Perceptions of blended learning by academic staff in the Health Sciences Faculty at Nelson Mandela University
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
Pre and post computerized radiography film reject analysis in a private hospital in Kenya
- Authors: Batuka, Nabawesi Jennifer
- Date: 2011
- Subjects: Radiography, Medical -- Digital techniques
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10075 , http://hdl.handle.net/10948/1574 , Radiography, Medical -- Digital techniques
- Description: The production of good quality radiographs is a complex process, given the high level of image quality required (Sniureviciute & Adliene, 2005: 260). Exposure of patients to x-rays, a factor in the production of quality radiographs also entails a risk of radiation injury. In 2006, computerized radiography (CR) was introduced at The Nairobi Hospital to try and reduce the film reject rate, decrease repeats, reduce financial costs of consumables like x-ray films and processing chemicals. However, to date, no formal film reject analysis has been conducted at The Nairobi Hospital. Four years after the incorporation of CR, there is apparently, still a significant number of film rejects, implying operational costs may still be high. The cause of film rejects and overall reject cost is not known. This has led to the research question: “Has the film reject rate in the A & E x-ray unit at The Nairobi Hospital reduced following incorporation of CR?” A quantitative, retrospective, descriptive study involving a reject film analysis of rejected radiographs in the Accident and Emergency (A&E) x-ray unit in the Nairobi Hospital, Kenya was conducted. The researcher collected data for a period of 6 months between 2/12/07 and 28/05/08 using a purpose-designed data collection form. All rejected x-ray films during the study period were included. Capture and analysis of the collected data was completed by the researcher using SPSS 10 and EPINFO computer packages. Permission to conduct the study was obtained from The Nairobi Hospital Education Committee and due consideration to patient and radiographer confidentiality was maintained throughout the study. A total of 851(2.5 percent) x-ray films were collected during the study period. Four hundred and fourteen (2.6 percent) radiographs and 437 (2.5 percent) radiographs were rejected prior to and after the incorporation of CR respectively. Chest radiographs were the most frequently rejected accounting for 277(66.9 percent) and 123 (28.1 percent) prior to and after the incorporation of CR respectively. The most frequently rejected film size was 35x35cm prior to the incorporation of CR (61.6 percent) and 26x35cm film size after the incorporation of CR (91.3 percent). The most frequent cause of film rejects was radiographer causes both prior to and after the incorporation of CR accounting for 496 (58.3 percent). The film reject rate did not significantly reduce after the incorporation of CR, suggesting that there are other factors which contribute to reject rate, other than CR. The study also shows that higher film consumption does not necessarily lead to high reject rates. The percentage value on annual rejects did not change after the incorporation of CR and a demonstrated increase in the annual cost of purchasing x-ray films was attributed to an increase in annual consumption after the incorporation of CR, and also to the higher cost of digital x-ray films. Despite some identified limitations to this study, some recommendations, which included conduction of regular reject analyses and regular continuing professional development with respect to radiographic technique amongst others, were suggested.
- Full Text:
- Date Issued: 2011
- Authors: Batuka, Nabawesi Jennifer
- Date: 2011
- Subjects: Radiography, Medical -- Digital techniques
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10075 , http://hdl.handle.net/10948/1574 , Radiography, Medical -- Digital techniques
- Description: The production of good quality radiographs is a complex process, given the high level of image quality required (Sniureviciute & Adliene, 2005: 260). Exposure of patients to x-rays, a factor in the production of quality radiographs also entails a risk of radiation injury. In 2006, computerized radiography (CR) was introduced at The Nairobi Hospital to try and reduce the film reject rate, decrease repeats, reduce financial costs of consumables like x-ray films and processing chemicals. However, to date, no formal film reject analysis has been conducted at The Nairobi Hospital. Four years after the incorporation of CR, there is apparently, still a significant number of film rejects, implying operational costs may still be high. The cause of film rejects and overall reject cost is not known. This has led to the research question: “Has the film reject rate in the A & E x-ray unit at The Nairobi Hospital reduced following incorporation of CR?” A quantitative, retrospective, descriptive study involving a reject film analysis of rejected radiographs in the Accident and Emergency (A&E) x-ray unit in the Nairobi Hospital, Kenya was conducted. The researcher collected data for a period of 6 months between 2/12/07 and 28/05/08 using a purpose-designed data collection form. All rejected x-ray films during the study period were included. Capture and analysis of the collected data was completed by the researcher using SPSS 10 and EPINFO computer packages. Permission to conduct the study was obtained from The Nairobi Hospital Education Committee and due consideration to patient and radiographer confidentiality was maintained throughout the study. A total of 851(2.5 percent) x-ray films were collected during the study period. Four hundred and fourteen (2.6 percent) radiographs and 437 (2.5 percent) radiographs were rejected prior to and after the incorporation of CR respectively. Chest radiographs were the most frequently rejected accounting for 277(66.9 percent) and 123 (28.1 percent) prior to and after the incorporation of CR respectively. The most frequently rejected film size was 35x35cm prior to the incorporation of CR (61.6 percent) and 26x35cm film size after the incorporation of CR (91.3 percent). The most frequent cause of film rejects was radiographer causes both prior to and after the incorporation of CR accounting for 496 (58.3 percent). The film reject rate did not significantly reduce after the incorporation of CR, suggesting that there are other factors which contribute to reject rate, other than CR. The study also shows that higher film consumption does not necessarily lead to high reject rates. The percentage value on annual rejects did not change after the incorporation of CR and a demonstrated increase in the annual cost of purchasing x-ray films was attributed to an increase in annual consumption after the incorporation of CR, and also to the higher cost of digital x-ray films. Despite some identified limitations to this study, some recommendations, which included conduction of regular reject analyses and regular continuing professional development with respect to radiographic technique amongst others, were suggested.
- Full Text:
- Date Issued: 2011
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
Resilience in HIV/AIDS' adolescent headed families
- Authors: Beeka, Hershilla A
- Date: 2008
- Subjects: Resilience (Personality trait) in adolescence -- South Africa -- Port Elizabeth , Children of AIDS patients -- South Africa -- Family relationships , Families, Black -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9911 , http://hdl.handle.net/10948/922 , Resilience (Personality trait) in adolescence -- South Africa -- Port Elizabeth , Children of AIDS patients -- South Africa -- Family relationships , Families, Black -- Research -- South Africa
- Description: HIV/AIDS has presented humanity with various challenges, one of which is the manner in which it has affected family structure and patterns. Parental illness and eventual death due to the HIV/AIDS pandemic is escalating. One of the major challenges of HIV/AIDS in southern Africa is the increase in the number of orphaned and vulnerable children. As a result new family forms are emerging such as the "skip-generation" family in which children or adolescent siblings head the family. It is anticipated that HIV/AIDS in South Africa will progressively increase the number of such families. During this time of profound family change, the family as an institution has remained remarkably resilient. The present study utilised the Family Resilience Framework and the Resiliency Model of Family Stress, Adjustment and Adaptation to explore and describe the resilience of HIV/AIDS’ adolescent headed families. A qualitative, exploratory-descriptive research design, which was assessed against Guba’s (1985) model of trustworthiness, was employed and the participants were sampled using non-probability purposive sampling. The Masizakhe Community Project volunteers (an AIDS Community Project in Kwazakhele, Port Elizabeth receiving support from the iThemba AIDS Foundation) assisted in identifying participants according to the predetermined inclusion criteria. The sample consisted of four female, adolescent heads of HIV/AIDS’ affected households, who volunteered at the Masizakhe Community Project and resided in Kwazakhele. The data that was collected via audio-recorded semi structured interviews were transcribed verbatim and subjected to Interpretive Phenomenological Analysis. Family resilience factors that emerged included intrafamilial strengths (family cohesion, organisation, hardiness, and adaptability); social support resources (especially from the community project, friends, and community members); family appraisal processes; and problem solving and coping strategies. Extended family support was partial and largely financial. The findings from this study provided insights into the resilience of adolescent-headed families; provided guidance for the development of intervention programmes to assist these families; and affirmed the existing strengths of the families. Furthermore, it has contributed to the research and literature on family resilience and formed the foundation for future research projects.
- Full Text:
- Date Issued: 2008
- Authors: Beeka, Hershilla A
- Date: 2008
- Subjects: Resilience (Personality trait) in adolescence -- South Africa -- Port Elizabeth , Children of AIDS patients -- South Africa -- Family relationships , Families, Black -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9911 , http://hdl.handle.net/10948/922 , Resilience (Personality trait) in adolescence -- South Africa -- Port Elizabeth , Children of AIDS patients -- South Africa -- Family relationships , Families, Black -- Research -- South Africa
- Description: HIV/AIDS has presented humanity with various challenges, one of which is the manner in which it has affected family structure and patterns. Parental illness and eventual death due to the HIV/AIDS pandemic is escalating. One of the major challenges of HIV/AIDS in southern Africa is the increase in the number of orphaned and vulnerable children. As a result new family forms are emerging such as the "skip-generation" family in which children or adolescent siblings head the family. It is anticipated that HIV/AIDS in South Africa will progressively increase the number of such families. During this time of profound family change, the family as an institution has remained remarkably resilient. The present study utilised the Family Resilience Framework and the Resiliency Model of Family Stress, Adjustment and Adaptation to explore and describe the resilience of HIV/AIDS’ adolescent headed families. A qualitative, exploratory-descriptive research design, which was assessed against Guba’s (1985) model of trustworthiness, was employed and the participants were sampled using non-probability purposive sampling. The Masizakhe Community Project volunteers (an AIDS Community Project in Kwazakhele, Port Elizabeth receiving support from the iThemba AIDS Foundation) assisted in identifying participants according to the predetermined inclusion criteria. The sample consisted of four female, adolescent heads of HIV/AIDS’ affected households, who volunteered at the Masizakhe Community Project and resided in Kwazakhele. The data that was collected via audio-recorded semi structured interviews were transcribed verbatim and subjected to Interpretive Phenomenological Analysis. Family resilience factors that emerged included intrafamilial strengths (family cohesion, organisation, hardiness, and adaptability); social support resources (especially from the community project, friends, and community members); family appraisal processes; and problem solving and coping strategies. Extended family support was partial and largely financial. The findings from this study provided insights into the resilience of adolescent-headed families; provided guidance for the development of intervention programmes to assist these families; and affirmed the existing strengths of the families. Furthermore, it has contributed to the research and literature on family resilience and formed the foundation for future research projects.
- Full Text:
- Date Issued: 2008
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
Whole body vibration training and physical fitness of persons with diabetes melitus type II
- Authors: Bekker, Lindy
- Date: 2008
- Subjects: Diabetes -- Exercise therapy , Vibration -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10096 , http://hdl.handle.net/10948/672 , Diabetes -- Exercise therapy , Vibration -- Physiological effect
- Description: The aim of this study was to determine the effect of whole body vibration training on selected health and fitness parameters, including: blood glucose levels, blood pressure, anthropometric profile, muscular flexibility, muscular strength, muscular endurance, and aerobic endurance of persons with diabetes mellitus type II. The study was conducted in a descriptive, explorative manner utilizing a quasiexperimental design with an equistatic approach, employing match-pair design to participant grouping. The experimental design was a non-randomized two-group pre- and post-test design, in which approximately 16 male and female participants, who were chosen through convenience and snowball sampling with diabetes mellitus type II, completed the study. Pre- and post-test analysis was performed at the Biokinetics and Sport Science Unit. The whole body vibration training (experimental) group, trained three times a week for a period of ten weeks, performing exercises on the vibration platform with progressive increments in the intensity, duration, and number of the exercises. The control group remained sedentary throughout the intervention period. The dependant variables were analyzed using descriptive statistics. ANOVA was done to determine pre- and post-test differences for both the experimental and control groups for all the variables. Post-Hoc analysis was done to determine and compare differences which may have existed between the experimental and control groups, with practical significance being determined by Cohen’s D analysis. The analysis of the results revealed significant improvements in systolic blood pressure, muscular strength, muscular endurance, and aerobic endurance.
- Full Text:
- Date Issued: 2008
- Authors: Bekker, Lindy
- Date: 2008
- Subjects: Diabetes -- Exercise therapy , Vibration -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10096 , http://hdl.handle.net/10948/672 , Diabetes -- Exercise therapy , Vibration -- Physiological effect
- Description: The aim of this study was to determine the effect of whole body vibration training on selected health and fitness parameters, including: blood glucose levels, blood pressure, anthropometric profile, muscular flexibility, muscular strength, muscular endurance, and aerobic endurance of persons with diabetes mellitus type II. The study was conducted in a descriptive, explorative manner utilizing a quasiexperimental design with an equistatic approach, employing match-pair design to participant grouping. The experimental design was a non-randomized two-group pre- and post-test design, in which approximately 16 male and female participants, who were chosen through convenience and snowball sampling with diabetes mellitus type II, completed the study. Pre- and post-test analysis was performed at the Biokinetics and Sport Science Unit. The whole body vibration training (experimental) group, trained three times a week for a period of ten weeks, performing exercises on the vibration platform with progressive increments in the intensity, duration, and number of the exercises. The control group remained sedentary throughout the intervention period. The dependant variables were analyzed using descriptive statistics. ANOVA was done to determine pre- and post-test differences for both the experimental and control groups for all the variables. Post-Hoc analysis was done to determine and compare differences which may have existed between the experimental and control groups, with practical significance being determined by Cohen’s D analysis. The analysis of the results revealed significant improvements in systolic blood pressure, muscular strength, muscular endurance, and aerobic endurance.
- Full Text:
- Date Issued: 2008
Articulating the nature of clinical nurse specialist practice
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
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
An assessment of quality health care in the operating theatres of Frere Hospital in the Eastern Cape
- Authors: Bennett, Fabion Charton
- Date: 2018
- Subjects: Medical care Surgical instruments and apparatus -- Safety measures
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/13425 , vital:39660
- Description: BACKGROUND: Operating theatres are one of most expensive resources in a hospital. The management of operating theatres is complex due to the conflicting priorities and preferences of all stakeholders. Operating theatres also pose one of the greatest medico legal risks to any hospital. This study was conducted at Frere Hospital in East London to assess the functioning of the operating theatre system. The focus of this study was on Pre-operative categorisation of emergency cases, the utilisation of the World Health Organisation Safety Checklist, compliance to the National Core Standards for Health, the effectiveness of governance and review processes, theatre staffing as well as theatre efficiency indicators (start time/tardiness, utilisation, turn-around time, re-admission to theatre rate, cancellation on day of procedure, slate under/over runs, Anaesthetic time as a percentage of theatre time). OBJECTIVE: The purpose of this study was to promote the adherence to the various operating theatre universal approaches by operating theatre staff with the goal of reducing costs and errors caused by poor quality in operating theatres and improving the overall health system. METHOD: In this research a convergent parallel mixed method research design was applied. The research was non-experimental and descriptive in approach, using a mixed method questionnaire, a structured open ended interview, a structured infrastructure assessment, a structured observation checklist and an audit of patient files for a review of emergency surgical cases. Data was collected during October 2016 and January 2017.The study population consisted of 13 operating rooms across 6 operating theatre suites, surgical management staff as well as clinical and nursing staff in the operating theatres at Frere Hospital in East London. RESULTS: The study showed opportunities for improvement in the overall management of the operating theatres to ensure efficient quality care; the data from the observations, questionnaires, interviews as well as the analysis of the efficiency indicators consistently showed that an effective process of operating theatre governance and performance is non-existent, the Pre- operative categorisation of emergency cases is inconsistently applied, the compliance to the principles of the World Health Organisation Safety Checklist Is very low, theatre nursing staff levels per case is low, staff are also demotivated and theatre efficiency indicators require improvement. During this study, the Paediatric theatre suite appeared to be well run and compliant with opportunity to increase theatre utilisation, the casualty theatre is underutilised and has potential to be utilised as an enabler to improve the efficiency of other theatres. The main theatre and endoscopy suites have opportunities to improve its compliance to universal operating theatre quality and efficiency standards, the Orthopaedics and Obstetrics theatre suites, however, require urgent improvement focus. DISCUSSION: According to the findings, a structured operating theatre governance and performance review processes should be implemented with the intention of ensuring consistency across the management of the 6 operating theatre suites in the hospital. A review of staffing allocation and relative task allocation should be conducted. Interventions should be implemented to increase utilisation rates, improve the pre-operative categorisation of emergency cases, improve the compliance to the principles of the World Health Organisation Safety Checklist, reduce case start time variance/tardiness, reduce cancellation on day of procedure, increase anaesthetic time as a percentage of theatre time by introducing pre- anaesthetic induction prior to the patient being wheeled into the operating room.
- Full Text:
- Date Issued: 2018
An assessment of quality health care in the operating theatres of Frere Hospital in the Eastern Cape
- Authors: Bennett, Fabion Charton
- Date: 2018
- Subjects: Medical care Surgical instruments and apparatus -- Safety measures
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/13425 , vital:39660
- Description: BACKGROUND: Operating theatres are one of most expensive resources in a hospital. The management of operating theatres is complex due to the conflicting priorities and preferences of all stakeholders. Operating theatres also pose one of the greatest medico legal risks to any hospital. This study was conducted at Frere Hospital in East London to assess the functioning of the operating theatre system. The focus of this study was on Pre-operative categorisation of emergency cases, the utilisation of the World Health Organisation Safety Checklist, compliance to the National Core Standards for Health, the effectiveness of governance and review processes, theatre staffing as well as theatre efficiency indicators (start time/tardiness, utilisation, turn-around time, re-admission to theatre rate, cancellation on day of procedure, slate under/over runs, Anaesthetic time as a percentage of theatre time). OBJECTIVE: The purpose of this study was to promote the adherence to the various operating theatre universal approaches by operating theatre staff with the goal of reducing costs and errors caused by poor quality in operating theatres and improving the overall health system. METHOD: In this research a convergent parallel mixed method research design was applied. The research was non-experimental and descriptive in approach, using a mixed method questionnaire, a structured open ended interview, a structured infrastructure assessment, a structured observation checklist and an audit of patient files for a review of emergency surgical cases. Data was collected during October 2016 and January 2017.The study population consisted of 13 operating rooms across 6 operating theatre suites, surgical management staff as well as clinical and nursing staff in the operating theatres at Frere Hospital in East London. RESULTS: The study showed opportunities for improvement in the overall management of the operating theatres to ensure efficient quality care; the data from the observations, questionnaires, interviews as well as the analysis of the efficiency indicators consistently showed that an effective process of operating theatre governance and performance is non-existent, the Pre- operative categorisation of emergency cases is inconsistently applied, the compliance to the principles of the World Health Organisation Safety Checklist Is very low, theatre nursing staff levels per case is low, staff are also demotivated and theatre efficiency indicators require improvement. During this study, the Paediatric theatre suite appeared to be well run and compliant with opportunity to increase theatre utilisation, the casualty theatre is underutilised and has potential to be utilised as an enabler to improve the efficiency of other theatres. The main theatre and endoscopy suites have opportunities to improve its compliance to universal operating theatre quality and efficiency standards, the Orthopaedics and Obstetrics theatre suites, however, require urgent improvement focus. DISCUSSION: According to the findings, a structured operating theatre governance and performance review processes should be implemented with the intention of ensuring consistency across the management of the 6 operating theatre suites in the hospital. A review of staffing allocation and relative task allocation should be conducted. Interventions should be implemented to increase utilisation rates, improve the pre-operative categorisation of emergency cases, improve the compliance to the principles of the World Health Organisation Safety Checklist, reduce case start time variance/tardiness, reduce cancellation on day of procedure, increase anaesthetic time as a percentage of theatre time by introducing pre- anaesthetic induction prior to the patient being wheeled into the operating room.
- Full Text:
- Date Issued: 2018
A stunting profile of children under the age of five visiting Bhisho hospital clinic, part of the umbrella project: a profile of stunting in children under the age of five in food insecure villages in Mqanduli, Ngqushwa and Bhisho hospital, Eastern Cape, South Africa
- Authors: Beyleveld, Janine
- Date: 2020
- Subjects: Children -- growth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/50201 , vital:42066
- Description: Introduction and Background: Stunting is the most prevalent form of childhood malnutrition where about 149 million children under the age of five can be classified as stunted globally. South Africa has one of the highest stunting rates in the world at 27%, causing devastating effects on economic productivity as well as on an individual’s nutritional status. The presence of stunted growth in children is a strong indicator of chronic undernutrition and highlights injustices experienced within communities. Aims and Objectives: The aim of this study is to develop a stunning profile of children under the age of five, visiting BhishoHospital’s gateway clinic in the Eastern Cape, South Africa. The objectives were to determine the prevalence of stunting of the children visiting Bhisho Hospital’s clinic and to identify the drivers of stunting in the area. Methodology: A quantitative study with a descriptive, cross-sectional design was used. The study population included all children under the age of five visiting Bhisho Hospital’s clinic. Data was collected by means of an interview-administered questionnaire. Results: The prevalence of stunting in the area was 47.5%. A significant association was found between the participants' main form of sanitation and stunting category in the group of infants younger than six months (p = 0.007) and the group older than six months(p = 0.040). Discussion: The prevalence of stunting in the area was far higher than the national average of 27%, although the majority of the sample had a normal weight. The use of non-flush toilets was found to be a risk factor for childhood stunting. Recommendation: Financial and political investment in child health needs to be placed as a top priority in South Africa to reduce stunting rates.
- Full Text:
- Date Issued: 2020
- Authors: Beyleveld, Janine
- Date: 2020
- Subjects: Children -- growth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/50201 , vital:42066
- Description: Introduction and Background: Stunting is the most prevalent form of childhood malnutrition where about 149 million children under the age of five can be classified as stunted globally. South Africa has one of the highest stunting rates in the world at 27%, causing devastating effects on economic productivity as well as on an individual’s nutritional status. The presence of stunted growth in children is a strong indicator of chronic undernutrition and highlights injustices experienced within communities. Aims and Objectives: The aim of this study is to develop a stunning profile of children under the age of five, visiting BhishoHospital’s gateway clinic in the Eastern Cape, South Africa. The objectives were to determine the prevalence of stunting of the children visiting Bhisho Hospital’s clinic and to identify the drivers of stunting in the area. Methodology: A quantitative study with a descriptive, cross-sectional design was used. The study population included all children under the age of five visiting Bhisho Hospital’s clinic. Data was collected by means of an interview-administered questionnaire. Results: The prevalence of stunting in the area was 47.5%. A significant association was found between the participants' main form of sanitation and stunting category in the group of infants younger than six months (p = 0.007) and the group older than six months(p = 0.040). Discussion: The prevalence of stunting in the area was far higher than the national average of 27%, although the majority of the sample had a normal weight. The use of non-flush toilets was found to be a risk factor for childhood stunting. Recommendation: Financial and political investment in child health needs to be placed as a top priority in South Africa to reduce stunting rates.
- Full Text:
- Date Issued: 2020
The prevalence of overweight and obesity of six to nine year old black African children in a rural town of Mpumalanga
- Authors: Bezuidenhout, Hanlie Pearl
- Date: 2012
- Subjects: Obesity in children -- South Africa -- Mpumalanga , Overweight children -- South Africa -- Mpumalanga , Obesity in children -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10090 , http://hdl.handle.net/10948/1602 , Obesity in children -- South Africa -- Mpumalanga , Overweight children -- South Africa -- Mpumalanga , Obesity in children -- Prevention
- Description: The aim of the study was to determine the Body Mass Index with regards to overweight and obesity of Black African children between the ages of six and nine years who were enrolled in three rural public schools within Mpumalanga Province, South Africa. The researcher used a quantitative descriptive research design. Each child’s weight and height was measured and their BMI and BMI percentile for gender and age calculated. According to the BMI percentile calculations for gender and age for the sample which consisted of 902 children, three percent were defined as being underweight, 79 percent as being normal weight, 11 percent as being overweight, and seven percent as being obese. In the sample there were also 21.3 percent children who were at risk of becoming overweight (3.5 percent) and obese (17.8 percent). Without intervention these at risk learners may in their adolescent and adult years be adversely affected by the physiological and psychosocial consequences related to their condition. Suggestion is made to utilise a Forum through which various stakeholders can pool their expertise and resources to develop a programme of intervention with the aim to prevent escalation of overweight and obesity, as well as reversing the current prevalence as identified within the research population.
- Full Text:
- Date Issued: 2012
- Authors: Bezuidenhout, Hanlie Pearl
- Date: 2012
- Subjects: Obesity in children -- South Africa -- Mpumalanga , Overweight children -- South Africa -- Mpumalanga , Obesity in children -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10090 , http://hdl.handle.net/10948/1602 , Obesity in children -- South Africa -- Mpumalanga , Overweight children -- South Africa -- Mpumalanga , Obesity in children -- Prevention
- Description: The aim of the study was to determine the Body Mass Index with regards to overweight and obesity of Black African children between the ages of six and nine years who were enrolled in three rural public schools within Mpumalanga Province, South Africa. The researcher used a quantitative descriptive research design. Each child’s weight and height was measured and their BMI and BMI percentile for gender and age calculated. According to the BMI percentile calculations for gender and age for the sample which consisted of 902 children, three percent were defined as being underweight, 79 percent as being normal weight, 11 percent as being overweight, and seven percent as being obese. In the sample there were also 21.3 percent children who were at risk of becoming overweight (3.5 percent) and obese (17.8 percent). Without intervention these at risk learners may in their adolescent and adult years be adversely affected by the physiological and psychosocial consequences related to their condition. Suggestion is made to utilise a Forum through which various stakeholders can pool their expertise and resources to develop a programme of intervention with the aim to prevent escalation of overweight and obesity, as well as reversing the current prevalence as identified within the research population.
- Full Text:
- Date Issued: 2012
Environmental health work methods and procedures for the surveillance and control of cholera in the KwaZulu-Natal Province, South Africa
- Authors: Bigara, Ana Doherty
- Date: 2012
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9836 , http://hdl.handle.net/10948/d1016073
- Description: The aim of this study was to develop a standardised set of Environmental-Health work methods and procedures, with the purpose of contributing to the effective surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. The researcher followed a qualitative research design, which was explorative, descriptive, inductive and deductive by nature. The methods of data collection were documentary research and focus-group interviews. A documentary research approach was employed as the primary method of data collection for the study. The researcher has used semi-structured questions to obtain relevant information from the participants in the focus groups. The purpose of using semi-structured questions in the focus groups was to draw on their knowledge and experience of communicable disease surveillance and control in relation to Cholera, as well as to ascertain their views on the role of the Environmental-Health Practitioners in the Communicable - Disease Outbreak- Response Teams at the three different spheres of government. The process of qualitative data analysis was followed. This was based on data reduction and interpretation; and it was conducted as an activity simultaneously with data collection, data interpretation (coding) and narrative writing. The information obtained from the analysed data assisted in the development of the environmentalhealth work methods and procedures for the surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. In this study, firstly, the epidemiology of Cholera was described and analysed against the background of its manifestation in South Africa. Secondly, the national health care system, with specific reference to the place and role of environmental health practitioners at national, provincial and municipal spheres – in relation to Cholera surveillance and control – was analysed. Thirdly, the relevant research that has been done globally has been analysed against the background of the findings of the above, together with work methods and procedures to be used by environmental-health practitioners during the surveillance and control of Cholera in the KwaZulu-Natal Province, South Africa. These include, inter alia: Work methods and procedures for Cholera case investigation; Work methods and procedures for sanitary investigations; and Work methods and procedures for identifying the sources of contamination in environmental waters. Finally, the conclusion and limitations was presented, and appropriate recommendations were made. These include: he need to educate all role - players, on the recent developments in the identification of Vibrio cholerae from environmental surface waters; Communication systems should be developed that allow the Director: Environmental Health to communicate urgent environmental health information directly to the Minister of Health; he training of environmental-health practitioners on detailed work methods and procedures for the surveillance and control of Cholera; and the existing national Cholera control guidelines need to be updated to include relevant environmental health situations when emergencies arise.
- Full Text:
- Date Issued: 2012
- Authors: Bigara, Ana Doherty
- Date: 2012
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9836 , http://hdl.handle.net/10948/d1016073
- Description: The aim of this study was to develop a standardised set of Environmental-Health work methods and procedures, with the purpose of contributing to the effective surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. The researcher followed a qualitative research design, which was explorative, descriptive, inductive and deductive by nature. The methods of data collection were documentary research and focus-group interviews. A documentary research approach was employed as the primary method of data collection for the study. The researcher has used semi-structured questions to obtain relevant information from the participants in the focus groups. The purpose of using semi-structured questions in the focus groups was to draw on their knowledge and experience of communicable disease surveillance and control in relation to Cholera, as well as to ascertain their views on the role of the Environmental-Health Practitioners in the Communicable - Disease Outbreak- Response Teams at the three different spheres of government. The process of qualitative data analysis was followed. This was based on data reduction and interpretation; and it was conducted as an activity simultaneously with data collection, data interpretation (coding) and narrative writing. The information obtained from the analysed data assisted in the development of the environmentalhealth work methods and procedures for the surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. In this study, firstly, the epidemiology of Cholera was described and analysed against the background of its manifestation in South Africa. Secondly, the national health care system, with specific reference to the place and role of environmental health practitioners at national, provincial and municipal spheres – in relation to Cholera surveillance and control – was analysed. Thirdly, the relevant research that has been done globally has been analysed against the background of the findings of the above, together with work methods and procedures to be used by environmental-health practitioners during the surveillance and control of Cholera in the KwaZulu-Natal Province, South Africa. These include, inter alia: Work methods and procedures for Cholera case investigation; Work methods and procedures for sanitary investigations; and Work methods and procedures for identifying the sources of contamination in environmental waters. Finally, the conclusion and limitations was presented, and appropriate recommendations were made. These include: he need to educate all role - players, on the recent developments in the identification of Vibrio cholerae from environmental surface waters; Communication systems should be developed that allow the Director: Environmental Health to communicate urgent environmental health information directly to the Minister of Health; he training of environmental-health practitioners on detailed work methods and procedures for the surveillance and control of Cholera; and the existing national Cholera control guidelines need to be updated to include relevant environmental health situations when emergencies arise.
- Full Text:
- Date Issued: 2012
Molecular characterization, antibiograms and antibacterial activities of selected medicinal plants against some enteric pathogens
- Bisi-Johnson, Mary Adejumoke
- Authors: Bisi-Johnson, Mary Adejumoke
- Date: 2011
- Subjects: Diarrhea Diarrhea in children -- Complications Medicinal plants
- Language: English
- Type: Thesis , Doctoral , Ph D
- Identifier: vital:18475 , http://hdl.handle.net/11260/d1006643
- Description: Diarrhea diseases remain one of the greatest health problems in many parts of the world. In some cases, the disease is mild and self-limiting; however, the symptoms may be very severe in the elderly and young children (Smith and Cheasty, 1998), as well as in immune compromised patients such as HIV/AIDS patients. The disease is one of the hallmarks of HIV/AIDS in developing countries and is also a cardinal clinical manifestation of water borne infections (Obi et al., 2007). According to a World Health Organization report (WHO, 2004), diarrhea was rated second, after respiratory infections out of the eight deadliest diseases worldwide and was responsible for 1.8 million deaths per year. This infectious disease which can cause dehydration is primarily a symptom of gastrointestinal infection, but chemical irritation of the gut or non-infectious bowel disease can also result in diarrhoe. Studies have shown that the predominant causative agents of acute and persistent diarrhoe are Gram-negative rods such as Escherichia coli, Vibrio cholerae, Aeromonas, Campylobacter, Salmonella species, Shigella species, Plesiomonas shigelloides and Yersinia enterocolitica (Obi et al., 1995, 1998, 2003; Lainson and Silva, 1999; Coker et al., 2002; Oyofo et al., 2002). Aside from bacterial agents of diarrhoea, other causative pathogens include protozoa such as Giardia lamblia and Cryptosporidium parvum; viruses such as norwalk virus and rota virus. Although fungal agents such as Candida have been shown to be prevalent in children with diarrhoe (Enweani et al. 1994), a more recent study (Forbes et al., 2001), associated higher Candida counts with recent antibiotic use. Faecal concentrations of Candida were higher in patients with diarrhoe, but the study confirmed no association between faecal candida or other yeasts and diarrhoe. Norwalk viruses, calci-like viruses and rota viruses are the major viral agents of diarrhoe. According to Parashar et al., (2006), rota virus is the leading cause of diarrhoe hospitalisation among children worldwide, causing 440,000 annual deaths in children under 5 years of age.
- Full Text:
- Date Issued: 2011
- Authors: Bisi-Johnson, Mary Adejumoke
- Date: 2011
- Subjects: Diarrhea Diarrhea in children -- Complications Medicinal plants
- Language: English
- Type: Thesis , Doctoral , Ph D
- Identifier: vital:18475 , http://hdl.handle.net/11260/d1006643
- Description: Diarrhea diseases remain one of the greatest health problems in many parts of the world. In some cases, the disease is mild and self-limiting; however, the symptoms may be very severe in the elderly and young children (Smith and Cheasty, 1998), as well as in immune compromised patients such as HIV/AIDS patients. The disease is one of the hallmarks of HIV/AIDS in developing countries and is also a cardinal clinical manifestation of water borne infections (Obi et al., 2007). According to a World Health Organization report (WHO, 2004), diarrhea was rated second, after respiratory infections out of the eight deadliest diseases worldwide and was responsible for 1.8 million deaths per year. This infectious disease which can cause dehydration is primarily a symptom of gastrointestinal infection, but chemical irritation of the gut or non-infectious bowel disease can also result in diarrhoe. Studies have shown that the predominant causative agents of acute and persistent diarrhoe are Gram-negative rods such as Escherichia coli, Vibrio cholerae, Aeromonas, Campylobacter, Salmonella species, Shigella species, Plesiomonas shigelloides and Yersinia enterocolitica (Obi et al., 1995, 1998, 2003; Lainson and Silva, 1999; Coker et al., 2002; Oyofo et al., 2002). Aside from bacterial agents of diarrhoea, other causative pathogens include protozoa such as Giardia lamblia and Cryptosporidium parvum; viruses such as norwalk virus and rota virus. Although fungal agents such as Candida have been shown to be prevalent in children with diarrhoe (Enweani et al. 1994), a more recent study (Forbes et al., 2001), associated higher Candida counts with recent antibiotic use. Faecal concentrations of Candida were higher in patients with diarrhoe, but the study confirmed no association between faecal candida or other yeasts and diarrhoe. Norwalk viruses, calci-like viruses and rota viruses are the major viral agents of diarrhoe. According to Parashar et al., (2006), rota virus is the leading cause of diarrhoe hospitalisation among children worldwide, causing 440,000 annual deaths in children under 5 years of age.
- Full Text:
- Date Issued: 2011
Psychologists' perceived influences of early strategies on the psychosocial response to those affected by disasters
- Authors: Blackburn, Nerina June
- Date: 2010
- Subjects: Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9872 , http://hdl.handle.net/10948/1416 , Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Description: Currently some confusion exists as to how health professionals should best respond to the psychological needs of those affected by disasters. Some have argued that early psychological intervention is essential and others have argued that early formal psychological interventions have no useful role in post trauma response. This study highlights the importance of considering both counselling and non-counselling factors as potentially influencing the psychosocial response of disaster victims. Although posttraumatic stress disorder (PTSD) is not the only mental disorder that can develop as a result of exposure to disasters, it is probably the most frequent and debilitating psychological disorder associated with traumatic stress. In this exploratorydescriptive study the researcher aimed to explore and describe psychologists’ perceived influences of early strategies on the psychosocial response to those affected by disaster. The researcher used non-probability snowball sampling to access participants. The sample consisted of 5 participants. Semi structured interviews were conducted. Content analysis was used to analyse the data obtained from interviews. Results that emerged from the data suggest that there are many factors that influence the psychosocial response to those affected by disasters. These factors include the screening process, needs of survivors, the method of choice for treatment, the timing of intervention, pharmacology, the South African context, training and planning. The study makes a contribution to the growing knowledge of early strategies in response to those affected by disasters.
- Full Text:
- Date Issued: 2010
- Authors: Blackburn, Nerina June
- Date: 2010
- Subjects: Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9872 , http://hdl.handle.net/10948/1416 , Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Description: Currently some confusion exists as to how health professionals should best respond to the psychological needs of those affected by disasters. Some have argued that early psychological intervention is essential and others have argued that early formal psychological interventions have no useful role in post trauma response. This study highlights the importance of considering both counselling and non-counselling factors as potentially influencing the psychosocial response of disaster victims. Although posttraumatic stress disorder (PTSD) is not the only mental disorder that can develop as a result of exposure to disasters, it is probably the most frequent and debilitating psychological disorder associated with traumatic stress. In this exploratorydescriptive study the researcher aimed to explore and describe psychologists’ perceived influences of early strategies on the psychosocial response to those affected by disaster. The researcher used non-probability snowball sampling to access participants. The sample consisted of 5 participants. Semi structured interviews were conducted. Content analysis was used to analyse the data obtained from interviews. Results that emerged from the data suggest that there are many factors that influence the psychosocial response to those affected by disasters. These factors include the screening process, needs of survivors, the method of choice for treatment, the timing of intervention, pharmacology, the South African context, training and planning. The study makes a contribution to the growing knowledge of early strategies in response to those affected by disasters.
- Full Text:
- Date Issued: 2010
Audit of community pharmacy activities
- Authors: Blignault, Suzette Martha
- Date: 2010
- Subjects: Pharmacy , Community health services
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:10130 , http://hdl.handle.net/10948/1533 , Pharmacy , Community health services
- Description: In South Africa the pharmacy profession has experienced a number of changes around the turn of the century such as the introduction of the National Drug Policy (NDP), pharmacy ownership and price regulation. With this the role and earnings of the pharmacy profession, as well as to what extent the pharmacist adds value to the profession and society, are being questioned. Community pharmacists are thus faced with the challenge to prove that the value that they add to society is meaningful. Therefore, the aim of the study was to document community pharmacy availability and activities in South Africa and based on this to quantify the perceived value that the community pharmacist adds to society through the delivery of pharmaceutical services and pharmaceutical care. In order to determine the pharmacist’s true value added two surveys were conducted in 2006; an original pharmacist survey and a general public survey. The results obtained were verified by a follow–up pharmacist survey in 2009 to confirm or reject the results obtained in the original survey. The study was representative of both the community pharmacies and the general public in South Africa and was primarily quantitative in design and analysis. More than half of the responding pharmacies (63.16%) were open seven days a week. The average hours of service per day ranged from 10 hours (Monday to Friday) through to 6.45 hours on Saturdays and 3 hours on Sundays. Pharmacists continuously upgraded their professional knowledge. More than three quarters of pharmacies had the necessary equipment available to perform the services investigated in the study. The general public was not aware of all the services provided by pharmacists and as a result, depending on the service, many people did not make use of these services. The general public that made use of services delivered by community pharmacies mainly perceived the services delivered to be of good quality. The main barrier to practicing pharmaceutical care was indicated by pharmacists as not receiving payment for the advice given followed by pharmaceutical care being time consuming, and that there was not enough time to talk to patients. The general public indicated that they found it difficult to ask questions in pharmacies because other patients could hear what was discussed, or other patients had to wait longer if they asked something, and pharmacy staff being too busy. The results of the original pharmacist and the general public survey were confirmed by the results of the follow-up survey with the exception of dispensing prescription medicine (8 minutes 28 seconds), OTC medicine (7 minutes 23 seconds), counselling of prescription medicine (8 minutes 51 seconds) and OTC medicine (8 minutes) which on average took longer to conduct than in the previous analysis. The study highlighted the value added to the wellness and quality of life of the community of South Africa through the delivery of pharmaceutical care and pharmaceutical services by community pharmacy staff, and proved that pharmacists are committed to the provision of pharmaceutical care and pharmaceutical services.
- Full Text:
- Date Issued: 2010
- Authors: Blignault, Suzette Martha
- Date: 2010
- Subjects: Pharmacy , Community health services
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:10130 , http://hdl.handle.net/10948/1533 , Pharmacy , Community health services
- Description: In South Africa the pharmacy profession has experienced a number of changes around the turn of the century such as the introduction of the National Drug Policy (NDP), pharmacy ownership and price regulation. With this the role and earnings of the pharmacy profession, as well as to what extent the pharmacist adds value to the profession and society, are being questioned. Community pharmacists are thus faced with the challenge to prove that the value that they add to society is meaningful. Therefore, the aim of the study was to document community pharmacy availability and activities in South Africa and based on this to quantify the perceived value that the community pharmacist adds to society through the delivery of pharmaceutical services and pharmaceutical care. In order to determine the pharmacist’s true value added two surveys were conducted in 2006; an original pharmacist survey and a general public survey. The results obtained were verified by a follow–up pharmacist survey in 2009 to confirm or reject the results obtained in the original survey. The study was representative of both the community pharmacies and the general public in South Africa and was primarily quantitative in design and analysis. More than half of the responding pharmacies (63.16%) were open seven days a week. The average hours of service per day ranged from 10 hours (Monday to Friday) through to 6.45 hours on Saturdays and 3 hours on Sundays. Pharmacists continuously upgraded their professional knowledge. More than three quarters of pharmacies had the necessary equipment available to perform the services investigated in the study. The general public was not aware of all the services provided by pharmacists and as a result, depending on the service, many people did not make use of these services. The general public that made use of services delivered by community pharmacies mainly perceived the services delivered to be of good quality. The main barrier to practicing pharmaceutical care was indicated by pharmacists as not receiving payment for the advice given followed by pharmaceutical care being time consuming, and that there was not enough time to talk to patients. The general public indicated that they found it difficult to ask questions in pharmacies because other patients could hear what was discussed, or other patients had to wait longer if they asked something, and pharmacy staff being too busy. The results of the original pharmacist and the general public survey were confirmed by the results of the follow-up survey with the exception of dispensing prescription medicine (8 minutes 28 seconds), OTC medicine (7 minutes 23 seconds), counselling of prescription medicine (8 minutes 51 seconds) and OTC medicine (8 minutes) which on average took longer to conduct than in the previous analysis. The study highlighted the value added to the wellness and quality of life of the community of South Africa through the delivery of pharmaceutical care and pharmaceutical services by community pharmacy staff, and proved that pharmacists are committed to the provision of pharmaceutical care and pharmaceutical services.
- Full Text:
- Date Issued: 2010
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
Delivery of pharmaceutical services and care at three primary healthcare clinics with different dispensing models in the Nelson Mandela Bay Health District
- Authors: Bobbins, Amy Claire
- Date: 2018
- Subjects: National health insurance -- South Africa , Community health services -- South Africa Pharmaceutical services -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/23580 , vital:30583
- Description: As South Africa moves into an era of National Health Insurance (NHI), the idea of primary health care (PHC) re-engineering is placed at the forefront; however, the role of the pharmacist in this process remains vague. Task-shifting of the dispensing process to pharmacist’s assistants and nurses in PHC clinics is a common phenomenon, but the implications of this on the provision of pharmaceutical services and care to patients is largely unstudied. Thus, this study aims to explore these pharmacist-based, pharmacist’s assistant-based and nurse-based dispensing models present in PHC clinics. A two-phase, mixed methods approach was utilised, comprising of a pharmaceutical services audit and semi-structured interviews. The interviews provided insight into the lived experiences of personnel and patients of pharmaceutical care provision. Results revealed that although basic pharmaceutical services may be available at clinics with each of the three dispensing models, the quality is of a varying standard due to challenges in infrastructure and maintenance and poor personnel support. Furthermore, the provision of quality pharmaceutical care is minimal with all three dispensing models, resulting in a missed opportunity to optimise patient health outcomes in patient-centred PHC.
- Full Text:
- Date Issued: 2018
- Authors: Bobbins, Amy Claire
- Date: 2018
- Subjects: National health insurance -- South Africa , Community health services -- South Africa Pharmaceutical services -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/23580 , vital:30583
- Description: As South Africa moves into an era of National Health Insurance (NHI), the idea of primary health care (PHC) re-engineering is placed at the forefront; however, the role of the pharmacist in this process remains vague. Task-shifting of the dispensing process to pharmacist’s assistants and nurses in PHC clinics is a common phenomenon, but the implications of this on the provision of pharmaceutical services and care to patients is largely unstudied. Thus, this study aims to explore these pharmacist-based, pharmacist’s assistant-based and nurse-based dispensing models present in PHC clinics. A two-phase, mixed methods approach was utilised, comprising of a pharmaceutical services audit and semi-structured interviews. The interviews provided insight into the lived experiences of personnel and patients of pharmaceutical care provision. Results revealed that although basic pharmaceutical services may be available at clinics with each of the three dispensing models, the quality is of a varying standard due to challenges in infrastructure and maintenance and poor personnel support. Furthermore, the provision of quality pharmaceutical care is minimal with all three dispensing models, resulting in a missed opportunity to optimise patient health outcomes in patient-centred PHC.
- Full Text:
- Date Issued: 2018
Tracking spoor of the wild woman archetype during a university merger
- Authors: Bodisch, Anja Maria
- Date: 2006
- Subjects: Wild women -- Folklore , Women -- Psychology , Archetype (Psychology) , Individuation (Philosophy)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9936 , http://hdl.handle.net/10948/477 , Wild women -- Folklore , Women -- Psychology , Archetype (Psychology) , Individuation (Philosophy)
- Description: Universities in South Africa are currently undergoing mergers. Intended for commercial gain, mergers rarely accommodate the psychological milieu of staff. Similarly, the majority of studies conducted with respect to university mergers adopt a quantitative approach. This study adopts a qualitative approach and locates the researcher within the epicentre of the research, using a case study, with the researcher as unit of analysis. The lack of merger studies that focus on the experiences of minority groups, including women, prompted me, as researcher, to adopt a feminist approach to conduct this study in the context of the Nelson Mandela Metropolitan University merger. A Jungian gendered view, which endorses the personal experiences of minority groups, explored the connection between organisational change and concomitant opportunities for psychic growth. The primary purpose of this study was to explore the presence of the Wild Woman archetype during a university merger. The data that made up this study were contained in my field notes, research journal and a wall montage. An analysis of the qualitative data and a comparison of Jung’s archetypal theory and Pinkola Estés’ theory of the Wild Woman archetype, enabled the researcher to find evidence of the presence of the Wild Woman archetype during the university merger. The secondary purpose of the study was to document the findings which could act as a spoor which other women could follow on their journey towards connecting with their own Wild Woman archetype. The limitations of this study, and recommendations for future research are also offered.
- Full Text:
- Date Issued: 2006
- Authors: Bodisch, Anja Maria
- Date: 2006
- Subjects: Wild women -- Folklore , Women -- Psychology , Archetype (Psychology) , Individuation (Philosophy)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9936 , http://hdl.handle.net/10948/477 , Wild women -- Folklore , Women -- Psychology , Archetype (Psychology) , Individuation (Philosophy)
- Description: Universities in South Africa are currently undergoing mergers. Intended for commercial gain, mergers rarely accommodate the psychological milieu of staff. Similarly, the majority of studies conducted with respect to university mergers adopt a quantitative approach. This study adopts a qualitative approach and locates the researcher within the epicentre of the research, using a case study, with the researcher as unit of analysis. The lack of merger studies that focus on the experiences of minority groups, including women, prompted me, as researcher, to adopt a feminist approach to conduct this study in the context of the Nelson Mandela Metropolitan University merger. A Jungian gendered view, which endorses the personal experiences of minority groups, explored the connection between organisational change and concomitant opportunities for psychic growth. The primary purpose of this study was to explore the presence of the Wild Woman archetype during a university merger. The data that made up this study were contained in my field notes, research journal and a wall montage. An analysis of the qualitative data and a comparison of Jung’s archetypal theory and Pinkola Estés’ theory of the Wild Woman archetype, enabled the researcher to find evidence of the presence of the Wild Woman archetype during the university merger. The secondary purpose of the study was to document the findings which could act as a spoor which other women could follow on their journey towards connecting with their own Wild Woman archetype. The limitations of this study, and recommendations for future research are also offered.
- Full Text:
- Date Issued: 2006
Cultural values and leadership styles of middle level managers in a private sector hospitals in the Eastern Cape
- Authors: Boguslavsky, Marianna
- Date: 2007
- Subjects: Hospitals, Proprietary -- South Africa -- Eastern Cape , Leadership -- South Africa -- Eastern Cape , Middle managers -- South Africa -- Eastern Cape , Corporate culture -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10080 , http://hdl.handle.net/10948/478 , http://hdl.handle.net/10948/d1011927 , Hospitals, Proprietary -- South Africa -- Eastern Cape , Leadership -- South Africa -- Eastern Cape , Middle managers -- South Africa -- Eastern Cape , Corporate culture -- South Africa -- Eastern Cape
- Description: In recent years, South Africa has seen increasing cultural diversification with regard to the appointment of managers in private healthcare facilities. However, research conducted in this area remains extremely limited. The aim of the present study was to explore and describe cultural values and leadership styles of middle managers at a private sector hospital in the Eastern Cape. Hofstede’s (1980, a ) model of cultural values served as a theoretical framework to conceptualise this study. The study was qualitative in nature and made use of in-depth research interviews conducted with a diverse sample of middle managers. The researcher made use of homogeneous and convenience sampling and utilised five participants. The qualitative data was analysed using Tesch’s (1990, in De Vos, 2002) method of analysis. Results revealed that despite the differences in personal culture, most of the managers are similar in their leadership styles and are also affected by the organizational culture. The results of the study contribute to a better understanding of the influence of cultural values and leadership styles in South Africa and will thereby benefit health institutions in their dealings with their modern day multi-cultural management staff.
- Full Text:
- Date Issued: 2007
- Authors: Boguslavsky, Marianna
- Date: 2007
- Subjects: Hospitals, Proprietary -- South Africa -- Eastern Cape , Leadership -- South Africa -- Eastern Cape , Middle managers -- South Africa -- Eastern Cape , Corporate culture -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10080 , http://hdl.handle.net/10948/478 , http://hdl.handle.net/10948/d1011927 , Hospitals, Proprietary -- South Africa -- Eastern Cape , Leadership -- South Africa -- Eastern Cape , Middle managers -- South Africa -- Eastern Cape , Corporate culture -- South Africa -- Eastern Cape
- Description: In recent years, South Africa has seen increasing cultural diversification with regard to the appointment of managers in private healthcare facilities. However, research conducted in this area remains extremely limited. The aim of the present study was to explore and describe cultural values and leadership styles of middle managers at a private sector hospital in the Eastern Cape. Hofstede’s (1980, a ) model of cultural values served as a theoretical framework to conceptualise this study. The study was qualitative in nature and made use of in-depth research interviews conducted with a diverse sample of middle managers. The researcher made use of homogeneous and convenience sampling and utilised five participants. The qualitative data was analysed using Tesch’s (1990, in De Vos, 2002) method of analysis. Results revealed that despite the differences in personal culture, most of the managers are similar in their leadership styles and are also affected by the organizational culture. The results of the study contribute to a better understanding of the influence of cultural values and leadership styles in South Africa and will thereby benefit health institutions in their dealings with their modern day multi-cultural management staff.
- Full Text:
- Date Issued: 2007