Curationis最新文献

Background:  Worldwide, women continue to die from obstetric-related complications, despite the global progress made to reduce maternal mortality. Elderly women play a key role in using their own socio-cultural practices during pregnancy and childbirth.

Objectives:  The study aimed to explore the practices based on the beliefs of elderly women in Limpopo province.

Method:  A qualitative approach using descriptive, explorative and contextual design was employed. Audio recording of unstructured focus group discussions was conducted of the elderly women who were purposively sampled. Data were analysed and coded using thematic analysis approach following Tesch's method and co-coded to ensure trustworthiness. Ethical considerations were also adhered to.

Results:  The findings discuss practices based on beliefs of elderly women and the need for them to be trained to participate in maternal health practices.

Conclusion:  The study concluded that practices based on beliefs of elderly women lead to delays in seeking medical intervention. Therefore, elderly women need to be trained to reduce maternal mortality.Contribution: This study adds knowledge to the need for training and the importance of elderly women to be trained in order to reduce maternal mortality.

No abstract available.

Background:  Effective post-partum maternal care is essential for the overall well-being of both the mother and the child. Postpartum depression (PPD) is a pervasive issue with profound implications for maternal health. However, a significant research gap exists concerning the perspectives of nurse-midwives on PPD within the context of Lesotho.

Objectives:  This study aimed to explore perceptions of nurse-midwives about PPD management at a tertiary care facility in Lesotho.

Method:  The study site was the Quthing Hospital, a government-funded healthcare facility situated in Lesotho's southernmost district, Quthing. Employing a constructivist paradigm, the research adopted a qualitative, exploratory, descriptive and contextual design. Using purposive sampling, nine nurse-midwives participated in individual interviews.

Results:  Thematic analysis of the data resulted in three themes emerging namely: a lack of nurse midwifery empowerment, inadequate human and material resources and stigma on mental health issues.

Conclusion:  Nurse-midwives at a large tertiary care facility perceive PPD management through a multifaceted lens. Insights underscored the complexity of PPD and its ramifications for maternal care.Contribution: This study provides invaluable perspectives from nurse-midwives within a specific Lesotho context, laying the foundation for strategies to enhance PPD management and maternal mental healthcare.

Background:  Globally, few studies were conducted mostly in Africa on Ubuntu and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). These studies did not incorporate empowering communities on integrating Ubuntu HIV/AIDS or tuberculosis (TB). As such, this study used empowerment as a tool to raise awareness in the community about how they can integrate Ubuntu when caring for people living with HIV (PLWHIV)/AIDS or TB.

Objectives:  This study aimed to empower community members to use Ubuntu philosophy when caring for PLWHIV/AIDS or TB in the rural community of Limpopo province.

Method:  An integrative qualitative research design was used in which data were collected through a workshop with participants. The population was unemployed matriculants, traditional health professionals and community healthcare workers who were purposefully sampled and divided into eight groups. Data were collected through a focus group discussion and analysed using content analysis. Ethical considerations and measures to ensure trustworthiness were followed.

Results:  Integrating Ubuntu philosophy can reduce stigma, discrimination and lack of disclosure. This might be achieved through humanity, attitude changing and formation of a support group.

Conclusion:  The principles of Ubuntu (caring, sharing, support, humility, attitude change) came up strongly in preventing stigma and discrimination in the care of PLWHIV/AIDS or TB.Contribution: Community empowerment and integration of Ubuntu philosophical values might have a positive impact on improving the social status of PLWHIV or TB, their families and the community at large.

Background:  Understanding how clinical learning takes place and what could stand as an indicator of clinical learning is crucial. There are existing challenges in the clinical learning environment that require clinical indicators. These serve as accountability standards in settings that have challenges of human resources and material poverty. Thus, clinical indicators are pre-requisites for self-regulation and self-directedness to promote lifelong learning. The reality that exists in today's Malawian health education institutions and clinical settings requires that those in training receive support and guidance on how essential competencies and skills can be acquired during training.

Objectives:  The objective of this scoping review was to identify current literature on clinical learning indicators among health professional students.

Method:  The Joanna Briggs Institute's (May 2020) standards for scoping reviews including narrative synthesis were followed in the conduct of this review. The protocol was registered in the Open Science Framework https://osf.io/yj9nr.

Results:  The results generated seven themes on clinical learning process and these are (1) planning for learning, (2) awareness of self-directedness in clinical learning, (3) knowledge of achievement of learning outcomes, (4) educators' evidence of students' clinical learning, (5) students' perspective on clinical learning, (6) students' knowledge of achievement in practice and (7) impact of prior knowledge on clinical learning.

Conclusion:  Clinical learning indicators among undergraduate health professionals are essential and clinical learning should be a planned endeavour by the students before the clinical placement settings.Contribution: This study contributed to understanding clinical learning indicators and self-regulated learning practices among healthcare students.

Background:  The Mental Health Care Act (No 17 of 2002) promotes the involvement of Mental Health Review Board (MHRB) members in the oversight, execution and evaluation of assessments and admissions of individuals in accordance with the 72-h policy guidelines. However, the MHRB experiences dissatisfaction with the implementation of policy guidelines on 72-h assessment of involuntary Mental Health Care Users (MHCUs).

Objectives:  This study explores and describes the MHRB members' understanding of the policy guidelines on 72-h assessment of involuntary MHCUs in South Africa.

Method:  A qualitative exploratory, descriptive and contextual research design was used. Data were collected using Focus Group Discussions (FGDs) from MHRB from three provinces of South Africa, namely North West, Northern Cape and Gauteng. Three FGDs involving a total of 13 participants were conducted.

Results:  Three themes emerged from the data, namely: MHRBs' understanding of the policy guideline on 72-h assessment of involuntary MHCUs, MHRBs' challenges with the policy guideline on 72-h assessment of involuntary MHCUs and MHRBs' recommendations to strengthen the implementation of policy guideline on 72-h assessment of involuntary MHCUs.

Conclusion:  Certain issues regarding dissatisfaction related to improper implementation of the 72-h policy guideline persist. Therefore, MHRB recommends that there should be skilled Mental Health Care Practitioners, adequate infrastructure, community involvement, and family and stakeholder collaboration to improve care towards the involuntary MHCUs.Contribution: The study illustrated there is a need to strengthen the implementation of 72-h assessment of involuntary MHCUs through ensuring enough human resources, designated facilities and involvement of the community as raised by the MHRBs.

Background:  South Africa is a diverse country that promises equality, dignity, linguistic and cultural rights to all its citizens. Therefore, understanding the cultural, religious and nursing practices in caring for the deceased body is crucial to ensure meaningful integrated care of the deceased body and collective mourning and support within a community.

Objectives:  This study aimed to strengthen multidisciplinary collaboration and knowledge sharing on caring for the human body at all stages of life and beyond death using Ubuntu principles.

Method:  A qualitative exploratory-descriptive design was used to understand the meaning of the human body after cessation of life within African, Christian and nursing practice. The study was conducted in three countries in Southern Africa (eSwatini, South Africa and Zimbabwe). Snowball and purposive sampling techniques were used to recruit participants. In-depth telephonic and face-to-face interviews were conducted. The data were analysed thematically.

Results:  To provide comprehensive insights, themes from the three population groups were integrated. Four main themes emerged from the thematic analysis: (1) death as an end to physical life, (2) cleanliness of the deceased body, (3) ritualisation of death and (4) beyond death and burial.

Conclusion:  Strengthening multidisciplinary collaboration is vital to providing comprehensive care for the body and spirit of the deceased. Understanding cultural and religious rituals helps with collective mourning and support in the community.Contribution: Reflecting on the meaning of the deceased body and the respect given to it during the process of transition into the spiritual world through ritualisation.

Background:  South Africa has seen strides in reducing HIV and tuberculosis (TB); however, adherence counselling for people living with HIV (PLHIV) coinfected with TB remains a challenge, particularly in specific sub-districts like Cape Town. Understanding the attributes of existing training programmes is crucial.

Objectives:  This study explored attributes of training programme development for nurses and other health professionals to enhance adherence counselling for PLHIV coinfected with TB in Cape Town.

Method:  An integrative literature review was conducted in five steps following PRISMA guidelines. Electronic searches encompassed multiple databases: COCHRANE, PsycINFO, PUBMED, ENMBASE, Science Direct, SCOPUS, SocINDEX, Academic Search Complete, Eric, SABINET, Health Resources and World Health Organization Global Health Library Regional Indexes. Inclusion criteria encompassed English language, peer-reviewed full-text studies on training programme development, qualitative and quantitative, published between January 2012 and May 2021. Exclusion criteria included non-English articles, conference proceedings and irrelevant studies. Thematic data analysis synthesised findings.

Results:  Three main themes emerged: participant identification, key programme content and programme implementation process, crucial for effective training programme development.

Conclusion:  Identifying participants, defining programme content and outlining implementation processes are pivotal in enhancing nurses' adherence counselling skills. This approach could stabilise patient treatment adherence, potentially reducing treatment default, loss to follow-up and mortality rates.Contribution: These findings lay the groundwork for developing effective training programmes aimed at improving adherence counselling among nurses.

Background:  The integrated chronic disease management (ICDM) model is seen to be a promising strategy as it is gaining global acceptance as an approach to enhance healthcare delivery.

Objectives:  The study objectives were to explore and describe professional nurses' perspectives on the model, identify challenges experienced during implementation and identify factors that could improve the model implementation.

Method:  An explorative, descriptive qualitative design was used, nine professional nurses from three selected facilities were interviewed. Data obtained from semi-structured individual interviews were analysed using thematic analysis and NVivo software.

Results:  Three main themes emerged: the professional nurses' perceived benefits of the model, challenges experienced during implementation and recommendations to ensure effective implementation of the model. The perceived benefits of the model included the integration of care, adequate medication and the alleviation of stigma related to diseases. However, the challenges of the model included a shortage of staff, poor infrastructure and patients missing scheduled appointments. The study noted the need for adequate staff, infrastructure and ongoing training for the successful implementation of the model.

Conclusion:  Despite challenges in the South African healthcare system, professional nurses perceived the implementation of the model positively. The study highlighted the need for adequate staff, adequate infrastructure and ongoing training for staff.Contribution: This study outlined the challenges and recommendations identified, enabling healthcare organisations, policymakers and educators to develop targeted strategies for successful implementation. The findings will also inform future research focussed on optimising the utilisation of the model in the study setting and similar contexts.

Background:  The focus of this study was on women living with HIV in rural Zimbabwe, who face many challenges, both in the family and community. Patriarchy compounds these problems as these women navigate access to health and other services.

Objectives:  The study sought to explore ubuntuism and the sociocultural factors that facilitate or constrain women living with HIV from accessing community services and resources.

Method:  An interpretive phenomenological analysis research design was utilised for the study. Purposive and quota sampling were applied to recruit 40 participants from six villages. Data were collected using in-depth interviews and focus group discussions that were audio recorded and transcribed. The data were analysed using the interpretive phenomenological analysis framework.

Results:  The study found that women living with HIV face stigma and discrimination in the form of social exclusion and reduced access to community-based health activities and empowerment opportunities. These challenges were compounded by the negative impact of patriarchy that gives rise to land, resettlement and acculturation challenges.

Conclusion:  Ubuntu is a reflection of mutual dependence and can be used to promote more compassionate relationships with those who are HIV positive in the community.Contribution: The study provides unique insights into the challenges experienced by women living with HIV and how ubuntu could mitigate those challenges so that it adds to the humanistic philosophies in interpersonal relationships.