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

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

Text in English / A survey by means of mailed questionnaires was conducted to compile a career profile of persons who completed the B.Cur programme at Medunsa. The sample consisted of all the nurses who had completed the B.Cur. programme over a decade from 1985 to 1994. Forty-one percent of the questionnaires were returned and the findings indicated that the nurse graduates were committed to nursing and were contributing to the nursing services in south Africa. The public service was the largest employer of the graduate nurses. Their commitment to nursing is shown by their long service as well as post-registration qualifications sought in nursing. The B.Cur programme at Medunsa had adequately prepared them to practice nursing. There appears to be a need, however, to review the curriculum in some areas. It was concluded that Medunsa has contributed to the provision of well qualified nurses. / Health Studies / M.A. (Nursing Science)

Submitted in fulfillment of the requirements for the Degree of Master of Technology in Nursing. Durban University of Technology, Durban, South Africa, 2015. / INTRODUCTION A four-year diploma nursing programme undertaken by the KwaZulu-Natal College of Nursing provides training to students to become professional nurses. However, it has been noted that absenteeism of student nurses enrolled in this programme has increased. Absenteeism could result in demotion, extension of training or termination of students from the programme. This would result in fewer student nurses completing training and therefore a shortage of professional nurses. AIM OF THE STUDY The aim of the study was to determine the causes and effects of absenteeism amongst student nurses that are currently registered for a four-year diploma programme (R425) in the KwaZulu-Natal College of Nursing (KZNCN). METHODOLOGY A quantitative method was used, which comprised two phases, namely, data collection through the use of a self-administered questionnaire and a retrospective record review. Simple random sampling was used to select students from the peri-urban Midlands and rural uGu districts. Stratified random sampling of 301 student nurses at different levels of training from the three campuses was done. A total of 301 questionnaires were distributed to participants; all were returned, resulting in a 100% response rate. During a retrospective record review student records were examined to assess clinical and theoretical performance of students. Statistical analysis was done using the SPSS version 22.0. RESULTS The results of the study revealed that students experienced problems in the clinical/practical areas that resulted in them absenting themselves. There were 14 terminations of training due to absenteeism. Student nurses who did not absent themselves obtained entry to the examination, whilst students with excessive absenteeism did not obtain entry to the examination.

M.Cur. (Professional Nursing Science) / Career planning of learner nurses, has been identified as an important tool to improve the retention of nurses in the health care system (Department of Health, 2008:12). First year learner nurses leave the nursing profession because they experience dissatisfaction in nursing as the career of choice. Miller and Marvin [ca 2008] state that career planning leads to greater ownership of work roles, taking initiative, and ongoing professional development. People involved in career planning are better collaborators, more likely to get along with their co-workers and supervisors, and more likely stay in and add value to the organization. Little has been done to improve career orientation of nurses, which has been identified as an important tool to improve nursing in the health care system (Department of Health, 2008:12). After six months of training, first year learner nurses starts to leave the nursing profession because they experience dissatisfaction in nursing as the career of choice. This problem is assigned to a lack of career orientation at nursing training colleges. It was unclear how first year learner nurses experience nursing as a career of choice, after having been exposed to the academic environment and nursing practice setting for six months in nursing. The central statement of the study was that learner nurses after entering nursing as a career of choice could be orientated on career planning that requires a career plan with guidelines or actions to be followed during their first year of nursing. The purpose of this study was to explore and describe the lived experiences of first year learner nurses on nursing as a career of choice with the intention of describing guidelines on career planning for learner nurses at a nursing college in the Johannesburg Region. Purposive sampling was used and all (52) first year learner nurses who have been in training for more than six months at a nursing college were selected as a target population. .Interviewing by means of narrative story writing, in-depth individual unstructured questioning of the participants, focus group interviews was conducted until saturation of data was achieved.

The focus of the study was to explore and describe reasons for poor professional behaviour among nursing students at a public nursing college in the Eastern Cape. The objectives of the study were to explore and describe the reasons for poor professional behaviour among nursing students and to describe strategies to improve poor professional behaviour. The study has significance for the college management, staff, nursing students, registered nurses and everyone involved in professional development of nursing students. The population for this study consisted of third-year nursing students following the four-year comprehensive basic course for registration leading to the Diploma in Nursing (General, Community & Psychiatry) and Midwifery at a public nursing college. The research questions were: What do you understand by professional behaviour? What are the reasons for poor professional behaviour among nursing students? What could be done to improve professionalism among college nursing students? A qualitative, explorative, descriptive and contextual design was used as a framework for the study. Permission to conduct the study was obtained from the University of Fort Hare ethics committee and other relevant authorities as indicated in the study. Ethical principles were maintained and informed consent obtained. Data collection was done using focus groups and an audiotape with a purposefully sampling of 30 third-year nursing students at the public college of nursing. Data were analysed using Tesch’s method of analysis for qualitative research. Three major themes emerged: students’ understanding of professional behaviour, reasons for poor professional behaviour and methods to improve poor professional behaviour. It was concluded that poor professional behaviour has an effect on professionalism and it should be addressed and corrected for protecting the professional image. Recommendations: Policies regarding inappropriate professional behaviour at the college should be in place and easily accessible to every staff member and nursing student. Department of Health should conduct reflective courses and seminars on professionalism and these should begin at the same time as the academic programme.

Text in English / A survey by means of mailed questionnaires was conducted to compile a career profile of persons who completed the B.Cur programme at Medunsa. The sample consisted of all the nurses who had completed the B.Cur. programme over a decade from 1985 to 1994. Forty-one percent of the questionnaires were returned and the findings indicated that the nurse graduates were committed to nursing and were contributing to the nursing services in south Africa. The public service was the largest employer of the graduate nurses. Their commitment to nursing is shown by their long service as well as post-registration qualifications sought in nursing. The B.Cur programme at Medunsa had adequately prepared them to practice nursing. There appears to be a need, however, to review the curriculum in some areas. It was concluded that Medunsa has contributed to the provision of well qualified nurses. / Health Studies / M.A. (Nursing Science)

M.Cur. (Nursing Education) / Within the formal teaching context of a nursing college it is essential that accountable basic professional preparation be offered to provide a comprehensive and fruitful feeding ground for the adolescent student nurse's development into an independent, professional practitioner with specific personal attributes. In her quest for knowledge and development the young, inexperienced nurse has a need for support. Meaningful support implies a concerted effort and involvement with the student on the part of the support givers. At a nursing college, from within a nursing didactic perspective, the support givers should focus on the nursing student as a unique individual in her totality. Opportunities should therefore be available and accessible, so that the student nurse can achieve professional growth and personal self-realization. Furthermore she should be able to assert herself in both these roles. It is therefore essential to achieve a balance between the demands of nurse training and a full and rich personal life. It is the untiring support received by the student nurse that enables her to develop a sound attitude to life and the human nature. This boosts her morale and promotes the development of skills in interpersonal relationships. Research was conducted at a Transvaal nursing college with nine affiliated hospitals. The purpose of the study was to assess the need of student nurses for support from within a nursing didactic perspective and to establish certain guidelines for the implementation of a support system at a nursing college. With the aid of a questionnaire, a descriptive and searching survey was undertaken amongst first and third-year student nurses. A data analysis revealed that student nurses do experience a need for a support system. The planning, organisation and implementation of such a system at a nursing college should however be co-ordinated in a team context by all support givers. Clear guidelines with specific goals have been formulated for the implementation of such a support system.

The researcher observed that some nursing students lacked the necessary knowledge and confidence in the clinical practice areas whilst accompanying students. The researcher was therefore of the opinion that the aforementioned gaps needed to be addressed to ensure that students developed more confidence in their clinical decision making skills. The researcher was of the opinion that the nurse educators would be the ideal persons to identify the information required by undergraduate nursing students at the point of care for clinical decision-making, because they are the primary teachers of nursing students and are the experts with regard to the content needed for clinical decision making at the point of care in the clinical areas. The aim of the study was therefore to explore and describe the perceptions of nurse educators regarding the information required by the undergraduate nursing students for clinical decision making at the point of care. A qualitative, explorative, descriptive and contextual research design was used to conduct this research. The study was conducted among the nurse educators who are employed by Nelson Mandela Metropolitan University, lecturing and accompanying students for at least 12 months. In-depth interviewing was conducted to obtain the data. The data analysis was done using Tesch’s method to make sense out of the text and data. Strategies to ensure trustworthiness and a high ethical standard were implemented throughout the study. Three themes with eight sub-themes emerged, namely, the importance of students having sound basic knowledge of theory and practical skills before entering the practical field, students to have available, accessible and up to date information at the point of care and importance of mentorship when students are seeking information. Recommendations were made pertaining to areas of nursing practice, education and research.

The transition period from student nurses to professional nurses has been acknowledged as being very stressful, particularly in the military health service due to the dual transition. The phase is marked as final year nursing students try to consolidate the experience and knowledge gained during their four year training period with clinical decision making and problem solving skills being applied in the work environment. The students require support and guidance to effect a successful transition from being a student to being a professional nurse. The transition of students in the military health setting might be experienced differently due to the context that is vastly different from the other health care settings (Moore, 2006:541). The aim of the research was to explore the experiences of role transition of final year nursing students, particularly their preparedness to take up the role of a professional nurse in the military health setting in order to assist managers and educators to support and facilitate this professional adjustment appropriately. A qualitative, descriptive, contextual design was employed for the study and followed a three-phase approach. Phase one comprised a qualitative approach, where semi-structured and focus group interviews were conducted to gather the data. Nurse managers, nurse educators, final year nursing students and novice professional nurses formed part of the population for the study. Creswell’s method of data analysis was employed in analysing the data. The second phase dealt with the integrative review of literature on the transition of final year nursing students into professional nurses. Data extracted from the guidelines formed themes that were triangulated to form phase three of the study. Lastly, a best practice guideline was developed to facilitate the transition period of final year nursing students to professional nurses. Principles of trustworthiness were adhered to, participants were treated in a fair manner and confidential information was not divulged without the consent of the participants. Participants were asked to take part voluntarily and without coercion. Ethical approval was requested to give consent for the study to be undertaken and ethical principles were adhered to throughout the study. Findings were then disseminated after the conclusion of the study.