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Making connections : towards a holistic approach to the training of women volunteers in community home based care.Thabethe, Nompumelelo Cynthia. January 2006 (has links)
In the midst of hope and suffering due to the challenges posed by HIV and AIDS in South Africa, communities have literally witnessed a glimmer of hope in women volunteers who have readily and willingly provided care and support to people living with HIV and AIDS (PLWHA) and their families. Policy-makers have maintained that if the care of sick people is to be both comprehensive and cost-effective, it must be conducted as much as possible in the community, with hospitalization only when it is necessary. However, the strains on those caring for people with HIV and AIDS are enormous. This paper argues that neo-liberal policies are reinforcing the divide between the 'haves' and the 'have-nots', by placing strain on women volunteers in the field of community home-based care. The study was conducted in the area of Mpophomeni Township, in KwaZulu-Natal province. The research participants consisted of 10 community home-based care (CHBC) volunteers and their supervisor, 3 CHBC trainers, and 1 counselling trainer. Using a qualitative design, this study examines a specific CHBC training course and how effectively it prepares voluntary caregivers for the challenges experienced in individual homes. Ascertaining how the training helped caregivers to confront their own fears and problems before dealing with those of others, and exploring how community caregivers coped with the stress inherent in their jobs was the primary focus of this study. For these purposes, a qualitative methodology was deemed most appropriate for it allowed me to gain in-depth information through observations, semistructured interviews, a review of relevant documents, and training materials. Inspired by feminist perspectives, the findings revealed that already overburdened and poor people provide the bulk of voluntary services in the area of CHBC. Consequently, they are unable to provide quality care for people living with HIV and AIDS without external support from the government. The findings further established a mismatch between the training content and the reality of work of caregivers. The training puts more emphasis on practical aspects, by providing basic nursing care, often only relevant in helping a bedridden patient. However, many voluntary caregivers reported that the demands placed on them do not end with the death of the patient. This poses a challenge for those in the CHBC training environment as they need to offer relevant and well-researched information linked to the reality of voluntary caregivers' work. The study also highlighted a need to consider the personal long-term goals of volunteer caregivers and begin to realize the importance of using the training to put them on a career path. I therefore argue that the burden of care for people living with HIV and dying from AIDS in resource-poor settings cannot be shifted entirely to communities with the false assumption that they are able to cope. As we continue to grapple with moral and ethical issues in the context of HIV and AIDS, we also need to be concerned about moving women volunteers' efforts from invisibility to visibility through a social transformation agenda. / Thesis (M.Ed.)-University of KwaZulu-Natal, Pietermaritzburg, 2006.
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Primary health care nurses' knowledge regarding symptoms of mental illness in HIV-positive patientsJantjies, Anderson Phumezo January 2017 (has links)
Human Immunodeficiency Virus (HIV) positive patients are at increased risk for developing mental health problems when compared with the general population. The identification and management of symptoms of mental illness in HIV-positive patients is thus crucial in reducing the risk to developing severe mental illness. The severe mental illness may lead to poor adherence to anti retro-viral drugs resulting in increased morbidity and mortality. The primary health care nurses are largely responsible for managing the treatment of HIV-positive patients as they spend the greatest degree of their time with these patients as compared to other health care professionals. Consequently it is important for primary health care nurses to identify symptoms of mental illness. However, it was unclear to the researcher, a professional psychiatric nurse, as to the level of knowledge among primary health care nurses concerning symptoms of mental illness in HIV-positive patients. Therefore, the aim of this study was to determine the knowledge of primary health care nurses regarding symptoms of mental illness in HIV-positive patients attending primary health care services. In addition, recommendations were developed for primary health care nurses for the purpose of improving their competence in the identification of symptoms of mental illness in HIV-positive patients attending primary health care services. The researcher has utilised quantitative, explorative, descriptive and contextual design. Bloom’s Taxonomy was used as a theoretical lens, to explore the primary health care nurse’s knowledge regarding symptoms of mental illness in HIV-positive patients. The study was conducted in the primary health care services situated in the Nelson Mandela Metropolitan area. The research population consisted of the primary health care nurses working with HIV-positive patients in these primary health care services. The researcher utilised census survey to recruit participants. A structured questionnaire, with 3 sections was used in this study. The necessary principles of reliability and validity were exercised to ensure research of the highest quality. The data was analysed by using descriptive and inferential statistics. All ethical considerations pertaining to beneficence, maleficence, justice, autonomy and obtaining permission from relevant structures to conduct the study were strictly adhered to.
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The influence of the hidden curriculum on professional socialisation of student nurses in a military nursing contextZägenhagen, Karen 11 1900 (has links)
The South African Military Health Service (SAMHS) Nursing College offers a four-year
integrated nursing programme leading to registration as a professional nurse at the
South African Nursing Council (SANC). Student nurses assume a dual role when
entering the SAMHS to commence with nurse training – that of a soldier and a nurse.
Because student nurses have to assume dual roles, hidden aspects of military culture
may influence the professional socialisation of student nurses in one way or another.
With a view to determining whether the military environment does indeed impose any
influence on student nurses’ professional socialisation, this study set out to explore the
multifaceted context in which these students find themselves.
Given the organisational and locational complexity of the SAMHS Nursing College, its
campuses and the three military hospitals in South Africa, the population was narrowed
down to an accessible target population comprising nurse educators and student nurses of the SAMHS Nursing College (Main Campus).
Included in the two samples were nurse educators at the SAMHS Nursing College who
had at least three years’ experience as nurse educators and who were registered with
the SANC as nurse educators, and student nurses registered at the SANC for the fouryear
Integrated Nursing Programme and who were in their fourth year of training.
A qualitative constructivist grounded theory study was conducted based on the
researcher’s philosophical assumptions. The researcher made use of focus groups and critical-incident narratives to collect data. In keeping with the constructivist paradigm
adopted for this study, Charmaz’s (2014) data-analysis approach was followed.
Concepts derived from the qualitative data were used to develop a substantive model to
create an awareness of the existence of a hidden curriculum, to guide role players
through the impact of the hidden curriculum on students’ professional socialisation and
to help them to understand how their contribution could improve the outcome of the
professional socialisation process / Health Studies / D. Litt. et Phil. (Health studies)
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Professional nurses' experience of working in a rural hospital in the Eastern Cape ProvinceXego, Siziwe Winnifred 30 November 2006 (has links)
The study explored professional nurses' experience of working in a remote rural hospital in the Eastern Cape Province. A qualitative phenomenological design was used and the study was conducted in a remote rural hospital in region `D'. Eight professional nurses were selected non-randomly from a population of professional nurses who had been working in the hospital for more than one year. Purposive sampling was used to select the participants and semi-structured phenomenological interviews were conducted to collect data. Colaizzi's eight-step method was used for data analysis. The themes that emerged from the data analysis were shortage of human and material resources, poor access, communication problems and lack of safety and insecurity. The study found that the professional nurses at the remote rural hospital experience many obstacles to quality service delivery. / Health Studies / M.A. (Health Studies)
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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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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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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 and Environmental Sciences / M.A. (Verpleegkunde)
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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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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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