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Community service nurses' experiences regarding health care services at Tshwane district public hospitalNkoane, Naomi Lorrain 07 1900 (has links)
Text in English / The aim of this study was to gain understanding of community service nurses’ experiences of health care services at Tshwane district public hospital. This qualitative study followed an Interpretative Phenomenological Analysis (IPA) approach to explore the community services nurses’ experiences of health care services at Tshwane district public hospital. Data were collected from 11 purposively selected community service nurses using a semi-structured interview format. Data was analysed using Interpretative Phenomenological Analysis framework for data analysis. Four super-ordinates emerged from data analysis: (1) Resources, (2) Work environmental relations, (3) Supervision and support and, (4) Impact of community service experiences. The study revealed that the health care services rendered at the hospital studied are substandard. Community service nurses reported several challenges experienced during their placement in the hospital under study. Lack of human and material resources, supervision and support contributed to hindrance of smooth acquisition of their clinical skills and experience. These challenges resulted in the psychological and emotional drain of the participants. There is a need for development of guidelines to ensure constant and adequate support to all the community service nurses placed at Ratanang Hospital. / Health Studies / M.A. (Nursing Science)
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Análise da relação entre as condutas dos profissionais enfermeiros, técnicos e auxiliares de enfermagem com os processos éticos profissionais junto ao COREN SP / Study of nurses, technicians and assistants conduct within the Ethical Processes at COREN SPMoira Helena Maxwell Penna 16 September 2013 (has links)
Objetivo: Identificar as questões antiéticas, aéticas e iatrogênicas dos Profissionais da Enfermagem através da análise qualitativa dos processos ético-profissionais abertos junto ao COREN SP no período de 1º de janeiro de 2001 a 31 de dezembro de 2004. Quantificar o número de processos ético-profissionais abertos; identificar o perfil dos profissionais denunciados; relacionar as infrações éticas com os artigos elencados no Código de Ética dos Profissionais de Enfermagem; analisar os processos ético-profissionais, sistematizando os resultados de modo a obter os principais tipos de denúncia, seus locais de ocorrência e a identificação dos tipos de denunciantes; discutir a iatrogenia como fator predominante da infração ética. Método: Trata-se de uma pesquisa exploratória, documental e de corte qualitativo baseada na coleta de dados contidos nos autos dos processos ético-profissionais, no âmbito do COREN SP, no período de 1º de janeiro de 2001 a 31 de dezembro de 2004, por meio da utilização de um questionário, o questionário se encontra no Anexo 1. Do material coletado foram excluídos os processos ético-profissionais cujos dados não permitiram o preenchimento completo do questionário. Os dados obtidos foram submetidos à análise estatística. Resultados e Conclusões: Foram analisados 189 (cento e oitenta e nove) processos ético-profissionais no período de 1º de janeiro de 2001 até 31 de dezembro de 2004, período de 4 (quatro) anos. A coleta desses dados foi feita no Conselho Regional de Enfermagem de São Paulo - COREN SP, nos anos de 2010 e 2011. A maioria das ocorrências chega ao CORENSP por meio de denuncia feita pelas CEEs, com relação à distribuição do número de descritores agrupados em tipos de infrações éticas envolvidos na denúncia, dos Processos Ético- Profissionais analisados houve uma predominância da iatrogenia 38,83% dentre os descritores dos processos analisados. As denúncias são feitas em sua grande maioria dentro de hospitais públicos, as denúncias entre a cidade de São Paulo e cidades do interior do estado de São Paulo de acordo com a pessoa jurídica (CEE) como parte denunciante indicam um maior número de denúncias feitas pelas Comissões de Ética de Enfermagem - CEEs do interior do estado de São Paulo. As denúncias de pessoas físicas ocorreram no interior em 63,64% do estado de São Paulo e 36,36% na capital, indicando, portanto um maior número de denúncias feito por pessoa física no interior. Houve uma maior caracterização da parte denunciada como pessoa física na capital do que no interior do estado de São Paulo. As pessoas que denunciam 52% são pacientes, seguidos por acompanhantes 32%. A maioria das pessoas físicas como parte denunciada foram os auxiliares de enfermagem em 55,56%, enquanto enfermeiros foram denunciados 33,9%. Com relação à distribuição dos artigos infringidos do Código de Ética dos Profissionais de Enfermagem, segundo o número e a porcentagem em ordem decrescente o artigo mais infringido, artigo 16, aconteceu em 11,13%. Outras importantes variáveis foram estudadas e serão analisadas em trabalhos futuros / Objective: Identify the unethical, non-ethical and iatrogenic issues of the Nursing staff through qualitative analysis of the ethical legal proceedings taken at COREN SP during the period of January 1st 2001 to December 31st 2004. Quantify the number of ethical processes taken; identify the profile of the professionals accused; relate the ethical infractions with articles listed in the Code of Ethics of Professional Nursing; analyze the ethical and professional proceedings, systematizing the results in order to obtain the main types of complaint, their places of occurrence and identify the types of informers; discuss iatrogeny as a predominant factor of ethical offence. Method: This was an exploratory, documentary and qualitative research based on the collection of data in the record of proceedings within the ethical processes under COREN SP during the period January 1st 2001 to December 31st 2004, by use of a questionnaire, which is in Annex 1. Ethical processes whose data did not allow the complete filling out of the questionnaire were excluded. The data were subjected to statistical analysis. Results and Conclusions: One hundred and eighty-nine (189) ethical proceedings from the period of January 1st 2001 to December 31st 2004 were analyzed, a period of four (4) years. The collection was taken at the Regional Council of Nursing São Paulo - COREN SP, within the years 2010 and 2011. Most occurrences reach CORENSP through complaints made by the Nursing Ethics Committees (NEC). With respect to the distribution of the number of descriptors grouped into types of ethical violations involved in the complaint, there was a prevalence of 38.83% of iatrogenic descriptors in the analyzed processes. Complaints are mostly made within public hospitals. The complaints from the city of São Paulo and other cities in the state, in accordance with the legal person (NEC) indicate a greater number of complaints made by Ethics Committees in Nursing - in the state of São Paulo, not in the capital. Reports from individuals occurred in 63.64% within the state of São Paulo, while in the capital it were 36.36%, thus indicating a greater number of complaints made by individuals within the state of São Paulo. There was a greater characterization of the individual as reported in the capital than in the state of São Paulo. People who complain are 52% patients, followed by 32% companions. Most individuals reported were nursing assistants: 55.56%, while nurses were reported by 33.9%. The most violated article in the Code of Ethics of Professional Nursing was Article 16, which means 11.13%. Other important variables were studied and will be analyzed in a future research
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Factors influencing adolescents' utilisation of antenatal care services in Bulawayo, ZimbabweChaibva, Cynthia Nombulelo 30 November 2007 (has links)
Adolescent pregnancies are high risks obstetric occurrences. Antenatal care (ANC) provides opportunities to recognise and treat obstetric complications, enhancing the pregnancy outcomes for mothers and babies. This study investigated factors influencing pregnant adolescents' utilisation of ANC services in Bulawayo, using the Health Belief Model's major tenets.
A quantitative descriptive design was used in four phases: 80 adolescents' ANC records were audited; structured interviews were conducted with 200 adolescents attending ANC and with 80 adolescents who had delivered their babies without attending ANC; and 52 midwives completed questionnaires portraying their perceptions on adolescents' utilisation of ANC services in Bulawayo.
Documentation of ANC services provided to adolescents did not meet the expected standards. Poor or non utilisation of ANC services was influenced by socio demographic factors, individual perceptions of adolescents about antenatal care, perceived benefits of and perceived barriers to the utilisation of ANC. Most pregnant adolescents could not access these services because they could not pay the ANC and/or delivery fees charged at government clinics/hospitals. Midwives required more training in providing and recording adequate ANC services. Free ANC and delivery services could enhance adolescents' pregnancy outcomes in Zimbabawe. An information brochure on the importance of ANC attendance for adolescents has been compiled, based on the research results (see Annexure J). / Health Studies / D.Litt. et Phil. (Health Studies)
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Factors influencing adolescents' utilisation of antenatal care services in Bulawayo, ZimbabweChaibva, Cynthia Nombulelo 30 November 2007 (has links)
Adolescent pregnancies are high risks obstetric occurrences. Antenatal care (ANC) provides opportunities to recognise and treat obstetric complications, enhancing the pregnancy outcomes for mothers and babies. This study investigated factors influencing pregnant adolescents' utilisation of ANC services in Bulawayo, using the Health Belief Model's major tenets.
A quantitative descriptive design was used in four phases: 80 adolescents' ANC records were audited; structured interviews were conducted with 200 adolescents attending ANC and with 80 adolescents who had delivered their babies without attending ANC; and 52 midwives completed questionnaires portraying their perceptions on adolescents' utilisation of ANC services in Bulawayo.
Documentation of ANC services provided to adolescents did not meet the expected standards. Poor or non utilisation of ANC services was influenced by socio demographic factors, individual perceptions of adolescents about antenatal care, perceived benefits of and perceived barriers to the utilisation of ANC. Most pregnant adolescents could not access these services because they could not pay the ANC and/or delivery fees charged at government clinics/hospitals. Midwives required more training in providing and recording adequate ANC services. Free ANC and delivery services could enhance adolescents' pregnancy outcomes in Zimbabawe. An information brochure on the importance of ANC attendance for adolescents has been compiled, based on the research results (see Annexure J). / Health Studies / D.Litt. et Phil. (Health Studies)
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