M.Cur. / Contemporary problems in the nursing education and concern that the current nursing curriculum apparently does not prepare the nursing student for the task of unit management, prompted this investigation. In an effort to evaluate the curriculum of unit management', the learning opportunities available to nursing students to gain management skills have been investigated. Anon-experimental method of investigation has been used. In the first place a questionnaire on unit managers to supervisors has been used to determine the extent to which certain management tasks are being performed by unit managers. Secondly, it was determined what learning opportunities are available to nursing students to gain management skills in practice. The investigation identified the following deficiencies in the curriculum: - goal orientated and planned teaching strategies are not being implemented for unit management and the management skills gained by the students are merely to perform incidental and relevant tasks; - there are no structural and planned evaluation techniques to measure management skills or to evaluate to which extent supervision takes place. In view of these deficiencies certain recommendations are made for the utilization of learning opportunities in the curriculum of unit management for nursing students.

M.Cur. / Caring is a natural capacity. This simply means that human beings care because they are human. It is a reciprocal process. It never takes place in a vacuum as the one caring must do it out of love, and respect for another human being and it must be done with the utmost gentleness, tolerance and consideration. In the nursing profession it is done to people who are in most instances vulnerable and in need of care. This therefore, dictates that the one caring must have appropriate values and act them out consistently. In the case of nurses, a set of appropriate professional values is needed to serve as a framework from which they can base their decisions and actions. These professional values must be such that they should facilitate caring in the product of the nursing education system. Scholars are in support of one another that as much as caring is a natural phenomenon, this must be taught and nurtured. Much has been said about the decaying moral fibre of the South African society. The nursing profession also does not escape this scourge. The Department Education recommended that a working group be formed to look at and work on 'values education to teach new values to the generation to come'. The ANC through its Ethical Transformation called for a moral renewal of the society. The nursing education system called for a caring campaign. The aim of this study was to describe guidelines to facilitate internalisation of professional values in student nurses to make them caring professionals. To realise this goal, the researcher undertook a quantitative and qualitative, descriptive, exploratory and contextual approach. The design was conducted in four (4) phases. Data was collected from the nurse educators through focus group interviews and from the student nurses by means of naive sketches. In phase 1 of the design, the groups were separately asked to describe their perceptions about which professional values they regarded as important for nursing. They were further more asked to describe how these professional values should be taught to student nurses in order to make them caring practitioners. Conceptualisation was undertaken in phase 2. Phase 3 focussed on document analysis to evaluate if the identified professional values and teaching strategies were reflected in the college curriculum. Guidelines were described in the last phase. These was to be used by the nurse educators and student nurses to facilitate caring in the practitioners of nursing The results of the study indicated that the groups identified appropriate professional values as well as teaching strategies to be used to facilitate caring. The documents that have been evaluated indicated and supported this. Some of the professional values as well as teaching strategies were indeed reflected in the college curriculum. The only problem that was noted was that the evaluation done in the college did not seem to support if these professional values are taught, or if the teaching strategies were indeed used. The tests and examination papers evaluated seem not support this. It also became clear that nurse educators needed to be moral agents or become role models to their students in this regard. From the guidelines it was highlighted that the values identified must form part of the college curriculum and be displayed on the college walls to be seen by all. The following guidelines were spelled out. Educators must periodically receive in service training on those teaching strategies that facilitate caring. It came out clearly that the quality assurance team must place values education high on their list of priorities. A concerted effort must be engaged in by all the stakeholders to ensure that both the formative and summative evaluations conducted in the nursing college reflect inclusion of identified professional values. Emphasis must be placed on the affective domain as it has been noted that teaching and evaluation in this domain are difficult to implement. The recommendations that emanated from the study are based on the findings that although values and teaching strategies were reflected in the college curriculum they did not seem to be appropriately taught and evaluated. It was, therefore, recommended that the guidelines described in the study be implemented. The researcher further recommended that the caring attitudes of nurse educators be explored, as they are the primary socialising agents.

Magister Curationis - MCur / Background: Institutions offering Bachelor of Nursing programmes worldwide are under increasing pressure to graduate larger numbers of students to meet the demands of the desired nurse workforce. High academic performance, which is measured by continuous assessment and examination results, is one of the major goals of higher education. However many students experience difficulty during their second year of study at the university used in this study. Aim: The overall aim of the study is to assess whether the identified predictor variables (cognitive, non-cognitive and demographic) influence academic performance of second-year nursing students at the University of the Western Cape. Methodology: A non-experimental quantitative research approach with a cross-sectional predictive design was applied. The selected sample (n=226) included all first-time enrolled Bachelor of Nursing students for the years 2012 – 2013 at the University of the Western Cape. An all-inclusive sampling method was applied. Data were obtained from the Student Administrative System Integrated and recorded in the data collection check list. Statistical Package for Social Sciences software version 23.0 was used sort and analyse the data. Simple and multiple linear regression were done. Ethics: Permission to conduct the present research study at the University of the Western Cape was obtained from the Registrar and the Director of The School of Nursing. The Research Ethics Committee of the University of the Western Cape granted ethics approval related to the research. The researcher maintained the principles of anonymity and confidentiality throughout the study. Results: The study found that the cognitive predictor variables had the strongest predictive power in association with student performance in comparison to the non-cognitive predictors and demographic variable, besides race which rejected the null hypothesis. Conclusion: The findings provided evidence to the School of Nursing to assist them in identifying students who may be at risk of unsatisfactory academic performance and who ultimately fail to proceed to the next level of study.

Magister Curationis - MCur / Background: Health literacy is defined as the degree to which an individual has the capacity of obtaining, processing, and understanding basic health information and services needed for one to make appropriate decisions with relation to health. Health literacy is currently emerging as a major determinant of health outcomes yet it is not receiving enough attention, especially among health professionals. It is now considered a stronger predictor of health outcomes than social and economic status, education, and gender. Since nurses play a major role in providing healthcare information to patients and clients, it is imperative that nurses be prepared to face the challenges presented by individuals with poor health literacy skills. The nursing discipline is the largest segment of the health-oriented workforce and therefore, nurses have the largest responsibility of providing patient education, however, there are no education efforts targeting health professionals with regard to health literacy in South Africa. It is, therefore, imperative to establish the knowledge and experience of nurses in training in order to forge a way forward in nursing education. Aim: The overall aim of the study was to establish the health literacy knowledge and experiences of bachelor nursing students at a University in the Western Cape. Methodology: A quantitative, descriptive survey design was applied and data collection was carried out using a self-administered questionnaire. Total population sampling technique was done, the final sample was (n=82) of the fourth-year nursing students. Data was analyzed using SPSS version 23, descriptive and inferential statistics were employed. Ethics: Ethical approval was granted by the ethics research committee, thereafter permission to conduct the study at the University was obtained from the Registrar and the Director of The School of Nursing. The researcher maintained the principles of anonymity and confidentiality throughout the study. Participation was voluntary and informed consent was signed by the respondents. Results: The study found that bachelor of nursing students in Western Cape exhibited satisfactory health literacy knowledge as measured by the questionnaire, the score was 73%, with a cut-off of 70%. Knowledge gaps however existed in some areas - for example with regards to the impact of low health literacy on patient health outcomes and identification of patients with low health literacy. Their health literacy experience was, however, lacking, with students only reporting some experience in the use of written materials in providing patient education. There was a weak negative, but statistically significant relationship between health literacy knowledge and experience. Conclusion: Exposure to health literacy within the nursing curriculum needs to be more comprehensive, since the results portray that the emphasis of health literacy in the curriculum failed to have an effect on the health literacy knowledge scores, deeming it insufficient.

Magister Curationis - MCur / Background: Nursing as a profession is based on firm knowledge, values, clinical skills and attitudes. In the current dynamic healthcare systems, all nurses are challenged to be insightful and have robust clinical reasoning and psychomotor skills in order to integrate theory into practice. Therefore, they need to be accountable in ensuring that they perform optimally to meet the extensive demands of clinical settings. Theory-practice integration is a major element that sustains quality and drives best nursing practice. One of the barriers to theory-practice integration is the gap between theory and practice in nursing education. Therefore, if sound theory is the basis for understanding the reality of the clinical setting, then every effort should be made to reduce the gap between theory and practice. Aim: The aim of the study was to explore and describe the challenges experienced by second and third-year nursing students when integrating theory into practice in a selected clinical setting in the Western Cape. Method: A qualitative approach, using an explorative, descriptive and contextual design, was employed. The target population of the study was the second and third-year nursing students who were registered for the Bachelor of Nursing Degree in the academic year of 2016. The selected non probability sample comprised of 14 participants. Data were collected using semi-structured focus group interviews, with an interview guide and probing to gain detailed information during the process of data collection. Interviews were audio recorded to ensure that no information would be lost and the researcher could review it when necessary. The content analysis method was used to analyse the data. Permission to conduct the study using the nursing students was obtained from the registrar of the University of the Western Cape and the HOD of Son. The research ethics committee granted ethics approval related to the study. All participants were involved in the study on a voluntary basis. Informed consent and focus group confidentiality binding forms were completed by participants to ensure confidentiality. Results: Four themes emerged from the findings namely: Theory verses practice, lack of role models, inadequate support structures and communication. The study highlighted that nursing students still experience a challenge with integrating theory into practice in the clinical settings. In addition the study highlighted that clinical guidance from the preceptors a crucial role in the professional development of students. The results of the study also showed that a new structure of facilitating nursing students in clinical settings must be in place. This structure should include proper orientation and supervision of the nursing students. The preceptors who facilitate clinical guidance must be equipped with the necessary knowledge and skills to ensure that they are able to facilitate and monitor the competence of the nursing students. Conclusion: Clinical nursing education is vital and indispensable in nursing education. It is very complex consisting of many aspects and situations, which can be challenging and demanding for a nursing student. Due to its complexity, it is essential for nursing students to be exposed to a variety of real life situations within their training in order to better prepare them for quality practice. Nursing students therefore require sufficient support from the clinical preceptor and the nursing educators, to acquire the necessary skills, knowledge and attitude to perform nursing duties with competence, when placed in the clinical settings. This calls a lot of attention from the higher learning institutions and the clinical settings to have standardised goals and expectation for the students, providing quality clinical accompaniment that will socialise the nursing student optimally in the profession and attempt to bridge the gap between theory and practice.

M.Cur. (Nursing Science (Critical Care)) / Qualified critical care nurses are under internal and external stresses in the workplace, relating to role conflict, role ambiguity, increased workloads, the need for rapid decision making and the speedy delivery of care. However, having inexperienced students in critical care units put responsibility and additional stress on the qualified critical care nurses within the units. This may result in some of these qualified nurses not being willing to help with the education of the students. The purpose of the study was to explore and describe the experiences of QCCNs regarding students working in CCUs in a Gauteng Academic Hospital and to describe the recommendations to support the QCCNs in the critical care units. The research question asked was: What are the experiences of the QCCNs regarding students working in the CCUs? A qualitative, exploratory, descriptive and contextual design was followed to provide an in depth description and understanding of the experiences of QCCNs regarding students in critical care units. The study followed a hermeneutic approach. The accessible population was QCCNs currently working in the CCUs in a Gauteng Academic Hospital. A purposive sampling method was followed. Focus group interviews were conducted to collect data. The participants were asked these questions: ‘How do you experience the students working in your unit?’ The follow up question was: ‘What can be done to help you?’ Data saturation occurred on the fourth (4) focus group interview. Data collection took place on field trips and was transcribed verbatim from a tape recorder. Ethical considerations were upheld at all times during the study. Data was analyzed using Tesch method. The results comprised of a central theme, namely, qualified critical care nurses experience working with students in critical care units as stressful, increasing workload and a burden. The four (4) themes that emerged were: stress and increased workload, emotions about working with students in critical care units, attitude of qualified critical care nurses towards working with students and recommendations for CCUs to handle stress. From the findings and the main themes that emerged, recommendations to support the QCCNs were described. Trustworthiness of the data collected was upheld at all times during the study.

M.Cur. (Professional Nursing Education) / The use of traditional teaching methods, for example the lecture method, does not stimulate ·critical thinking in student nurses. This problem can be solved by the utilisation of problem-based case study in the classroom/clinical setting. The purpose of this study is to describe guidelines for the implementation of problembased case study in dinical setting .among. first year, comprehensive course students at the Northern Province College of Nursing: Sovenga Campus. The research design of this study is qualitative, explorative, descriptive and contextual. The following data is collected: Phase 1: The development and implementation of a program for problem-based case study in the clinical setting; Phase II: The experiences of student nurses who Were. exposed to problem-based case study in the clinical setting; Phase Ill: The perceptions of tutors regarding the implementation of problem-based case study in the clinical setting (focus group), and, Phase IV: Guidelines for the implementation of problem-based case study. The principles were obtained from Phases I, II and Ill and were used to formulate guidelines for the implementation of problem-based case study. The sample group consists of all 69 first year student nurses at the Northern Province College of Nursing: Sovenga Campus and ten tutors teaching clinical courses at the same campus.

Magister Curationis - MCur / Nursing students’ clinical abilities are highly dependent on the quality of the clinical experience obtained, while placed in the clinical environment. The clinical environment has key role players, which include the clinical supervisor. The primary role of the clinical supervisor is to guide nursing students to become best practice nursing professionals. However, globally, literature alludes to the failure of educating institutions to deliver competent nursing professionals, to meet the needs of patients and deliver quality patient care. Anecdotal evidence at the participating university indicated the possibility that various factors such as high student supervisor ratio and increased workload for clinical supervisors may impact on the ability of the supervisors to function effectively in the clinical settings. At the participating university, this may have been due to various factors, such as large student numbers, as well as social and environmental challenges experienced by the clinical supervisors. The aim of this study was to explore and describe the lived experiences of clinical supervisors, who supervise nursing students at a higher education institution. The study employed a qualitative research approach, utilizing a descriptive phenomenological design. Purposive sampling was used to select eight (8) participants, who were all clinical supervisors of first and second-year nursing students at the HEI (Higher Education Institution) under study. Data was collected by means of in-depth interviews and analysed, using Tesch’s method of data analysis. The five (5) major themes identified, focused on the experiences of clinical supervisors regarding: time as a constraint to job productivity; the impact of the organisational culture on the fluidity of support; limited resources; interpersonal relationships as a dynamic communication process; and impact on the self. In this study, participants focused on their experience of clinical supervision as it related to time, the organisational culture, resources and the impact of the experience on the self. The researcher based on the findings concluded that clinical supervisors are generally satisfied with their jobs and they love the teaching role that they portray. They are unhappy with the circumstances, that they experiencing as challenging in which they must do their clinical supervisor job.

The number of new graduates greatly affects the existence of any profession and for the nursing profession this rings very true. However, in this caring and nurturing profession many undergraduate nursing students indicate that they consider leaving the profession due to exposure to intra-professional violence. Intra-professional violence may take many forms, is perpetrated by different individuals and have negative effects on patients, staff and institutions therefore it should be identified and managed. In South Africa it has, so far, been a topic which has not received much attention. Purpose Determine the presence of intra-professional violence experienced by undergraduate nursing students in South Africa and then create an awareness of intra-professional violence to eliminate the occurrence thereof. Design A quantitative, non-experimental, explorative and descriptive design was used. Methods The data was collected by means of a questionnaire. The questionnaire was distributed to undergraduate nursing students at nine NEI in South Africa. Findings Although characteristics of oppressed group behaviour are present in undergraduate nursing students it to a low extent. Undergraduate nursing students are experiencing intra-professional violence in the clinical learning environment from different perpetrators. The most likely perpetrator is the registered nurse. The intra-professional violence does cause stress but are deemed controllable according to the undergraduate nursing students. Furthermore the results show that the presence of stress results in an increased control of intra-professional violence. The most likely coping mechanism for intra-professional violence is to do nothing. Conclusion The findings correlated with international results and indicate that intra-professional violence is experienced by undergraduate nursing students in South Africa. Oppressed group behaviour is a contributing factor, but is not the sole cause. Undergraduate nursing students do need education about intra-professional violence and engaging coping mechanisms. Clinical relevance If intra-professional violence is controlled, interpersonal relationships can improve. This would create an environment in which learning can be promoted and undergraduate nursing students will be able to develop their clinical skills with confidence. Furthermore, attrition will decline and nursing shortages can be countered. / Dissertation (MCur)--University of Pretoria, 2012. / Nursing Science / unrestricted

According to the Council on Higher Education (CHE, 2011:78) the term Work Integrated Learning (WIL) refers to an educational approach that aligns academic and workplace practices for the mutual benefit of students and workplaces. The CHE (2011:4) further describes WIL as an approach to career-focussed education that includes classroom-based and workplace-based forms of learning that are appropriate for the professional qualifications. WIL forms part of many training programmes for professions across the globe and is considered an important aspect of preparing the trainee or student to integrate theoretical learning into the clinical environment in which he or she will be building his or her career. WIL is considered crucial for the development of professional attributes and competencies needed to perform duties within the chosen profession once the trainee is qualified. Health care professions across the world employ WIL in clinical areas as an integral part of their curricula and nursing specifically is one of the health care professions that utilise a large component of WIL for clinical development of the student nurses. In South Africa, student nurses are currently placed in a variety of clinical settings in order to obtain the required and regulated clinical experience that work integrated learning should offer them. However, anecdotal evidence indicated that student nurses from the various Nursing Education Institutions in Nelson Mandela Bay experienced difficulty in finding adequate opportunities to develop their newly acquired skills when in the clinical areas and reported great difficulties in achieving their WIL outcomes. The aim of this study was to explore and describe the student nurses’ experiences of work integrated learning in various clinical areas in the Nelson Mandela Bay. This study followed a qualitative, exploratory, descriptive and contextual design with two phases. Thirty-five student nurses in their third and fourth-year were purposely sampled. In phase one data was collected using two steps, where the first step comprised using naïve sketches. During the second step interviews were done by means of focus groups using semi-structured questions and responsive interviewing. Data was transcribed verbatim and analysed thematically using Tesch’s method of analysis. In phase two recommendations for nurse educators to optimise WIL were formulated. The following three themes and related sub-themes emerged from the analysis: 1) Student nurses experienced a multitude of challenges in the clinical placement areas (CPA) and at the nursing education institution (NEI) that negatively impact on their morale and hinder WIL, namely lack of resources, unsupportive learning environments, a lack of belonging and workplace violence. 2) Positive experiences resulted in motivated and enthusiastic students, namely being inspired by role models, enhanced learning when support was offered and personal growth. 3) Students offered recommendations for enabling their WIL, namely adequate mentoring and clinical support, adequate financial support related to WIL and adjusting the nursing programmes to better incorporate the students’ needs. Relevant literature and recommendations offered by the student nurses were used to formulate recommendations with action steps for nurse educators to optimise work integrated learning of student nurses.