A Research report submitted to the Faculty of Health Sciences at the University of the Witwatersrand in partial fulfillment of Master of Medicine in Emergency Medicine Johannesburg, 2016 / Objective Intimate partner violence (IPV) is a significant social and health concern in South Africa, with far reaching consequences. One in three South African women will experience IPV, and many of the survivors of IPV will have contact with Emergency Care Practitioners (ECPs), either for treatment related to the direct sequelae of the abuse or for other health issues. ECPs already play a role in identifying and managing IPV but current knowledge, attitudes and practices were not known. The aim of the study therefore was to describe current levels of knowledge, attitudes and practices regarding IPV amongst ECPs, including doctors, nurses and paramedics in South Africa and to describe differences according to the respondent's reported prior training and profession. Methods A prospective, cross sectional study was performed using an online survey administered anonymously to ECPs in South Africa. Information regarding demographic data, qualification, prior IPV training, knowledge, attitudes and practices towards IPV were obtained. Results One hundred and fifty three respondents completed the survey. Of those 56% were doctors, 33% paramedics and 9.8% nurses. In total 65% reporting having received no training on IPV. There was a significant association between respondents reporting having received any IPV training and improved self-reported knowledge (p=0.0001), and actual knowledge (p=0.011). Of the respondents in clinical practice 75% had diagnosed IPV in the last six months, although the frequency of diagnoses being made is lower than would be suggested by the South African prevalence rates. Those respondents who reported any prior training on IPV were more likely to have diagnosed IPV in the last 6 months (p= 0.0076) Most of the ECPs who diagnosed IPV counselled the patients on options and/or referred to police and/or social workers. Conclusion Although ECPs are diagnosing and managing IPV, training in this important health concern is inadequate. Any reported training on IPV for ECPs improves self-reported knowledge, actual knowledge and practices regarding IPV. / MT2017

Syfte: Att beskriva och analysera sjuksköterskors kunskap, användning av och inställning till  avledning som en smärtlindrande omvårdnadsmetod vid procedursmärta hos barn.  Metod: Fyrtioen sjuksköterskor, varav sexton specialistutbildade, från tre olika pediatriska  slutenvårdsavdelningar besvarade en enkät som sedan analyserades med hjälp av innehållsanalys  samt i statistikprogrammet SPSS där t-tester och Spearman’s rangkorrelationskoefficient beräknats.  Resultat: En stor andel utav sjuksköterskorna hade hört talas om avledning och använde sig  regelbundet av metoden. Två tredjedelar, främst specialistutbildade, hade hög kunskap kring  avledning och ansåg sig använda metoden i hög utsträckning. Flertalet, främst specialistutbildade,  var positivt inställda till metoden. Specialistutbildade sjuksköterskor hade högre kännedom och  kunskap än grundutbildade sjuksköterskor. Ett samband fanns mellan positiv inställning till  avledning och hög användning av metoden.  Slutsats: De flesta sjuksköterskorna kände till avledning, men kunskapsnivån var dock inte lika  hög. Deltagarnas självrapporterade användning utav avledning var hög, men fler  observationsstudier behövs kring ämnet. Trots att flertalet var positiva till avledning fanns ett antal  sjuksköterskor som var negativa till metoden och för att höja sjuksköterskors kunskapsnivå och  inställning till avledning bör man belysa och implementera de forskningsresultat som finns till  klinisk verksamhet. / Aim: To describe and analyze nurses’ knowledge, use of and attitudes towards distraction therapy  as an analgesic nursing method during procedural pain in children.  Method: Forty-one nurses, including sixteen pediatric nurse specialists, from three different  pediatric wards completed a questionnaire which was analyzed using content analysis and the  statistical program SPSS where t-tests and Spearman's rank correlation coefficient was calculated.  Results: A large proportion of the nurses had heard of distraction therapy and used it regularly in  their practice. Two thirds of the participants, mostly pediatric nurse specialists, had a high level of  knowledge about the distraction therapy and reported that they used the method to a large extent.  The majority, primarily pediatric specialists, had a positive attitude toward the method. Pediatric  nurse specialists had higher awareness and knowledge than regular nurses. A correlation was found  between positive attitude to distraction therapy and high use of the method.  Conclusion: Most nurses had a high awareness about distraction therapy, but the level of  knowledge was not as high. The participants self-reported use of distraction therapy was high, but  there is a need of further observational studies regarding the subject. Although a majority were  positive toward distraction therapy, a number of nurses had a negative attitude toward the method  and to increase nurses’ knowledge and attitudes current research results should be emphasized and  implemented into clinical practice.

Thesis (Ph. D.)--Catholic University of America.

No description available.

Diss. (sammanfattning) Umeå : Univ., 2007. / Härtill 4 uppsatser.

Thesis (Ph. D.)--Catholic University of America.

Thesis (M.S.)--University of Michigan, 1979.

Thesis (M.S.)--University of Michigan, 1994.

Thesis (M.S.)--University of Michigan, 1976.

Thesis (M.S.)--University of Michigan, 1979.