CurationisPub Date : 2023-10-30DOI: 10.4102/curationis.v46i1.2478
Mahlodi P Maphakela, Mokoko P Kekana, Eric Maimela
{"title":"Lived experiences of students with virological failure on antiretrovirals at a university in Limpopo.","authors":"Mahlodi P Maphakela, Mokoko P Kekana, Eric Maimela","doi":"10.4102/curationis.v46i1.2478","DOIUrl":"10.4102/curationis.v46i1.2478","url":null,"abstract":"<p><strong>Background: </strong> Human immunodeficiency virus (HIV)-positive students at a rural university in Limpopo province are followed-up according to the national guidelines for the treatment of HIV. Blood monitoring revealed that some students on antiretroviral (ARV) treatment were not virologically suppressed despite adherence and compliance being emphasised at every visit.</p><p><strong>Objectives: </strong> The study sought to identify the students' experiences that were hindering the viral load from improving.</p><p><strong>Method: </strong> A two-phase qualitative, explorative, descriptive study design was followed. Convenience purposive sampling methods were taken on. By means of a semi-structured interview guide, face-to-face interviews were directed. Thematic content analysis was applied.</p><p><strong>Results: </strong> Non-disclosure, noisy ARV packaging, stigma, and service delivery played a role in determining levels of student adherence and compliance with ARVs in the study sample.</p><p><strong>Conclusion: </strong> Study findings suggest practical recommendations to improve compliance among students on ARVs: provision of HIV education to all students to help reduce stigma and make it easier to disclose HIV status; use of user-friendly noise-free packaging by pharmaceutical companies to enclose medication, such as blister packs; a supermarket approach in service delivery points to reduce the stigmatising effects of consulting rooms for ARV services.Contribution: There is scope to examine the relevance of these findings for other students in the country, to compare them, and to use material from larger studies to guide targeted interventions that could improve adherence among young people.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e9"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430216","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}
CurationisPub Date : 2023-10-26DOI: 10.4102/curationis.v46i1.2409
Thendo Mahwasane, Khathutshelo G Netshisaulu, Thivhulawi N Malwela, Maria S Maputle
{"title":"Support needs of parents with preterm infants at resource-limited neonatal units in Limpopo province: A qualitative study.","authors":"Thendo Mahwasane, Khathutshelo G Netshisaulu, Thivhulawi N Malwela, Maria S Maputle","doi":"10.4102/curationis.v46i1.2409","DOIUrl":"10.4102/curationis.v46i1.2409","url":null,"abstract":"<p><strong>Background: </strong> Preterm birth is often unexpected and life-threatening for the baby and/or the mother. When admitted to the hospital, midwives need to provide informational, instrumental, psycho-cultural and emotional support to enhance post-discharge care.</p><p><strong>Objectives: </strong> This study aimed to explore and describe the support provided to parents of preterm infants in preparing for post-discharge care. The study was conducted in three district hospitals in the Mopani district, South Africa.</p><p><strong>Method: </strong> A qualitative approach wherein explorative, descriptive and contextual designs were used. A non-probability, convenience sampling was used to select 23 midwives who were working in the maternity unit for at least 2 years. Data were collected through in-depth individual semi-structured interviews until data saturation was reached. The data were analysed through Tesch's open coding method. Trustworthiness was ensured through credibility, transferability and confirmability. Ethical principles adhered to were: informed consent, beneficence, right to self-determination, confidentiality and anonymity.</p><p><strong>Results: </strong> The findings revealed that parents need informational, instrumental direct supervision, and psycho-cultural and emotional support during preparation for discharge.</p><p><strong>Conclusion: </strong> Parents were unsure of their ability to care for the preterm infants after discharge and manage their own needs. The provision of informational, instrumental, psycho-cultural and emotional support needs would play a vital role in their ability to cope with their parental roles and the relationship with their infant.Contribution: The support provided to parents could build parental confidence and act as an integral part of neonatal follow-up programmes.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430218","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}
CurationisPub Date : 2023-10-25DOI: 10.4102/curationis.v46i1.2405
Moreoagae B Randa, Julie McGarry, Sarah Griffiths, Kathryn Hinsliff-Smith
{"title":"Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa.","authors":"Moreoagae B Randa, Julie McGarry, Sarah Griffiths, Kathryn Hinsliff-Smith","doi":"10.4102/curationis.v46i1.2405","DOIUrl":"10.4102/curationis.v46i1.2405","url":null,"abstract":"<p><strong>Background: </strong> Sexual violence against women is a global phenomenon. This is a particular issue in South Africa, where it is estimated with evidence provided that up to half of all women will encounter gender-based and/or sexual violence from a partner during their lifetime. Therefore, evidence suggests that addressing the needs of women in South Africa is a priority.</p><p><strong>Objective: </strong> This qualitative review aimed to explore the experiences of women seeking care from first contact healthcare facilities in South Africa after sexual violence and during follow-up care.</p><p><strong>Method: </strong> This systematic review was conducted using the PRISMA checklist for systematic reviews and in line with a published protocol (PROSPERO, CRD42019121580) and searched six relevant databases in 2022. A total of 299 sources were screened, with 5 forming the overall synthesis.</p><p><strong>Results: </strong> Two synthesised themes of women's experiences emerged at the time of reporting and during attendance at follow-up healthcare services.</p><p><strong>Conclusion: </strong> South Africa does have an established legal framework for prosecution and can provide support for survivors of sexual violence through established Thuthuzela Care Centres (TCCs). The review identifies that survivors' needs are not clearly established when seeking medical attention initially nor identifying support or appropriate pathways.Contribution: The review has the potential to characterise the support available for women, the type and nature of sexual violence and interventions that may be used by healthcare professionals to support survivors especially during follow-up care.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430215","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}
CurationisPub Date : 2023-10-20DOI: 10.4102/curationis.v46i1.2479
Christine Rogers, Athene Irving
{"title":"Nurses' perspectives on inpatient falls in a large academic hospital in South Africa.","authors":"Christine Rogers, Athene Irving","doi":"10.4102/curationis.v46i1.2479","DOIUrl":"10.4102/curationis.v46i1.2479","url":null,"abstract":"<p><strong>Background: </strong>Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety.</p><p><strong>Objectives: </strong>The aim of the study was to explore ward nurses' attitudes, knowledge and practices regarding the use of falls risk assessment tools, institutional falls policy and falls prevention.</p><p><strong>Methods: </strong>A survey design was used. All permanent ward nurses were eligible to participate, and a convenience sample was used.</p><p><strong>Results: </strong>Nurses endorsed the Morse Falls Scale, recommended by institutional policy, as effective in reducing falls and indicated that incident reporting measured progress on monitoring fall events. Falls prevention training was scanty; however, nurses were keen for further education of falls.</p><p><strong>Conclusion: </strong>Effective falls risk management needs to extend beyond promulgating policy and actively address nursing and patient education.Contribution: This study adds to the sparse literature regarding nursing practice and falls prevention in a developing country. Recommendations for change have been made.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e11"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430217","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}
CurationisPub Date : 2023-08-29DOI: 10.4102/curationis.v46i1.2390
Kolawole D Ogundeji, Patrone R Risenga, Gloria Thupayagale-Tshweneagae
{"title":"Cost of wound dressing: Implication for enrollment into the National Health Insurance scheme, Nigeria.","authors":"Kolawole D Ogundeji, Patrone R Risenga, Gloria Thupayagale-Tshweneagae","doi":"10.4102/curationis.v46i1.2390","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2390","url":null,"abstract":"<p><strong>Background: </strong> Enrollment into the National Health Insurance scheme (NHIS) still poses a challenge in Nigeria despite the established Group, Individual and Family Social Health Insurance Programme (GIFSHIP) during the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Objectives: </strong> This study examined the direct cost of wound dressing and enrollment into the health insurance scheme among hospitalised patients.</p><p><strong>Method: </strong> A descriptive cross-sectional research design was utilised to investigate the cost of wound dressing and enrollment into health insurance scheme among hospitalised patients in three selected hospitals of South-West Nigeria. The study was conducted from March 2021 to June 2021, and 190 patients were recruited via an interviewer-administered questionnaire. Ethical approvals were obtained from the hospitals while COVID-19 preventive protocols and ethical principles of autonomy, confidentiality and non-maleficence were observed.</p><p><strong>Results: </strong> Majority of the respondents (91%) were not on any healthcare insurance scheme, only 4.2% were enrolled in NHIS while over 70% could not personally pay for their wound dressing. The minimum average cost of wound dressing materials per week and per acute care episode was ₦10 000.00 (Nigerian naira) and ₦50 000.00, respectively, while the minimum average cost for hospitalisation per week and per acute care episode was ₦18 000.00 and ₦130 000.00, respectively, ($1.00 equaled ₦600.00, June 2022).</p><p><strong>Conclusion: </strong> A lack of health insurance coverage is a precursor of 'out of pocket' payment. A political will is required to scale up enrollment of the indigenous population into the NHIS in Nigeria.Contribution: Many hospitalised patients are not enrolled in the NHIS and they are at a higher risk of catastrophic healthcare expenditure.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e6"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164443","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}
CurationisPub Date : 2023-08-29DOI: 10.4102/curationis.v46i1.2447
Nokuthula D Buthelezi, Khumoetsile D Shopo
{"title":"Challenges experienced by nurse educators developing postgraduate nursing diploma curriculum programmes, Gauteng.","authors":"Nokuthula D Buthelezi, Khumoetsile D Shopo","doi":"10.4102/curationis.v46i1.2447","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2447","url":null,"abstract":"<p><strong>Background: </strong> Nursing education's positioning within higher education mandated public nursing education institutions to develop competent nurses to manage diverse disease profiles of the country. Nurse educators were tasked to develop a competency-based curriculum with emphasis on primary healthcare to help prepare nurses to be independent, leaders, researchers, and critical thinkers.</p><p><strong>Objectives: </strong> To explore and describe the challenges experienced by nurse educators in Gauteng when developing the curriculum for the postgraduate nursing diploma programmes.</p><p><strong>Method: </strong> An exploratory descriptive qualitative research design was used. Purposive sampling was followed to select the participants based on the inclusion criteria. Four focus group interviews were conducted, comprising of six participants each, leading to a sample of 30. Data collection were between March 2022 and April 2022. Thematic data analysis were performed following Tesch's eight steps of analysis.</p><p><strong>Results: </strong> Themes that emerged during data analysis were psychological and emotional impact, challenges with communication and interpersonal relations, nurse educators experienced transformation and empowerment, nurse educators encountered barriers that impacted on their allocated tasks, and, nurse educators demonstrated resilience with the curriculum development processes.</p><p><strong>Conclusion: </strong> Participants reported positive and negative experiences they encountered during curriculum development. The findings revealed that nurse educators need support when involved in curriculum development, for instance, managerial, administrative, technological, financial, and most importantly capacitation, as this could enable them to work effectively without deterrents.Contribution: This study highlights the need to train and support nurse educators when developing a curriculum to equip them with the necessary competencies.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172996","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}
CurationisPub Date : 2023-08-25DOI: 10.4102/curationis.v46i1.2441
Daniel O Ashipala, Daniel Mbishi, Louise Pretorius
{"title":"Experiences of nursing students during their mental health clinical training at a general hospital in Namibia.","authors":"Daniel O Ashipala, Daniel Mbishi, Louise Pretorius","doi":"10.4102/curationis.v46i1.2441","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2441","url":null,"abstract":"<p><strong>Background: </strong> Clinical training is important because it constitutes more than half of the formal courses in nursing education. Accordingly, it is important for institutions of higher learning to continually explore the experiences of nursing students during their clinical placement. These experiences can be used to promote a positive clinical learning environment for students. However, the experiences of nursing students during their mental health clinical training in Namibia have not been extensively researched.</p><p><strong>Objectives: </strong> The aim of this study was to explore and describe the experiences of nursing students during their mental health clinical training at a general hospital in Namibia.</p><p><strong>Method: </strong> A qualitative, exploratory, descriptive and contextual research design was followed as the basis for conducting the study. A sample of 15 nursing students was conveniently selected from the target population of 73 nursing students. This sample size was determined by the saturation of data as reflected in repeating themes.</p><p><strong>Results: </strong> The following three themes emerged: collating theory and mental health practice experiences, facing challenges in clinical placements, and recommendations to ensure effective learning about mental health.</p><p><strong>Conclusion: </strong> The use of a general hospital for clinical placements within an undergraduate nurse training course led to some concerns regarding the relevance and appropriateness of such experience within a nursing programme.Contribution: The findings have important implications for the training of undergraduate nursing students in general hospitals. It can be utilised to develop strategies to improve positive clinical practice placement and develop clinical skills for undergraduate nursing students in general hospitals.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175389","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}
CurationisPub Date : 2023-08-22DOI: 10.4102/curationis.v46i1.2387
Richard M Rasesemola, Rose M Mmusi-Phetoe, Yolanda Havenga
{"title":"Social determinants of health in non-communicable diseases prevention policies in South Africa.","authors":"Richard M Rasesemola, Rose M Mmusi-Phetoe, Yolanda Havenga","doi":"10.4102/curationis.v46i1.2387","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2387","url":null,"abstract":"<p><strong>Background: </strong> The South African government has developed many policies for the prevention and control of non-communicable diseases. However, non-communicable diseases remain among the major causes of morbidity and mortality in South Africa. Although these diseases are linked to interaction of multiple risk factors, many of which are modifiable, they continue to cause much suffering particularly among the marginalised and people from the lower socio-economic status.</p><p><strong>Objectives: </strong> The objective of this research was to explore and present the inclusion of social determinants of health in the policies meant for the prevention and control of non-communicable diseases in South Africa.</p><p><strong>Method: </strong> The qualitative document analysis approach was used to conduct policy analysis of purposefully selected policies for prevention and control of cancers, obesity and mental and behavioural disorders in South Africa.</p><p><strong>Results: </strong> The analysis revealed that policies for prevention and control of cancers, obesity and mental and behavioural disorders included policy intervention activities that focused on five social determinants of health: (1) governance, (2) social policies, (3) public policies, (4) material circumstances and (5) health system.</p><p><strong>Conclusion: </strong> Excluding most of the important social determinants of health in the policies for prevention and control of non-communicable diseases means that these policies would continue to fail in preventing these diseases from the root causes.Contribution: This article points out weaknesses in the policies meant for prevention and control of obesity, cancers and mental and behavioural disorders. This article further suggests policy improvement strategies that may be considered to effectively address these diseases.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174147","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}
CurationisPub Date : 2019-07-22DOI: 10.4102/curationis.v42i1.1952
Mosehle S Matlala, Thanyani G Lumadi
{"title":"Perceptions of midwives on shortage and retention of staff at a public hospital in Tshwane District.","authors":"Mosehle S Matlala, Thanyani G Lumadi","doi":"10.4102/curationis.v42i1.1952","DOIUrl":"https://doi.org/10.4102/curationis.v42i1.1952","url":null,"abstract":"<p><strong>Background: </strong> Midwifery is the backbone of women and child healthcare. The shortage of staff in maternity units is a crisis faced by many countries worldwide, including South Africa.</p><p><strong>Objectives: </strong> This study aims to explore the perceptions of midwives on the shortage and retention of staff at a public institution.</p><p><strong>Method: </strong> The study was conducted at one of the tertiary hospitals in Tshwane District, Gauteng Province. A total of 11 midwives were interviewed through face-to-face and focus group interviews. An explorative, descriptive generic qualitative design method was followed, and a non-probability, purposive sampling technique was used. Thematic coding analysis was followed for analysing data.</p><p><strong>Results: </strong> The impact of shortage of midwives was reported to be directly related to poor provision of quality care as a result of increased workload, leading to low morale and burnout. The compromised autonomy of midwives in the high obstetrics dependency units devalues the status of midwives.</p><p><strong>Conclusion: </strong> Midwives are passionate about their job, despite the hurdles related to their day-to-day work environment. They are demoralised by chronic shortage of staff and feel overworked. Staff involvement in decision-making processes is a motivational factor for midwives to stay in the profession. The midwives need to be in the centre of the decision-making processes related to their profession. The revision of the scope of practice and classification of midwifery profession away from general nursing complex by the South African Nursing Council (SANC) could place midwifery in its rightful status.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"42 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v42i1.1952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223690","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}
CurationisPub Date : 2015-12-17DOI: 10.4102/curationis.v38i2.1566
Mogale L Mmamma, Tebogo M Mothiba, Malema R Nancy
{"title":"Turnover of professional nurses at Mokopane Hospital in the Limpopo Province, South Africa: Experiences of nursing unit managers.","authors":"Mogale L Mmamma, Tebogo M Mothiba, Malema R Nancy","doi":"10.4102/curationis.v38i2.1566","DOIUrl":"https://doi.org/10.4102/curationis.v38i2.1566","url":null,"abstract":"<p><strong>Background: </strong>Staff turnover of professional nurses remains a concern for public and private hospitals management because it has an impact on the morale of nurses and it may also lead to poor patient care.</p><p><strong>Objectives: </strong>The objectives of this study were to explore and describe the experiences of nursing unit managers with regard to the turnover of professional nurses who were under their supervision.</p><p><strong>Method: </strong>A qualitative, explorative, descriptive research design was used to determine the experiences of nursing unit managers related to the turnover of professional nurses. Data collection was done by using semi-structured one-to-one interviews with professional nurses .Two groups of participants were interviewed: Those working day duty (n = 9) and those working night duty (n = 3) who were at work on the anticipated days for data collection.</p><p><strong>Results: </strong>The findings revealed that every unit was experiencing a shortage of professional nurses, which caused other nurses to work overtime with an inevitable increase in workload. That led to tiredness, conflict amongst professional nurses, job dissatisfaction, and absenteeism which compromised nursing care. This resulted in patient dissatisfaction and sometimes led to deaths that could have been prevented.</p><p><strong>Conclusion: </strong>It is recommended that staff turnover should be addressed by the hospital top management implementing several strategies. For example, top management could ensure that staff members work in a healthy environment with resources that they need during the provision of care, address the effects of the staff turnover, support the staff members and refrain from putting pressure on nursing unit managers whilst they are attending to problems.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"38 2","pages":"1566"},"PeriodicalIF":0.0,"publicationDate":"2015-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v38i2.1566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41149870","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}