South African Family Practice最新文献_第3页

A rationale and framework for sharing mindfulness in trauma-dense communities in South Africa. 在南非创伤密集社区分享正念的基本原理和框架。

IF 1.2

South African Family Practice Pub Date : 2025-06-09 DOI: 10.4102/safp.v67i1.6114

Simon Whitesman

引用次数: 0

Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices. 性侵犯受害者-幸存者的暴露后预防：指导方针和最佳做法。

IF 1.2

South African Family Practice Pub Date : 2025-06-05 DOI: 10.4102/safp.v67i1.6073

Mergan Naidoo, Ramprakash Kaswa, Indiran Govender

{"title":"Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices.","authors":"Mergan Naidoo, Ramprakash Kaswa, Indiran Govender","doi":"10.4102/safp.v67i1.6073","DOIUrl":"10.4102/safp.v67i1.6073","url":null,"abstract":"This study addresses the importance of post-exposure prophylaxis (PEP) in the context of sexual assault. Post-exposure prophylaxis serves as a critical intervention to reduce the risk of human immunodeficiency virus (HIV) transmission and unintended pregnancies for victim-survivors. Immediate access to PEP, emergency contraception and comprehensive medical assessments is essential for effective care. The study outlines the steps healthcare providers must take, including timely administration of prophylaxis, monitoring for side effects and offering psychosocial support to victim-survivors. It emphasises the need for follow-up visits to ensure ongoing care and the importance of implementing risk-reduction strategies until final infection outcomes are confirmed. Additionally, the role of standardised documentation, such as the J88 form, is highlighted for collecting evidence in cases of sexual violence, ensuring that healthcare practitioners understand their responsibilities in promoting justice. The study underscores the social obligation of healthcare professionals to combat gender-based violence, advocating for reporting mechanisms for child victims and appropriate referral pathways for positive test results. By prioritising the health and wellbeing of victim-survivors, the healthcare community can significantly contribute to their recovery and empowerment, ultimately fostering a supportive environment that addresses both medical and emotional needs following sexual assault.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Portfolio of learning in clinical training. 临床培训中的学习组合。

IF 1.2

South African Family Practice Pub Date : 2025-06-04 DOI: 10.4102/safp.v67i1.6080

Louis S Jenkins

{"title":"Portfolio of learning in clinical training.","authors":"Louis S Jenkins","doi":"10.4102/safp.v67i1.6080","DOIUrl":"10.4102/safp.v67i1.6080","url":null,"abstract":"Workplace-based assessment is increasingly crucial in the postgraduate training of specialists in South Africa, including for family physicians. A portfolio of learning allows a structured, flexible way to present evidence of learning. Portfolios are increasingly digitally based as e-portfolios. Portfolios are used for encouraging self-reflective learning, for transforming learning, and for gathering evidence of skills necessary for future employment. Portfolios support assessment for learning and assessment of learning. This necessitates registrar reflections, supervisor feedback and interaction, and linkages to entrustable professional activities (EPAs). The e-portfolio facilitates triangulation, aggregation and saturation of data points for the various EPAs to support clinical competency committees to make high-stakes evaluations of registrar portfolios. While the initial design and development costs are significant, operational costs become affordable when shared across all training programmes. The portfolio of learning has been a key priority in family medicine for almost 15 years. Initially, a paper-based portfolio was adopted to collect evidence of learning for the national exit-level outcomes. It was converted into an e-portfolio and implemented nationally through the coordination of the South African Academy of Family Physicians. In 2023, the e-portfolio was redesigned to gather evidence of learning for 22 EPAs, and a further revision took place in 2024. A portfolio of learning offers a valuable alternative to traditional assessment methods, allowing for a comprehensive understanding of registrars' growth over time.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mastering your fellowship: Part 3, 2025. 掌握你的团契：第三部分，2025。

IF 1.2

South African Family Practice Pub Date : 2025-06-03 DOI: 10.4102/safp.v67i1.6102

Klaus B Von Pressentin, John M Musonda, Gert Marincowitz, Selvandran Rangiah

引用次数: 0

Road traffic accidents, still a challenge in South Africa. 道路交通事故仍然是南非面临的一个挑战。

IF 1.4

South African Family Practice Pub Date : 2025-06-02 DOI: 10.4102/safp.v67i1.6104

Indiran P Govender, David K K Masanabo

引用次数: 0

The competency of nurses in basic life support at district hospitals in Cape Town, South Africa. 南非开普敦地区医院基本生命支持护士的能力。

IF 1.2

South African Family Practice Pub Date : 2025-05-29 DOI: 10.4102/safp.v67i1.6056

George R Mahembe, Robert Mash

{"title":"The competency of nurses in basic life support at district hospitals in Cape Town, South Africa.","authors":"George R Mahembe, Robert Mash","doi":"10.4102/safp.v67i1.6056","DOIUrl":"10.4102/safp.v67i1.6056","url":null,"abstract":"Background: Cardiac arrest (CA) is a leading cause of mortality, and survival rates are low; however, basic life support (BLS) can improve these rates. Nurses play a crucial role in the prevention, recognition, and response to CA, making BLS competency essential. Little is known about BLS competency among nurses in district hospitals. The study aimed to evaluate the knowledge, skills and attitudes of nurses regarding BLS in district hospitals in Cape Town, South Africa.Methods: A multi-centre, observational cross-sectional study was conducted. An existing self-administered questionnaire was adapted and validated. Stratified quota sampling selected 243 nurses. Data were analysed using the Statistical Package for the Social Sciences.Results: Only 3.0% of nurses scored above 80% on the knowledge test, while 15.9% scored that high on the skills test. Professional nurses, those with a bachelor's degree, and nurses with any form of BLS training had significantly higher competency scores (p 0.001). Basic life support certification rates were low at 50.8%, and certificates had expired in 52.5% of nurses. Furthermore, neither greater work experience (r = 0.025, p = 0.702) nor more frequent BLS performance (p = 0.083) was associated with higher competency scores.Conclusion: Nurses working in district hospitals demonstrated positive attitudes, but they had insufficient knowledge and poor BLS skills.Contribution: Nurses with higher-level qualifications and prior training in BLS achieved better competency scores. Attention should be directed towards CA registries, quality improvement systems, decentralised training at scale, performance management systems and an improved nurse staffing mix.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementing active surveillance for tuberculosis: A quality improvement project. 实施结核病主动监测：一项质量改进项目。

IF 1.2

South African Family Practice Pub Date : 2025-05-29 DOI: 10.4102/safp.v67i1.6106

Febisola I Ajudua, Robert Mash

{"title":"Implementing active surveillance for tuberculosis: A quality improvement project.","authors":"Febisola I Ajudua, Robert Mash","doi":"10.4102/safp.v67i1.6106","DOIUrl":"10.4102/safp.v67i1.6106","url":null,"abstract":"Background: South Africa is a high tuberculosis (TB)-burden country with the worst multidrug-resistant TB (MDRTB) epidemic in Sub-Saharan Africa. The recommendations of the World Health Organization (WHO) in high TB-burden settings are to institute processes for identifying patients with active TB and to improve social support. The community-oriented primary care (COPC) model relies on the community health workers' (CHW) every encounter in the community as an opportunity to screen for TB symptoms. This study aimed to evaluate the implementation of active surveillance for TB in a CHW team.Methods: This was a quality improvement project (QIP) focused on the implementation of TB screening in the community-based services at a primary care facility in the Nelson Mandela Bay Health District (NMBHD).Results: The baseline audit revealed one team was available in the facility even though it serviced two and a half municipal wards. The team comprised an outreach team leader and three CHWs. There were no records of community-based TB screenings done. The midway audit showed a remarkable rise in clients screened in the community. There was a failed attempt to introduce the use of mHealth technology to the team. The audit at the end of the QIP showed a continuing lack of adequate records of activities in the community.Conclusion: The CHWs in this study, although capable and motivated, lacked opportunity to perform adequate community-based TB screening because of the lack of supportive supervision, inadequate recordkeeping, and a district managerial team that focused on the practice population rather than the population at risk.Contribution: We recommend a continuing QIP and a re-education of health care providers about community-based health services.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e11"},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sedentary behaviour of pregnant women in South Africa: A cross-sectional study. 南非孕妇久坐行为：一项横断面研究。

IF 1.2

South African Family Practice Pub Date : 2025-05-19 DOI: 10.4102/safp.v67i1.6057

Uchenna B Okafor

{"title":"Sedentary behaviour of pregnant women in South Africa: A cross-sectional study.","authors":"Uchenna B Okafor","doi":"10.4102/safp.v67i1.6057","DOIUrl":"10.4102/safp.v67i1.6057","url":null,"abstract":"Background: Sedentary behaviour is a growing global public health concern that affects not only the general population but also pregnant women. Inactivity during pregnancy could have implications for the development of cardio-metabolic complications such as prenatal obesity, gestational diabetes mellitus, and hypertension, as well as mental well-being. Encouraging light prenatal physical exercise is crucial in improving maternal health of mothers as well as the baby. However, information on the sedentary behaviour of pregnant women in South Africa is limited, particularly in the Eastern Cape region. Therefore, this study investigates the proportion of time pregnant women spend in sedentary behaviours in the context of the Eastern Cape in South Africa.Methods: In this cross-sectional study, the sedentary time of 1082 pregnant women attending public health facilities in Buffalo City Municipality, Eastern Cape, South Africa, was assessed using the Pregnancy Physical Activity Questionnaire. Descriptive statistics were used to analyse the sedentary time of the participants.Results: The participants' mean age was 27.0 years, and the standard deviation was 6.2 years. The pregnant women spent more than 3 h per day sitting (40.0%). Furthermore, a significant proportion spent 4 h to more than 6 h per day watching television or videos (46.2%) and sitting, reading, or making phone calls (51.6%) during their off-work physical activity.Conclusion: The majority of pregnant women exhibit high levels of sedentary behaviour.Contribution: Measures to encourage active physical activity during pregnancy are crucial in preventing a sedentary lifestyle among pregnant women.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e4"},"PeriodicalIF":1.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient safety incidences: Perspectives of South African audiologists. 患者安全事件：南非听力学家的观点。

IF 1.2

South African Family Practice Pub Date : 2025-05-19 DOI: 10.4102/safp.v67i1.6134

Suvishka Barath, Ntandoyenkosi L Msomi, Andrew J Ross

{"title":"Patient safety incidences: Perspectives of South African audiologists.","authors":"Suvishka Barath, Ntandoyenkosi L Msomi, Andrew J Ross","doi":"10.4102/safp.v67i1.6134","DOIUrl":"10.4102/safp.v67i1.6134","url":null,"abstract":"Background: Patient safety incidents (PSIs) in audiology have received limited attention compared to other health care professions in South Africa, despite their potential to significantly impact patient well-being. This study explores audiologists' experiences of PSIs and the factors contributing to their emergence.Methods: A qualitative, contextual, descriptive exploratory research design was employed. Individual semi-structured online interviews were conducted with eight audiologists working in South Africa. The data were analysed using Braun and Clarke's reflexive thematic analysis.Results: Participants highlighted that PSIs in audiology are often underestimated, yet they can profoundly affect patients' quality of life. Inadequate university training on PSIs was identified as a key contributing factor. Technological advancements, such as over-the-counter hearing aids and automated assessments, were viewed as potential risks without proper professional oversight. Organisational support varied, with clearer protocols observed in the public sector than in private practice. In addition, staff shortages and high workloads increased the likelihood of PSIs by compromising patient care. To mitigate these risks, participants recommended enhanced training, stricter regulation of hearing technologies and improved patient education.Conclusion: This study underscores the need for greater recognition and proactive management of PSIs in audiology. Addressing training gaps, strengthening organisational support and implementing regulatory measures for emerging technologies are essential to improving patient safety outcomes.Contribution: This study expands the understanding of PSIs in audiology and offers insights that can inform curriculum reform and professional development initiatives in South Africa.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e9"},"PeriodicalIF":1.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, attitudes and practices on hypertension among patients in a district hospital. 某区医院患者对高血压的认识、态度和行为。

IF 1.2

South African Family Practice Pub Date : 2025-05-15 DOI: 10.4102/safp.v67i1.6094

Eslah H H Ahmed, Olga M Maphasha, Sunday O Okeke

{"title":"Knowledge, attitudes and practices on hypertension among patients in a district hospital.","authors":"Eslah H H Ahmed, Olga M Maphasha, Sunday O Okeke","doi":"10.4102/safp.v67i1.6094","DOIUrl":"10.4102/safp.v67i1.6094","url":null,"abstract":"Background: Hypertension is a major global public health issue, with effective management relying heavily on patient adherence to lifestyle changes and medication. Understanding demographic influences on these behaviours is vital for targeted intervention. This study assessed knowledge, attitudes, and practices related to hypertension among patients at a district hospital in Tshwane, South Africa.Methods: A descriptive cross-sectional study used a structured, piloted questionnaire adapted from previous studies with 283 participants at a Tshwane district hospital.Results: The mean knowledge score was 55.2%, with gaps in understanding normal blood pressure (BP) values (46.29%) and risk factors (18.02%). Attitudes were positive, with 97.6% endorsing regular BP checks and 93.3% supporting salt reduction. Practices were moderate, with 70% never missing medication and 58% regularly monitoring weight. Higher education correlated with better knowledge and attitudes (p 0.001, p = 0.001, respectively). Non-smokers and non-drinkers exhibited better health practices (p 0.001). Age negatively correlated with knowledge (r = -0.15, p = 0.010) and attitudes (r = -0.19, p = 0.002).Conclusion: While attitudes towards hypertension are generally positive, knowledge and practices remain suboptimal. Targeted educational interventions, tailored to diverse socio-demographic factors, are essential to enhancing adherence.Contribution: This study identified gaps in hypertension management in Tshwane, aiding in the development of more effective, patient-centred educational programmes.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0