Curationis最新文献_第3页

Coincidental discovery of HIV and pregnancy positive status in primary healthcare facilities. 在初级医疗保健机构中偶然发现艾滋病毒和妊娠呈阳性的情况。

Curationis Pub Date : 2024-06-28 DOI: 10.4102/curationis.v47i1.2518

Morongwa R Sekele, Mygirl P Lowane, Mathildah Mokgatle

{"title":"Coincidental discovery of HIV and pregnancy positive status in primary healthcare facilities.","authors":"Morongwa R Sekele, Mygirl P Lowane, Mathildah Mokgatle","doi":"10.4102/curationis.v47i1.2518","DOIUrl":"10.4102/curationis.v47i1.2518","url":null,"abstract":"Background: HIV-positive and pregnancy diagnosis is a traumatic, shocking, and distressing experience for women. Adoption of routine HIV counselling and testing in the antenatal programme aimed to increase the uptake and the early diagnosis of HIV among pregnant women to prevent maternal HIV transmission to unborn babies and neonates.Objectives: The study aimed to explore the psychological reaction of women coincidentally discovering their HIV-positive status and pregnancy while seeking medical care in primary healthcare facilities in the Tshwane district.Method: Descriptive phenomenology involving a semi-structured in-depth interview was used to collect data. The sample was purposively selected. Twenty-eight women participated in the research project. Face-to-face in-depth audio recorded interviews were used to gain a full understanding of the experiences and feelings of the participants.Results: Reason for the uptake of pregnancy and HIV testing, reactions upon discovering HIV and pregnancy-positive status, emotions arising from the pregnancy and HIV-positive diagnosis, understanding HIV infection in pregnancy, and transitions to acceptance and coping with the HIV-positive diagnosis were themes that emerged from this study.Conclusion: It is crucial that responsible healthcare workers consider this psychological imbalance during their offering of antenatal and postnatal care services so that the pregnant women living with HIV can accept and cope with the situation.Contribution: This study accounts to support other studies that offer intense counselling for women coincidentally discovering their positive HIV status and pregnancy. It is important to remedy the acceptance of the situation and to promote HIV prevention and family planning for women of childbearing age.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473649","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

Operational nursing managers' experiences of clinical supervision at a Johannesburg Hospital. 约翰内斯堡一家医院的业务护理经理对临床监督的体验。

Curationis Pub Date : 2024-05-24 DOI: 10.4102/curationis.v47i1.2521

Bonginkosi I Shongwe, Charlene Downing, Sanele Nene

{"title":"Operational nursing managers' experiences of clinical supervision at a Johannesburg Hospital.","authors":"Bonginkosi I Shongwe, Charlene Downing, Sanele Nene","doi":"10.4102/curationis.v47i1.2521","DOIUrl":"10.4102/curationis.v47i1.2521","url":null,"abstract":"Background: Clinical supervision is pivotal in supporting nurses in rendering quality, safe patient care. Therefore, it is essential to understand clinical supervision from operational nursing managers' context to define existing challenges and propose suitable recommendations.Objectives: This study aimed to explore and describe operational nursing managers' experiences of clinical supervision within the context of an academic hospital in Gauteng province and propose evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.Method: An exploratory, sequential, mixed-method design was used and implemented over two phases to take advantage of the strengths of both the qualitative and quantitative research designs. Unstructured individual interviews were conducted to collect data in phase one, and an adapted Manchester Clinical Supervision Scale (MCSS) questionnaire was used to collect data in phase two.Results: Operational nursing managers work in stressful conditions and environments with a gross shortage of staff and tools of the trade while being expected to deliver high-quality and safe nursing care. Of the sampled respondents, 36% (n = 17) were dissatisfied with the supervision they received, while 64% (n = 30) were indifferent in the sense that they did not think it was adequate or inadequate.Conclusion: Clinical supervisors should be trained and supported in clinical supervision, with regular workshops on interpersonal relations.Contribution: A clearer understanding of clinical supervision within the hospital context and evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238662","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

Risk factors to mental health challenges among the LGBTI+ community in Gaborone, Botswana 博茨瓦纳哈博罗内 LGBTI+ 群体面临心理健康挑战的风险因素

Curationis Pub Date : 2024-05-22 DOI: 10.4102/curationis.v47i1.2543

David S. Mangwegape, M. E. Manyedi, B. Molato

{"title":"Risk factors to mental health challenges among the LGBTI+ community in Gaborone, Botswana","authors":"David S. Mangwegape, M. E. Manyedi, B. Molato","doi":"10.4102/curationis.v47i1.2543","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2543","url":null,"abstract":"Background: Lesbian, Gay, Bisexual, Transgender, Intersex and other gender diverse groupings symbolised by + (LGBTI+) individuals experience adverse mental health problems, and several factors have been documented to facilitate such problems. However, in Botswana, the factors facilitating LGBTI+ individuals to experience mental health challenges have not been explored with previous studies only highlighting the poor mental health outcomes they experience.Objectives: The aim of the study was to explore and describe factors that could cause mental health challenges in LGBTI+ individuals in Gaborone, Botswana.Method: A qualitative, descriptive, phenomenological design was employed to examine the research question. In data collection, 15 unstructured in-depth telephonic interviews were conducted until data saturation. Data were analysed with a co-coder using the data analysis method by Colaizzi.Results: Three themes emerged following data analysis and were reasons for experiencing mental health challenges, experiences of challenges in accessing healthcare services and the social challenges of everyday life.Conclusion: The findings indicate that a variety of factors influence the mental health problems in some LGBTI+ individuals.Contribution: The knowledge of the factors that cause LGBTI+ individuals’ mental health challenges can inform mental healthcare to be rendered. The findings can apprise nursing curriculum development and policy regarding the needs of LGBTI+ individuals.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141112802","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 contributing to rise in teenage pregnancy in Sekhukhune district, Limpopo province 导致林波波省塞克胡内地区少女怀孕率上升的因素

Curationis Pub Date : 2024-05-10 DOI: 10.4102/curationis.v47i1.2482

Ragosebo P. Sekopa, P. R. Risenga, S. Mboweni

{"title":"Factors contributing to rise in teenage pregnancy in Sekhukhune district, Limpopo province","authors":"Ragosebo P. Sekopa, P. R. Risenga, S. Mboweni","doi":"10.4102/curationis.v47i1.2482","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2482","url":null,"abstract":"Background: The Department of Health in South Africa has reported an alarming total of 90 037 teenage girls between the ages of 10 years and 19 years who gave birth from March 2021 to April 2022, across all provinces and districts. The rise in teenage pregnancy is of serious concern as adolescents girls are more likely to experience difficult pregnancies and deliveries which could lead to detrimental effects on their health.Objectives: The study aimed to explore and describe factors contributing to the increase in teenage pregnancy in the Sekhukhune district of Limpopo.Method: The study was conducted in the healthcare facilities of Sekhukhune area. A qualitative, exploratory design was followed. Participants were purposively selected, and data were gathered through face-to-face individual interviews. Data analysis employed Tesch’s inductive, descriptive coding method.Results: Negligence, peer pressure, ambiguity, choice, lack of contraceptive use, and lack of family attachment were identified as exacerbating factors in the district’s surge in teenage pregnancy.Conclusion: To reduce teen pregnancy, it is crucial to promote contraception, enhance cooperation between schools and the government, involve families in sexual and reproductive health discussions, prioritise a supportive home environment, advocate for child support grants, revitalise school health services, and empower teenagers to make informed choices and resist peer pressure.Contribution: The study will provide guidance to policy makers and other stakeholders in developing appropriate programmes to address the problem and improve the health and socioeconomic status of adolescents in rural areas. This will reduce healthcare costs associated with complications and premature birth.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140991753","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 and challenges of enrolled nurses undertaking a Bachelor of Nursing Science programme in Namibia. 纳米比亚注册护士学习护理科学学士课程的经验和挑战。

Curationis Pub Date : 2024-05-06 DOI: 10.4102/curationis.v47i1.2549

Daniel O Ashipala, Paulus K Kapula, Alice Lifalaza

{"title":"Experiences and challenges of enrolled nurses undertaking a Bachelor of Nursing Science programme in Namibia.","authors":"Daniel O Ashipala, Paulus K Kapula, Alice Lifalaza","doi":"10.4102/curationis.v47i1.2549","DOIUrl":"10.4102/curationis.v47i1.2549","url":null,"abstract":"Background: Globally, enrolled nurses (ENs) are embarking on an educational journey to become registered nurses (RNs) in order to enhance their knowledge and career opportunities. However, their aspiration is not without challenges. In Namibia, the experiences of these nurses have not been extensively researched.Objectives: This study aims to explore and describe the experiences and challenges of ENs undertaking a Bachelor of Nursing Science at the University of Namibia.Method: A qualitative, exploratory, descriptive and contextual research strategy was followed as the basis of conducting the study. A sample of 15 nursing students was purposively selected from the target population of 73 nursing students. This sample size was determined by the saturation of data as reflected in repeating themes. The collected data were analysed thematically using an inductive approach.Results: Three main themes subsequently emerged from the study: ENs' positive experiences advancing in the Bachelor of Nursing Science (BNSc) programme; nurses' negative experiences advancing in the BNSc programme; and recommendations to ensure effective advancement in the BNSc programmeConclusion: The findings of this study revealed that ENs positively experience becoming a RN when it comes to self-development; however, they have negative experiences such as not receiving exemptions for prior learning and having to learn a new curriculum.Contribution: These findings may be used by the Faculty of Health Sciences, School of Nursing and Public Health management in order to develop targeted interventions and ongoing strategies during their curriculum review cycles to ensure positive student experiences and success within the programme.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861956","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

Community-based postnatal care model: Catalyst for management of mothers and neonates 社区产后护理模式：母亲和新生儿管理的催化剂

Curationis Pub Date : 2024-04-22 DOI: 10.4102/curationis.v47i1.2563

Katekani J. Shirindza, T. Malwela, S. Maputle

{"title":"Community-based postnatal care model: Catalyst for management of mothers and neonates","authors":"Katekani J. Shirindza, T. Malwela, S. Maputle","doi":"10.4102/curationis.v47i1.2563","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2563","url":null,"abstract":"Background: Early postnatal discharge is perceived as a factor that contributes to the possibilities of the maternal, neonatal complications and deaths. The implementation of the community-based postnatal care model is crucial to mitigate the morbidity and mortality of postnatal women and neonates during the first weeks of delivery. A community-based postnatal care model was developed for the management of neonates during the postnatal care period in the community.Objectives: The study aims to share the developed community-based postnatal care model that could assist postnatal women in the management of neonates.Method: Empirical findings from the main study formed the basis for model development. The model development in this study was informed by the work of Walker and Avant; Chinn and Kramer Dickoff, James and Wiedenbach; and Chinn and Jacobs.Results: The results indicated that there was no community-based postnatal care model developed to manage neonates. The model is described using the practice theory of Dickoff, James and Wiedenbach elements of agents, recipients, context, process, dynamics and outcomes within the community context of the postnatal care period. The model was further described by Chinn and Krammer following the assumptions of the model, concept definition, relation statement and nature of structure.Conclusion: The utilisation of the model is critical and facilitates the provision of an enabling and supportive community-based context by primary caregivers for the effective management of neonates.Contribution: This study provides a reference guide in the provision of community-based postnatal care by postnatal women after discharge from healthcare facilities.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676078","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 of patients living with HIV and AIDS on antiretroviral therapy in Accra, Ghana 加纳阿克拉艾滋病毒感染者和艾滋病患者接受抗逆转录病毒疗法的经历

Curationis Pub Date : 2024-04-16 DOI: 10.4102/curationis.v47i1.2444

Joana Agyeman-Yeboah, E. Ricks, Margaret Williams, P. Jordan

{"title":"Experiences of patients living with HIV and AIDS on antiretroviral therapy in Accra, Ghana","authors":"Joana Agyeman-Yeboah, E. Ricks, Margaret Williams, P. Jordan","doi":"10.4102/curationis.v47i1.2444","DOIUrl":"https://doi.org/10.4102/curationis.v47i1.2444","url":null,"abstract":"Background: The human immunodeficiency virus and acquired immunodeficiency syndrome (HIV and AIDS) pandemic has greatly affected Africa, particularly Ghana. The pandemic remains a public health concern, particularly in terms of accessing essential medication and improving quality of life for people living with the disease.Objectives: This study aimed to explore and describe the experiences of persons diagnosed and living with HIV who are on antiretroviral therapy.Method: A qualitative, exploratory, descriptive, and contextual design was used. The research population included persons diagnosed with HIV who were receiving antiretroviral therapy at three public hospitals in Ghana. Data saturation was achieved after conducting 15 semi-structured interviews. Creswell’s six steps of data analysis were used to analyse the data, which resulted in the emergence of one main theme and six sub-themes.Results: The main theme identified by the researchers highlighted the participants’ diverse experiences of being diagnosed and living with HIV. It was found that the study participants expressed shock, disbelief, surprise, and fear of death after being diagnosed with HIV. The participants also experienced stigmatisation, discrimination, and rejection.Conclusion: There is a need for further research on the extent of discrimination and stigmatisation and the effect on optimal adherence to antiretroviral therapy. Continuous public education on HIV is required to limit the extent of discrimination and stigmatisation.Contribution: The study has highlighted the various emotions related to stigma and discrimination expressed by persons living with HIV (PLHIV). The findings will guide policy on eliminating discrimination and stigmatisation for people living with HIV.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696378","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

Development of a conceptual framework for teaching-learning of spiritual care in nursing education. 为护理教育中的心灵关怀教学制定概念框架。

Curationis Pub Date : 2024-02-29 DOI: 10.4102/curationis.v47i1.2461

Ntombizodwa S B Linda, Hester C Klopper, Deliwe R Phetlhu

{"title":"Development of a conceptual framework for teaching-learning of spiritual care in nursing education.","authors":"Ntombizodwa S B Linda, Hester C Klopper, Deliwe R Phetlhu","doi":"10.4102/curationis.v47i1.2461","DOIUrl":"10.4102/curationis.v47i1.2461","url":null,"abstract":"Background: Conceptual frameworks are not only necessary for maintaining and preserving nursing knowledge through their unique contribution, but they also assist in the organisation and provision of complex nursing interventions. The lack of formal integration of spiritual care in health professions' education is blamed on the unavailability of guiding models among other challenges such as unavailability of relevant theories.Objectives: The objective of this article was to describe the process followed to develop a conceptual framework as the basis for a practice theory for teaching-learning of spiritual care in nursing.Method: An overall theory generative methodology was used. To develop the conceptual framework, conclusion statements deduced from empirical data using deductive and inductive strategies were applied.Results: The main concepts were identified, described, and classified. The relationship between concepts promoted synergy of the developed conceptual framework for teaching spiritual care in nursing.Conclusion: The developed conceptual framework was founded on the notion that knowledge from different sources can provide a solid base in theory generation. Therefore, the concepts of the developed conceptual framework were not only related to what is 'ideal'; instead, their significance was underpinned by the created universal meanings for effective purposeful communication. Therefore, sources used to obtain data were critical in the development of the conceptual framework because they constituted different ways of perceiving and understanding the world.Contribution: The conceptual framework does not only guide nursing interventions but framework also provides a philosophical guide in meeting patient-centred diverse needs.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10912879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998565","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

Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho. 在莱索托的一家地区医院查明可避免的围产期死亡原因。

Curationis Pub Date : 2024-02-29 DOI: 10.4102/curationis.v47i1.2497

Rose Nonyane, Emmerentia Du Plessis, Jeannette Clase

{"title":"Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho.","authors":"Rose Nonyane, Emmerentia Du Plessis, Jeannette Clase","doi":"10.4102/curationis.v47i1.2497","DOIUrl":"10.4102/curationis.v47i1.2497","url":null,"abstract":"Background: Certain determinants can be associated with avoidable perinatal deaths, and audits are needed to establish what these determinants are, and what can be done to prevent such deaths.Objectives: The study aimed at identifying and describing determinants associated with avoidable perinatal deaths at a district hospital in Lesotho and strategies to curb their occurrence.Method: A retrospective descriptive study was conducted using 142 anonymised obstetric records from January 2018 to December 2020. A data collection tool was adopted from the Perinatal Problem Identification Programme. In this tool, avoidable determinants are referred to as 'factors' or 'problems'.Results: A concerning number of perinatal deaths were secondary to avoidable patient factors, namely a delay in seeking medical care, inappropriate responses to antepartum haemorrhage, and inadequate responses to poor foetal movements. Medical personnel factors are also worth observing, namely incorrect use of partograph, insufficient notes to comment on avoidable factors and 'other' medical personnel problems. Ranking highest among administrative problems were the unavailability of intensive care unit beds and ventilators and inadequate resuscitation equipment. Administrative problems accounted for more perinatal deaths than the patient-related factors and medical personnel factors.Conclusion: There is an urgent need for periodic audits, health education for patients, staff competency and the necessary equipment to resuscitate neonates.Contribution: Avoidable determinants associated with perinatal deaths in a district hospital in Lesotho could be identified. This information provides an understanding of what can be done to limit avoidable perinatal deaths.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10912939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998566","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

Corrigendum: Experiences of healthcare staff in forensic care facilities supporting sexual violence survivors, in Tshwane, South Africa. 更正：南非茨瓦内法医护理设施中支持性暴力幸存者的医护人员的经验。

Curationis Pub Date : 2024-02-13 DOI: 10.4102/curationis.v47i1.2591

Moreoagae B Randa, Julie McGarry

引用次数: 0