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Nurse managers on healthy environments for adolescents living with intellectual disabilities. 为智障青少年提供健康环境的护士长。
Pub Date : 2024-10-31 DOI: 10.4102/curationis.v47i1.2592
Rakgadi G Malapela

Background:  Providing care for adolescents living with intellectual disabilities (ALWIDs) within healthcare settings is a complex challenge. These adolescents require an environment that is specialised and conducive to their health, alongside tailored care, treatment and rehabilitation services. Nurse managers play a crucial role in supporting these adolescents, particularly given the difficulties parents face in meeting their unique needs.

Objectives:  This study aims to explore nurse managers' perspectives on the creation of a healthy environment for ALWIDs in health facilities.

Method:  An explorative qualitative study design was conducted. A purposive sampling method was used to select 13 nurse managers from three institutions relevant to the study's interests. Nurse managers with over 2 years of direct experience in the care, treatment and rehabilitation of ALWIDs were eligible to participate in the study. Selecting these nurse managers ensured the study captured their firsthand experiences and expertise in managing nursing services. Data were collected through face-to-face and telephonic semi-structured interviews, recorded digitally. Braun and Clarke's six-step thematic analysis was used for data analysis.

Results:  A safe environment; multi-disciplinary team involvement; competent and adequate staff and a conducive physical environment for structural support are beneficial for ALWIDs.

Conclusion:  To promote the well-being of ALWIDs, it is essential to establish a spacious and safe environment equipped with sufficient material and non-material resources. Engaging a multi-disciplinary team is vital for addressing their diverse needs.Contribution: This study provided information on what constitutes a healthy environment for ALWIDs to inform clinical practice, nursing education, policy makers and research.

背景: 在医疗机构中为智障青少年(ALWIDs)提供护理是一项复杂的挑战。这些青少年需要一个专门的、有利于他们健康的环境,以及量身定制的护理、治疗和康复服务。护士长在为这些青少年提供支持方面发挥着至关重要的作用,特别是考虑到家长在满足他们的独特需求方面所面临的困难: 本研究旨在探讨护士长对在医疗机构为低龄残疾儿童创造健康环境的看法: 方法:采用探索性定性研究设计。采用目的性抽样方法,从与研究兴趣相关的三个机构中挑选了 13 名护士管理人员。有两年以上护理、治疗和康复 ALWIDs 直接经验的护士长有资格参与研究。选择这些护士长可确保研究能捕捉到他们在管理护理服务方面的第一手经验和专业知识。通过面对面和电话半结构化访谈收集数据,并进行数字录音。数据分析采用了布劳恩和克拉克的六步主题分析法: 结果:安全的环境、多学科团队的参与、称职和充足的工作人员以及有利于结构性支持的物质环境都对低龄残疾儿童有益: 结论:为促进低龄残疾儿童的福祉,必须建立一个宽敞、安全的环境,并配备充足的物质和非物质资源。多学科团队的参与对于满足他们的不同需求至关重要:本研究为临床实践、护理教育、政策制定者和研究人员提供了有关ALWIDs健康环境构成要素的信息。
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引用次数: 0
Midwives' experiences regarding recordkeeping during intrapartum care in Limpopo Province healthcare facilities. 林波波省医疗机构助产士在产前护理记录方面的经验。
Pub Date : 2024-10-25 DOI: 10.4102/curationis.v47i1.2594
Phogole C Maesela, Johanna M Mathibe-Neke

Background:  South Africa has experienced an increase in litigations because of poor recordkeeping. The quality of maternal healthcare necessitates quality recordkeeping. All midwives' interventions should be documented in the maternity case record as an instrument to highlight the quality of intrapartum care offered.

Objectives:  The purpose of the study was to determine and describe the experiences of midwives regarding recordkeeping during intrapartum care in Limpopo province and to make recommendations to improve recordkeeping.

Method:  A qualitative, explorative and descriptive design was adopted. Midwives were selected purposively to participate in focus group discussions. Data were thematically analysed with the help of the independent transcriptionist and coder.

Results:  The findings revealed the themes: perceptions of midwives regarding recordkeeping and the challenges and enablers that influence recordkeeping during intrapartum care.

Conclusion:  Quality recordkeeping requires timely, detailed, comprehensive and accurate recording. The study recommended the availability of updated guidelines, in-service training, monitoring and evaluation of recordkeeping, peer review, record auditing, proper time management among midwives and appointment of staff in line with the staffing needs of the unit to enhance recordkeeping.Contribution: Quality recordkeeping has a positive impact on the provision of quality healthcare to mothers during intrapartum care and reduces litigations related to maternity cases.

背景: 由于记录保存不善,南非的诉讼案件有所增加。孕产妇医疗保健的质量需要高质量的记录。助产士的所有干预措施都应记录在产科病例记录中,以此来突出产前护理的质量: 本研究旨在确定和描述林波波省助产士在产前护理记录方面的经验,并提出改进记录的建议: 方法:采用定性、探索和描述性设计。有目的地选择助产士参加焦点小组讨论。在独立记录员和编码员的帮助下,对数据进行了主题分析: 研究结果揭示了以下主题:助产士对记录保存的看法以及影响产前护理记录保存的挑战和促进因素: 结论:高质量的记录需要及时、详细、全面和准确的记录。研究建议提供最新的指南、在职培训、对记录保存的监测和评估、同行评审、记录审计、助产士适当的时间管理以及根据单位的人员需求任命工作人员,以加强记录保存:高质量的记录保存对在产前护理期间为产妇提供高质量的医疗保健服务具有积极影响,并可减少与产妇案件有关的诉讼。
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引用次数: 0
A conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression. 精神科护士促进成年抑郁症患者遵医嘱用药的概念框架。
Pub Date : 2024-10-04 DOI: 10.4102/curationis.v47i1.2581
Jeanne Du Plessis, Annie Temane, Marie Poggenpoel

Background:  Medication non-compliance is a significant healthcare issue that is widespread. Extensive research has identified factors that contribute to medication non-compliance in different healthcare settings. As a result, there was a need to develop a conceptual framework to facilitate medication compliance among adults living with depression.

Objectives:  The purpose of this study was to develop a conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression.

Method:  A qualitative, exploratory, descriptive and contextual research design was utilised to investigate the experiences of adults living with depression who are non-compliant with medication. The study consisted of three phases: an empirical phase, a classification of concepts and a development phase. Following the empirical phase, a conceptual framework was developed based on the classified concepts.

Results:  Three sets of results were merged for the cross-validation analysis, combining findings from the systematic review, the researcher's previously conducted and published minor dissertation and the current study.

Conclusion:  A conceptual framework was developed to assist psychiatric nurses in effectively promoting an internal locus of control among adults living with depression. The resulting conceptual framework provides valuable insights and serves as a valuable tool for future research endeavours aimed at enhancing medication compliance among adults living with depression.Contribution: This framework serves as a valuable guide for future studies that aim to explore medication compliance among adults living with depression, specifically by focussing on the concept of internal locus of control.

背景: 不遵医嘱用药是一个普遍存在的重大医疗问题。大量研究发现了在不同医疗环境中导致不遵医嘱用药的因素。因此,有必要制定一个概念框架,以促进成年抑郁症患者的用药依从性: 本研究旨在为精神科护士制定一个概念框架,以促进成年抑郁症患者的用药依从性: 方法:采用定性、探索、描述性和情境研究设计,调查抑郁症成人患者不遵医嘱用药的经历。研究分为三个阶段:实证阶段、概念分类阶段和发展阶段。实证阶段结束后,根据分类概念制定了概念框架: 结合系统综述、研究人员之前进行并发表的小论文和本次研究的结果,合并三组结果进行交叉验证分析: 研究人员制定了一个概念框架,以帮助精神科护士有效促进抑郁症成人患者的内部控制。由此产生的概念框架为今后旨在提高成年抑郁症患者服药依从性的研究工作提供了宝贵的见解和工具:该框架为今后旨在探讨抑郁症成人患者服药依从性的研究提供了宝贵的指导,特别是通过关注内部控制的概念。
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引用次数: 0
Impact of anxiety-related conditions on nursing students' academic excellence. 焦虑相关状况对护理专业学生学业成绩的影响。
Pub Date : 2024-10-04 DOI: 10.4102/curationis.v47i1.2571
Hlengiwe D Seshabela, Simangele Shakwane

Background:  Nursing students often experience high anxiety and depression because of the demanding nursing curriculum. This mental strain can harm their academic performance. As a result, nurse educators need to assess how anxiety impacts nursing students' academic achievements.

Objectives:  To evaluate and describe the knowledge of counsellors and nurse educators regarding the impact of anxiety-related conditions on nursing students' academic excellence in selected nursing education institutions.

Method:  A qualitative descriptive phenomenological design was used to evaluate and describe the perceptions of counsellors and nurse educators about anxiety-related conditions on nursing students' academic excellence. Participants were purposively selected, and semi-structured interviews were utilised to collect data. Four counsellors involved in psychosocial support of nursing students who participated in individual semi-structured interviews, and 20 nurse educators participated in focus group interviews, with 5 participants per group. Data were recorded and transcribed. Transcripts were analysed using Giorgi's (2009) four data analysis steps.

Results:  Four themes emerged from data analysis: understanding of anxiety-related conditions, responses to anxiety-related conditions, influences of anxiety-related conditions and support of nursing students with anxiety-related conditions. The findings highlighted the significance of recognising the effects of mental health issues on nursing students.

Conclusion:  The study revealed the factors influencing nursing students' responses to and the support provided for anxiety-related conditions affecting their academic performance.Contribution: The importance of prioritising mental health support for nursing students is to ensure they complete their qualifications on time.

背景: 由于护理课程要求较高,护理专业的学生经常会感到高度焦虑和抑郁。这种精神压力会损害他们的学习成绩。因此,护士教育者需要评估焦虑如何影响护生的学业成绩: 在选定的护理教育机构中,评估并描述辅导员和护士教育者对焦虑相关状况对护理专业学生学业成绩影响的认识: 方法:采用定性描述现象学设计,评估和描述辅导员和护士教育工作者对焦虑相关状况对护理专业学生学业成绩影响的看法。有目的性地选择参与者,并利用半结构式访谈收集数据。参与半结构式访谈的有 4 名为护理专业学生提供心理支持的辅导员,20 名护士教育工作者参与了焦点小组访谈,每组 5 人。对数据进行了记录和转录。采用 Giorgi(2009 年)的四个数据分析步骤对记录誊本进行分析: 数据分析得出了四个主题:对焦虑相关状况的理解、对焦虑相关状况的反应、焦虑相关状况的影响以及对患有焦虑相关状况的护理学生的支持。研究结果强调了认识到心理健康问题对护理专业学生影响的重要性: 研究揭示了影响护理专业学生对影响其学习成绩的焦虑相关状况的反应和所提供支持的因素:贡献:优先为护理专业学生提供心理健康支持的重要性在于确保他们按时完成学业。
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引用次数: 0
Newly qualified primary care nurses' preparedness to make sound clinical judgements in practice. 新晋初级护理护士在实践中做出正确临床判断的准备情况。
Pub Date : 2024-10-03 DOI: 10.4102/curationis.v47i1.2567
Mavis Ndlela, Charlené Downing

Background:  The public health sector in South Africa provides care to more than 40 million people, with primary health care (PHC) clinics acting as most patients' first contact with healthcare services; 80% of patients are treated by primary care nurses. Primary care nurses' poor clinical judgment can result in poor patient care, complications and death. However, newly qualified primary care (NQPC) nurses' preparedness for making sound clinical judgements in practice has not been evaluated in Gauteng province, South Africa.

Objectives:  To determine NQPC nurses' level of preparedness in making sound clinical judgements in practice.

Method:  A quantitative, non-experimental, descriptive design was used. The target population was NQPC nurses. A census method was used to select all NQPC nurses in public PHC facilities in three health districts of Gauteng. The sample size comprised 77 NQPC nurses, and data were collected using a self-administered questionnaire.

Results:  The findings indicated that 83% of NQPC nurses were able to notice salient changes in patients' conditions, 43% were able to correctly interpret the changes that were noticed, but only 42% prioritised the correct patient care.

Conclusion:  The results reflect that 50.2% of the NQPC nurses in public PHC facilities in the three districts in Gauteng were functioning at exemplary levels.Contribution: This article highlighted NQPC nurses' level of preparedness to make sound clinical judgements within a year after qualifying.

背景: 南非的公共卫生部门为 4000 多万人提供医疗服务,其中初级卫生保健(PHC)诊所是大多数患者接触医疗服务的第一站;80% 的患者由初级保健护士负责治疗。初级保健护士的临床判断能力较差,可能导致病人护理不善、并发症和死亡。然而,南非豪登省尚未对新获得资格的初级护理(NQPC)护士在实践中做出正确临床判断的准备情况进行评估: 确定新获得初级护理资格的护士在实践中做出正确临床判断的准备程度: 方法:采用定量、非实验、描述性设计。目标人群为国家质控中心护士。研究采用普查方法,在豪滕省三个卫生区的公立初级保健设施中选取了所有 NQPC 护士。样本量为 77 名 NQPC 护士,采用自填式问卷收集数据: 结果:研究结果表明,83% 的国家质控中心护士能够注意到患者病情的显著变化,43% 的护士能够正确解释所注意到的变化,但只有 42% 的护士能够优先考虑正确的患者护理: 结果反映出,在豪滕省三个地区的公立初级保健设施中,50.2% 的国家质控中心护士的工作达到了模范水平:这篇文章强调了国家合格初级保健中心护士在获得资格后一年内做出正确临床判断的准备程度。
{"title":"Newly qualified primary care nurses' preparedness to make sound clinical judgements in practice.","authors":"Mavis Ndlela, Charlené Downing","doi":"10.4102/curationis.v47i1.2567","DOIUrl":"10.4102/curationis.v47i1.2567","url":null,"abstract":"<p><strong>Background: </strong> The public health sector in South Africa provides care to more than 40 million people, with primary health care (PHC) clinics acting as most patients' first contact with healthcare services; 80% of patients are treated by primary care nurses. Primary care nurses' poor clinical judgment can result in poor patient care, complications and death. However, newly qualified primary care (NQPC) nurses' preparedness for making sound clinical judgements in practice has not been evaluated in Gauteng province, South Africa.</p><p><strong>Objectives: </strong> To determine NQPC nurses' level of preparedness in making sound clinical judgements in practice.</p><p><strong>Method: </strong> A quantitative, non-experimental, descriptive design was used. The target population was NQPC nurses. A census method was used to select all NQPC nurses in public PHC facilities in three health districts of Gauteng. The sample size comprised 77 NQPC nurses, and data were collected using a self-administered questionnaire.</p><p><strong>Results: </strong> The findings indicated that 83% of NQPC nurses were able to notice salient changes in patients' conditions, 43% were able to correctly interpret the changes that were noticed, but only 42% prioritised the correct patient care.</p><p><strong>Conclusion: </strong> The results reflect that 50.2% of the NQPC nurses in public PHC facilities in the three districts in Gauteng were functioning at exemplary levels.Contribution: This article highlighted NQPC nurses' level of preparedness to make sound clinical judgements within a year after qualifying.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"47 1","pages":"e1-e12"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570229","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
Psychiatric nurses' experiences implementing a model for constructive group therapy in mood disorders. 精神科护士实施情绪障碍建设性小组疗法模式的经验。
Pub Date : 2024-09-25 DOI: 10.4102/curationis.v47i1.2577
Hester M P Visagie, Annie Temane, Marie Poggenpoel

Background:  In South Africa, various treatment modalities from abroad have been implemented to treat patients with mood disorders. This article is based on a South African model that has been developed, implemented and evaluated for psychiatric nurses to use in facilitating constructive group therapy for patients with mood disorders.

Objectives:  This study aimed to describe psychiatric nurses' experiences in implementation of a model to facilitate constructive group therapy for patients with mood disorders.

Method:  A qualitative, exploratory, descriptive and contextual research design was used for this study. Participants were psychiatric nurses working in an inpatient unit for patients with mood disorders in a public psychiatric hospital.

Results:  The study revealed that psychiatric nurses experienced the model as a supportive tool to facilitate constructive interaction among patients with mood disorders. The model was beneficial in creating a safe space for patients to share and deal with their challenges, promoting optimal functioning outside the hospital setting. The model's implementation also fostered improvement in psychiatric nurses' personal and professional skills.

Conclusion:  The model emphasised psychiatric nurses' importance in treating patients with mood disorders and ensuring positive patient experiences and outcomes.Contribution: This study contributes to the theory of clinical psychiatric nursing practice and the empowerment of psychiatric nurses, creating self-awareness related to working with patients with mood disorders.

背景: 在南非,已经采用了国外的各种治疗模式来治疗情绪障碍患者。本文以南非的一种模式为基础,该模式已被开发、实施和评估,供精神科护士用于促进情绪障碍患者的建设性团体治疗: 本研究旨在描述精神科护士在实施促进情绪障碍患者建设性团体治疗的模式过程中的经验: 本研究采用了定性、探索、描述和情境研究设计。参与者是在一家公立精神病医院情绪障碍住院部工作的精神科护士: 研究结果表明,精神科护士认为该模式是促进情绪障碍患者之间建设性互动的支持性工具。该模式有利于为患者创造一个安全的空间来分享和应对他们所面临的挑战,从而促进他们在医院环境之外发挥最佳功能。该模式的实施还促进了精神科护士个人和专业技能的提高: 结论:该模式强调了精神科护士在治疗情绪障碍患者以及确保患者获得积极体验和结果方面的重要性:本研究对精神科临床护理实践理论和提高精神科护士的能力做出了贡献,使她们对与情绪障碍患者打交道有了自我认识。
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引用次数: 0
Clinical learning of nursing students during the COVID-19 pandemic in Limpopo province, South Africa. 南非林波波省 COVID-19 大流行期间护理专业学生的临床学习。
Pub Date : 2024-09-23 DOI: 10.4102/curationis.v47i1.2578
Linda Nchabeleng, Mamare A Bopape, Ledile E Manamela, Tshepo A Ntho

Background:  The Nursing Education Programme was affected during the coronavirus disease 2019 (COVID-19) pandemic, resulting in nursing students being unable to participate in the clinical experiential learning required by the South African Nursing Council.

Objectives:  The study seeks to explore and describe nursing students' experiences of clinical experiential learning during the COVID-19 pandemic.

Method:  A qualitative, explorative and descriptive, research design was used in the study. A non-probability purposive sampling method was used, and 55 nursing students participated in the study. Data were collected through six focus group discussions, consisting of 8-12 nursing students in each group. Data were analysed following Tesch's open coding method.

Results:  Three themes emerged from the study's findings: The impact of COVID-19 on the clinical experiential learning of nursing students, the effects of COVID-19 on the mental well-being of nursing students, and nursing students' experiences of support during the COVID-19 pandemic. Notably, 11 sub-themes emerged.

Conclusion:  The findings of this study reveal that the COVID-19 pandemic severely disrupted the Nursing Education Programme, highlighting the challenges of inadequate clinical hours, restricted clinical access and the significant psychological impact on students.Contribution: This study adds to the literature on students' experiences during clinical experiential learning in South Africa during the COVID-19 pandemic.

背景: 护理教育计划在 2019 年冠状病毒病(COVID-19)大流行期间受到影响,导致护理专业学生无法参加南非护理委员会要求的临床实践学习: 本研究旨在探索和描述护理专业学生在 COVID-19 大流行期间的临床实践学习经历: 研究采用定性、探索和描述性研究设计。研究采用了非概率目的性抽样方法,共有 55 名护理专业学生参与研究。通过六个焦点小组讨论收集数据,每个小组由 8-12 名护理专业学生组成。数据按照 Tesch 开放式编码法进行分析: 研究结果提出了三个主题:结果:研究结果中出现了三个主题:COVID-19 对护理专业学生临床经验学习的影响、COVID-19 对护理专业学生心理健康的影响以及护理专业学生在 COVID-19 大流行期间获得支持的经历。值得注意的是,共出现了 11 个子主题: 本研究的结果表明,COVID-19 大流行严重扰乱了护理教育计划,凸显了临床时间不足、临床机会受限等挑战以及对学生造成的重大心理影响:本研究为有关 COVID-19 大流行期间南非学生临床实践学习经历的文献增添了新的内容。
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引用次数: 0
Barriers and enablers to breast cancer screening in rural South Africa. 南非农村地区乳腺癌筛查的障碍和促进因素。
Pub Date : 2024-09-20 DOI: 10.4102/curationis.v47i1.2583
Nelisha Sarmah, Maureen N Sibiya, Thandokuhle E Khoza

Background:  The breast cancer burden on the South African healthcare system is severe, with rural South African women often diagnosed at an advanced stage of the disease. South Africa's rural areas are classified as low-resource settings with limited medical services and infrastructure. The impact of breast cancer on rural communities in South Africa requires ongoing research to better understand the severity of this disease among one of the most vulnerable populations.

Objectives:  This study aimed to explore the barriers and enablers of breast cancer screening among rural South African women.

Method:  An exploratory qualitative study was utilised. A semi-structured interview was conducted with 22 rural South African women. Data were analysed using thematic analysis. This study utilised the care-seeking behaviour theory as its theoretical framework.

Results:  Participants identified many barriers to breast cancer screening, including individual affordability, transportation, rural services, infrastructure, health professional behaviour, and the lack of educational materials. Several factors are suggested to enable the screening of breast cancer in rural South Africa, including breast cancer campaigns, health education, the involvement of key stakeholders, and promotional materials.

Conclusion:  Despite the many barriers to breast cancer screening among rural South African women, there is still hope in implementing the various promotional tools outlined in this study and ensuring that breast self-examination is an alternative, affordable screening method.Contribution: The purpose of this article is to contribute to the attainment of the Sustainable Development Goal (SDG) 3, which focusses reducing premature mortality from non-communicable diseases, including cancer.

背景: 乳腺癌给南非医疗系统带来了沉重的负担,南非农村妇女往往在疾病晚期才被诊断出来。南非的农村地区被归类为低资源环境,医疗服务和基础设施有限。乳腺癌对南非农村社区的影响需要不断进行研究,以更好地了解这一疾病在最弱势人群中的严重性: 本研究旨在探讨南非农村妇女进行乳腺癌筛查的障碍和促进因素: 方法:采用探索性定性研究。对 22 名南非农村妇女进行了半结构化访谈。采用主题分析法对数据进行分析。本研究采用寻求护理行为理论作为理论框架: 结果:参与者指出了乳腺癌筛查的许多障碍,包括个人负担能力、交通、农村服务、基础设施、医疗专业人员的行为以及缺乏教育材料。结论:尽管乳腺癌筛查存在诸多障碍,但在南非农村地区进行乳腺癌筛查仍有许多可行的因素,包括乳腺癌宣传活动、健康教育、主要利益相关者的参与以及宣传材料: 尽管南非农村妇女在乳腺癌筛查方面面临诸多障碍,但仍有希望实施本研究中概述的各种宣传工具,并确保乳房自我检查成为一种可供选择的、负担得起的筛查方法:本文旨在促进可持续发展目标(SDG)3 的实现,该目标的重点是降低包括癌症在内的非传染性疾病的过早死亡率。
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引用次数: 0
Investigating the influencing factors of evidence-based healthcare practice adoption. 调查采用循证医疗实践的影响因素。
Pub Date : 2024-09-12 DOI: 10.4102/curationis.v47i1.2586
Lovemore Motsi

Background:  In healthcare facilities, evidence-based healthcare practice (EBHP) is becoming more widely acknowledged as a critical element of patient care delivery. An increasingly important component of EBHP is the implementation of electronic health records (EHRs).

Objectives:  This study aims to investigate factors that influence EBHP adoption in public healthcare institutions in South Africa.

Method:  Four hundred and fifty patients were self-administered to healthcare professionals at an academic public hospital in Gauteng and used in this study. A total of 300 responses were available for use in the final analysis following the data cleaning procedure. Utilising structural equation modelling (SEM), the collected data were analysed.

Results:  Perceived ease of use (PEOU) and perceived usefulness (PU) were found to be major variables in the adoption of EBHP along with technological, organisational and environmental factors. The technology context relative advantage (RELA) was shown to have a positive significant influence on the adoption of evidence-based healthcare practice by the PEOU and PU, with the environmental context government laws and regulations (GLRS) and organisational context organisational readiness (ORGR) coming in second and third, respectively.

Conclusion:  Perceived ease of use, PU, ORGR, and GLRS are regarded as a vital variables in the implementation of EBHP in South African public hospitals.Contribution: The study's conclusions would be helpful to policymakers as they redefine nursing practice. Furthermore, the findings heighten the consciousness of healthcare practitioners regarding the significance of employing evidence-based practice while making decisions.

背景: 在医疗机构中,循证医疗实践(EBHP)正被越来越多的人视为提供病人护理的关键要素。实施电子健康记录(EHR)是循证医疗实践中一个日益重要的组成部分: 本研究旨在调查影响南非公立医疗机构采用 EBHP 的因素: 在豪登省的一家公立学术医院,对 450 名患者进行了自我问卷调查,并将其用于本研究。经过数据清理程序后,共有 300 份答卷可用于最终分析。利用结构方程模型(SEM)对收集到的数据进行了分析: 结果发现,除了技术、组织和环境因素外,感知易用性(PEOU)和感知有用性(PU)也是影响采用电子病历和健康计划的主要变量。技术背景下的相对优势(RELA)对循证医疗实践的采用具有积极的显著影响,而环境背景下的政府法律法规(GLRS)和组织背景下的组织准备程度(ORGR)则分别排在第二和第三位: 结论:认为易用性、PU、ORGR 和 GLRS 是南非公立医院实施 EBHP 的重要变量:本研究的结论将有助于政策制定者重新定义护理实践。此外,研究结果还提高了医护人员对在决策时采用循证实践的重要性的认识。
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引用次数: 0
Midwives' compliance with post-exposure prophylaxis guidelines in Tshwane District, South Africa. 南非 Tshwane 地区助产士对暴露后预防指南的遵守情况。
Pub Date : 2024-09-11 DOI: 10.4102/curationis.v47i1.2548
Mosehle S Matlala, Thanyani G Lumadi

Background:  Human immunodeficiency virus (HIV) remains a major public health concern. Midwifery practitioners as frontline healthcare workers (HCWs) remain susceptible to occupational exposure to infections while performing their routine duties. It is estimated that 90% of occupational exposures occur because of a lack of awareness and training regarding prevention and measures to be taken in case of accidental exposure.

Objectives:  The study aimed to assess the knowledge, attitudes and compliance of midwifery practitioners regarding post-exposure prophylaxis (PEP) guidelines.

Method:  Concurrent mixed-methods research approach with qualitative nested in quantitative design was followed. A random simple sampling technique was used to collect quantitative data from 71 midwifery practitioners. Simultaneously, a purposive non-probability sampling technique was used for the qualitative approach with two occupational health and safety (OHS) practitioners and 13 midwifery practitioners. Data were collected through questionnaires and semi-structured interviews. Quantitative data were analysed with SPSS version 24 and presented in tables and figures, and thematic analysis was employed for the qualitative strand.

Results:  The midwifery practitioners have good knowledge about PEP for HIV. However, the study revealed the underreporting of accidental exposures to blood and body fluids (BBFs) and the underutilisation of available PEP services.

Conclusion:  Maternity units are high-risk clinical environments. Underreporting of incidents of exposure remains prevalent among midwifery practitioners.Contribution: The findings will inform policy development structures and hospital management regarding knowledge and implementation gaps related to PEP guidelines in the specific hospitals. Strategies to improve compliance with PEP among midwifery practitioners were developed as a derivative from study findings.

背景: 人类免疫缺陷病毒(HIV)仍然是一个重大的公共卫生问题。助产士作为前线医护人员(HCWs),在履行日常职责时仍然很容易受到职业感染。据估计,90%的职业暴露发生的原因是缺乏有关预防和意外暴露时应采取的措施的意识和培训: 本研究旨在评估助产士对暴露后预防(PEP)指南的了解、态度和遵守情况: 方法:采用定性嵌套定量的并行混合研究方法。采用随机简单抽样技术从 71 名助产士中收集定量数据。同时,在定性方法中采用了有目的的非概率抽样技术,抽取了两名职业健康与安全(OHS)从业人员和 13 名助产士。数据通过问卷调查和半结构化访谈收集。定量数据采用 SPSS 24 版进行分析,并以表格和数字的形式呈现,定性数据则采用主题分析法: 结果:助产士对艾滋病毒的 PEP 有很好的了解。然而,研究显示,意外暴露于血液和体液(BBFs)的情况报告不足,现有的 PEP 服务利用不足: 结论:产科是高风险的临床环境。贡献:贡献: 研究结果将为政策制定机构和医院管理层提供信息,帮助他们了解特定医院中与 PEP 指南相关的知识和实施差距。作为研究结果的衍生品,还制定了提高助产从业人员遵守 PEP 的策略。
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