Health SA Gesondheid最新文献

{"title":"Perceptions and experiences of nurses on the care of children with malnutrition under 5 years at Intermediate Hospital Katutura, Khomas region, Namibia.","authors":"Ndamononghenda Malangu, Hans J Amukugo, Salomo Salomo","doi":"10.4102/hsag.v31i0.3355","DOIUrl":"10.4102/hsag.v31i0.3355","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition in children under 5 years commonly presents as stunting, wasting or micronutrient deficiencies. These conditions lead to high admission rates and nursing burnout at Intermediate Hospital Katutura, Khomas region, Namibia. Despite this impact, a significant knowledge gap exists regarding the perceptions and experiences of Namibian nurses in caring for these children.</p><p><strong>Aim: </strong>This study explored and described the perceptions and experiences of nurses regarding the care of malnourished children under five in the paediatric ward.</p><p><strong>Setting: </strong>The study was conducted in the paediatric ward of Intermediate Hospital Katutura, Khomas region, Namibia.</p><p><strong>Methods: </strong>A qualitative, exploratory, descriptive and phenomenological design was employed. Data were collected from 11 nurses via purposive sampling through individual face-to-face interviews and analysed according to themes. Trustworthiness and ethical principles were rigorously applied.</p><p><strong>Results: </strong>Five themes emerged: (1) patient and caregiver-related factors; (2) experiences of health facilities or institution-related factors; (3) perceived health provider-related challenges; (4) health provider perceptions of facilitators and recommendations; and (5) perceived legal factors.</p><p><strong>Conclusion: </strong>Nurses identified significant barriers to care, including a lack of specialised training, negative workplace relationships and systemic socio-economic challenges like poverty and gender-based violence. Issues with health worker relationships and the availability of childcare acts and guidelines were also identified. Therefore, the Ministry of Health and Social Services needs to recruit additional staff and ensure sufficient resources.</p><p><strong>Contribution: </strong>This study identifies the need for specialised postgraduate paediatric training, providing a framework for the development of malnutrition management guidelines and establishing an evidence base for nurse-led community awareness programs.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3355"},"PeriodicalIF":1.3,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686139","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":"Exploring the impact of HIV and AIDS among marginalised farming communities in the Eastern Cape province, South Africa.","authors":"Ragosebo P Sekopa, Robert T Netangaheni, Lorraine N Mntonintshi-Mketo","doi":"10.4102/hsag.v31i0.3294","DOIUrl":"10.4102/hsag.v31i0.3294","url":null,"abstract":"<p><strong>Background: </strong>The HIV and AIDS epidemic on a global level continues to be a challenge in contemporary societies. The impact of HIV and AIDS on the workforce in the agricultural sector in Africa needs to be explored.</p><p><strong>Aim: </strong>The study aimed at exploring and describing the impact of HIV and AIDS on the farming labour force among marginalised farming communities at Oliver Reginald (OR) Tambo District in Eastern Cape province, South Africa.</p><p><strong>Method: </strong>The study utilised a qualitative research approach with exploratory and descriptive designs, employing in-depth interviews for data collection. Thematic analysis was conducted based on the framework established by Braun and Clarke.</p><p><strong>Results: </strong>The study found that HIV and AIDS have significantly negative impacts on labour, farming skills, income and food security in marginalised farming communities in the OR Tambo Municipality. Additionally, there are challenges in accessing healthcare services, leading to treatment defaults.</p><p><strong>Conclusion: </strong>HIV and AIDS directly affect the labour force, impacting households' capacity to produce food or attend work to earn wages for food purchases.</p><p><strong>Contribution: </strong>The findings from the study would assist local stakeholders, farming forums and the Department of Rural Development and Agriculture in managing HIV and AIDS with respect to the farming labour force and farming during their programme revisions and implementation planning.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3294"},"PeriodicalIF":1.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685971","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":"Coping mechanisms of bullying survivors: Experiences of secondary school learners at Mamusa sub-district in the North West province, South Africa.","authors":"Kgalaletso V Mokeng, Salaminah Moloko-Phiri, Lwazi Tilolo","doi":"10.4102/hsag.v31i0.3247","DOIUrl":"10.4102/hsag.v31i0.3247","url":null,"abstract":"<p><strong>Background: </strong>Bullying in schools has become a public health concern as it continues escalating and causing mental health issues, such as depression. Thus, victims of bullying apply various coping mechanisms for self-defence against bullies.</p><p><strong>Aim: </strong>This study explores and describes coping mechanisms used by bullied survivors of the specific school.</p><p><strong>Setting: </strong>Interviews were conducted at the participants' homes in the Mamusa sub-district in Dr Ruth Segomotsi Mompati district in the North West province, South Africa.</p><p><strong>Methods: </strong>A qualitative research approach following exploratory, descriptive and contextual designs was used. Twelve participants were selected using purposive sampling. Data were collected through in-depth individual face-to-face unstructured interviews until data saturation. Thematic analysis, following Braun and Clarke's six-step process, was used to analyse the data. Principles of ethical consideration were adhered to, and trustworthiness was ensured through credibility, dependability, confirmability, transferability and authenticity.</p><p><strong>Results: </strong>Two themes emerged: positive and negative coping mechanisms with six sub-themes.</p><p><strong>Conclusion: </strong>The findings revealed that victims used positive and negative coping mechanisms to deal with school bullying, which negatively affected the well-being of victims both academically and socially. Furthermore, extensive awareness and education on bullying needs to be promoted in schools to empower victims and learners. Concurrently, education on school bullying needs to be incorporated into nursing education for the proper management of victims.</p><p><strong>Contribution: </strong>The new information resulting from this research may improve teaching and nursing education regarding how nurses and teachers should be trained on the prevention of bullying at schools. Extensive awareness and education on anti-bullying policies need to be emphasised in schools to deal with school bullying.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3247"},"PeriodicalIF":1.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686021","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":"Comparative analysis of COVID-19 vaccine and booster acceptance among healthcare workers in public and private sectors in KwaZulu-Natal, South Africa.","authors":"Viloshini K Manickum, Lehlohonolo J Mathibe","doi":"10.4102/hsag.v31i0.3331","DOIUrl":"10.4102/hsag.v31i0.3331","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic posed unprecedented global health challenges, necessitating accelerated COVID-19 vaccine development. However, vaccine and booster hesitancy among healthcare workers (HCWs) presented a barrier globally and in South Africa (SA).</p><p><strong>Aim: </strong>This study aimed to determine the level of vaccine and booster acceptance among HCWs in public, private and public-private sectors in KwaZulu-Natal (KZN), SA, and to identify the key reasons of vaccine and booster acceptance and refusal.</p><p><strong>Setting: </strong>This study was conducted across KZN.</p><p><strong>Methods: </strong>A quantitative, descriptive, cross-sectional survey was conducted from October 2024 to April 2025 among doctors, nurses and pharmacists using an online questionnaire. Three hundred and thirty-one HCWs participated in this study with a reliable and standardised questionnaire. Data analysis included descriptive and inferential statistics. Relevant ethics committees and participants provided ethical approval.</p><p><strong>Results: </strong>Average vaccine acceptance rate for vaccine and booster was 92.4% (<i>n</i> = 306) and 73.7% (<i>n</i> = 244), respectively. Public-private recorded the highest acceptance rates for vaccine (96.3%) and booster (85.1%). Primary reasons for vaccine refusal included vaccine-related illness in family (52.4%, <i>n</i> = 11) and rapid development and safety concerns (64%, <i>n</i> = 16), predominantly among private sector. Main booster refusal reasons included safety of multiple booster doses (50%, <i>n</i> = 32) and antibodies from previous COVID-19 infection, mostly in the public sector.</p><p><strong>Conclusion: </strong>Addressing complex determinants of vaccine hesitancy across healthcare sectors necessitates an integrated and sustained approach reinforced by multidisciplinary stakeholder engagement.</p><p><strong>Contribution: </strong>This study contributes to future pandemic preparedness and vaccination programmes by elucidating reasons influencing vaccine acceptance and refusal among HCWs.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3331"},"PeriodicalIF":1.3,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686302","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":"A framework to support dental radiography as part of diagnostic radiography practice.","authors":"Keshini Govindasami, Shenuka Singh","doi":"10.4102/hsag.v31i0.3403","DOIUrl":"10.4102/hsag.v31i0.3403","url":null,"abstract":"<p><strong>Background: </strong>The availability of evidence-informed frameworks to support learning interventions in dental radiography for diagnostic radiographers is limited. The framework used in this study was guided by participatory action research and adapted using the precede-proceed model. The framework is underpinned by social justice and systems and learning theory.</p><p><strong>Aim: </strong>This study aimed to determine and describe the application of a framework for supporting dental radiography as part of diagnostic radiography practice.</p><p><strong>Setting: </strong>Public and private radiology departments selected higher educational institutions from provinces of KwaZulu-Natal, Gauteng and Western Cape, inclusive of members from the Radiography and Clinical Technology Board at the Health Professions Council of South Africa.</p><p><strong>Methods: </strong>A sequential mixed-methods design was used for framework development, guided by the Precede-Proceed Model. Stage 1 involved a needs assessment, which comprised a quantitative Phase 1 and a qualitative Phase 2, which included an online questionnaire and semi-structured interviews, respectively. Stage 2 focused on the planning and delivery of the online Continuous Professional Development programme. Stage 3 involved a post-programme quantitative questionnaire to evaluate participant feedback and learning outcomes.</p><p><strong>Results: </strong>A strength of the framework is professional resilience and adaptability, enabling adaptation to technological advances and the changing needs of patients. The framework proposes a practical way to form targeted continuous professional development (CPD) initiatives, making it valuable in resource-constrained environments.</p><p><strong>Conclusion: </strong>The framework is beneficial for supporting dental radiography training and practices and promoting equitable access to dental radiography.</p><p><strong>Contribution: </strong>This framework adds value for supporting the practice of dental radiography for the diagnostic radiographers.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3403"},"PeriodicalIF":1.3,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686288","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":"Health-related quality of life and demographic profiling of patients with selected noncommunicable diseases.","authors":"Lynn Smith, Heather Morris-Eyton","doi":"10.4102/hsag.v31i0.3379","DOIUrl":"10.4102/hsag.v31i0.3379","url":null,"abstract":"<p><strong>Background: </strong>Health-related quality of life (HRQoL) reflects physical, mental and socioeconomic well-being. In people living with chronic noncommunicable diseases (NCDs), HRQoL is an important indicator of treatment effectiveness and long-term outcomes. Understanding domain-specific strengths and vulnerabilities can support person-centred care.</p><p><strong>Aim: </strong>To determine the demographic profile and HRQoL of adults living with hypertension, type 2 diabetes mellitus and/or cardiovascular disease (CVD).</p><p><strong>Setting: </strong>Public and private healthcare facilities in the Johannesburg metropolitan district, South Africa.</p><p><strong>Methods: </strong>A quantitative cross-sectional survey was conducted. Using purposive stratified random sampling, 257 adults with hypertension, type 2 diabetes mellitus and/or CVD completed the 37-item Smith Toolkit for Integrated Health-Related Quality of Life. The instrument assesses physical, mental and socioeconomic domains and demonstrated strong reliability. Data were collected in person and online and analysed descriptively using SPSS version 28.</p><p><strong>Results: </strong>Overall HRQoL was moderate to high (77.70 ± 12.91). Physical health scores were strong (80.31 ± 15.78), with favourable ratings for symptoms, work functioning and physical limitations, although vitality was lower (52.40 ± 34.01). Mental health scores were moderate (72.02 ± 17.19), with lower self-efficacy and evidence of psychological challenges. Socioeconomic health was strong (81.49 ± 17.66), supported by high perceived social support, financial stability and relationship quality.</p><p><strong>Conclusion: </strong>Participants generally reported good HRQoL despite living with chronic NCDs. However, lower vitality and self-efficacy indicate important gaps in psychological and behavioural functioning. Interventions targeting fatigue, resilience and self-management may further improve well-being and health outcomes.</p><p><strong>Contribution: </strong>This study provides context-specific evidence on HRQoL among South Africans living with NCDs and highlights the value of holistic, interdisciplinary and person-centred care.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3379"},"PeriodicalIF":1.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425388","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":"Nurse and caregiver skill mix, staffing levels, and staff allocation in long-term care facilities: A scoping review.","authors":"Emerentia C Nicholson, Justine C Baron, Mariana M van der Heever, Cornelle Young, Anita S van der Merwe","doi":"10.4102/hsag.v31i0.3137","DOIUrl":"10.4102/hsag.v31i0.3137","url":null,"abstract":"<p><strong>Background: </strong>More older people require healthcare services, increasing the demand for nursing care. Long-term care facilities (LTCFs) are required to avail nurse staffing, a skill mix and allocation that is aligned with residents' acuity and within prescribed legislation. However, facilities struggle to maintain the prescribed nurse staffing.</p><p><strong>Aim: </strong>A scoping review was conducted to map the available literature on implementing nurse and caregiver staffing models within LTCFs regarding skill mix, staffing levels, and staff allocation aligned with residents' acuity.</p><p><strong>Setting: </strong>Studies conducted in formal long-term care settings for older people.</p><p><strong>Methods: </strong>The review followed the Joanna Briggs Institute's methodological framework. The search included four databases: PubMed and MEDLINE, CINAHL, Cochrane Library-Wiley, and Sabinet African Journals, for studies published from 2010 to 2024. Trustworthiness was ensured by applying principles such as credibility, dependability, confirmability, and researcher reflexivity. The final sample comprised 20 studies.</p><p><strong>Results: </strong>Staffing levels for all categories of nurses and caregivers were often lower than recommended by experts. The number of registered nurses versus caregivers in the total staff mix was low, with caregivers providing most of the resident care. The use of acuity-adjusted staffing was not often reported.</p><p><strong>Conclusion: </strong>The appropriate type and number of staff in LTCFs are essential. In addition, allocating the correct type and number of staff according to residents' acuity levels may improve resident outcomes.</p><p><strong>Contribution: </strong>This review may inform policymakers regarding the implementation of staffing models and the importance of aligning the allocation of tasks with the nurses' scope of practice, the caregivers' job descriptions, and the residents' acuity.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3137"},"PeriodicalIF":1.3,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425381","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":"Sociodemographic outcomes of childhood trauma experiences among young adults in the rural community of South Africa.","authors":"Bonolo Mmereki, Kebogile Mokwena, Mathildah M Mokgatle","doi":"10.4102/hsag.v31i0.3271","DOIUrl":"10.4102/hsag.v31i0.3271","url":null,"abstract":"<p><strong>Background: </strong>Childhood trauma is a moving target, as its negative effects extend beyond the immediate mental health of individuals and continue to affect the victim years after it has occurred.</p><p><strong>Aim: </strong>The study aimed to determine the sociodemographic determinants of childhood traumatic events among young adults in the rural community.</p><p><strong>Setting: </strong>The study was conducted in South Africa.</p><p><strong>Methods: </strong>A quantitative, cross-sectional descriptive survey design was used to gather data among a sample of 380 participants in the rural community of the North West province. Data were collected using four sets of questionnaires to screen demographic determinants, childhood traumatic events and symptoms of depression and anxiety in the rural community of the North West.</p><p><strong>Results: </strong>With the probability set at <i>p</i> < 0.20, the findings showed that sociodemographic outcomes associated with childhood traumatic events are level of education, employment status, planning children, residence within the rural community, substance use, religious beliefs and depressive and anxiety symptoms.</p><p><strong>Conclusion: </strong>The findings of the study confirm that sociodemographic determinants are important factors in understanding the impact of childhood traumatic events.</p><p><strong>Contribution: </strong>This insight highlights the need for screening of childhood traumatic events. Depressive and anxiety symptoms should be prioritised in health facilities in South Africa.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3271"},"PeriodicalIF":1.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424654","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":"Patient satisfaction with private optometry service in South Africa.","authors":"Tinyiko P Hlungwani, Pheagane M W Nkoana, Velibanti N Sukati","doi":"10.4102/hsag.v31i0.3169","DOIUrl":"10.4102/hsag.v31i0.3169","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction plays a vital role in the healthcare sector, holding significance for both medical providers and patients.</p><p><strong>Aim: </strong>The study investigated patient satisfaction levels regarding the quality of care delivered by private optometry services in South Africa.</p><p><strong>Setting: </strong>The study was conducted across all nine provinces in South Africa, with a specific focus on individuals utilising private optometry services.</p><p><strong>Methods: </strong>This study employed a quantitative, cross-sectional design to evaluate patient satisfaction levels regarding service quality in private optometry practices within South Africa, utilising questionnaires disseminated through social media platforms for data collection.</p><p><strong>Results: </strong>Our study included 283 participants, with a mean age of 36.3 ± 10.41 years, predominantly female (69.8%) and Black African (96%), and found high satisfaction scores with optometrists. The primary reasons for visiting optometrists in our cohort were spectacle or contact lens renewal (34.9%), routine check-ups (24.5%) and addressing reduced vision (24.5%). Among those who switched optometrists, 40.8% cited relocation and 17.9% reported service dissatisfaction. The mean overall satisfaction score was 4.38 ± 0.66, with high ratings for cleanliness, physical facilities and staff conduct. Conversely, waiting time and cost received relatively lower scores.</p><p><strong>Conclusion: </strong>Participants were highly satisfied with private optometry services in South Africa, although cost and waiting time had comparatively lower ratings.</p><p><strong>Contribution: </strong>The study provides evidence on patient satisfaction in private optometry and highlights areas for service improvement.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3169"},"PeriodicalIF":1.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425357","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":"Clients' perceptions of nursing care services at selected public health facilities in Namibia: A qualitative study.","authors":"Nestor Tomas, Gisela H van Rensburg, Mokgadi Matlakala","doi":"10.4102/hsag.v31i0.3252","DOIUrl":"10.4102/hsag.v31i0.3252","url":null,"abstract":"<p><strong>Background: </strong>Satisfaction is a subjective phenomenon that is influenced by various contextual factors. In the healthcare sector, establishing a therapeutic relationship with patients is essential for facilitating active, mutual engagement and fostering collaboration. However, patient satisfaction with nursing care services in Namibia remains under-researched.</p><p><strong>Aim: </strong>The study explored and described clients' perceptions of nursing care services at selected public health facilities in Namibia.</p><p><strong>Setting: </strong>The study was conducted at two public health facilities in Namibia.</p><p><strong>Methods: </strong>An exploratory, descriptive qualitative design was utilised to recruit 13 clients for individual interviews through purposive sampling. Data were collected in 2022 using an interview guide and analysed using Braun and Clarke's six-step thematic analysis.</p><p><strong>Results: </strong>Two key themes emerged: (1) nurse-client communication dynamics, encompassing clients' views on client satisfaction, and (2) innovative client suggestions for enhancing client satisfaction, detailing measures to address identified challenges.</p><p><strong>Conclusion: </strong>The study's findings underscore the need to implement targeted training initiatives for nurses and to adopt client-centred care models. Future research should explore client satisfaction through larger cross-sectional or longitudinal studies to inform strategies to enhance client satisfaction with nursing care.</p><p><strong>Contribution: </strong>The study provides valuable insights into client satisfaction and has implications for nursing practice in Namibia.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"31 ","pages":"3252"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425316","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}