Nurses’ knowledge, attitudes and practices of logrolling patients with a spinal cord injury in the Western Cape Metropole

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dc.contributor.advisorAnthonie, Ramonaen_ZA
dc.contributor.advisorCrowley, Talithaen_ZA
dc.contributor.authorVorster, Humerien_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.en_ZA
dc.date.accessioned2023-03-03T10:23:16Z
dc.date.accessioned2023-05-18T07:04:57Z
dc.date.available2023-03-03T10:23:16Z
dc.date.available2023-05-18T07:04:57Z
dc.date.issued2023-03
dc.description(Thesis (MNur)--Stellenbosch University, 2023.en_ZA
dc.description.abstractENGLISH 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.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Agtergrond: 'n Rugmurgbesering (RB) is 'n moontlik lewensbedreigende krisis. In Suid-Afrikaanse gesondheidsorgfasiliteite word die logrol (logrolling) gebruik tydens die hospitalisasie van pasiente wat aan 'n rugmurgbesering ly. Ongelukkig is daar teenstrydighede in logrol- en verpleegpraktyke, sowel as 'n gebrek aan standaardbedryfsprosedures (SBP), personeeltekorte en verskille in verpleegkundiges se houding teenoor RB’s. Al hierdie kwessies is wereldwyd van belang. Die doel van hierdie studie was om die kennis, houdings en praktyke (KHP) van verpleegkundiges te ondersoek wat logrol van RB-pasiente betref. Die studie het in twee tersiere hospitale in die Wes-Kaapse Metropool plaasgevind. Die doelwitte van hierdie studie was om die kennis en houdings van verpleegkundiges teenoor SB-pasiente en die logrol van hierdie pasiente te bepaal; om die logrol praktyke van verpleegkundiges te bepaal; om die bestuurstrategiee wat die logrol van pasiente beinvloed, te bepaal; en om faktore te identifiseer wat verband hou met verpleegkundiges se logrol kennis, houdings en praktyke. Metode: 'n Nie-eksperimentele, beskrywende navorsingsbenadering is gebruik. Altesaam is 304 verpleegkundiges (almal geregistreerde en ingeskrewe verpleegkundiges, of ingeskrewe verpleegassistente) wat in twee tersiere hospitale in die Wes-Kaapse Metropool werk, het die steekproef gevorm. Die data is tussen April en Julie 2021 met behulp van 'n gestruktureerde, selfgeadministreerde vraelys ingesamel. 'n Voortoets, waarby sewe deelnemers betrokke was, het die hoofstudie voorafgegaan, en die resultate daarvan is nie by die finale data-ontledings ingesluit nie. Die Gesondheidsnavorsingsetiekkomitee (HREK) van die Universiteit Stellenbosch het goedkeuring vir die studie verleen. Beskrywende en inferensiele statistiese ontledings is met behulp van die Statistiese Pakket vir die Sosiale Wetenskappe (SPSS), weergawe 27, uitgevoer. Resultate: Die resultate het aangetoon dat verpleegkundiges oor die algemeen goeie KHP-tellings gehad het: dus het 88,5% van die deelnemers goeie kennis gehad, 93,1% het positiewe houdings en 81,9% goeie praktyke gehad. Slegs 23% van die deelnemers het egter goeie bestuurstrategiee gerapporteer, soos blyk uit lae vlakke van opleiding (41,1%), die beskikbaarheid van standaardbedryfsprosedures (35,6%) en 'n gebrek aan voldoende personeel (48,4%). Geregistreerde verpleegkundiges en diegene met meer verpleegervaring was meer geneig om kundig te wees (p<0.01 en p = 0.01) en deelnemers met positiewe houdings was meer geneig om kundig te wees (p<0.01), positiewe praktyke te he (p<0.01) en goeie bestuurstrategiee te rapporteer (p<0.01). Daar was geen verband tussen kennis en praktyke nie (p=0.21). Bestuurstrategiee is nie met kennis (p = 0,98) of praktyke (p = 0,19) geassosieer nie. Gevolgtrekking: Die resultate het aangetoon dat die meeste deelnemers goeie KHP’s gehad het, maar goeie bestuurstrategiee het ontbreek. Onvoldoende opleiding, die gebrek aan SBP's en personeeltekorte kan lei tot strydige praktyke. Aanbevelings om leemtes aan te spreek, sluit die ontwikkeling en implementering van 'n mentorskap- en opleidingsprogram en bevoegdheidsinstrumente in die logrol en bestuur van SB-pasiente in. Bewysgebaseerde SBP's en logrol is nodig om te help met konsekwente en veilige logrol, veral as daar personeeltekorte is. Laastens is gereelde evaluering en gesondheidsondersoeke nodig om die kwessie van rugbeserings wat verpleegkundiges in SB-eenhede opgedoen het, aan te spreek, aangesien dit hulle houdings en praktyke kan beinvloed.af_ZA
dc.description.versionMasters
dc.format.extentxvi, 144 pages : illustrations (color), maps, includes annexures
dc.identifier.urihttp://hdl.handle.net/10019.1/127114
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshSpinal cord -- Wounds and injuries -- Western Cape (South Africa)en_ZA
dc.subject.lcshSpinal cord -- Surgery -- Western Cape (South Africa)en_ZA
dc.subject.lcshNurses -- Attitudes -- Western Cape (South Africa)en_ZA
dc.subject.nameUCTD
dc.titleNurses’ knowledge, attitudes and practices of logrolling patients with a spinal cord injury in the Western Cape Metropoleen_ZA
dc.typeThesisen_ZA
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