M.Cur. (Nursing Sciences) / Please refer to full text to view abstract

M.Cur. / Please refer to full text to view abstract

M.Cur. / Please refer to full text to view abstract

Die doel van die studie was om vas te stel hoe die verpleegkundedosent die begeleiding van verpleegstudente in die praktyk ervaar. In die verlede was begeleiding van verpleegstudente met praktika in gesondheidsorginstansies deur ʼn professionele verpleegkundige gedoen wat deel was van die personeel se verantwoordelikhede. Die verpleegstudente doen hul teoretiese kennis op by ʼn tersiêre instansie en verkry hul praktiese kennis by ʼn geakkrediteerde gesondheidsorginstansie soos vereis deur die Suid-Afrikaanse Raad op Verpleging (SARV). Een van die take van ‘n verpleegkundedosent van die privaat opleidingskool is om die kliniese begeleiding van verpleegstudente in geakkrediteerde instellings te doen. Omdat verpleging ʼn beroep is waar vaardighede belangrik is, is praktiese inoefening van prosedures en evaluering van die verpleegstudente se vaardigheid daarin noodsaaklik. Die verpleegstudente is heeltyd besig met die pasiënte in die vorm van prosedures waarby die teorie wat in die opleidingskool verkry was, gekorreleer moet word met die prosedure om die hele prentjie te vorm. Dit is dus nodig dat begeleiding van die verpleegstudente gedoen moet word om vaardigheid en toepassing van kennis te verseker. Die navorser het ʼn kwalitatiewe, ondersoekende, beskrywende en kontekstuele studie gedoen waarvan die populasie die geregistreerde dosente van verskeie provinsiale en privaatverpleegskole in die Klein-Karoo en Suid-kaapdistrikte was. Die navorser het gebruik gemaak van ʼn nie-waarskynlike steekproef. Inligtingryke data was ingesamel deur semi-gestruktureerde onderhoude wat aangevul was met veldnotas soos verkry tydens onderhoude. Data-ontleding was reeds begin met data-insameling en Tesch se inhoudsontleding was gebruik om ʼn mening te vorm. ‘n Literatuurkontrole was gedoen om te bepaal wat vorige navorsing oor begeleiding bevind en aanbeveel het. Lincoln en Guba se model was gebruik vir betroubaarheidsversekering volgens die kriteria wat hulle aanbeveel het, naamlik geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid. Uit die data-ontleding het vier belangrike temas en subtemas te voorskyn gekom. Die temas was dat die verpleegkundedosente aspekte van die begeleiding van verpleegstudente in die gesondheidsorginstansie as positief en ook as negatief beleef. Die wyse waarop die gesondheidsorginstansies bestuur word, het die begeleiding beïnvloed en daar was riglyne voorgestel wat die kliniese personeel en dosente kan rig wanneer hulle betrokke raak by die begeleiding van verpleegstudente. Die begeleiding van verpleegstudente deur verpleegkundedosente, kliniese dosente en die gesondheidsorginstansie se opgeleide personeel, is ʼn belangrike deel van verpleegopleiding en bepaal uiteindelik die kwaliteit van die pasiëntsorg wat verskaf word deur die verpleegkundiges. Die navorser het riglyne daar gestel om die begeleiding van vepleegstudente te rig. Die riglyne moet nou geïmplementeer en getoets word binne die konteks van die bepaalde verpleegskole en dan weer geëvalueer word. Beperkings wat ondervind was in die studie was dat die steekproef ʼn klein groepie verpleegkundedosente op die platteland was, wat veralgemening bemoeilik, veral in die stedelike konteks. Die begeleiding van die verpleegstudente is gedoen met die ingeskrewe verpleegstudente (Die Suid-Afrikaanse Raad op Verpleging Regulasies, Regulasie 2176 en 2175 van 19 November 1993), naamlik die kategorie met die minste status en verantwoordelikheid onder verpleegstudente. Veralgemening na alle kategorieë, veral verpleegstudente besig met professionele verpleegprogramme, mag dus nie sinvol wees nie.

M.Cur. (Nursing Administration) / Please refer to full text to view abstract

This study investigated the experiences of paediatric care nurses in a public, resource-poor hospital in Durban, KwaZulu-Natal to. A mixed methods design was used . The quantitative aspect focused on how contextual factors influenced nurses’ perceptions of the hospital ward where they worked. The Moos Ward Atmosphere Scale was used to assess ward environment. The Maslach Burnout Inventory Scale was used to explore the role of various aspects of vicarious job burnout. The study took place in four phases, baseline, pre-intervention, intervention and post-intervention. Quantitative analysis was done to explore possible relationships in burnout and ward atmosphere. A repeated (paired) measures t-test design was used to compare the pre- and post-intervention data, to test if the intervention process had any effect on the ward atmosphere and nurse burnout. As this was a small data set, quantitative analysis was done as an exploration for future research. The qualitative aspect explored how the intervention was utilized; how nurses talked about their issues in the support group and what issues they reported. Thematic analysis was used as the focus of this research was describe the experiences of nursing in a resource-poor setting, with the expectation that this could raise complex and new challenges faced in the context of HIV and AIDS. Although nurses in this study reported many challenges resulting from health sector problems, such as the shortage of staff and resources, they did not achieve high scores on the Maslach Burnout Inventory. The possible reasons for this are explored. The study also revealed that newly employed nurses expressed having more miscommunication problems with caregivers and other staff members. Other themes identified included, lack of HIV and AIDS disclosure, stressors related to the current South African context and trauma as a result of the death of patients and colleagues. / Thesis (M.Soc.Sci.)-University of KwaZulu-Natal, Pietermaritzburg, 2009.

There is scientific evidence that the spiritual well-being of a person can influence the quality of life lived and the general responses to life's crises of illness, pain, suffering and even death (Ross, 1994). The problem that was identified in this study was the absence of an explicit description or the phenomena of spirituality and spiritual care in nursing within a South African context. Concept clarification was imperative ifnurses, patients/clients in South Africa were to realize spirituality and spiritual care within a broader context of holistic nursing. The purpose of the study was to conceptualize the phenomena of spirituality and spiritual care from the perspectives of nurses and patients/clients with an aim of generating a middle range theory of spiritual care in nursing that explained the phenomena by utilizing data that were grounded in the participants' experiences. A qualitative mode of inquiry using a grounded theory method was applied. A sample of 56 participants composed of 40 nurses, 14 patients and 2 relatives of patients was recruited by theoretical sampling procedure from two hospitals, and one hospice settings. Data were collected by utilizing focus groups interviews followed by one to one in depth interviews and observations. An audio tape recorder was used to record the conversation, field notes and memos were also kept to strengthen the data, and to ensure trustworthiness. Data were collected and analyzed simultaneously. A software called Nvivo was used to code data into different levels of coding. The results were rich descriptions of the phenomena in question and a development of a theoretical model for spiritual care. The concept of spirituality was described as a unique individual quest for a transcendent relationship by establishing and maintaining a dynamic relationship with self, others and with God as understood by the person. The ability to establish and maintain a meaningful transcendent relationship seemed to be related to the person's beliefs, faith or trust. 99% of the participants expressed their quest for a transcendent relationship through organized religion while I % claimed to have their spiritual fulfilment outside an organized religion. The phenomena of spirituality and spiritual care were conceptualized as occurring in phases which begin with a comfortable zone, trigge r-response and spiritual caring. The nurses role in spiritual care was perceived as based upon the principles of ubuntu. compassion for human suffering and pain and acceptance of a patient/client as a unique being. Nurses carried their spiritual care roles by accompanying, helping, presencing, valuing and intercessory roles. The outcomes of spiritual care were cited as hope, inner peace, finding meaning and purpose in life, illness, and in death. / Thesis (Ph.D.)-University of Natal, Durban, 2001.

The research study on "Nurses' views on which factors cause nurse absenteeism in a selected hospital, Durban, South Africa", was conducted utilizing a quantitative, non-experimental, simple survey design. The study was conducted at a provincial hospital in Durban. There were sixty nurses, which were involved in the study. The nurse study sample comprised ten Registered Nurses on day duty and ten Registered Nurses on night duty; ten Enrolled Nurses on day duty and ten Enrolled Nurses on night duty; ten Enrolled Nurse Assistants on day duty and ten Enrolled Nurse Assistants on night duty. Nurses consented to be apart of the study, following completion of the study questionnaire, The study was guided by the conceptual framework by Taunton, Hope Woods and Bott. (1995: 218). Independent variables of the nurse, nurse manager, work and organization and their associated characteristics were the main aspects of the study. These were investigated using separate methods of closed-ended and open-ended questions, to determine factors that caused absenteeism. The closed-ended questions consisted of questions to either responses of either an agree or disagree. There were open-ended, simple survey, questions. Statistical methods of A Exact Binomial Test of Significance were used to analyze the quantitative data of the closed-ended data collected. Content analysis, using a coding technique, with descriptive analysis techniques of frequency counts and frequency distributions, were utilized for data analysis for the open-ended data collected. There emerged many reasons for nurse absenteeism, employing two research designs, some of which were unknown until this research was complete and some reasons, which were known but now emphasized. Once the hospital management view upon all reasons for nurse absenteeism, there can possibly an understanding of nurse absenteeism, reducing nurse absenteeism and allowing for a better-managed workforce. / Theses--Nursing. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

D.Cur. (Psychiatric Nursing Science) / The aim of the research was to generate a psychiatric nursing approach for adolescents experiencing mental health problems. Understanding by the psychiatric nurse of all the dimensions of the experience world of the adolescent with mental health problems. can contribute to the development of a psychiatric nursing approach. The psychiatric nurse in an adolescent unit can operationalise the guidelines of such an approach in order to rcalise hope and the quest for wholeness with the adolescent with mental health problems. Nowadays high expectations are put to the adolescent. The adolescent is confronted with prescriptions and expectations by a complex society. The psychiatric nurses in an adolescent unit of a private psychiatric hospital often experienced feelings of confusion. discouragement and frustration. That which they wanted the adolescent to achieve while in the unit. determined what kind of treatment he received. The psychiatric nurse has accepted the responsibility for the adolescent' s quest for wholeness (well-being) and for the changes that could be effected therapeutically. In addition the frame of reference of workbooks and thought books. programmes for adolescents with mental health problems. the desires of parents and the theories and models for adolescent development are used as the frame of reference for treatment. This deprives the adolescent with mental health problems of his expert role as the author and rewriter of his life-story. as well as of the own responsibility for the quest for wholeness and maturity. The researchercame to the conclusion that the adolescent with mental health problems should himself, on the one hand. give the main input in the establishment of programmes in an adolescent unit in a psychiatric hospital and on the other hand. for the writing and rewriting of his own life-story. If the psychiatric nurse wishes to obtain more knowledge and understanding of the experience world of the adolescent with mental health problems, she can, from the frame of reference of the adolescent himself, facilitate hope and the quest for wholeness in order to restore, maintain and promote mental health...

M.Cur. / A single comprehensive, equitable and integrated National Health System must be created for South Afiica (ANC, 1994:19). This will be achieved by the ANC's commitment too promotion ofhealth through prevention and education. The Primary Health Care approach is the tenet for the restructuring ofthe health system. To be able to create a Health System which is single, comprehensive, equitable and integrated the system should be accessible, effective, acceptable, affordable and just. Community health nursing should be restructured to comply with these conditions. In this study the functions ofthe district nurse as a component ofthe Community Health Nursing Service within the National Health System is described. The aim ofthis study is to render more prominence to the promotive, preventive, curative and rehabilitive aspects ofcommunity health nursing in the home environment. Criteria for the delivery ofa district nursing service as component ofa community health nursing service will also be set and the position ofcurrent district nursing services investigated. An explorative, descriptive study was performed. The functions that the district nurse is supposed to perform will be obtained, by analysing duty sheets, a questionnaire and a literature review, to set guide lines for the delivery ofa district nursing service. Most ofthe district nurse's functions were found to be corresponding, in the duty sheets and questionnaires. But there were also some differences. The final findings are described