Factors influencing attendance by diabetic patients for their yearly ophthalmic reviews at a private ophthalmic practice in East London, South Africa
- Authors: Arnolds, Nadine Chrystal
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11928 , http://hdl.handle.net/10353/d1021321
- Description: Diabetic retinopathies is a complication of diabetes mellitus causing blindness globally, and as patients live longer, cases of diabetic retinopathy increases. Despite efforts to educate patients at their eye visits, yearly follow up visits is still a major challenge. Key words: Diabetes, Diabetic retinopathy, health systems, non-attendance, knowledge, attitude, behaviour, gender, fear and anxiety Objectives: The objectives of the study were to investigate the reasons for non-compliance by determining the relationship among the selected factors (knowledge/ confidence/ fear and anxiety) and adherence to yearly reviews. Methods: Data were collected from adult diabetic patients who attended the private practice for an eye review by the ophthalmologist. The instrument used was a semi- structured questionnaire with sections covering demographics, statements regarding diabetes and diabetic eye care and one section with an open ended question to determine the reasons for non- attendance. Data analysis: Measures of central tendency were checked and expressed in terms of percentages and tables. The inferential statistics was also conducted to determine the relationship amongst variables. Chi square tests were used to determine the relationship amongst the categorical variables and eye reviews. Spearman’s correlation analysis was carried out to determine the association amongst variables, (behaviour, control, stigma and satisfaction). The open ended question was used to analyse the reason for non-compliance. Results: A total of 300 diabetic patients were randomly selected for the study. The participants were sampled in a stratified way such that each level of compliance is equally represented. The dataset was acceptably complete with very few missing values. The distribution of the participants across the different biographical variables was cross tabulated by compliance with annual reviews. Of the 300 participants, 151 (50.3%) were compliant. The results show that there were more females than males 166 (56.3%), more Africans than any other ethnic group 168 (57.1%), more married people than any other marital status group 183 (61.0%), more Christians than any other religion 227 (92.3%), and more living with their families than any other living arrangement 223 (74.8%). Of these variables 5 (1.7%) missing values were recorded for gender, 6 (2%) for ethnicity, and 2 (0.7%) for living arrangements, while marital status and religion were complete. The majority of the participants had a secondary school education 130 (43.3%), and most felt that they were in good health 148 (49.3%). As for payment of medical expenses, 255 (87%) had a medical aid, and yet 147 (51.6%) last visited a doctor more than a year from the date of data collection. Conclusion: Compliance with doctor’s visits was found to be associated with positive behaviour and more knowledge and control. Knowledgeable patients were more satisfied with the medical services. Fear of stigma associated with diabetes mellitus was found to be associated with demographic variables such as gender, race, marital status, employment status and educational level. The main reasons for non-compliance were lack of information, negligence, busy work schedules and lack of finance. These results suggested there is a need to raise awareness of eye health and access to affordable medical services.
- Full Text:
- Date Issued: 2016
- Authors: Arnolds, Nadine Chrystal
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11928 , http://hdl.handle.net/10353/d1021321
- Description: Diabetic retinopathies is a complication of diabetes mellitus causing blindness globally, and as patients live longer, cases of diabetic retinopathy increases. Despite efforts to educate patients at their eye visits, yearly follow up visits is still a major challenge. Key words: Diabetes, Diabetic retinopathy, health systems, non-attendance, knowledge, attitude, behaviour, gender, fear and anxiety Objectives: The objectives of the study were to investigate the reasons for non-compliance by determining the relationship among the selected factors (knowledge/ confidence/ fear and anxiety) and adherence to yearly reviews. Methods: Data were collected from adult diabetic patients who attended the private practice for an eye review by the ophthalmologist. The instrument used was a semi- structured questionnaire with sections covering demographics, statements regarding diabetes and diabetic eye care and one section with an open ended question to determine the reasons for non- attendance. Data analysis: Measures of central tendency were checked and expressed in terms of percentages and tables. The inferential statistics was also conducted to determine the relationship amongst variables. Chi square tests were used to determine the relationship amongst the categorical variables and eye reviews. Spearman’s correlation analysis was carried out to determine the association amongst variables, (behaviour, control, stigma and satisfaction). The open ended question was used to analyse the reason for non-compliance. Results: A total of 300 diabetic patients were randomly selected for the study. The participants were sampled in a stratified way such that each level of compliance is equally represented. The dataset was acceptably complete with very few missing values. The distribution of the participants across the different biographical variables was cross tabulated by compliance with annual reviews. Of the 300 participants, 151 (50.3%) were compliant. The results show that there were more females than males 166 (56.3%), more Africans than any other ethnic group 168 (57.1%), more married people than any other marital status group 183 (61.0%), more Christians than any other religion 227 (92.3%), and more living with their families than any other living arrangement 223 (74.8%). Of these variables 5 (1.7%) missing values were recorded for gender, 6 (2%) for ethnicity, and 2 (0.7%) for living arrangements, while marital status and religion were complete. The majority of the participants had a secondary school education 130 (43.3%), and most felt that they were in good health 148 (49.3%). As for payment of medical expenses, 255 (87%) had a medical aid, and yet 147 (51.6%) last visited a doctor more than a year from the date of data collection. Conclusion: Compliance with doctor’s visits was found to be associated with positive behaviour and more knowledge and control. Knowledgeable patients were more satisfied with the medical services. Fear of stigma associated with diabetes mellitus was found to be associated with demographic variables such as gender, race, marital status, employment status and educational level. The main reasons for non-compliance were lack of information, negligence, busy work schedules and lack of finance. These results suggested there is a need to raise awareness of eye health and access to affordable medical services.
- Full Text:
- Date Issued: 2016
Exploration of nursing students’ experiences of learning in a tertiary institution in East London in the Province of Eastern Cape
- Authors: Bulelwa, Cynthia James
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11909 , http://hdl.handle.net/10353/d1015526
- Description: The purpose of this study was to explore and describe the experiences of nursing students learning in a tertiary institution in East London in the Province of the Eastern Cape. Reviewed literature has revealed that the transition from high school to university is a major concern globally and that students start tertiary education with a number of pre-existing problems which influence their experience of learning and their academic performance. A qualitative, contextual approach and phenomenology design was seen as most appropriate to guide this research process in this study. Purposive, non-probability sampling was used to select the 12 participants. The participants included nursing students from the University of Fort Hare in East London in the Eastern Cape Province who are enrolled in the course leading to registration as a Nurse (General, Psychiatry and Community) and Midwifery. A pilot study was conducted at the University of Fort Hare involving respondents with similar characteristics to the study population.
- Full Text:
- Date Issued: 2014
- Authors: Bulelwa, Cynthia James
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11909 , http://hdl.handle.net/10353/d1015526
- Description: The purpose of this study was to explore and describe the experiences of nursing students learning in a tertiary institution in East London in the Province of the Eastern Cape. Reviewed literature has revealed that the transition from high school to university is a major concern globally and that students start tertiary education with a number of pre-existing problems which influence their experience of learning and their academic performance. A qualitative, contextual approach and phenomenology design was seen as most appropriate to guide this research process in this study. Purposive, non-probability sampling was used to select the 12 participants. The participants included nursing students from the University of Fort Hare in East London in the Eastern Cape Province who are enrolled in the course leading to registration as a Nurse (General, Psychiatry and Community) and Midwifery. A pilot study was conducted at the University of Fort Hare involving respondents with similar characteristics to the study population.
- Full Text:
- Date Issued: 2014
Experiences of HIV and AIDS patients and families regarding palliative care in an urban care centre in Buffalo City
- Authors: Bunt, Helen
- Date: 2013
- Subjects: Palliative care -- HIV/AIDS , Patients and families experiences
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11904 , http://hdl.handle.net/10353/d1006814 , Palliative care -- HIV/AIDS , Patients and families experiences
- Description: The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed 2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre. The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed (2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre.
- Full Text:
- Date Issued: 2013
- Authors: Bunt, Helen
- Date: 2013
- Subjects: Palliative care -- HIV/AIDS , Patients and families experiences
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11904 , http://hdl.handle.net/10353/d1006814 , Palliative care -- HIV/AIDS , Patients and families experiences
- Description: The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed 2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre. The South African Constitution (South Africa, 1996) states that access to healthcare services is a basic human right. The Patients’ Rights Charter (HPCSA, 2008: 6) stipulates that the provision for “special needs in the case of persons living with HIV or AIDS” and palliative care be “affordable and effective”. The need for palliative care in South Africa today continues to increase. Khan and Sayed (2011[2]) found that five years after commencement of anti-retrovirals, twenty five percent of their patients had passed away. This study was performed in the Eastern Cape which is one of the poorest provinces with the second highest HIV prevalence rate. Since 2008, Sophumelela Centre Incorporated has offered palliative care for HIV and AIDS patients in Buffalo City. Some of these patients and their families were interviewed about their experiences in this care centre.
- Full Text:
- Date Issued: 2013
Experiences of students living with HIV and AIDS (SLWHA) regarding support group in a selected university campus, Eastern Cape Province
- Authors: Chulayo, Amanda
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11919 , http://hdl.handle.net/10353/d1016202
- Description: South Africa has one of the highest HIV and AIDS epidemic statistics in the world, especially people under 25 years of age (Department of Social Development, 2002:11). Some university students are implicated, thus Support groups in this context are crucial to help them cope with their unique circumstances. Purpose: of this study was to assess the effectiveness of support groups for SLWHA within a university campus in the Eastern Cape Province. Method: Interviews were used to explore the experiences and challenges of SLWHA. Results: The study shows that support groups are pivotal in the wellbeing of SLWHA in meeting diverse needs such as sense fo belonging, emotional, psychological, information and knowledge,socio-economic as well as health and physical needs. Support group members experience relatively similar living experiences, dynamic as their various lives are, they are able to share their emotions and problems arising from their HIV statuses, thereby lessening their burdens. Some negative experiences were observed, like issues of confidentiality, depression and stress. Conclusion: University support groups can be improved through structured programs that includes various stakeholders like health professionals (wellness centre), university management, and others including academics within the university. Also, expanding their borders via the use of social networks, and expanding their activities to include music, sports, vegetable gardening, group visitations, skills training, and other useful projects shall help to improve lives of victims and fight against the infection of other community members.
- Full Text:
- Date Issued: 2013
- Authors: Chulayo, Amanda
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11919 , http://hdl.handle.net/10353/d1016202
- Description: South Africa has one of the highest HIV and AIDS epidemic statistics in the world, especially people under 25 years of age (Department of Social Development, 2002:11). Some university students are implicated, thus Support groups in this context are crucial to help them cope with their unique circumstances. Purpose: of this study was to assess the effectiveness of support groups for SLWHA within a university campus in the Eastern Cape Province. Method: Interviews were used to explore the experiences and challenges of SLWHA. Results: The study shows that support groups are pivotal in the wellbeing of SLWHA in meeting diverse needs such as sense fo belonging, emotional, psychological, information and knowledge,socio-economic as well as health and physical needs. Support group members experience relatively similar living experiences, dynamic as their various lives are, they are able to share their emotions and problems arising from their HIV statuses, thereby lessening their burdens. Some negative experiences were observed, like issues of confidentiality, depression and stress. Conclusion: University support groups can be improved through structured programs that includes various stakeholders like health professionals (wellness centre), university management, and others including academics within the university. Also, expanding their borders via the use of social networks, and expanding their activities to include music, sports, vegetable gardening, group visitations, skills training, and other useful projects shall help to improve lives of victims and fight against the infection of other community members.
- Full Text:
- Date Issued: 2013
Factors contributing to non adherence among pregnant women on antiretroviral treatment at Amathole District, Eastern Cape
- Authors: Dekeda, Kolelwa Felicia
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11921 , http://hdl.handle.net/10353/d1019773
- Description: During the beginning of the HIV epidemic in 1981 25 million people have died. The introduction of ART therefore has promising developments to reduce mortality rates and new infections. Nevertheless there is still a challenge with adherence to ART worldwide and in South Africa. The purpose of the study was to determine the factors contributing to non-adherence to ART among HIV positive pregnant women. The study involved a non- probability sample of 70 HIV pregnant women on ART attending antenatal care clinics at the tertiary hospital and two community health centres,in Buffalo City, Amathole District, Eastern Cape. A coded questionnaire was used as an instrument for data collection. Ethical procedure was followed and a consent form was signed by each participant. Data was collected for a period of two months The demographic data reveals that the majority of the participants were knowledgeable about ART and employed. That is evident in the adherence to ART in all age groups except age 40 and above. The majority of HIV positive pregnant women on ART who participated in the study were single 50% (n=35) which suggests that they may lack emotional support from partners and may have difficulty in disclosing their status. Level of adherence revealed that 27% (n=19) of participants missed ART because of forgetfulness, and 16% (n=12) and others were feeling healthy due to frequent follow ups and complying with the ART. Poor follow up, too sick, side effects pill burden, fear of stigma, lack of finances and taking alcohol hinders the proper management of HIV positive pregnant women and is risky to the unborn baby. HIV positive pregnant women on ART exhibited a good knowledge and use of ART. This is encouraging and should be sustained by continuous community awareness campaigns to empower the communities about HIV/AIDS, PMTCT programme and ART and extensive training of health care providers.
- Full Text:
- Date Issued: 2014
- Authors: Dekeda, Kolelwa Felicia
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11921 , http://hdl.handle.net/10353/d1019773
- Description: During the beginning of the HIV epidemic in 1981 25 million people have died. The introduction of ART therefore has promising developments to reduce mortality rates and new infections. Nevertheless there is still a challenge with adherence to ART worldwide and in South Africa. The purpose of the study was to determine the factors contributing to non-adherence to ART among HIV positive pregnant women. The study involved a non- probability sample of 70 HIV pregnant women on ART attending antenatal care clinics at the tertiary hospital and two community health centres,in Buffalo City, Amathole District, Eastern Cape. A coded questionnaire was used as an instrument for data collection. Ethical procedure was followed and a consent form was signed by each participant. Data was collected for a period of two months The demographic data reveals that the majority of the participants were knowledgeable about ART and employed. That is evident in the adherence to ART in all age groups except age 40 and above. The majority of HIV positive pregnant women on ART who participated in the study were single 50% (n=35) which suggests that they may lack emotional support from partners and may have difficulty in disclosing their status. Level of adherence revealed that 27% (n=19) of participants missed ART because of forgetfulness, and 16% (n=12) and others were feeling healthy due to frequent follow ups and complying with the ART. Poor follow up, too sick, side effects pill burden, fear of stigma, lack of finances and taking alcohol hinders the proper management of HIV positive pregnant women and is risky to the unborn baby. HIV positive pregnant women on ART exhibited a good knowledge and use of ART. This is encouraging and should be sustained by continuous community awareness campaigns to empower the communities about HIV/AIDS, PMTCT programme and ART and extensive training of health care providers.
- Full Text:
- Date Issued: 2014
Exploratory study on attitudes of nurse managers towards quality improvement programmes in the East London hospital complex
- Authors: Dondashe-Mtise, Tobeka
- Date: 2011
- Subjects: Nursing services -- South Africa -- Administration , Nurse administrators -- South Africa -- Eastern Cape , Hospitals -- South Africa -- East London , Nursing audit -- South Africa -- East London
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11895 , http://hdl.handle.net/10353/316 , Nursing services -- South Africa -- Administration , Nurse administrators -- South Africa -- Eastern Cape , Hospitals -- South Africa -- East London , Nursing audit -- South Africa -- East London
- Description: This study was aimed at investigating the attitudes of nurse managers towards quality improvement programmes in the East London Hospital Complex. The research design comprised a qualitative, exploratory and descriptive approach. A purposive sample of 10 nurse managers participated in the study. The data were collected through interviews, using a semi-structured interview guide. Interviews were recorded using audiotape. Data were analysed manually and by using the computer software Atlas ti. Positive and negative themes were identified and ethical consideration was ensured by means of privacy, confidentiality and anonymity. The findings revealed that nurse managers in the East London Hospital Complex had overall positive attitudes towards quality improvement programmes. A few negative attitudes and their contributory factors were also identified. The limitations of the study and recommendations based on the findings of the study are presented
- Full Text:
- Date Issued: 2011
- Authors: Dondashe-Mtise, Tobeka
- Date: 2011
- Subjects: Nursing services -- South Africa -- Administration , Nurse administrators -- South Africa -- Eastern Cape , Hospitals -- South Africa -- East London , Nursing audit -- South Africa -- East London
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11895 , http://hdl.handle.net/10353/316 , Nursing services -- South Africa -- Administration , Nurse administrators -- South Africa -- Eastern Cape , Hospitals -- South Africa -- East London , Nursing audit -- South Africa -- East London
- Description: This study was aimed at investigating the attitudes of nurse managers towards quality improvement programmes in the East London Hospital Complex. The research design comprised a qualitative, exploratory and descriptive approach. A purposive sample of 10 nurse managers participated in the study. The data were collected through interviews, using a semi-structured interview guide. Interviews were recorded using audiotape. Data were analysed manually and by using the computer software Atlas ti. Positive and negative themes were identified and ethical consideration was ensured by means of privacy, confidentiality and anonymity. The findings revealed that nurse managers in the East London Hospital Complex had overall positive attitudes towards quality improvement programmes. A few negative attitudes and their contributory factors were also identified. The limitations of the study and recommendations based on the findings of the study are presented
- Full Text:
- Date Issued: 2011
An investigation into the implementation of the basic antenatal care programme by midwives in Mdantsane clinics
- Authors: Dyeli, Nolwando
- Date: 2011
- Subjects: Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11897 , http://hdl.handle.net/10353/425 , Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Description: Basic Antenatal Care (BANC) is a way of training or upgrading the knowledge and skills of all nurses, midwives and doctors involved in antenatal care at the primary health care level so that the minimum care can be provided effectively. This study was conducted to investigate the implementation of the BANC program by midwives in the Mdantsane clinics during February 2009. Methods: A descriptive study design was undertaken targeting midwives providing antenatal care to pregnant women, in 14 clinics of Mdantsane. Data was collected from 25 midwives in the clinics, and from 140 ANC cards of women attending ANC on the day of their visit to the clinic. Results: The majority of midwives providing BANC in Mdantsane clinics were not trained in BANC. There were 10 trained midwives and 15 not yet trained. A total of twenty five midwives were involved in the study. The number of visits according to the BANC schedule was well known by the midwives in the study. The content of the visits was well known for the first visit, but for subsequent visits, the participating midwives could not state exactly what they do on these visits. They perceived BANC as something beneficial for both midwives and pregnant women with 24 of the participating midwives rating BANC as advantageous. In completing an ANC card, the midwives scored between 48 percent and 100 percent. Under examination, they scored between 52 percent and 100 percent. Lastly on interpretation and decision making, they scored between 0 percent and 92 percent. This could have troubling consequences for the health status of the mother and baby. Weaknesses in providing antenatal care identified in the study included participating midwives failing to fill in the last normal menstrual period (LNMP) and the estimated date of delivery (EDD), which was a worrying observation. Plotting of the gestational age at first visit was also not carried out well as only 47 percent of the midwives in the study did this, meaning that there would be a miscalculation of the gestational age thereafter throughout the pregnancies. The body mass index (BMI) was not calculated as the maternal height and weight were not written on the ANC card. This should be completed in order to check the nutritional status of the pregnant woman to help supplement, if malnourished, and educate on diet, if overweight. Only 17 percent of the midwives in the study plotted the foetal presentation. Failure to plot foetal presentation could lead to complications during delivery because women with abnormal presentations could end up delivering in a clinic instead of the hospital.Conclusion: This study showed that even though midwives are implementing BANC among pregnant women, it is not being carried out correctly. Therefore the programme will not be as beneficial as it would be if put into practice correctly. This is highlighted by the lack of knowledge from the untrained midwives regarding the content of care on subsequent visits. Thus there is an urgent need for BANC training to be conducted and monitored at various sites.
- Full Text:
- Date Issued: 2011
- Authors: Dyeli, Nolwando
- Date: 2011
- Subjects: Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11897 , http://hdl.handle.net/10353/425 , Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Description: Basic Antenatal Care (BANC) is a way of training or upgrading the knowledge and skills of all nurses, midwives and doctors involved in antenatal care at the primary health care level so that the minimum care can be provided effectively. This study was conducted to investigate the implementation of the BANC program by midwives in the Mdantsane clinics during February 2009. Methods: A descriptive study design was undertaken targeting midwives providing antenatal care to pregnant women, in 14 clinics of Mdantsane. Data was collected from 25 midwives in the clinics, and from 140 ANC cards of women attending ANC on the day of their visit to the clinic. Results: The majority of midwives providing BANC in Mdantsane clinics were not trained in BANC. There were 10 trained midwives and 15 not yet trained. A total of twenty five midwives were involved in the study. The number of visits according to the BANC schedule was well known by the midwives in the study. The content of the visits was well known for the first visit, but for subsequent visits, the participating midwives could not state exactly what they do on these visits. They perceived BANC as something beneficial for both midwives and pregnant women with 24 of the participating midwives rating BANC as advantageous. In completing an ANC card, the midwives scored between 48 percent and 100 percent. Under examination, they scored between 52 percent and 100 percent. Lastly on interpretation and decision making, they scored between 0 percent and 92 percent. This could have troubling consequences for the health status of the mother and baby. Weaknesses in providing antenatal care identified in the study included participating midwives failing to fill in the last normal menstrual period (LNMP) and the estimated date of delivery (EDD), which was a worrying observation. Plotting of the gestational age at first visit was also not carried out well as only 47 percent of the midwives in the study did this, meaning that there would be a miscalculation of the gestational age thereafter throughout the pregnancies. The body mass index (BMI) was not calculated as the maternal height and weight were not written on the ANC card. This should be completed in order to check the nutritional status of the pregnant woman to help supplement, if malnourished, and educate on diet, if overweight. Only 17 percent of the midwives in the study plotted the foetal presentation. Failure to plot foetal presentation could lead to complications during delivery because women with abnormal presentations could end up delivering in a clinic instead of the hospital.Conclusion: This study showed that even though midwives are implementing BANC among pregnant women, it is not being carried out correctly. Therefore the programme will not be as beneficial as it would be if put into practice correctly. This is highlighted by the lack of knowledge from the untrained midwives regarding the content of care on subsequent visits. Thus there is an urgent need for BANC training to be conducted and monitored at various sites.
- Full Text:
- Date Issued: 2011
Effectiveness of TB dot support programme as percieved by community health workers at Inxuba Yethemba and Tsolwana Sub-districts under Chris Hani District
- Authors: Gili-Stemele, Lindiwe
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11196 , http://hdl.handle.net/10353/d1006882
- Description: Background: The National Department of Health realised that its TB control efforts had been ineffective and joined its international counterparts by adopting Directly Observed Treatment short course [DOTs] strategy to fight the spread of TB. DOT is the only globally recognised strategy for effective TB control. This strategy ensures that infectious TB patients are identified and cured using standardised drug combinations. Treatment supporters observe patients as they swallow their drugs daily (SA Tuberculosis control Programme practical guide, 2000). Objectives of the study are: to assess the relevancy and quality of training for DOT supporters at InxubaYethemba and Tsolwana sub – districts,to identify challenges faced by TB DOT supporters during the execution of their duties and to assess satisfaction of TB DOT supporters, with their remuneration packages and other conditions of employment. Method: A quantitative descriptive convenient design was conducted for this study. A self - administered questionnaire was used.The researcher’s targeted sample was 42 participants although only 39 filled in the questionnaires. The questionnaires were personally distributed by the researcher to TB DOT supporters. Items in the questionnaire included the following: Demographic data, working hours per day, distance covered, meeting with managers, salary and remuneration issues and acceptance by community members. Results: The research findings indicated that the TB DOT Supporters are generally not happy with the conditions they are working under. From the 100 percent (n=39) TB DOTS responses, 8 percent (n=11) received a three days training, which is not in line with the Department of Health’s guidelines, and resulted in rendering ineffective delivery of DOT programme. Of the 100 percent ) 23.1 percent (n=9) walk 8kilometres, 51.3 percent percent(n=20) walk 7kilometers, 12.8 percent (n=5) walk 5kilometers, 10.3 percent (n=4) walk 4kilometers. This is against the required distance allowed to travel by foot which is five kilometres. Conclusion:According the results of this study, the effectiveness of TB DOT Supporters is being distracted by many factors, such as: Not having transport for doing home visits, Less number of hours worked per day, few number of community health workers working as TB DOT supporters, not having meetings with the management to discuss their challenges, and most of all not being given a clear explanation as far as their salaries are concern. The mentioned factors render D OT Support programme is rendered in effective at the Chris Hani District. According to Tuberculosis, A training Manual proven for Health Workers (1998:13) the most effective means of controlling TB known to us is a strategy known as Directly Observed Treatment Short Course (DOTS). This strategy enables tuberculosis clients to complete their treatment and has four areas of strength when compared to previous TB control strategies in South Africa. Recommendation: The results from this study proves that there is a definite need for improvement of working condition amongst TB Co-ordinators, TB Managers and the TB DOT Supporters. It is clear that increased number of MDR/XDR is due to the challenges that were mentioned above. There is a need for the additional number of TB DOT Supporters, as the area is big for only two TB DOT Supporters in each area. Hours worked by TB DOT needs to be extended considering their salaries as well.Therefore it is essential to empower TB DOT Supporters with more knowledge and skills so that they can be able to make an impact in TB service delivery system.
- Full Text:
- Date Issued: 2013
- Authors: Gili-Stemele, Lindiwe
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11196 , http://hdl.handle.net/10353/d1006882
- Description: Background: The National Department of Health realised that its TB control efforts had been ineffective and joined its international counterparts by adopting Directly Observed Treatment short course [DOTs] strategy to fight the spread of TB. DOT is the only globally recognised strategy for effective TB control. This strategy ensures that infectious TB patients are identified and cured using standardised drug combinations. Treatment supporters observe patients as they swallow their drugs daily (SA Tuberculosis control Programme practical guide, 2000). Objectives of the study are: to assess the relevancy and quality of training for DOT supporters at InxubaYethemba and Tsolwana sub – districts,to identify challenges faced by TB DOT supporters during the execution of their duties and to assess satisfaction of TB DOT supporters, with their remuneration packages and other conditions of employment. Method: A quantitative descriptive convenient design was conducted for this study. A self - administered questionnaire was used.The researcher’s targeted sample was 42 participants although only 39 filled in the questionnaires. The questionnaires were personally distributed by the researcher to TB DOT supporters. Items in the questionnaire included the following: Demographic data, working hours per day, distance covered, meeting with managers, salary and remuneration issues and acceptance by community members. Results: The research findings indicated that the TB DOT Supporters are generally not happy with the conditions they are working under. From the 100 percent (n=39) TB DOTS responses, 8 percent (n=11) received a three days training, which is not in line with the Department of Health’s guidelines, and resulted in rendering ineffective delivery of DOT programme. Of the 100 percent ) 23.1 percent (n=9) walk 8kilometres, 51.3 percent percent(n=20) walk 7kilometers, 12.8 percent (n=5) walk 5kilometers, 10.3 percent (n=4) walk 4kilometers. This is against the required distance allowed to travel by foot which is five kilometres. Conclusion:According the results of this study, the effectiveness of TB DOT Supporters is being distracted by many factors, such as: Not having transport for doing home visits, Less number of hours worked per day, few number of community health workers working as TB DOT supporters, not having meetings with the management to discuss their challenges, and most of all not being given a clear explanation as far as their salaries are concern. The mentioned factors render D OT Support programme is rendered in effective at the Chris Hani District. According to Tuberculosis, A training Manual proven for Health Workers (1998:13) the most effective means of controlling TB known to us is a strategy known as Directly Observed Treatment Short Course (DOTS). This strategy enables tuberculosis clients to complete their treatment and has four areas of strength when compared to previous TB control strategies in South Africa. Recommendation: The results from this study proves that there is a definite need for improvement of working condition amongst TB Co-ordinators, TB Managers and the TB DOT Supporters. It is clear that increased number of MDR/XDR is due to the challenges that were mentioned above. There is a need for the additional number of TB DOT Supporters, as the area is big for only two TB DOT Supporters in each area. Hours worked by TB DOT needs to be extended considering their salaries as well.Therefore it is essential to empower TB DOT Supporters with more knowledge and skills so that they can be able to make an impact in TB service delivery system.
- Full Text:
- Date Issued: 2013
Strategies used to implement the national guidelines on preventing and early management of multi-drug resistant tuberculosis (MDR-TB) at the buffalo city municipality clinics in East London Eastern Cape province
- Authors: Giyose, Patela
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: http://hdl.handle.net/10353/1297 , vital:26544
- Description: The purpose of the study was to explore and describe the strategies used by nurses to implement the national treatment guidelines to prevent, detect and manage multi-drug resistant tuberculosis (MDR-TB) patients. Tuberculosis remains one of the leading infectious diseases and the major cause of death worldwide with estimates of 9.2 million new TB cases in 2008 and 1.7 deaths including 200 000 in clients co-infected with HIV. South Africa is currently ranked 3rd among the 22 high TB burden countries in the world. The HIV/AIDS epidemic contributes significantly to the upward trend in TB morbidity and it is estimated that more than 50% of TB patients are also HIV positive (South African Department of Health 2009:10). The current rate of tuberculosis infections as a result of new infections as well as re-infections of patients is of concern to the disease control and policy making bodies of South Africa. Questions regarding the effectiveness of tuberculosis policies and programmes emerge at all times (Luhulima, Netshandama and Davhana-Maselesele, 2008: 36). Patients with multidrug-resistant (MDR) tuberculosis (TB) are at high risk of treatment failure. It is anticipated that early identification of MDR-TB and appropriate treatment will improve patient outcome and disease control. This study intends to explore the effectiveness of health systems in the prompt identification and management of MDR patients. This study was conducted using a qualitative, explorative and descriptive design. A purposive sample of clinics and professional nurses was selected, and voluntary participation was ensured. The data was collected through individual interviews which were audio taped and then transcribed verbatim. Findings revealed that MDR-TB guidelines were available at the clinics. The professional nurses implemented the guidelines to prevent, detect and manage multi-drug resistant tuberculosis, by screening and testing symptomatic high risk groups, contact tracing and monitoring, providing initial counselling and education to patients and family, preparing patients for admission when indicated and coordinating referrals to the centralised MDR-TB unit. However, there were notable constraints with regards to the management of MDR-TB patients and the overall TB programme. These included MDR-TB specific training, staff shortages, dysfunctional community DOT programme, shortage of beds at the MDR-TB treatment centres, and patient factors like defaulting, migration for various reasons, alcoholism. All these constraints call for intensified strategic management at both policy and facility level. It is also necessary that all policies related to patient management need extensive scientific study to monitor and evaluate their effectiveness. More research studies are required on policy analysis and utilization.
- Full Text:
- Date Issued: 2013
- Authors: Giyose, Patela
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: http://hdl.handle.net/10353/1297 , vital:26544
- Description: The purpose of the study was to explore and describe the strategies used by nurses to implement the national treatment guidelines to prevent, detect and manage multi-drug resistant tuberculosis (MDR-TB) patients. Tuberculosis remains one of the leading infectious diseases and the major cause of death worldwide with estimates of 9.2 million new TB cases in 2008 and 1.7 deaths including 200 000 in clients co-infected with HIV. South Africa is currently ranked 3rd among the 22 high TB burden countries in the world. The HIV/AIDS epidemic contributes significantly to the upward trend in TB morbidity and it is estimated that more than 50% of TB patients are also HIV positive (South African Department of Health 2009:10). The current rate of tuberculosis infections as a result of new infections as well as re-infections of patients is of concern to the disease control and policy making bodies of South Africa. Questions regarding the effectiveness of tuberculosis policies and programmes emerge at all times (Luhulima, Netshandama and Davhana-Maselesele, 2008: 36). Patients with multidrug-resistant (MDR) tuberculosis (TB) are at high risk of treatment failure. It is anticipated that early identification of MDR-TB and appropriate treatment will improve patient outcome and disease control. This study intends to explore the effectiveness of health systems in the prompt identification and management of MDR patients. This study was conducted using a qualitative, explorative and descriptive design. A purposive sample of clinics and professional nurses was selected, and voluntary participation was ensured. The data was collected through individual interviews which were audio taped and then transcribed verbatim. Findings revealed that MDR-TB guidelines were available at the clinics. The professional nurses implemented the guidelines to prevent, detect and manage multi-drug resistant tuberculosis, by screening and testing symptomatic high risk groups, contact tracing and monitoring, providing initial counselling and education to patients and family, preparing patients for admission when indicated and coordinating referrals to the centralised MDR-TB unit. However, there were notable constraints with regards to the management of MDR-TB patients and the overall TB programme. These included MDR-TB specific training, staff shortages, dysfunctional community DOT programme, shortage of beds at the MDR-TB treatment centres, and patient factors like defaulting, migration for various reasons, alcoholism. All these constraints call for intensified strategic management at both policy and facility level. It is also necessary that all policies related to patient management need extensive scientific study to monitor and evaluate their effectiveness. More research studies are required on policy analysis and utilization.
- Full Text:
- Date Issued: 2013
Strategies used by professional nurses to manage newly diagnosed HIV positive pregnant women who fail to return within a month for further management and care
- Authors: Jama, Nontembiso Mary
- Date: 2012
- Subjects: HIV-positive women -- Medical care -- South Africa -- Eastern Cape , AIDS (Disease) in women -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Antiretroviral agents -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11899 , http://hdl.handle.net/10353/444 , HIV-positive women -- Medical care -- South Africa -- Eastern Cape , AIDS (Disease) in women -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Antiretroviral agents -- South Africa -- Eastern Cape
- Description: This study explored and described the strategies used by nurses to manage newly diagnosed HIV positive pregnant women who do not return to the clinic within a month following diagnosis, for continuity of care. The main aim was to prevent mother-to-child transmission of HIV (PMTCT). Method: The study sites were two accredited antiretroviral- ante-natal care (ARV-ANC) clinics at the Dimbaza community health centre (CHC) and the East London Hospital Complex (ELHC) which comprises of Cecilia Makiwane and Frere hospitals, in the Buffalo City Metropolitan Municipality (BCM). The majority of health personnel at these clinics are professional nurses. An in-depth semi structured interview guide was used to collect data through focus group interviews from professional nurses who work in these units. They were required to share their experiences about intervention strategies used for newly diagnosed HIV- positive, pregnant women who fail to return for continuity of care within a month after diagnosis. Results: Follow up of these women is done by tracking them (by calling them; calling the clinic nearest to their homes and doing home visits). Decentralisation of further management and care to the nearest clinic was also cited, especially for the patients who stay far from these accredited sites. Family support was also mentioned as a strategy to intervene for the non-compliant patients. Challenges: The challenges that were encountered with these interventions include wrong contact details, wrong addresses and being evasive when visited at home. Another challenge cited was related to the stigma attached to the diagnosis and the tracking devices used, for example, the car as it is familiar to the community it serves. Despite known benefits for early initiation of HIV treatment newly diagnosed HIV- positive, pregnant women continue to refrain from accessing care after diagnosis, thus posing a risk to the transmission of HIV to the baby and further comprising their own health. They miss out on general HIV management and ante-natal care. Conclusion: The identified intervention strategies used by nurses to follow up newly diagnosed HIV- positive, pregnant women need to be reinforced and strategies put in place to control the related challenges for a better response by the patients.
- Full Text:
- Date Issued: 2012
- Authors: Jama, Nontembiso Mary
- Date: 2012
- Subjects: HIV-positive women -- Medical care -- South Africa -- Eastern Cape , AIDS (Disease) in women -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Antiretroviral agents -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11899 , http://hdl.handle.net/10353/444 , HIV-positive women -- Medical care -- South Africa -- Eastern Cape , AIDS (Disease) in women -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Antiretroviral agents -- South Africa -- Eastern Cape
- Description: This study explored and described the strategies used by nurses to manage newly diagnosed HIV positive pregnant women who do not return to the clinic within a month following diagnosis, for continuity of care. The main aim was to prevent mother-to-child transmission of HIV (PMTCT). Method: The study sites were two accredited antiretroviral- ante-natal care (ARV-ANC) clinics at the Dimbaza community health centre (CHC) and the East London Hospital Complex (ELHC) which comprises of Cecilia Makiwane and Frere hospitals, in the Buffalo City Metropolitan Municipality (BCM). The majority of health personnel at these clinics are professional nurses. An in-depth semi structured interview guide was used to collect data through focus group interviews from professional nurses who work in these units. They were required to share their experiences about intervention strategies used for newly diagnosed HIV- positive, pregnant women who fail to return for continuity of care within a month after diagnosis. Results: Follow up of these women is done by tracking them (by calling them; calling the clinic nearest to their homes and doing home visits). Decentralisation of further management and care to the nearest clinic was also cited, especially for the patients who stay far from these accredited sites. Family support was also mentioned as a strategy to intervene for the non-compliant patients. Challenges: The challenges that were encountered with these interventions include wrong contact details, wrong addresses and being evasive when visited at home. Another challenge cited was related to the stigma attached to the diagnosis and the tracking devices used, for example, the car as it is familiar to the community it serves. Despite known benefits for early initiation of HIV treatment newly diagnosed HIV- positive, pregnant women continue to refrain from accessing care after diagnosis, thus posing a risk to the transmission of HIV to the baby and further comprising their own health. They miss out on general HIV management and ante-natal care. Conclusion: The identified intervention strategies used by nurses to follow up newly diagnosed HIV- positive, pregnant women need to be reinforced and strategies put in place to control the related challenges for a better response by the patients.
- Full Text:
- Date Issued: 2012
Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding management of mental disorders in Malawi
- Authors: Kavalo, Yasinta
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11933 , http://hdl.handle.net/10353/d1021333 , http://hdl.handle.net/10353/d1020173
- Description: Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding the management of mental disorders. This study was conducted to explore the management of mental disorders amongst the indigenous people of the Dedza District in Malawi. The government of Malawi declared public mental health services to be free of charge, as a strategy to reduce the burden of disease to the country. Yet despite the free health care services, the indigenous people of Malawi did not take advantage of these free mental health care services, as they regarded them to be culturally incongruent. Instead they used traditional healing systems for mental disorders and consulted the Western health systems only when the traditional systems had failed, the mental health condition had become worse and the mental health care user had become unmanageable. This study was then conducted to explore what the Malawians regarded as culturally sensitive public mental health services. Method: A qualitative phenomenological research approach was adopted to explore the views of the relatives of mental health care users about culturally sensitive public mental health care services. A purposeful sampling method was used to select information rich participants amongst the relatives of mental health care users of indigenous Malawian origin. An unstructured interview guide was used to gather data through face to face interviews. Saturation of data was reached after interviewing fifteen (15) relatives. The verbatim transcribed data from the participants were content analyzed to identify the themes, categories and subcategories. Themes that emerged were: community beliefs; perceived causes, delayed decision making and health system factors. viii Findings: The community beliefs about the management of mental disorders were on traditional and religious health systems. The traditional healers were consulted in cases where mental illness was believed to be caused by witchcraft and spiritual healers were consulted where mental illness was believed to be caused by ancestral wrath. Even such consultations were delayed as the decisions on the type of healer to be used to manage the mental health care user, had to come from the extended family members. These processes took place during the acute phase of the mental illness and thus explain the delays in consulting with the Western mental health care systems. Such delays had a potential to contribute to the chronicity and the related complications of the illness. The Western health care services were only consulted when the indigenous healing systems were unsuccessful. Yet even the western healing systems were not the best option due to the negative and disrespectful attitudes of health care professionals, the impersonal nature of services, the use of foreign language and delays in service delivery. The recommendations were that the results of this study should be used as guidelines to develop strategies for culturally congruent mental health care services to the indigenous Malawians as the development of the strategies was beyond the scope of this study. The focus of the guidelines to ensure the development of evidence-based nursing practices in rendering culturally congruent mental health services to the indigenous Malawians. Firstly, there should be an integration of both the Western and the traditional healing systems to ensure a holistic patient centered approach to the care of the indigenous people of Malawi; secondly to use the nursing process phases, starting with the assessment, the formulation of the nursing diagnosis, the expected outcomes, the development and implementation of the nursing interventions and the discharge ix plans to incorporate the belief systems of the indigenous Malawians as identified in this study.
- Full Text:
- Date Issued: 2014
- Authors: Kavalo, Yasinta
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11933 , http://hdl.handle.net/10353/d1021333 , http://hdl.handle.net/10353/d1020173
- Description: Exploration of indigenous knowledge and practices of the relatives of mental health care users regarding the management of mental disorders. This study was conducted to explore the management of mental disorders amongst the indigenous people of the Dedza District in Malawi. The government of Malawi declared public mental health services to be free of charge, as a strategy to reduce the burden of disease to the country. Yet despite the free health care services, the indigenous people of Malawi did not take advantage of these free mental health care services, as they regarded them to be culturally incongruent. Instead they used traditional healing systems for mental disorders and consulted the Western health systems only when the traditional systems had failed, the mental health condition had become worse and the mental health care user had become unmanageable. This study was then conducted to explore what the Malawians regarded as culturally sensitive public mental health services. Method: A qualitative phenomenological research approach was adopted to explore the views of the relatives of mental health care users about culturally sensitive public mental health care services. A purposeful sampling method was used to select information rich participants amongst the relatives of mental health care users of indigenous Malawian origin. An unstructured interview guide was used to gather data through face to face interviews. Saturation of data was reached after interviewing fifteen (15) relatives. The verbatim transcribed data from the participants were content analyzed to identify the themes, categories and subcategories. Themes that emerged were: community beliefs; perceived causes, delayed decision making and health system factors. viii Findings: The community beliefs about the management of mental disorders were on traditional and religious health systems. The traditional healers were consulted in cases where mental illness was believed to be caused by witchcraft and spiritual healers were consulted where mental illness was believed to be caused by ancestral wrath. Even such consultations were delayed as the decisions on the type of healer to be used to manage the mental health care user, had to come from the extended family members. These processes took place during the acute phase of the mental illness and thus explain the delays in consulting with the Western mental health care systems. Such delays had a potential to contribute to the chronicity and the related complications of the illness. The Western health care services were only consulted when the indigenous healing systems were unsuccessful. Yet even the western healing systems were not the best option due to the negative and disrespectful attitudes of health care professionals, the impersonal nature of services, the use of foreign language and delays in service delivery. The recommendations were that the results of this study should be used as guidelines to develop strategies for culturally congruent mental health care services to the indigenous Malawians as the development of the strategies was beyond the scope of this study. The focus of the guidelines to ensure the development of evidence-based nursing practices in rendering culturally congruent mental health services to the indigenous Malawians. Firstly, there should be an integration of both the Western and the traditional healing systems to ensure a holistic patient centered approach to the care of the indigenous people of Malawi; secondly to use the nursing process phases, starting with the assessment, the formulation of the nursing diagnosis, the expected outcomes, the development and implementation of the nursing interventions and the discharge ix plans to incorporate the belief systems of the indigenous Malawians as identified in this study.
- Full Text:
- Date Issued: 2014
A study on the knowledge and skills of police officers in handling mentally ill persons in Mdantsane in the Eastern Cape Province of South Africa
- Authors: Kolwapi, Xola Xolani
- Date: 2009
- Subjects: Mentally ill -- South Africa -- Eastern Cape , Police -- South Africa -- Eastern Cape , People with disabilities -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11902 , http://hdl.handle.net/10353/406 , Mentally ill -- South Africa -- Eastern Cape , Police -- South Africa -- Eastern Cape , People with disabilities -- South Africa -- Eastern Cape
- Description: The dissertation argues that police officers are not trained in handling mentally ill persons. Purpose The study explored police officers‟ knowledge of mental illness and skills necessary for handling mentally ill people. Research methods The descriptive quantitative investigation has been used as a research strategy to identify the knowledge and skills of police officers in handling mentally ill persons. Forty five police officers were randomly selected from a population of 136 police officers. A self administered questionnaire was used for collecting data. Data analysis was done manually and frequency distributions, cross-tabulations and correlations were carried out. Results The findings revealed that police officers do not have knowledge and skills to handle mentally ill people. Recommendations It is recommended that mental health care practitioners should engage the police in discussions on training in handling mentally ill people. iv Limitations Due to time and budgetary limitations, the study had to settle for a more modest investigation
- Full Text:
- Date Issued: 2009
- Authors: Kolwapi, Xola Xolani
- Date: 2009
- Subjects: Mentally ill -- South Africa -- Eastern Cape , Police -- South Africa -- Eastern Cape , People with disabilities -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11902 , http://hdl.handle.net/10353/406 , Mentally ill -- South Africa -- Eastern Cape , Police -- South Africa -- Eastern Cape , People with disabilities -- South Africa -- Eastern Cape
- Description: The dissertation argues that police officers are not trained in handling mentally ill persons. Purpose The study explored police officers‟ knowledge of mental illness and skills necessary for handling mentally ill people. Research methods The descriptive quantitative investigation has been used as a research strategy to identify the knowledge and skills of police officers in handling mentally ill persons. Forty five police officers were randomly selected from a population of 136 police officers. A self administered questionnaire was used for collecting data. Data analysis was done manually and frequency distributions, cross-tabulations and correlations were carried out. Results The findings revealed that police officers do not have knowledge and skills to handle mentally ill people. Recommendations It is recommended that mental health care practitioners should engage the police in discussions on training in handling mentally ill people. iv Limitations Due to time and budgetary limitations, the study had to settle for a more modest investigation
- Full Text:
- Date Issued: 2009
Experiences of college students, regarding the mentoring role of registered nurses in the public services of the Eastern Cape, South Africa
- Authors: Lundall, Kasthuri
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11918 , http://hdl.handle.net/10353/d1016159
- Description: Fifty percent of the learning of student nurses takes place within the clinical learning environment. It is in this environment that nursing students are expected to apply their knowledge, learn new skills, and achieve the required learning outcomes and proficiencies. Nursing program Me s differ significantly, so students ‟practice will vary depending on where they are studying and their practice will develop as the level of proficiency increases, and may also vary depending on the context of placement. Gopee (2008:7) elaborates on the fact that mentoring enables student nurses to gain clinical skills during placements and serves a formal role whereby teaching and practice facilitate professional learning within the healthcare system. The study was undertaken with the aim to describe experiences of college students regarding the mentoring role by registered nurses in the Public Services of the Eastern Cape. The objectives of the study were to explore and describe experiences of college students, regarding the mentoring role of registered nurses in Public Services of the Eastern Cape, to analyse the results and to make suggestions from findings that were obtained. A qualitative, exploratory, descriptive and contextual design was used for this study to explore and describe the experiences of the college students regarding the mentoring role of registered nurses in the Public Services of the Eastern Cape, South Africa. The researcher studied the population of student nurses in the public nursing college in the Eastern Cape at the East London Campus. Purposive sampling which is referred to as a judgmental approach was used. Data were collected by means of focus group interviews. An interview schedule with an unstructured questionnaire was used to investigate and explore information gained from the participants. This study consisted of a total of five focus groups that were recruited from fourth-year nursing students at the East London campus who volunteered to be part of the study. The total number of participants was 31. Data were analysed using v Tesch‟s method of analysis for qualitative research. Two major themes emerged, revealing positive experiences of students with regard to mentoring and negative experiences of students regarding mentoring. After exploring and describing the experiences of college students regarding the mentoring role played by registered nurses in the Public Services of the Eastern Cape, it was concluded that that there is a lack of mentoring, coupled with negativity, by registered nurses which results in many challenges. Recommendations included: Motivation for integration and collaboration; interactive working relationships; introducing a well-established orientation programme; a well-structured clinical teaching programme and procedure manuals; reinstatement of clinical preceptors, clinical objectives and time frames; identify in clinical staff who will mentor student nurses; instituting in-service training programmes and workshops; introduction of peer mentoring; and establishment of set times for routine clinical ward rounds.
- Full Text:
- Date Issued: 2014
- Authors: Lundall, Kasthuri
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11918 , http://hdl.handle.net/10353/d1016159
- Description: Fifty percent of the learning of student nurses takes place within the clinical learning environment. It is in this environment that nursing students are expected to apply their knowledge, learn new skills, and achieve the required learning outcomes and proficiencies. Nursing program Me s differ significantly, so students ‟practice will vary depending on where they are studying and their practice will develop as the level of proficiency increases, and may also vary depending on the context of placement. Gopee (2008:7) elaborates on the fact that mentoring enables student nurses to gain clinical skills during placements and serves a formal role whereby teaching and practice facilitate professional learning within the healthcare system. The study was undertaken with the aim to describe experiences of college students regarding the mentoring role by registered nurses in the Public Services of the Eastern Cape. The objectives of the study were to explore and describe experiences of college students, regarding the mentoring role of registered nurses in Public Services of the Eastern Cape, to analyse the results and to make suggestions from findings that were obtained. A qualitative, exploratory, descriptive and contextual design was used for this study to explore and describe the experiences of the college students regarding the mentoring role of registered nurses in the Public Services of the Eastern Cape, South Africa. The researcher studied the population of student nurses in the public nursing college in the Eastern Cape at the East London Campus. Purposive sampling which is referred to as a judgmental approach was used. Data were collected by means of focus group interviews. An interview schedule with an unstructured questionnaire was used to investigate and explore information gained from the participants. This study consisted of a total of five focus groups that were recruited from fourth-year nursing students at the East London campus who volunteered to be part of the study. The total number of participants was 31. Data were analysed using v Tesch‟s method of analysis for qualitative research. Two major themes emerged, revealing positive experiences of students with regard to mentoring and negative experiences of students regarding mentoring. After exploring and describing the experiences of college students regarding the mentoring role played by registered nurses in the Public Services of the Eastern Cape, it was concluded that that there is a lack of mentoring, coupled with negativity, by registered nurses which results in many challenges. Recommendations included: Motivation for integration and collaboration; interactive working relationships; introducing a well-established orientation programme; a well-structured clinical teaching programme and procedure manuals; reinstatement of clinical preceptors, clinical objectives and time frames; identify in clinical staff who will mentor student nurses; instituting in-service training programmes and workshops; introduction of peer mentoring; and establishment of set times for routine clinical ward rounds.
- Full Text:
- Date Issued: 2014
A study on the effects of mental illness on relationships amongst families with the mentally ill members
- Authors: Magadla, Mfanisi Welcome
- Date: 2009
- Subjects: Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11901 , http://hdl.handle.net/10353/d1001101 , Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Description: The increased abscondment of Mental Health Care Users from institutions of care, treatment and rehabilitation has prompted the researcher to conduct the study because patients who are not visited do not stand a chance of getting a Leave Of Absence (LOA). Problem: The concern is the danger of assault, murder, rape and other high risk situations the mentally ill individuals and the community are exposed to, which is caused by frequent abscondment of mentally unstable individuals who roam around the community without proper treatment and care. This is caused by failure of the relatives in coming to request patients for leave of absence (LOA). Purpose: The study investigated the effects of mental illness on relationships amongst families with the mentally ill members. The number or frequency of visitations by relatives to the mental health institutions is used by the researcher, to measure the nature of relationships between families and the psychiatric patients related to them. Method: The population comprised families of the mentally ill persons admitted at Cecilia Makiwane mental health units. The sample was collected conveniently as relatives came to visit the mentally ill until the desired number was reached. The designed tool was a questionnaire which was self administered. Data were analysed manually. Tables and graphs are shown in the results. Conclusion and Recommendations: The study revealed that approximately 100% of respondents had a lack of knowledge about mental illness and the mentally ill, in terms of care, treatment and rehabilitation hence they all need assistance in dealing with the mentally ill in the community. Findings also revealed that mental illness causes breakdown in family relationships. Recommendations regarding the enhancement of relationships between families and their mentally ill members are formulated as coping skills in the dissertation. The burden of having to deal with mentally ill person whose illness is not understood can lead the family to a state of confusion and iv not knowing what to anticipate. Lack of resources compounds the problem as the family members are not able to visit the ill member due to lack of funds (Baumann, 2007:637). The families with a mentally ill member usually shoulder the greatest part of the burden of mental illness (Uys and Middleton, 2004:77); unfortunately, lack of resources pose a problem.
- Full Text:
- Date Issued: 2009
- Authors: Magadla, Mfanisi Welcome
- Date: 2009
- Subjects: Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11901 , http://hdl.handle.net/10353/d1001101 , Families -- Health and hygiene , Mentally ill -- Home care , Mentally ill -- Family relationships , Mental illness
- Description: The increased abscondment of Mental Health Care Users from institutions of care, treatment and rehabilitation has prompted the researcher to conduct the study because patients who are not visited do not stand a chance of getting a Leave Of Absence (LOA). Problem: The concern is the danger of assault, murder, rape and other high risk situations the mentally ill individuals and the community are exposed to, which is caused by frequent abscondment of mentally unstable individuals who roam around the community without proper treatment and care. This is caused by failure of the relatives in coming to request patients for leave of absence (LOA). Purpose: The study investigated the effects of mental illness on relationships amongst families with the mentally ill members. The number or frequency of visitations by relatives to the mental health institutions is used by the researcher, to measure the nature of relationships between families and the psychiatric patients related to them. Method: The population comprised families of the mentally ill persons admitted at Cecilia Makiwane mental health units. The sample was collected conveniently as relatives came to visit the mentally ill until the desired number was reached. The designed tool was a questionnaire which was self administered. Data were analysed manually. Tables and graphs are shown in the results. Conclusion and Recommendations: The study revealed that approximately 100% of respondents had a lack of knowledge about mental illness and the mentally ill, in terms of care, treatment and rehabilitation hence they all need assistance in dealing with the mentally ill in the community. Findings also revealed that mental illness causes breakdown in family relationships. Recommendations regarding the enhancement of relationships between families and their mentally ill members are formulated as coping skills in the dissertation. The burden of having to deal with mentally ill person whose illness is not understood can lead the family to a state of confusion and iv not knowing what to anticipate. Lack of resources compounds the problem as the family members are not able to visit the ill member due to lack of funds (Baumann, 2007:637). The families with a mentally ill member usually shoulder the greatest part of the burden of mental illness (Uys and Middleton, 2004:77); unfortunately, lack of resources pose a problem.
- Full Text:
- Date Issued: 2009
Professional behaviour among nursing students at a college in the Eastern Cape
- Authors: Magopeni, Sibongile Nomvuyo
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11929 , http://hdl.handle.net/10353/d1021322
- Description: The focus of the study was to explore and describe reasons for poor professional behaviour among nursing students at a public nursing college in the Eastern Cape. The objectives of the study were to explore and describe the reasons for poor professional behaviour among nursing students and to describe strategies to improve poor professional behaviour. The study has significance for the college management, staff, nursing students, registered nurses and everyone involved in professional development of nursing students. The population for this study consisted of third-year nursing students following the four-year comprehensive basic course for registration leading to the Diploma in Nursing (General, Community & Psychiatry) and Midwifery at a public nursing college. The research questions were: What do you understand by professional behaviour? What are the reasons for poor professional behaviour among nursing students? What could be done to improve professionalism among college nursing students? A qualitative, explorative, descriptive and contextual design was used as a framework for the study. Permission to conduct the study was obtained from the University of Fort Hare ethics committee and other relevant authorities as indicated in the study. Ethical principles were maintained and informed consent obtained. Data collection was done using focus groups and an audiotape with a purposefully sampling of 30 third-year nursing students at the public college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Three major themes emerged: students’ understanding of professional behaviour, reasons for poor professional behaviour and methods to improve poor professional behaviour. It was concluded that poor professional behaviour has an effect on professionalism and it should be addressed and corrected for protecting the professional image. Recommendations: Policies regarding inappropriate professional behaviour at the college should be in place and easily accessible to every staff member and nursing student. Department of Health should conduct reflective courses and seminars on professionalism and these should begin at the same time as the academic programme.
- Full Text:
- Date Issued: 2013
- Authors: Magopeni, Sibongile Nomvuyo
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11929 , http://hdl.handle.net/10353/d1021322
- Description: The focus of the study was to explore and describe reasons for poor professional behaviour among nursing students at a public nursing college in the Eastern Cape. The objectives of the study were to explore and describe the reasons for poor professional behaviour among nursing students and to describe strategies to improve poor professional behaviour. The study has significance for the college management, staff, nursing students, registered nurses and everyone involved in professional development of nursing students. The population for this study consisted of third-year nursing students following the four-year comprehensive basic course for registration leading to the Diploma in Nursing (General, Community & Psychiatry) and Midwifery at a public nursing college. The research questions were: What do you understand by professional behaviour? What are the reasons for poor professional behaviour among nursing students? What could be done to improve professionalism among college nursing students? A qualitative, explorative, descriptive and contextual design was used as a framework for the study. Permission to conduct the study was obtained from the University of Fort Hare ethics committee and other relevant authorities as indicated in the study. Ethical principles were maintained and informed consent obtained. Data collection was done using focus groups and an audiotape with a purposefully sampling of 30 third-year nursing students at the public college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Three major themes emerged: students’ understanding of professional behaviour, reasons for poor professional behaviour and methods to improve poor professional behaviour. It was concluded that poor professional behaviour has an effect on professionalism and it should be addressed and corrected for protecting the professional image. Recommendations: Policies regarding inappropriate professional behaviour at the college should be in place and easily accessible to every staff member and nursing student. Department of Health should conduct reflective courses and seminars on professionalism and these should begin at the same time as the academic programme.
- Full Text:
- Date Issued: 2013
Experiences of final year nursing students at a public college of nursing in the Eastern Cape province regarding their preparedness to become registered nurses
- Authors: Mampunge, Fezeka
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11905 , http://hdl.handle.net/10353/d1006815 , Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Description: Within the nursing profession, the transition from the student to a graduate nurse is a common rite of passage that marks the end of initial educational preparation in the discipline and the beginning of a professional journey as a nurse and a member of the multidisciplinary team (Nash, Lemcke & Sacre. 2009:48). This is a period of adjustment, stress, growth and development and the transitional nurse is likely to feel uncomfortable, fearful and may experience feelings of inadequacy. This study was undertaken to explore and describe the experiences of final year nursing students at a public college of nursing in the Eastern Cape regarding their preparedness to become registered nurses, with the aim to identify gaps and make recommendations on strategies to close the gaps. The objectives were to explore and describe the experiences of final year nursing students at the public college of nursing in the Eastern Cape Province with regard to their preparedness to become registered nurses and to recommend strategies to improve the preparation of nursing students for transition to become registered nurses. To answer the research question “What are the experiences of final year nursing students at a public college of nursing in the Eastern Cape Province with regard their preparedness to become registered nurses”, a qualitative, explorative and descriptive design was used as a framework for the study. Data were collected by means of unstructured focus group interviews with a purposively selected sample of 27 final year nursing students at the particular college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Two themes emerged, revealing that participants at the college experienced preparedness and lack of preparedness to assume the role of a professional nurse. This related to certain aspects that had an impact on the preparation of the final year nursing students for practice and included: curriculum-related aspects; clinical teaching and learning support; learning opportunities; interpersonal relationships between lecturers, students and clinical staff; equipment; and library resources. It was concluded that the learning needs of the nursing students were not adequately catered for, leading to lack of preparedness. Through the involvement of nursing students in the evaluation of their learning, shortfalls in both education and practice areas could therefore be detected. Recommendations regarding strategies to be used to promote preparedness of final year nursing students included: continuous feedback on student performance in the form of exit evaluations on the part of students to identify learning needs; writing of progress reports on the part of clinical practice; and the employment of clinical preceptors with clear role specifications between the lecturers, ward sisters and preceptors to avoid role confusion.
- Full Text:
- Date Issued: 2013
- Authors: Mampunge, Fezeka
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11905 , http://hdl.handle.net/10353/d1006815 , Nursing students -- South Africa -- Eastern Cape , Nurses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape , Nursing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing student -- Registered nurse -- Experience , Preparedness -- College -- Clinical staff and Clinical accompaniment
- Description: Within the nursing profession, the transition from the student to a graduate nurse is a common rite of passage that marks the end of initial educational preparation in the discipline and the beginning of a professional journey as a nurse and a member of the multidisciplinary team (Nash, Lemcke & Sacre. 2009:48). This is a period of adjustment, stress, growth and development and the transitional nurse is likely to feel uncomfortable, fearful and may experience feelings of inadequacy. This study was undertaken to explore and describe the experiences of final year nursing students at a public college of nursing in the Eastern Cape regarding their preparedness to become registered nurses, with the aim to identify gaps and make recommendations on strategies to close the gaps. The objectives were to explore and describe the experiences of final year nursing students at the public college of nursing in the Eastern Cape Province with regard to their preparedness to become registered nurses and to recommend strategies to improve the preparation of nursing students for transition to become registered nurses. To answer the research question “What are the experiences of final year nursing students at a public college of nursing in the Eastern Cape Province with regard their preparedness to become registered nurses”, a qualitative, explorative and descriptive design was used as a framework for the study. Data were collected by means of unstructured focus group interviews with a purposively selected sample of 27 final year nursing students at the particular college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Two themes emerged, revealing that participants at the college experienced preparedness and lack of preparedness to assume the role of a professional nurse. This related to certain aspects that had an impact on the preparation of the final year nursing students for practice and included: curriculum-related aspects; clinical teaching and learning support; learning opportunities; interpersonal relationships between lecturers, students and clinical staff; equipment; and library resources. It was concluded that the learning needs of the nursing students were not adequately catered for, leading to lack of preparedness. Through the involvement of nursing students in the evaluation of their learning, shortfalls in both education and practice areas could therefore be detected. Recommendations regarding strategies to be used to promote preparedness of final year nursing students included: continuous feedback on student performance in the form of exit evaluations on the part of students to identify learning needs; writing of progress reports on the part of clinical practice; and the employment of clinical preceptors with clear role specifications between the lecturers, ward sisters and preceptors to avoid role confusion.
- Full Text:
- Date Issued: 2013
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.
- Full Text:
- Date Issued: 2015
- 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:
- Date Issued: 2015
Attitudes, knowledge and behaviour of HIV positive pregnant women attending antenatal care in Buffalo city metropolitan district East London towards prevention of mother to child transmission (PMTCT)
- Matroshe, Florence Nozakhe Skoti
- Authors: Matroshe, Florence Nozakhe Skoti
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11915 , http://hdl.handle.net/10353/d1016150
- Description: The National HIV and AIDS and STI strategic plan for South Africa, 2007-2011 aims to reduce the rate of mother to child transmission to less than 5% by 2011. On the World Aids day in 2009, the Honorable President Jacob Zuma announced the intervention to improve antiretroviral therapy (ARV), access to priority group’s in order to decrease the disease burden, to address maternal and child mortality, and to improve life expectancy (PMTCT Guidelines: 2010). According to the literature reviewed, accepting attitudes may indicate better knowledge and understanding of HIV and AIDS. Marking a change in South Africa’s history of HIV the South African Government launched a major HIV Counseling and Testing program campaign (HCT) in 2010. For the PMTCT program to work and be acceptable, it needs to be known by its clients. It helps the individual to know about their status so that they make important choices for self and others. Amongst the important choices, medications for opportunistic medications, ARV’S, behavior change, etc, are included (Project Literacy 2006:40). Aim and Objectives: The study assessed the knowledge that the pregnant women have towards the prevention of mother to-child transmission which includes HIV testing, antiretroviral prophylaxis during pregnancy, labour, and post natal and feeding options. Methods: A quantitative descriptive method was used for this study. The questionnaires developed by the researcher were used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all positive pregnant women coming for follow up visit and those available at the time of data collection. Conclusion: In this study evaluation of the level of knowledge and attitude of positive pregnant women with regard to PMTCT in 5 Buffalo City Municipality clinics was conducted. It was found that some of positive pregnant women have better knowledge about PMTC though there were still those that need further education. Recommendations: The service providers, who are the professional nurses, should be provided with proper training on PMTCT program to improve their standard of service delivery and to capacitate them with knowledge and skills. Integration of HIV related health aspects during assessment and treatment of pregnant women should be strengthened, as the purpose of implementation of PMTCT was to reduce mortality rate by 50%, and also to reach the 4th Millennium Development Goal of reducing these deaths by two-thirds by 2015.east london towards prevention of mother to child transmission (pmtct)
- Full Text:
- Date Issued: 2014
- Authors: Matroshe, Florence Nozakhe Skoti
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11915 , http://hdl.handle.net/10353/d1016150
- Description: The National HIV and AIDS and STI strategic plan for South Africa, 2007-2011 aims to reduce the rate of mother to child transmission to less than 5% by 2011. On the World Aids day in 2009, the Honorable President Jacob Zuma announced the intervention to improve antiretroviral therapy (ARV), access to priority group’s in order to decrease the disease burden, to address maternal and child mortality, and to improve life expectancy (PMTCT Guidelines: 2010). According to the literature reviewed, accepting attitudes may indicate better knowledge and understanding of HIV and AIDS. Marking a change in South Africa’s history of HIV the South African Government launched a major HIV Counseling and Testing program campaign (HCT) in 2010. For the PMTCT program to work and be acceptable, it needs to be known by its clients. It helps the individual to know about their status so that they make important choices for self and others. Amongst the important choices, medications for opportunistic medications, ARV’S, behavior change, etc, are included (Project Literacy 2006:40). Aim and Objectives: The study assessed the knowledge that the pregnant women have towards the prevention of mother to-child transmission which includes HIV testing, antiretroviral prophylaxis during pregnancy, labour, and post natal and feeding options. Methods: A quantitative descriptive method was used for this study. The questionnaires developed by the researcher were used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all positive pregnant women coming for follow up visit and those available at the time of data collection. Conclusion: In this study evaluation of the level of knowledge and attitude of positive pregnant women with regard to PMTCT in 5 Buffalo City Municipality clinics was conducted. It was found that some of positive pregnant women have better knowledge about PMTC though there were still those that need further education. Recommendations: The service providers, who are the professional nurses, should be provided with proper training on PMTCT program to improve their standard of service delivery and to capacitate them with knowledge and skills. Integration of HIV related health aspects during assessment and treatment of pregnant women should be strengthened, as the purpose of implementation of PMTCT was to reduce mortality rate by 50%, and also to reach the 4th Millennium Development Goal of reducing these deaths by two-thirds by 2015.east london towards prevention of mother to child transmission (pmtct)
- Full Text:
- Date Issued: 2014
Client satisfaction with midwifery services rendered at Empilweni Gompo and Nontyuatyambo community health centres in the Eastern Cape, South Africa
- Authors: Mfundisi, Nokwamkela Pearl
- Date: 2013
- Subjects: Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11908 , http://hdl.handle.net/10353/d1006902 , Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Description: The aim of this study was to investigate whether patients were satisfied with midwifery services rendered at the two Community Health Centres in the Eastern Cape Province.The study sites were Empilweni Gompo and Nontyatyambo Community Health Centres. Descriptive quantitative study design was employed, using a questionnaire with closed and open ended questions as the data collecting tool. Likert Scale was used to measure the following variables: quality care variables to measure level of satisfaction with midwifery services rendered and to determine positive and negative perceptions regarding quality of care received during antenatal, labour and postnatal period. Non-random convenience sampling of sixty pregnant women, thirty from each Community Health Centre, with two or more antenatal subsequent visits and forty postpartum women, twenty from each health facility, six hours after delivery if there were no complications. Out of 60 participants interviewed n=60 (100 percent) agreed that individual counseling and importance of HIV testing was explained.The majority of participants n=53(88 percent) disagreed that they were educated about focused antenatal visits. Out of 60 participants interviewed n=41(68 percent) agreed that delivery plan formed part of their ANC visits and n=18 (30 percent) disagreed. Of the 60 participants interviewed n=11(18 percent) agreed that they were told that they had the right to choose labour companions and n=48 (80 percent) disagreed.Out of 60 participants interviewed n=23 (38 percent) stated that they waited a long period of time without being attended to by midwives. In general, the study revealed high satisfaction level with intrapartum and postnatal care due to functional accessibility of both Community Health Centres. Both health centres delivered normal healthy babies and mothers. However, the participants were dissatisfied with antenatal care rendered at the two facilities. The researcher’s recommendations were based on the closing of gaps that were identified with regard to the implementation of Basic Antenatal Care; birth companions: health education deficiency; community involvement and participation.
- Full Text:
- Date Issued: 2013
- Authors: Mfundisi, Nokwamkela Pearl
- Date: 2013
- Subjects: Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11908 , http://hdl.handle.net/10353/d1006902 , Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Description: The aim of this study was to investigate whether patients were satisfied with midwifery services rendered at the two Community Health Centres in the Eastern Cape Province.The study sites were Empilweni Gompo and Nontyatyambo Community Health Centres. Descriptive quantitative study design was employed, using a questionnaire with closed and open ended questions as the data collecting tool. Likert Scale was used to measure the following variables: quality care variables to measure level of satisfaction with midwifery services rendered and to determine positive and negative perceptions regarding quality of care received during antenatal, labour and postnatal period. Non-random convenience sampling of sixty pregnant women, thirty from each Community Health Centre, with two or more antenatal subsequent visits and forty postpartum women, twenty from each health facility, six hours after delivery if there were no complications. Out of 60 participants interviewed n=60 (100 percent) agreed that individual counseling and importance of HIV testing was explained.The majority of participants n=53(88 percent) disagreed that they were educated about focused antenatal visits. Out of 60 participants interviewed n=41(68 percent) agreed that delivery plan formed part of their ANC visits and n=18 (30 percent) disagreed. Of the 60 participants interviewed n=11(18 percent) agreed that they were told that they had the right to choose labour companions and n=48 (80 percent) disagreed.Out of 60 participants interviewed n=23 (38 percent) stated that they waited a long period of time without being attended to by midwives. In general, the study revealed high satisfaction level with intrapartum and postnatal care due to functional accessibility of both Community Health Centres. Both health centres delivered normal healthy babies and mothers. However, the participants were dissatisfied with antenatal care rendered at the two facilities. The researcher’s recommendations were based on the closing of gaps that were identified with regard to the implementation of Basic Antenatal Care; birth companions: health education deficiency; community involvement and participation.
- Full Text:
- Date Issued: 2013
Evaluation of the role of support groups in the lives of HIV positive people at Nontyatyambo and Empilweni Gompo Community Health Centres in East London, Eastern Cape
- Mkhencele, Nontando Precious
- Authors: Mkhencele, Nontando Precious
- Date: 2011
- Subjects: HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11894 , http://hdl.handle.net/10353/d1001094 , HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa has the highest number of people living with HIV/AIDS in the world. The estimated 5,7 million South Africans that are living with HIV need comprehensive and holistic care. Psychosocial support is a vital aspect of care for HIV positive people. Support groups have been identified as a basic form of psychosocial support. The aim of this study was to evaluate the role of support groups in the lives of HIV positive people in East London, Eastern Cape. A qualitative study design was implemented using focus group interviews to explore the role of HIV support groups. The research questions were designed to elicit responses pertaining to the needs, expectations and experiences of HIV positive support group attendees. Activities conducted in support groups as well as the attitude of support group members towards recruiting other HIV positive people to join the group were also explored. Findings revealed that the benefits of attending a support group included emotional and psychological support, sense of belonging to a “family”, assistance with disclosure issues, gaining information about HIV and treatment as well as material benefits such as food parcels and job opportunities. The greatest need of support group attendees was assistance in obtaining a Social Support or Disability Grant. A few negative experiences were reported which included: unfulfilled promises by people outside of the group, unfair allocation of grants and food parcels, as well as negative group dynamics at times. Support group members agreed that even though there were few negative experiences, the benefits clearly outweighed the negative experiences. Most participants agreed that they would recommend the support group to other HIV positive people so that they could also enjoy the stated benefits. In summary, the study concluded that support groups are very helpful in the lives of HIV positive people.
- Full Text:
- Date Issued: 2011
- Authors: Mkhencele, Nontando Precious
- Date: 2011
- Subjects: HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11894 , http://hdl.handle.net/10353/d1001094 , HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa has the highest number of people living with HIV/AIDS in the world. The estimated 5,7 million South Africans that are living with HIV need comprehensive and holistic care. Psychosocial support is a vital aspect of care for HIV positive people. Support groups have been identified as a basic form of psychosocial support. The aim of this study was to evaluate the role of support groups in the lives of HIV positive people in East London, Eastern Cape. A qualitative study design was implemented using focus group interviews to explore the role of HIV support groups. The research questions were designed to elicit responses pertaining to the needs, expectations and experiences of HIV positive support group attendees. Activities conducted in support groups as well as the attitude of support group members towards recruiting other HIV positive people to join the group were also explored. Findings revealed that the benefits of attending a support group included emotional and psychological support, sense of belonging to a “family”, assistance with disclosure issues, gaining information about HIV and treatment as well as material benefits such as food parcels and job opportunities. The greatest need of support group attendees was assistance in obtaining a Social Support or Disability Grant. A few negative experiences were reported which included: unfulfilled promises by people outside of the group, unfair allocation of grants and food parcels, as well as negative group dynamics at times. Support group members agreed that even though there were few negative experiences, the benefits clearly outweighed the negative experiences. Most participants agreed that they would recommend the support group to other HIV positive people so that they could also enjoy the stated benefits. In summary, the study concluded that support groups are very helpful in the lives of HIV positive people.
- Full Text:
- Date Issued: 2011