Health SA Gesondheid最新文献_第8页

Optometry student clinical practice at public health facilities: A systematic review 公共卫生机构的验光学生临床实践：系统回顾

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Health SA Gesondheid Pub Date : 2024-03-22 DOI: 10.4102/hsag.v29i0.2441

Raserogole F. Segooa, V. Moodley

{"title":"Optometry student clinical practice at public health facilities: A systematic review","authors":"Raserogole F. Segooa, V. Moodley","doi":"10.4102/hsag.v29i0.2441","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2441","url":null,"abstract":"Background: Clinical training, supervision and practice are the most important aspects of health profession education, including optometry. Institutions implore various methods for students to gain access, exposure and experience in different clinical environments, away from their normal academic settings.Aim: This review aimed to investigate studies and related documentary evidence to determine existing standards and methods for educational institutions in conducting optometry clinical training at the external sites.Setting: The electronic databases – ProQuest One, Scopus, EBSCOhost, Sabinet, Science Direct and Google Scholar – were searched systematically for studies on the implementation of workplace clinical training of undergraduate optometry students.Methods: The study followed the Joanna Briggs Institute (JBI) systematic review methodology and a systematic search of various electronic databases was conducted for studies on implementation of workplace clinical training. Of the 450 full-text studies searched, 13 studies were found to be reputable sources of evidence and were included in this systematic review.Results: Four themes relating to student clinical training emerged, namely, clinical training approaches implemented, expected minimum standards at the training sites, clinical training environment wherein students and supervisors find themselves and clinical competence of the supervisors and students. They encompass important factors to consider in the planning and provision of quality, efficient and effective student clinical supervision at the external training facilities.Conclusion: There is a dearth of scholarly studies to guide clinical training of optometry training within the public health sector. However, more studies are undertaken in other health disciplines, and they provide generic guidelines, which can be adapted for optometry.Contribution: The article highlights the need for further studies in optometry student clinical training, focussing on programme designs and standardisation of clinical training in multi-institutional, low-income contexts.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140213408","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

Traditional health practitioners’ understanding of spirit possession in Gauteng province, South Africa 南非豪登省传统医疗从业者对灵魂附体的理解

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Health SA Gesondheid Pub Date : 2024-03-21 DOI: 10.4102/hsag.v29i0.1887

Ellen M. Thobakgale, R. Ngunyulu, M. Mulaudzi

{"title":"Traditional health practitioners’ understanding of spirit possession in Gauteng province, South Africa","authors":"Ellen M. Thobakgale, R. Ngunyulu, M. Mulaudzi","doi":"10.4102/hsag.v29i0.1887","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.1887","url":null,"abstract":"Background: Traditional health practitioners (THPs) understand spirit possession as a cultural or religious spirit occupying a person, while the mental healthcare providers understand it as a mental illness. The different understanding is based on manifestations that mimic that of mental illness, such as seeing and hearing things that others cannot see or hear. Spirit possession holds different meanings in different cultures and religions that could be either beneficial or detrimental. Furthermore, spirit possession is understood as a channel of communication between the living and the dead or God or a supernatural phenomenon in which a spirit owns a person.Aim: This study explored and interpreted THPs’ understanding of spirit possession in Gauteng province, South Africa.Method: Hermeneutic phenomenology study explored and interpreted the THPs’ understanding of spirit possession in Gauteng province. In-depth individual interviews were conducted with 12 THPs who were selected through snowball sampling techniques. Data analysis followed Heidegger’s and Gadamer’s philosophies and Van Manen’s six steps of the analytic approach.Results: The findings revealed that THPs understood spirit possession as spiritual illness, ancestral calling and demonic spirit or witchcraft.Conclusion: Traditional health practitioners’ understanding of spirit possession could promote mental health and prevent mental illness by providing support to a spirit-possessed person and referral to mental healthcare services.Contribution: This study contributed that not all manifestations presented by persons with spirit possession are actual and clear-cut mental illness, but could be unwritten cultural and/ or religious illnesses that needs cultural and religious services also.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140223902","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

South African midwife specialists’ experiences in the utilisation of their knowledge and skills 南非助产士专家在利用其知识和技能方面的经验

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Health SA Gesondheid Pub Date : 2024-03-18 DOI: 10.4102/hsag.v29i0.2444

Kagiso P Tukisi, Zelda Janse van Rensburg, Wanda E. Jacobs

{"title":"South African midwife specialists’ experiences in the utilisation of their knowledge and skills","authors":"Kagiso P Tukisi, Zelda Janse van Rensburg, Wanda E. Jacobs","doi":"10.4102/hsag.v29i0.2444","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2444","url":null,"abstract":"Background: Midwifery specialisation was introduced in 1993 as a response to escalating maternal and neonatal mortalities and shortage of physicians in rural parts of South Africa. Basic midwives enrolled into a postgraduate midwifery qualification to extend their knowledge and skills which enabled them to manage complicated obstetric conditions. The postgraduate midwifery qualification rendered them midwife specialists upon completion of the course. Yet, MS remain underutilised in clinical facilities due to limiting practice regulations and fear of medico-legal litigations, leading to forfeiture of skills.Aim: The study aimed to explore and describe midwife specialist’ experiences of optimal utilisation of their knowledge and skills in public health facilities in South Africa.Setting: Public health facilities based in seven provinces in South Africa where MS were employed, formed part of the research setting.Methods: A qualitative, descriptive and explorative research design was followed using phenomenological approach. Sixteen purposefully sampled midwife specialists participated in four focus group interviews. Data were analysed using Collaizi’s descriptive method.Findings: Three themes, each with categories, were derived from the data. Research results confirmed midwife specialist’ limited utilisation of knowledge and skills in public facilities. This was associated with the existing practice regulations, restricting midwife specialists to basic midwifery roles.Conclusion: The lack of practice regulations, particularly for midwife specialists hinders optimal utilisation of their knowledge and skills in the public health facilities.Contribution: This study highlighted midwife specialist’ barriers in optimally embracing their expert knowledge and skills. Barriers may guide formulation of strategies to facilitate midwife specialist’ knowledge and skills utilisation. ","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140232167","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

Experiences on the frontline: Qualitative accounts of South African healthcare workers during the Covid-19 pandemic 前线的经历：南非医护人员在 Covid-19 大流行期间的定性叙述

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Health SA Gesondheid Pub Date : 2024-03-15 DOI: 10.4102/hsag.v29i0.2339

Angela Kazadi, Jennifer Watermeyer, S. Besharati

引用次数: 0

Management of the third stage of labour by Basotho traditional birth attendants 巴索托传统助产士对第三产程的管理

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Health SA Gesondheid Pub Date : 2024-03-15 DOI: 10.4102/hsag.v29i0.2372

Keneuoe N. Fobo, Gaotswake P. Kovane, C. Minnie

引用次数: 0

Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital 就影响公立医院骨科急诊室最佳使用的因素达成共识

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Health SA Gesondheid Pub Date : 2024-03-15 DOI: 10.4102/hsag.v29i0.2348

Mamiki Ramokopelwa, Mabitja Moeta

{"title":"Reaching consensus on factors impacting optimal use of an orthopaedic emergency theatre in a public hospital","authors":"Mamiki Ramokopelwa, Mabitja Moeta","doi":"10.4102/hsag.v29i0.2348","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2348","url":null,"abstract":"Background: The operating theatre (OT) complex of hospitals represents areas of considerable expenditure with regard to costs and requires maximum use to ensure optimum cost benefit for both patients and the hospital. Inefficient use of an operating theatre room (OTR) may result in hospital wasteful expenditure and frustrations for patients owing to surgery delays, cancellations and prolonged hospitalisation while waiting.Aim: The aim of the study was to explore and describe using a consensus method, factors impacting the use of an emergency orthopaedic theatre that can be optimised in a selected public hospital in Gauteng province.Setting: The study was conducted by a professional nurse and orthopaedic surgeon working in the theatre of a selected public hospital in Gauteng province.Method: A qualitative, explorative and descriptive design was adopted. Data were collected using a nominal group technique (NGT) among professional nurses and orthopaedic surgeons. Data analysis was done through cross-analysis where participants reached a consensus on the voted ideas from the group.Results: Consensus was reached and three main themes emerged: (1) inadequate resources; (2) poor organisation and (3) communication.Conclusion: The optimal use of an emergency orthopaedic theatre is influenced by the availability of resources being human and material, good organisation and clear communication.Contribution: The study has demonstrated that a variety of factors needs to be considered to optimise the use of an orthopaedic emergency theatre. The management of an OT requires a concerted effort from the nurses and doctors.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140238461","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

Factors influencing the utilisation of Youth Friendly Health Services in Blantyre, Malawi 影响马拉维布兰太尔青年友好型医疗服务使用情况的因素

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Health SA Gesondheid Pub Date : 2024-03-13 DOI: 10.4102/hsag.v29i0.2411

Grace C. Sibande, R. G. Malapela

引用次数: 0

Perceptions of interprofessional collaborative practice in South Africa: A systematic review. 南非对跨专业合作实践的看法：系统回顾。

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Health SA Gesondheid Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4102/hsag.v29i0.2413

Nadia Mohamed, Craig W Peck, Janine Senekal

{"title":"Perceptions of interprofessional collaborative practice in South Africa: A systematic review.","authors":"Nadia Mohamed, Craig W Peck, Janine Senekal","doi":"10.4102/hsag.v29i0.2413","DOIUrl":"10.4102/hsag.v29i0.2413","url":null,"abstract":"Background: Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) were developed to address the health needs of communities through collaborative practice across healthcare disciplines. The impact of IPE on IPCP and clinical service delivery in South Africa is not evident, possibly because of the lack of IPCP experiences among healthcare professionals.Aim: International literature reports facilitators and barriers of IPCP implementation, but there was a need to filter the evidence to identify literature from the South African context regarding the perceptions of healthcare workers' perceived barriers and facilitators of IPCP.Setting: South African literature.Methods: A systematic review was conducted to synthesise evidence from articles published between January 2017 and December 2021. Only qualitative studies targeting health professionals in South Africa who had been exposed to IPCP were included. Consistent with Preferred Reporting Items for Systematic reviews and Meta-Analysis, a multi-database search yielded 424 articles, which were screened for relevance and appraised for quality using the Critical Appraisal Skills Programme (CASP) tool. A thematic synthesis of the findings was conducted by applying ethical principles.Results: Synthesis of barriers and enablers for IPCP implementation in the South African context included key aspects of healthcare systems, management and team leadership.Conclusion: The integration of IPCP into clinical practice in South Africa is still limited as healthcare professionals operate in silos.Contribution: Recommendations of this study include greater integration of services combined with competent management and visionary leadership, together with the incorporation of IPE into undergraduate professional training programmes.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040604","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

A scoping review on natural cholesterol lowering supplements sold in South African pharmacies. 对南非药房出售的天然降胆固醇补充剂进行范围界定审查。

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Health SA Gesondheid Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4102/hsag.v29i0.2299

Hyeon Bok Lee, Razeeya Khan, Muhammed Vally, Ané Orchard

{"title":"A scoping review on natural cholesterol lowering supplements sold in South African pharmacies.","authors":"Hyeon Bok Lee, Razeeya Khan, Muhammed Vally, Ané Orchard","doi":"10.4102/hsag.v29i0.2299","DOIUrl":"10.4102/hsag.v29i0.2299","url":null,"abstract":"Background: Dyslipidaemia is defined as elevated total or low-density lipoprotein (LDL) levels or low levels of high-density lipoprotein (HDL). Patients may often make use of natural cholesterol lowering supplements (NCLSs) available at the pharmacy; however, limited information on these supplements is readily available. Pharmacists should be knowledgeable about NCLSs to ensure that the use of these supplements is supported by evidence and to provide appropriate advice to patients for desirable therapeutic outcomes.Aim: This study aimed to identify the NCLSs being sold in South African pharmacies and review the scientific evidence for each of the ingredients in these NCLSs.Methods: Seventeen NCLS products were identified, and the Joanna Briggs Institute (JBI) scoping review methodology was used to conduct a literature review of NCLSs.Results: From the ingredients reviewed it is evident that co-enzyme Q10, probiotics and sterols have sufficient evidence supporting their use. However, there is still limited scientific evidence available to validate the remaining ingredients.Conclusion: Further research on NCLSs will provide practising pharmacists and practitioners with a guide of the evidence available on the various ingredients in NCLSs.Contribution: This study provides a review of the available literature on the NCLSs being sold in the pharmacies across South Africa to provide pharmacists with a collated document of the evidence behind these popular supplements to assist them in making evidence based informed decision regarding natural products for cholesterol.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040636","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

Nurses' obesity knowledge, attitudes and practices in private facilities in Oshana, Namibia. 纳米比亚奥沙纳私立医院护士对肥胖症的认识、态度和做法。

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Health SA Gesondheid Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4102/hsag.v29i0.2385

Perseverance Moyo, Rehanna Felix

{"title":"Nurses' obesity knowledge, attitudes and practices in private facilities in Oshana, Namibia.","authors":"Perseverance Moyo, Rehanna Felix","doi":"10.4102/hsag.v29i0.2385","DOIUrl":"10.4102/hsag.v29i0.2385","url":null,"abstract":"Background: The prevalence of obesity has been rising globally, and this is leading to an increase in other non-communicable diseases. The level of obesity knowledge among nurses may have an impact on how they treat and perceive obese patients.Aim: The study aimed to ascertain the knowledge, attitudes and practices of nurses regarding obesity at private healthcare facilities located in Namibia's Oshana Region.Setting: A total of four private healthcare facilities in Namibia's Oshana area served as the study's sites.Methods: A quantitative cross-sectional research design using proportional stratified random sampling was used to choose 250 respondents for the study. A questionnaire that respondents self-administered was used to gather the data. The reliability and validity of the questionnaire were determined during a pilot study. IBM Statistical Package for the Social Sciences (SPSS) version 27 was used for data analysis.Results: Of the participants, about two-fifths had a positive attitude (n = 112; 44.8%), slightly less than two-fifths had good practices (n = 96; 38.4%) and more than one-third had good knowledge (n = 97; 39%). There were differences in knowledge mean scores based on age, occupation, sex and educational level.Conclusion: The results validate the necessity for healthcare facilities to implement nurse education and mentorship initiatives, as well as to recognise and reward nurses who effectively care for patients with obesity.Contribution: This study added literature on knowledge, attitudes and practices of nurses in private healthcare facilities in Namibia, as well as factors that influence knowledge levels among the nurses.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040602","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