Perceptions of professional nurses regarding factors that influence the integration of psychiatric services into primary health care in Buffalo City clinics in the Eastern Cape province
- Authors: Mhlahlo, Nontobeko Beatrice
- Date: 2014-01
- Subjects: Psychiatric nursing -- South Africa -- Eastern Cape , Mental health services -- South Africa -- Eastern Cape , Psychiatric hospital care -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/29354 , vital:77955
- Description: The purpose of this study was to explore the perceptions of the professional nurses regarding the factors that influence integration of psychiatric services into Primary Health Care (PHC) in Buffalo City clinics In the Eastern Cape. A qualitative research design was seen as the most suitable in this study. This method was chosen because the researcher was committed to explore the perceptions of the participants in the study. A purposive sampling method was used to select participants for the study, who were selected on the basis of their knowledge of the phenomenon. The participants were professional nurses who were involved in providing mental health care services at the primary health care settings. A pilot study was conducted in a primary health care setting involving participants with similar characteristics to the study population. Data were collected by means of individual interviews during which participants were able to relate their perceptions with regard to factors influencing integration of psychiatric services into primary health care. One broad, open-ended question was used to gather information from the participants. Data were collected until saturation point was reached. Transcriptions were made within three days of the interview. Data were analyzed manually. The researcher used the process of bracketing during data analysis and remained neutral, setting aside previous knowledge and beliefs about the phenomenon understudy. The researcher repeatedly listened to audio 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. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without control, coercion or exploitation. The following findings were evident: In spite of a policy dictating the integration of services, it is apparently not done. The findings revealed that participants experienced barriers with regard to implementation of integrated mental health services due to lack of supervision, unavailability of protocols and policies, as well as inadequate trained staff to provide mental health services in PHC. There is either complete absence of or only fragmented mental health services at some clinics. The participants understood that integration of mental health services into primary health care would contribute to the reduction of stigma and the promotion of human rights for psychiatric patients. Shortage of resources, both human and material, imposed a great challenge with regard to provision of quality mental health services. The participants strongly recommended that basic training should be provided to improve their knowledge and skills to enable them to integrate psychiatric services into primary health care . The results also revealed that at specific times, primary health nurses provide psychiatric services for patients who have already been seen in a hospital and in some clinics such services do not exist. In clinics where the nurses are not psychiatric trained, there is no case finding, rehabilitation or prevention strategies taking place. Incorporation of comprehensive mental health services into primary health care is far from ideal, as professional nurses focus on issuing medication as a method of providing mental health services. , Thesis (MSc) -- Faculty of of Health Sciences, 2014
- Full Text:
- Date Issued: 2014-01
- Authors: Mhlahlo, Nontobeko Beatrice
- Date: 2014-01
- Subjects: Psychiatric nursing -- South Africa -- Eastern Cape , Mental health services -- South Africa -- Eastern Cape , Psychiatric hospital care -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/29354 , vital:77955
- Description: The purpose of this study was to explore the perceptions of the professional nurses regarding the factors that influence integration of psychiatric services into Primary Health Care (PHC) in Buffalo City clinics In the Eastern Cape. A qualitative research design was seen as the most suitable in this study. This method was chosen because the researcher was committed to explore the perceptions of the participants in the study. A purposive sampling method was used to select participants for the study, who were selected on the basis of their knowledge of the phenomenon. The participants were professional nurses who were involved in providing mental health care services at the primary health care settings. A pilot study was conducted in a primary health care setting involving participants with similar characteristics to the study population. Data were collected by means of individual interviews during which participants were able to relate their perceptions with regard to factors influencing integration of psychiatric services into primary health care. One broad, open-ended question was used to gather information from the participants. Data were collected until saturation point was reached. Transcriptions were made within three days of the interview. Data were analyzed manually. The researcher used the process of bracketing during data analysis and remained neutral, setting aside previous knowledge and beliefs about the phenomenon understudy. The researcher repeatedly listened to audio 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. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without control, coercion or exploitation. The following findings were evident: In spite of a policy dictating the integration of services, it is apparently not done. The findings revealed that participants experienced barriers with regard to implementation of integrated mental health services due to lack of supervision, unavailability of protocols and policies, as well as inadequate trained staff to provide mental health services in PHC. There is either complete absence of or only fragmented mental health services at some clinics. The participants understood that integration of mental health services into primary health care would contribute to the reduction of stigma and the promotion of human rights for psychiatric patients. Shortage of resources, both human and material, imposed a great challenge with regard to provision of quality mental health services. The participants strongly recommended that basic training should be provided to improve their knowledge and skills to enable them to integrate psychiatric services into primary health care . The results also revealed that at specific times, primary health nurses provide psychiatric services for patients who have already been seen in a hospital and in some clinics such services do not exist. In clinics where the nurses are not psychiatric trained, there is no case finding, rehabilitation or prevention strategies taking place. Incorporation of comprehensive mental health services into primary health care is far from ideal, as professional nurses focus on issuing medication as a method of providing mental health services. , Thesis (MSc) -- Faculty of of Health Sciences, 2014
- Full Text:
- Date Issued: 2014-01
Three's a crowd: the process of triadic translation in a South African psychiatric institution
- Authors: Slabbert, Meggan
- Date: 2010
- Subjects: Mental health services -- South Africa -- Eastern Cape , Psychiatric hospitals -- South Africa -- Eastern Cape , Translating and interpreting -- Psychological aspects , Translating and interpreting -- Social aspects , Content analysis (Communication) , South Africa -- Languages -- Translating and interpreting , Intercultural communication -- South Africa -- Eastern Cape , Culture conflict -- South Africa -- Eastern Cape , Communication and culture -- South Africa -- Eastern Cape , Physician and patient -- South Africa -- Eastern Cape , Communication in medicine -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3056 , http://hdl.handle.net/10962/d1002565 , Mental health services -- South Africa -- Eastern Cape , Psychiatric hospitals -- South Africa -- Eastern Cape , Translating and interpreting -- Psychological aspects , Translating and interpreting -- Social aspects , Content analysis (Communication) , South Africa -- Languages -- Translating and interpreting , Intercultural communication -- South Africa -- Eastern Cape , Culture conflict -- South Africa -- Eastern Cape , Communication and culture -- South Africa -- Eastern Cape , Physician and patient -- South Africa -- Eastern Cape , Communication in medicine -- South Africa -- Eastern Cape
- Description: Mental health care in South Africa has long been governed by inequalities (Foster & Swartz, 1997). During apartheid, those who did not speak English and Afrikaans could not access mental health services in the same way as those who did (Foster & Swartz, 1997). One main reason for this is the majority of mental health practitioners could not, and were not required to speak languages other than English and Afrikaans (Swartz, 1991). The South African mental health literature suggests that language and communication must be prioritised if there is to be an improvement in mental health care services for those individuals who do not speak English and Afrikaans (Bantjes, 1999; Drennan & Swartz, 1999; Swartz & Drennan, 2000; Swartz & MacGregor, 2002). Drawing on Prasad's (2002) interpretation of Gadamer's critical hermeneutic theory and utilising thematic networks analysis (Attride-Stirling, 2001), this study investigated the process of translated clinical assessment interviews within a psychiatric hospital in the Eastern Cape Province within South Africa. Results of the study revealed that contextual factors, issues concerning linguistic and cultural heritage, clinicians' role expectations regarding translators' role performance, as well as relational dynamics regarding individual levels of control and influence within the translation triad, all impacted on the effectiveness of communication, translation and service provision. These fmdings are supported by literature on the theory and practice of translation that identifies these issues as prominent (Robinson, 2003). Specific recommendations regarding the formalisation of translation practices within the hospital setting, as well as the familiari~ation of clinical practitioners and psychiatric nurses with the intricacies of translation processes are offered.
- Full Text:
- Date Issued: 2010
- Authors: Slabbert, Meggan
- Date: 2010
- Subjects: Mental health services -- South Africa -- Eastern Cape , Psychiatric hospitals -- South Africa -- Eastern Cape , Translating and interpreting -- Psychological aspects , Translating and interpreting -- Social aspects , Content analysis (Communication) , South Africa -- Languages -- Translating and interpreting , Intercultural communication -- South Africa -- Eastern Cape , Culture conflict -- South Africa -- Eastern Cape , Communication and culture -- South Africa -- Eastern Cape , Physician and patient -- South Africa -- Eastern Cape , Communication in medicine -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3056 , http://hdl.handle.net/10962/d1002565 , Mental health services -- South Africa -- Eastern Cape , Psychiatric hospitals -- South Africa -- Eastern Cape , Translating and interpreting -- Psychological aspects , Translating and interpreting -- Social aspects , Content analysis (Communication) , South Africa -- Languages -- Translating and interpreting , Intercultural communication -- South Africa -- Eastern Cape , Culture conflict -- South Africa -- Eastern Cape , Communication and culture -- South Africa -- Eastern Cape , Physician and patient -- South Africa -- Eastern Cape , Communication in medicine -- South Africa -- Eastern Cape
- Description: Mental health care in South Africa has long been governed by inequalities (Foster & Swartz, 1997). During apartheid, those who did not speak English and Afrikaans could not access mental health services in the same way as those who did (Foster & Swartz, 1997). One main reason for this is the majority of mental health practitioners could not, and were not required to speak languages other than English and Afrikaans (Swartz, 1991). The South African mental health literature suggests that language and communication must be prioritised if there is to be an improvement in mental health care services for those individuals who do not speak English and Afrikaans (Bantjes, 1999; Drennan & Swartz, 1999; Swartz & Drennan, 2000; Swartz & MacGregor, 2002). Drawing on Prasad's (2002) interpretation of Gadamer's critical hermeneutic theory and utilising thematic networks analysis (Attride-Stirling, 2001), this study investigated the process of translated clinical assessment interviews within a psychiatric hospital in the Eastern Cape Province within South Africa. Results of the study revealed that contextual factors, issues concerning linguistic and cultural heritage, clinicians' role expectations regarding translators' role performance, as well as relational dynamics regarding individual levels of control and influence within the translation triad, all impacted on the effectiveness of communication, translation and service provision. These fmdings are supported by literature on the theory and practice of translation that identifies these issues as prominent (Robinson, 2003). Specific recommendations regarding the formalisation of translation practices within the hospital setting, as well as the familiari~ation of clinical practitioners and psychiatric nurses with the intricacies of translation processes are offered.
- Full Text:
- Date Issued: 2010
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