviews to interview the participants regarding their experiences of using contraceptives. Tesch’s thematic method of data analysis was used to analyse the data. The researcher adhered to all the ethical principles of the Belmont Report while conducting the study. The analysed data indicated the issue of access to contraceptives and their usage as a challenge to many female adolescents attending the community health centres in Buffalo City Municipality. Adolescents expressed a range of negative emotions regarding the consequences of not using contraceptives and some also complained about the side effects of using contraception. Some adolescents felt that nurses did not always provide them with quality care, while others experienced receiving patient-centred, holistic care from clinic nurses, as well as health education regarding contraceptive usage from nurses and life orientation teachers. However, female adolescents called for an increase in reproductive health education at clinics and hospitals. They also expressed the need for regular school involvement regarding the education of adolescents on the various aspects of contraceptive usage. Hence, it is hoped that the recommendations from this study will assist the DoH to better assist adolescent females with contraceptive usage.
- Full Text:
- Date Issued: 2019
Experiences of labouring women of unexpected neonatal resuscitation
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
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
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
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
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
Exploring schoolgoing teenage girls' knowledge regarding reproductive healthcare in the Eastern Cape Province
- Titus, Luzane Jesica, Rall, Nadine
- Authors: Titus, Luzane Jesica , Rall, Nadine
- Date: 2017
- Subjects: Reproductive health -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape Midwifery -- Standards -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/13702 , vital:27300
- Description: The increased rate of teenagers suffering from reproductive healthcare -related conditions is a global phenomenon. An estimated 16 million teenage girls aged between 15 and 19 years give birth every year with 95% of these births occurring in the developing countries. In South Africa one notes from recorded statistics that 20000 school going teenagers fell pregnant in South Africa during 2014. These statistics left many questions to be answered in terms of what information school going teenage girls do receive at school. Formally the current school curriculum in South Africa includes a subject around life skills orientation which is known as Life Orientation Programme and in which learners are introduced to reproductive healthcare from grade 7; but a persistent increase in the rate of pregnancies and sexually-transmitted infections amongst school going teenage girls is observed. The aim of the study was to explore and describe the knowledge of school going teenage girls regarding reproductive healthcare and services in the Eastern Cape Province. The objectives of this study were:-to determine and explore the knowledge of school going teenage girls regarding reproductive healthcare in the Eastern Cape Province; -to determine the nature of information given to school going teenage girls regarding reproductive healthcare through the school Life-Orientation programme; and,-based on the results of the entire study, develop guidelines that could assist the stakeholders in health and education professions in enhancing of knowledge regarding reproductive healthcare of school going teenage girls and improving their access to related services. A quantitative design with a descriptive, exploratory and contextual approach was used. A survey was conducted and the data -collection tool was a self-administered, structured questionnaire developed by the researcher with the assistance of the supervisor and the statistician. Validity and reliability were assured before data collection commenced. A convenience, non-probability sampling method was used to collect data from schoolgoing teenage girls that gave permission to participate and met the inclusion criteria of:- schools having school going teenage girls between the ages of 12 and 19 years in the Eastern Cape Province, - being within the Nelson Mandela Bay Municipality areaand the Sarah Baartman district and -the schoolgoing teenage girls being in grades 10 to 12. Data was collected in September 2016 from a total of 314 teenagers who participated and returned the completed questionnaires. The data was captured by the researcher and analysed using a Microsoft excel programme created by the statistician for data - analysis purposes. STATISTICA Version 12 computer software application was used. The study results revealed that learners received some reproductive healthcare related education in Life-orientationprogramme lessons; but the information was seen as insufficient. Parents were telling them about their body development; but were not discussing reproductive healthcare issues with them. Participants did not know how to use the different methods of contraceptives correctly though they knew about the methods. Participants did not know about other signs of complications of reproductive healthcare as they did not know how to identify sexually-transmitted infections, breast and vaginal infections and related problems. Based on the above study results guidelines wasdeveloped as the necessary tool to facilitate the enhancement of schoolgoing girls’ knowledge regarding reproductive healthcare in the Eastern Cape Province. The study adopted the Belmont Report principles, namely, respect for persons, beneficence and justice, to enhance ethical considerations.
- Full Text:
- Date Issued: 2017
- Authors: Titus, Luzane Jesica , Rall, Nadine
- Date: 2017
- Subjects: Reproductive health -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape Midwifery -- Standards -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/13702 , vital:27300
- Description: The increased rate of teenagers suffering from reproductive healthcare -related conditions is a global phenomenon. An estimated 16 million teenage girls aged between 15 and 19 years give birth every year with 95% of these births occurring in the developing countries. In South Africa one notes from recorded statistics that 20000 school going teenagers fell pregnant in South Africa during 2014. These statistics left many questions to be answered in terms of what information school going teenage girls do receive at school. Formally the current school curriculum in South Africa includes a subject around life skills orientation which is known as Life Orientation Programme and in which learners are introduced to reproductive healthcare from grade 7; but a persistent increase in the rate of pregnancies and sexually-transmitted infections amongst school going teenage girls is observed. The aim of the study was to explore and describe the knowledge of school going teenage girls regarding reproductive healthcare and services in the Eastern Cape Province. The objectives of this study were:-to determine and explore the knowledge of school going teenage girls regarding reproductive healthcare in the Eastern Cape Province; -to determine the nature of information given to school going teenage girls regarding reproductive healthcare through the school Life-Orientation programme; and,-based on the results of the entire study, develop guidelines that could assist the stakeholders in health and education professions in enhancing of knowledge regarding reproductive healthcare of school going teenage girls and improving their access to related services. A quantitative design with a descriptive, exploratory and contextual approach was used. A survey was conducted and the data -collection tool was a self-administered, structured questionnaire developed by the researcher with the assistance of the supervisor and the statistician. Validity and reliability were assured before data collection commenced. A convenience, non-probability sampling method was used to collect data from schoolgoing teenage girls that gave permission to participate and met the inclusion criteria of:- schools having school going teenage girls between the ages of 12 and 19 years in the Eastern Cape Province, - being within the Nelson Mandela Bay Municipality areaand the Sarah Baartman district and -the schoolgoing teenage girls being in grades 10 to 12. Data was collected in September 2016 from a total of 314 teenagers who participated and returned the completed questionnaires. The data was captured by the researcher and analysed using a Microsoft excel programme created by the statistician for data - analysis purposes. STATISTICA Version 12 computer software application was used. The study results revealed that learners received some reproductive healthcare related education in Life-orientationprogramme lessons; but the information was seen as insufficient. Parents were telling them about their body development; but were not discussing reproductive healthcare issues with them. Participants did not know how to use the different methods of contraceptives correctly though they knew about the methods. Participants did not know about other signs of complications of reproductive healthcare as they did not know how to identify sexually-transmitted infections, breast and vaginal infections and related problems. Based on the above study results guidelines wasdeveloped as the necessary tool to facilitate the enhancement of schoolgoing girls’ knowledge regarding reproductive healthcare in the Eastern Cape Province. The study adopted the Belmont Report principles, namely, respect for persons, beneficence and justice, to enhance ethical considerations.
- Full Text:
- Date Issued: 2017