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Die bepaling van standaarde vir 'n omvattende opvolgdiens aan onkologiepasiente op die Wes-Kaapse plattelandBimray, Portia Benita 12 1900 (has links)
Thesis (MCur)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: Against the background of the approach to make the follow up care to oncology
patients more accessible and with the emphasis on quality care, it was indicated
that this service needs to be evaluated.
A study based on a combination of qualitative and quantitative methods (also
called triangulation) was conducted to formulate structure, process and outcome
standards for a comprehensive follow up care for the oncology patients and to
evaluate this service according these standards.
The most important results are:
• The quality of care relating to the structure standards was optimal
regarding the organization of the patient's visits, follow up treatment and
referrals. A suboptimal standard was found regarding the general
management system.
• In the process standards focusing on the physical and psychosocial needs
of the patient, a suboptimal standard was found regarding all aspects.
Nursing practice leading to subobtimal care of patients is a major cause
for concern.
• With the outcome standards reflecting in patient satisfaction, positive as
well as negative opinions and perceptions were found.
Recommendations include:
• Upgrading of management systems
• Empowerment of the nurses with knowledge and scientific competencies
• Attention to the opinions and perceptions of the patients to completely
involve the patient in the service and treatment process.
Keywords: Oncology follow up service I formulation of structure, process and
outcome standards. / AFRIKAANSE OPSOMMING: Teen die agtergrond van die benadering om opvolgdienste meer
toegangklik te maak vir onkologiese pasiënte, met die beklemtoning van
gehaltesorg, is dit aangedui dat hierdie diens geëvalueer moes word.
'n Studie gebaseer op 'n kombinasie van kwalitatiewe en kwantitatiewe
metodes (genoem triangulasie) is uitgevoer om struktuur, proses en
uitkomsstandaarde vir 'n omvattende opvolgdiens aan onkologiepasiënte
te formuleer en die diens aan die hand daarvan te evalueer.
Die belangrikste resultate is:
• Die gehalte van sorg wat verband hou met die struktuurstandaarde
was net optimaal ten opsigte van die organisasie van die pasiënt se
besoeke, opvolgbehandeling en verwysings. 'n Suboptimale
standaard is gevind ten opsigte van die algemene bestuurstelsel.
• In die prosesstandaarde wat fokus op die fisiese en psigososiale
behoeftes van die pasiënt, is 'n suboptimale standaard in alle
aspekte gevind. Verpleegpraktyk wat lei tot suboptimale sorg van
pasiënte is 'n groot bron van kommer.
• Met die uitkomsstandaarde wat reflekteer in pasiënttevredenheid is
positiewe maar ook negatiewe opinies en persepsies gevind.
Aanbevelings sluit in:
• Verbetering van bestuurstelsels
• Bemagtiging van die verpleegkundige met kennis en wetenskaplike
vaardighede
• Aandag aan pasiënte se opinies en persepsies ten einde die pasiënt
ten volle te betrek by die hele diens en behandelingsproses.
Sleutelwoorde : Onkologiese opvolgdiens / formulering van
struktuurproses en uitkomsstandaarde.
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Factors associated with cervical cancer among women of reproductive age group in SwazilandHlophe, Thabo Trevor 07 1900 (has links)
The study is informed by inadequate information on factors associated with the prevalence, incidence and mortality of cervical cancer cytological abnormalities in Swaziland. The aim of the study was to explore and describe factors associated with cervical cancer among women of reproductive age between 15 and 49 years in Swaziland. Quantitative descriptive design with a data extraction tool was used to retrospectively generate observational data from 1748 patients’ records in Mbabane Government Hospital from January 2014 through to December 2014. Bivariate logistic regression was used to establish relationship between cervical cancer and each explanatory variable. The overall prevalence of cervical cytology test results was 24.9%. The combination of marital status, HIV status, ART status, age at sexual debut have been identified as factors associated with cervical abnormalities. Most importantly, the results will also serve as evidence for the development of a national cervical cancer screening policy and also strengthening the cancer registry in Swaziland. / Health Studies / M.A. (Public Health)
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Exploring family-centered care among pediatric oncology nursesMacKay, Lyndsay Jerusha, University of Lethbridge. Faculty of Health Sciences January 2009 (has links)
Family-centered care (FCC) is important within the practice of pediatric oncology nurses. Such nurses face challenges and barriers when attempting to provide FCC. The purpose of this study was to understand the experiences of pediatric oncology nurses in relation to FCC; identify how pediatric oncology nurses implemented FCC into their practice; identify what facilitated and enabled pediatric oncology nurses to implement FCC; and discern the barriers and challenges that were present in their setting when implementing FCC. A qualitative approach utilizing person-centered interviewing was used to collect data. Nurses (N=20) from the Alberta Children‟s Hospital were recruited through purposeful convenience sampling and were then interviewed. Five major themes were identified from the data set: ACH support f FCC, How participants defined FCC, Establishing FCC, Enhancing FCC, and Barriers and Challenges to providing FCC. Recommendations for future research and implications for practice and education are offered. / xii, 191 leaves ; 29 cm
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Experiences of patients regarding oncology treatment and care at hospitals in Vhembe District of Limpopo ProvinceRamutumbu, Neo Jacqueline 09 1900 (has links)
MCur / Department of Advanced Nursing Science / See the attached abstract below
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