Curationis Pub Date : 2024-08-08 DOI: 10.4102/curationis.v47i1.2506

Nosipho M. Maseko, Roslyn T. De Braine

引用次数: 0

Midwifery hurdles: Navigating tuberculosis screening challenges in South Africa 助产障碍：应对南非结核病筛查挑战

Curationis Pub Date : 2024-06-10 DOI: 10.4102/curationis.v47i1.2533

Violet M Chewe, S. H. Khunou

引用次数: 0

Newly qualified professional nurses' experiences providing postoperative care to children in CTICU. 新晋专业护士在 CTICU 为儿童提供术后护理的经验。

Curationis Pub Date : 2024-03-29 DOI: 10.4102/curationis.v47i1.2493

Thereza M. Mehlape, S. Matlala

{"title":"Newly qualified professional nurses' experiences providing postoperative care to children in CTICU.","authors":"Thereza M. Mehlape, S. Matlala","doi":"10.4102/curationis.v47i1.2493","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2493","url":null,"abstract":"BACKGROUND\u0000 It is challenging for newly qualified professional nurses (NQPNs) to care for children with congenital heart abnormalities following cardiac surgery in cardiothoracic critical care units. This population of nurses is allocated to critically ill children in the cardiothoracic intensive care unit (CTICU) even though they lack sufficient knowledge, experience and skills to care for these patients.\u0000\u0000\u0000OBJECTIVES\u0000 This study explored, described and made recommendations to support NQPNs who provide postoperative care to children in a CTICU.\u0000\u0000\u0000METHOD\u0000 A qualitative, exploratory, descriptive and contextual research design was used. Purposive sampling was employed, and in-depth individual phenomenological interviews were conducted with 10 NQPNs. Data were analysed according to Giorgio's descriptive phenomenological method, and measures to ensure trustworthiness and ethical principles were followed.\u0000\u0000\u0000RESULTS\u0000 The NQPNs cited their lack of knowledge and mentoring as the primary contributors to their perceived challenges. This population requires motivation, mentoring and empowerment to address this phenomenon.\u0000\u0000\u0000CONCLUSION\u0000 Professional nurses in CTICUs require a supportive work environment, with encouragement from colleagues, management and doctors. A lack of support compromises patient care outcomes and safety, resulting in litigation.Contribution: Recommendations are provided for nursing education, research and practice to empower NQPNs with knowledge and skills to work with children following cardiac surgery to avoid adverse events in the CTICU.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"61 4","pages":"e1-e7"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140367663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses' practices in stroke-related dysphagia in low- and middle-income countries. 中低收入国家护士在中风相关吞咽困难方面的实践。

Curationis Pub Date : 2024-03-28 DOI: 10.4102/curationis.v47i1.2499

Kirsten Rowe, Maria N. Du Toit, Sarveshvari B. Pillay, E. Krüger

{"title":"Nurses' practices in stroke-related dysphagia in low- and middle-income countries.","authors":"Kirsten Rowe, Maria N. Du Toit, Sarveshvari B. Pillay, E. Krüger","doi":"10.4102/curationis.v47i1.2499","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2499","url":null,"abstract":"BACKGROUND\u0000 Nurses are often required to perform dysphagia screening prior to oral intake by people following stroke. Previous studies report limited knowledge of nurses in identifying symptoms of post-stroke dysphagia.\u0000\u0000\u0000OBJECTIVE\u0000 To explore existing literature regarding nurses' practices and knowledge in the identification and management of post-stroke oropharyngeal dysphagia (OPD) in low- and middle income countries (LMICs).\u0000\u0000\u0000METHOD\u0000 A scoping review was conducted according to the PRISMA-ScR guidelines. Studies were retrieved from PubMed, Scopus, EBSCOhost (CINAHL and Health source: Nursing and Academic edition), Web of Science Core collection, and Cochrane libraries. No time frame was applied, and all included studies were screened according to predefined eligibility criteria.\u0000\u0000\u0000RESULTS\u0000 Eight studies were included from 1 792 initial hits. Studies described nursing practices in acute care pertaining to identification and management of stroke-related dysphagia in LMICs. Increased knowledge was reported in nurses who had greater clinical experience in managing patients with dysphagia. Needs for training relating to dysphagia management and opportunities for interprofessional collaboration with speech-language therapists (SLTs) were identified. Contextual barriers specific to LMICs impacting on optimal nursing management of dysphagia included heavy workloads, staff-shortages and time constraints.Conclusion and contribution: Eight studies described nurses' practices and identified needs for the improvement of nurses' dysphagia care in LMICs. This scoping review highlighted the urgency for further research in dysphagia management that provides creative, contextually relevant solutions for improved protocols and training of health care professionals. Findings may be valuable for the multidisciplinary team involved in post-stroke dysphagia care.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"40 8","pages":"e1-e9"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guidelines to support newly qualified professional nurses for effective clinical practice. 支持新近获得资格的专业护士有效开展临床实践的指南。

Curationis Pub Date : 2024-03-26 DOI: 10.4102/curationis.v47i1.2527

Warriodene Hansen, Sibusiso Memory Zuma

{"title":"Guidelines to support newly qualified professional nurses for effective clinical practice.","authors":"Warriodene Hansen, Sibusiso Memory Zuma","doi":"10.4102/curationis.v47i1.2527","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2527","url":null,"abstract":"BACKGROUND\u0000 Transitioning to a professional role is difficult for newly qualified professional nurses. Given the challenges that these nurses experience during the transition to practice, support is essential for them to become efficient, safe, confident, and competent in their professional roles.\u0000\u0000\u0000OBJECTIVES\u0000 The purpose of this study was to explore the transition experiences of newly qualified professional nurses to develop a preceptorship model.\u0000\u0000\u0000METHOD\u0000 This study employed a qualitative approach to purposively collect data. Concept analyses were conducted applying the steps suggested by Walker and Avant, and the related concepts were classified utilising the survey list of Dickoff, James and Wiedenbach's practice theory.\u0000\u0000\u0000RESULTS\u0000 A preceptorship model for the facilitation of guidance and support in the clinical area for newly qualified professional nurses was developed. The model consists of six components, namely, the clinical environment, the operational manager and preceptor, the newly qualified professional nurse, the preceptorship, the assessment of learning, and the outcome.\u0000\u0000\u0000CONCLUSION\u0000 The study revealed that newly qualified professional nurses face many transition challenges when entering clinical practice. They are thrown far in, experience a reality shock, and are not ready to start performing their professional role. The participants agreed that guidance and support are needed for their independent practice role.Contribution: The preceptorship model for newly qualified professional nurses would be necessary for the transition period within hospitals. This preceptorship model may be implemented by nursing education institutions as part of their curriculum to prepare pre-qualifying students for the professional role.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"112 28","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140379107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychological distress among South African healthcare workers during the COVID-19 pandemic COVID-19 大流行期间南非医护人员的心理困扰

Curationis Pub Date : 2024-02-19 DOI: 10.4102/curationis.v47i1.2477

S. Ramlagan, R. Sewpaul, Y. Shean, Tenielle Schmidt, Alicia North, Sasiragha P. Reddy

{"title":"Psychological distress among South African healthcare workers during the COVID-19 pandemic","authors":"S. Ramlagan, R. Sewpaul, Y. Shean, Tenielle Schmidt, Alicia North, Sasiragha P. Reddy","doi":"10.4102/curationis.v47i1.2477","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2477","url":null,"abstract":"Background: The COVID-19 pandemic has placed immense pressure on healthcare workers (HCWs).Objectives: This study sought to find the prevalence and factors associated with psychological distress among HCWs in South Africa during the beginning phases of COVID-19 and make relevant recommendations.Method: The survey was administered online through a data-free platform. Data were benchmarked to the national population of over 500 000 healthcare professionals in South Africa. Multiple logistic regressions were used to determine association between psychological distress and potential explanatory variables.Results: A total of 7607 healthcare professionals participated in the study (1760 nurses, 2843 medical practitioners and 3004 other healthcare professionals). Half of the nurses, 41% of medical practitioners and 47% of other healthcare professionals were classified as psychologically distressed. Those who were of older age, provided with well-being support services and having a positive outlook on the healthcare system were significantly less likely to be distressed. Being female medical practitioners and female other healthcare professions, requesting routine counselling, being concerned about not having enough leave and that their life insurance policy did not cover COVID-19 were more likely to be distressed.Conclusion: Psychological well-being of HCWs in South Africa is at risk. We recommend that psychological distress of HCWs be routinely assessed and that routine counselling, well-being support services, appropriate hazardous leave and insurance be provided to all HCWs.Contribution: This study adds to the literature on the psychological distress faced by HCWs in South Africa during COVID-19.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"5 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concept analysis: Community-based postnatal care. 概念分析:基于社区的产后护理

Curationis Pub Date : 2023-12-04 DOI: 10.4102/curationis.v46i1.2423

Katekani J Shirindza, Thivhulawi Malwela, Maria S Maputle

{"title":"Concept analysis: Community-based postnatal care.","authors":"Katekani J Shirindza, Thivhulawi Malwela, Maria S Maputle","doi":"10.4102/curationis.v46i1.2423","DOIUrl":"10.4102/curationis.v46i1.2423","url":null,"abstract":"Background: Community-based postnatal care is a valuable resource in the provision of maternal and neonatal care, specifically outside the hospital environment. However, its application in maternal and neonatal care is not clearly documented in relation to the rendering of services by primary caregivers.Objectives: This study clarifies the concept of 'community-based postnatal care' by using the concept analysis method.Method: To analyse the concept, relevant literatures were reviewed and analysed using the Walker and Avant method, namely, selecting a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case, identifying borderline, related and contrary cases, identifying antecedents and consequences and identifying the empirical referents. Characteristics that repeatedly appeared throughout the literature were noted and categorised.Results: It was established from the concept analysis that 'community-based postnatal care' was complex and experienced ethnically. The analysis included that primary caregiver participation was based on home-levelled-skilled care, community participation and mobilisation, linkages of health services and community stakeholders. The attributes were influenced by antecedents and consequences.Conclusion: The empirical referents of community based can be integrated within the midwifery guidelines to measure the concept. When concepts are understood, self-care on early detection, early management and referral during early postnatal care will be enhanced.Contribution: The results of this study will foster independence, confidence and a respectful relationship between primary caregivers and the health care facility staff. The results are expected to guide future research and enhance community-based postnatal care in midwifery practice.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":" ","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10729520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45771158","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

Career advancement of professional nurses at a regional hospital in Gauteng 豪登省一家地区医院专业护士的职业发展

Curationis Pub Date : 2023-11-13 DOI: 10.4102/curationis.v46i1.2453

Crescelda L. Van Biljoen-Mokhotla, Agnes Makhene

{"title":"Career advancement of professional nurses at a regional hospital in Gauteng","authors":"Crescelda L. Van Biljoen-Mokhotla, Agnes Makhene","doi":"10.4102/curationis.v46i1.2453","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2453","url":null,"abstract":"Background: Career advancement is of importance to professional nurses and a motivation for those who desire to occupy leadership positions. However, there were perceived barriers enunciated by participants, which were seen as contributory factors that hinder their progression in the institution.Objectives: The objective of the study was to explore and describe the perceptions of professional regarding their career advancement.Method: The study was conducted at a regional hospital in Gauteng. A qualitative, exploratory, descriptive design that is contextual was used. Non-probability purposive sampling method was used to draw the sample from a target population of professional nurses. Individual semi-structured interviews were conducted with 10 professional nurses to obtain in-depth information on their perceptions. Tesch’s method of qualitative data analysis was used. Lincoln and Guba’s strategies of credibility, dependability, confirmability and transferability were used to establish trustworthiness of the study. Ethical considerations were applied throughout the study.Results: A lack of recognition of postgraduate qualifications, no opportunities for self-identification of interest to lead, no mentoring processes for potential leader and succession planning and emotional experiences were barriers to career advancement. The researcher recommended that recognition of further qualifications, enhancement of self-identification for leadership roles, mentoring of young professionals for leadership and succession planning be considered to enhance career development of the professional nurses.Conclusion: The findings suggest that professional nurses encounter significant challenges to career advancement in this regional hospital.Contribution: Nurse managers to identify, mentor and support professional nurses for leadership positions in their career.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"17 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136351631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, attitudes and practices of Zimbabwean men relating to prostate cancer 津巴布韦男子有关前列腺癌的知识、态度和做法

Curationis Pub Date : 2023-11-13 DOI: 10.4102/curationis.v46i1.2459

Tendai Chisamba, Johanna E. Maree, Jacoba J. Jansen van Rensburg

{"title":"Knowledge, attitudes and practices of Zimbabwean men relating to prostate cancer","authors":"Tendai Chisamba, Johanna E. Maree, Jacoba J. Jansen van Rensburg","doi":"10.4102/curationis.v46i1.2459","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2459","url":null,"abstract":"Background: Prostate cancer is one of the leading causes of death in Zimbabwe. However, screening for prostate cancer is opportunistic as population-based screening is not available.Objectives: This study aimed to describe the knowledge, attitudes and practices of men living in Harare, Zimbabwe relating to prostate cancer.Method: A door-to-door survey took place in Mufakose, Harare. Each household was included, and men, 40 years and older, were convenience sampled until realisation of the calculated sample size of 269 (n = 269). A researcher-administered questionnaire collected the data, analysis was performed with descriptive statistics, and Chi-square tested statistically significant differences between the variables.Results: The majority of the sample (53.2; n = 143) was between 40 years old and 49 years old. Most (74.5%; n = 201) did not know what prostate cancer was, but the total sample (100%; n = 269) indicated that prostate cancer could lead to death. Only 50.6% (n = 136) were of the opinion that men should be screened; most (87.7%; n = 236) had never been screened. A Chi-square test of independence found a statistically significant difference between educational level and having had prostate cancer screening, χ2 (1) = 47.881, p 0.000.Conclusion: As confirmed by other studies, the respondents had limited knowledge of prostate cancer, but had a positive attitude towards the disease, as most were willing to go for screening. There had been only a small percentage screened previously, and less than half returned to learn the results.Contribution: The study emphasises the role of primary health clinics as it could be an ideal setting to teach men about prostate cancer and its screening, and provide screening services in Zimbabwe.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":"68 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136348403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A concept analysis: Support for lay healthcare workers in HIV services, Bojanala District, North West. 概念分析:支持西北博贾纳纳区艾滋病毒服务的非专业保健工作者

Curationis Pub Date : 2023-09-15 DOI: 10.4102/curationis.v46i1.2420

Sarah B Pitse, Patrone R Risenga

{"title":"A concept analysis: Support for lay healthcare workers in HIV services, Bojanala District, North West.","authors":"Sarah B Pitse, Patrone R Risenga","doi":"10.4102/curationis.v46i1.2420","DOIUrl":"10.4102/curationis.v46i1.2420","url":null,"abstract":"Background: Different lay healthcare workers play an important role in the retention of clients to human immunodeficiency virus (HIV) care. Retention to HIV care is crucial to promote treatment continuation, viral suppression and reduced risk of transmission. However, lay healthcare workers view and perceive support differently.Objectives: The aim of the study was to investigate perceptions of healthcare workers regarding support provided to lay healthcare workers in HIV services. This article is a report of a concept analysis of healthcare workers' support provided to lay healthcare workers in HIV services, that was collected during the study. A concept analysis was done to explore the support attributes, clarify meaning and to understand its use within the lay healthcare workers' context in Bojanala District, situated in the North West province of South Africa.Method: The initial phase was data collection from lay healthcare workers, their supervisors and clients on antiretroviral therapy. Thereafter, the eight concept analysis steps of Walker and Avant were followed. Peer-reviewed articles on the support concept were searched and guided by data saturation.Results: Responsiveness, provision, reciprocity and integration are key characteristics of support.Conclusion: Despite support being an interpersonal process, it is perceived subjectively. Support is necessary to continuously promote growth or endurance during adverse times.Contribution: The concept analysis will provide common understanding of support and information that is responsive to the needs of different lay healthcare workers.","PeriodicalId":35715,"journal":{"name":"Curationis","volume":" ","pages":"e1-e11"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42083428","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

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