Health SA Gesondheid最新文献

{"title":"Beyond the curriculum: A gay medical student's perceptions of health sciences education and healthcare access in KwaZulu-Natal.","authors":"Sthembiso P Mkhize, Sanele Buthelezi, Attah M Mkhize, Lwandile Tokwe","doi":"10.4102/hsag.v29i0.2656","DOIUrl":"10.4102/hsag.v29i0.2656","url":null,"abstract":"<p><strong>Background: </strong>The prevailing social constructs of cis-heteronormativity and endosexism have structurally marginalised sexual and gender minorities, leading to their limited representation and inclusion in mainstream health systems and health sciences education.</p><p><strong>Aim: </strong>The study aimed to explore a gay medical student's perceptions of the health sciences curriculum and their experiences in accessing and utilising healthcare services offered both by the university and externally.</p><p><strong>Setting: </strong>At a university in KwaZulu-Natal, South Africa.</p><p><strong>Methods: </strong>This study originates from a larger qualitative study conducted in 2018, involving 12 Lesbian, Gay, Bisexual, Transgender (LGBT)-identifying participants who were selected using purposive and snowball sampling techniques. The larger study used a case study approach to explore how healthcare services meet the sexual health needs of LGBT youth. Among the 12 sampled participants, one participant self-identified as 'gay' and was pursuing a Bachelor of Medicine and Bachelor of Surgery. This participant was specifically selected for analysis in this study because of their knowledge of health sciences education and pursuit of a career in healthcare.</p><p><strong>Results: </strong>Three themes were identified in the participant's interview, including: (1) navigating healthcare services as a young gay man, (2) silenced voices: the impact of the limited Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, Asexual and + (LGBTIQA+) health education, and (3) challenging the silenced voices.</p><p><strong>Conclusion: </strong>There is a need for a well-planned curriculum that includes LGBTIQA+ issues to equip healthcare professionals with the knowledge to provide high-quality care to all patients, regardless of their sex, gender, or sexuality.</p><p><strong>Contribution: </strong>The study provides solid proposals for developing an inclusive healthcare curriculum that considers identities beyond binary going forward.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903190","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":"Adolescent girls’ perceptions regarding the use of contraceptives in Ekurhuleni District, Gauteng","authors":"Pretty T. Moloi, R. G. Malapela","doi":"10.4102/hsag.v29i0.2580","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2580","url":null,"abstract":"Background: Unintended pregnancies pose various challenges for adolescent girls and can be prevented through contraceptive use. However, contraceptive use among adolescents is lower compared to among older women.Aim: To describe adolescent girls’ perceptions of the use of contraceptives.Setting: Two high schools in Tembisa were selected as the study setting.Methods: Purposive sampling was used to select adolescent girls who had reached menarche and were willing to participate. Data collection involved narrative writing for girls under 16 and interviews for older adolescents. Braun and Clark’s six-step method was used for data analysis.Results: A total of 35 adolescent girls were identified, and the final sample size was N = 33 adolescent girls whose ages ranged from 13 to 18 years. Two main themes emerged. Theme 1 was positive perceptions of contraceptives. Theme 1 was supported by two subthemes: the first was the influence of the male partner; the second was financial constraints in families. The second theme was negative perceptions of contraceptives. Four subthemes supported the second main theme, which were: myths and misconceptions, influence of parents, healthcare worker attitudes and negative attitudes of community members.Conclusion: Addressing the low contraceptive uptake among adolescent girls requires understanding their perceptions to tailor interventions accordingly.Contribution: The study contributes by highlighting the negative perceptions of contraceptive use, including family financial constraints and the influence of male partners. These findings can inform reproductive health initiatives aimed at increasing contraceptive use among adolescents.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141806585","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":"Capturing growth indices on the road to health booklets in clinics in Free State, South Africa","authors":"Patience O. Legoale, M. Manafe","doi":"10.4102/hsag.v29i0.2587","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2587","url":null,"abstract":"Background: Growth monitoring plays an essential role in the development of young children. Anthropometric indices are of utmost importance for healthcare professionals to identify children at risk of inadequate growth and malnutrition.Aim: This study aimed to assess the capturing of the growth indices in the Road to Health Booklets (RTHB) in clinics.Setting: The study was carried out in Mangaung Metropolitan municipal clinics in the Free State province, South Africa.Methods: A descriptive quantitative study was conducted using a checklist to audit 264 RTHBs. Descriptive statistics were used to analyse data.Results: The findings showed that birth weight was recorded in most 99% (n = 262) of the RTHBs. The mid-upper arm circumference (MUAC) was not recorded in 58% (n = 153) of the cases during the last visit. Weight-for-Age (WfA) was routinely plotted in 91% (n = 241) of the RTHB. The length or Height-for-Age (LHfA) was plotted in 38% (n = 99) of the RTHB and Weight-for-Length or height (WfLH) was plotted in 31% (n = 81) of the RTHB.Conclusion: The results demonstrated that certain anthropometric measures including MUAC, length, or height were absent from the records of the RTHB. Consequently, RTHB may not be effectively used as a means of evaluating nutritional status, affecting early detection of malnutrition in children.Contribution: The research makes a valuable addition to the existing body of knowledge for monitoring growth and measurement of anthropometric indices in the RTHB, as well as the appropriate execution of these practices.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141654713","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":"Communication of health messages using theatre: Appreciative inquiry from Ubuntu theatre group","authors":"G. Gause, R. Lebese, F. M. Mulaudzi, Molekodi J. Matsipane, Seepaneng S. Moloko-Phiri, S. Tshivhase","doi":"10.4102/hsag.v29i0.2622","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2622","url":null,"abstract":"Background: Theatre involves expressing meaning in a collaborative art using words, movements, and visual elements. However, theatre remains poorly used as a viable teaching strategy or a method for communicating health messages. Instead, it is relegated to solemnly transmitting indigenous knowledge.Aim: To explore and describe communication of educational health messages through theatre using an appreciative inquiry approach.Setting: The study was conducted among the Ubuntu theatre group from a rural province in South Africa. The group is famous for using theatre to communicate educational health messages through the lens of Ubuntu philosophy.Methods: A qualitative exploratory descriptive design was followed. A non-probability purposive sampling was used to select thirteen members of the Ubuntu theatre group. Data were collected by two moderators from the two focus group discussions through conference calls. Deductive thematic content data analysis was used to describe the 4-Ds of appreciative inquiry.Results: Theatre is a playful pedagogy that can cut through language and cultural barriers when used to communicate educational health messages. There is a need to formalise it as an alternative pedagogy within the health care sciences curriculum. Furthermore, the sustainability of theatre as an educational tool is dependent on expanding educational practices, documenting its success stories and periodical in-service training.Conclusion: Using Ubuntu innovation to communicate complex educational health messages through theatre can maximise learning. This study recommends that Ubuntu-infused health messages be conveyed using theatre.Contribution: The study adds to the body of knowledge by presenting Ubuntu innovation in communicating health messages through theatre. ","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660265","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":"Strategy actions to include students in a private hospital’s nursing teams: A qualitative study","authors":"Adele Neethling, Madeleen Rheeder-Jooste, Won-Li Richardson, Lizette Roets","doi":"10.4102/hsag.v29i0.2533","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2533","url":null,"abstract":"Background: Student nurse education focusses on preparing competent professionals integral to nursing teams.Aim: To develop strategic actions to include student nurses within the nursing team.Setting: A private healthcare group in South Africa.Methods: A qualitative approach in three phases was used. Thirty purposively sampled participants recorded reflective journals in phase one. Tesch’s eight steps were utilised for analysis. Phase two involved non-probability volunteer sampling of 11 participants for the nominal group technique analysis. In phase three, total population sampling recruited nine panellists for an e-Delphi technique that provided data that were open coded.Results: Phase one identified themes, including perceptions of responsibilities, support needs, recognition, conflict and communication issues. Phase two revealed five strategic actions: fair treatment, aligned work allocation, active participation, respect and acknowledgement of contributions. Phase three validated 19 strategic statements underpinning the strategic actions.Conclusion: Unit managers play a key role in fostering inclusivity, impacting student nurse retention.Contribution: Enhancing team cohesion can improve workplace wellness and patient outcomes while aiding in retention and recruitment efforts.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666173","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":"Lived experiences of radiology caregivers during a health crisis: A COVID-19 case analysis.","authors":"Shillah N Hundah, Maureen N Sibiya, Thandokuhle E Khoza","doi":"10.4102/hsag.v29i0.2532","DOIUrl":"10.4102/hsag.v29i0.2532","url":null,"abstract":"<p><strong>Background: </strong>Health crises have been linked with the exacerbation of pre-existing difficulties and the emergence of unique challenges, as evidenced by the impact of coronavirus disease 2019 (COVID-19) on health caregivers worldwide. Baseline data allow for reflection and preparation for any future health emergencies therefore giving impetus to phenomenological enquiries among the experiencers.</p><p><strong>Aim: </strong>This study aimed to explore the lived experiences of the eThekwini district frontline radiology caregivers during the COVID-19 pandemic.</p><p><strong>Setting: </strong>The study was conducted in public and private radiology departments in the eThekwini district of KwaZulu-Natal, South Africa.</p><p><strong>Methods: </strong>A qualitative, interpretative phenomenological analysis methodology was adopted in a multi-method data-collection context comprising semi-structured interviews and focus group discussions (FGDs) among 24 radiologists, radiographers, and radiology nurses obtained by non-probability sampling. Data were transcribed verbatim and analysed using an interpretative phenomenological approach.</p><p><strong>Results: </strong>Three superordinate themes emerged, namely: (1) duties and roles during the COVID-19 pandemic, (2) work-related challenges, (3) personal challenges.</p><p><strong>Conclusion: </strong>Frontline radiology caregivers experienced increased workload, staff shortages, salary cuts, personal protective equipment (PPE) shortages, non-recognition, poor managerial support, disrupted social relations, and poor work-life balance. This necessitates the need for the radiology departments to address staffing, infection prevention and control deficits, and invest in support interventions to assist frontline radiology caregivers during health crises.</p><p><strong>Contribution: </strong>The findings comprise baseline information that can be used for reflection and guiding radiology departments in preparing for any future health crises.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903195","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":"Facility managers’ experiences of mentorship in a district of Gauteng province, South Africa","authors":"Itumeleng G. Msiza, T. G. Lumadi","doi":"10.4102/hsag.v29i0.2598","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2598","url":null,"abstract":"","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141674405","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":"Challenges of clinical accompaniment amongst undergraduate nursing students: University of KwaZulu-Natal.","authors":"Seaka Ramoeletsi, Boikhutso Tlou","doi":"10.4102/hsag.v29i0.2535","DOIUrl":"10.4102/hsag.v29i0.2535","url":null,"abstract":"<p><strong>Background: </strong>Clinical accompaniment is an activity predominantly supervised by the clinical facilitator to develop the skills of the students. In South Africa, clinical accompaniment aims to develop the skills of the students to equip them in delivering efficient health services to the patients. Previous studies revealed that students experienced challenges and were negatively affected due to inadequate clinical accompaniment in the learning practice.</p><p><strong>Aim: </strong>The aim was to determine the challenges faced by University of KwaZulu-Natal (UKZN) undergraduate nursing students during their clinical accompaniment.</p><p><strong>Methods: </strong>An observational cross-sectional study design, with an analytic component was implemented. Questionnaires were used to collect data. Of the 400 registered nursing students, 245 were undergraduates; of these, 241 consented to participate in this study. Data captured into SPSS Statistics Package V28. ANOVA were used in comparing challenges amongst participants. A <i>p</i>-value less than 0.05 was considered significant.</p><p><strong>Results: </strong>A total of 241 participants responded to the questionnaires, which yielded a response rate of 98.4%. This study comprised first-year (32.4%), second-year (32.8%) and third-year (34.9%) students. There was no remarkable difference in terms of challenges amongst study participants (1st; 2nd; 3rd), <i>p</i>=0.592.</p><p><strong>Conclusion: </strong>This study revealed the challenges faced by undergraduate nursing students during their clinical accompaniment.</p><p><strong>Contribution: </strong>Study results might assist in developing effective guidelines to resolve the challenges encountered by students.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903191","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":"Conceptualising the experiences of continuing professional development of young private sector audiologists as an attribute of andragogy.","authors":"Suvishka Barath, Andrew J Ross","doi":"10.4102/hsag.v29i0.2683","DOIUrl":"10.4102/hsag.v29i0.2683","url":null,"abstract":"<p><strong>Background: </strong>Continuing professional development (CPD) is an ongoing learning process that builds on initial training and education to improve competency. Low compliance rates of audiologists adhering to CPD have been reported by the Health Professions Council of South Africa. However, there is an absence of research on the uptake of CPD from the perspective of young audiologists working in the private sector.</p><p><strong>Aim: </strong>This study aimed to explore the experiences and views of young audiologists working in the private sector on continuing professional development.</p><p><strong>Setting: </strong>The study was conducted in KwaZulu-Natal province, South Africa.</p><p><strong>Methods: </strong>The descriptive, qualitative approach entailed conducting 11 online, semi-structured interviews with audiologists working in the private sector. Semi-structured interviews consisted of open-ended questions, and the qualitative data were thematically analysed. The adult learning theory, andragogy, was used as both the conceptual and analytical framework.</p><p><strong>Results: </strong>Five andragogy concepts were used to analyse the data, with eight sub-themes emerging related to: self-concept, adult learning experiences, readiness to learn, orientation to learning and internal motivation.</p><p><strong>Conclusion: </strong>The experiences of audiologists in the private sector on CPD aligned with the concepts of andragogy. Audiologists' experiences need to be taken into consideration during the planning and implementation of CPD for it to be relevant, effective and purposeful.</p><p><strong>Contribution: </strong>This study highlighted the experiences of audiologists on CPD working in the private sector with continuing professional development.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11305055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903192","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":"The influence of infant sleep problems and sleep training on maternal subjective well-being","authors":"Jacomien Muller, T. Guse","doi":"10.4102/hsag.v29i0.2660","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2660","url":null,"abstract":"","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673437","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}