The newly qualified professional nurses' proficiency in utilizing psychiatric nursing skills in mental health institution and community health care facilities
- Authors: Zonke, Lulama Henrietta
- Date: 2012
- Subjects: Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11898 , http://hdl.handle.net/10353/d1001098 , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Description: The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.
- Full Text:
- Date Issued: 2012
- Authors: Zonke, Lulama Henrietta
- Date: 2012
- Subjects: Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11898 , http://hdl.handle.net/10353/d1001098 , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Psychiatric nursing -- South Africa -- Eastern Cape , Caregivers -- South Africa -- Eastern Cape , Mental health -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Description: The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.
- Full Text:
- Date Issued: 2012
Adherence to pre-selected infant feeding practices among mothers on the prevention of mother-to-child transmission (PMTCT) of HIV/AIDS programme in the Amathole region, Eastern Cape
- Authors: Yako, Elizabeth Matseliso
- Date: 2011
- Subjects: Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11891 , http://hdl.handle.net/10353/d1001091 , Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Description: Infant feeding in the context of HIV/AIDS poses a challenge among mothers. The implementation of UNICEF guidelines on infant feeding, which state that “when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV-infected mothers is recommended” (WHO, 2003:12) are not easy to meet. In more developed countries, where these criteria are met, almost all HIV-infected mothers have ceased to breast feed. Consequently, infants of mothers in these countries are less likely to be infected with HIV postnatally. In South Africa, more specifically in the Eastern Cape, infant feeding is a challenge as a number of UNICEF criteria cannot be met. The Eastern Cape is one of the poorest Provinces in South Africa, with a number of rural communities. Earlier studies have shown that, if mothers select either exclusive breast feeding or exclusive formula feeding, this reduces mother-to-child transmission of HIV. A limited number of studies on adherence to the method of infant feeding selected before delivery were found in the literature, hence the need for the current study. The purpose of the study was to explore adherence to exclusive breast feeding and exclusive formula feeding among mothers with HIV infection and to determine the problems that mothers may be facing in implementing their pre-selected methods.
- Full Text:
- Date Issued: 2011
- Authors: Yako, Elizabeth Matseliso
- Date: 2011
- Subjects: Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11891 , http://hdl.handle.net/10353/d1001091 , Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Description: Infant feeding in the context of HIV/AIDS poses a challenge among mothers. The implementation of UNICEF guidelines on infant feeding, which state that “when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV-infected mothers is recommended” (WHO, 2003:12) are not easy to meet. In more developed countries, where these criteria are met, almost all HIV-infected mothers have ceased to breast feed. Consequently, infants of mothers in these countries are less likely to be infected with HIV postnatally. In South Africa, more specifically in the Eastern Cape, infant feeding is a challenge as a number of UNICEF criteria cannot be met. The Eastern Cape is one of the poorest Provinces in South Africa, with a number of rural communities. Earlier studies have shown that, if mothers select either exclusive breast feeding or exclusive formula feeding, this reduces mother-to-child transmission of HIV. A limited number of studies on adherence to the method of infant feeding selected before delivery were found in the literature, hence the need for the current study. The purpose of the study was to explore adherence to exclusive breast feeding and exclusive formula feeding among mothers with HIV infection and to determine the problems that mothers may be facing in implementing their pre-selected methods.
- Full Text:
- Date Issued: 2011
A study of the prevalence of refractive errors and of patients requring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and O. R. Tambo districts of the Eastern Cape
- Authors: Webber, Fiona
- Date: 2012
- Subjects: Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11900 , http://hdl.handle.net/10353/d1001100 , Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Description: This is a study on the prevalence of refractive errors and patients requiring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and OR Tambo District Municipalities of the Eastern Cape. This is an area characterised by extreme poverty where the cost of an eye examination and prescription spectacles remains financially unobtainable for most. Optometry services are provided mainly by private optometrists who service the small proportion of the population that can afford them. Adults and children remain house bound or are labelled as dull and unproductive simply because they don’t have access to an eye examination and a pair of spectacles. Purpose The purpose of the study is to identify patients with refractive errors and those requiring refractive services at the 15 eye clinics in the Eastern Cape. Another purpose is to describe the refractive services that are available to patients attending health facilities, where the eye clinics are conducted. Lastly, the purpose is to explore the possibility of nurses providing refractive services independently or under the supervision of optometrists to supplement the lack to refracting and dispensing services. Study Method A quantitative and qualitative non-experimental descriptive design was used. Research involved the analysis of Vision Care’s eye clinic records collected from 15 eye clinics from January 2010-June 2010. Semi-structured interviews were conducted with 30 nurses working at the 15 health facilities where the eye clinics were conducted using purposive sampling. The quantitative data was analysed using excel spreadsheets and graphs and qualitative data was analysed using coding and categorizing methods. Conclusion According to Vision Care’s data of the patients assessed, 19.2 percent had a refractive error and 54 percent of the patients required refractive services. It is estimated that 71.41 percent of the patients had a refractive error according to the optometrist. Although there were some organisations active in the eradication of cataracts, there was little healthcare available in the form of refraction services. xiv Patients needed to travel an average of 63.8kms to access refraction services against the backdrop of poor roads, poverty and unemployment. 28 out of 30 nurses either ‘strongly agreed’ or ‘agreed’ that nurses could be trained to perform refractions and dispense spectacles. 29 out of 30 nurses thought that this would have a positive impact on eye care. Further research is necessary to assess the feasibility of implementing a nurse operated refractive program and whether it should be within their scope of practice to refract and dispense spectacles.
- Full Text:
- Date Issued: 2012
- Authors: Webber, Fiona
- Date: 2012
- Subjects: Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11900 , http://hdl.handle.net/10353/d1001100 , Eye -- Refractive errors -- South Africa -- Eastern Cape , Cataract -- Surgery -- South Africa -- Eastern Cape , Refractive keratoplasty -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Eye -- Diseases -- South Africa -- Eastern Cape , Optometry -- South Africa -- Eastern Cape , Eyeglasses -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape
- Description: This is a study on the prevalence of refractive errors and patients requiring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and OR Tambo District Municipalities of the Eastern Cape. This is an area characterised by extreme poverty where the cost of an eye examination and prescription spectacles remains financially unobtainable for most. Optometry services are provided mainly by private optometrists who service the small proportion of the population that can afford them. Adults and children remain house bound or are labelled as dull and unproductive simply because they don’t have access to an eye examination and a pair of spectacles. Purpose The purpose of the study is to identify patients with refractive errors and those requiring refractive services at the 15 eye clinics in the Eastern Cape. Another purpose is to describe the refractive services that are available to patients attending health facilities, where the eye clinics are conducted. Lastly, the purpose is to explore the possibility of nurses providing refractive services independently or under the supervision of optometrists to supplement the lack to refracting and dispensing services. Study Method A quantitative and qualitative non-experimental descriptive design was used. Research involved the analysis of Vision Care’s eye clinic records collected from 15 eye clinics from January 2010-June 2010. Semi-structured interviews were conducted with 30 nurses working at the 15 health facilities where the eye clinics were conducted using purposive sampling. The quantitative data was analysed using excel spreadsheets and graphs and qualitative data was analysed using coding and categorizing methods. Conclusion According to Vision Care’s data of the patients assessed, 19.2 percent had a refractive error and 54 percent of the patients required refractive services. It is estimated that 71.41 percent of the patients had a refractive error according to the optometrist. Although there were some organisations active in the eradication of cataracts, there was little healthcare available in the form of refraction services. xiv Patients needed to travel an average of 63.8kms to access refraction services against the backdrop of poor roads, poverty and unemployment. 28 out of 30 nurses either ‘strongly agreed’ or ‘agreed’ that nurses could be trained to perform refractions and dispense spectacles. 29 out of 30 nurses thought that this would have a positive impact on eye care. Further research is necessary to assess the feasibility of implementing a nurse operated refractive program and whether it should be within their scope of practice to refract and dispense spectacles.
- Full Text:
- Date Issued: 2012
Learner nurses experiences regarding clinical supervision at private hospitals in East London in the Eastern Cape
- Authors: Vos, Porsha
- Date: 2013
- Subjects: Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11906 , http://hdl.handle.net/10353/d1006824 , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Description: The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.
- Full Text:
- Date Issued: 2013
- Authors: Vos, Porsha
- Date: 2013
- Subjects: Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11906 , http://hdl.handle.net/10353/d1006824 , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Hospitals -- Employees -- In-service training -- South Africa -- Eastern Cape , Hospitals -- Personnel management
- Description: The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external The purpose of this study was to explore and to describe experiences of learner nurses regarding clinical supervision at private hospitals in East London in the Eastern Cape. These were Life Healthcare hospitals. A qualitative, contextual approach was used and the exploratory, descriptive design was seen as most appropriate in this study. The subjects were the learner nurses in the Bridging Course Programme leading to registration as a General Nurse. The research questions were: How did you as a learner nurse, doing the Bridging Course, experience clinical supervision at Life Healthcare hospitals? A pilot study was conducted in a clinical setting involving respondents with similar characteristics to the study population. Fourteen participants were selected for this study by using a purposive, non-probability sampling method. Data were collected by means of individual interviews during which participants were able to describe their experiences during clinical supervision; data were collected until data saturation was reached.During data analysis, the researcher used the process of bracketing and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under investigation. The researcher listened to the audiotapes used for data collection several times until she was completely satisfied with the interpretation of the verbatim data. Transcriptions were made within three days of the interview. The research was done in an ethically reflective manner and the researcher ensured the trustworthiness of the study at all times. The researcher allowed the participants freedom to conduct their lives as autonomous agents, without external control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.control, coercion or exploitation. The following findings were evident: Three main themes emerged from data analyses. These comprised inadequate clinical supervision, satisfactory clinical supervision and suggestions and inputs regarding clinical supervision. Detailed discussions about the findings in relation to earlier studies were conducted. Recommendations to improve clinical supervision were made in order to improve the experiences of learner nurses during training. The findings of the research will be made available through the University of Fort Hare library and the Life College of Learning. Furthermore the information of this study will be shared with colleagues and will be published in an accredited nursing journal such as Curationis as well as other journals.
- Full Text:
- Date Issued: 2013
Clinical experiences of third-year student nurses in a public college in the Eastern Cape
- Authors: Tyanti, Mandisa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11912 , http://hdl.handle.net/10353/d1016097
- Description: Clinical experience has always been an important part of nursing education. Nursing colleges require students to be placed in clinical areas in order to acquire new knowledge and skills. The purpose of the study was to explore and describe the clinical experiences during their clinical placement of the third-year student nurses at a public college in the Eastern Cape. The objectives of this study were: to explore and describe the experiences of the third-year student of a public nursing college in the Eastern Cape, and to describe strategies for the improvement of student learning during clinical practice. A qualitative, explorative and descriptive research design was used to describe the clinical experiences of these student nurses and the strategies for the improvement of student learning during clinical practice. Data were collected from focus group interviews, using a purposive and convenience sample from one college campus in the Eastern Cape. Tesch’s method of data analysis (in Creswell, 2003) was used to analyse data. Trustworthiness was ensured in this research by using Guba’s model (in Lincoln & Guba, 1985) of qualitative research. Ethical approval was obtained from the University of Fort Hare Research Ethics Committee, the Department of Health, Eastern Cape, the Head of the Nursing College, the Campus Head and the participants and ethical consideration was ensured throughout the research process. Themes and sub-themes emerged from data collected about the clinical experiences of the nurses. The study brought to light the experiences of third-year student nurses during allocation to clinical areas. The findings from this study revealed the need for proper clinical accompaniment by college staff to ensure that clinical learning is taking place. Strategies to improve learning in the clinical areas are described. and recommendations for nursing education and nursing practice are made. If this is applied, it will help the student nurses to be better professionals.
- Full Text:
- Date Issued: 2014
- Authors: Tyanti, Mandisa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11912 , http://hdl.handle.net/10353/d1016097
- Description: Clinical experience has always been an important part of nursing education. Nursing colleges require students to be placed in clinical areas in order to acquire new knowledge and skills. The purpose of the study was to explore and describe the clinical experiences during their clinical placement of the third-year student nurses at a public college in the Eastern Cape. The objectives of this study were: to explore and describe the experiences of the third-year student of a public nursing college in the Eastern Cape, and to describe strategies for the improvement of student learning during clinical practice. A qualitative, explorative and descriptive research design was used to describe the clinical experiences of these student nurses and the strategies for the improvement of student learning during clinical practice. Data were collected from focus group interviews, using a purposive and convenience sample from one college campus in the Eastern Cape. Tesch’s method of data analysis (in Creswell, 2003) was used to analyse data. Trustworthiness was ensured in this research by using Guba’s model (in Lincoln & Guba, 1985) of qualitative research. Ethical approval was obtained from the University of Fort Hare Research Ethics Committee, the Department of Health, Eastern Cape, the Head of the Nursing College, the Campus Head and the participants and ethical consideration was ensured throughout the research process. Themes and sub-themes emerged from data collected about the clinical experiences of the nurses. The study brought to light the experiences of third-year student nurses during allocation to clinical areas. The findings from this study revealed the need for proper clinical accompaniment by college staff to ensure that clinical learning is taking place. Strategies to improve learning in the clinical areas are described. and recommendations for nursing education and nursing practice are made. If this is applied, it will help the student nurses to be better professionals.
- Full Text:
- Date Issued: 2014
Perceptions of indigenous people regarding mental illness at Cacadu district in the Eastern Cape province of South Africa
- Authors: Tilolo, Lwazi
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11930 , http://hdl.handle.net/10353/d1021323
- Description: Indigenous people tend to consult traditional healers when a family member manifests change in behaviour, whilst conventional treatment disregards spirituality when preserving mental health. The aim of the study was to explore the perceptions of indigenous people and the role of traditional healers in the management of mentally ill persons within the Cacadu District in the Eastern Cape Province of South Africa. The study has adopted a qualitative approach which was exploratory and descriptive in nature. The sample consisted of nine relatives of mental health care users (MHCUs) and six traditional healers. Ethical principles were also taken into consideration by the researcher during the process of conducting the study. Data were collected from two strata, namely, relatives of the MHCUs and the traditional healers and an interview guide was used to conduct in-depth face-to-face interviews. Data were analysed using Tesch’s method of data analysis. Four themes emerged from the data categories and sub categories were identified. According to the themes participants indicated the negative impact of mental illness; as a result they portrayed great desperation regarding the means of accessing a cure for mental illness. Some participants showed insufficient knowledge regarding mental illness and had different perceptions and beliefs regarding the origin of mental illness. Available literature was used to emphasise and support the views that were expressed by both traditional healers and relatives of MHCUs. It has been highlighted from this study that indigenous people of Cacadu District view mental illness as spiritual in origin but they include Western medication for the benefit of the mentally ill. In addition, the relatives of the MHCUs highlighted the economic burden as the major problem that results from mental illness.
- Full Text:
- Date Issued: 2016
- Authors: Tilolo, Lwazi
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11930 , http://hdl.handle.net/10353/d1021323
- Description: Indigenous people tend to consult traditional healers when a family member manifests change in behaviour, whilst conventional treatment disregards spirituality when preserving mental health. The aim of the study was to explore the perceptions of indigenous people and the role of traditional healers in the management of mentally ill persons within the Cacadu District in the Eastern Cape Province of South Africa. The study has adopted a qualitative approach which was exploratory and descriptive in nature. The sample consisted of nine relatives of mental health care users (MHCUs) and six traditional healers. Ethical principles were also taken into consideration by the researcher during the process of conducting the study. Data were collected from two strata, namely, relatives of the MHCUs and the traditional healers and an interview guide was used to conduct in-depth face-to-face interviews. Data were analysed using Tesch’s method of data analysis. Four themes emerged from the data categories and sub categories were identified. According to the themes participants indicated the negative impact of mental illness; as a result they portrayed great desperation regarding the means of accessing a cure for mental illness. Some participants showed insufficient knowledge regarding mental illness and had different perceptions and beliefs regarding the origin of mental illness. Available literature was used to emphasise and support the views that were expressed by both traditional healers and relatives of MHCUs. It has been highlighted from this study that indigenous people of Cacadu District view mental illness as spiritual in origin but they include Western medication for the benefit of the mentally ill. In addition, the relatives of the MHCUs highlighted the economic burden as the major problem that results from mental illness.
- Full Text:
- Date Issued: 2016
Professional nurses’ perceptions on quality patient care in one of the Eastern Cape state hospitals
- Authors: Somahela, Khanyisa Judith
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11353 , http://hdl.handle.net/10353/d1021141
- Description: The focus of this study was to explore the perceptions of professional nurses in the quality of care rendered by nurses in the public hospitals. Nursing is a challenging, demanding, and yet fulfilling profession, whose goal is to provide quality care to individuals, families and communities. However, there are inconsistencies regarding the quality of care rendered by nurses in the public hospitals. The media and the public portray nurses as providing poor quality care in the health care facilities. Conversely, the nurses view that they are doing their best, considering the challenging circumstances under which they work in public institutions.The study followed a qualitative approach and an exploratory descriptive design. A purposive sample of 13 professional nurses participated in the study. The sample size was not pre-determined. Data were collected until data saturation, when the interviews yielded no new information. The study was conducted in a state hospital in the Eastern Cape, using an interview guide. Responses were recorded using a tape recorder. No incentives were given to participants. Data were collected and analysed following the Tesch’s method. Prior to conducting the study, the researcher obtained ethical clearance from the University of Fort Hare research ethics committee. The perceptions of the professional nurses who participated in this study were inconsistent. The majority pointed out that the quality of patient care was deteriorating which means the patient care is poor. whereas some participants indicated that the quality of patient care was still the same; it had not changed or deteriorated, The contributing factors to the poor quality patient care were indicated as; shortage of staff, shortage of resources such as equipment, inadequate empowerment of staff, insufficient training of students, staff arriving late for duties, lack of passion their work, skipping and missing of routines, support service that was not working hand in hand with the nursing staff, increased hospitalization of patients and the Eastern cape Department of Health failing to remunerate the nurses as promised.
- Full Text:
- Date Issued: 2014
- Authors: Somahela, Khanyisa Judith
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11353 , http://hdl.handle.net/10353/d1021141
- Description: The focus of this study was to explore the perceptions of professional nurses in the quality of care rendered by nurses in the public hospitals. Nursing is a challenging, demanding, and yet fulfilling profession, whose goal is to provide quality care to individuals, families and communities. However, there are inconsistencies regarding the quality of care rendered by nurses in the public hospitals. The media and the public portray nurses as providing poor quality care in the health care facilities. Conversely, the nurses view that they are doing their best, considering the challenging circumstances under which they work in public institutions.The study followed a qualitative approach and an exploratory descriptive design. A purposive sample of 13 professional nurses participated in the study. The sample size was not pre-determined. Data were collected until data saturation, when the interviews yielded no new information. The study was conducted in a state hospital in the Eastern Cape, using an interview guide. Responses were recorded using a tape recorder. No incentives were given to participants. Data were collected and analysed following the Tesch’s method. Prior to conducting the study, the researcher obtained ethical clearance from the University of Fort Hare research ethics committee. The perceptions of the professional nurses who participated in this study were inconsistent. The majority pointed out that the quality of patient care was deteriorating which means the patient care is poor. whereas some participants indicated that the quality of patient care was still the same; it had not changed or deteriorated, The contributing factors to the poor quality patient care were indicated as; shortage of staff, shortage of resources such as equipment, inadequate empowerment of staff, insufficient training of students, staff arriving late for duties, lack of passion their work, skipping and missing of routines, support service that was not working hand in hand with the nursing staff, increased hospitalization of patients and the Eastern cape Department of Health failing to remunerate the nurses as promised.
- Full Text:
- Date Issued: 2014
Perceived academic support of student nurses at a public nursing college in the Eastern Cape Province
- Authors: Sineke, Nqatyiswa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11917 , http://hdl.handle.net/10353/d1016158
- Description: Academic support is critical in promoting success among student nurses. Support for student learning is a key element in optimizing student learning experiences, in any learning environment, and its importance has been widely discussed. Student academic support is closely related to motivation for learning, and helping students achieve their learning goals and objectives. Student nurses continue to struggle during their training, to the point of failing a year or being excluded from the course, in spite of the academic support provided through classroom facilitation, and remedial teaching provided by academic staff. They frequently complain that the course is difficult, the workload is heavy, and they are unable to integrate theory with practice. As a result they are too stressed, throughout their training. The purpose of this study is to explore and describe the perceptions of student nurses about the academic support provided to them at a public nursing college in the Eastern Cape Province. This study was guided by the Caring Curriculum Model, based on Watson‟s Theory of Caring. The core of this theory is the implementation of ten carative factors to promote health and equilibrium. Caring was endorsed as a core value in nursing education and practice, by the National League of Nursing and the American Association of Colleges of Nursing, while the centrality of a caring-healing relationship was recognized as a basis for all health professional education by the Pew Health Professions Commission. A quantitative approach, using a descriptive and explanatory design, was used to determine the perceptions of student nurses on the academic support they received from the public nursing college. Participants were selected by a simple random sampling method. A total of 189 student nurses, who registered for the 4-year diploma programme at the East London Campus of the Lilitha College of Nursing, participated in the study. Self-report data was collected by means of the Academic Support questionnaire, using a Likert scale which addressed both the performance and importance of academic support. Data were analysed using Statistical Analysis Systems version 9.3, using mean tables and graphical data analysis. The findings revealed high performance ratings for aspects relating to academic advising and teaching-learning process, indicating that there is satisfaction among students on these service attributes. Poor performance ratings were identified, relative to campus support services, indicating that student nurses were not happy with the availability and accessibility of library resources, and computer and internet services. Student nurses, at the college under study, were also not happy with aspects of service excellence relating to campus-based health care facilities, and personal student counselling services. The study identified a gap between the perceived performance and the importance of academic support at the nursing college, as the general performance was rated lower than the importance of academic support. The findings suggest the necessity for improved library facilities and resources, healthcare and counselling services and the establishment of student support programmes, to build the capacity of students and to enhance their chances of success.
- Full Text:
- Date Issued: 2014
- Authors: Sineke, Nqatyiswa
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11917 , http://hdl.handle.net/10353/d1016158
- Description: Academic support is critical in promoting success among student nurses. Support for student learning is a key element in optimizing student learning experiences, in any learning environment, and its importance has been widely discussed. Student academic support is closely related to motivation for learning, and helping students achieve their learning goals and objectives. Student nurses continue to struggle during their training, to the point of failing a year or being excluded from the course, in spite of the academic support provided through classroom facilitation, and remedial teaching provided by academic staff. They frequently complain that the course is difficult, the workload is heavy, and they are unable to integrate theory with practice. As a result they are too stressed, throughout their training. The purpose of this study is to explore and describe the perceptions of student nurses about the academic support provided to them at a public nursing college in the Eastern Cape Province. This study was guided by the Caring Curriculum Model, based on Watson‟s Theory of Caring. The core of this theory is the implementation of ten carative factors to promote health and equilibrium. Caring was endorsed as a core value in nursing education and practice, by the National League of Nursing and the American Association of Colleges of Nursing, while the centrality of a caring-healing relationship was recognized as a basis for all health professional education by the Pew Health Professions Commission. A quantitative approach, using a descriptive and explanatory design, was used to determine the perceptions of student nurses on the academic support they received from the public nursing college. Participants were selected by a simple random sampling method. A total of 189 student nurses, who registered for the 4-year diploma programme at the East London Campus of the Lilitha College of Nursing, participated in the study. Self-report data was collected by means of the Academic Support questionnaire, using a Likert scale which addressed both the performance and importance of academic support. Data were analysed using Statistical Analysis Systems version 9.3, using mean tables and graphical data analysis. The findings revealed high performance ratings for aspects relating to academic advising and teaching-learning process, indicating that there is satisfaction among students on these service attributes. Poor performance ratings were identified, relative to campus support services, indicating that student nurses were not happy with the availability and accessibility of library resources, and computer and internet services. Student nurses, at the college under study, were also not happy with aspects of service excellence relating to campus-based health care facilities, and personal student counselling services. The study identified a gap between the perceived performance and the importance of academic support at the nursing college, as the general performance was rated lower than the importance of academic support. The findings suggest the necessity for improved library facilities and resources, healthcare and counselling services and the establishment of student support programmes, to build the capacity of students and to enhance their chances of success.
- Full Text:
- Date Issued: 2014
Perinatal experiences of pregnant undergraduate students of a higher education institution in the Eastern Cape
- Authors: Simandla, Linda
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11913 , http://hdl.handle.net/10353/d1016125
- Description: Unplanned pregnancies among students are increasing annually. There are cases of students giving birth by themselves in the rooms within higher education institution residences unsupervised. Unsupervised births put the students at health risk as birth can complicate or even lead to death. The purpose of this study was to explore the perinatal experiences of undergraduate students whilst a pregnant student. In this study the researcher used a qualitative phenomenological approach within interpretive realism. The study was exploratory focusing on the need to understand how students experience perinatal care. Population for this study comprised of undergraduate students that had been pregnant within their undergraduate program which normally takes three to four years and were staying in the higher education institution residence at the time of pregnancy. A snowball sample was used. Data was collected from participants using unstructured in-depth interviews. For the study a total of 9 students were interviewed. Data was collected in English and Xhosa depending on preference. During pilot interviews the researcher established that the participants had difficulty in expressing themselves in English and used slang in spite of being registered for a degree. The interviews were conducted by the researcher and the data tape recorded. Permission to conduct a study at the higher education institution was sought from the Vice- chancellor, the Dean of Students and Research Ethics Committee To ensure trustworthiness of the study credibility, transferability, dependability and confirmability were adhered to. Four themes with several sub-themes emerged which were: Dynamics on awareness about existence of pregnancy. Support system for female students pertaining to reproductive health. Encountered psychosocial experiences. Coping strategies used by pregnant students. Excerpts were used to support the interpretation of perinatal experiences of the undergraduate students. Recommendations to the management of the higher education institution are to develop guidelines that ensure implementation of the pregnancy policy.
- Full Text:
- Date Issued: 2014
- Authors: Simandla, Linda
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11913 , http://hdl.handle.net/10353/d1016125
- Description: Unplanned pregnancies among students are increasing annually. There are cases of students giving birth by themselves in the rooms within higher education institution residences unsupervised. Unsupervised births put the students at health risk as birth can complicate or even lead to death. The purpose of this study was to explore the perinatal experiences of undergraduate students whilst a pregnant student. In this study the researcher used a qualitative phenomenological approach within interpretive realism. The study was exploratory focusing on the need to understand how students experience perinatal care. Population for this study comprised of undergraduate students that had been pregnant within their undergraduate program which normally takes three to four years and were staying in the higher education institution residence at the time of pregnancy. A snowball sample was used. Data was collected from participants using unstructured in-depth interviews. For the study a total of 9 students were interviewed. Data was collected in English and Xhosa depending on preference. During pilot interviews the researcher established that the participants had difficulty in expressing themselves in English and used slang in spite of being registered for a degree. The interviews were conducted by the researcher and the data tape recorded. Permission to conduct a study at the higher education institution was sought from the Vice- chancellor, the Dean of Students and Research Ethics Committee To ensure trustworthiness of the study credibility, transferability, dependability and confirmability were adhered to. Four themes with several sub-themes emerged which were: Dynamics on awareness about existence of pregnancy. Support system for female students pertaining to reproductive health. Encountered psychosocial experiences. Coping strategies used by pregnant students. Excerpts were used to support the interpretation of perinatal experiences of the undergraduate students. Recommendations to the management of the higher education institution are to develop guidelines that ensure implementation of the pregnancy policy.
- Full Text:
- Date Issued: 2014
Reasons for failure of students nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern cape province
- Senti, Nomandithini Innocent
- Authors: Senti, Nomandithini Innocent
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11907 , http://hdl.handle.net/10353/d1006828 , Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Description: The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio form feed-back on skills is also suggested.The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio for feed-back on skills is also suggested.
- Full Text:
- Date Issued: 2013
- Authors: Senti, Nomandithini Innocent
- Date: 2013
- Subjects: Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11907 , http://hdl.handle.net/10353/d1006828 , Nursing students -- South Africa -- Eastern Cape , Nurses -- Attitudes -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Rating of -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- Examinations , Nursing -- Standards -- South Africa -- Eastern Cape , Nursing assessment -- South Africa -- Eastern Cape
- Description: The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The focus of this study was to explore reasons for the failure of student nurses to present themselves for assessment of clinical skills at a public nursing college in the Eastern Cape. The objectives were to explore and describe reasons why these student nurses were not presenting themselves for such assessment of clinical skills; to develop strategies to motivate them to present themselves for clinical skills assessment; and to make recommendations for assessment of clinical skills. The population of the study was the second and the third-year student nurses undergoing a four-year comprehensive diploma course at a public college of nursing in the Eastern Cape. Non-probability convenience sampling was used. The research questions were, firstly, why the student nurses were not presenting themselves for assessment of clinical skills? Secondly, what recommendations could be made to motivate the student nurses to present themselves for clinical skills assessment? A qualitative, explorative, descriptive and contextual research design was used. Focus group interviews with six participants per group were used to collect data. The total number of participants five focus groups was 30 by the time data saturation was reached. Data were collected following the research question, “Why are you not presenting yourselves for clinical skill assessment?” Their responses were recorded using audiotape and notes with the help of an experienced colleague. Data was analysed following Teschʼs method. Findings presented one theme, being the reason for students not presenting themselves for feedback or delaying to do so. Categories indicated that students were afraid and overwhelmed with anxiety; had too much work to do; unpreparedness for learnt skills; equipment and resources; lack of confidence; and busy ward schedules. Subcategories included lecturersʼ attitude; unfamiliarity to lecturers accompanying them; having to study to master a lot of theory; having to prepare for many tests; unavailability of lecturers to mentor them; unavailability of unit professional nurses to guide them; reluctance of patients to be used for practising skills; a tendency not to practise skills; too many students; being used as work force; placement objectives; use of dolls for demonstration; tools used to support learning making reference to obsolete equipment; all skills demonstrated at the same time; lecturers improvising when they are demonstrating some skills, and not being released for practising of skills. The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio form feed-back on skills is also suggested.The researcher concluded that students had valid reasons for not presenting themselves for assessment of clinical skills but this could be rectified through the involvement of lectures, ward staff as well as students themselves. The researcher recommended that effective communication between the staff in clinical areas and the college is needed. Clinical laboratories needed laboratory managers and had to be well equipped. A revision of the student-lecturer ratio for feed-back on skills is also suggested.
- Full Text:
- Date Issued: 2013
The perceptions of 2nd year bridging course students regarding mentoring at private nursing colleges in Eastern Cape
- Authors: Pillay, Thriscilla
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11916 , http://hdl.handle.net/10353/d1016157
- Description: Nursing faces many challenges today, such as an international shortageof nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an or Nursing faces many challenges today, such as an international shortage of nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an organisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring, ganisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring.
- Full Text:
- Date Issued: 2013
- Authors: Pillay, Thriscilla
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11916 , http://hdl.handle.net/10353/d1016157
- Description: Nursing faces many challenges today, such as an international shortageof nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an or Nursing faces many challenges today, such as an international shortage of nurses and high medico-legal risks. One way of becoming a professional nurse is to complete a diploma course called the Bridging Course at a private nursing college. This is a two-year diploma course that is controlled by the South African Nursing Council (SANC), Regulation 683. This course allows enrolled nurses to further their studies to become a professional nurse, thus becoming an independent practitioner. These Bridging Course students need to do mentoring as part of their training so as to socialise them into the requirements for the role they will fulfil as a professional nurse and assist them to attain the competencies needed to function independently after the training phase. The various prescribed competencies that the Bridging Course student nurse needs to complete are clinical, co-ordination and management competencies. Clinical competencies equip them to perform and teach all nursing duties and co-ordination competencies ensure smooth, effective running of a ward. Then there are management competencies to be able to meet the vision, mission and philosophy of the unit and to have control from an organisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring, ganisational, human resource and business perspective. Research studies have discovered higher retention and graduation rates to be one of the positive outcomes of the mentoring process; also that mentoring solidifies people as leaders (Seekoe, 2011:15). Due to the international shortage of professional nurses, effective mentoring is much needed. This will allow the professional nurses to be able to perform competently in all expected areas. Having competent, qualified professional nurses may help to reduce medico-legal risks and restore the public’s trust in the nursing profession. Despite extensive research on mentoring, there is little research on the Bridging Course student nurse’s perceptions regarding mentoring.
- Full Text:
- Date Issued: 2013
An investigation on patient's perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital, Buffalo City Metropolitan Municipality, Eastern Cape Province
- Ntombekaya, Matwele Caroline
- Authors: Ntombekaya, Matwele Caroline
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11927 , http://hdl.handle.net/10353/d1021305
- Description: The aim of the study was to: explore and describe patient’s perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital in Buffalo City Metropolitan Municipality in the Eastern Cape, South Africa. Reasons why patients diagnosed with breast cancer delay in the commencement of the treatment were to be elicited and strategies for curbing the problem were looked into. A qualitative approach was used, with an exploratory, descriptive and contextual design. The purposive sampling technique was used. The sample comprised 15 participants, 14 Black Africans and 1 Coloured lady. Data were collected using an interview guide from female patients diagnosed with breast cancer whose age ranged from 18-72 years. Interviews were recorded on a tape. Tesch’s (1990) steps of qualitative data analysis guided the analysis process. The results revealed that being diagnosed with breast cancer is perceived as a traumatic and painful experience with negative emotional, social, physical impact and unbearable side effects of from the treatment. Fear of undergoing treatment emerged as a barrier for taking prompt treatment. In exploring, one needs to use empathy, particularly that the researcher engaged in bringing to surface painful information. With the use of understanding and broad mindedness, participants opened up. Recommendations were made regarding strategies for care.
- Full Text:
- Date Issued: 2014
- Authors: Ntombekaya, Matwele Caroline
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11927 , http://hdl.handle.net/10353/d1021305
- Description: The aim of the study was to: explore and describe patient’s perceptions regarding commencement of treatment following diagnosis with breast cancer at Frere Hospital in Buffalo City Metropolitan Municipality in the Eastern Cape, South Africa. Reasons why patients diagnosed with breast cancer delay in the commencement of the treatment were to be elicited and strategies for curbing the problem were looked into. A qualitative approach was used, with an exploratory, descriptive and contextual design. The purposive sampling technique was used. The sample comprised 15 participants, 14 Black Africans and 1 Coloured lady. Data were collected using an interview guide from female patients diagnosed with breast cancer whose age ranged from 18-72 years. Interviews were recorded on a tape. Tesch’s (1990) steps of qualitative data analysis guided the analysis process. The results revealed that being diagnosed with breast cancer is perceived as a traumatic and painful experience with negative emotional, social, physical impact and unbearable side effects of from the treatment. Fear of undergoing treatment emerged as a barrier for taking prompt treatment. In exploring, one needs to use empathy, particularly that the researcher engaged in bringing to surface painful information. With the use of understanding and broad mindedness, participants opened up. Recommendations were made regarding strategies for care.
- Full Text:
- Date Issued: 2014
Evalution of the knowledge and skills of the professional nurses regarding IMCI service delivery, including HIV/AIDS case management in primary health care facilities in Buffalo City Sub-District, Eastern Cape Province, South Africa
- Noluvuyo, Leonelle Gosangaye
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
Attitudes of midwives towards the implementation of choice on Termination of Pregnancy Act in the health facilities of the O.R. Tambo District
- Authors: Nohaji, Essinah Nosisi
- Date: 2012
- Subjects: Family planning -- South Africa -- Eastern Cape , Midwives -- Attitudes , Abortion -- South Africa , Pregnant women -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11893 , http://hdl.handle.net/10353/517 , Family planning -- South Africa -- Eastern Cape , Midwives -- Attitudes , Abortion -- South Africa , Pregnant women -- South Africa -- Eastern Cape
- Description: The focus of the study was to evaluate the attitudes of midwives towards the implementation of the Choice on Termination of Pregnancy Act in the O.R. Tambo District hospitals in the Eastern Cape. There was no provision for termination of pregnancy (TOP) for unplanned pregnancy until 1994 when the Choice on Termination of Pregnancy (CTOP) Act was introduced. This act allowed any pregnant woman to request TOP when she wished for TOP. The midwives could voluntarily undergo training in TOP services and the designated institutions started offering TOP services, but stopped at a later stage. This resulted in overcrowding in health institutions which continued rendering TOP services. The researcher posed one question to be answered as: What are the attitudes of the midwives who are employed by health institutions in the O.R. Tambo District in the Eastern Cape Province towards the implementation of the Choice on Termination of Pregnancy Act? The aim of the study was to evaluate the attitude of midwives towards the implementation of the CTOP Act in the O.R. Tambo District hospitals. The objective of this study was to determine the attitudes of these midwives towards the implementation of these services in the O.R. Tambo District in the Eastern Cape Province. A quantitative descriptive design was used in this study. The population consisted of 150 midwives from two hospitals in the O.R. Tambo District. The sample consisted of 75 midwives; 30 midwives from Hospital 1 and 45 midwives from Hospital 2. Random systemic sampling was used in selecting the participants. Data were collected using a questionnaire developed by the researcher and approved by the supervisor and the University of Fort Hare Ethics Committee. In the study, using a sample of (n = 75), the attitude on the implementation of CTOP scale had high reliability of 0.81. Data were analysed with the help of a statistician using Statistix 8.1 software for Windows. Approval to conduct the study was obtained from the University of Fort Hare Ethics Committee, Eastern Cape Department of Health and Hospital 1 and Hospital 2 before the study was conducted. The dignity of the participants was maintained by explaining v the topic of the research study, the aim and objectives of the study, the method to be used for data collection and the significance of the study. The participants were allowed to ask questions and the name and telephone of the supervisor were provided in case they needed some clarity. Voluntary, written informed consent was obtained before the interviews were conducted. Privacy, anonymity and confidentiality were ensured and maintained through all the stages of the research process. The finding of this study was that the midwives employed by the health institutions in O. R. Tambo District Municipality displayed positive responses in the majority (n=11/61.1%) of 18 items in the questionnaire. Since the midwives in this study demonstrated a positive attitude towards TOP, it was recommended that the reason for stopping the TOP services in the concerned institutions should be investigated. The following are also recommended: Compulsory training of midwives should include aspects of reproductive epidemiology, in particular, the epidemiology of unsafe abortions. Training in TOP services should continue, so that there will be adequate number of midwives to provide the TOP services, and consideration of special remuneration for TOP providers. Employment of managers trained in TOP and voluntary training of managers working in TOP sections should be considered so that they may provide effective support to TOP providers. Formation of support centres for TOP providers at Provincial and National levels. Education of the community in prevention of unwanted pregnancies by means of contraceptives and indications for a need to provide TOP services, to prevent victimisation of the TOP providers. Availability of a toll free number for reporting victimisation of the TOP providers.
- Full Text:
- Date Issued: 2012
- Authors: Nohaji, Essinah Nosisi
- Date: 2012
- Subjects: Family planning -- South Africa -- Eastern Cape , Midwives -- Attitudes , Abortion -- South Africa , Pregnant women -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11893 , http://hdl.handle.net/10353/517 , Family planning -- South Africa -- Eastern Cape , Midwives -- Attitudes , Abortion -- South Africa , Pregnant women -- South Africa -- Eastern Cape
- Description: The focus of the study was to evaluate the attitudes of midwives towards the implementation of the Choice on Termination of Pregnancy Act in the O.R. Tambo District hospitals in the Eastern Cape. There was no provision for termination of pregnancy (TOP) for unplanned pregnancy until 1994 when the Choice on Termination of Pregnancy (CTOP) Act was introduced. This act allowed any pregnant woman to request TOP when she wished for TOP. The midwives could voluntarily undergo training in TOP services and the designated institutions started offering TOP services, but stopped at a later stage. This resulted in overcrowding in health institutions which continued rendering TOP services. The researcher posed one question to be answered as: What are the attitudes of the midwives who are employed by health institutions in the O.R. Tambo District in the Eastern Cape Province towards the implementation of the Choice on Termination of Pregnancy Act? The aim of the study was to evaluate the attitude of midwives towards the implementation of the CTOP Act in the O.R. Tambo District hospitals. The objective of this study was to determine the attitudes of these midwives towards the implementation of these services in the O.R. Tambo District in the Eastern Cape Province. A quantitative descriptive design was used in this study. The population consisted of 150 midwives from two hospitals in the O.R. Tambo District. The sample consisted of 75 midwives; 30 midwives from Hospital 1 and 45 midwives from Hospital 2. Random systemic sampling was used in selecting the participants. Data were collected using a questionnaire developed by the researcher and approved by the supervisor and the University of Fort Hare Ethics Committee. In the study, using a sample of (n = 75), the attitude on the implementation of CTOP scale had high reliability of 0.81. Data were analysed with the help of a statistician using Statistix 8.1 software for Windows. Approval to conduct the study was obtained from the University of Fort Hare Ethics Committee, Eastern Cape Department of Health and Hospital 1 and Hospital 2 before the study was conducted. The dignity of the participants was maintained by explaining v the topic of the research study, the aim and objectives of the study, the method to be used for data collection and the significance of the study. The participants were allowed to ask questions and the name and telephone of the supervisor were provided in case they needed some clarity. Voluntary, written informed consent was obtained before the interviews were conducted. Privacy, anonymity and confidentiality were ensured and maintained through all the stages of the research process. The finding of this study was that the midwives employed by the health institutions in O. R. Tambo District Municipality displayed positive responses in the majority (n=11/61.1%) of 18 items in the questionnaire. Since the midwives in this study demonstrated a positive attitude towards TOP, it was recommended that the reason for stopping the TOP services in the concerned institutions should be investigated. The following are also recommended: Compulsory training of midwives should include aspects of reproductive epidemiology, in particular, the epidemiology of unsafe abortions. Training in TOP services should continue, so that there will be adequate number of midwives to provide the TOP services, and consideration of special remuneration for TOP providers. Employment of managers trained in TOP and voluntary training of managers working in TOP sections should be considered so that they may provide effective support to TOP providers. Formation of support centres for TOP providers at Provincial and National levels. Education of the community in prevention of unwanted pregnancies by means of contraceptives and indications for a need to provide TOP services, to prevent victimisation of the TOP providers. Availability of a toll free number for reporting victimisation of the TOP providers.
- Full Text:
- Date Issued: 2012
An assessment of the quality of family planning services rendered to adolescents by health workers at Mdantsane clinics, Mdantsane, Eastern Cape Province, S.A.
- Authors: Ndlebe, Siphokazi
- Date: 2011
- Subjects: Health promotion -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Public health nursing -- South Africa -- Eastern Cape , Sex instruction for youth -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11892 , http://hdl.handle.net/10353/407 , Health promotion -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Public health nursing -- South Africa -- Eastern Cape , Sex instruction for youth -- South Africa -- Eastern Cape
- Description: Family planning services are rendered at no cost in all clinics in Mdantsane. Mdantsane is situated in the Eastern Cape and falls under Amathole District Municipality. The high rate of adolescent pregnancy in the area raises a question as to whether the family planning services are adequate. This issue reflects on the quality of family planning service delivery. According to Roux (1995:94), a quality service is a safe, easily available and readily acceptable service, delivered by well trained family planning personnel through well planned programmes. Aims and Objectives: To assess the quality of family planning service delivery by health providers to adolescents; determine the opinions of adolescents regarding accessibility, friendliness of staff, privacy, confidentiality, reproductive health information and resources at Mdantsane clinics from June to July 2009. Method: A questionnaire was designed to collect data. The questionnaire was administered on the adolescents utilizing the reproductive health services at eleven primary health clinics in Mdantsane. A sample consisting of 110 adolescent youth between 19 and 24 years was selected by using random sampling. A response of “yes” will indicate that the participant is satisfied with the specific item, while a response of “no” will indicate dissatisfaction with that item. A specially designed spreadsheet was developed to analyze the data. Data was analyzed by using the Microsoft Excel 2007 Version 6. Results: The results from this research study suggest that there is a definite need for improvement of adolescent reproductive health services at Mdantsane clinics. It is clear that the current available maternal and child health programmes, school health services and reproductive health services are not able to meet the adolescent sexual and reproductive needs. Conclusion: The research findings from this study indicated the constraints to good quality family planning health care service delivery. Satisfaction responses from the five categories: health facility amenities, accessibility, staff characteristics, availability of sexual and reproductive health services and availability of educational material accessibility were mostly below 70%. The responses regarding the question on the “full information about the available contraceptives”showed the least level of satisfaction. Deficiencies in physical facilities and equipment, disruptions in supplies, insufficient information provided to clients and providers‟ insensitivity to the feelings and needs of the clients are issues that discourage adolescents from utilizing contraceptive services. Recommendations: Adolescents need a safe and supportive environment that offers information and skills to equip them on all aspects related to sexual and reproductive health issues. To satisfy adolescent reproductive needs, the following key elements should be improved: accessibility of reproductive health services, friendliness of clinic staff, availability of information about reproduction and sexuality and maintenance of issues regarding confidentiality and anonymity. Quality requires the presence of trained personnel in well-equipped clinics where clients are treated courteously. To avoid issues of courtesy bias, there is a need to conduct a similar survey utilizing alternative community settings, namely homes of participants or a school.
- Full Text:
- Date Issued: 2011
- Authors: Ndlebe, Siphokazi
- Date: 2011
- Subjects: Health promotion -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Public health nursing -- South Africa -- Eastern Cape , Sex instruction for youth -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11892 , http://hdl.handle.net/10353/407 , Health promotion -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Public health nursing -- South Africa -- Eastern Cape , Sex instruction for youth -- South Africa -- Eastern Cape
- Description: Family planning services are rendered at no cost in all clinics in Mdantsane. Mdantsane is situated in the Eastern Cape and falls under Amathole District Municipality. The high rate of adolescent pregnancy in the area raises a question as to whether the family planning services are adequate. This issue reflects on the quality of family planning service delivery. According to Roux (1995:94), a quality service is a safe, easily available and readily acceptable service, delivered by well trained family planning personnel through well planned programmes. Aims and Objectives: To assess the quality of family planning service delivery by health providers to adolescents; determine the opinions of adolescents regarding accessibility, friendliness of staff, privacy, confidentiality, reproductive health information and resources at Mdantsane clinics from June to July 2009. Method: A questionnaire was designed to collect data. The questionnaire was administered on the adolescents utilizing the reproductive health services at eleven primary health clinics in Mdantsane. A sample consisting of 110 adolescent youth between 19 and 24 years was selected by using random sampling. A response of “yes” will indicate that the participant is satisfied with the specific item, while a response of “no” will indicate dissatisfaction with that item. A specially designed spreadsheet was developed to analyze the data. Data was analyzed by using the Microsoft Excel 2007 Version 6. Results: The results from this research study suggest that there is a definite need for improvement of adolescent reproductive health services at Mdantsane clinics. It is clear that the current available maternal and child health programmes, school health services and reproductive health services are not able to meet the adolescent sexual and reproductive needs. Conclusion: The research findings from this study indicated the constraints to good quality family planning health care service delivery. Satisfaction responses from the five categories: health facility amenities, accessibility, staff characteristics, availability of sexual and reproductive health services and availability of educational material accessibility were mostly below 70%. The responses regarding the question on the “full information about the available contraceptives”showed the least level of satisfaction. Deficiencies in physical facilities and equipment, disruptions in supplies, insufficient information provided to clients and providers‟ insensitivity to the feelings and needs of the clients are issues that discourage adolescents from utilizing contraceptive services. Recommendations: Adolescents need a safe and supportive environment that offers information and skills to equip them on all aspects related to sexual and reproductive health issues. To satisfy adolescent reproductive needs, the following key elements should be improved: accessibility of reproductive health services, friendliness of clinic staff, availability of information about reproduction and sexuality and maintenance of issues regarding confidentiality and anonymity. Quality requires the presence of trained personnel in well-equipped clinics where clients are treated courteously. To avoid issues of courtesy bias, there is a need to conduct a similar survey utilizing alternative community settings, namely homes of participants or a school.
- Full Text:
- Date Issued: 2011
The impact of divorce on work performance of professional nurses in the tertiary hospitals of the Buffalo City municipality
- Authors: Murray, Daphne
- Date: 2012
- Subjects: Nurses -- Attitudes , Nurses -- Job stress -- South Africa -- Eastern Cape , Nurses -- Job satisfaction -- South Africa -- Eastern Cape , Nursing -- Social aspects , Divorce -- Social aspects -- South Africa -- Eastern Cape , Divorce counseling -- South Africa -- Eastern Cape , Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11896 , http://hdl.handle.net/10353/424 , Nurses -- Attitudes , Nurses -- Job stress -- South Africa -- Eastern Cape , Nurses -- Job satisfaction -- South Africa -- Eastern Cape , Nursing -- Social aspects , Divorce -- Social aspects -- South Africa -- Eastern Cape , Divorce counseling -- South Africa -- Eastern Cape , Employees -- Counseling of -- South Africa -- Eastern Cape
- Description: Divorce is a phenomenon that affects the emotional, physical and social wellbeing of the divorcees and those close to them. The situation becomes complicated if the affected person has a responsibility of providing caring and nurturing services to the sick, either as a manager or as a practitioner. The extent of how the impact of divorce affects the performance of professional nurses in their roles as carers and as managers was unknown. The nature and quality of services that they render to their patients, their coping strategies and the support systems were unknown. The purpose of the study was to describe and explore the impact of divorce on work performance of professional nurses at the East London Hospital Complex with the aim of ensuring high quality patient care. The objectives of the study were to: explore and describe the lived experiences of female divorced professional nurses with regard to the impact of divorce on their work performance; identify their coping strategies and their support systems. An exploratory descriptive and contextual qualitative research design was used. A phenomenological approach was used. The participants were twelve (12) divorced female professional nurses. The purposive and snowball sampling as non-probability sampling techniques were used. An interview guide was used to conduct the interviews. Audiotape was used for recording the data. Tesch’s steps (1990) of analyzing qualitative data guided the data analysis process. According to the lived experiences of the participants, divorce is traumatic and painful with emotional, physical, financial and social impact. It had a negative impact on the professional nurses’ work performance. The coping strategies included acceptance of the reality, studying, involvement with club and church activities. Support was available from the families, church, friends, and colleagues. Recommendations are that: the employee assistance program be marketed more effectively by hospital management and be included in the hospital, departmental and unit orientation programmes; that a dedicated psychologist, as well as preventive intervention programs, be made available to employees dealing with divorce.
- Full Text:
- Date Issued: 2012
- Authors: Murray, Daphne
- Date: 2012
- Subjects: Nurses -- Attitudes , Nurses -- Job stress -- South Africa -- Eastern Cape , Nurses -- Job satisfaction -- South Africa -- Eastern Cape , Nursing -- Social aspects , Divorce -- Social aspects -- South Africa -- Eastern Cape , Divorce counseling -- South Africa -- Eastern Cape , Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11896 , http://hdl.handle.net/10353/424 , Nurses -- Attitudes , Nurses -- Job stress -- South Africa -- Eastern Cape , Nurses -- Job satisfaction -- South Africa -- Eastern Cape , Nursing -- Social aspects , Divorce -- Social aspects -- South Africa -- Eastern Cape , Divorce counseling -- South Africa -- Eastern Cape , Employees -- Counseling of -- South Africa -- Eastern Cape
- Description: Divorce is a phenomenon that affects the emotional, physical and social wellbeing of the divorcees and those close to them. The situation becomes complicated if the affected person has a responsibility of providing caring and nurturing services to the sick, either as a manager or as a practitioner. The extent of how the impact of divorce affects the performance of professional nurses in their roles as carers and as managers was unknown. The nature and quality of services that they render to their patients, their coping strategies and the support systems were unknown. The purpose of the study was to describe and explore the impact of divorce on work performance of professional nurses at the East London Hospital Complex with the aim of ensuring high quality patient care. The objectives of the study were to: explore and describe the lived experiences of female divorced professional nurses with regard to the impact of divorce on their work performance; identify their coping strategies and their support systems. An exploratory descriptive and contextual qualitative research design was used. A phenomenological approach was used. The participants were twelve (12) divorced female professional nurses. The purposive and snowball sampling as non-probability sampling techniques were used. An interview guide was used to conduct the interviews. Audiotape was used for recording the data. Tesch’s steps (1990) of analyzing qualitative data guided the data analysis process. According to the lived experiences of the participants, divorce is traumatic and painful with emotional, physical, financial and social impact. It had a negative impact on the professional nurses’ work performance. The coping strategies included acceptance of the reality, studying, involvement with club and church activities. Support was available from the families, church, friends, and colleagues. Recommendations are that: the employee assistance program be marketed more effectively by hospital management and be included in the hospital, departmental and unit orientation programmes; that a dedicated psychologist, as well as preventive intervention programs, be made available to employees dealing with divorce.
- Full Text:
- Date Issued: 2012
Experiences of agency nurses regarding their placement in private hospitals in East London, Eastern Cape
- Authors: Muller, Jennifer
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11911 , http://hdl.handle.net/10353/d1016054
- Description: The general Australian workforce is becoming increasingly reliant on agency staff due to the diminishing of full-time jobs and the rise in part-time jobs since the recession of 1991-1992. This pattern is also seen in Western countries such as America and the United Kingdom (Peerson et al., 2002:505). The excessive costs of health service adopting a 100% staffing model has created the use of agency nursing to help meet fluctuating and unpredictable health care demands in Australia and overseas; agency staff are used to meet the shortfalls in staff-patient ratios (Peerson et al., 2002:505). Hurst & Smith (2011:287) agree that agency nurse staffing form a large part of the health service in the UK and state that this was unlikely to change because of recruitment and retention problems, high absenteeism, and staff wanting to work casually. In their study, they identified three types of agency nurses: A bank nurse – the hospital’s own employees or those supplied by NHS Professionals, who work when required, usually at short notice; agency nurses provided by commercial organisations, who are equally flexible but less familiar with the ward patients and procedures; and permanent ward staff working paid overtime. In South Africa, this also remains a problem in public and private institutions. The World Health Organization (WHO) states that the minimum ratio for nurses to population is 200:100 000 or 500 people per nurse. According to South African Nursing Council statistics of nursing manpower as at the end of 2008, South Africa has 437 nurses for every 100 000 people. This assumed that all nurses registered with SANC are working in South Africa at the time. Therefore, if the assumed number of staff not working in South Africa is subtracted, the ratio can increase to between 600 and 678 people per nurse (WHO, 2006). Joubert (2009:2) shows that a shortage of nurses contributes to deaths in hospitals in South Africa that would otherwise have been avoidable. The use of agency staff is becoming an appropriate means of providing cost-effectiveness and flexibility to staffing needs.
- Full Text:
- Date Issued: 2014
- Authors: Muller, Jennifer
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11911 , http://hdl.handle.net/10353/d1016054
- Description: The general Australian workforce is becoming increasingly reliant on agency staff due to the diminishing of full-time jobs and the rise in part-time jobs since the recession of 1991-1992. This pattern is also seen in Western countries such as America and the United Kingdom (Peerson et al., 2002:505). The excessive costs of health service adopting a 100% staffing model has created the use of agency nursing to help meet fluctuating and unpredictable health care demands in Australia and overseas; agency staff are used to meet the shortfalls in staff-patient ratios (Peerson et al., 2002:505). Hurst & Smith (2011:287) agree that agency nurse staffing form a large part of the health service in the UK and state that this was unlikely to change because of recruitment and retention problems, high absenteeism, and staff wanting to work casually. In their study, they identified three types of agency nurses: A bank nurse – the hospital’s own employees or those supplied by NHS Professionals, who work when required, usually at short notice; agency nurses provided by commercial organisations, who are equally flexible but less familiar with the ward patients and procedures; and permanent ward staff working paid overtime. In South Africa, this also remains a problem in public and private institutions. The World Health Organization (WHO) states that the minimum ratio for nurses to population is 200:100 000 or 500 people per nurse. According to South African Nursing Council statistics of nursing manpower as at the end of 2008, South Africa has 437 nurses for every 100 000 people. This assumed that all nurses registered with SANC are working in South Africa at the time. Therefore, if the assumed number of staff not working in South Africa is subtracted, the ratio can increase to between 600 and 678 people per nurse (WHO, 2006). Joubert (2009:2) shows that a shortage of nurses contributes to deaths in hospitals in South Africa that would otherwise have been avoidable. The use of agency staff is becoming an appropriate means of providing cost-effectiveness and flexibility to staffing needs.
- Full Text:
- Date Issued: 2014
Investigating the provision of nutritional support to critically ill hospitalised patients by registered nurses in East London public and private hospitals in the Eastern Cape
- Authors: Mooi, Nomaxabiso Mildred
- Date: 2014
- Subjects: Nutritional support , Critical illness , Critical Care units , Registered nurses
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11910 , http://hdl.handle.net/10353/d1015533 , Nutritional support , Critical illness , Critical Care units , Registered nurses
- Description: Critical illness is typically associated with a catabolic stress state in which patients commonly demonstrate a systemic inflammatory response that brings about changes in their body systems. Changes in the body systems make the critically ill dependent on mechanical ventilation and inotropic support for longer periods in order to survive. However, this inflammatory response can be attenuated by the timely introduction of nutritional support to provide energy and nutrients to diminish catabolism and promote anabolism. The result could be a decrease in the morbidity and mortality rates, as well as the financial burden on the patients, institutions and the state. Since registered nurses initiate and utilise feeding protocols to achieve target goals, there is a strong need for nurse-initiated feeding protocols. These protocols should be coupled with a comprehensive nurse-directed nutritional educational intervention that will focus on their safe and effective implementation. This focus on nursing nutrition education represents a major shift away from traditional education which has focused on dietitians and physicians. Evidence suggests that incorporating guideline recommendations into nurse-initiated protocols for starting and advancing enteral feedings is an effective strategy to improve the delivery of nutritional support. The study was aimed at exploring the provision of nutritional support to critically ill hospitalised patients by registered nurses to identify and describe possible gaps in the practice, through determining the potential relationship between the provision of nutritional support and characteristics of its providers. A quantitative, descriptive correlational study was undertaken. Seventy registered nurses working in neonatal/paediatric and adult critical care units in two public and three private hospitals in East London in the Eastern Cape participated in the study. The sample also included public critical care students. The results showed that registered nurses in private hospitals have more knowledge about the importance of nutritional support than their public hospital counterparts and students. The mean score was on the question was 80.3% with the highest score of 91% which was for the private hospital nurses, followed by 77.2% for public and 71.4% for students. Again, the mean score for knowledge on timing of initiating nutritional support was 48%, the highest score being 69.4% for students followed by private hospital nurses with 49.6%. Close to 63% (n = 44) of these nurses were either unsure about the availability of nutritional protocols or clearly attested to their non-availability. This is seen as an issue of concern because a protocol is meant to be a standard document with which all members of the ICU should be familiar. It is meant to guide and facilitate the manner of working in the unit. While facilitation of maintenance of nutritional support to patients is the responsibility of registered nurses, according to Regulation 2598(1984) section 45 (1) (q) of the South African Nursing Council, 68% (n = 48) of the respondents felt that this was in the practising scope of doctors and dietitians. The study concluded that the nurses are knowledgeable about the importance of nutritional support but knowledge gaps have been identified as far as the timing of initiating nutritional support is concerned. Some attested to unavailability of standard guidelines that are tailored into protocols guiding the provision of nutritional support by registered nurses in the critical care units. Nutrition should be prioritised as an important therapy for improving the outcomes of critically ill patients. Nurses need to analyse its provision, identify barriers to nutritional strategies and engage in nutritional education to empower themselves regarding the practice. Most importantly, there is a need for nurse-initiated nutritional protocols that are tailored from the broad nutritional guidelines and aligned with the local context and ways of practising. Nutritional support should be included as a key component of the curriculum in academic programmes that specialise in critical care nursing.
- Full Text:
- Date Issued: 2014
- Authors: Mooi, Nomaxabiso Mildred
- Date: 2014
- Subjects: Nutritional support , Critical illness , Critical Care units , Registered nurses
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11910 , http://hdl.handle.net/10353/d1015533 , Nutritional support , Critical illness , Critical Care units , Registered nurses
- Description: Critical illness is typically associated with a catabolic stress state in which patients commonly demonstrate a systemic inflammatory response that brings about changes in their body systems. Changes in the body systems make the critically ill dependent on mechanical ventilation and inotropic support for longer periods in order to survive. However, this inflammatory response can be attenuated by the timely introduction of nutritional support to provide energy and nutrients to diminish catabolism and promote anabolism. The result could be a decrease in the morbidity and mortality rates, as well as the financial burden on the patients, institutions and the state. Since registered nurses initiate and utilise feeding protocols to achieve target goals, there is a strong need for nurse-initiated feeding protocols. These protocols should be coupled with a comprehensive nurse-directed nutritional educational intervention that will focus on their safe and effective implementation. This focus on nursing nutrition education represents a major shift away from traditional education which has focused on dietitians and physicians. Evidence suggests that incorporating guideline recommendations into nurse-initiated protocols for starting and advancing enteral feedings is an effective strategy to improve the delivery of nutritional support. The study was aimed at exploring the provision of nutritional support to critically ill hospitalised patients by registered nurses to identify and describe possible gaps in the practice, through determining the potential relationship between the provision of nutritional support and characteristics of its providers. A quantitative, descriptive correlational study was undertaken. Seventy registered nurses working in neonatal/paediatric and adult critical care units in two public and three private hospitals in East London in the Eastern Cape participated in the study. The sample also included public critical care students. The results showed that registered nurses in private hospitals have more knowledge about the importance of nutritional support than their public hospital counterparts and students. The mean score was on the question was 80.3% with the highest score of 91% which was for the private hospital nurses, followed by 77.2% for public and 71.4% for students. Again, the mean score for knowledge on timing of initiating nutritional support was 48%, the highest score being 69.4% for students followed by private hospital nurses with 49.6%. Close to 63% (n = 44) of these nurses were either unsure about the availability of nutritional protocols or clearly attested to their non-availability. This is seen as an issue of concern because a protocol is meant to be a standard document with which all members of the ICU should be familiar. It is meant to guide and facilitate the manner of working in the unit. While facilitation of maintenance of nutritional support to patients is the responsibility of registered nurses, according to Regulation 2598(1984) section 45 (1) (q) of the South African Nursing Council, 68% (n = 48) of the respondents felt that this was in the practising scope of doctors and dietitians. The study concluded that the nurses are knowledgeable about the importance of nutritional support but knowledge gaps have been identified as far as the timing of initiating nutritional support is concerned. Some attested to unavailability of standard guidelines that are tailored into protocols guiding the provision of nutritional support by registered nurses in the critical care units. Nutrition should be prioritised as an important therapy for improving the outcomes of critically ill patients. Nurses need to analyse its provision, identify barriers to nutritional strategies and engage in nutritional education to empower themselves regarding the practice. Most importantly, there is a need for nurse-initiated nutritional protocols that are tailored from the broad nutritional guidelines and aligned with the local context and ways of practising. Nutritional support should be included as a key component of the curriculum in academic programmes that specialise in critical care nursing.
- Full Text:
- Date Issued: 2014
‘Student life’ discourse and the perception of risk for HIV infection among undergraduate nursing students, at a university, Eastern Cape Province, South Africa
- Authors: Mnwana, Sindiswa Millicent
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11922 , http://hdl.handle.net/10353/d1019830
- Description: There is evidence that the HIV prevalence rates among South African university students remains low at 3.4 %. However, the vulnerability of young people to HIV/AIDS continues to be a serious concern as the prevalence of sexual risk behaviour among students in South African universities is reported to reach 68% in heterosexual relationships. Some analysts argue that so far little is known about the influence of the university culture (the so called “student life”) in this behaviour. The purpose of this study was to explore the perceptions of the risk for HIV infection amongst undergraduate nursing students at an institution of higher learning (university) in East London, Eastern Cape. More specifically, the study examined the ways in which the ‘student life’ discourse functions to influence students’ perceptions of the risk to HIV infection at the selected institution of higher learning. An explorative and descriptive qualitative design was used. The purposive sampling technique was used to select participants. In total, 12 one to one interviews and four focus group discussions (n=35) were conducted. An interview guide was used and a voice recorder to record interviews. Through in-depth interviews and focus group discussions, the research sought to provide insight into the perceptions of risk for HIV infection. The data were analysed using thematic analysis and the themes identified formed the basis for discussion in this study. Among the key findings, that emerged from this study was that knowledge about potential risks to HIV/AIDS did not seem to influence the general sexual behaviour of students. A majority of the participants, 90% that were interviewed individually perceived themselves to be at “little or no” risk of contracting HIV/AIDS despite the high prevalence of HIV risk indicators among them. One of the main findings was that the students’ values that they bring from home were seriously challenged by the student life when they arrived at the university. Therefore in this regard undergraduate nursing students should be equipped by the university with aspects of sexual behaviour such as sexual negotiation and sexual decision making. This would equip them with the necessary skills to resist peer pressure.
- Full Text:
- Date Issued: 2014
- Authors: Mnwana, Sindiswa Millicent
- Date: 2014
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11922 , http://hdl.handle.net/10353/d1019830
- Description: There is evidence that the HIV prevalence rates among South African university students remains low at 3.4 %. However, the vulnerability of young people to HIV/AIDS continues to be a serious concern as the prevalence of sexual risk behaviour among students in South African universities is reported to reach 68% in heterosexual relationships. Some analysts argue that so far little is known about the influence of the university culture (the so called “student life”) in this behaviour. The purpose of this study was to explore the perceptions of the risk for HIV infection amongst undergraduate nursing students at an institution of higher learning (university) in East London, Eastern Cape. More specifically, the study examined the ways in which the ‘student life’ discourse functions to influence students’ perceptions of the risk to HIV infection at the selected institution of higher learning. An explorative and descriptive qualitative design was used. The purposive sampling technique was used to select participants. In total, 12 one to one interviews and four focus group discussions (n=35) were conducted. An interview guide was used and a voice recorder to record interviews. Through in-depth interviews and focus group discussions, the research sought to provide insight into the perceptions of risk for HIV infection. The data were analysed using thematic analysis and the themes identified formed the basis for discussion in this study. Among the key findings, that emerged from this study was that knowledge about potential risks to HIV/AIDS did not seem to influence the general sexual behaviour of students. A majority of the participants, 90% that were interviewed individually perceived themselves to be at “little or no” risk of contracting HIV/AIDS despite the high prevalence of HIV risk indicators among them. One of the main findings was that the students’ values that they bring from home were seriously challenged by the student life when they arrived at the university. Therefore in this regard undergraduate nursing students should be equipped by the university with aspects of sexual behaviour such as sexual negotiation and sexual decision making. This would equip them with the necessary skills to resist peer pressure.
- Full Text:
- Date Issued: 2014
An explosive study of factors leading to students drop out at Lilitha College of Education in Eastern Cape
- Authors: Mnikina, Thandazwa
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11914 , http://hdl.handle.net/10353/d1016148
- Description: This study is about exploring the factors that contribute to nursing students’ dropout at a public college. Lilitha College examination policy states that for a student to complete the Four Year Comprehensive Diploma Course, the student shall have passed all the four year courses. An increased student dropout rate has been identified to be affecting nursing student’s progress at Lilitha College of Nursing, East London Campus. This is a cause for concern and the researcher decided to investigate and explore the factors contributing to students’ dropout. This situation paralyzes the attempt by government to deal effectively with the shortage of trained nurses. The purpose of the study was to investigate and explore the factors that contribute to students’ dropout at Lilitha College of Nursing East London Campus. The objectives of this study were: To explore and describe experiences of students who dropped out from Lilitha College before course completion, to identify contributory factors related to increased students’ dropout rate, to come up with recommendations as how to curb the problem of student dropout and to ensure an increase of nursing students who complete at the end of the programme. This study followed a qualitative approach and explorative descriptive design. The population was all the students that have dropped out at Lilitha College of Nursing, East London Campus in the four year basic comprehensive programme from 2007 – 2011 at all levels of study. The sample size in this study was determined by data saturation, meaning that the data were collected to the point where no new information was obtained (Polit & Beck 2004: 308). A purposive sample of 15 former Lilitha students now working as Enrolled nursing assistants participated in this study. Data collection was divided into two sections, namely, demographic characteristics and face to face interviews. Demographic characteristics of the participants were obtained by asking questions related to age, sex, race, marital status, number of children per participant and the year of study at the time of dropping out. In section two of the study the interview guide was used for the purposes of data collection for this study, where four questions were formulated to guide the interview that was followed by probing questions. All tape recordings were listened to and transcribed verbatim. Field notes that were taken during unstructured interview were interpreted. The ideas that emerged from the interview sessions were then consolidated. Questions in the interview guide and their responses were drawn up and similar responses that arose from the interviews were grouped together. The identified major themes and sub themes were coded and categorized. Data belonging to each category were grouped together and analyzed and then the final remarks on the data analysis were completed. For most participants the course was frightening and difficult. They explained that they were exposed to a lot of information in a short space of time. In class, there was a lot of theory and in the wards there were skills to be learnt. Learners had to compile all the information and try to make sense out of it. Students follow up and support in the clinical facilities was reported as inadequate. The college should employ full time facilitators. This can improve teaching in the clinical area. The student should have mentors so that whenever they encounter a problem there will be people to assist and give them guidance. Through mentoring and support, student absenteeism can be controlled and students can gain self-confidence and learn more.
- Full Text:
- Date Issued: 2013
- Authors: Mnikina, Thandazwa
- Date: 2013
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11914 , http://hdl.handle.net/10353/d1016148
- Description: This study is about exploring the factors that contribute to nursing students’ dropout at a public college. Lilitha College examination policy states that for a student to complete the Four Year Comprehensive Diploma Course, the student shall have passed all the four year courses. An increased student dropout rate has been identified to be affecting nursing student’s progress at Lilitha College of Nursing, East London Campus. This is a cause for concern and the researcher decided to investigate and explore the factors contributing to students’ dropout. This situation paralyzes the attempt by government to deal effectively with the shortage of trained nurses. The purpose of the study was to investigate and explore the factors that contribute to students’ dropout at Lilitha College of Nursing East London Campus. The objectives of this study were: To explore and describe experiences of students who dropped out from Lilitha College before course completion, to identify contributory factors related to increased students’ dropout rate, to come up with recommendations as how to curb the problem of student dropout and to ensure an increase of nursing students who complete at the end of the programme. This study followed a qualitative approach and explorative descriptive design. The population was all the students that have dropped out at Lilitha College of Nursing, East London Campus in the four year basic comprehensive programme from 2007 – 2011 at all levels of study. The sample size in this study was determined by data saturation, meaning that the data were collected to the point where no new information was obtained (Polit & Beck 2004: 308). A purposive sample of 15 former Lilitha students now working as Enrolled nursing assistants participated in this study. Data collection was divided into two sections, namely, demographic characteristics and face to face interviews. Demographic characteristics of the participants were obtained by asking questions related to age, sex, race, marital status, number of children per participant and the year of study at the time of dropping out. In section two of the study the interview guide was used for the purposes of data collection for this study, where four questions were formulated to guide the interview that was followed by probing questions. All tape recordings were listened to and transcribed verbatim. Field notes that were taken during unstructured interview were interpreted. The ideas that emerged from the interview sessions were then consolidated. Questions in the interview guide and their responses were drawn up and similar responses that arose from the interviews were grouped together. The identified major themes and sub themes were coded and categorized. Data belonging to each category were grouped together and analyzed and then the final remarks on the data analysis were completed. For most participants the course was frightening and difficult. They explained that they were exposed to a lot of information in a short space of time. In class, there was a lot of theory and in the wards there were skills to be learnt. Learners had to compile all the information and try to make sense out of it. Students follow up and support in the clinical facilities was reported as inadequate. The college should employ full time facilitators. This can improve teaching in the clinical area. The student should have mentors so that whenever they encounter a problem there will be people to assist and give them guidance. Through mentoring and support, student absenteeism can be controlled and students can gain self-confidence and learn more.
- Full Text:
- Date Issued: 2013