Evaluation of knowledge and practices of nurses with regard to prevention of nosocomial infection in the intensive care units of Eastern Cape Province
- Mlenzana, Nosiphiwo Priscilla
- Authors: Mlenzana, Nosiphiwo Priscilla
- Date: 2015
- Subjects: Nosocomial infections http://id.loc.gov/authorities/subjects/sh85092770 , Cross infection--Prevention http://id.loc.gov/authorities/subjects/sh2009122612 , Infection http://id.loc.gov/authorities/subjects/sh85066076
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19639 , vital:43154
- Description: Aim: To determine the level of knowledge and practice of the nurses in the prevention and control of nosocomial infection in the intensive care units and make recommendations aiming at bridging the gap identified. In this study, the level of knowledge and practice of nurses in the intensive care units was described and its relationship with the demographic characteristics was examined utilising a quantitative approach. A quantitative descriptive design was used to examine and describe knowledge and practices of intensive care nurses with regards to prevention and control of nosocomial infection. One hundred and thirty (130) nurses participated in the study taken from the intensive care units of the five (5) state hospitals of the Eastern Cape Province. A self-designed questionnaire with close-ended questions was utilised comprising of dichotomous questions, with ‘yes’ or ‘no’ measuring knowledge nurses have and a Likert scale that measured knowledge with regards to clinical practice utilised in the prevention and control of nosocomial infections. The following ethical considerations were addressed by the study: ethical clearance, permission to conduct the study, informed consent from participants, anonymity and confidentiality and respect of individual autonomy. Findings: The respondents showed encouraging agreement with the different practices that should be followed in order to prevent spreading of nosocomial infections in their units. This knowledge suggests that the problem of infection control in ICUs may be related to the individual characteristics of the profession as opposed to being institutional. Limitations: Not all the intensive care units of the Eastern Cape hospitals were included due to challenges of time, finance and geographic factors. Recommendations: The following recommendations were made: Orientation programme to all new staff coming into the ICUs including infection control policies and guidelines; Involvement of the ICU staff in the development of infection control policies so as to ensure ownership and ultimate compliance; The employer must ensure that all resources for infection control and prevention are available and accessible to the health care workers at all times to ensure compliance. , Thesis (MCur) -- University of Fort Hare, 2015
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- Authors: Mlenzana, Nosiphiwo Priscilla
- Date: 2015
- Subjects: Nosocomial infections http://id.loc.gov/authorities/subjects/sh85092770 , Cross infection--Prevention http://id.loc.gov/authorities/subjects/sh2009122612 , Infection http://id.loc.gov/authorities/subjects/sh85066076
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19639 , vital:43154
- Description: Aim: To determine the level of knowledge and practice of the nurses in the prevention and control of nosocomial infection in the intensive care units and make recommendations aiming at bridging the gap identified. In this study, the level of knowledge and practice of nurses in the intensive care units was described and its relationship with the demographic characteristics was examined utilising a quantitative approach. A quantitative descriptive design was used to examine and describe knowledge and practices of intensive care nurses with regards to prevention and control of nosocomial infection. One hundred and thirty (130) nurses participated in the study taken from the intensive care units of the five (5) state hospitals of the Eastern Cape Province. A self-designed questionnaire with close-ended questions was utilised comprising of dichotomous questions, with ‘yes’ or ‘no’ measuring knowledge nurses have and a Likert scale that measured knowledge with regards to clinical practice utilised in the prevention and control of nosocomial infections. The following ethical considerations were addressed by the study: ethical clearance, permission to conduct the study, informed consent from participants, anonymity and confidentiality and respect of individual autonomy. Findings: The respondents showed encouraging agreement with the different practices that should be followed in order to prevent spreading of nosocomial infections in their units. This knowledge suggests that the problem of infection control in ICUs may be related to the individual characteristics of the profession as opposed to being institutional. Limitations: Not all the intensive care units of the Eastern Cape hospitals were included due to challenges of time, finance and geographic factors. Recommendations: The following recommendations were made: Orientation programme to all new staff coming into the ICUs including infection control policies and guidelines; Involvement of the ICU staff in the development of infection control policies so as to ensure ownership and ultimate compliance; The employer must ensure that all resources for infection control and prevention are available and accessible to the health care workers at all times to ensure compliance. , Thesis (MCur) -- University of Fort Hare, 2015
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Factors enhancing readmission of mental health care users to a mental health unit in East London as described by their caregivers
- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
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- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
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Perceptions of indigenous people regarding mental illness at Cacadu District in the Eastern Cape Province of South Africa
- Authors: Tilolo, Lwazi Romeo
- Date: 2015
- Subjects: Indigenous peoples -- Mental health -- South Africa -- Eastern Cape Cultural psychiatry -- South Africa -- Eastern Cape Healers -- South Africa -- Eastern Cape , Ethnopsychology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/2677 , vital:27983
- Description: Indigenous people tend to consult traditional healers when a family member manifests change in behaviour, whilst conventional treatment disregards spirituality when preserving mental health. The aim of the study was to explore the perceptions of indigenous people and the role of traditional healers in the management of mentally ill persons within the Cacadu District in the Eastern Cape Province of South Africa. The study has adopted a qualitative approach which was exploratory and descriptive in nature. The sample consisted of nine relatives of mental health care users (MHCUs) and six traditional healers. Ethical principles were also taken into consideration by the researcher during the process of conducting the study. Data were collected from two strata, namely, relatives of the MHCUs and the traditional healers and an interview guide was used to conduct in-depth face-to-face interviews. Data were analysed using Tesch’s method of data analysis. Four themes emerged from the data categories and sub categories were identified. According to the themes participants indicated the negative impact of mental illness; as a result they portrayed great desperation regarding the means of accessing a cure for mental illness. Some participants showed insufficient knowledge regarding mental illness and had different perceptions and beliefs regarding the origin of mental illness. Available literature was used to emphasise and support the views that were expressed by both traditional healers and relatives of MHCUs. It has been highlighted from this study that indigenous people of Cacadu District view mental illness as spiritual in origin but they include Western medication for the benefit of the mentally ill. In addition, the relatives of the MHCUs highlighted the economic burden as the major problem that results from mental illness.
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- Authors: Tilolo, Lwazi Romeo
- Date: 2015
- Subjects: Indigenous peoples -- Mental health -- South Africa -- Eastern Cape Cultural psychiatry -- South Africa -- Eastern Cape Healers -- South Africa -- Eastern Cape , Ethnopsychology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/2677 , vital:27983
- Description: Indigenous people tend to consult traditional healers when a family member manifests change in behaviour, whilst conventional treatment disregards spirituality when preserving mental health. The aim of the study was to explore the perceptions of indigenous people and the role of traditional healers in the management of mentally ill persons within the Cacadu District in the Eastern Cape Province of South Africa. The study has adopted a qualitative approach which was exploratory and descriptive in nature. The sample consisted of nine relatives of mental health care users (MHCUs) and six traditional healers. Ethical principles were also taken into consideration by the researcher during the process of conducting the study. Data were collected from two strata, namely, relatives of the MHCUs and the traditional healers and an interview guide was used to conduct in-depth face-to-face interviews. Data were analysed using Tesch’s method of data analysis. Four themes emerged from the data categories and sub categories were identified. According to the themes participants indicated the negative impact of mental illness; as a result they portrayed great desperation regarding the means of accessing a cure for mental illness. Some participants showed insufficient knowledge regarding mental illness and had different perceptions and beliefs regarding the origin of mental illness. Available literature was used to emphasise and support the views that were expressed by both traditional healers and relatives of MHCUs. It has been highlighted from this study that indigenous people of Cacadu District view mental illness as spiritual in origin but they include Western medication for the benefit of the mentally ill. In addition, the relatives of the MHCUs highlighted the economic burden as the major problem that results from mental illness.
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The investigation of perceptions of professional nurses regarding care of mental health care users in a general hospital setting
- Manona-Nkanjeni, Nonkanyiso Yvonne
- Authors: Manona-Nkanjeni, Nonkanyiso Yvonne
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11924 , http://hdl.handle.net/10353/d1020200
- Description: This study sought to explore the perceptions of professional nurses regarding care of stabilised mental health care users in a general hospital setting. A qualitative, explanatory, descriptive and contextual design was used for the study. A non-probability, purposive sampling method was used to select 12 participants from the Cecilia Makiwane Hospital in Mdantsane. Data were collected through semi-structured interviews. The services of an independent interviewer were used to avoid any bias as interviews took place where the researcher is employed. The services of an editor were also used for language control (see Annexure H). The researcher repeatedly listened to the tapes used for data collection until completely satisfied with the interpretation of verbatim data. The research study was conducted in an ethically reflective manner and trustworthiness was ensured at all times. Four themes emerged from the analysis of the interviews: fear, stigma, myths and training. The researcher utilised the services of an independent coder who verified the identified major themes. The findings revealed that participants were fearful due to lack of knowledge, experience and psychiatric nursing skills. Participants feared because they lack knowledge about psychiatric medication and because mental health care users may have relapse. The participants also attached a stigma to mental health care users, which resulted in poor communication between participants and the stabilised mental health care user; a negative attitude towards mental health care users; and non-acceptance. Participants believed in myths about mental illness; they regarded it as contagious; and perceived mental health care users as dangerous. The participants strongly recommended that training should be provided to improve their knowledge and skills to enable them to care for stabilised mental health care users in a general hospital setting. The following should be facilitated: in-service training; adoption of a positive attitude; dispersal of myths and fear; education about referral systems; and allocation of specialist psychiatric nurses to medical wards for referral purposes with regard to complicated cases.
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- Authors: Manona-Nkanjeni, Nonkanyiso Yvonne
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11924 , http://hdl.handle.net/10353/d1020200
- Description: This study sought to explore the perceptions of professional nurses regarding care of stabilised mental health care users in a general hospital setting. A qualitative, explanatory, descriptive and contextual design was used for the study. A non-probability, purposive sampling method was used to select 12 participants from the Cecilia Makiwane Hospital in Mdantsane. Data were collected through semi-structured interviews. The services of an independent interviewer were used to avoid any bias as interviews took place where the researcher is employed. The services of an editor were also used for language control (see Annexure H). The researcher repeatedly listened to the tapes used for data collection until completely satisfied with the interpretation of verbatim data. The research study was conducted in an ethically reflective manner and trustworthiness was ensured at all times. Four themes emerged from the analysis of the interviews: fear, stigma, myths and training. The researcher utilised the services of an independent coder who verified the identified major themes. The findings revealed that participants were fearful due to lack of knowledge, experience and psychiatric nursing skills. Participants feared because they lack knowledge about psychiatric medication and because mental health care users may have relapse. The participants also attached a stigma to mental health care users, which resulted in poor communication between participants and the stabilised mental health care user; a negative attitude towards mental health care users; and non-acceptance. Participants believed in myths about mental illness; they regarded it as contagious; and perceived mental health care users as dangerous. The participants strongly recommended that training should be provided to improve their knowledge and skills to enable them to care for stabilised mental health care users in a general hospital setting. The following should be facilitated: in-service training; adoption of a positive attitude; dispersal of myths and fear; education about referral systems; and allocation of specialist psychiatric nurses to medical wards for referral purposes with regard to complicated cases.
- Full Text:
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