Attitutes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape
- Authors: Ntuku, Nonzukiso Sheila
- Date: 2017
- Subjects: Community health services -- South Africa -- Eastern Cape Nursing services -- South Africa-- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13989 , vital:39737
- Description: The study focused on attitudes of professional nurses towards the dimensions of quality care. Quality care is the main focus of the Department of Health in the Republic of South Africa. The researcher believes that professional nurses form the backbone of the whole health care fraternity; hence they are central to the study of quality care dimensions. The aim of the study was to determine and describe the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the KingSabatha Dalindyebo sub-district. A quantitative descriptive design was employed to meet the objectives of the study. The non-probability purposive sampling method was used to select participants to provide information on the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape. From the target of 84 professional nurses who were employed at the five community health centres of King Sabatha Dalindyebo sub-district of the O.R. Tambo District, Eastern Cape Province, 70 (83,3percent) professional nursesresponded to the questionnaires. A self-administered questionnaire written in simple English was used to collect data from the professional nurses regarding their attitudes towards dimensions of quality care. The researcher adhered to the ethical standards of nursing research as described by the Democratic Nursing Organisationof South Africa regarding anonymity, confidentiality, privacy and quality research, according to which the names of professional nurses were not recorded on the questionnaires. The data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of the results has been presented in tables and a bar graph. The results of the study revealed that the professional nurses of these community health centres had positive attitudes towards the dimensions of quality care.
- Full Text:
- Authors: Ntuku, Nonzukiso Sheila
- Date: 2017
- Subjects: Community health services -- South Africa -- Eastern Cape Nursing services -- South Africa-- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/13989 , vital:39737
- Description: The study focused on attitudes of professional nurses towards the dimensions of quality care. Quality care is the main focus of the Department of Health in the Republic of South Africa. The researcher believes that professional nurses form the backbone of the whole health care fraternity; hence they are central to the study of quality care dimensions. The aim of the study was to determine and describe the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the KingSabatha Dalindyebo sub-district. A quantitative descriptive design was employed to meet the objectives of the study. The non-probability purposive sampling method was used to select participants to provide information on the attitudes of professional nurses towards the dimensions of quality care in the community health centres of the King Sabatha Dalindyebo sub-district, Eastern Cape. From the target of 84 professional nurses who were employed at the five community health centres of King Sabatha Dalindyebo sub-district of the O.R. Tambo District, Eastern Cape Province, 70 (83,3percent) professional nursesresponded to the questionnaires. A self-administered questionnaire written in simple English was used to collect data from the professional nurses regarding their attitudes towards dimensions of quality care. The researcher adhered to the ethical standards of nursing research as described by the Democratic Nursing Organisationof South Africa regarding anonymity, confidentiality, privacy and quality research, according to which the names of professional nurses were not recorded on the questionnaires. The data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of the results has been presented in tables and a bar graph. The results of the study revealed that the professional nurses of these community health centres had positive attitudes towards the dimensions of quality care.
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Evaluation of self-efficacy in clinical performance of nurses initiate and management of anti-retroviral therapy by South African professional nurses
- Authors: Mangi, Nozuko Glenrose
- Date: 2017
- Subjects: Nursing assessment -- South Africa -- Eastern Cape Self-efficacy Nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10353/4492 , vital:28344
- Description: Self-efficacy in clinical performance is a very important aspect in quality of health care, because it is the ability of the person to produce the desired outcomes. The aim of the study was to evaluate self-efficacy in clinical performance of NIMART programme by professional nurses in Buffalo City Metropolitan in Eastern Cape Province South Africa. A quantitative, descriptive survey design was used to examine self-efficacy in clinical performance during implementation of NIMART programme. A purposive sample of 358 NIMART programme trained professional nurses was included in the study. Analysis of the finding was done using SPSS version 21.0. Descriptive statistics (frequencies, percentage, mean and standard deviations) were used to analyse categorical variables. To reduce data volume, factor analysis was used to identify six variable clusters: Evaluation; planning, assessment, implementation, and patient care mentoring. Factor 1 (evaluation) was highly loaded on patient driven results (0.63); nursing interventions (0.70); breakdown point location (0.80); prognosis based care decisions (0.79); prognosis based outcome monitoring (0.70); and prognosis based settings adjustment (0.70). These items collectively define evaluation of self-efficacy clinical performance of the participants. Factor 2 (planning) was termed planning of patient care in a clinical setting was significantly loaded on these items: data driven nursing diagnosis (0.51); patient driven nursing diagnosis (0.52); settings based nursing diagnosis (0.49); overall care plan formulation (0.52); short-term patients care formulation (0.58); long-term patient care formulation (0.66); goal based measurable outcomes (0.80); goal based daily patient care plan (0.79); settings based daily patient care plan (0.73). Factor 3 (assessment) which was termed assessment in clinical performance was not significantly loaded in some of the items: physical assessment (0.64); patient history (0.65); energy restoration (0.56); time management (0.71); objective patient health data (0.61); subjective patient health data (0.49); data collection documentation (0.44). Factor 4 (implementation) data source correlation; patient health data analysis (0.45); patient strength (0.46); nurse-patient/family communication (0.55); nurse patient collaboration (0.64); Experience driven decision making (0.58). Factor 5 (patient care) patient care plan adherence (0.65); setting based overall patient care (0.74); resource based overall patient care (0.59). Factor 6 (mentoring) patient’s concerns identification (0.48); patient problems prioritisation (0.46); mentor/colleague advice (0.43); mentor/colleague feedback use (0.61); patient discharge strategies (0.71); continuous reporting/documenting (0.63). The mean scores produced by the Kruskal-Wallis test showed the lowest scoring pattern as follows: 20122013201120142010. This order was the same for all the variables, confirming that the 2010 group scored significantly higher than any other group on all the variables. The overall results of the study revealed that professional nurses have high self-efficacy in clinical performance in implementation of NIMART programme, except in evaluation aspect of self-efficacy where they scored lessor. Professional nurses trained by FPD scored higher in the aspects of self-efficacy in clinical performance compared to RTC trained; but scored lower in evaluative ability of self-efficacy in both institutions (FPD and RTC). The findings of this study showed that the overall self-efficacy of the professional nurses trained on NIMART programme performed clinically satisfactorily. It is recommended that in-service education or continuous professional development for professional nurses working in PHC’s should not only concentrate on updating clinical skills, but also create opportunity for reflection and strengthening of professional nurses’ self-efficacy in clinical performance. Also, further study on other processes of goal realisation will aid our understanding of self-efficacy in achieving the desirable goals of the professional nurses for patient quality care. Further research is also needed to evaluate clients’ satisfaction during care based on the NIMART intervention programme.
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- Authors: Mangi, Nozuko Glenrose
- Date: 2017
- Subjects: Nursing assessment -- South Africa -- Eastern Cape Self-efficacy Nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10353/4492 , vital:28344
- Description: Self-efficacy in clinical performance is a very important aspect in quality of health care, because it is the ability of the person to produce the desired outcomes. The aim of the study was to evaluate self-efficacy in clinical performance of NIMART programme by professional nurses in Buffalo City Metropolitan in Eastern Cape Province South Africa. A quantitative, descriptive survey design was used to examine self-efficacy in clinical performance during implementation of NIMART programme. A purposive sample of 358 NIMART programme trained professional nurses was included in the study. Analysis of the finding was done using SPSS version 21.0. Descriptive statistics (frequencies, percentage, mean and standard deviations) were used to analyse categorical variables. To reduce data volume, factor analysis was used to identify six variable clusters: Evaluation; planning, assessment, implementation, and patient care mentoring. Factor 1 (evaluation) was highly loaded on patient driven results (0.63); nursing interventions (0.70); breakdown point location (0.80); prognosis based care decisions (0.79); prognosis based outcome monitoring (0.70); and prognosis based settings adjustment (0.70). These items collectively define evaluation of self-efficacy clinical performance of the participants. Factor 2 (planning) was termed planning of patient care in a clinical setting was significantly loaded on these items: data driven nursing diagnosis (0.51); patient driven nursing diagnosis (0.52); settings based nursing diagnosis (0.49); overall care plan formulation (0.52); short-term patients care formulation (0.58); long-term patient care formulation (0.66); goal based measurable outcomes (0.80); goal based daily patient care plan (0.79); settings based daily patient care plan (0.73). Factor 3 (assessment) which was termed assessment in clinical performance was not significantly loaded in some of the items: physical assessment (0.64); patient history (0.65); energy restoration (0.56); time management (0.71); objective patient health data (0.61); subjective patient health data (0.49); data collection documentation (0.44). Factor 4 (implementation) data source correlation; patient health data analysis (0.45); patient strength (0.46); nurse-patient/family communication (0.55); nurse patient collaboration (0.64); Experience driven decision making (0.58). Factor 5 (patient care) patient care plan adherence (0.65); setting based overall patient care (0.74); resource based overall patient care (0.59). Factor 6 (mentoring) patient’s concerns identification (0.48); patient problems prioritisation (0.46); mentor/colleague advice (0.43); mentor/colleague feedback use (0.61); patient discharge strategies (0.71); continuous reporting/documenting (0.63). The mean scores produced by the Kruskal-Wallis test showed the lowest scoring pattern as follows: 20122013201120142010. This order was the same for all the variables, confirming that the 2010 group scored significantly higher than any other group on all the variables. The overall results of the study revealed that professional nurses have high self-efficacy in clinical performance in implementation of NIMART programme, except in evaluation aspect of self-efficacy where they scored lessor. Professional nurses trained by FPD scored higher in the aspects of self-efficacy in clinical performance compared to RTC trained; but scored lower in evaluative ability of self-efficacy in both institutions (FPD and RTC). The findings of this study showed that the overall self-efficacy of the professional nurses trained on NIMART programme performed clinically satisfactorily. It is recommended that in-service education or continuous professional development for professional nurses working in PHC’s should not only concentrate on updating clinical skills, but also create opportunity for reflection and strengthening of professional nurses’ self-efficacy in clinical performance. Also, further study on other processes of goal realisation will aid our understanding of self-efficacy in achieving the desirable goals of the professional nurses for patient quality care. Further research is also needed to evaluate clients’ satisfaction during care based on the NIMART intervention programme.
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Factors affecting experiential learning for midwifery students at the public college of nursing in the Eastern Cape
- Authors: Pama, Nomzekelo
- Date: 2017
- Subjects: Midwifery -- Study and teaching -- South Africa -- Eastern Cape Midwives -- Training of -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4524 , vital:28375
- Description: In nursing education, experiential learning is an important part of the curriculum and accounts for almost half of the requirements for the nursing programmes. A positive relationship with and collaboration between the training institutions and clinical placement facilities are vital for student achievement. Nurse educators are also expected to involve themselves in clinical accompaniment to bridge the theory-practice gap. Student nurses placed in midwifery clinical learning environments experience difficulty in meeting their experiential learning outcomes and programme requirements. Due to the overcrowded clinical facilities, they compete for the limited learning opportunities and resources which make the integration of theory and practice difficult. Therefore, this leads to delay in the commencement of community service by some of the nursing students as they do not graduate because of not achieving midwifery clinical outcomes and programme requirements. The purpose of the study is to assess factors affecting experiential learning for midwifery students at the public college of nursing in the Eastern Cape and the main objectives of the study were to: • Identify the challenges affecting the quality of learning in the clinical learning environment. • Determine the nature of supervision for experiential learning of midwifery students. • Determine the role of a nurse educator in the experiential learning of student nurses in midwifery clinical learning environment. Methods and analysis A quantitative, descriptive survey was conducted by making use of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale. The CLES+T is a reliable and valid evaluation scale for the gathering of information on the clinical learning environment and supervision of student nurses. The CLES+T evaluation scale was completed by 115 student nurses within the selected sites. The CLES+T evaluation scale is subdivided into three main sections with additional sub-sections: (1) the learning environment (2) the supervisory relationship and (3) the role of the nurse teacher (lecturer).
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- Authors: Pama, Nomzekelo
- Date: 2017
- Subjects: Midwifery -- Study and teaching -- South Africa -- Eastern Cape Midwives -- Training of -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4524 , vital:28375
- Description: In nursing education, experiential learning is an important part of the curriculum and accounts for almost half of the requirements for the nursing programmes. A positive relationship with and collaboration between the training institutions and clinical placement facilities are vital for student achievement. Nurse educators are also expected to involve themselves in clinical accompaniment to bridge the theory-practice gap. Student nurses placed in midwifery clinical learning environments experience difficulty in meeting their experiential learning outcomes and programme requirements. Due to the overcrowded clinical facilities, they compete for the limited learning opportunities and resources which make the integration of theory and practice difficult. Therefore, this leads to delay in the commencement of community service by some of the nursing students as they do not graduate because of not achieving midwifery clinical outcomes and programme requirements. The purpose of the study is to assess factors affecting experiential learning for midwifery students at the public college of nursing in the Eastern Cape and the main objectives of the study were to: • Identify the challenges affecting the quality of learning in the clinical learning environment. • Determine the nature of supervision for experiential learning of midwifery students. • Determine the role of a nurse educator in the experiential learning of student nurses in midwifery clinical learning environment. Methods and analysis A quantitative, descriptive survey was conducted by making use of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale. The CLES+T is a reliable and valid evaluation scale for the gathering of information on the clinical learning environment and supervision of student nurses. The CLES+T evaluation scale was completed by 115 student nurses within the selected sites. The CLES+T evaluation scale is subdivided into three main sections with additional sub-sections: (1) the learning environment (2) the supervisory relationship and (3) the role of the nurse teacher (lecturer).
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Factors influencing adherence to folic acid and ferrous sulphate nutritional supplement intake among pregnant teenagers in Buffalo City Municipality, Eastern Cape
- Authors: Kalipa, Zamazizi
- Date: 2017
- Subjects: Pregnancy -- Nutritional aspects Pregnant women -- Attitudes Folic acid -- Pregnant women
- Language: English
- Type: Thesis , Masters , Nursing
- Identifier: http://hdl.handle.net/10353/10017 , vital:35286
- Description: Aim: The purpose of this study was to determine the factors influencing folic acid/ferrous sulphate nutritional supplement intake among pregnant teenagers in Buffalo City Metropolitan Municipality (BCMM), Eastern Cape in South Africa.Methodology: This was a cross-sectional, descriptive study involving 300 purposively selected pregnant teenagers aged between 13 to 19 years, who were attending antennal clinic in BCMM. A self-designed questionnaire was used for data collection. Results: The majority (97.0 percent) of the respondents obtained their supplements from the clinic; took other medications (87.2 percent); the respondents regularly used nutritional supplements (71.7 percent); agreed that folic acid and ferrous sulphate were important for pregnancy outcomes (96 percent); should be taken before pregnancy and after birth (68.2 percent); and nurses had explained the possible pregnancy complications (71.7 percent). About 84.1 percent agreed that the medication containers were clearly labelled; and nurses had explained the side effects of folic acid/ ferrous folate (60.7 percent), and the likely action in case side effects occurred (56 percent). The majority of the participants also agreed that folic acid and ferrous sulphate are good for the unborn baby (88 percent); and are harmless to the unborn baby (75.3 percent). The majority (49.2 percent) of the participants did not consume dark leafy vegetables, cabbage (35.0 percent), liver (47.1 percent), beef/lamb (42.0 percent), fish (43.3 percent) and beans/legumes (36.4 percent). Participants indicated that folic acid and ferrous sulphate made them feel nauseous, inclined to vomit and also caused stomach pain.Conclusion: The majority of pregnant teenagers received their nutritional supplements from the health facilities over the counter. The study indicated that nausea, vomiting, forgetting to take the supplements due to busy schedules, non-availability of folic acid and ferrous sulphate in health facilities were the major reasons influencing the intake of folic acid and ferrous sulphate by pregnant teenagers. Also, there is low consumption of iron and folate rich foods by pregnant teenagers in this setting. Health practitioners including doctors, nurses and community health care workers needed to improve health education by including information on nutritional supplements and the importance an use of folic acid and ferrous sulphate during pregnancy.
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- Authors: Kalipa, Zamazizi
- Date: 2017
- Subjects: Pregnancy -- Nutritional aspects Pregnant women -- Attitudes Folic acid -- Pregnant women
- Language: English
- Type: Thesis , Masters , Nursing
- Identifier: http://hdl.handle.net/10353/10017 , vital:35286
- Description: Aim: The purpose of this study was to determine the factors influencing folic acid/ferrous sulphate nutritional supplement intake among pregnant teenagers in Buffalo City Metropolitan Municipality (BCMM), Eastern Cape in South Africa.Methodology: This was a cross-sectional, descriptive study involving 300 purposively selected pregnant teenagers aged between 13 to 19 years, who were attending antennal clinic in BCMM. A self-designed questionnaire was used for data collection. Results: The majority (97.0 percent) of the respondents obtained their supplements from the clinic; took other medications (87.2 percent); the respondents regularly used nutritional supplements (71.7 percent); agreed that folic acid and ferrous sulphate were important for pregnancy outcomes (96 percent); should be taken before pregnancy and after birth (68.2 percent); and nurses had explained the possible pregnancy complications (71.7 percent). About 84.1 percent agreed that the medication containers were clearly labelled; and nurses had explained the side effects of folic acid/ ferrous folate (60.7 percent), and the likely action in case side effects occurred (56 percent). The majority of the participants also agreed that folic acid and ferrous sulphate are good for the unborn baby (88 percent); and are harmless to the unborn baby (75.3 percent). The majority (49.2 percent) of the participants did not consume dark leafy vegetables, cabbage (35.0 percent), liver (47.1 percent), beef/lamb (42.0 percent), fish (43.3 percent) and beans/legumes (36.4 percent). Participants indicated that folic acid and ferrous sulphate made them feel nauseous, inclined to vomit and also caused stomach pain.Conclusion: The majority of pregnant teenagers received their nutritional supplements from the health facilities over the counter. The study indicated that nausea, vomiting, forgetting to take the supplements due to busy schedules, non-availability of folic acid and ferrous sulphate in health facilities were the major reasons influencing the intake of folic acid and ferrous sulphate by pregnant teenagers. Also, there is low consumption of iron and folate rich foods by pregnant teenagers in this setting. Health practitioners including doctors, nurses and community health care workers needed to improve health education by including information on nutritional supplements and the importance an use of folic acid and ferrous sulphate during pregnancy.
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Needs assessment in the development of a problem-based learning for paediatric nurse specialist programme at the University of Fort Hare Eastern Cape
- Authors: Melitafa, Nomntu
- Date: 2017
- Subjects: Nursing assessment Problem-based learning Nursing -- Study and teaching
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/8921 , vital:33966
- Description: The study seeks to assess the need for developing a post graduate child nursing science programme with a problem based learning approach at the University of Fort Hare East London Campus. The aim is to the aim of the study was to conduct a needs assessment in preparation for development of a PBL curriculum so as to produce reflective PNSs. Literature exposed the high mortality rates of children and the competency gaps of trained PNSs. A descriptive quantitative design was used to guide the study. The data were collected by means of self-administered survey questionnaires which constituted closed and open ended questions to yield both quantitative and qualitative data. Data were obtained based on demographic information, performance and importance of the PNS activities, competences of PNSs as well as the prevalence of child health problems at the rural, semi-urban and urban hospitals in the ECP. The purposive sampling technique was used to select participants. The sample size was 70 and 38 participants responded. Quantitative and qualitative data were obtained. Quantitative data were analyzed through use of the Statistical Programme for Social Science software (SPSS) Version 9.0.1 and qualitative data were analyzed manually. Quantitative results were presented with pie graphs, tables and frequencies. Four themes emerged, revealing factors prohibiting the service delivery of PNSs, special training needs of PNSs, prevalent health problems in children and personal interventions. The results showed that in essence there is a need to develop the envisaged Problem Based Learning (PBL) curriculum.
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- Authors: Melitafa, Nomntu
- Date: 2017
- Subjects: Nursing assessment Problem-based learning Nursing -- Study and teaching
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/8921 , vital:33966
- Description: The study seeks to assess the need for developing a post graduate child nursing science programme with a problem based learning approach at the University of Fort Hare East London Campus. The aim is to the aim of the study was to conduct a needs assessment in preparation for development of a PBL curriculum so as to produce reflective PNSs. Literature exposed the high mortality rates of children and the competency gaps of trained PNSs. A descriptive quantitative design was used to guide the study. The data were collected by means of self-administered survey questionnaires which constituted closed and open ended questions to yield both quantitative and qualitative data. Data were obtained based on demographic information, performance and importance of the PNS activities, competences of PNSs as well as the prevalence of child health problems at the rural, semi-urban and urban hospitals in the ECP. The purposive sampling technique was used to select participants. The sample size was 70 and 38 participants responded. Quantitative and qualitative data were obtained. Quantitative data were analyzed through use of the Statistical Programme for Social Science software (SPSS) Version 9.0.1 and qualitative data were analyzed manually. Quantitative results were presented with pie graphs, tables and frequencies. Four themes emerged, revealing factors prohibiting the service delivery of PNSs, special training needs of PNSs, prevalent health problems in children and personal interventions. The results showed that in essence there is a need to develop the envisaged Problem Based Learning (PBL) curriculum.
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Perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa
- Authors: Sidloyi, Nozitulele
- Date: 2017
- Subjects: Abortion -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- Sexual behavior
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4428 , vital:28339
- Description: Adolescent pregnancy is a concern worldwide and has risen at an alarming rate in South African societies. Many teenage pregnancies end up being aborted. Despite the availability of contraceptives free of charge in public institutions, unintended pregnancies among adolescents still persist. These unintended pregnancies result in a high rate of induced abortion, both safe and unsafe. The study was conducted to explore and describe the perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa. This was a qualitative, phenomenological research study to explore the perceptions of adolescents regarding the induced abortion. Participants were purposively selected to participate in the study. Data were collected by means of individual interviews using interview guide in order to allow the participants to express their perceptions freely because of the sensitivity of the issue. Data were collected until saturation was reached. Saturation was reached after 24 participants were interviewed by the researcher. Data analysis used Tech’s (1990) steps as outlined by Creswell (2014:198). Themes, categories, and subcategories were identified following the data analysis. All adolescents admitted having consensual unprotected sex. Engagement in early sexual behaviour by the adolescents was evident as their sexual debut was between the ages of fifteen and sixteen years. Adolescents emphasised that they had abortions because they had no choice. Adolescents cited poor-socio economic status as their main reason for having abortions. Some findings were that adolescent men were against abortion and they had to be persuaded by their female counter parts. A recurrent factor in the results was the infrequent use of contraceptives, including condoms by the adolescents. This indicated that adolescents practised unsafe sex, with little or no regard for sexual transmitted diseases including Human Immune Deficiency Virus and Acquired Immune Deficiency Syndrome (HIV and AIDS). The results also indicated poor treatment by the nursing staff at the family planning clinics. This poor treatment resulted in adolescents not attending family planning clinics. This led to adolescents using abortion as the only method of contraception. Shortage of staff was a contributing factor to the poor treatment of adolescents in the family planning clinics. Adolescents cited that contraception at the clinics is not prioritised. The participants suggested that they should be reminded when to come to the clinic for family planning. Perceptions of reasons for adolescents choosing induced abortion ranges from psychosocial to socio-economic reasons. The knowledge of participants of what was happening to them and what they were doing seemed adequate. The perceptions of the adolescents regarding induced abortion were that abortion is wrong, against their morals as they are Christians; they use abortion because they have no choice due to their poor socio-economic status. The strategies to reduce the unintended pregnancy through the proper management of the contraception programmes, including the change in negative attitudes of health care providers in the family planning clinics could yield positive results.
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- Authors: Sidloyi, Nozitulele
- Date: 2017
- Subjects: Abortion -- South Africa -- Eastern Cape , Teenage pregnancy -- South Africa -- Eastern Cape , Teenagers -- Sexual behavior
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4428 , vital:28339
- Description: Adolescent pregnancy is a concern worldwide and has risen at an alarming rate in South African societies. Many teenage pregnancies end up being aborted. Despite the availability of contraceptives free of charge in public institutions, unintended pregnancies among adolescents still persist. These unintended pregnancies result in a high rate of induced abortion, both safe and unsafe. The study was conducted to explore and describe the perceptions of adolescents regarding induced abortion in two public hospitals in East London, South Africa. This was a qualitative, phenomenological research study to explore the perceptions of adolescents regarding the induced abortion. Participants were purposively selected to participate in the study. Data were collected by means of individual interviews using interview guide in order to allow the participants to express their perceptions freely because of the sensitivity of the issue. Data were collected until saturation was reached. Saturation was reached after 24 participants were interviewed by the researcher. Data analysis used Tech’s (1990) steps as outlined by Creswell (2014:198). Themes, categories, and subcategories were identified following the data analysis. All adolescents admitted having consensual unprotected sex. Engagement in early sexual behaviour by the adolescents was evident as their sexual debut was between the ages of fifteen and sixteen years. Adolescents emphasised that they had abortions because they had no choice. Adolescents cited poor-socio economic status as their main reason for having abortions. Some findings were that adolescent men were against abortion and they had to be persuaded by their female counter parts. A recurrent factor in the results was the infrequent use of contraceptives, including condoms by the adolescents. This indicated that adolescents practised unsafe sex, with little or no regard for sexual transmitted diseases including Human Immune Deficiency Virus and Acquired Immune Deficiency Syndrome (HIV and AIDS). The results also indicated poor treatment by the nursing staff at the family planning clinics. This poor treatment resulted in adolescents not attending family planning clinics. This led to adolescents using abortion as the only method of contraception. Shortage of staff was a contributing factor to the poor treatment of adolescents in the family planning clinics. Adolescents cited that contraception at the clinics is not prioritised. The participants suggested that they should be reminded when to come to the clinic for family planning. Perceptions of reasons for adolescents choosing induced abortion ranges from psychosocial to socio-economic reasons. The knowledge of participants of what was happening to them and what they were doing seemed adequate. The perceptions of the adolescents regarding induced abortion were that abortion is wrong, against their morals as they are Christians; they use abortion because they have no choice due to their poor socio-economic status. The strategies to reduce the unintended pregnancy through the proper management of the contraception programmes, including the change in negative attitudes of health care providers in the family planning clinics could yield positive results.
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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.
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- 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.
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The effectiveness of medium-fidelity simulation on the clinical readiness of student midwives
- Authors: Ntlokonkulu, Zukiswa Brenda
- Date: 2017
- Subjects: Obstetrics Midwifery Emergency medical services , Simulated patients
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4503 , vital:28345
- Description: Simulation affords the student a safe and supportive environment in which to practise skills repeatedly without causing any harm to a real patient. The Department of Nursing Sciences at the University of Fort Hare has a laboratory that offers lowto medium-fidelity simulation in the form of task trainers and mannequins. These task trainers and mannequins are used in general nursing, and in community and midwifery nursing sciences, for the demonstration of skills, the practising of skills by students and for formative assessments. In midwifery, task trainers are used for vaginal examinations, abdominal palpation breech and vaginal deliveries and the management of post-partum haemorrhage (PPH). Given that in a real-life clinical environment limited opportunities exist for students to practise during an obstetrical emergency, medium-fidelity simulation (MFS) in midwifery ideally positions the student in a practical environment without risking the patient’s safety. Despite the availability of MFS at UFH, its benefit on the clinical readiness of student midwives is not known. The present study was designed to assess the effectiveness of MFS in enhancing the clinical readiness of student midwives at the University of Fort Hare. The main research objective of the study was to explore, describe and analyse the effect of medium-fidelity simulation on student midwives’ confidence, critical thinking ability, communication, satisfaction and team work in an obstetrical clinical emergency environment. This was a qualitative, interpretive, phenomenological analysis designed to explore the student midwives’ lived experiences regarding the effectiveness of mediumfidelity simulation and the effect of these experiences on clinical readiness. The target population was fourth-year Bachelor of nursing student midwives at the University of Fort Hare. Purposive sampling was used to select five student midwives who were team leaders during the management of PPH using MFS. Ethical approval was granted by the University of Fort Hare Ethics Committee. Informed consent was obtained from the participants prior to data collection. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. Data was collected through individual face-to-face interviews and a semi-structured interview guide. All fourth-year student midwives had viewed an on-line video entitled Essential Steps in Management of Obstetrical Emergency(ESMOE) Postpartum Haemorrhage, in which the procedure was demonstrated. The video, sent via Backboard, was presented in such a way that student midwives had the opportunity to watch it repeatedly in order to thoroughly comprehend the demonstrated skill. A semi-structured interview guide was used for data collection. Interviews were conducted in the simulation laboratory. A Samsung smartphone was used to record interviews and a notepad was used to make notes of gestures, such as smiles or other facial expressions. Data was analysed using thematic content analysis applicable to interpretative phenomenological analysis (IPA) studies using the six steps: reading and re-reading; initial noting taking; developing emergent themes; searching for connections across the emergent themes; moving to the next case and lastly, looking for patterns across cases. The major findings indicated that the participants had differing views regarding the concept of clinical readiness; some held that clinical readiness meant being ready or prepared to handle any eventuality in the course of work, others opined that it was a state of being conversant with the policies and procedures in the clinical ward. Participants believed that clinical readiness was parallel to being competent and that midwives should always be ready to anticipate complications that might arise with the patient, endeavouring to analyse and interpret such conditions clinically. Participants expressed the need to see the simulation skill demonstrated repeatedly for thorough understanding of the technique, so that they could work independently in an obstetrical emergency situation. During simulation, participants were confident in delegating duties to team members, affirming that in order to ensure that tasks were carried out, team leaders should receive regular updates from team members.
- Full Text:
- Authors: Ntlokonkulu, Zukiswa Brenda
- Date: 2017
- Subjects: Obstetrics Midwifery Emergency medical services , Simulated patients
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/4503 , vital:28345
- Description: Simulation affords the student a safe and supportive environment in which to practise skills repeatedly without causing any harm to a real patient. The Department of Nursing Sciences at the University of Fort Hare has a laboratory that offers lowto medium-fidelity simulation in the form of task trainers and mannequins. These task trainers and mannequins are used in general nursing, and in community and midwifery nursing sciences, for the demonstration of skills, the practising of skills by students and for formative assessments. In midwifery, task trainers are used for vaginal examinations, abdominal palpation breech and vaginal deliveries and the management of post-partum haemorrhage (PPH). Given that in a real-life clinical environment limited opportunities exist for students to practise during an obstetrical emergency, medium-fidelity simulation (MFS) in midwifery ideally positions the student in a practical environment without risking the patient’s safety. Despite the availability of MFS at UFH, its benefit on the clinical readiness of student midwives is not known. The present study was designed to assess the effectiveness of MFS in enhancing the clinical readiness of student midwives at the University of Fort Hare. The main research objective of the study was to explore, describe and analyse the effect of medium-fidelity simulation on student midwives’ confidence, critical thinking ability, communication, satisfaction and team work in an obstetrical clinical emergency environment. This was a qualitative, interpretive, phenomenological analysis designed to explore the student midwives’ lived experiences regarding the effectiveness of mediumfidelity simulation and the effect of these experiences on clinical readiness. The target population was fourth-year Bachelor of nursing student midwives at the University of Fort Hare. Purposive sampling was used to select five student midwives who were team leaders during the management of PPH using MFS. Ethical approval was granted by the University of Fort Hare Ethics Committee. Informed consent was obtained from the participants prior to data collection. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. Data was collected through individual face-to-face interviews and a semi-structured interview guide. All fourth-year student midwives had viewed an on-line video entitled Essential Steps in Management of Obstetrical Emergency(ESMOE) Postpartum Haemorrhage, in which the procedure was demonstrated. The video, sent via Backboard, was presented in such a way that student midwives had the opportunity to watch it repeatedly in order to thoroughly comprehend the demonstrated skill. A semi-structured interview guide was used for data collection. Interviews were conducted in the simulation laboratory. A Samsung smartphone was used to record interviews and a notepad was used to make notes of gestures, such as smiles or other facial expressions. Data was analysed using thematic content analysis applicable to interpretative phenomenological analysis (IPA) studies using the six steps: reading and re-reading; initial noting taking; developing emergent themes; searching for connections across the emergent themes; moving to the next case and lastly, looking for patterns across cases. The major findings indicated that the participants had differing views regarding the concept of clinical readiness; some held that clinical readiness meant being ready or prepared to handle any eventuality in the course of work, others opined that it was a state of being conversant with the policies and procedures in the clinical ward. Participants believed that clinical readiness was parallel to being competent and that midwives should always be ready to anticipate complications that might arise with the patient, endeavouring to analyse and interpret such conditions clinically. Participants expressed the need to see the simulation skill demonstrated repeatedly for thorough understanding of the technique, so that they could work independently in an obstetrical emergency situation. During simulation, participants were confident in delegating duties to team members, affirming that in order to ensure that tasks were carried out, team leaders should receive regular updates from team members.
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The relationship between selected body composition components and self-efficacy among 12-14 year old rural adolescents in the Eastern Cape Province of South Africa
- Authors: Nkopo, Mandisi, S
- Date: 2017
- Subjects: Child development -- South Africa -- Eastern Cape Children -- Growth Body composition
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/4536 , vital:28403
- Description: Body composition changes drastically in both males and females during the adolescent years. The changes may have a negative effect on their physical health as well as psychological well-being, with respect to attributes such as self-efficacy. Being either overweight or obese during adolescence has social, economic and psychological consequences, which include low self-efficacy. However, very few international studies and not a single South African study could be found which measured the relationship of anthropometric body composition components, general self-efficacy levels and actual measured body size among adolescents, particularly among rural adolescents. Consequently, the aim of this study was to investigate the relationship between anthropometric body composition components and self efficacy, by conducting a comparison of self-efficacy levels among normal, overweight and obese 12 to 14-year-old rural adolescents in the Eastern Cape Province of South Africa. The sample consisted of boys (n=49) and girls (n=43) between the ages of 12 and 14 years. The body composition components were body weight, stature, body mass index, sum of 3 skinfolds, percentage body fat and hip-to-waist ratio. The sample was also classified into normal, overweight and obese groups, according to body mass index. A self-administered Self-Efficacy Questionnaire for Children (SEQ-C) which was developed by Muris (2001) was used to measure general self-efficacy. Data were analyzed by means of descriptive statistics, the Pearson correlation matrix and Cohen's effect size for significance (Cohen, 1992) and a Mann-Whitney U Test was used to determine statistical differences. Significance was set at p<0.05. Only 17 percent of the participants in the research sample were found to be overweight or obese. Only emotional self-efficacy showed significant (p=0.02) differences between the participants who were classified as having normal weights and the group which comprised the overweight and the obese groups. Overweight and obese boys and girls still had very high levels of self-efficacy, although their body mass index scores were high. Boys scored higher in social self-efficacy and girls in academic self-efficacy. Only girls presented significantly high correlations between body mass index and emotional self-efficacy (r=0.33, p=0.02), total self-efficacy and hip-to-waist ratio (r=0.44, p=0.00), social self-efficacy and hip-towaist ratio (r=0.39, p=0.01) and emotional self-efficacy and hip-to-waist ratio (r=0.33, p=0.02), while boys presented them only with respect to body weight (r=0.31, p=0.02) and stature (r=0.39, p=0.00). The results suggest that a positive relationship exists between body composition, in terms of hip-to-waist ratio, weight and stature, and self-efficacy among South African rural adolescents. However, girls presented significantly strong and positive correlations between hip-to-waist ratio and self-efficacy, whereas boys presented significant, strong and positive correlations between body weight, stature and self-efficacy. Only emotional self-efficacy showed significant differences between normal weight and overweight or obese South African rural adolescents. It seems likely that cultural beliefs may exert an influence on the psychosocial perceptions of adolescents in relation to body size, consequently affecting self efficacy levels.
- Full Text:
- Authors: Nkopo, Mandisi, S
- Date: 2017
- Subjects: Child development -- South Africa -- Eastern Cape Children -- Growth Body composition
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/4536 , vital:28403
- Description: Body composition changes drastically in both males and females during the adolescent years. The changes may have a negative effect on their physical health as well as psychological well-being, with respect to attributes such as self-efficacy. Being either overweight or obese during adolescence has social, economic and psychological consequences, which include low self-efficacy. However, very few international studies and not a single South African study could be found which measured the relationship of anthropometric body composition components, general self-efficacy levels and actual measured body size among adolescents, particularly among rural adolescents. Consequently, the aim of this study was to investigate the relationship between anthropometric body composition components and self efficacy, by conducting a comparison of self-efficacy levels among normal, overweight and obese 12 to 14-year-old rural adolescents in the Eastern Cape Province of South Africa. The sample consisted of boys (n=49) and girls (n=43) between the ages of 12 and 14 years. The body composition components were body weight, stature, body mass index, sum of 3 skinfolds, percentage body fat and hip-to-waist ratio. The sample was also classified into normal, overweight and obese groups, according to body mass index. A self-administered Self-Efficacy Questionnaire for Children (SEQ-C) which was developed by Muris (2001) was used to measure general self-efficacy. Data were analyzed by means of descriptive statistics, the Pearson correlation matrix and Cohen's effect size for significance (Cohen, 1992) and a Mann-Whitney U Test was used to determine statistical differences. Significance was set at p<0.05. Only 17 percent of the participants in the research sample were found to be overweight or obese. Only emotional self-efficacy showed significant (p=0.02) differences between the participants who were classified as having normal weights and the group which comprised the overweight and the obese groups. Overweight and obese boys and girls still had very high levels of self-efficacy, although their body mass index scores were high. Boys scored higher in social self-efficacy and girls in academic self-efficacy. Only girls presented significantly high correlations between body mass index and emotional self-efficacy (r=0.33, p=0.02), total self-efficacy and hip-to-waist ratio (r=0.44, p=0.00), social self-efficacy and hip-towaist ratio (r=0.39, p=0.01) and emotional self-efficacy and hip-to-waist ratio (r=0.33, p=0.02), while boys presented them only with respect to body weight (r=0.31, p=0.02) and stature (r=0.39, p=0.00). The results suggest that a positive relationship exists between body composition, in terms of hip-to-waist ratio, weight and stature, and self-efficacy among South African rural adolescents. However, girls presented significantly strong and positive correlations between hip-to-waist ratio and self-efficacy, whereas boys presented significant, strong and positive correlations between body weight, stature and self-efficacy. Only emotional self-efficacy showed significant differences between normal weight and overweight or obese South African rural adolescents. It seems likely that cultural beliefs may exert an influence on the psychosocial perceptions of adolescents in relation to body size, consequently affecting self efficacy levels.
- Full Text:
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