PURPOSE Explore the competencies required by the child nurse practitioners in the child nursing practice in order to refine the current competencies in a programme for Child Nursing Science presented at a Nursing Education Institution in Gauteng. DESIGN AND METHOD A quantitative, non-experimental, descriptive, exploratory and applied research design was used. A structured self reported questionnaire was constructed based on the competencies derived from the current programme for Child Nursing Science used at the Nursing Education Institution, the Specialist Paediatric and Child Health Nurse by the Australian Confederation of Paediatric and Child Health Nurses and the World Health Organization Children’s Nursing Curriculum. The structured self reported questionnaire was distributed to 110 child nurse practitioners working in child nursing practices in Gauteng and a total of 82 responded. FINDINGS All competencies were regarded as important, except for competencies related to research, family-centred child care, complementary and traditional child care practices, evidence-based practice, mentoring and play activities. CONCLUSION Findings were used to refine the current competencies in a programme for Child Nursing Science / Health Studies / M.A. (Health Studies)

Thesis (Ph.D. (Nursing Science)) -- University of Limpopo, 2022 / The purpose of this study was to develop a training programme to facilitate the implementation of the 6 Ministerial Priorities by Professional Nurses in the Health Care facilities in Limpopo Province. The purpose of the training programme was to capacitate the Professional Nurses to enable them to facilitate the implementation of the 6 Ministerial Priorities in the Health Care facilities of Limpopo to improve the provision of quality service. The study was conducted in three phases, namely, qualitative, quantitative and development of a training programme. Phenomenological semi structured one-to-one interviews were conducted to explore the perceptions of Professional Nurses on the implementation of the 6 Ministerial Priorities in the public hospitals in Limpopo Province. Interviews were conducted until saturation was reached. Themes and sub-themes were coded manually. The results of the qualitative phase were used to develop a questionnaire for the quantitative phase. Self-administered quantitative questionnaires were given to Professional Nurses to describe their experiences, knowledge and perceptions on the implementation of the 6 Ministerial Priorities in the Health Care facilities of Limpopo. The results that emerged from the integration of qualitative and quantitative results revealed that 6 Ministerial Priorities were not implemented effectively in the Health Care facilities due to challenges such as shortage of Professional Nurses and cleaners, shortage of cleaning material, linen and patients clothing. Shortage of medication, lack of in-service training on the 6 Ministerial Priorities and lack of orientation programme for the newly appointed Professional Nurses. These challenges affected the implementation of 6 Ministerial Priorities negatively thus compromising the provision of quality patient care. The training programme was developed for Professional Nurses to capacitate them on the facilitation of the implementation of the 6 Ministerial Priorities to improve quality care.

No description available.

The study aimed to explore and describe factors which impacted on the satisfaction of patients using the curative component of primary health care in the Ekurhuleni Metropolitan area. A qualitative, explorative and contextual design was followed in this study. Focus group interviews were used to collect data from clients, nurse clinicians and community health committee members. Findings indicated that there was lack of facilities, resources and supplies, lack of safety and security measures, negative attitudes of nurse clinicians, lack of community involvement and lack of clinic management involvement. Suggestions were made by the groups on how to improve the curative primary health care service and intervention strategies were identified from the suggestions made. The implementation of these strategies will help with the improvement of the service delivery at the clinic for primary health care. / Health Studies / (M.A. (Health Studies)

Text in English / A descriptive survey was used in order to determine • whether professional nurses are capable of teaching student nurses the application of biophysics and biochemistry related to certain nursing activities/procedures in the surgical unit • student nurses' knowledge of biophysics and biochemistry related to nursing activities/procedures in the surgical unit. The two target groups consisted of student nurses of a Gauteng nursing college and the professional nurses working in the surgical units of the four hospital satellite campuses where these students do their practica. Accidental sampling was used. Two questionnaires were designed: one for each group. Findings revealed that student nurses felt that biophysics and biochemistry were often not applied by professional nurses during clinical teaching. Professional nurses felt they had problems in identifying and applying biophysics and biochemistry principles during clinical teaching. Recommendations were made for nursing practice, nursing education and further research. / Daar heers groot komer oor die toepassing van biofisika en biochemie in die kliniese opset. Voortspruitend uit hierdie probleemstelling is twee vrae gevra in hierdie studie, naamlik: • Is geregistreerde verpleegkundiges daartoe in staat om studentverpleegkundiges te help om die biofisika- en biochemie-konsepte wat hulle leer, toe te pas in die sjirurgiese eenheid? • Kan studentverpleegkundiges die biofisika- en biochemie-konsepte wat hulle leer, toepas in die sjirurgiese eenheid? Doelwitte van die studie was om • 'n oorsig te gee oor verbandhoudende literatuur • te bepaal oor watter biofisika- en biochemie-kennis studentverpleegkundiges beskik wat verband hou met verpleegaksies in sjirurgiese eenhede • te bepaal of geregistreerde verpleegkundiges studentverpleegkundiges kan onderrig in die toepassing van biofisika en biochemie wat verband hou met sekere verpleegaksies in sjirurgiese eenhede. Die navorsingsbenadering wat gebruik is, is die beskrywende opname. Teikengroepe vir die studie was fase II studentverpleegkundiges van 'n Gauteng Verpleegkollege en geregistreerde verpleegkundiges wat in die sjirurgiese eenhede werk van vier Gautengse hospitale wat dien as satelietkampusse vir hierdie verpleegkollege. Twee vraelyste, respektiewelik gerig aan die studentverpleegkundiges en die geregistreerde verpleegkundiges is gebruik as instrumente. Toevallige steekproeftrekking is gebruik. Analise van die data het getoon dat studentverpleegkundiges gevoel het hulle is nie betrek in die beplanning van kliniese onderrig nie en ook dat biofisika en biochernie dikwels nie toegepas is tydens kliniese onderrig deur geregistreerde verpleegkundiges nie. Geregistreerde verpleegkundiges het gevoel hulle het probleme in die identifisering en toepassing van biofisika- en biochemie-beginsels tydens kliniese onderrig. Bevindings kan nie veralgemeen word nie. Aanbevelings vir verpleegpraktyk, -ondenvys en verdere navorsing is gemaak. / Health Studies / M.A. (Nursing Science)--University of South Africa, 1999

Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2017-12-13T11:32:28Z No. of bitstreams: 1 alessandrasolerbastos_dissert.pdf: 1233932 bytes, checksum: 070d0a302eb15abf238668579e98ab8f (MD5) / Made available in DSpace on 2017-12-13T11:32:28Z (GMT). No. of bitstreams: 1 alessandrasolerbastos_dissert.pdf: 1233932 bytes, checksum: 070d0a302eb15abf238668579e98ab8f (MD5) Previous issue date: 2017-06-28 / Introduction: The use of sedation in critically ill patients is necessary because it provides anxiolysis, aminosia, and comfort when mechanically ventilated. However, it may be a risk factor for the development of delirium in these patients, increasing length of hospital stay and mortality. Objective: To identify delirium and subsyndromal delirium in critically ill patients and to associate it with age, length of hospital stay, mortality, sedation administered, medical specialty of hospitalization and predictive scale of mortality Sepse Related Organ Failure Assessment. Methods: A cross-sectional study was conducted in a teaching hospital with 157 patients using the Richmond Agitation-Sedation Scale for sedation evaluation and Intensive Care Deli¬rium Screening Checklist for delirium evaluation. Results: Most patients presented subsyndromal delirium. The relationship between delirium and the subindromous with the time of intensive care hospitalization was statistically significant for both, while age was significant only in subsyndromatics. The most commonly used sedatives were fentanyl, midazolan, propofol and clonidine. There were significant differences between delirium and clonidine use, and subsindromatic delirium with fentanyl and midazolan. Most were discharged from the intensive care unit and the main medical specialty was neurosurgery. There were no significant differences between mortality, occurrence of discharge and death and medical specialty. Conclusion: The daily evaluation by nurses for identification and monitoring of subsyndromal delirium in intensive care patients assists in the adoption of measures that minimize the stressors that trigger delirium. The evaluation of the use of sedation by the nurse is necessary since the patients who used some sedative presented more delirium than those who did not use. / Introducción: El uso de sedación en pacientes críticos es necesario pues proporciona ansiólisis, amnesia, y confort cuando son ventilados mecánicamente. Pero puede ser un factor de riesgo para el desarrollo de delirium en ellos, aumentando el tiempo de internación hospitalaria y mortalidad. Objetivo: Identificar delirium y delirium subsindromático en pacientes críticos y asociar a la edad, tiempo de internación, mortalidad, sedación administrada, especialidad médica de la internación y escala predictora de mortalidad Sepse Related Organ Failure Assessment. Métodos: Estudio transversal, realizado en un hospital de enseñanza, con 157 pacientes, utilizando las escalas Richmond Agitation-Sedation Scale para la evaluación de la sedación e Intensive Care Delihrio Screening Checklist para la evaluación del delirium. Resultados: La mayoría de los pacientes presentó delirium subsindromático. La relación entre el delirium y el subsindromático con el tiempo de internación en terapia intensiva fue estadísticamente significante para ambos, mientras que la edad fue significativa sólo en el subsindromático. Los sedantes más utilizados fueron fentanil, midazolan, propofol y clonidina. Hubo diferencias significativas entre delirium y uso de clonidina, y delirium subsindromático con fentanil y midazolan. La mayoría recibió alta de la unidad de terapia intensiva y la principal especialidad médica fue neurocirugía. No hubo diferencias significativas entre mortalidad, ocurrencia de alta y muerte y especialidad médica. Conclusión: La evaluación diaria hecha por enfermeros para identificación y monitoreo del delirium subsindromático en pacientes de terapia intensiva auxilia en la adopción de medidas que minimicen los factores estresantes desencadenantes del delirium. La evaluación del uso de sedación por el enfermero se hace necesaria ya que los pacientes que hicieron uso de algún sedante presentaron más delirium que aquellos que no hicieron uso. / Introdução: O uso de sedação em pacientes críticos é necessário pois proporciona ansiólise, aminésia, e conforto quando ventilados mecanicamente. Porém pode ser um fator de risco para desenvolvimento de delirium nesses, aumentando tempo de internação hospitalar e mortalidade. Objetivo: Identificar delirium e delirium subsindromático em pacientes críticos e associar à idade, tempo de internação, mortalidade, sedação administrada, especialidade médica da internação e escala preditora de mortalidade Sepse Related Organ Failure Assessment. Métodos: Estudo transversal, realizado em hospital de ensino, com 157 pacientes, utilizando as escalas, Richmond Agitation-Sedation Scale para avaliação da sedação e Intensive Care Delirium Screening Checklist para avaliação do delirium. Resultados: A maioria dos pacientes apresentou delirium subsindromático. A relação entre o delirium e o subsindromático com o tempo de internação em terapia intensiva foi estatisticamente significante para ambos, enquanto a idade foi significativa apenas no subsindromático. Os sedativos mais utilizados foram fentanil, midazolan, propofol e clonidina. Houve diferenças significativas entre delirium e uso de clonidina, e delirium subsindromático com fentanil e midazolan. A maioria recebeu alta da unidade de terapia intensiva e a principal especialidade médica foi neurocirurgia. Não houve diferenças significativas entre mortalidade, ocorrência de alta e óbito e especialidade médica. Conclusão: A avaliação diária feita por enfermeiros para identificação e monitoração do delirium subsindromático em pacientes de terapia intensiva auxilia na adoção de medidas que minimizem os fatores estressores desencadeantes do delirium. A avaliação do uso de sedação pelo enfermeiro se faz necessária visto que o os pacientes que fizeram uso de algum sedativo apresentaram mais delirium do que aqueles que não fizeram uso.

This thesis is about primary care medicine in the United States today. Specifically, I look into primary care providers’ experiences working with patients in the context of the public’s current access to extensive health and medical information online. In this thesis, I discuss and analyze my conversations with physicians, nurse practitioners, and a physicians’ assistant about their objectives in primary care, the challenges they face, and their perceptions of patients’ ability to seek out information on their own. I explore providers’ educational emphasis in primary care consultations, and argue that this focus on education informs their views of patients’ independent research and involvement in care. I further argue that regardless of my informants’ enthusiasm about patient involvement and the merits of patient-education, these providers still hold and express a strong authority over medical knowledge and decisions. Thus in looking at the influence of what could be seen as a democratization of medical knowledge through public access and the Internet, it seems that the limitations of such access are still great in U.S. medical practice.

The study aimed to explore and describe factors which impacted on the satisfaction of patients using the curative component of primary health care in the Ekurhuleni Metropolitan area. A qualitative, explorative and contextual design was followed in this study. Focus group interviews were used to collect data from clients, nurse clinicians and community health committee members. Findings indicated that there was lack of facilities, resources and supplies, lack of safety and security measures, negative attitudes of nurse clinicians, lack of community involvement and lack of clinic management involvement. Suggestions were made by the groups on how to improve the curative primary health care service and intervention strategies were identified from the suggestions made. The implementation of these strategies will help with the improvement of the service delivery at the clinic for primary health care. / Health Studies / (M.A. (Health Studies)

Text in English / A descriptive survey was used in order to determine • whether professional nurses are capable of teaching student nurses the application of biophysics and biochemistry related to certain nursing activities/procedures in the surgical unit • student nurses' knowledge of biophysics and biochemistry related to nursing activities/procedures in the surgical unit. The two target groups consisted of student nurses of a Gauteng nursing college and the professional nurses working in the surgical units of the four hospital satellite campuses where these students do their practica. Accidental sampling was used. Two questionnaires were designed: one for each group. Findings revealed that student nurses felt that biophysics and biochemistry were often not applied by professional nurses during clinical teaching. Professional nurses felt they had problems in identifying and applying biophysics and biochemistry principles during clinical teaching. Recommendations were made for nursing practice, nursing education and further research. / Daar heers groot komer oor die toepassing van biofisika en biochemie in die kliniese opset. Voortspruitend uit hierdie probleemstelling is twee vrae gevra in hierdie studie, naamlik: • Is geregistreerde verpleegkundiges daartoe in staat om studentverpleegkundiges te help om die biofisika- en biochemie-konsepte wat hulle leer, toe te pas in die sjirurgiese eenheid? • Kan studentverpleegkundiges die biofisika- en biochemie-konsepte wat hulle leer, toepas in die sjirurgiese eenheid? Doelwitte van die studie was om • 'n oorsig te gee oor verbandhoudende literatuur • te bepaal oor watter biofisika- en biochemie-kennis studentverpleegkundiges beskik wat verband hou met verpleegaksies in sjirurgiese eenhede • te bepaal of geregistreerde verpleegkundiges studentverpleegkundiges kan onderrig in die toepassing van biofisika en biochemie wat verband hou met sekere verpleegaksies in sjirurgiese eenhede. Die navorsingsbenadering wat gebruik is, is die beskrywende opname. Teikengroepe vir die studie was fase II studentverpleegkundiges van 'n Gauteng Verpleegkollege en geregistreerde verpleegkundiges wat in die sjirurgiese eenhede werk van vier Gautengse hospitale wat dien as satelietkampusse vir hierdie verpleegkollege. Twee vraelyste, respektiewelik gerig aan die studentverpleegkundiges en die geregistreerde verpleegkundiges is gebruik as instrumente. Toevallige steekproeftrekking is gebruik. Analise van die data het getoon dat studentverpleegkundiges gevoel het hulle is nie betrek in die beplanning van kliniese onderrig nie en ook dat biofisika en biochernie dikwels nie toegepas is tydens kliniese onderrig deur geregistreerde verpleegkundiges nie. Geregistreerde verpleegkundiges het gevoel hulle het probleme in die identifisering en toepassing van biofisika- en biochemie-beginsels tydens kliniese onderrig. Bevindings kan nie veralgemeen word nie. Aanbevelings vir verpleegpraktyk, -ondenvys en verdere navorsing is gemaak. / Health Studies / M.A. (Nursing Science)--University of South Africa, 1999

D.Cur. / The purpose of this study was to evaluate the quality of professional conduct by the nursing practitioner in clinical nursing care as reflected in post laparotomy and respiratory disorders in selected public hospitals in the Northern (Limpopo) Province, and to develop a programme to improve the quality of professional conduct by the nursing practitioner in public hospitals. Professional conduct in this study refers to the level of compliance with the SANC/Muller (1999) practice standards as refined by the researcher. The following dimensions are addressed in relation to post laparotomy patients and patients with respiratory disorders: knowledge, skills/competencies, scientifically-based care, recording, teamwork/networking, health promotion, therapeutic environment and accountability. The hypothesis for this study was that the quality of professional conduct by the nursing practitioner in clinical nursing care as reflected in post laparotomy and respiratory disorders is inadequate and non-compliant with the standards and criteria in selected public hospitals in the Northern (Limpopo) Province. The following research questions were addressed: a) What is the quality of professional conduct by the nursing practitioner in clinical nursing as reflected in practice setting of post laparotomy and respiratory disorders in selected public hospitals in the Northern (Limpopo) Province? b) What professional conduct programme should be developed to improve compliance with the standards and criteria? A quantitative evaluative descriptive and contextual survey was conducted consisting of: 1. Refinement of standards by the researcher 2. Baseline survey to evaluate the quality of professional conduct by the nursing practitioner in clinical nursing care as reflected in post laparotomy and respiratory disorders; 3. The development of a professional conduct programme as a remedial action strategy. The data collection method utilised strategies such as the use of trained evaluators, direct and indirect observations, individual and group interviews, and documentation analysis. Population and samples were selected from public hospitals that offer clinical nursing care to both post laparotomy patients and patients with respiratory disorders. The units that offered clinical nursing care to the same patients and the nursing practitioners who provide clinical nursing care to these patients were selected. A three point rating scale consisting of compliance (C) = 1, partial compliance (PC) = 0.5 and non-compliance (NC) = 0.0 was used to collect data. Statistical analysis system was used by the statistician to analyse the data. Individual items were analysed and percentages calculated. Then mean (M) and standard deviation (SD) on individual standard were determined. The results revealed that for practice standard one the nursing practitioner showed partial compliance (M = 0.375; SD = 0.197); practice standard two, the nursing practitioner showed partial compliance (M = 0.355; SD = 0.267) slightly lower than standard one; practice standard three the nursing practitioner showed non-compliance (M = 0.319; SD = 1.211); practice standard four, the nursing practitioner showed partial compliance (M = 0.552; SD = 0.180); practice standard five, the nursing practitioner showed partial compliance (M = 0.397; SD = 0.220); practice standard six, the nursing practitioner showed non-compliance (M = 0.238; SD .= 0.257), the lowest of all the standards; practice standard seven, the nursing practitioner showed partial compliance (M = 0.396; SD = 0.237); and practice standard eight, the nursing practitioner demonstrated partial compliance (M = 0.530; SD 0.267). The first research question was what is the level of compliance by the nursing practitioner with the standards and criteria in clinical nursing care in public hospitals in the Northern Province? The overall results for the eight standards showed partial compliance (M = 0.380; SD = 0.175). The second research question was what professional conduct programme should be developed to improve compliance with the standards and criteria. The professional conduct programme was developed based on the SANC/Muller practice standards as the theoretical foundation. Further analysis was done on contributory factors. There was a relationship between the recording format (78.9% inadequate) and compliance with practice standard three; scientifically-based recording on patient records rated low at all the selected hospitals (M = 0.319; SD = 0.211). There was also an association between supervision/support (85% inadequate) and practice standard six, indicating non-compliance (M = 0.238; SD = 0.257) and practice standard seven (M = 0.396; SD = 0.237). A relationship between availability of stock and supplies (69.4% inadequate) and practice standard one and two, was observed (M = 0.375; SD = 0.197) and (M = 0.355; SD = 0.269) respectively. There was, however, no relationship between staffing and the practice standards;