Health SA Gesondheid最新文献_第9页

Audit of dental record-keeping at a university dental hospital 对一家大学牙科医院牙科记录保存情况的审计

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-20 DOI: 10.4102/hsag.v28i0.2442

Mpule Annah Lerato Moshaoa, Keitumetse Taunyane, Phumzile Hlongwa

Background: Good record-keeping is fundamental in clinical practice and essential for practising dental practitioners and those in training.Aim: This study aimed to evaluate the level of compliance with clinical record-keeping by undergraduate dental students and staff at a university dental hospital.Setting: The selected study setting was the Admissions and Emergency section at a university dental hospital.Methods: A retrospective, cross-sectional review was undertaken of 257 clinical records. The CRABEL scoring system was used to evaluate 12 variables. The 12 variables included: patient name, patient hospital number, date of examination, patient main complaint, medical history, dental history, proposed treatment, proposed procedure for next visit, patient consent signature, treatment and treatment codes, student name and signature, clinical supervisor name and signature. STATA® 13 was used for descriptive analysis and all tests were conducted at 5% significance level.Results: The median CRABEL score was 87 and interquartile range (IQR: 70–92). A CRABEL score of 100 was achieved by the students in the variable patient main complaint, indicating a 100% compliance with this variable. Other variables such as signature of supervisors showed poor compliance. The CRABEL scores showed no statistically significant difference (p = 0.86) between the students and clinical supervisors.Conclusion: The overall audit showed that there was poor compliance with record-keeping.Contribution: The study highlights the importance of good record keepings so that key information can be accessed for proper diagnosis and treatment of the patient. An electronic filing system presents an alternative manner of documenting medical records.

背景：良好的记录保存是临床实践的基础，对于执业牙科医生和正在接受培训的牙科医生来说至关重要：研究地点：一所大学牙科医院的入院和急诊科：方法：对257份临床记录进行了回顾性横断面审查。CRABEL 评分系统用于评估 12 个变量。这 12 个变量包括：患者姓名、患者住院号、检查日期、患者主诉、病史、牙科病史、建议治疗、建议下次就诊程序、患者同意签名、治疗和治疗代码、学生姓名和签名、临床督导姓名和签名。使用 STATA® 13 进行描述性分析，所有检验均在 5%的显著性水平下进行：CRABEL 评分的中位数为 87 分，四分位数间距为 70-92。在患者主诉这一变量上，学生的 CRABEL 得分为 100 分，表明该变量的达标率为 100%。其他变量，如导师签名等的符合率较低。学生和临床督导之间的 CRABEL 分数差异无统计学意义（P = 0.86）：总体审计结果表明，记录保存的合规性较差：贡献：这项研究强调了妥善保存记录的重要性，以便获取关键信息，对病人进行正确的诊断和治疗。电子档案系统是记录医疗记录的另一种方式。

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引用次数: 0

Women’s perceived working conditions in the mining industry: A qualitative study 妇女对采矿业工作条件的看法：定性研究

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-14 DOI: 10.4102/hsag.v28i0.2212

Masesi M. Mahlasela, Mankuku M. Madumo, M. Randa

Background: Women’s status in society has been contested over the years, with arguments centred on the deliberate marginalisation of women by ancient policies and legislations, which compelled women to assume secondary status in society.Aim: This study aimed at exploring and describing the perceptions of women on working conditions in the mining industry. A qualitative, explorative and descriptive design was followed.Setting: The study was conducted at a mining industry based in Mpumalanga Province.Methods: Ten women were purposively selected to participate in the study. Data were collected through in-depth semi-structured face-to-face interviews. Data were analysed using Tech’s method of qualitative analysis.Results: Three themes and categories emerged from data analysis. The themes that emerged were: Benefits for women in the mining industry, work conditions-related challenges for women in the mining industry and opportunities for growth and development of women in the mining industry.Conclusion: Despite the employment of women in the mining industry, the women echoed that mining remains a male-dominated place of employment.Contribution: The study revealed that although the mining industry is still a male-dominated environment, women are generally content to be working at the mines. A lot of transformation should take place to make mining a women-friendly place of employment. The relevance of this study for mental health is that gender equality is a risk factor for gender-based violence. Furthermore, facing discrimination can also result in anxiety and psychological trauma that can negatively affect a woman’s sense of well-being and success.

背景：多年来，妇女在社会中的地位一直备受争议，争论的焦点是古代政策和立法故意将妇女边缘化，迫使妇女在社会中处于次要地位。目的：本研究旨在探讨和描述妇女对采矿业工作条件的看法。研究采用定性、探索和描述性设计：研究在姆普马兰加省的一家采矿业进行：方法：有目的性地挑选了 10 名妇女参与研究。通过深入的半结构化面对面访谈收集数据。采用 Tech 的定性分析方法对数据进行分析：数据分析得出了三个主题和类别。这些主题是妇女在采矿业中的益处、妇女在采矿业中面临的与工作条件相关的挑战以及妇女在采矿业中的成长和发展机会：结论：尽管妇女在采矿业就业，但她们一致认为采矿业仍然是男性主导的就业场所：贡献：研究表明，尽管采矿业仍是一个男性主导的环境，但妇女普遍对在矿山工作感到满意。要使采矿业成为对女性友好的工作场所，需要进行大量的改革。这项研究对心理健康的意义在于，性别平等是性别暴力的一个风险因素。此外，面临歧视也会导致焦虑和心理创伤，从而对妇女的幸福感和成功感产生负面影响。

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引用次数: 0

Antecedents of patient health engagement in the radiotherapy service (evidence from Indonesia) 放射治疗服务中患者健康参与的先决条件（来自印度尼西亚的证据）

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-13 DOI: 10.4102/hsag.v28i0.2245

Anthony Kasena, Ferdi Antonio

Background: Private radiotherapy (RT) facilities in emerging countries are growing with cancer incidence. Private healthcare providers must provide better care based on patient perspectives to reach more patients.Aim: This study investigated the relationship between antecedents of patient health engagement (PHE) with revisit intention (RVI) and intent to recommend (ITR) in private RT facilities.Setting: The survey was conducted in a private hospital with a RT service in Central Java province, Indonesia.Methods: A quantitative, cross-sectional design with a purposive sampling method was used. Patient questionnaire survey modified from validated self-administered radiotherapy experience (RTEQ) and PHE questionnaire were used to collect data. Partial least squares-structural equation modelling was used to analyse the data.Results: In this study, 173 respondents consented to participate, which demonstrated that seven of the eight experience antecedents of PHE measured by reliable and valid RTEQ and were significantly related to PHE (p-value 0.05). At the same time, the degree of PHE has a significant relationship with RVI and ITR (p-value 0.05).Conclusion: Patient informational needs elements from the patient experience, followed by situational repose, were shown to have a prominent relation to PHE. The management of private RT facilities needs to focus more on these elements to encourage PHE to establish hospital performance.Contribution: The findings denote that six elements of RTEQ relate to PHE and further hospital outcomes. Hospital management could utilise this approach to improve the quality of care in RT facilities, specifically in private hospitals in emerging countries.

背景：随着癌症发病率的上升，新兴国家的私营放射治疗（RT）机构也在不断增加。目的：本研究调查了私立放射治疗机构中患者健康参与（PHE）的前因与再次就诊意向（RVI）和推荐意向（ITR）之间的关系：调查在印度尼西亚中爪哇省一家提供 RT 服务的私立医院进行：采用定量、横断面设计和目的性抽样方法。患者问卷调查由经过验证的自填式放射治疗经验（RTEQ）和PHE问卷修改而成，用于收集数据。采用偏最小二乘法结构方程模型对数据进行分析：本研究共有 173 名受访者同意参与，结果表明，在可靠有效的 RTEQ 测量的八种 PHE 经验先决条件中，有七种与 PHE 显著相关（P 值为 0.05）。同时，PHE 的程度与 RVI 和 ITR 有显著关系（P 值 0.05）：结论：患者体验中的患者信息需求要素与 PHE 有着突出的关系，其次是情境静态。私营 RT 设施的管理者需要更加关注这些要素，以鼓励 PHE，从而建立医院绩效：研究结果表明，RTEQ 的六个要素与 PHE 和进一步的医院成果有关。医院管理层可以利用这种方法来提高 RT 设施的护理质量，特别是新兴国家私立医院的护理质量。

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引用次数: 0

Measures to improve participation of registered nurses in HIV and AIDS research 改善注册护士参与艾滋病毒和艾滋病研究的措施

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-11 DOI: 10.4102/hsag.v28i0.2484

Justin O Rojaye, Robert T. Netangaheni

Background: Registered nurses are crucial in lowering the complications of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in Nigeria. Human immunodeficiency virus infects individuals and impairs the immune system, impairing the body’s capacity to fight bacteria, viruses, and other pathogens. Therefore, registered nurse-led initiatives are beneficial in promoting HIV and AIDS research development. However, these evidence-based treatments and professional expectations for registered nurse research creation do not represent contemporary research development on HIV and AIDS by registered nurses.Aim: This study aimed to explore measures to improve the participation of registered nurses in HIV and AIDS research in Nigeria.Setting: The study was conducted at a general hospital in Ijebu Ode, Ogun State, Nigeria.Methods: A qualitative approach design was employed. Participants of the study comprised 31 registered nurses in three focus groups.Results: This study demonstrated the importance of research in effectively reducing HIV and AIDS transmission and maintaining good practices in a hospital setting in Nigeria. However, this understanding did not translate into knowledge creation through autonomous research productivity in this context.Conclusion: The study discovered that registered nurses were primarily involved in data collection and validation, which did not result in publications. The study found that registered nurses in Nigeria are typically worried about ways to promote nurses’ engagement in research in Nigeria.Contribution: These results might be utilised to improve the supply of research services and act as a baseline for future research linked to HIV and AIDS transmission prevention in Nigeria.

背景：在尼日利亚，注册护士对于降低人体免疫缺陷病毒（HIV）和获得性免疫缺陷综合症（艾滋病）的并发症至关重要。人体免疫缺陷病毒感染个人并损害免疫系统，削弱人体抵抗细菌、病毒和其他病原体的能力。因此，注册护士主导的倡议有利于促进艾滋病毒和艾滋病研究的发展。目的：本研究旨在探讨改善尼日利亚注册护士参与艾滋病研究的措施：研究在尼日利亚奥贡州 Ijebu Ode 的一家综合医院进行：采用定性方法设计。参与研究的人员包括 31 名注册护士，分三个焦点小组：这项研究表明，在尼日利亚的医院环境中，研究对于有效减少艾滋病毒和艾滋病的传播以及保持良好的工作作风非常重要。然而，在这种情况下，这种认识并没有通过自主研究生产力转化为知识创造：研究发现，注册护士主要参与数据收集和验证工作，但并未发表论文。研究发现，尼日利亚的注册护士通常担心如何促进尼日利亚护士参与研究：贡献：这些结果可用于改善研究服务的供应，并作为尼日利亚未来与预防艾滋病毒和艾滋病传播相关研究的基线。

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引用次数: 0

Psychological well-being, stressors, coping strategies and support of undergraduate healthcare students amid COVID-19 医疗保健专业本科生的心理健康、压力、应对策略和支持（COVID-19

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-08 DOI: 10.4102/hsag.v28i0.2340

Annali E. Fichardt, Corlia Janse van Vuuren, L. J. van der Merwe

Background: Students function better academically when psychologically well. The COVID-19 pandemic proved a new challenge to the mental wellness of undergraduate healthcare students. Students were not only faced with academic changes but also had to complete clinical practice in healthcare facilities amid the COVID-19 pandemic.Aim: This study investigated the psychological well-being, stressors, coping strategies and support of undergraduate healthcare students amid COVID-19.Setting: A South African university’s faculty of health sciences.Methods: A survey design through a cross-sectional descriptive approach was used to collect data from the population of 1529 undergraduate healthcare students. One hundred and ninety-six (n = 196) students responded to the online survey.Results: Participants reported a variety of stressors influencing their psychological well-being. Participants chose mostly adaptive coping strategies to deal with stressors. They gave feedback on the support they received from the faculty and institution. Most of the participants indicated they prefer weekly online communication from the higher education institution.Conclusion: The COVID-19 pandemic influenced the psychological well-being of undergraduate healthcare students. The psychological well-being of these students is a collective responsibility between students and higher education institutions to enable academic success and positive patient outcomes.Contribution: This study found that undergraduate healthcare students had academic, psychological, financial and other stressors during the COVID-19 pandemic. Higher education institutions, especially those involved in training undergraduate healthcare professionals, in collaboration with students, need to provide students with targeted continued support and training to use healthy coping behaviours to manage various stressors.

背景:心理健康的学生学业表现更好。新冠肺炎疫情给本科卫生专业学生的心理健康带来了新的挑战。在新冠肺炎疫情期间，学生们不仅要面对学术变化，还要完成医疗机构的临床实践。目的:调查本科卫生保健专业学生在新冠肺炎疫情中的心理健康状况、压力源、应对策略和支持。环境:南非一所大学的健康科学学院。方法:采用横断面描述性调查方法，对1529名本科卫生保健专业学生进行调查。196名学生参与了在线调查。结果:参与者报告了影响他们心理健康的各种压力源。参与者大多选择适应性应对策略来应对压力源。他们就从教师和机构那里得到的支持给出了反馈。大多数参与者表示，他们更喜欢来自高等教育机构的每周在线交流。结论:2019冠状病毒病大流行影响了本科卫生保健专业学生的心理健康。这些学生的心理健康是学生和高等教育机构之间的共同责任，以实现学业成功和积极的患者结果。贡献:本研究发现，在2019冠状病毒病大流行期间，本科卫生保健专业的学生有学业、心理、经济和其他压力源。高等教育机构，特别是那些参与培训本科保健专业人员的高等教育机构，需要与学生合作，为学生提供有针对性的持续支持和培训，以使用健康的应对行为来管理各种压力源。

{"title":"Psychological well-being, stressors, coping strategies and support of undergraduate healthcare students amid COVID-19","authors":"Annali E. Fichardt, Corlia Janse van Vuuren, L. J. van der Merwe","doi":"10.4102/hsag.v28i0.2340","DOIUrl":"https://doi.org/10.4102/hsag.v28i0.2340","url":null,"abstract":"Background: Students function better academically when psychologically well. The COVID-19 pandemic proved a new challenge to the mental wellness of undergraduate healthcare students. Students were not only faced with academic changes but also had to complete clinical practice in healthcare facilities amid the COVID-19 pandemic.Aim: This study investigated the psychological well-being, stressors, coping strategies and support of undergraduate healthcare students amid COVID-19.Setting: A South African university’s faculty of health sciences.Methods: A survey design through a cross-sectional descriptive approach was used to collect data from the population of 1529 undergraduate healthcare students. One hundred and ninety-six (n = 196) students responded to the online survey.Results: Participants reported a variety of stressors influencing their psychological well-being. Participants chose mostly adaptive coping strategies to deal with stressors. They gave feedback on the support they received from the faculty and institution. Most of the participants indicated they prefer weekly online communication from the higher education institution.Conclusion: The COVID-19 pandemic influenced the psychological well-being of undergraduate healthcare students. The psychological well-being of these students is a collective responsibility between students and higher education institutions to enable academic success and positive patient outcomes.Contribution: This study found that undergraduate healthcare students had academic, psychological, financial and other stressors during the COVID-19 pandemic. Higher education institutions, especially those involved in training undergraduate healthcare professionals, in collaboration with students, need to provide students with targeted continued support and training to use healthy coping behaviours to manage various stressors.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"20 11","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587528","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

Decolonisation of the nursing education curriculum in Gauteng province, South Africa: A concept analysis 南非豪登省护理教育课程的非殖民化：概念分析

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-08 DOI: 10.4102/hsag.v28i0.2449

Agnes Makhene

Background: Decolonisation of the nursing education curriculum has become more important than ever. The nursing profession has been colonised since its founding era by Florence Nightingale. Victorian curriculum has been taught over decades in nursing. There is a knowledge gap of what decolonisation means in the profession.Aim: The purpose of this article is to describe the concept analysis process that was followed to clarify the concept of ‘decolonisation’ of the curriculum, provide conceptual meaning in nursing education, and formulate a theoretical definition.Setting: Nursing education practice in Gauteng.Methods: Definitions, nature, characteristics, and uses of decolonisation were sought and the researchers explored 52 publications, which included dictionaries, encyclopaedias, thesauri, conference articles, research reports, journal articles and subject-related literature across multiple disciplines, to critically analyse the concept ‘decolonisation’. A 10-year period from 2012 to 2022 was used to search several databases.Results: Defining attributes that included antecedents, process and consequences of decolonisation emerged. The antecedents were awareness, identification of colonial knowledge and thought, colonial attitudes, colonialism, racism, exclusion, denial of colonial systems and curriculum and colonial legacies in nursing education. Events after decolonisation are called consequences.Conclusion: The formulated theoretical definition of ‘decolonisation’ will be operationalised as further research takes place to come up with a conceptual framework for a decolonised socially just nursing curriculum.Contribution: This study aimed to contribute towards the understanding of what decolonisation means within nursing education and lead to development of models, theories, and strategies on how decolonisation of the nursing curriculum can be undertaken.

背景:护理教育课程的非殖民化变得比以往任何时候都更加重要。自弗洛伦斯·南丁格尔创立以来，护理职业一直是其殖民地。维多利亚时代的护理课程已经教授了几十年。对于非殖民化在这个行业中意味着什么，存在一个知识缺口。目的:本文的目的是描述概念分析过程，随后澄清课程的“非殖民化”概念，提供护理教育的概念意义，并制定一个理论定义。背景:豪登省护理教育实践。方法:寻找非殖民化的定义、性质、特征和用途，研究人员探索了52种出版物，其中包括字典、百科全书、辞典、会议文章、研究报告、期刊文章和跨多个学科的学科相关文献，以批判性地分析“非殖民化”概念。从2012年到2022年的10年期间被用来搜索几个数据库。结果:定义属性，包括非殖民化出现的前因后果、过程和后果。前因是意识，殖民知识和思想的识别，殖民态度，殖民主义，种族主义，排斥，否认殖民制度和课程以及护理教育中的殖民遗产。非殖民化之后的事件被称为后果。结论:制定的“去殖民化”的理论定义将在进一步的研究中实施，以提出一个非殖民化的社会公正护理课程的概念框架。贡献:本研究旨在帮助理解护理教育中的非殖民化意味着什么，并导致如何开展护理课程非殖民化的模型、理论和策略的发展。

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引用次数: 0

Noise risk assessments within the adequately controlled and reasonably practicable philosophies 在充分控制和合理可行的理念下进行噪声风险评估

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-08 DOI: 10.4102/hsag.v28i0.2457

Oscar Rikhotso, T. J. Morodi, D. Masekameni

Background: The entire risk assessment process is fraught with methodological and technical uncertainties, exacerbated by the introduction in legislation of ambiguous technical terms such as adequately controlled and reasonably practicable. The combination of these factors renders the risk assessment process opaque regarding required employer actions for securing legal compliance within the noise risk assessment context.Aim: This study aims to evaluate how companies are applying and interpreting the adequately controlled and reasonably practicable philosophies within the context of hearing conservation programmes (HCPs) and noise risk assessment processes.Setting: Four manufacturing and utilities companies.Methods: The four companies, selected through convenience sampling, submitted noise risk assessment records for evaluation through document analysis to determine the companies’ interpretation of the adequately controlled and reasonably practicable philosophies.Results: In the reviewed noise risk assessment records, the adequately controlled and reasonably practicable philosophies were poorly discerned. Specifically, the hierarchical approach for noise control outlined in the noise induced hearing loss regulations, for which the basis for adequately controlled philosophy ensues, remains misinterpreted by employers. Furthermore, cost-benefit analysis, which enables decision-making on the tolerability of risk within the reasonably practicable philosophy, was also omitted in the assessments.Conclusion: The adequately controlled and reasonably practicable philosophies were poorly applied and interpreted by the participating companies, to the detriment of tangible noise control.Contribution: This study provides insights on company application and interpretation of the adequately controlled and reasonably practicable philosophies, and HCPs, which contributes to inaction on noise control.

背景:整个风险评估过程充满了方法和技术上的不确定性，而在立法中引入诸如充分控制和合理可行等模棱两可的技术术语则加剧了这种不确定性。这些因素的结合使得风险评估过程在噪音风险评估背景下，雇主为确保法律合规而采取的行动不透明。目的:本研究旨在评估公司如何在听力保护计划(HCPs)和噪音风险评估过程中应用和解释充分控制和合理可行的理念。周边环境:四家制造业和公用事业公司。方法:通过方便抽样选取的4家公司提交噪声风险评价记录，通过文献分析进行评价，确定公司对充分控制和合理可行理念的解释。结果:在审查的噪声风险评估记录中，缺乏充分控制和合理可行的理念。具体地说，噪音引起的听力损失条例中概述的噪音控制的分层方法，这是充分控制哲学的基础，仍然被雇主误解。此外，在评估中也省略了成本效益分析，这种分析可以在合理可行的哲学范围内对风险的可容忍性作出决策。结论:参与公司对充分控制和合理可行的理念的应用和解释不佳，损害了有形的噪声控制。贡献:本研究提供了公司对充分控制和合理可行的理念的应用和解释的见解，以及导致噪音控制不作为的hcp。

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引用次数: 0

Community health workers’ experiences of supervision by nurses at clinics in Limpopo Province 林波波省社区卫生工作者接受诊所护士监督的经验

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-12-08 DOI: 10.4102/hsag.v28i0.2330

M. Matsi, Eucebious S. Lekalakala-Mokgele, M. Madumo

Background: Supervision of community health workers (CHWs) is considered, among others, a strategy to achieve universal healthcare globally. In South Africa, it is incorporated in the ward-based primary healthcare (PHC) outreach teams’ policy and strategy, a national health insurance policy component. Supervision of CHWs by nurses in the policy is considered a measure to facilitate PHC service provision to communities. However, CHWs experienced varying levels of supervision from nurses and other workers globally and in South Africa.Aim: This study explored and described the experiences of CHWs about supervision received from nurses at PHC facilities in Limpopo Province.Setting: Participants were drawn from seven PHC facilities in Polokwane and Lepelle-Nkumpi subdistricts of the Capricorn District.Methods: A qualitative exploratory-descriptive and contextual study design was employed. Participants were selected utilising a purposive sampling method. Semi-structured interviews were conducted to collect data. Data were analysed according to themes and their associated categories. Measures to ensure rigour and ethical principles were applied.Results: Two main themes emerged: positive supervision experienced by CHWs and supervision challenges experienced by CHWs.Conclusion: The varying experiences of CHWs about supervision from nurses emerged and reflected the need for functioning supervision mechanisms.Contribution: The experiences of CHWs indicated inconsistent delivery of supervision by nurses in PHC facilities. The findings highlighted the need for effective supervision measures that are vital for the success of the CHW supervision programme.

背景:除其他外，对社区卫生工作者(CHWs)的监督被认为是实现全球全民卫生保健的一项战略。在南非，它被纳入以病房为基础的初级保健(PHC)外展小组的政策和战略，这是国家健康保险政策的组成部分。政策认为由护士监督安老院是促进向社区提供初级保健服务的一项措施。然而，在全球和南非，卫生工作者受到护士和其他工作人员不同程度的监督。目的:本研究探讨和描述林波波省初级保健机构卫生工作者接受护士监督的经验。环境:参与者来自摩羯座区的Polokwane和Lepelle-Nkumpi街道的七个初级保健设施。方法:采用定性探索性-描述性和情境性研究设计。参与者采用有目的的抽样方法进行选择。采用半结构化访谈收集数据。数据是根据主题及其相关类别进行分析的。采取措施确保执行严格的道德原则。结果:出现了两个主要主题:护理人员所经历的积极监管和护理人员所经历的监管挑战。结论:卫生保健工作者对护士监督的不同经验反映了健全监督机制的必要性。贡献:卫生工作者的经验表明，初级保健设施中护士的监督不一致。调查结果强调需要有效的监管措施，这对健康护理监督计划的成功至关重要。

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引用次数: 0

COVID-19 fear among junior undergraduate nursing students during the pandemic in South Africa. 南非大流行期间护理专业大三学生对COVID-19的恐惧

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.4102/hsag.v28i0.2371

Ilze Steenkamp, Jennifer Chipps

Background: During the COVID-19 pandemic, nursing students continued to work in facilities to complete clinical hours. Little was known about the impact of COVID-19 on nursing students during this time.

Aim: To investigate fear of COVID-19 among junior undergraduate nursing students during the pandemic.

Setting: A student nursing school at a university in the Western Cape, South Africa.

Methods: A cross-sectional survey was conducted with 559 nursing students. A self-administered questionnaire with the validated COVID-19 fear scale (α= 0.84) was distributed. Scale reliability, factor analysis, means and 95% confidence intervals were calculated for items, overall scale and associations with demographic variables were tested using Kruskal-Wallis Independent Samples and Mann-Whitney U tests.

Results: There were 370 respondents (68.51% response rate), predominantly female (294, 79.5%) and exhibited a mean age of 21.9 years (± 3.9). More than half, 192 respondents (51.9%) reported mild fear of COVID-19, 103 (27.8%) moderate fear and 57 (15.4%) severe fear. Apart from gender, no significant demographic associations with overall COVID-19 fear were found. Factor analysis identified two distinct factors, physiological and emotional expressions of fear (moderate significant positive correlation between factors [r = 0.541]).

Conclusion: The study's findings reveal that junior undergraduate nursing students, during the pandemic, generally reported experiencing mild fear related to COVID-19.

Contribution: This study contributes to the field of COVID-19 fear studies, provides insight into factors influencing fear levels and validates the scale's factor structure.

背景:在2019冠状病毒病大流行期间，护理专业学生继续在医疗机构工作以完成临床时数。在此期间，人们对COVID-19对护理专业学生的影响知之甚少。目的:了解大流行期间护生对新冠肺炎的恐惧情况。背景:南非西开普省一所大学的学生护理学校。方法:对559名护生进行横断面调查。发放经验证的新冠肺炎恐惧量表自填问卷(α= 0.84)。计算项目的量表信度、因子分析、均值和95%置信区间，使用Kruskal-Wallis独立样本和Mann-Whitney U检验检验总体量表和与人口变量的关联。结果:调查对象370人，有效率68.51%，女性294人(79.5%)，平均年龄21.9岁(±3.9)岁。192人(51.9%)、103人(27.8%)、57人(15.4%)对新冠肺炎有轻微恐惧。除性别外，没有发现人口统计学与整体COVID-19恐惧有显著关联。因子分析发现两个不同的因素，生理和情绪表达的恐惧(中度显著正相关因素之间[r = 0.541])。结论:研究结果显示，在大流行期间，护理专业的大三本科生普遍报告说，他们经历了与COVID-19相关的轻度恐惧。贡献:本研究为COVID-19恐惧研究领域做出了贡献，深入了解了影响恐惧水平的因素，并验证了量表的因素结构。

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引用次数: 0

Registered nurses' management of depression in general wards. 普通病房注册护士对抑郁症的管理。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid

Pub Date : 2023-11-28 eCollection Date: 2023-01-01 DOI: 10.4102/hsag.v28i0.2328

Mandisa Mpetshu, Jeanette E Maritz

Background: During and in the aftermath of the COVID-19, the rate of depression increased globally. A significant number of patients found in a general hospital or ward with physical conditions often have depression.

Aim: This study aimed to gain an in-depth understanding of registered nurses' experiences managing patients with depression in a general medical ward.

Setting: The study took place in two general medical wards of a private hospital in the Gauteng province, South Africa, in 2021, with COVID-19 lockdown levels three to one prevailing.

Methods: A descriptive qualitative design was used, and data were collected through 10 in-depth, face-to-face interviews. Data were analysed using a thematic approach.

Results: The COVID-19 pandemic exerted a bidirectional influence, affecting both patients diagnosed with depression while admitted to a general ward and the nurses caring for them. This mutual impact added an additional layer of complexity to patient management.

Conclusion: For optimal care of patients with depression in general wards, nurses need comprehensive training, confidence and a safe environment, bolstered by sufficient resources and robust management support.

Contribution: The study highlights critical challenges in detecting and caring for patients diagnosed with depression in a general medical ward and the compounding effect of COVID-19. These findings underscore the importance of addressing clinical and psychosocial needs in a healthcare setting, especially amid a global pandemic.

背景:在2019冠状病毒病期间和之后，全球抑郁症发病率上升。在综合医院或病房发现的有身体状况的病人中，有相当一部分经常患有抑郁症。目的:本研究旨在深入了解普通病房注册护士管理抑郁症患者的经验。环境:该研究于2021年在南非豪登省一家私立医院的两个普通病房进行，当时新冠肺炎封锁级别为3到1级。方法:采用描述性定性设计，通过10次深度面对面访谈收集数据。数据采用专题方法进行分析。结果:新冠肺炎大流行具有双向影响，既影响普通病房诊断为抑郁症的患者，也影响护理他们的护士。这种相互影响给患者管理增加了额外的复杂性。结论:要对普通病房抑郁症患者进行最佳护理，护士需要全面的培训、信心和安全的环境，并辅以充足的资源和强有力的管理支持。贡献:该研究强调了在普通病房发现和照顾被诊断为抑郁症的患者以及COVID-19的复合效应的关键挑战。这些发现强调了在卫生保健环境中解决临床和社会心理需求的重要性，特别是在全球大流行期间。

{"title":"Registered nurses' management of depression in general wards.","authors":"Mandisa Mpetshu, Jeanette E Maritz","doi":"10.4102/hsag.v28i0.2328","DOIUrl":"10.4102/hsag.v28i0.2328","url":null,"abstract":"Background: During and in the aftermath of the COVID-19, the rate of depression increased globally. A significant number of patients found in a general hospital or ward with physical conditions often have depression.Aim: This study aimed to gain an in-depth understanding of registered nurses' experiences managing patients with depression in a general medical ward.Setting: The study took place in two general medical wards of a private hospital in the Gauteng province, South Africa, in 2021, with COVID-19 lockdown levels three to one prevailing.Methods: A descriptive qualitative design was used, and data were collected through 10 in-depth, face-to-face interviews. Data were analysed using a thematic approach.Results: The COVID-19 pandemic exerted a bidirectional influence, affecting both patients diagnosed with depression while admitted to a general ward and the nurses caring for them. This mutual impact added an additional layer of complexity to patient management.Conclusion: For optimal care of patients with depression in general wards, nurses need comprehensive training, confidence and a safe environment, bolstered by sufficient resources and robust management support.Contribution: The study highlights critical challenges in detecting and caring for patients diagnosed with depression in a general medical ward and the compounding effect of COVID-19. These findings underscore the importance of addressing clinical and psychosocial needs in a healthcare setting, especially amid a global pandemic.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"28 ","pages":"2328"},"PeriodicalIF":1.1,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499709","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}

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