Thesis (M.CUR.) -- University of Limpopo, 2014 / The purpose of the study was to develop protocol for professional nurses regarding NIMART management that is based on data and specific challenges that are faced in the Ehlanzeni district by professional nurses. A quantitative, descriptive and cross-sectional research design was used for this study. The population consisted of all professional nurses who are NIMART trained, managing and initiating patients on ARV’s at primary health care clinics. Systematic random sampling method was used to select 135 respondents. Data was collected through the self-developed questionnaire. The questionnaire was pre tested. Reliability was ensured through self-administered questionnaire and with the guide of literature review. The questionnaire was also pre tested by conducting a pilot study. Validity was ensured through undertaking extensive literature review, giving operational definitions of concepts, questionnaires were given to supervisors, questions constructed according to the objectives of the study and congruence was ensured between research questions, objectives, findings and recommendations. Data analysis was done through descriptive studies, using SPSS statistics 21.0 programme of data analysis with the assistance of the statistician. The findings indicate that challenges faced by professional nurses regarding nurse initiated and management of antiretroviral therapy are be lack of professional nurses, fear of infecting themselves while treating HIV positive patients, patients do not come on their return dates, encountering problems when they trace defaulters and shortage of retroviral drugs. The study recommends that staff shortage should be addressed, medicine supply should be monitored, a competent HIV trained doctor should be appointed and dedicated outreach team should be appointed. Keywords: NIM-ART, HIV/AIDS, Professional nurse

The study investigated the experiences of remaining nurse tutors at the Free State School of Nursing during the transformation of Nursing Colleges and downsizing of personnel. The study aimed at describing the experiences of individuals during changes in their work environment, with the purpose of contributing to the identification of guidelines for 'surviving' transformation and downsizing at the workplace. Three themes emerged from this study through the narrative descriptions and unstructured interviews. The first theme, affective responses, dealt with emotions, low morale, depressive moods and anxiety caused by transformation and downsizing. The second theme, cognitive and perceptual view, revealed the thoughts, beliefs, and opinions of remaining nurse tutors regarding transformation and downsizing. Perceptions of and opinions on how nursing education and human dignity were affected were also expressed. The third theme portrayed the coping responses, which described work-related personal and social adjustments nurse tutors made during the transformation of nursing colleges. Recommendations included communication, participation and counseling of nurse tutors and to meet the requirements of nursing colleges during transformation and downsizing. / Health Studies / M.A. (Nursing Science)

The study investigated the experiences of remaining nurse tutors at the Free State School of Nursing during the transformation of Nursing Colleges and downsizing of personnel. The study aimed at describing the experiences of individuals during changes in their work environment, with the purpose of contributing to the identification of guidelines for 'surviving' transformation and downsizing at the workplace. Three themes emerged from this study through the narrative descriptions and unstructured interviews. The first theme, affective responses, dealt with emotions, low morale, depressive moods and anxiety caused by transformation and downsizing. The second theme, cognitive and perceptual view, revealed the thoughts, beliefs, and opinions of remaining nurse tutors regarding transformation and downsizing. Perceptions of and opinions on how nursing education and human dignity were affected were also expressed. The third theme portrayed the coping responses, which described work-related personal and social adjustments nurse tutors made during the transformation of nursing colleges. Recommendations included communication, participation and counseling of nurse tutors and to meet the requirements of nursing colleges during transformation and downsizing. / Health Studies / M.A. (Nursing Science)