Health SA GesondheidPub Date : 2024-02-27eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2343
Tinyiko N Rikhotso, Mary Maluleke, Ndidzulafhi S Raliphaswa, Thingahangwi C Masutha, Mphedziseni E Rangwaneni
{"title":"Facilitation of the mental health of adolescents abusing substances: A concept analysis.","authors":"Tinyiko N Rikhotso, Mary Maluleke, Ndidzulafhi S Raliphaswa, Thingahangwi C Masutha, Mphedziseni E Rangwaneni","doi":"10.4102/hsag.v29i0.2343","DOIUrl":"10.4102/hsag.v29i0.2343","url":null,"abstract":"<p><strong>Background: </strong>The use and abuse of substances, especially among the youth, continues to be of serious concern within the international community. This behaviour affects them as individuals, their families, the community in which they live, and society at large. Findings from a study conducted by the researcher indicate that adolescents who abuse substances experience a range of emotional, physical, academic and social setbacks, and challenges. Ultimately, the mental health of these adolescents is affected.</p><p><strong>Aim: </strong>The study aims to identify and define the central concept 'facilitation of mental health' of adolescents abusing substances.</p><p><strong>Setting: </strong>The researcher's minor dissertation, whereby the lived experiences of adolescents abusing substances were explored. The basic elements, structure and functions were examined and analysed.</p><p><strong>Methods: </strong>The concept's basic elements, structure and functions were examined, followed by an analysis and reasoning strategies to define the central concept. The process was implemented over two phases.</p><p><strong>Results: </strong>The central concept 'facilitation of mental health' of adolescents abusing substances was identified and defined using dictionary and subject definitions.</p><p><strong>Conclusion: </strong>The identification and definition of the central concept is an important part of developing a model as a frame of reference for psychiatric nurses to facilitate the mental health of adolescents abusing substances.</p><p><strong>Contribution: </strong>The findings of the study would assist in the development of a model as a frame of reference for psychiatric nurses to facilitate the mental health of adolescents abusing substances.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2343"},"PeriodicalIF":0.9,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040600","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}
Health SA GesondheidPub Date : 2024-01-31eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2396
Lilian S Masule, Kristofina Amakali, Wilma E Wilkinson
{"title":"Nurses' knowledge, attitudes, and practices about rehabilitation of patients after heart valve surgery in Namibia.","authors":"Lilian S Masule, Kristofina Amakali, Wilma E Wilkinson","doi":"10.4102/hsag.v29i0.2396","DOIUrl":"10.4102/hsag.v29i0.2396","url":null,"abstract":"<p><strong>Background: </strong>A cardiac rehabilitation programme is a medically supervised intervention to assist patients in recovery after heart surgeries and to prevent potential complications. Nurses should have the knowledge, a positive attitudes, and good practices to improve patient quality of life during the recovery process.</p><p><strong>Aim: </strong>This study aimed to describe the knowledge, attitudes, and practices of the nurses regarding cardiac rehabilitation for patients after heart valve surgery.</p><p><strong>Setting: </strong>The study setting was Windhoek Central Hospital, Cardiac Unit, in Windhoek, Namibia.</p><p><strong>Methods: </strong>A quantitative and descriptive research design was used for convenient non-probability sampling of (<i>N</i> = 23) nurses who consented to participate in the study. Data were collected through self-administered questionnaires and analyzed using SPSS Version 26. Descriptive statistics were used and Fischer's Exact test for associations of variables was performed.</p><p><strong>Results: </strong>The study results showed a high level of knowledge, good attitudes, and poor to fair practices toward cardiac rehabilitation. However, the respondents demonstrate a lack of knowledge about the indications, and benefits of cardiac rehabilitation, negative attitudes regarding counselling of patients on sexual activities, and poor practice regarding exercises and counseling of patients and caregivers on cardiac rehabilitation. Furthermore, there is a positive relationship between the respondents' older age, senior rank, and having been trained I cardiac conditions and their knowledge, attitudes and practices regarding some core components of cardiac rehabilitation with P-value < 0.050.</p><p><strong>Conclusion: </strong>There is a need for a cardiac rehabilitation programme to improve nurses' attitudes and practices toward cardiac rehabilitation.</p><p><strong>Contribution: </strong>Understanding the gap in knowledge, attitudes, and practices among the nurses regarding cardiac rehabilitation would guide the Ministry of Health and Social Services (MoHSS) in the implementation of the cardiac rehabilitation for patients after heart valve surgery.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2396"},"PeriodicalIF":0.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698557","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}
Health SA GesondheidPub Date : 2024-01-31eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2381
Lindiwe Gumede, Pauline B Nkosi, Maureen N Sibiya
{"title":"Allopathic medicine practitioners' experiences with non-disclosure of traditional medicine use.","authors":"Lindiwe Gumede, Pauline B Nkosi, Maureen N Sibiya","doi":"10.4102/hsag.v29i0.2381","DOIUrl":"10.4102/hsag.v29i0.2381","url":null,"abstract":"<p><strong>Background: </strong>A pertinent issue impacting patient treatment outcomes is the nondisclosure of traditional medicine (TM) use to Allopathic medicine practitioners (AMPs). For years, TM has been a controversial practice, with patients often using it alongside allopathic medicine without disclosing their use. It is imperitive to learn and understand the experiences of AMPs regarding the disclosure of TM use in Gauteng province to enable them to provide the best possible treatment outcomes for patients who use TM.</p><p><strong>Aim: </strong>This study aimed to explore the experiences of AMPs regarding non-disclosure of TM use in Gauteng province.</p><p><strong>Setting: </strong>This study was conducted in four district hospitals where outpatient care and services are rendered in Gauteng Province.</p><p><strong>Methods: </strong>An interpretive phenomenological analysis (IPA) design was followed. Fourteen purposefully sampled AMPs participated in face-to-face, one-on-one, and semi-structured interviews. Interpretive phenomenological analysis in Atlas.ti was conducted.</p><p><strong>Results: </strong>Three themes emerged: bedside manner of AMPs; stigmatising TM use; and individual belief systems. The belief of patients' disclosure hesitancy because of fear of judgment by the AMPs underpinned these themes.</p><p><strong>Conclusion: </strong>Allopathic medicine practitioners are aware that patients who use TM could feel guilty and stigmatised. They acknowledged that patients use TM because of cultural and ethnic reasons, which should not be disregarded.</p><p><strong>Contribution: </strong>The study highlighted that patients do not disclose their TM use because of AMPs' attitudes, stigmatising TM use, and their prejudices against the cultural beliefs of patients. Allopathic medicine practitioners should establish good communication with patients by providing patient-centred communication to facilitate disclosure of TM use.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2381"},"PeriodicalIF":0.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698555","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}
Health SA GesondheidPub Date : 2024-01-31eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2322
Kenneth V Nesane, Fhumulani M Mulaudzi
{"title":"Cultural barriers to male partners' involvement in antenatal care in Limpopo province.","authors":"Kenneth V Nesane, Fhumulani M Mulaudzi","doi":"10.4102/hsag.v29i0.2322","DOIUrl":"10.4102/hsag.v29i0.2322","url":null,"abstract":"<p><strong>Background: </strong>Participation of male partners in antenatal care (ANC) is a complicated process that involves social and behavioural transformation. It necessitates that males take a more active part in reproductive health. Men's participation in prenatal care has been linked to beneficial health outcomes such as enhanced maternal health outcomes across the world. However, culture has been identified as a barrier to male partners' participation in prenatal care.</p><p><strong>Aim: </strong>The aim of the study was to explore and describe the cultural barriers to male partner involvement in ANC.</p><p><strong>Setting: </strong>The study focussed on selected clinics and hospitals under Vhembe District, Limpopo province.</p><p><strong>Methods: </strong>Qualitative, exploratory, descriptive, and contextual research design was used in this study. Qualitative data were collected through individual semi-structured interviews and Focus Group Discussions (FGDs). A thematic analysis approach was used to analyse the collected data from semi-structured interviews and FGDs.</p><p><strong>Results: </strong>The findings revealed three themes: cultural beliefs and practices that affect male partners' involvement in ANC; gender-related barriers that affect male partners' involvement in ANC; and socioeconomic barriers to male partners' involvement in ANC.</p><p><strong>Conclusion: </strong>The study's findings revealed that certain cultural beliefs and practices are a stumbling block to male partners' involvement in antenatal healthcare.</p><p><strong>Contribution: </strong>Culturally based developed strategy might help in improving the knowledge and practices of male partners in ANC.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2322"},"PeriodicalIF":0.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698556","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}
Health SA GesondheidPub Date : 2024-01-31eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2377
Mokgadi K Mashola, Elzette Korkie, Diphale J Mothabeng
{"title":"Pain medication misuse in the South African spinal cord injury context.","authors":"Mokgadi K Mashola, Elzette Korkie, Diphale J Mothabeng","doi":"10.4102/hsag.v29i0.2377","DOIUrl":"10.4102/hsag.v29i0.2377","url":null,"abstract":"<p><strong>Background: </strong>Pain after spinal cord injury (SCI) is debilitating and has been reported to be difficult to treat, despite pharmacological interventions. Pain medication misuse (PMM) and associated individual factors among people with spinal cord injury (PWSCI) are scarce.</p><p><strong>Aim: </strong>To determine PMM and the associated factors in PWSCI.</p><p><strong>Setting: </strong>Homes of community-dwelling manual wheelchair users with SCI in South Africa.</p><p><strong>Methods: </strong>Community-dwelling PWSCI (<i>n</i> = 122) were consecutively sampled and the Pain Medication Questionnaire (PMQ) was used to determine PMM. Descriptive statistics, Fisher's exact test, independent t-tests, and simple linear regression tests were performed using SPSS v27. Testing was conducted at the 0.05 level of significance.</p><p><strong>Results: </strong>Eighty-five per cent of the participants reported the presence of pain and 48.1% of them used pain medication. Forty-four percent of people who used pain medication scored ≥ 30, indicative of serious aberrant drug-taking behaviours. Opioids were mainly used for neuropathic pain and in combination with other types of medications such as anticonvulsants and non-steroidal anti-inflammatories (44.0%). Pain severity and the type of pain medication were found to be predictors of PMM (<i>p</i> < 0.01 respectively).</p><p><strong>Conclusion: </strong>Pain relief after SCI remains difficult to achieve, with an evident high risk of PMM, which may lead to long-lasting side effects, dependency, or overdose.</p><p><strong>Contribution: </strong>This study has shown the need for the assessment of the potential risk of dependency before prescribing pain medication, particularly opioids to PWSCI.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2377"},"PeriodicalIF":0.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698558","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}
Health SA GesondheidPub Date : 2024-01-25eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2175
Suzan K M Mabasa, Molekodi J Matsipane, Ushotanefe Useh
{"title":"Utilisation of partogram at a district in the North West Province, South Africa.","authors":"Suzan K M Mabasa, Molekodi J Matsipane, Ushotanefe Useh","doi":"10.4102/hsag.v29i0.2175","DOIUrl":"10.4102/hsag.v29i0.2175","url":null,"abstract":"<p><strong>Background: </strong>The partogram or partograph is a tool used to monitor the progress of labour and serves as a diagnostic tool for labour-related abnormalities such as prolonged labour, cephalopelvic disproportion (CPD) and obstructed labour. Appropriate utilisation of the partogram aids health caregivers with early diagnosis and facilitates clinical judgement and interventions to prevent complications of abnormal labour. The partogram is thus a mandatory tool to be utilised to monitor the progress of labour for intrapartum care in South Africa.</p><p><strong>Aim: </strong>This study aimed to assess and describe the utilisation of the partogram in a district of the North West Province.</p><p><strong>Setting: </strong>The study was conducted in the private rooms of facilities rendering maternity services in the district.</p><p><strong>Methods: </strong>A quantitative cross-sectional descriptive design was employed. A purposive sampling was used to select healthcare facilities, and simple random sampling was employed to select plotted partograms. Data were collected using a checklist and analysed using Statistical Package for Social Sciences software version 22.</p><p><strong>Results: </strong>A total of 279 partograms were analysed. The average partogram utilisation was 20% correct and 80% substandard or not recorded. All files had partogram documents included.</p><p><strong>Conclusion: </strong>A large percentage (80%) of the partograms were not completed according to the World Health Organization (WHO) standards. There was a concern about high proportions of unrecorded parameters such as monitoring of foetal and maternal conditions, and the progress of labour.</p><p><strong>Contribution: </strong>The findings and recommendations of the study could improve partogram utilisation in maternity care.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2175"},"PeriodicalIF":0.9,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698559","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}
Health SA GesondheidPub Date : 2023-12-27eCollection Date: 2023-01-01DOI: 10.4102/hsag.v28i0.2376
Dorien L Wentzel, Anthony Collins, Petra Brysiewicz
{"title":"An intervention to manage compassion fatigue in oncology nurses in Durban, South Africa.","authors":"Dorien L Wentzel, Anthony Collins, Petra Brysiewicz","doi":"10.4102/hsag.v28i0.2376","DOIUrl":"10.4102/hsag.v28i0.2376","url":null,"abstract":"<p><strong>Background: </strong>Oncology nurses are involved through the often protracted and potentially traumatic continuum of diagnosis and treatment of their patients, which places them at high risk of developing compassion fatigue.</p><p><strong>Aim: </strong>The aim of the study was to develop and implement an in-facility intervention to manage compassion fatigue among oncology nurses in Durban, South Africa.</p><p><strong>Setting: </strong>The study was conducted with oncology nurses at state, private (private health insurance) and non-governmental oncology facilities (Hospice).</p><p><strong>Methods: </strong>The Self-Care Intervention for Oncology Nurses was developed and implemented using action research with a mixed methods sequential explanatory design. It involved an integrative review, Professional Quality of Life (ProQOL) v 5 questionnaires (<i>n</i> = 83) and in-depth individual interviews (<i>n</i> = 8).</p><p><strong>Results: </strong>Developed from the findings of the integrative review, quantitative and qualitative data, the Self-Care Intervention for Oncology Nurses comprised three components, namely psycho-education on risks (booklet), practices of remembrance (remembrance tree) and support structures (support group and follow-up family call). Overall, the participants enjoyed reading the booklet and engaging in the support group. There were varied responses to the remembrance tree and hesitancy to partaking in the follow-up phone call.</p><p><strong>Conclusion: </strong>The developed intervention could encourage awareness of compassion fatigue amongst oncology nurses' engagement in self-care practices such as symbolic remembrance of patients and recognition of the value of support structures.</p><p><strong>Contribution: </strong>The intervention may assist oncology nurses in the provision of compassionate caring for their patients and potentially minimise compassion fatigue.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"28 ","pages":"2376"},"PeriodicalIF":0.9,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10784258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467321","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}
{"title":"Resilience of undergraduate health sciences students during COVID-19: An integrative review","authors":"E. S. Janse van Rensburg","doi":"10.4102/hsag.v28i0.2331","DOIUrl":"https://doi.org/10.4102/hsag.v28i0.2331","url":null,"abstract":"Background: COVID-19 pandemic placed pressure on global health systems, healthcare providers and undergraduate students in health sciences. Students experienced change in the teaching and learning as well as the clinical context resulting in increased stress levels. Resilience assisted students to adapt and develop competencies and effective coping mechanisms.Aim: The purpose of this integrative review is to identify resilience of undergraduate students in health sciences during the COVID-19 pandemic.Setting: Online platforms.Methods: An integrative review was conducted with keywords: resilience, undergraduate students, health sciences and COVID-19. Three different searches were conducted for the time frame 2020–2022 on the relevant electronic data bases with full text articles. A total of 1665 records were identified and 49 potentially relevant articles were identified. Screening resulted in 34 articles that were analysed using the John Hopkins critical appraisal criteria.Results: Four themes were identified: attributes of students’ resilience, aspects enhancing the development of resilience, aspects hindering the development of resilience and recommendations to cultivate resilience.Conclusion: Resilience is key to withstand the challenges in the global health system. The development of resilience in undergraduate health sciences students should be prioritised to ensure cognitive adaptability, effective coping skills and sufficient support.Contribution: These findings can assist higher educational institutions to improve their undergraduate health science programs to cultivate resilient health care professionals.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"55 29","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138946277","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}
{"title":"Antibiotic safety among neonates and paediatrics in a public hospital: KwaZulu-Natal","authors":"Tyler A. Frank, F. Oosthuizen, V. Bangalee","doi":"10.4102/hsag.v28i0.2464","DOIUrl":"https://doi.org/10.4102/hsag.v28i0.2464","url":null,"abstract":"Background: The World Health Organization (WHO) guidelines recommend the empiric treatment of infections before definitive treatment begins. However, ethical concerns limit the availability of clinical trials in neonates and paediatrics to fully ascertain the safety profile of antibiotics in these populations.Aim: This study aimed to quantify the use of antibiotics among neonates and paediatrics and commented on the use, rationale and appropriateness of antibiotics prescribed.Setting: A secondary level public sector hospital located in Durban, KwaZulu-Natal.Methods: Demographic and treatment information of neonates and paediatrics were collected retrospectively from January 2022 to June 2022. Data were obtained from patient files and extracted for analysis using Microsoft Excel®. Analytical and descriptive statistics were used to analyse patient demographics and treatment variables.Results: A total of 568 antibiotics, issued to 389 patients, were reviewed. Penicillins (40.1%), aminoglycosides (24.3%) and combination penicillin-beta-lactam inhibitors (23.3%) were identified as the most frequently prescribed antibiotics for inpatients. Most antibiotics prescribed to inpatients were for complications associated with pre-term birth (66.9%). Combination penicillin-beta-lactam inhibitors (34.7%), penicillins (29.5%) and cephalosporins (29.5%) were the most frequently prescribed antibiotics to outpatients. A correlation was found between the route of administration and the duration of therapy; the intravenous route (63.6%) was preferred over the oral route (36.4%) for administration.Conclusion: Many broad-spectrum antibiotics were prescribed, thus increasing the risk of resistance. Antibiotics were being prescribed according to the guidelines; however, there is still a need for therapeutic drug monitoring to ensure the continuation of rational drug use.Contribution: There was evidence of rational use of antibiotics in the public hospital (KwaZulu-Natal), in keeping with economic and availability factors.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"124 21","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138953949","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}
{"title":"Audit of dental record-keeping at a university dental hospital","authors":"Mpule Annah Lerato Moshaoa, Keitumetse Taunyane, Phumzile Hlongwa","doi":"10.4102/hsag.v28i0.2442","DOIUrl":"https://doi.org/10.4102/hsag.v28i0.2442","url":null,"abstract":"Background: Good record-keeping is fundamental in clinical practice and essential for practising dental practitioners and those in training.Aim: This study aimed to evaluate the level of compliance with clinical record-keeping by undergraduate dental students and staff at a university dental hospital.Setting: The selected study setting was the Admissions and Emergency section at a university dental hospital.Methods: A retrospective, cross-sectional review was undertaken of 257 clinical records. The CRABEL scoring system was used to evaluate 12 variables. The 12 variables included: patient name, patient hospital number, date of examination, patient main complaint, medical history, dental history, proposed treatment, proposed procedure for next visit, patient consent signature, treatment and treatment codes, student name and signature, clinical supervisor name and signature. STATA® 13 was used for descriptive analysis and all tests were conducted at 5% significance level.Results: The median CRABEL score was 87 and interquartile range (IQR: 70–92). A CRABEL score of 100 was achieved by the students in the variable patient main complaint, indicating a 100% compliance with this variable. Other variables such as signature of supervisors showed poor compliance. The CRABEL scores showed no statistically significant difference (p = 0.86) between the students and clinical supervisors.Conclusion: The overall audit showed that there was poor compliance with record-keeping.Contribution: The study highlights the importance of good record keepings so that key information can be accessed for proper diagnosis and treatment of the patient. An electronic filing system presents an alternative manner of documenting medical records.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"121 42","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138953880","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}