Assessment of quality nursing care in healthcare facilities of Mnquma Sub-District
- Authors: Manyela, Nosiphiwo
- Date: 2019
- Subjects: Health facilities
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16747 , vital:40770
- Description: Aim: The purpose of the study was to assess the quality of patient care in the Primary Health Care (PHC) facilities of Mnquma Sub-district with the goal of improving or maintaining quality nursing in the area. Methodology: This study followed a quantitative research approach and it is descriptive in nature. The study involved 561 participants, of whom 406 participants were from urban clinics and 155 were from rural facilities, all these participants were attending clinics at Mnquma Sub-district. A structured questionnaire was used for data collection, since the participants were able to read and write in either English and or IsiXhosa. The data was analyzed with the help of a statistician using Statistical Package for Social Sciences (SPSS) program, software for windows version 21.0 Results: Results showed that participant’s responses to five of the twelve items on patient safety were found to have significant associations with residential setting. Rural participants were less likely to disagree with statements on availability of signage at the entrance of health establishment that indicates times when various services are offered, availability of the security guards to ensure patient safety, warning signs always put in place when the floors are wet, availability of at least one toilet for disabled patients in the health establishment and the fact that health professionals are always wearing name tags. This means that patient safety and security is practiced and implemented at the rural facilities according to the national core standards. The findings of the study confirmed that 13 items out of 19 under care and attitudes were found to have significant associations with residential setting. The items were patients spending less than 2 hours in the health facility; staff treating patients politely, illness being explained clearly to the patients, and ability of the patients to ask questions about their illness. Other items included nursing attitudes during opening and closing times of the health establishment, staff responding well when requested to assist, patients are being treated with empathy, patients are addressed by names and patients are being given all the treatment that they need, nurses explains the treatment side effects, and explains how to deal with side effects. This means that responses to these items depend on whether the patient is from a rural or urban clinic. Rural communities were found to be vi less likely to disagree with statements as compared to urban communities. This means that nurses are compliant with nursing care and attitudes in rural clinics. Findings of the study with respect to facility cleanliness, shows that there is no significant associations between the responses to the items which are: surroundings of the clinic are free of unpleasant smells, grounds of the clinic are clean, safe and clean grounds, bin waste inside and outside storage poses no health risks, and setting were detected. This means that the facilities are and cleanliness status remains the same across the residential settings. However, the younger age group was found be significantly more likely to disagree that toilets are clean and odorless and that grounds are safe and clean compared to the older age group. This suggests that the environment is clean except the toilets. Conclusion: Staffs at the facilities are at times ignorant and have negative attitudes at the opening and closing times and facilities have been reported to have long waiting times. The study indicated that the safety and security measures in the urban health facilities are not all practiced according to the National Core Standards checklist/Assessment tool, particularly wet warning signs, disabled toilets, and wearing of nametags. Majority of the participants indicated that, the status of cleanliness was on par at the urban and rural facilities.
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- Authors: Manyela, Nosiphiwo
- Date: 2019
- Subjects: Health facilities
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16747 , vital:40770
- Description: Aim: The purpose of the study was to assess the quality of patient care in the Primary Health Care (PHC) facilities of Mnquma Sub-district with the goal of improving or maintaining quality nursing in the area. Methodology: This study followed a quantitative research approach and it is descriptive in nature. The study involved 561 participants, of whom 406 participants were from urban clinics and 155 were from rural facilities, all these participants were attending clinics at Mnquma Sub-district. A structured questionnaire was used for data collection, since the participants were able to read and write in either English and or IsiXhosa. The data was analyzed with the help of a statistician using Statistical Package for Social Sciences (SPSS) program, software for windows version 21.0 Results: Results showed that participant’s responses to five of the twelve items on patient safety were found to have significant associations with residential setting. Rural participants were less likely to disagree with statements on availability of signage at the entrance of health establishment that indicates times when various services are offered, availability of the security guards to ensure patient safety, warning signs always put in place when the floors are wet, availability of at least one toilet for disabled patients in the health establishment and the fact that health professionals are always wearing name tags. This means that patient safety and security is practiced and implemented at the rural facilities according to the national core standards. The findings of the study confirmed that 13 items out of 19 under care and attitudes were found to have significant associations with residential setting. The items were patients spending less than 2 hours in the health facility; staff treating patients politely, illness being explained clearly to the patients, and ability of the patients to ask questions about their illness. Other items included nursing attitudes during opening and closing times of the health establishment, staff responding well when requested to assist, patients are being treated with empathy, patients are addressed by names and patients are being given all the treatment that they need, nurses explains the treatment side effects, and explains how to deal with side effects. This means that responses to these items depend on whether the patient is from a rural or urban clinic. Rural communities were found to be vi less likely to disagree with statements as compared to urban communities. This means that nurses are compliant with nursing care and attitudes in rural clinics. Findings of the study with respect to facility cleanliness, shows that there is no significant associations between the responses to the items which are: surroundings of the clinic are free of unpleasant smells, grounds of the clinic are clean, safe and clean grounds, bin waste inside and outside storage poses no health risks, and setting were detected. This means that the facilities are and cleanliness status remains the same across the residential settings. However, the younger age group was found be significantly more likely to disagree that toilets are clean and odorless and that grounds are safe and clean compared to the older age group. This suggests that the environment is clean except the toilets. Conclusion: Staffs at the facilities are at times ignorant and have negative attitudes at the opening and closing times and facilities have been reported to have long waiting times. The study indicated that the safety and security measures in the urban health facilities are not all practiced according to the National Core Standards checklist/Assessment tool, particularly wet warning signs, disabled toilets, and wearing of nametags. Majority of the participants indicated that, the status of cleanliness was on par at the urban and rural facilities.
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Detection and antibiogram profile of members of the vibrio species in Umzimvubu, Swartkops and Buffalo rivers the Eastern Cape province, South Africa
- Authors: September, Dolly Thandeka
- Date: 2017
- Subjects: Vibrio -- South Africa -- Eastern Cape Water -- Fluoridation -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/15221 , vital:40255
- Description: Freshwaterbodies are often recipients of a wide array of infectious agents yet they serve as immediate sources of water supply. Brackish and freshwater rivers support the growth of Vibrio species, which are the leading cause of diarrheal infections in the world. Their occurrence in these environments is detrimental to the health and well-being of many communities. Hence, this study aimed at assessing the occurrence and antibiogram profile of Vibrio species in Swartkops, UMzimvubu and Buffalo rivers. The rivers are important sources of freshwater supplies for some communities around the Eastern Cape Province, and water samples were collected once off from each of the sites, using standard membrane filtration method to concentrate the samples. Cultivation was carried out on Thiosulfate Citrate-Bile Salt Sucrose (TCBS) agar, were typical yellow/green colonies were enumerated as presumptive Vibrio species and expressed as CFU/100mL. Presumptive Vibrio counts ranged from 0 to 1.67 × 103 CFU/100mL, 0 to 6.42 ×102 CFU/100mL and 0 to 3.28×103 CFU/100ml in the uMzimvubu, Swartkops and Buffalo rivers respectively. Polymerase Chain Reaction was employed for molecular identification of the Vibrio isolates. Two hundred (200) presumptive Vibrio species were screened for molecular identification, and 185 isolates confirmed positive as belonging to the Vibrio genus. Antibiotic susceptibility profile of the confirmed isolates was determined using a panel of 12 commercial test antibiotics. All the confirmed Vibrio species showed 98 to 100percent multiple antibiotic resistance against all the test antibiotics from the three study sites. The most predominant phenotypic pattern of multidrug resistance displayed by the isolates was CAZ-PEN-AMP-CIP-AK-AZM-TET-CAM-CTX-STX-GEN-IPM showing 100percent resistance to all 12 antibiotics. The multiple antibiotic resistance index (MARI) on average was 1 for all the three rivers assessed. This finding suggest high possibility of antibiotic pollution and usage around the study areas, and occurrence of potentially pathogenic Vibrio species carrying antibiotic resistant genes, which is a major public and environmental health concern.
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- Authors: September, Dolly Thandeka
- Date: 2017
- Subjects: Vibrio -- South Africa -- Eastern Cape Water -- Fluoridation -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/15221 , vital:40255
- Description: Freshwaterbodies are often recipients of a wide array of infectious agents yet they serve as immediate sources of water supply. Brackish and freshwater rivers support the growth of Vibrio species, which are the leading cause of diarrheal infections in the world. Their occurrence in these environments is detrimental to the health and well-being of many communities. Hence, this study aimed at assessing the occurrence and antibiogram profile of Vibrio species in Swartkops, UMzimvubu and Buffalo rivers. The rivers are important sources of freshwater supplies for some communities around the Eastern Cape Province, and water samples were collected once off from each of the sites, using standard membrane filtration method to concentrate the samples. Cultivation was carried out on Thiosulfate Citrate-Bile Salt Sucrose (TCBS) agar, were typical yellow/green colonies were enumerated as presumptive Vibrio species and expressed as CFU/100mL. Presumptive Vibrio counts ranged from 0 to 1.67 × 103 CFU/100mL, 0 to 6.42 ×102 CFU/100mL and 0 to 3.28×103 CFU/100ml in the uMzimvubu, Swartkops and Buffalo rivers respectively. Polymerase Chain Reaction was employed for molecular identification of the Vibrio isolates. Two hundred (200) presumptive Vibrio species were screened for molecular identification, and 185 isolates confirmed positive as belonging to the Vibrio genus. Antibiotic susceptibility profile of the confirmed isolates was determined using a panel of 12 commercial test antibiotics. All the confirmed Vibrio species showed 98 to 100percent multiple antibiotic resistance against all the test antibiotics from the three study sites. The most predominant phenotypic pattern of multidrug resistance displayed by the isolates was CAZ-PEN-AMP-CIP-AK-AZM-TET-CAM-CTX-STX-GEN-IPM showing 100percent resistance to all 12 antibiotics. The multiple antibiotic resistance index (MARI) on average was 1 for all the three rivers assessed. This finding suggest high possibility of antibiotic pollution and usage around the study areas, and occurrence of potentially pathogenic Vibrio species carrying antibiotic resistant genes, which is a major public and environmental health concern.
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Exploring performance management systems in the Eastern Cape Department of Education
- Authors: Faye, Busisiwe
- Date: 2017
- Subjects: Performance standards Performance -- Management Performance -- Measurement
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/8792 , vital:33584
- Description: The declining matric pass rates in the Eastern Cape Department of Education emanate from the ineffective implementation of performance management systems. Using an extensive documentary review analysis, the study explores various challenges which affected the Department in implanting performance management systems to enhance leaners’ performance and improve the work of public officials. The study recognizes that the manipulation of recruitment systems, ineffective leadership and administration discourage the effective implementation of performance management systems. In this case, public officials delayed to sign performance agreements which resulted in low staff morale. The Supervisor in the ECDoE could not provide feedback in time to officials which resulted in low morale. The study revealed the lack of monitoring and evaluation of performance management systems is due to lack of skills in the department. All these challenges affected the department negatively in terms of improving performance management for the benefit of learners’ education in the province. The study concludes that the implementation of skills development programmes in the Department can spearhead effective service delivery. The government of South Africa needs to channel adequate funding towards skills development, which is imperative in the running of an efficient public service.
- Full Text:
- Authors: Faye, Busisiwe
- Date: 2017
- Subjects: Performance standards Performance -- Management Performance -- Measurement
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/8792 , vital:33584
- Description: The declining matric pass rates in the Eastern Cape Department of Education emanate from the ineffective implementation of performance management systems. Using an extensive documentary review analysis, the study explores various challenges which affected the Department in implanting performance management systems to enhance leaners’ performance and improve the work of public officials. The study recognizes that the manipulation of recruitment systems, ineffective leadership and administration discourage the effective implementation of performance management systems. In this case, public officials delayed to sign performance agreements which resulted in low staff morale. The Supervisor in the ECDoE could not provide feedback in time to officials which resulted in low morale. The study revealed the lack of monitoring and evaluation of performance management systems is due to lack of skills in the department. All these challenges affected the department negatively in terms of improving performance management for the benefit of learners’ education in the province. The study concludes that the implementation of skills development programmes in the Department can spearhead effective service delivery. The government of South Africa needs to channel adequate funding towards skills development, which is imperative in the running of an efficient public service.
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