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The experience of enrolled nurses caring for multidrug-resistant tuberculosis patients in KwaZulu-NatalArjun, Sitha Devi 11 1900 (has links)
The purpose of this study was to explore and describe the personal
experiences of enrolled nurses while caring for patients infected with
multidrug-resistant tuberculosis (MDR-TB) in an urban tuberculosis hospital in
KwaZulu-Natal province, South Africa. Generic qualitative research was
conducted with a sample of purposively selected enrolled nurses who cared for
MDR-TB patients. Data was collected through in-depth individual interviews and
analysed using Colaizzi’s (1978) method of data analysis. The research findings
revealed six major themes: the working context, fear of contracting the disease,
problems that have an impact on the quality of nursing care, nurses' perceptions
of the patients, support structures and nurses' expressed needs. The findings of
this study indicate that the nurses work in a challenging environment and need to
be supported, as they experience more negative than positive feelings while
caring for these patients. / Health Studies / (M.A. (Health Studies))
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Cardio-pulmonary resuscitation knowledge of registered nurses working in private hospital wardsHutchings, Pauline Linda Joan 06 1900 (has links)
Cardiopulmonary resuscitation is a skill that all registered nurses
should maintain. In South Africa, a new healthcare trend towards
accreditation in this skill is emerging. It is assumed that nurses are
competent in cardiopulmonary resuscitation, but studies indicate a
problem of poor retention ofboth knowledge and skills in this area.
A non-experimental, quantitative, descriptive and contextual
research project was undertaken with the aim of exploring the
knowledge of cardiopulmonary resuscitation of registered nurses
working in the wards of selected private hospitals in the Western
Cape Peninsula.
A convenience sample of thirty registered nurses completed a
multiple-choice questionnaire. The questions in the questionnaire
were derived from a literature review as well as the basic and
advanced cardiopulmonary resuscitation algorithms. Analysis of
the data indicated that the level of knowledge of cardiopulmonary
resuscitation was inadequate particularly in the areas of medication
and the rationale underlying interventions.
Recommendations that were made included proposals that cardiopulmonary resuscitation training programmes be revised;
and that employers ensure that registered nursing ,staff are formally
trained on an annual basis. / Health Studies / M.A. (Nursing Science)
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Lived experiences of newly qualified professional nurses doing community service in midwifery section in one Gauteng hospitalNdaba, Boniswa Jeslina 30 November 2013 (has links)
The purpose of this study was to explore the lived experiences of the newly qualified professional nurses in midwifery section doing community service. A qualitative descriptive, interpretative phenomenological research was conducted to determine the experiences. The sample included newly qualified professional nurses doing community service. Data collection was conducted by means of unstructured interviews from ten (n=10) informants. Each interview was approximately 45 minutes. Ethical issues were considered. Hussel and Heidergadian’s data analysis steps were followed. Four (4) themes and eleven (11) sub-themes emerged from the data collected. The findings revealed that the newly qualified professional nurses were in a state of reality shock, demonstrated by challenges such as shortage of human and material resources; overcrowding; lack of support; and the placement of Midwifery Nursing Science in the curriculum has impacted negatively on midwives’ registration as professional nurses.
Based on the current practical nursing education environment and further research, this study concludes by presenting its recommendations and limitations. / Health Studies / M. A. (Health Studies)
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Ondersteuningstelsels vir verpleegkundiges in geselekteerde hospitale in die Oos-KaapDu Preez, Catharina Maria 01 1900 (has links)
Text in Afrikaans / 'n Opname is onder verpleegkundiges in diens van geselekteerde hospitale
onderneem ten einde te bepaal watter ondersteuningstelsels tans in die hospitale
vir verpleegkundiges beskikbaar is. Daar is ook bepaal hoe effektief hierdie
ondersteuningstelsels benut word, en indien nie waarom nie en ten laaste of
ondersteuningstelsels as 'n vereiste fasiliteit gesien word.
Die leemtes betreffende ondersteuningstelsels in hierdie hospitale is ge·identifiseer,
soos die gebrek van verpleegbestuur om outokratiese en burokratiese
bestuurstyle met deelnemende bestuurstyle te vervang.
Daar bestaan ook leemtes in ondersteuning by die beplanning van verpleegsorg,
wat moontlik toegeskryf kan word aan verpleegbestuur se swak deelname en
betrokkenheid by verpleegsorgbeplanning.
Aanbevelings is geformuleer om hierdie leemtes aan te spreek.
Tydens orientering behoort alle nuwe personeel ingelig te word oor die hospitaalbeleid,
sodat doelstellings gesamentlik beplan kan word. Die funksie van bestuur
en hulle bydrae tot personeelondersteuning behoort deel van die orienteringsprogram
te vorm / A survey to establish which support systems are at present available to nurses,
was undertaken in selected hospitals. It was determined how effective these
support systems have been utilised, and if not, why not and whether the support
systems were seen as an essential facility.
The failure of nursing management to replace autocratic and burocratic
management styles with participative management styles is a deficiency in the
support systems of these hospitals.
There is also a need for support in the planning of nursing care. This can
possibly be due to the nurse manager's poor participation and involvement in the
planning of nursing care.
Recommendations were formulated to address these needs.
During orientation all new personnel should be informed of hospital policy to
enable them to plan collectively, to accomplish objectives. The functions of
management and their contribution towards personnel ought to form part of the
orientation programme / Agriculture & Environmental Sciences / M.A. (Verpleegkunde)
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The nature of the problems experienced by non-Zulu student nurses during their encounter with Zulu patientsKhanyile, Thembisile Dorothy 06 1900 (has links)
South African nurses have accepted the challenge that was brought about by the Health
Reform Policy of 1990 which opened health service centres to people of all racial and
cultural groups. However, recent studies on multicultural nursing have revealed that
problems have occurred when delivering care across cultural barriers. Most of these studies
have approached these problems from the patients point of view, where issues of
dehumanized care, labelling and discrimination have been reported.
Therefore, this study was an attempt to look into these problems from the nurses point of
view, by exploring the source of these problems, their effect on health care delivery and
possible solutions. The researcher focussed on three critical issues, namely, lack of cultural
knowledge, negative attitudes, as well as difficulty in communication.
Through focus group interviews (FGI) and responses to given scenarios, student nurses who
had experienced problems with culturally different patients were given a chance to reflect
on their experiences, report on these experiences and recommend possible solutions to the
experienced problems.
The results revealed that:
1. The major source of the problems was lack of experience due to inadequate exposure to
culturally diverse groups which in tum led to inappropriate decisions and actions at care
delivery level.
2.Difficult perceptions and negative attitudes lead to the formation of stereotypes which
block the delivery of culturally congruent care.
3 .Inability to communicate due to differences in spoken language lead to difficulty in
building the trust relationship and hence inadequate care delivery. / Health Studies / M.A. (Nursing Science)
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The impact of the rights and obligations of nurses on patient care in a critical setting in Gauteng ProvinceTsatsane, Meriam Semanki 23 January 2015 (has links)
This study explored and described the impact of the rights and obligations of nurses on
the delivery of quality patient care in a clinical setting. Quantitative research approach
was utilised. Data was collected using a self-administered questionnaire. The research
results revealed that respondents who participated in this study were aware of their
rights and obligations, the effects and impact of factors influencing such rights and
obligations on patient care. It was established that “patient abandonment” observed
when nurses embark on a strike as their constitutionally enshrined right is not due to a
lack of insight about their rights and obligations, but on how such rights and obligations
are implemented.
The researcher recommends that further research be undertaken to explore the causes
of nurses embarking on strike actions despite their high level of knowledge concerning
the impact of such actions on patient care in a clinical setting / Health Studies / M.A. (Health Studies)
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The perceptions of professional nurses on student mentorship in clinical areas : a study in Polokwane municipality hospitals, Limpopo ProvinceSetati, Chokoe Mable 11 September 2013 (has links)
The purpose of the study was to explore the perceptions of professional nurses on student mentorship. A qualitative, explorative, hermeneutic phenomenological research was conducted to determine the meaning of mentoring as perceived by professional nurses and to identify the successes and challenges encountered by professional nurses with regard to student mentorship during clinical practice. A face-to-face semi-structured interviews were done to collect data from operational managers (n=16) who were managing all unit activities, student mentoring included. Each interview lasted for ± 45 minutes. A hermeneutic data analysis (hermeneutic circle) was followed for data analysis. Four (4) themes and 15 sub-themes emerged from data collected from operational managers. The findings revealed that mentoring was perceived as a valuable phenomenon to apply in the preparation of student nurses for future professional role. In the process of mentoring, the caring attitude is revealed. Factors found to drive mentoring process successful was amongst other commitment, interest and partnership which guarantee the mutual efforts to the process. Though it is beneficial to mentor, mentee and the organisation as according to findings, challenges were also seen impacting on this process limiting its intentions / Health Studies / M.A. (Health Studies)
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An evaluation of clinical facilitation in the Nursing College of the Eastern Cape provincePeter, Zingiwe Patricia 03 1900 (has links)
Thesis (MCur (Nursing Science))--University of Stellenbosch, 2008. / ENGLISH ABSTRACT: Clinical teaching and training is undertaken to correlate theory and practice (Mellish
et al., 1998:211). Clinical teaching is the means by which student nurses learn to
apply the theory of nursing in a clinical situation so that an integration of theoretical
knowledge and practical skills in the clinical situation becomes the art and science of
nursing. (Mellish et al., 1998:207). The role of the lecturer/facilitator is to bridge the
theory-practice gap between nursing education and practice. Since the merger of the
nursing colleges in the Eastern Cape Province (South Africa) and the abolishment of
the clinical department in the hospital it became essential to evaluate the clinical
facilitation needs of students and tutors.
For the purpose of this study the researcher evaluated the clinical facilitation, with the
focus area being on the clinical needs and problems of nursing tutors and nursing
students at a nursing college in the Eastern Cape Province.
The objectives of this study were to determine the following: the clinical facilitation
needs of student nurses of the Nursing College, clinical facilitation needs of tutors of
the Nursing College, clinical facilitation related problems facing student nurses and
tutors in the Nursing College and associations between the clinical facilitation of the
campuses of the Nursing College.
The following research question was evaluated: What are the needs and problems of
nursing students and tutors in clinical facilitation at the Lilitha Nursing College?
The research methodology was a descriptive exploratory design with a quantitative
approach. The population for this study was the fourth-year nursing students, and all
tutors of the nursing college.
A convenient sample was drawn. All students available at the time of data collection
were included in the study. A structured questionnaire was used to collect the data.
The final sample of students was N =100 (45%) of a total population of 222 students.
The final sample of tutors was N=35 (36%) of a population of 97. Reliability and validity were assured by means of a pilot study and the use of experts
in nursing education, research methodology and statistics. Data were collected
personally by the researcher.
Ethical approval was obtained from Stellenbosch University, Department of Health
ECP, and Head of the Nursing College and Principals of the campuses. Informed
written consent was obtained from the participants.
Statistical associations with reference to clinical facilitation between the various
campuses of the nursing college were determined using the Chi-square tests. The
results of this study are presented in percentages, tables and histograms.
On completion of the study the following recommendations were made:
standardization of policies and procedures; preplanning and publishing of clinical
placement dates; manuals, rules, student needs and outcomes be available before
clinical placement; improvement of communication between clinical staff, facilitators
and students; improvement of infrastructure, equipment and materials.
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Experiences of critical care nurses of death and dying in an intensive care unit : a phenomenological studyNaidoo, Vasanthrie January 2011 (has links)
Dissertation submitted in fulfillment of the requirements for the Degree in Masters of Technology: Nursing, Durban University of Technology, 2011. / Background
Working in the intensive care unit can be traumatic for nursing personnel. Critical care nurses are faced with repeated exposure to death and dying as they are involved in caring for patients who are actively dying or who have been told that they have a terminal illness and are faced with the possibility of impending death. Critical care nurses relate in different ways to the phenomena of death and dying within their nursing profession and their scope of practice. These nurses often have a difficult time coping with the stress that comes with caring for those who are dying or relating to loved ones of those that are dying.
Aim of the study
The aim of the study was to explore the critical care nurse’s experiences of death and dying.
Methodology
A qualitative, descriptive phenomenological approach was used to guide the study. Four nurses were recruited and rich descriptions of their experiences were gained through individual face-to-face interviews. One broad question was asked: ‘What are your experiences regarding death and dying of your patients in ICU?’
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Results
The findings of this study revealed that issues such as communication, multicultural diversity, education and coping mechanisms relating to caring for the critically ill and dying patient are essential in nursing education and practice. Critical care nurses need to have support networks in place, not only to assist in providing care, but also for their own emotional support / M
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An evaluation of the use of the human immuno-deficiency virus portion of the integrated management of childhood illness algorithm by nurses in selected primary health care clinics in KwaZulu-NatalHaskins, Joan Lynette Mary January 2002 (has links)
Dissertation submitted in partial compliance with the requirements for the Master's Degree of Technology: Nursing, Technikon Natal, 2002. / The Integrated Management of Childhood Illness (IMCI) is an approach that aims to reduce the mortality and morbidity in children under the age of five years. When this programme was initiated, the conditions targeted were acute respiratory infections, diarrhoea, fevers associated with malaria and measles and malnutrition. As a result of the HIV pandemic in South Africa, the identification of children who are symptomatic of HIV infection was included. This study evaluates the use of the HIV portion of the IMCI algorithm by nurses in selected, public sector, primary health clinics in KwaZulu Natal. IMCI nurses were observed as they used the IMCI approach while consulting with sick children. Data was collected in relation to the accuracy with which the nurses used the algorithm and the extent to which the HIV portion of the algorithm was used to guide their management decisions when consulting with the children. Seventy-two observations were undertaken. In-depth interview were conducted with 13 IMCI nurses to establish factors that influenced the use of the HIV portion of the algorithm. The study showed a poor level of accuracy when using the HIV portion of the algorithm. In addition, as a result of poor accuracy when using the algorithm to assess and classify for symptomatic HIV infection, it appeared that nurses were not using the HIV portion of the algorithm to guide management decisions regarding children who were possibly symptomatic of HIV infection. I A general poor level of knowledge about HIV infection was identified which the researcher felt could be one of the factors influencing the use of the HIV portion of the algorithm. Death anxiety, low level of counselling skills and burnout also seemed to play some role in the use of the HIV portion of the algorithm.Recommendations were made to adapt future training of IMCI nurses and include an HIV training course and a course on growth monitoring of children in this age group. Further recommendations to continually evaluate the practice of nurses were made. Future areas for research were suggested. / M
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