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Moral injury and its effects on academic performance of student nurses in South Africa. 南非护生的道德伤害及其对学业成绩的影响。
Curationis Pub Date : 2025-04-30 DOI: 10.4102/curationis.v48i1.2697
Kwanele Mbazo, Richard M Rasesemola, Gugu Ndawo
{"title":"Moral injury and its effects on academic performance of student nurses in South Africa.","authors":"Kwanele Mbazo, Richard M Rasesemola, Gugu Ndawo","doi":"10.4102/curationis.v48i1.2697","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2697","url":null,"abstract":"<p><strong>Background: </strong> Morals are norms of conduct, behaviour and guidelines that nurses must uphold and observe in nursing. Moral codes require nurses and student nurses to respect human rights and dignity, and act with sound ethical judgement. However, when student nurses witness and fail to prevent acts that transgress their deeply held moral beliefs, their moral code is damaged, and deep emotional wounds ensue, leading to moral injury.</p><p><strong>Objectives: </strong> This study aimed to investigate the prevalence and effects of moral injury in student nurses at a higher education institution in South Africa.</p><p><strong>Method: </strong> A quantitative, non-experimental cross-sectional survey was relied upon. The total population sampling method was applied, resulting in 124 respondents. Data were collected among the undergraduate student nurses registered at a higher education institution in Johannesburg from first to final year using a self-administered Moral Injury Symptom Scale - Healthcare Professionals questionnaire. Data were analysed using IBM Statistical Package for the Social Sciences (SPSS) Statistics version 28 software.</p><p><strong>Results: </strong> The results indicated that more than a third (34%) of students experienced moral injury. Furthermore, a positive significant relationship between the presence of moral injury and academic performance among the students was noted (p = 0.029).</p><p><strong>Conclusion: </strong> In this study, the prevalence of moral injury among student nurses was investigated and its effects on academic performance were reported.Contribution: The effects of moral injury among student nurses indicate a need for higher education institutions to design and implement nursing curriculum that would assist students to develop moral resilience and ethical behaviour.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038230","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
Anaesthesiologists' perspectives of the need for nurse anaesthetists in South Africa. 麻醉师对南非护士麻醉师需求的看法。
Curationis Pub Date : 2025-04-30 DOI: 10.4102/curationis.v48i1.2587
Kalonji K Yezu, Charlene Downing, Sidwell Matlala
{"title":"Anaesthesiologists' perspectives of the need for nurse anaesthetists in South Africa.","authors":"Kalonji K Yezu, Charlene Downing, Sidwell Matlala","doi":"10.4102/curationis.v48i1.2587","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2587","url":null,"abstract":"<p><strong>Background: </strong> South Africa faces a significant shortage of anaesthesiologists, compromising healthcare access and increasing anaesthesia-related risks. Addressing this issue requires sustainable, locally relevant solutions aligned with global surgery initiatives to enhance surgical care access.</p><p><strong>Objectives: </strong> This study explores anaesthesiologists' perspectives on the necessity of nurse anaesthetists in South Africa and offers recommendations for developing their practice.</p><p><strong>Method: </strong> A qualitative, descriptive, and contextual design was employed, using purposive and snowball sampling methods. The population consisted of anaesthesiologists registered with the Health Professions Council of South Africa (HPCSA). Data were collected through in-depth, semi-structured interviews conducted face-to-face and online. Analysis followed Colaizzi's seven-step method, supported by an independent coder.</p><p><strong>Results: </strong> Findings revealed diverse perspectives, ranging from support for independent, well-trained nurse anaesthetists under supervision or as assistants, to complete opposition to nurse anaesthetists administering anaesthesia. Participants emphasised that the anaesthesiology specialist community should define nurse anaesthetists' scope of practice, which must be regulated. Training should align with diplomate anaesthetists' standards and involve anaesthesiologists supported by nursing educators.</p><p><strong>Conclusion: </strong> This pioneering research addresses a critical gap in South Africa's healthcare system by exploring the introduction of nurse anaesthetists to mitigate the shortage of anaesthesia providers.Contribution: Its findings hold the potential to inform policy and practice, contributing to the advancement of anaesthesia services and addressing a pressing healthcare need in South Africa.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055173","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
The impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo. 资源不足对林波波省一家初级保健诊所服务质量的影响。
Curationis Pub Date : 2025-04-30 DOI: 10.4102/curationis.v48i1.2696
Dikeledi N Malematja, Elizabeth M Nkosi, Sanele E Nene
{"title":"The impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo.","authors":"Dikeledi N Malematja, Elizabeth M Nkosi, Sanele E Nene","doi":"10.4102/curationis.v48i1.2696","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2696","url":null,"abstract":"<p><strong>Background: </strong> Insufficient resources at healthcare clinics pose a serious problem, undermining the quality-of-service delivery and negatively affecting the patients as recipients of care and the staff as providers of care. The shortages often result in extended waiting periods, delayed implementation of nursing interventions, prolonged hospitalisation and the potential of increased nosocomial infections.</p><p><strong>Objectives: </strong> To explore and describe the impact of insufficient resources on the quality-of-service delivery at a primary healthcare clinic in Limpopo.</p><p><strong>Method: </strong> The study followed a qualitative, exploratory, descriptive and contextual design. Participants were selected using purposive sampling. Interviews were conducted until data saturation was reached. The interviews were audio-recorded, transcribed verbatim and analysed using Tesch's eight-step method of data analysis. The study was steered by the Donabedian quality-of-care framework.</p><p><strong>Results: </strong> One central theme emerged, namely scarcity of healthcare resources, with three subthemes: (1) the impact of water shortage on the quality-of-service delivery, (2) the impact of staff shortage on the quality-of-service delivery and (3) the impact of medication shortage on the quality-of-service delivery.</p><p><strong>Conclusion: </strong> Insufficient resources negatively affect the quality-of-service delivery in healthcare. The provision of sufficient resources through collective managerial interventions is imperative to develop and implement measures to enhance the quality-of-service delivery.Contribution: This study may create awareness among the leadership about the challenges of the clinic. It may also facilitate the development and implementation of processes to provide the resources required to improve the quality-of-service delivery.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e7"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048092","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
Factors influencing student's transition from student to workforce in intensive care units. 影响重症监护病房学生向劳动力转变的因素。
Curationis Pub Date : 2025-04-30 DOI: 10.4102/curationis.v48i1.2718
Leonie Olivier, Charlene Downing
{"title":"Factors influencing student's transition from student to workforce in intensive care units.","authors":"Leonie Olivier, Charlene Downing","doi":"10.4102/curationis.v48i1.2718","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2718","url":null,"abstract":"<p><strong>Background: </strong> Staff shortages, the coronavirus disease 2019 pandemic, increased patient acuity and fiscal restraints contributed to basic nursing students being assigned to intensive care units (ICU). These students, expected to step up and function within the team, were confronted with expectations and situations beyond their clinical preparation for practice. How can we better prepare these students for practice?</p><p><strong>Objectives: </strong> To develop recommendations that promote transition programmes that prepare student nurses to become practice-ready novice general nurses to work in the ICU.</p><p><strong>Method: </strong> The study adopted a sequential explanatory mixed-method. Quantitative data collection was achieved through census sampling and the utilisation of the Casey Fink Practice Readiness Survey. Statistical analyses used IBM SPSS (version 25, IBM Corporation) to identify predictive relationships between practice readiness and identified variables through multi-linear regression. Qualitative data collected through purposive selection and semi-structured focus group discussions were transcribed, coded and analysed through domain analysis.</p><p><strong>Results: </strong> Four factors affecting nursing students' perceived readiness for practice in the ICU were identified: (1) Support for new general nurses, (2) their need for professional socialisation and belonging, (3) orientation and skill development and (4) rotation and exposure to the ICU.</p><p><strong>Conclusion: </strong> Multifaceted innovative introduction programmes may assist in preparing the novice general nurse to become practice-ready.Contribution: This article contributes towards a possible solution to bridge the theory-practice gap and positively influence students' transition into the workplace to facilitate retention of novice practitioners beyond their first year of practice in a specialised unit.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011307","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
Mental health care practitioners' understanding of the policy guideline on 72-hour assessment. 心理卫生保健从业人员对72小时评估政策指引的理解。
Curationis Pub Date : 2025-04-21 DOI: 10.4102/curationis.v48i1.2660
Ontlotlile I Mpheng, Leepile A Sehularo, Miriam M Moagi, Gaotswake P Kovane
{"title":"Mental health care practitioners' understanding of the policy guideline on 72-hour assessment.","authors":"Ontlotlile I Mpheng, Leepile A Sehularo, Miriam M Moagi, Gaotswake P Kovane","doi":"10.4102/curationis.v48i1.2660","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2660","url":null,"abstract":"<p><strong>Background: </strong> The policy guidelines on 72-hour assessment of involuntary Mental Health Care Users (MHCUs) are implemented in respect of involuntary MHCUs who need mental health care, treatment and rehabilitation services. Currently, there is poor implementation of the policy guidelines on 72-hour assessment of involuntary MHCUs. This includes MHCUs staying beyond 72-hour assessment period and being exposed to infringement and violation of their rights.</p><p><strong>Objectives: </strong> This study explored and described the Mental Health Care Practitioners' (MHCPs) understanding of the current practice of the policy guidelines on 72-hour assessment of involuntary MHCUs in South Africa.</p><p><strong>Method: </strong> A qualitative, exploratory, descriptive research design was followed. Participants comprised of MHCPs and were purposively sampled, while data were gathered through Focus Group Discussions utilising Microsoft Teams. Data analysis employed the six steps of thematic analysis to assess data, generate themes and categories presented concurrently with MHCPs direct quotations.</p><p><strong>Results: </strong> Three themes emerged after data analysis namely, (1) MHCPs' understanding of the policy guidelines on 72-hour assessment of involuntary MHCUs; (2) MHCPs' challenges with the policy guidelines on 72-hour assessment of involuntary MHCUs; and (3) MHCPs' suggestions to strengthen the policy guidelines on 72-hour assessment of involuntary MHCUs.</p><p><strong>Conclusion: </strong> The findings of the study indicated that there should be well-trained administrators, qualified MHCPs, appropriate infrastructure, and community and family involvement to ensure proper implementation of the 72-hour policy guidelines.Contribution: This study highlights that with the proper implementation of the 72-hour policy guidelines, MHCU rights can be protected, therefore contributing to proper mental illness management.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055649","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
Nursing students' experiences of clinical competency evaluation in a pre-registration nurse education programme: A qualitative study. 注册前护生临床能力评估经验之质性研究。
Curationis Pub Date : 2025-04-15 DOI: 10.4102/curationis.v48i1.2699
Joseph Sitwira, Daniel O Ashipala, Vaja Katjimune
{"title":"Nursing students' experiences of clinical competency evaluation in a pre-registration nurse education programme: A qualitative study.","authors":"Joseph Sitwira, Daniel O Ashipala, Vaja Katjimune","doi":"10.4102/curationis.v48i1.2699","DOIUrl":"https://doi.org/10.4102/curationis.v48i1.2699","url":null,"abstract":"<p><strong>Background: </strong> The evaluation of clinical competence is a diverse, rigorous procedure that determines a student's clinical competence. Despite this, little research exists on nursing students' experiences with clinical competency evaluations in Namibia. Nurse educators should thus explore nursing students' experiences of clinical competency evaluations in order to establish what challenges they face, as this can be beneficial for nurturing a positive learning environment.</p><p><strong>Objectives: </strong> This research assesses nursing students' experiences of clinical competency evaluations in a pre-registration nurse education programme at the Faculty of Health Sciences in Namibia, University of Namibia, Rundu campus.</p><p><strong>Method: </strong> The study was conducted at a public nurse education institution in Namibia. A qualitative approach was employed utilising an exploratory, contextual and descriptive design. This study was conducted from August 2023 to October 2023 among (second-, third- and fourth-year) nursing students who were enrolled for a Bachelor of Nursing Science (Clinical) (Honours) degree. Data were collected through semi-structured interviews with 16 nursing students being selected using a convenience sampling method. All interviews were audio recorded and transcribed verbatim. A thematic analysis method was utilised to analyse the data.</p><p><strong>Results: </strong> Three themes emerged in this study: (1) positive experiences of evaluation for clinical competence; (2) negative experiences of evaluation for clinical competence and; (3) recommendations to improve the clinical evaluation of competence.</p><p><strong>Conclusion: </strong> The results showed that nursing students had both negative and positive experiences during the clinical assessment process. The positive experiences included integrating theory and practice, while negative experiences included the poor attitudes of the clinical evaluators and limited time.Contribution: The results of this study can be used to develop targeted interventions and strategies to improve the challenges students encounter during clinical assessment.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e9"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044710","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
Factors contributing to the quality of nursing care in Gauteng province hospitals. 影响豪登省医院护理质量的因素。
Curationis Pub Date : 2025-03-25 DOI: 10.4102/curationis.v48i1.2653
Nomali S Sabelo, Sibusiso M Zuma
{"title":"Factors contributing to the quality of nursing care in Gauteng province hospitals.","authors":"Nomali S Sabelo, Sibusiso M Zuma","doi":"10.4102/curationis.v48i1.2653","DOIUrl":"10.4102/curationis.v48i1.2653","url":null,"abstract":"<p><strong>Background: </strong> The South African public is not satisfied with the level of healthcare rendered by South African health institutions, particularly in Gauteng province; this is evidenced by the concerns raised by the South African Health Ombudsman, who, as of 2021, received more than 2000 complaints from the public, of which 40% were from Gauteng province. This is supported by South African Nursing Council (SANC)'s unprofessional report, which reflected the increase in poor nursing care cases.</p><p><strong>Objectives: </strong> The objectives of the study were to identify the factors contributing to the quality of nursing care at the provincial hospitals of Gauteng province and to make recommendations for improving the quality of nursing care in hospitals.</p><p><strong>Method: </strong> The study utilised an exploratory descriptive qualitative design. The data were analysed following Colaizzi's steps of data analysis, during which 4 themes and 9 sub-themes emerged. The study population consisted of registered professional nurses working in the two hospitals. The sample consisted of 12 registered professional nurses.</p><p><strong>Results: </strong> The study identified three positive factors, namely, nursing as a calling, supervision rounds and staff appreciation. Six negative factors that contribute to the quality of nursing care were identified as the lack of human and material resources, administrative challenges, unsupportive management, nurse-related factors, attitudes of patients, and private versus public health institutions.</p><p><strong>Conclusion: </strong> The study revealed the positive factors that promote the quality of nursing care. The negative factors affecting the quality of nursing care were found to be more than the positive factors.Contribution: The study presented factors affecting the quality of nursing care and makes recommendations that can be utilised as basis for improving the quality of nursing care. The study findings and recommendations can be used to develop programmes to support nurses to provide dignified and quality patient care in the hospital.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765748","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 meta-synthesis of studies on ubuntu philosophy in nursing: Implications for nursing education. 护理学乌班图哲学研究的综合:对护理教育的启示。
Curationis Pub Date : 2025-02-28 DOI: 10.4102/curationis.v48i1.2652
Vhothusa E Matahela, Nelisiwe Ngwenya
{"title":"A meta-synthesis of studies on ubuntu philosophy in nursing: Implications for nursing education.","authors":"Vhothusa E Matahela, Nelisiwe Ngwenya","doi":"10.4102/curationis.v48i1.2652","DOIUrl":"10.4102/curationis.v48i1.2652","url":null,"abstract":"<p><strong>Background: </strong> Ubuntu, an ancient African philosophy, embodies the essence of humanness through communal responsibility and interconnectedness. It shapes moral values and culture that can be implemented in nursing to improve patient care. However, colonial and Western-centric education systems have marginalised ubuntu philosophy resulting in a disconnect from its core principles in contemporary nursing practices.</p><p><strong>Objectives: </strong> This meta-synthesis aims to synthesise qualitative literature on ubuntu philosophy in nursing to identify key aspects of the philosophy that can be integrated into nursing education.</p><p><strong>Method: </strong> A systematic search using keywords related to ubuntu in nursing and nursing education was conducted across multiple databases, including health sources: Nursing/Academic Edition, Medline, ProQuest, PubMed, CINAHL and Google Scholar. This search aimed to identify qualitative studies exploring the application of ubuntu philosophy within nursing and its implications for nursing education. Quality appraisals were conducted using the Critical Appraisal Skills Programme checklist for qualitative research. Noblit and Hare's meta-ethnography techniques were employed to synthesise studies.</p><p><strong>Results: </strong> A total of 16 studies were included. The meta-synthesis revealed one meta-theme, namely the integration of ubuntu principles into nursing education with three subthemes: pedagogical approaches, decolonising nursing education and role modelling ubuntu.</p><p><strong>Conclusion: </strong> Ubuntu should be integrated into formal nursing education programmes to align with patients' expectations and enhance nursing care quality and student needs for targeted support on the subject.Contribution: The study enriches the ongoing discourse on integrating indigenous philosophies such as ubuntu into nursing education, aligning nursing care with local cultural and ethical values to promote more humane practices.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e15"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544919","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
Recommendation to improve chronic kidney disease management guideline in primary healthcare, KwaZulu-Natal. 夸祖鲁-纳塔尔省初级卫生保健改善慢性肾脏疾病管理指南的建议。
Curationis Pub Date : 2025-02-25 DOI: 10.4102/curationis.v48i1.2623
Verosha Ramkelawan, Pretty N Mbeje, Ntombifikile G Mtshali
{"title":"Recommendation to improve chronic kidney disease management guideline in primary healthcare, KwaZulu-Natal.","authors":"Verosha Ramkelawan, Pretty N Mbeje, Ntombifikile G Mtshali","doi":"10.4102/curationis.v48i1.2623","DOIUrl":"10.4102/curationis.v48i1.2623","url":null,"abstract":"<p><strong>Background: </strong> The prevalence of chronic kidney disease (CKD) is high in KwaZulu-Natal (KZN), especially in individuals with risk factors such as HIV, diabetes mellitus and hypertension. Despite existing guidelines, the study identified multifactorial gaps in implementing CKD management measures at the primary healthcare (PHC) level. This leads to late-stage diagnoses and increased burdens on tertiary institutions, as identified in institutional statistics. The study was therefore conducted in four different settings: a tertiary hospital in Durban and three PHC centres across KZN (two urban centres and one in a township).</p><p><strong>Objectives: </strong> The study's objective is to describe the perceptions of healthcare professionals on the management of CKD, in the PHC setting in KZN, South Africa.</p><p><strong>Method: </strong> A qualitative, exploratory design involving healthcare professionals was adopted. Purposeful sampling was used. Open coding and conventional content analysis were adopted to analyse data.</p><p><strong>Results: </strong> Findings revealed three overarching themes: (1) knowledge and awareness about existing guidelines, (2) fragmented system and a lack of clear guidelines and (3) implications of clear guidelines on patient care. Participants demonstrated diverse awareness of guidelines, revealing a need for continuous education. Participants expressed needs for continuous education and clear guidelines.</p><p><strong>Conclusion: </strong> The study highlights an urgent need to bridge the knowledge gap and establish a cohesive healthcare system to address the growing CKD burden in KZN effectively.Contribution: The study emphasises the potential benefits of implementing clear guidelines to improve patient outcomes, early detection and appropriate interventions, thereby reducing the burden on tertiary facilities.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543932","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
Factors affecting registered nurses' participation and utilisation of clinical research in Namibia. 影响纳米比亚注册护士参与和利用临床研究的因素。
Curationis Pub Date : 2025-02-25 DOI: 10.4102/curationis.v48i1.2695
Malakia K Mbimbi, Alice Lifalaza, Daniel O Ashipala
{"title":"Factors affecting registered nurses' participation and utilisation of clinical research in Namibia.","authors":"Malakia K Mbimbi, Alice Lifalaza, Daniel O Ashipala","doi":"10.4102/curationis.v48i1.2695","DOIUrl":"10.4102/curationis.v48i1.2695","url":null,"abstract":"<p><strong>Background: </strong> Integrating clinical research into nursing practice is essential for improving patient outcomes; however, various factors can affect nurses' participation, despite research being one of their key performance areas. In Namibia, little research exists on the factors influencing nurses' willingness to participate in and use clinical research. The literature indicates that two significant factors affecting registered nurses' participation in and utilisation of clinical research are insufficient time and a lack of motivation to conduct research.</p><p><strong>Objectives: </strong> This study explores the factors affecting nurses' participation and utilisation of clinical research at a regional hospital in Namibia.</p><p><strong>Method: </strong> The study employed a qualitative, exploratory, descriptive and contextual design to ensure a comprehensive approach. Sixteen participants working at Intermediate Hospital Rundu were purposefully selected. Data were collected via semi-structured interviews and analysed thematically. Interviews were then conducted until data saturation was achieved. Trustworthiness was ensured according to the four principles of Lincoln and Guba. Ethical clearance and permission were granted by the School of Nursing Research Committee. The ethical principles of autonomy, non-maleficence, beneficence, and justice were adhered to.</p><p><strong>Results: </strong> The study revealed three main themes: individual factors, organisational factors, and research-related factors.</p><p><strong>Conclusion: </strong> Strengthening individual research capacities, establishing dedicated research infrastructure and resources, and enhancing the communication and dissemination of research findings will foster a research-oriented culture and facilitate the utilisation of clinical research.Contribution: Understanding these factors will help guide the development of strategies to promote and support nurses' participation and utilisation of clinical research, enhance evidence-based practice and improve patient outcomes.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"48 1","pages":"e1-e9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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