The experiences of registered nurses' of their work environment in a critical care unit
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
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
Registered nurses' perceptions of factors causing stress in the intensive care environment in state hospitals
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
The relationship between organisational culture, transformational leadership and organisational change outcomes in public intensive care units
- Authors: Befile, Nomawethu
- Date: 2017
- Subjects: Critical care medicine -- Leadership Organizational behavior , Organizational change Leadership
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14576 , vital:27794
- Description: Organisational change in any organisation, including the healthcare industry, implies a change in organisational culture. The concept of organisational culture refers to those values and norms within an organisation that are prescribed by both the employer and the employees as to how to behave. However, organisational culture should not be viewed in isolation, as culture and leadership are intertwined. Transformational leadership within an organisational culture serves to achieve its goal, missions and aims by influencing, motivating and creating a mutual relationship between employees and employers, which brings about effective organisational change. The alignment of organisational culture and leadership with a hospital’s vision is important to ensure optimal healthcare delivery and organisational change outcomes. A positivistic research paradigm, with a quantitative, explorative, descriptive and contextual approach, was used to conduct the research study. The research study explored whether a supportive organisational culture, transformational leadership and organisational change outcomes were prevalent in public intensive care units. Secondly, the study aimed to investigate the relationship between organisational culture, transformational leadership and organisational change outcomes in public intensive care units in the Nelson Mandela Bay. Data was collected by means of a structured and previously validated questionnaire with a Cronbach’s alpha of more than 0.80. The target population was registered nurses who work in the intensive care units in the public hospitals. The sample was composed of 56 registered nurses and 4 enrolled nurses who were selected from public hospital intensive care units in Nelson Mandela Bay. Descriptive statistics, linear regression analysis, correlation and a Chi-square test were used to describe the hypothesised relationship between organisational culture and transformational leadership (independent) with organisational change outcomes (dependent variable). The results of this study revealed that the alternative hypothesis was accepted as the P value, was less than 0.05 in all variables. This proved that there was a significant relationship between organisational culture, transformational leadership and organisational change outcomes in the public intensive care units which were sampled. Recommendations are made as to how organisational culture can enhance and support transformational leadership and organisational change outcomes to promote a positive change outcome in public intensive care units. Ethical considerations were maintained throughout the research study.
- Full Text:
- Date Issued: 2017
- Authors: Befile, Nomawethu
- Date: 2017
- Subjects: Critical care medicine -- Leadership Organizational behavior , Organizational change Leadership
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14576 , vital:27794
- Description: Organisational change in any organisation, including the healthcare industry, implies a change in organisational culture. The concept of organisational culture refers to those values and norms within an organisation that are prescribed by both the employer and the employees as to how to behave. However, organisational culture should not be viewed in isolation, as culture and leadership are intertwined. Transformational leadership within an organisational culture serves to achieve its goal, missions and aims by influencing, motivating and creating a mutual relationship between employees and employers, which brings about effective organisational change. The alignment of organisational culture and leadership with a hospital’s vision is important to ensure optimal healthcare delivery and organisational change outcomes. A positivistic research paradigm, with a quantitative, explorative, descriptive and contextual approach, was used to conduct the research study. The research study explored whether a supportive organisational culture, transformational leadership and organisational change outcomes were prevalent in public intensive care units. Secondly, the study aimed to investigate the relationship between organisational culture, transformational leadership and organisational change outcomes in public intensive care units in the Nelson Mandela Bay. Data was collected by means of a structured and previously validated questionnaire with a Cronbach’s alpha of more than 0.80. The target population was registered nurses who work in the intensive care units in the public hospitals. The sample was composed of 56 registered nurses and 4 enrolled nurses who were selected from public hospital intensive care units in Nelson Mandela Bay. Descriptive statistics, linear regression analysis, correlation and a Chi-square test were used to describe the hypothesised relationship between organisational culture and transformational leadership (independent) with organisational change outcomes (dependent variable). The results of this study revealed that the alternative hypothesis was accepted as the P value, was less than 0.05 in all variables. This proved that there was a significant relationship between organisational culture, transformational leadership and organisational change outcomes in the public intensive care units which were sampled. Recommendations are made as to how organisational culture can enhance and support transformational leadership and organisational change outcomes to promote a positive change outcome in public intensive care units. Ethical considerations were maintained throughout the research study.
- Full Text:
- Date Issued: 2017
Perceptions of unit managers regarding competencies of newly qualified registered nurses in East London health services
- Authors: Bengu, Phindiwe Faith
- Date: 2017
- Subjects: Nurses -- In-service training -- South Africa -- Eastern Cape Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13597 , vital:39683
- Description: The South African Nursing Council requires registered nurses to have the necessary knowledge, skills, attitudes and values which will enable them to render an efficient service (Morolong and Chabeli, 2005:39). The South African Education and training system, through its policy of outcomes- based education and training, has tabled competency as a national priority. In support of this, the South African Nursing Council (SANC) requires that the newly qualified registered nurse possess competency on the core functions of a registered nurse. The health system also demands competent nurse practitioners to ensure quality nursing care. Due to the fact that competency is a national priority and a statutory demand, the research question that guided the study is what are the perceptions of unit managers regarding competencies of newly qualified registered nurses in East London Health Care services. The study was aimed at describing the perceptions of unit managers regarding the competencies of newly qualified registered nurses in order to propose the recommendations to improve the competencies of such newly qualified registered nurses and to provide quality patient care. A quantitative descriptive non experimental design was used to evaluate the perceptions of unit managers regarding competencies of newly qualified registered nurses from a public nursing college. The sampling method of probability convenience sampling was used in this study. Data were collected by means of a questionnaire administered to ninety unit managers and only eighty one unit managers participated in the study. Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 22 software. Statistical methods enabled the researcher to reduce, summarize, organise, manipulate, evaluate, interpret and communicate quantitative data. Data were cleaned and coded and spoilt data were checked. Findings from the software were displayed in graphs or tables. Concerning the eighty one unit managers who participated in the study, age and sex matched respondents were selected according to their availability.The results showed that there is agreement that competence of the nurses affects the image, mission and staff utilisation in their units and/or institutions. There was no dominant opinion on the possible association between competency and environmental, physical and technological factors. There was unanimous agreement that newly qualified nurses need constant supervision and in-service training. There was moderate agreement on the use of acquired knowledge and skills by nurses and there was no dominant opinion about how newly qualified nurses tolerate differences and handle misunderstandings and shortcomings of other professions. In conclusion newly qualified registered nurses need coaching, mentoring, n-service training and constant supervision. Recommendations regarding strategies to be used to improve competencies of newly qualified registered nurses included exit evaluations of community service practitioners, stipulating the competency framework of newly qualified nurses and assessment criteria of competency. Mentoring and coaching of newly qualified registered nurses during community service, monthly or quarterly meetings with the community service candidate in order to identify their challenges were also recommended. Motivation strategies in order to boost their morale so that they can deliver quality patient care. The newly qualified registered nurses should hold meetings with the unit managers regarding the challenges the unit managers face when assessing competencies of newly qualified registered nurses.
- Full Text:
- Date Issued: 2017
- Authors: Bengu, Phindiwe Faith
- Date: 2017
- Subjects: Nurses -- In-service training -- South Africa -- Eastern Cape Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13597 , vital:39683
- Description: The South African Nursing Council requires registered nurses to have the necessary knowledge, skills, attitudes and values which will enable them to render an efficient service (Morolong and Chabeli, 2005:39). The South African Education and training system, through its policy of outcomes- based education and training, has tabled competency as a national priority. In support of this, the South African Nursing Council (SANC) requires that the newly qualified registered nurse possess competency on the core functions of a registered nurse. The health system also demands competent nurse practitioners to ensure quality nursing care. Due to the fact that competency is a national priority and a statutory demand, the research question that guided the study is what are the perceptions of unit managers regarding competencies of newly qualified registered nurses in East London Health Care services. The study was aimed at describing the perceptions of unit managers regarding the competencies of newly qualified registered nurses in order to propose the recommendations to improve the competencies of such newly qualified registered nurses and to provide quality patient care. A quantitative descriptive non experimental design was used to evaluate the perceptions of unit managers regarding competencies of newly qualified registered nurses from a public nursing college. The sampling method of probability convenience sampling was used in this study. Data were collected by means of a questionnaire administered to ninety unit managers and only eighty one unit managers participated in the study. Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 22 software. Statistical methods enabled the researcher to reduce, summarize, organise, manipulate, evaluate, interpret and communicate quantitative data. Data were cleaned and coded and spoilt data were checked. Findings from the software were displayed in graphs or tables. Concerning the eighty one unit managers who participated in the study, age and sex matched respondents were selected according to their availability.The results showed that there is agreement that competence of the nurses affects the image, mission and staff utilisation in their units and/or institutions. There was no dominant opinion on the possible association between competency and environmental, physical and technological factors. There was unanimous agreement that newly qualified nurses need constant supervision and in-service training. There was moderate agreement on the use of acquired knowledge and skills by nurses and there was no dominant opinion about how newly qualified nurses tolerate differences and handle misunderstandings and shortcomings of other professions. In conclusion newly qualified registered nurses need coaching, mentoring, n-service training and constant supervision. Recommendations regarding strategies to be used to improve competencies of newly qualified registered nurses included exit evaluations of community service practitioners, stipulating the competency framework of newly qualified nurses and assessment criteria of competency. Mentoring and coaching of newly qualified registered nurses during community service, monthly or quarterly meetings with the community service candidate in order to identify their challenges were also recommended. Motivation strategies in order to boost their morale so that they can deliver quality patient care. The newly qualified registered nurses should hold meetings with the unit managers regarding the challenges the unit managers face when assessing competencies of newly qualified registered nurses.
- Full Text:
- Date Issued: 2017
Experiences of professional nurses with regard to accessing information at the point-of-care via mobile-computing devices at a public hospital
- Authors: Benjamin, Valencia
- Date: 2013
- Subjects: Information storage and retrieval systems -- Hospitals , Point-of-care testing , Public hospitals -- Medical staff
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10060 , http://hdl.handle.net/10948/d1020193
- Description: Mobile computing devices are capable of changing how healthcare is delivered in the future, since they aim to merge and integrate all services into one device that is versatile, customisable, and portable. The aim of this study was to explore and describe the experiences of professional nurses with regard to accessing information at the point-of-care of the patient, in order to develop guidelines that could assist other professional nurses with implementing the mobile computing device for accessing information at the point-of-care of patients. To achieve the purpose of the study, a qualitative, explorative, descriptive, and contextual design was used to conduct this research – to gain an understanding of how the professional nurses experienced accessing information at the point-of-care via mobile computing devices. The study was conducted among the professional nurses employed at the public hospital, who were trained and provided with the mobile computing device for accessing information at the point-of-care for more than two years. In-depth interviewing was conducted to obtain the data. Data analysis was done using Tesch‘s method to make sense out of text and data. Four themes were identified, namely, the professional nurses‘ expression of various experiences regarding the training received; the need for support in implementing the mobile computing device; the accessing of information at the point-of-care as beneficial for educational purposes; and the accessing of information at the point-of-care as beneficial to patient care. Two main guidelines were developed. The study concludes with recommendations made with regard to the areas of nursing practice, education and research. Throughout the study, the researcher abided by the ethical considerations. The aspects of trustworthiness implemented in this study, included dependability, credibility, transferability and confirmability (Holloway & Wheeler, 2010:298).
- Full Text:
- Date Issued: 2013
- Authors: Benjamin, Valencia
- Date: 2013
- Subjects: Information storage and retrieval systems -- Hospitals , Point-of-care testing , Public hospitals -- Medical staff
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10060 , http://hdl.handle.net/10948/d1020193
- Description: Mobile computing devices are capable of changing how healthcare is delivered in the future, since they aim to merge and integrate all services into one device that is versatile, customisable, and portable. The aim of this study was to explore and describe the experiences of professional nurses with regard to accessing information at the point-of-care of the patient, in order to develop guidelines that could assist other professional nurses with implementing the mobile computing device for accessing information at the point-of-care of patients. To achieve the purpose of the study, a qualitative, explorative, descriptive, and contextual design was used to conduct this research – to gain an understanding of how the professional nurses experienced accessing information at the point-of-care via mobile computing devices. The study was conducted among the professional nurses employed at the public hospital, who were trained and provided with the mobile computing device for accessing information at the point-of-care for more than two years. In-depth interviewing was conducted to obtain the data. Data analysis was done using Tesch‘s method to make sense out of text and data. Four themes were identified, namely, the professional nurses‘ expression of various experiences regarding the training received; the need for support in implementing the mobile computing device; the accessing of information at the point-of-care as beneficial for educational purposes; and the accessing of information at the point-of-care as beneficial to patient care. Two main guidelines were developed. The study concludes with recommendations made with regard to the areas of nursing practice, education and research. Throughout the study, the researcher abided by the ethical considerations. The aspects of trustworthiness implemented in this study, included dependability, credibility, transferability and confirmability (Holloway & Wheeler, 2010:298).
- Full Text:
- Date Issued: 2013
Care and handling of surgical instruments by professional nurses in the operating rooms in the Nelson Mandela Bay
- Bloemetje, Virginia Victoria
- Authors: Bloemetje, Virginia Victoria
- Date: 2018
- Subjects: Surgical nursing -- South Africa -- Nelson Mandela Bay Municipality , Operating room nursing -- South Africa -- Nelson Mandela Bay Municipality Surgical instruments and apparatus
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21779 , vital:29776
- Description: Hospital-acquired infections (HAIs), caused by viral, bacterial and fungal pathogens, can have a devastating effect on patients, families and health-care organisations. Furthermore, dealing with HAIs can be costly and add to an increase in hospital stays, medical costs, as well as the rates of morbidity and mortality. Operating rooms (OR) are dynamic units that pose a high risk for surgical infections in health-care organisations. In order to minimise surgical-site infections (SSI) and other related infections in ORs, it is important to care for and handle surgical instruments correctly and in accordance with what is considered to be best practice. This research study was conducted to explore and describe the knowledge of professional nurses related to the care and handling of surgical instruments in the ORs in the medical facilities both in the private and public sectors in Nelson Mandela Bay (NMB). The research design was quantitative, explorative, descriptive and contextual in nature. The research sample comprised of professional nurses in the ORs in the public and private hospitals, who made themselves available and who were willing to participate in the study. The data was collected by means of a structured self-administered questionnaire that was based on a narrative literature review. Descriptive statistics were used to analyse the responses from the professional nurses in the OR, collected using the questionnaire. Ethical considerations have been applied throughout the research study and all the relevant findings have been disseminated accordingly. Recommendations, based on best-practice guidelines, were developed to optimise the care and handling of surgical instruments by professional nurses in the ORs. Professional nurses in the ORs who are involved in cleaning surgical instruments should know how to manage certain cleaning procedures. Disinfection and the sterilisation of surgical instruments can only be achieved by following efficient cleaning procedures. When performed properly, cleaning can effectively reduce the growth of microorganisms on surgical instruments, in order to prepare the instruments for disinfection and sterilisation. The importance of this step cannot be overemphasised since organic material, soil and debris can block the disinfectant or sterilising agent from making complete contact with the surface of the instruments. Additionally, cleaning allows for the safe handling of the instruments by professional nurses.
- Full Text:
- Date Issued: 2018
- Authors: Bloemetje, Virginia Victoria
- Date: 2018
- Subjects: Surgical nursing -- South Africa -- Nelson Mandela Bay Municipality , Operating room nursing -- South Africa -- Nelson Mandela Bay Municipality Surgical instruments and apparatus
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21779 , vital:29776
- Description: Hospital-acquired infections (HAIs), caused by viral, bacterial and fungal pathogens, can have a devastating effect on patients, families and health-care organisations. Furthermore, dealing with HAIs can be costly and add to an increase in hospital stays, medical costs, as well as the rates of morbidity and mortality. Operating rooms (OR) are dynamic units that pose a high risk for surgical infections in health-care organisations. In order to minimise surgical-site infections (SSI) and other related infections in ORs, it is important to care for and handle surgical instruments correctly and in accordance with what is considered to be best practice. This research study was conducted to explore and describe the knowledge of professional nurses related to the care and handling of surgical instruments in the ORs in the medical facilities both in the private and public sectors in Nelson Mandela Bay (NMB). The research design was quantitative, explorative, descriptive and contextual in nature. The research sample comprised of professional nurses in the ORs in the public and private hospitals, who made themselves available and who were willing to participate in the study. The data was collected by means of a structured self-administered questionnaire that was based on a narrative literature review. Descriptive statistics were used to analyse the responses from the professional nurses in the OR, collected using the questionnaire. Ethical considerations have been applied throughout the research study and all the relevant findings have been disseminated accordingly. Recommendations, based on best-practice guidelines, were developed to optimise the care and handling of surgical instruments by professional nurses in the ORs. Professional nurses in the ORs who are involved in cleaning surgical instruments should know how to manage certain cleaning procedures. Disinfection and the sterilisation of surgical instruments can only be achieved by following efficient cleaning procedures. When performed properly, cleaning can effectively reduce the growth of microorganisms on surgical instruments, in order to prepare the instruments for disinfection and sterilisation. The importance of this step cannot be overemphasised since organic material, soil and debris can block the disinfectant or sterilising agent from making complete contact with the surface of the instruments. Additionally, cleaning allows for the safe handling of the instruments by professional nurses.
- Full Text:
- Date Issued: 2018
Effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public college
- Authors: Booysen, Cindy Lynn
- Date: 2019
- Subjects: Nursing -- Simulation methods
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/36423 , vital:33940
- Description: Nurse educators must be prepared and feel comfortable using clinical simulation as a strategy in order for it to be successful as a teaching and learning approach. In terms of an educational intervention, orientation and training pertaining to simulation terminology for nurse educators can improve their capacity and strengthen the clinical simulation experience. The researcher observed a lack of knowledge regarding the terminology of clinical simulation among nurse educators at a public nursing college and this study therefore aimed to determine the effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public nursing college. The researcher conducted a small-scale intervention study utilizing a positivist, quantitative paradigm with a quasi-experimental pre-test, post-test design. The researcher purposively selected the five main campuses at a public nursing college in South Africa. The five main campuses were purposively selected into control (two main campuses; campus A, campus B) and experimental group (three main campuses; campus C, campus D and campus E). Convenience sampling was used by including all nurse educators of each campus. A self-administered pre-test questionnaire was developed and used in Phase one in order to explore and describe the knowledge of nurse educators with regard to the terminology applied in clinical simulation. A total of 125 nurse educators were included (experimental group n=65; control group n=60). Phase two involved the development, review and implementation of an educational intervention based on the standards of best practice: standard 1: terminology, developed by the International Nursing Association for Clinical Simulation and Learning (INACSL). Methods for the educational intervention included a PowerPoint presentation and pamphlets administered to the purposively selected experimental group (three campuses; campus C, campus D and campus E). The educational intervention was implemented per campus. The control group did not receive any educational intervention (two campuses; campus A and campus B). Phase three comprised a self-administered post-test that was developed to evaluate the effects of the educational intervention pertaining to the nurse educators’ knowledge of the terminology applied in clinical simulation and was completed by the nurse educators who participated in Phase one of the study. A total of 70 participants completed Phase three of the study, (n=31 from the control group and n=39 from the experimental group). The data was analysed using descriptive and inferential statistics (ANOVA and Chisquare testing), with the assistance of a statistician. A pilot study was conducted to prove the reliability of the pre-and post-test questionnaires and the educational intervention and a review by the statistician as well as the supervisors and five experts in the field of clinical simulation for the pre-test post-test questionnaires and educational intervention was done prior to its implementation. The pre-test was completed by (n=81) participants and the post-test by (n=70). The majority age category for participants was 50 years and older (n=32, 40%). Almost one third of the participants had less than 5 years’ experience as nurse educators (n=25, 31%). A statistically significant difference was found for pre-knowledge by age relationship (pvalue= ,036). The pre- and post-difference by age (p-value=.035) as well as work experience (p-value= .017) was also found to be significant (p-value= ,035). The older age groups (40-49 years of age) benefited more from the study as their knowledge on clinical simulation terminology significantly increased (Cohen’s d= 0,77 and 0,76- medium score) as well as those that were more inexperienced (1-4 years of working experience) (Cohen’s d= 1,10- large). The majority of participants did not receive any training in simulation-based education (n=69, 85%). The participants who received simulation-based education training versus the participants who did not receive any training showed a statistically significant variance for the pre-knowledge scores (pvalue= ,001) (Cohen’s d= 1,06- large). The mean score for the knowledge section (section B) of the questionnaire was 59,72 and the mean score for the pre-test-posttest difference was 12,64. The findings of the t-test had a small significant value for the pre-test and a medium significant value for the post-test. A significant medium Cohen’s d value was evident after correlating the difference between the knowledge scores for the pre- and post-test questionnaires. The 15 minutes educational intervention thus had a medium effect (pre-post difference of the knowledge scores: p-value=<.0005, with a Cohen’s d score of 0.67-medium significance) on the knowledge findings of nurse educators. However, as gaps in knowledge were evident among nurse educators in this study, further recommendations for practice, education and research were provided. Ethical principles such as informed consent, confidentiality and anonymity as well as permission to conduct the study were taken into consideration through all phases of the study.
- Full Text:
- Date Issued: 2019
- Authors: Booysen, Cindy Lynn
- Date: 2019
- Subjects: Nursing -- Simulation methods
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/36423 , vital:33940
- Description: Nurse educators must be prepared and feel comfortable using clinical simulation as a strategy in order for it to be successful as a teaching and learning approach. In terms of an educational intervention, orientation and training pertaining to simulation terminology for nurse educators can improve their capacity and strengthen the clinical simulation experience. The researcher observed a lack of knowledge regarding the terminology of clinical simulation among nurse educators at a public nursing college and this study therefore aimed to determine the effects of an educational intervention related to clinical simulation terminology on the knowledge of nurse educators at a public nursing college. The researcher conducted a small-scale intervention study utilizing a positivist, quantitative paradigm with a quasi-experimental pre-test, post-test design. The researcher purposively selected the five main campuses at a public nursing college in South Africa. The five main campuses were purposively selected into control (two main campuses; campus A, campus B) and experimental group (three main campuses; campus C, campus D and campus E). Convenience sampling was used by including all nurse educators of each campus. A self-administered pre-test questionnaire was developed and used in Phase one in order to explore and describe the knowledge of nurse educators with regard to the terminology applied in clinical simulation. A total of 125 nurse educators were included (experimental group n=65; control group n=60). Phase two involved the development, review and implementation of an educational intervention based on the standards of best practice: standard 1: terminology, developed by the International Nursing Association for Clinical Simulation and Learning (INACSL). Methods for the educational intervention included a PowerPoint presentation and pamphlets administered to the purposively selected experimental group (three campuses; campus C, campus D and campus E). The educational intervention was implemented per campus. The control group did not receive any educational intervention (two campuses; campus A and campus B). Phase three comprised a self-administered post-test that was developed to evaluate the effects of the educational intervention pertaining to the nurse educators’ knowledge of the terminology applied in clinical simulation and was completed by the nurse educators who participated in Phase one of the study. A total of 70 participants completed Phase three of the study, (n=31 from the control group and n=39 from the experimental group). The data was analysed using descriptive and inferential statistics (ANOVA and Chisquare testing), with the assistance of a statistician. A pilot study was conducted to prove the reliability of the pre-and post-test questionnaires and the educational intervention and a review by the statistician as well as the supervisors and five experts in the field of clinical simulation for the pre-test post-test questionnaires and educational intervention was done prior to its implementation. The pre-test was completed by (n=81) participants and the post-test by (n=70). The majority age category for participants was 50 years and older (n=32, 40%). Almost one third of the participants had less than 5 years’ experience as nurse educators (n=25, 31%). A statistically significant difference was found for pre-knowledge by age relationship (pvalue= ,036). The pre- and post-difference by age (p-value=.035) as well as work experience (p-value= .017) was also found to be significant (p-value= ,035). The older age groups (40-49 years of age) benefited more from the study as their knowledge on clinical simulation terminology significantly increased (Cohen’s d= 0,77 and 0,76- medium score) as well as those that were more inexperienced (1-4 years of working experience) (Cohen’s d= 1,10- large). The majority of participants did not receive any training in simulation-based education (n=69, 85%). The participants who received simulation-based education training versus the participants who did not receive any training showed a statistically significant variance for the pre-knowledge scores (pvalue= ,001) (Cohen’s d= 1,06- large). The mean score for the knowledge section (section B) of the questionnaire was 59,72 and the mean score for the pre-test-posttest difference was 12,64. The findings of the t-test had a small significant value for the pre-test and a medium significant value for the post-test. A significant medium Cohen’s d value was evident after correlating the difference between the knowledge scores for the pre- and post-test questionnaires. The 15 minutes educational intervention thus had a medium effect (pre-post difference of the knowledge scores: p-value=<.0005, with a Cohen’s d score of 0.67-medium significance) on the knowledge findings of nurse educators. However, as gaps in knowledge were evident among nurse educators in this study, further recommendations for practice, education and research were provided. Ethical principles such as informed consent, confidentiality and anonymity as well as permission to conduct the study were taken into consideration through all phases of the study.
- Full Text:
- Date Issued: 2019
Barriers to implementation of evidence-based practices in a critical care unit
- Authors: Bowers, Candice Andrea
- Date: 2013
- Subjects: Evidence-based medicine , Critical care medicine , Nursing ethics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10048 , http://hdl.handle.net/10948/d1013612
- Description: Over the last three decades there has been a greater need for health care practitioners to base their decision on the best available in order to optimise quality and cost-effective patient care. Evidence-based practice necessitates guideline development, education and review in order to achieve improved patient outcomes. However, initiatives that endeavour to disseminate and implement evidence-based practice have faced barriers and opposition. Barriers that might hamper the implementation of evidence-based practice include characteristics of the evidence itself, personal, institutional or organizational factors. The research study explored and described the barriers to implementation of evidence-based practices in a critical care unit. Based on the data analysis, recommendations were made to enhance the implementation of evidence-based practices in the critical care unit. A quantitative, explorative, descriptive and contextual research design was used to operationalize the research objectives. The target population comprised professional nurses in the critical care unit. Non-probability sampling was used to obtain data by means of a structured self-administered questionnaire. Descriptive data analysis was applied, using a statistical programme and the aid of a statistician. The results are graphically displayed using bar graphs and tables. Recommendations for nursing practice, education and research were made. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2013
- Authors: Bowers, Candice Andrea
- Date: 2013
- Subjects: Evidence-based medicine , Critical care medicine , Nursing ethics
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10048 , http://hdl.handle.net/10948/d1013612
- Description: Over the last three decades there has been a greater need for health care practitioners to base their decision on the best available in order to optimise quality and cost-effective patient care. Evidence-based practice necessitates guideline development, education and review in order to achieve improved patient outcomes. However, initiatives that endeavour to disseminate and implement evidence-based practice have faced barriers and opposition. Barriers that might hamper the implementation of evidence-based practice include characteristics of the evidence itself, personal, institutional or organizational factors. The research study explored and described the barriers to implementation of evidence-based practices in a critical care unit. Based on the data analysis, recommendations were made to enhance the implementation of evidence-based practices in the critical care unit. A quantitative, explorative, descriptive and contextual research design was used to operationalize the research objectives. The target population comprised professional nurses in the critical care unit. Non-probability sampling was used to obtain data by means of a structured self-administered questionnaire. Descriptive data analysis was applied, using a statistical programme and the aid of a statistician. The results are graphically displayed using bar graphs and tables. Recommendations for nursing practice, education and research were made. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2013
Teaching strategies to facilitate active learning in a private nursing education institution
- Authors: Choonara, Shereen Mohammed
- Date: 2017
- Subjects: Nursing -- Study and teaching -- South Africa Nursing schools -- South Africa , Nurses -- In-service training -- South Africa College teaching -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14829 , vital:27878
- Description: Nurse educators are the custodians of nursing education and are faced with the task of providing quality nursing education in a way that inspires and enhances learning. The approach to teaching has moved away from the traditional teacher centre approach to a more student centred, active learning approach. Nurse educators are faced with many challenges, such as creating a learning environment that is conducive to a new and diverse generation of students who have different needs, learning styles and expectations. It is therefore important that the nurse educators strive to enhance the overall learning experience by incorporating teaching strategies that engage students as active participants in the learning process. This study followed a quantitative, descriptive, exploratory and contextual research design in order to determine the activities, educational resources and teaching strategies used to facilitate active learning in a private nursing education institution. The target population was comprised of student nurses registered at the private nursing education institution. The data was collected by means of a self-administered questionnaire from 721 participants at learning centres throughout the country. The statistician used Statistica Version 12 to obtain both a descriptive and a statistical summary of the data. Descriptive statistics were used to describe the common features of the data used and the findings were discussed and summarized in tables and graphs. The ethical principles of informed consent, confidentiality and anonymity, beneficence, non-maleficence, veracity and justice have been maintained throughout this study. This study was conducted in one private nursing education institution in South Africa and only focussed on student nurses. The findings were that the greater majority of the students were encouraged to actively participate in the classroom. Students voiced their preference regarding the activities and teaching strategies utilized. There is disparity and inequality regarding the availability of educational media, resources and facilities. A variety of teaching strategies were utilized in the classrooms of the private NEI, but the use of technology based teaching strategies was limited. Information obtained from nurse educators could provide clarity on their use of teaching strategies to facilitate active learning in the classroom or at least highlight gaps in their knowledge that could help to facilitate training for nurse educators. Based on the findings of the study, recommendations for nursing practice, research and nursing education were made. The main recommendations for nursing education include the continuation of active learning activities given by the nurse educators in the classroom. Nurse educators to take cognisance of the students’ preferences and justify their selection of teaching strategies. The private NEI should ensure the availability and accessibility of educational resources, multimedia and facilities that are essential in teaching students to become self-directed, independent practitioners. Opportunities should be made available for nurse educators to attend seminars or workshops on the use of technology-based teaching strategies and undergo training in the utilization of different strategies that can enhance active learning. This could be included as a mandatory module of the nurse educators’ continuous professional development.
- Full Text:
- Date Issued: 2017
- Authors: Choonara, Shereen Mohammed
- Date: 2017
- Subjects: Nursing -- Study and teaching -- South Africa Nursing schools -- South Africa , Nurses -- In-service training -- South Africa College teaching -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/14829 , vital:27878
- Description: Nurse educators are the custodians of nursing education and are faced with the task of providing quality nursing education in a way that inspires and enhances learning. The approach to teaching has moved away from the traditional teacher centre approach to a more student centred, active learning approach. Nurse educators are faced with many challenges, such as creating a learning environment that is conducive to a new and diverse generation of students who have different needs, learning styles and expectations. It is therefore important that the nurse educators strive to enhance the overall learning experience by incorporating teaching strategies that engage students as active participants in the learning process. This study followed a quantitative, descriptive, exploratory and contextual research design in order to determine the activities, educational resources and teaching strategies used to facilitate active learning in a private nursing education institution. The target population was comprised of student nurses registered at the private nursing education institution. The data was collected by means of a self-administered questionnaire from 721 participants at learning centres throughout the country. The statistician used Statistica Version 12 to obtain both a descriptive and a statistical summary of the data. Descriptive statistics were used to describe the common features of the data used and the findings were discussed and summarized in tables and graphs. The ethical principles of informed consent, confidentiality and anonymity, beneficence, non-maleficence, veracity and justice have been maintained throughout this study. This study was conducted in one private nursing education institution in South Africa and only focussed on student nurses. The findings were that the greater majority of the students were encouraged to actively participate in the classroom. Students voiced their preference regarding the activities and teaching strategies utilized. There is disparity and inequality regarding the availability of educational media, resources and facilities. A variety of teaching strategies were utilized in the classrooms of the private NEI, but the use of technology based teaching strategies was limited. Information obtained from nurse educators could provide clarity on their use of teaching strategies to facilitate active learning in the classroom or at least highlight gaps in their knowledge that could help to facilitate training for nurse educators. Based on the findings of the study, recommendations for nursing practice, research and nursing education were made. The main recommendations for nursing education include the continuation of active learning activities given by the nurse educators in the classroom. Nurse educators to take cognisance of the students’ preferences and justify their selection of teaching strategies. The private NEI should ensure the availability and accessibility of educational resources, multimedia and facilities that are essential in teaching students to become self-directed, independent practitioners. Opportunities should be made available for nurse educators to attend seminars or workshops on the use of technology-based teaching strategies and undergo training in the utilization of different strategies that can enhance active learning. This could be included as a mandatory module of the nurse educators’ continuous professional development.
- Full Text:
- Date Issued: 2017
Knowledge, attitudes and practices of adolescents regarding contraceptives in the Maluti sub-district
- Authors: Cingo, Andiswa Linda
- Date: 2017
- Subjects: Contraceptives -- South Africa -- Eastern Cape 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/10948/15302 , vital:28217
- Description: The researcher observed a high incidence of pregnancy, sexually transmitted infections and abortions, including illegal abortions among adolescents in the Maluti Sub-District in the Eastern Cape Province. The researcher noted when speaking to the adolescents about contraceptives that they appeared to have a lack of knowledge as well as some misconceptions about contraceptives. The study therefore explores the knowledge, attitudes and practices of adolescents regarding contraceptives. To achieve the purpose of this study, a quantitative, explorative and descriptive survey was used to conduct this study. The research population in this study comprised all Grade 11 and 12 female adolescents enrolled at the selected senior secondary schools in the Maluti Sub-District. Simple random sampling was used to select the research sample. A structured self-administered questionnaire was used as a data collection tool. Descriptive and inferential statistics were used with the help of a statistician to analyse the data. A pilot study was conducted prior to the actual study being conducted, using the same design and research methods. The study findings revealed that participants had a low level of knowledge about contraceptive methods and there were some misconceptions regarding contraceptives prevailing among the participants. More than half (54%) of the participants are currently sexually active and less than a third of the participants indicated that they were using contraceptives The study concludes with recommendations for nursing practice, education and research. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2017
- Authors: Cingo, Andiswa Linda
- Date: 2017
- Subjects: Contraceptives -- South Africa -- Eastern Cape 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/10948/15302 , vital:28217
- Description: The researcher observed a high incidence of pregnancy, sexually transmitted infections and abortions, including illegal abortions among adolescents in the Maluti Sub-District in the Eastern Cape Province. The researcher noted when speaking to the adolescents about contraceptives that they appeared to have a lack of knowledge as well as some misconceptions about contraceptives. The study therefore explores the knowledge, attitudes and practices of adolescents regarding contraceptives. To achieve the purpose of this study, a quantitative, explorative and descriptive survey was used to conduct this study. The research population in this study comprised all Grade 11 and 12 female adolescents enrolled at the selected senior secondary schools in the Maluti Sub-District. Simple random sampling was used to select the research sample. A structured self-administered questionnaire was used as a data collection tool. Descriptive and inferential statistics were used with the help of a statistician to analyse the data. A pilot study was conducted prior to the actual study being conducted, using the same design and research methods. The study findings revealed that participants had a low level of knowledge about contraceptive methods and there were some misconceptions regarding contraceptives prevailing among the participants. More than half (54%) of the participants are currently sexually active and less than a third of the participants indicated that they were using contraceptives The study concludes with recommendations for nursing practice, education and research. Ethical principles have been maintained throughout the study.
- Full Text:
- Date Issued: 2017
The lived experiences of professional nurses with regards to end-of-life issues in the Intensive Care Unit
- Authors: Clifford, Ilzé
- Date: 2013
- Subjects: Intensive care units , Death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10055 , http://hdl.handle.net/10948/d1018572
- Description: Professional nurses working in an intensive care unit (ICU) are faced with the death of critically ill patients frequently. Modern day medicine and technology have made it possible for advanced life-sustaining measures to be implemented on patients who, without medical intervention, would otherwise not have survived. The question is raised: is modern technology preserving life and prolonging the dying process, or is it in the best interest of the patient for treatment to be withdrawn? Nurses, caring for these patients and their families, are practicing at the bedside of these dying patients and are thus often faced with end-of-life issues, particularly withdrawal of treatment. The primary functions of critical care nurses are toward their patients. Physicians are responsible for making decisions regarding withdrawal of treatment. However, the nurses in the ICU are responsible for implementing the decisions made; sometimes contradicting what they believe in. The experience of end-of-life issues, namely withdrawal of treatment, is a cause of distress for the professional nurse. Little research has been done on how the ICU nurses deal with end-of-life issues and what support structures are required to assist nurses in dealing with end-of-life issues (Hov, Hedelin & Athlin, 2006:204) The objectives of the study were to explore and describe the professional nurses‟ lived experiences of end-of-life issues in the intensive care unit. The study aimed to make recommendations regarding support strategies to assist professional nurses in dealing with end-of-life issues in the intensive care unit. The researcher has selected a qualitative research approach with an explorative, descriptive and contextual design in order to conduct the study. Data was collected by means of semi-structured interviews. Data was analysed using the steps as illustrated by Tesch‟s method. Ethical principles were maintained throughout the research study. The findings of this study are to be presented in a journal publication.
- Full Text:
- Date Issued: 2013
- Authors: Clifford, Ilzé
- Date: 2013
- Subjects: Intensive care units , Death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10055 , http://hdl.handle.net/10948/d1018572
- Description: Professional nurses working in an intensive care unit (ICU) are faced with the death of critically ill patients frequently. Modern day medicine and technology have made it possible for advanced life-sustaining measures to be implemented on patients who, without medical intervention, would otherwise not have survived. The question is raised: is modern technology preserving life and prolonging the dying process, or is it in the best interest of the patient for treatment to be withdrawn? Nurses, caring for these patients and their families, are practicing at the bedside of these dying patients and are thus often faced with end-of-life issues, particularly withdrawal of treatment. The primary functions of critical care nurses are toward their patients. Physicians are responsible for making decisions regarding withdrawal of treatment. However, the nurses in the ICU are responsible for implementing the decisions made; sometimes contradicting what they believe in. The experience of end-of-life issues, namely withdrawal of treatment, is a cause of distress for the professional nurse. Little research has been done on how the ICU nurses deal with end-of-life issues and what support structures are required to assist nurses in dealing with end-of-life issues (Hov, Hedelin & Athlin, 2006:204) The objectives of the study were to explore and describe the professional nurses‟ lived experiences of end-of-life issues in the intensive care unit. The study aimed to make recommendations regarding support strategies to assist professional nurses in dealing with end-of-life issues in the intensive care unit. The researcher has selected a qualitative research approach with an explorative, descriptive and contextual design in order to conduct the study. Data was collected by means of semi-structured interviews. Data was analysed using the steps as illustrated by Tesch‟s method. Ethical principles were maintained throughout the research study. The findings of this study are to be presented in a journal publication.
- Full Text:
- Date Issued: 2013
Adult circumcision practices of traditional surgeons and nurses in relation to the initiates’ health outcomes/morbidity in the Eastern Cape
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
Registered nurses' experiences of working with patients diagnosed with substance-induced psychosis in a tertiary psychiatric hospital
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
Experiences of midwives caring for mothers who have lost their babies at birth
- Authors: Dasi, Peggy
- Date: 2016
- Subjects: Obstetrics , Midwives , Perinatal death -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/9000 , vital:26454
- Description: Midwives working in labour wards usually have the pleasure of delivering a live baby and rejoicing with the mother. However, the delivery could become tragic for the mothers and midwives when the baby dies at birth due to pregnancy related complications. The result is that midwives have to render care and support to mothers who have lost their babies at birth. The objectives of this study were to explore and describe the experiences of midwives caring for mothers who have lost their babies at birth. A qualitative explorative, descriptive and contextual design was used to conduct this research study to gain an understanding of how the midwives experienced caring for mothers who have lost their babies at birth. A purposive criterion based non-probability sampling method was used. Ten semi-structured face-to-face interviews were conducted to collect data. Ethical considerations were observed throughout the research study. Measures of trustworthiness were ensured by using credibility, transferability, dependability and conformability. Data analysis was done using Tesch’s method to make sense out of text and data. Four themes were identified, namely, Midwives shared their diverse experiences relating to caring for mothers who have lost their babies at birth; Midwives expressed how their personal values and beliefs influenced the ways they dealt with babies dying at birth; Midwives described the organizational values and beliefs related to death and dying and how this influences their own experiences and lastly Midwives provided suggestions regarding how they can be assisted in caring for mothers who have lost their babies at birth. Two main guidelines were developed based on the research findings and literature. The study concludes with recommendations made with regard to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2016
- Authors: Dasi, Peggy
- Date: 2016
- Subjects: Obstetrics , Midwives , Perinatal death -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/9000 , vital:26454
- Description: Midwives working in labour wards usually have the pleasure of delivering a live baby and rejoicing with the mother. However, the delivery could become tragic for the mothers and midwives when the baby dies at birth due to pregnancy related complications. The result is that midwives have to render care and support to mothers who have lost their babies at birth. The objectives of this study were to explore and describe the experiences of midwives caring for mothers who have lost their babies at birth. A qualitative explorative, descriptive and contextual design was used to conduct this research study to gain an understanding of how the midwives experienced caring for mothers who have lost their babies at birth. A purposive criterion based non-probability sampling method was used. Ten semi-structured face-to-face interviews were conducted to collect data. Ethical considerations were observed throughout the research study. Measures of trustworthiness were ensured by using credibility, transferability, dependability and conformability. Data analysis was done using Tesch’s method to make sense out of text and data. Four themes were identified, namely, Midwives shared their diverse experiences relating to caring for mothers who have lost their babies at birth; Midwives expressed how their personal values and beliefs influenced the ways they dealt with babies dying at birth; Midwives described the organizational values and beliefs related to death and dying and how this influences their own experiences and lastly Midwives provided suggestions regarding how they can be assisted in caring for mothers who have lost their babies at birth. Two main guidelines were developed based on the research findings and literature. The study concludes with recommendations made with regard to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2016
Die ervaring van die geregistreerde verpleegkundedosent ten opsigte van die kliniese begeleiding van verpleegstudente
- Authors: De Wet, Annemie
- Date: 2014
- Subjects: Nursing students , Mentoring in nursing -- South Africa
- Language: Afrikaans
- Type: Thesis , Masters , MCur
- Identifier: vital:10053 , http://hdl.handle.net/10948/1018275
- Description: Die doel van die studie was om vas te stel hoe die verpleegkundedosent die begeleiding van verpleegstudente in die praktyk ervaar. In die verlede was begeleiding van verpleegstudente met praktika in gesondheidsorginstansies deur ʼn professionele verpleegkundige gedoen wat deel was van die personeel se verantwoordelikhede. Die verpleegstudente doen hul teoretiese kennis op by ʼn tersiêre instansie en verkry hul praktiese kennis by ʼn geakkrediteerde gesondheidsorginstansie soos vereis deur die Suid-Afrikaanse Raad op Verpleging (SARV). Een van die take van ‘n verpleegkundedosent van die privaat opleidingskool is om die kliniese begeleiding van verpleegstudente in geakkrediteerde instellings te doen. Omdat verpleging ʼn beroep is waar vaardighede belangrik is, is praktiese inoefening van prosedures en evaluering van die verpleegstudente se vaardigheid daarin noodsaaklik. Die verpleegstudente is heeltyd besig met die pasiënte in die vorm van prosedures waarby die teorie wat in die opleidingskool verkry was, gekorreleer moet word met die prosedure om die hele prentjie te vorm. Dit is dus nodig dat begeleiding van die verpleegstudente gedoen moet word om vaardigheid en toepassing van kennis te verseker. Die navorser het ʼn kwalitatiewe, ondersoekende, beskrywende en kontekstuele studie gedoen waarvan die populasie die geregistreerde dosente van verskeie provinsiale en privaatverpleegskole in die Klein-Karoo en Suid-kaapdistrikte was. Die navorser het gebruik gemaak van ʼn nie-waarskynlike steekproef. Inligtingryke data was ingesamel deur semi-gestruktureerde onderhoude wat aangevul was met veldnotas soos verkry tydens onderhoude. Data-ontleding was reeds begin met data-insameling en Tesch se inhoudsontleding was gebruik om ʼn mening te vorm. ‘n Literatuurkontrole was gedoen om te bepaal wat vorige navorsing oor begeleiding bevind en aanbeveel het. Lincoln en Guba se model was gebruik vir betroubaarheidsversekering volgens die kriteria wat hulle aanbeveel het, naamlik geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid. Uit die data-ontleding het vier belangrike temas en subtemas te voorskyn gekom. Die temas was dat die verpleegkundedosente aspekte van die begeleiding van verpleegstudente in die gesondheidsorginstansie as positief en ook as negatief beleef. Die wyse waarop die gesondheidsorginstansies bestuur word, het die begeleiding beïnvloed en daar was riglyne voorgestel wat die kliniese personeel en dosente kan rig wanneer hulle betrokke raak by die begeleiding van verpleegstudente. Die begeleiding van verpleegstudente deur verpleegkundedosente, kliniese dosente en die gesondheidsorginstansie se opgeleide personeel, is ʼn belangrike deel van verpleegopleiding en bepaal uiteindelik die kwaliteit van die pasiëntsorg wat verskaf word deur die verpleegkundiges. Die navorser het riglyne daar gestel om die begeleiding van vepleegstudente te rig. Die riglyne moet nou geïmplementeer en getoets word binne die konteks van die bepaalde verpleegskole en dan weer geëvalueer word. Beperkings wat ondervind was in die studie was dat die steekproef ʼn klein groepie verpleegkundedosente op die platteland was, wat veralgemening bemoeilik, veral in die stedelike konteks. Die begeleiding van die verpleegstudente is gedoen met die ingeskrewe verpleegstudente (Die Suid-Afrikaanse Raad op Verpleging Regulasies, Regulasie 2176 en 2175 van 19 November 1993), naamlik die kategorie met die minste status en verantwoordelikheid onder verpleegstudente. Veralgemening na alle kategorieë, veral verpleegstudente besig met professionele verpleegprogramme, mag dus nie sinvol wees nie.
- Full Text:
- Date Issued: 2014
- Authors: De Wet, Annemie
- Date: 2014
- Subjects: Nursing students , Mentoring in nursing -- South Africa
- Language: Afrikaans
- Type: Thesis , Masters , MCur
- Identifier: vital:10053 , http://hdl.handle.net/10948/1018275
- Description: Die doel van die studie was om vas te stel hoe die verpleegkundedosent die begeleiding van verpleegstudente in die praktyk ervaar. In die verlede was begeleiding van verpleegstudente met praktika in gesondheidsorginstansies deur ʼn professionele verpleegkundige gedoen wat deel was van die personeel se verantwoordelikhede. Die verpleegstudente doen hul teoretiese kennis op by ʼn tersiêre instansie en verkry hul praktiese kennis by ʼn geakkrediteerde gesondheidsorginstansie soos vereis deur die Suid-Afrikaanse Raad op Verpleging (SARV). Een van die take van ‘n verpleegkundedosent van die privaat opleidingskool is om die kliniese begeleiding van verpleegstudente in geakkrediteerde instellings te doen. Omdat verpleging ʼn beroep is waar vaardighede belangrik is, is praktiese inoefening van prosedures en evaluering van die verpleegstudente se vaardigheid daarin noodsaaklik. Die verpleegstudente is heeltyd besig met die pasiënte in die vorm van prosedures waarby die teorie wat in die opleidingskool verkry was, gekorreleer moet word met die prosedure om die hele prentjie te vorm. Dit is dus nodig dat begeleiding van die verpleegstudente gedoen moet word om vaardigheid en toepassing van kennis te verseker. Die navorser het ʼn kwalitatiewe, ondersoekende, beskrywende en kontekstuele studie gedoen waarvan die populasie die geregistreerde dosente van verskeie provinsiale en privaatverpleegskole in die Klein-Karoo en Suid-kaapdistrikte was. Die navorser het gebruik gemaak van ʼn nie-waarskynlike steekproef. Inligtingryke data was ingesamel deur semi-gestruktureerde onderhoude wat aangevul was met veldnotas soos verkry tydens onderhoude. Data-ontleding was reeds begin met data-insameling en Tesch se inhoudsontleding was gebruik om ʼn mening te vorm. ‘n Literatuurkontrole was gedoen om te bepaal wat vorige navorsing oor begeleiding bevind en aanbeveel het. Lincoln en Guba se model was gebruik vir betroubaarheidsversekering volgens die kriteria wat hulle aanbeveel het, naamlik geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid. Uit die data-ontleding het vier belangrike temas en subtemas te voorskyn gekom. Die temas was dat die verpleegkundedosente aspekte van die begeleiding van verpleegstudente in die gesondheidsorginstansie as positief en ook as negatief beleef. Die wyse waarop die gesondheidsorginstansies bestuur word, het die begeleiding beïnvloed en daar was riglyne voorgestel wat die kliniese personeel en dosente kan rig wanneer hulle betrokke raak by die begeleiding van verpleegstudente. Die begeleiding van verpleegstudente deur verpleegkundedosente, kliniese dosente en die gesondheidsorginstansie se opgeleide personeel, is ʼn belangrike deel van verpleegopleiding en bepaal uiteindelik die kwaliteit van die pasiëntsorg wat verskaf word deur die verpleegkundiges. Die navorser het riglyne daar gestel om die begeleiding van vepleegstudente te rig. Die riglyne moet nou geïmplementeer en getoets word binne die konteks van die bepaalde verpleegskole en dan weer geëvalueer word. Beperkings wat ondervind was in die studie was dat die steekproef ʼn klein groepie verpleegkundedosente op die platteland was, wat veralgemening bemoeilik, veral in die stedelike konteks. Die begeleiding van die verpleegstudente is gedoen met die ingeskrewe verpleegstudente (Die Suid-Afrikaanse Raad op Verpleging Regulasies, Regulasie 2176 en 2175 van 19 November 1993), naamlik die kategorie met die minste status en verantwoordelikheid onder verpleegstudente. Veralgemening na alle kategorieë, veral verpleegstudente besig met professionele verpleegprogramme, mag dus nie sinvol wees nie.
- Full Text:
- Date Issued: 2014
The health status of construction workers
- Authors: Deacon, Claire Helen
- Date: 2004
- Subjects: Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:11025 , http://hdl.handle.net/10948/326 , Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Description: The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
- Full Text:
- Authors: Deacon, Claire Helen
- Date: 2004
- Subjects: Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:11025 , http://hdl.handle.net/10948/326 , Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Description: The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
- Full Text:
Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation
- Authors: Demingo, Xavier Preston
- Date: 2011
- Subjects: Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10026 , http://hdl.handle.net/10948/1323 , Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Description: Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically ill patients in ICUs globally are connected to a mechanical ventilator. Although mechanical ventilation is a lifesaving intervention, it is expensive and is associated with diverse complications (Mclean, Jensen, Schroeder, Gibney & Skjodt, 2006: 299). Ventilator-associated pneumonia (VAP) accounts for 25% of all infections in ICU, with global crude mortality figures estimated at 20-70% (Craven, 2006:251). Minimising the time that a patient is connected to a mechanical ventilator to the absolute minimum can have considerable benefits in terms of decreased mortality and morbidity, as well as a decreased length of ICU stay and lower hospital costs. Critically ill patients therefore need to be weaned from the mechanical ventilator as soon as their condition that warranted the need for mechanical ventilation is stabilized. The process of weaning the critically ill patient from mechanical ventilation constitutes a significant proportion of total ventilator time. As professional nurses attend to the mechanically ventilated patient 24 hours a day, they have a vital role to play in the collaborative management of the patient requiring weaning from mechanical ventilation. The objectives of this study were to explore and describe the professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. Based on the results, recommendations in the form of a protocol were made in order to improve the professional nurses’ knowledge and enhance the care of the mechanically ventilated patient. A quantitative design, which was exploratory, descriptive and contextual in nature, was utilised for the study. The data collection instrument of choice was a self-administered questionnaire. Convenience, non-probability sampling was the sampling method chosen for the purpose of this study. Collected data were analysed with the assistance of a statistician using descriptive and inferential statistics. Results were displayed in the form of graphs and tables. The results obtained in the study, combined with data from the literature review, were used to develop recommendations to enhance vi professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. The recommendations were presented in the form of a protocol based on the available evidence. Ethical principles as they relate to conducting research were adhered to throughout the study.
- Full Text:
- Date Issued: 2011
- Authors: Demingo, Xavier Preston
- Date: 2011
- Subjects: Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10026 , http://hdl.handle.net/10948/1323 , Artificial respiration , Respiratory therapy , Critical care medicine , Respirators (Medical equipment) , Artificial respiration -- Nursing
- Description: Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically ill patients in ICUs globally are connected to a mechanical ventilator. Although mechanical ventilation is a lifesaving intervention, it is expensive and is associated with diverse complications (Mclean, Jensen, Schroeder, Gibney & Skjodt, 2006: 299). Ventilator-associated pneumonia (VAP) accounts for 25% of all infections in ICU, with global crude mortality figures estimated at 20-70% (Craven, 2006:251). Minimising the time that a patient is connected to a mechanical ventilator to the absolute minimum can have considerable benefits in terms of decreased mortality and morbidity, as well as a decreased length of ICU stay and lower hospital costs. Critically ill patients therefore need to be weaned from the mechanical ventilator as soon as their condition that warranted the need for mechanical ventilation is stabilized. The process of weaning the critically ill patient from mechanical ventilation constitutes a significant proportion of total ventilator time. As professional nurses attend to the mechanically ventilated patient 24 hours a day, they have a vital role to play in the collaborative management of the patient requiring weaning from mechanical ventilation. The objectives of this study were to explore and describe the professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. Based on the results, recommendations in the form of a protocol were made in order to improve the professional nurses’ knowledge and enhance the care of the mechanically ventilated patient. A quantitative design, which was exploratory, descriptive and contextual in nature, was utilised for the study. The data collection instrument of choice was a self-administered questionnaire. Convenience, non-probability sampling was the sampling method chosen for the purpose of this study. Collected data were analysed with the assistance of a statistician using descriptive and inferential statistics. Results were displayed in the form of graphs and tables. The results obtained in the study, combined with data from the literature review, were used to develop recommendations to enhance vi professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. The recommendations were presented in the form of a protocol based on the available evidence. Ethical principles as they relate to conducting research were adhered to throughout the study.
- Full Text:
- Date Issued: 2011
Guidelines for psychiatric nurses to assist in the care of female patients with bipolar disorder during their admission and stay in a tertiary level psychiatric facility in the Eastern Cape, South Africa
- Authors: Du Plessis, Anneki
- Date: 2015
- Subjects: Psychiatric nurses -- South Africa -- Eastern Cape , Manic-depressive persons -- South Africa -- Eastern Cape , Psychiatric hospitals -- Admission and discharge -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10072 , http://hdl.handle.net/10948/d1021160
- Description: Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative approach, with a phenomenological research strategy. An explorative, descriptive and contextual design was utilized to gain more insight into female patients’ lived experiences during their admission and stay in a tertiary level psychiatric institution. The research population was female patients who were diagnosed with bipolar disorder and who had recently experienced being admitted to and treated at a tertiary level psychiatric facility where they were treated for this condition. Purposive sampling was utilised to obtain the sample for the study. A pilot study was conducted before the study commenced to ensure the trustworthiness of the findings. The researcher obtained the data via semi-structured interviews as well as field notes and reflective journals. Data was analysed by using Tesch’s method as adopted by Creswell. Once the data had been analysed, a literature control was done in accordance with the findings. Guba’s model of trustworthiness was utilized to ensure that this study was trustworthy and credible. The researcher implemented ethical principles to ensure that no harm was done to the participants during the research study. Finally, guidelines were developed to assist professional nurses to manage patients optimally during their admission and stay in a closed unit of a tertiary psychiatric facility.
- Full Text:
- Date Issued: 2015
- Authors: Du Plessis, Anneki
- Date: 2015
- Subjects: Psychiatric nurses -- South Africa -- Eastern Cape , Manic-depressive persons -- South Africa -- Eastern Cape , Psychiatric hospitals -- Admission and discharge -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10072 , http://hdl.handle.net/10948/d1021160
- Description: Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative approach, with a phenomenological research strategy. An explorative, descriptive and contextual design was utilized to gain more insight into female patients’ lived experiences during their admission and stay in a tertiary level psychiatric institution. The research population was female patients who were diagnosed with bipolar disorder and who had recently experienced being admitted to and treated at a tertiary level psychiatric facility where they were treated for this condition. Purposive sampling was utilised to obtain the sample for the study. A pilot study was conducted before the study commenced to ensure the trustworthiness of the findings. The researcher obtained the data via semi-structured interviews as well as field notes and reflective journals. Data was analysed by using Tesch’s method as adopted by Creswell. Once the data had been analysed, a literature control was done in accordance with the findings. Guba’s model of trustworthiness was utilized to ensure that this study was trustworthy and credible. The researcher implemented ethical principles to ensure that no harm was done to the participants during the research study. Finally, guidelines were developed to assist professional nurses to manage patients optimally during their admission and stay in a closed unit of a tertiary psychiatric facility.
- Full Text:
- Date Issued: 2015
Knowledge of midwives at Community Health Centres and Midwife Obstetrics Units in the Nelson Mandela Bay regarding the use of the Road-to-Health Chart
- Dumisani-Ndlovu, Sidumisile Charity, Sonti, Balandeli S I, James, S
- Authors: Dumisani-Ndlovu, Sidumisile Charity , Sonti, Balandeli S I , James, S
- Date: 2017
- Subjects: Children -- South Africa -- Nelson Mandela Bay Municipality -- Growth , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21692 , vital:29733
- Description: The challenge of child mortality between the ages of 0 and 5 years has extensively increased over the past few years. Furthermore, the ever-evolving and complex consequences of ineffective monitoring of children’s growth and development have been identified as one of the reasons for this increase in child mortality. The Road-to-Health Chart was developed and redesigned for use by child nurses and midwives to monitor children’s growth and development. The purpose of this study was to investigate whether the midwives at community healthcare centres in the Nelson Mandela Bay area had the necessary knowledge to utilise the Road-to-Health Chart effectively. Permission to conduct the study was sought from the Nelson Mandela Metropolitan University, the Department of Health and the participants. A quantitative, non-experimental descriptive survey was used in this research. The population consisted of all the midwives working in the Midwife Obstetric Unit and community healthcare centres within the Nelson Mandela Bay Municipal area. The sample was extracted from the targeted population but from willing participants that met the inclusion criteria. The research data-collection method was a self-developed questionnaire with closed-ended statements to measure the knowledge of how effectively the midwives in the Nelson Mandela Bay area were using the RTHC. The researcher ensured the validity of the questionnaire by focusing on the instrument’s validity, construct validity, content validity and face validity. Ethical considerations, including permission, informed consent, confidentiality and anonymity, were adhered to. The most significant findings showed that midwives at CHCs and MOUs in the Nelson Mandel Bay area were knowledgeable about the importance of the RTHC to the mother and child and the use of the RTHC. These findings may assist in the identification of measures to enhance the knowledge of midwives about the use of the RTHC thus ultimately facilitating the use of the RTHC by mothers as intended.
- Full Text:
- Date Issued: 2017
- Authors: Dumisani-Ndlovu, Sidumisile Charity , Sonti, Balandeli S I , James, S
- Date: 2017
- Subjects: Children -- South Africa -- Nelson Mandela Bay Municipality -- Growth , Midwifery -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/21692 , vital:29733
- Description: The challenge of child mortality between the ages of 0 and 5 years has extensively increased over the past few years. Furthermore, the ever-evolving and complex consequences of ineffective monitoring of children’s growth and development have been identified as one of the reasons for this increase in child mortality. The Road-to-Health Chart was developed and redesigned for use by child nurses and midwives to monitor children’s growth and development. The purpose of this study was to investigate whether the midwives at community healthcare centres in the Nelson Mandela Bay area had the necessary knowledge to utilise the Road-to-Health Chart effectively. Permission to conduct the study was sought from the Nelson Mandela Metropolitan University, the Department of Health and the participants. A quantitative, non-experimental descriptive survey was used in this research. The population consisted of all the midwives working in the Midwife Obstetric Unit and community healthcare centres within the Nelson Mandela Bay Municipal area. The sample was extracted from the targeted population but from willing participants that met the inclusion criteria. The research data-collection method was a self-developed questionnaire with closed-ended statements to measure the knowledge of how effectively the midwives in the Nelson Mandela Bay area were using the RTHC. The researcher ensured the validity of the questionnaire by focusing on the instrument’s validity, construct validity, content validity and face validity. Ethical considerations, including permission, informed consent, confidentiality and anonymity, were adhered to. The most significant findings showed that midwives at CHCs and MOUs in the Nelson Mandel Bay area were knowledgeable about the importance of the RTHC to the mother and child and the use of the RTHC. These findings may assist in the identification of measures to enhance the knowledge of midwives about the use of the RTHC thus ultimately facilitating the use of the RTHC by mothers as intended.
- Full Text:
- Date Issued: 2017