Masters Degrees (Nursing and Midwifery)

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Absenteeism in district rural hospitals in the Eastern Cape : the experiences of nurses
(Stellenbosch : Stellenbosch University, 2022-12) Jonas, Lindill; Anthonie, Ramona; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY: Absenteeism is a global concern that has a negative impact on employees, patients and the organization. Whilst absenteeism is exacerbated by working conditions such as resources (human, equipment), rural communities have a higher prevalence of chronic conditions than their urban counterparts which increases the workload. The aim of the study was to explore the experiences of nurses in district rural hospitals in the Eastern Cape. The objectives of the study were to: - Gain understanding of nurses’ experience of absenteeism at the workplace. - Explore the influence of intrinsic factors on absenteeism as experienced by nurses. - Explore the influence if extrinsic factors on absenteeism as experienced by nurses. A descriptive qualitative design was applied. A sample size of 12 was drawn from a total population of 183 at three participating hospitals, using purposive sampling. A pilot interview was conducted using a semi-structured interview guide based on the study’s objectives. Credibility, confirmability, transferability and dependability was assured by using Lincoln and Cuba’s criteria of trustworthiness. All ethical principles were met. Seven themes emerged from data analysis, i.e., managing human resources, work planning and scheduling, job dissatisfaction and workload, diminished patient care, staff well-being, relationship building amid absenteeism and strategies for managing absenteeism. The findings support Hertzberg’s theory on motivation factors regarding what motivates workers to perform well and not be absent from work. Hygiene factors such as heavy workload, lack of equipment, benefits and support staff, poor co-worker relationships as well as inconsistent implementation of policies all contributed to job dissatisfaction and ultimately absenteeism. As a result, human resource policies and practices should be revised and implemented to provide a more supportive work environment to reduce absenteeism.
The experiences of critical care nurses regarding staff shortage at a regional hospital in Namibia
(Stellenbosch : Stellenbosch University, 2018-03) Ndikwetepo, Monika Namupa; Anthonie, Ramona; Van der Heever, Mariana; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY: The global shortage of critical care nurses contributes to the high workload experienced by critical care nurses and the provision of quality patient care. As a result, critical care units are mostly staffed by less trained and more experienced critical care nurses. Herzberg’s two factor theory and concepts such as critical care units, critical care nurses and critical care patients were contained in the research framework that supported the study. The aim of the study was to explore the experiences of critical care nurses regarding staff shortages at a regional hospital in Namibia. The objectives of the study were to explore staff shortages in the critical care unit such as:  Current staffing strategies  The experiences of critical care nurses regarding quality patient care  Ways to enhance staffing management in the critical care unit at the hospital A descriptive qualitative design was applied. A sample size of n=11 was drawn from a total population of N=18, using purposive sampling. A pilot interview was also completed using a semi-structured interview guide that was based on the objectives of the study. Trustworthiness was assured by adhering to Lincoln and Guba’s criteria of credibility, confirmability, transferability and dependability. All ethical principles were met. Seven themes emerged from the data analysis, i.e. staffing strategies, critical care work environment, workforce planning and management, occupational health and safety, quality patient care, continuous professional development and job satisfaction. The findings of the study were congruent with Herzberg’s two factor theory in that hygiene factors such as staff shortages contributed to job dissatisfaction in the critical care unit. In addition, the critical care nurses related that they did not receive recognition for work completed under stressful conditions such as constant staff shortages and high workloads. It therefore appeared that the motivational factors, meaningful recognition and motivation derived from the work itself tend to be compromised due to staff shortages.
The experiences of critical care nurses working in the private sector, in the Western Cape, during the Covid-19 pandemic
(Stellenbosch : Stellenbosch University, 2023-03) Volgraaff, Martha Etresia; Anthonie, Ramona; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY: The World Health Organization (WHO) declared COVID-19 a pandemic on 11 March 2020 with significant subsequent global disruptions, especially in the healthcare sector. During the pandemic there was an influx of critically ill patients and an increased demand for critical care beds resulting in a severe shortage of beds and skilled critical care nurses (CCNs). Furthermore, working conditions (physical, psychological) may have an impact on both staff and patients. The aim of this study was to explore the experiences of critical care nurses working at private hospitals in the Western Cape during the COVID-19 pandemic. The study objectives were to: - Explore the experiences of CCNs working during the COVID-19 pandemic. - Describe critical care nurses’ experience of how the COVID-19 pandemic influenced caring for critical ill patients. - Describe the CCNs experiences of organisational management strategies during the COVID-19 pandemic. Methods: A qualitative design with an exploratory descriptive approach was applied. The target population included registered nurses employed at two private hospitals in the Western Cape. A sample size of 10 was drawn from a total population of 58 at the two participating hospitals. Purposive sampling was used. Data was obtained through individual interviews, using a semi-structured interview guide. A pilot interview was conducted using a semi-structured interview guide, based on the objectives of the study. Findings from the pilot interview were included in the main study to avoid the loss of any information. Data was analysed using Braun and Clarke’s (2006) steps for thematic data analysis. Trustworthiness of the study was assured by adherence to Lincoln and Guba’s criteria of credibility, confirmability, transferability and dependability. All ethical principles were met. Results: Six main themes emerged from the data analysis, i.e., critical care environment, managing human resources, staff planning and management, staff wellbeing, quality of patient care and surviving COVID-19: unexpected outcomes. The findings of this study demonstrated that CCNs were dissatisfied with their work environment in terms of staff and equipment shortages. The rapid increase in numbers and rapid deterioration of critically ill patients and subsequent high mortality rates impacted on patients and staff. Critical care nurses could not provide holistic care due to staff shortages. Exposure to the stressors prevailing during the COVID-19 pandemic had an impact on CCNs’ physical and psychological health. While management provided certain resources, personal protective equipment (PPE) and staff, shortages of PPE and unfair allocation of staff were reported. Although a general lack of support from management was experienced, support from unit managers (UMs) and shift leaders was valued. Despite the challenges that the CCNs faced during the COVID-19 pandemic, respondents reported personal and professional growth during that time.
The experiences of nurses regarding bullying at public hospitals in the Cape Metropole
(Stellenbosch : Stellenbosch University, 2020-03) Ruiters, Matthew Francis; Anthonie, Ramona; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY : Workplace bullying is a worldwide concern. However, it is underreported due to the embarrassment or fear that the victim encounters. Moreover, bullying affects the victims’ job performance and places their and the patient’s health and safety at risk. The aim of this study was to explore the experiences of nurses regarding bullying in public hospitals in the Cape Metropole. The objectives of the study were to: - Describe nurses’ experiences of bullying in the workplace - Gain an understanding of the manifestation of bullying in the workplace - Describe current organizational management strategies of bullying in the workplace An exploratory descriptive qualitative design was applied. A sample size of n=12 was drawn from a total population of N=377, by using a purposive sampling technique. A pilot interview was also completed using an individual interview with a semi-structured interview guide that was based on the objectives of the study and validated by experts in the field before data collection. Trustworthiness was ensured by adhering to Lincoln and Guba’s criteria of credibility, confirmability, transferability and dependability. All ethical principles were met. Five themes emerged from the data analysis, i.e. anti-bullying strategies, workplace environment, workforce planning and management, occupational health and safety and quality of patient care. The findings of the study indicated that bullying amongst nurses in the emergency/trauma departments are real. Nurses need guidance in the management thereof, particularly with the reporting system. Furthermore, training and education for both managers and nurses regarding bullying in the workplace require clear policies and procedures.
Factors that influence the attendance of in-service training by nurses in district hospitals in the Cape Winelands District
(Stellenbosch : Stellenbosch University, 2023-03) De Silva, Rene Zureen; Anthonie, Ramona; Van der Heever, Mariana; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY: Background - The provision and attendance of in-service training of nurses are important to ensure skilled and competent nurses to provide quality patient care. The attendance or participation of nurses in in-service training appears to be compromised due to heavy workloads, lack of time, and the availability of resources. The aim of this study was to investigate the factors that influenced the attendance of in-service training by nurses in district hospitals in the Cape Winelands District and the objectives were to determine the individual, organisational and patient related factors and to assess associations between demographic or career-related factors and the attendance of in-service training by nurses. Methods - A quantitative approach with a descriptive design was used. A total of 122 nurses comprising different nursing categories (registered, enrolled, and enrolled auxiliary nurses) employed at four rural district hospitals in the Cape Winelands District in the Western Cape participated in the study. Participants were sampled by means of stratified random sampling. Ethical clearance to conduct the study was obtained from the Health Research Ethics Committee of Stellenbosch University and institutional permission was obtained from the management of each hospital. Throughout this study ethical principles such as the right to autonomy, confidentiality, anonymity, justice, benevolence, and non-maleficence were maintained to protect participants. Data was collected over a seven-week period (25 April to 9 June 2022) using a structured self-administered questionnaire. The main study was preceded by a pilot test with 25 participants. The data of the pilot test was excluded from the findings of the main study. The data was analysed with the assistance of a biostatistician using the Statistical Package for the Social Sciences Software (SPSS), version 28. Results - The individual factors influencing the attendance of in-service training of nurses is the importance of in-service training for nurses (61% n=71 of participants strongly agreed that it was important), and relevant in-service training that would improve their knowledge, skills, and qualifications (72.5% n=87 strongly agreed) to provide better patient care (69% n=83 of participants strongly agreed). Adequate resources for in-service training and reimbursement of traveling expenses (32% n=38 of participants strongly agreed) were also identified as factors influencing participation in in-service training. The attendance of in-service training seemed to be influenced by organisational factors such as the lack of a nurse education and training department with a designated nurse trainer (33% n=37 strongly disagreed that they had one) to impact direct patient care, ensure induction and orientation of new staff (37% n=43 agreed), logistical and resource support for in-service training of nurses (43% n=50 agreed). The patient factors identified to influence the attendance of in-service training were complaints received about care (30% n=36 agreed), patient safety incidents (63% n=75 agreed) and patient diseases and conditions (50%n=60 agreed) to be used as topics for in-service training. Conclusion - To ensure participation in in-service training, regular training needs analyses and analyses of complaints and patient safety incidents must be conducted to identify the specific skills and clinical competence nurses need to provide appropriate care for their patients and their training needs for career advancement. Practical implications: Hospital management need to establish a nurse education and training department with designated nurse eduators at the hospitals to coordinate and communicate in-service programmes and assist with logistical support that would improve nurses’ participation in in-service training.
Nurses’ knowledge, attitudes and practices of logrolling patients with a spinal cord injury in the Western Cape Metropole
(Stellenbosch : Stellenbosch University, 2023-03) Vorster, Humeri; Anthonie, Ramona; Crowley, Talitha; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
ENGLISH SUMMARY: Background: A spinal cord injury (SCI) is potentially a life-threatening crisis. In South African healthcare facilities, the logrolling technique is used throughout the hospitalisation of patients suffering a SCI. Unfortunately, there are inconsistencies in logrolling practices, techniques and nursing practice as well as a lack of standard operating procedures (SOP), staff shortages and differences in nurses’ attitudes towards SCIs; all of these issues are of global concern. The aim of this study was to investigate the knowledge, attitudes, and practices (KAP) of nurses regarding logrolling SCI patients. The study took place in two tertiary hospitals in the Western Cape Metropole. The objectives of the study were to determine the knowledge and attitudes of nurses towards SCI patients and the logrolling of SCI patients; to determine the practices of nurses when logrolling SCI patients; to determine the management strategies influencing logrolling of SCI patients and to identify factors associated with nurses’ logrolling knowledge, attitudes, and practices. Method: A non-experimental, descriptive research approach was employed. A total of 304 nurses (all registered and enrolled nurses, enrolled nursing assistants) employed in two tertiary hospitals in the Western Cape Metropole formed the study sample. The data was collected between April and July 2021 by means of a structured self-administered questionnaire. The main study had been preceded by a pre-test which involved seven participants, but these results were excluded from the final data analyses. The Health Research Ethics Committee (HREC) of Stellenbosch University granted approval for the study. Descriptive and inferential statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS), version 27. Results: The results indicated that nurses generally had good KAP scores: thus, 88.5% of the participants had good knowledge, 93.1% had positive attitudes and 81.9% good practices. However, only 23% of participants reported good management strategies as evidenced by low levels of training (41.1%), the availability of SOPs (35.6%) and lack of sufficient staff (48.4%). Registered nurses and those with more nursing experience were more likely to be knowledgeable (p<0.01 and p=0.01). Participants with positive attitudes were more likely to be knowledgeable (p<0.01), have positive practices (p<0.01) and report good management strategies (p<0.01). There was no association between knowledge and practices (p=0.21). Management strategies were not associated with knowledge (p=0.98) or practices (p=0.19). Conclusion: The results indicated that most participants had good KAP but good management strategies were lacking. Insufficient training, the lack of SOPs and staff shortages may lead to inconsistent practices. Recommendations to address gaps included the development and implementation of a mentorship and training programme and competency tools in logrolling and managing SCI patients. Evidenced-based SOPs and logrolling teams are needed to assist with consistent and safe logrolling especially when there are staff shortages. Finally, frequent evaluation and health checks are needed to address the issue of back injuries suffered by nurses working in SCI units, as this could influence their attitudes and practices.
The perceptions of carers regarding non-adherence to immunisation schedule
(Stellenbosch : Stellenbosch University, 2016-12) Lockett, Bridgette; Anthonie, Ramona; Van der Merwe, A. S.; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science.
AFRIKAANSE OPSOMMING : Kinder-immunisasie is ‘n belangrike ingryping om die aantal kindersterftes te verminder. Die Uitgebreide Program oor Immunisering word dus in Suid Afrika gebruik om kindersterftes te help voorkom. Alhoewel immunisasie-dekking in Suid Afrika effektief blyk te wees, presenteer die Wes-Kaap met ‘n hoё terugvalsyfer. Die doel van hierdie studie was om die persepsies van versorgers met betrekking tot nie-nakoming aan die immuniseringsprogram te verken. ’n Kwalitatiewe navorsingsontwerp, met ’n fenomenologiese benadering was tydens hierdie studie toegepas. Die studie het van ‘n doelgerigte steekproef gebruik gemaak om die versorgers van kinders, woonagtig in die Oostelike sub-distrik van Kaapstad, te selekteer. Die navorser het van ‘n semi-gestruktureerde onderhoudsriglyn gebruik gemaak, wat na aanleiding van die doelstellings van die studie ontwerp is. Die onderhoudsriglyn is deur die promotor en mede-promotor van die studie gevalideer. Die Etiekkomitee van die fakulteit van Gesondheidswetenskappe, Universiteit van Stellenbosch, het vergunning vir die uitvoering van hierdie studie verleen, terwyl die Wes-Kaapse Stadsgesondheid toestemming vir die beplande onderhoude by die onderskeie klinieke gegee het. Skriftelike toestemming is van elke deelnemer, voor aanvangs van die onderhoud tydens die studie verkry. Vier temas het vanuit die studie-uitkomstes, rakende die moontlike redes vir nie-nakoming aan die voorgestelde immuniseringskedule deur versorgers van babas voortgespruit, naamlik toeganklikheid van klinieke, kennis van ouers, ander verantwoordelikhede en die houding van personeel. Die bevindings van die studie het die Strategiese Adviserende Groep van Kundiges se raamwerk ondersteun, naamlik dat veelvuldige faktore die huiwering rakende entstof kan beїnvloed, byvoorbeeld sosio-kultureel, omgewings, gesondheidsisteme, of institusioneel. Die studie het tot die slotsom gekom dat die gebrek aan gesondheidsorgopvoeding, geweld en sosio-ekonomiese faktore die nie-nakoming aan die immuniseringsprogram sterk beïnvloed het. Verdere navorsing word aanbeveel ten einde die insette van deelnemers vanaf `n breër sosio-ekonomiese agtergrond in die Wes-Kaap te bekom.

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Browsing Masters Degrees (Nursing and Midwifery) by browse.metadata.advisor "Anthonie, Ramona"

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