Health-Related Behaviours, HIV and Active Tuberculosis are Associated with Perioperative Adverse Events Following Emergency Laparotomy at a Tertiary Surgical Service in KwaZulu-Natal, South Africa

2021 ◽  
Author(s):  
Michelle T. D. Smith ◽  
John L. Bruce ◽  
Damian L. Clarke
Keyword(s):  
South Africa ◽  
Adverse Events ◽  
Active Tuberculosis ◽  
Emergency Laparotomy ◽  
Surgical Service ◽  
Kwazulu Natal ◽  
Health Related

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

scholarly journals Adverse Events in an Integrated Home-Based Treatment Program for MDR-TB and HIV in KwaZulu-Natal, South Africa

2013 ◽  
Vol 62 (4) ◽  
pp. 436-440 ◽  
Author(s):  
James C. M. Brust ◽  
N. Sarita Shah ◽  
Theo L. van der Merwe ◽  
Sheila Bamber ◽  
Yuming Ning ◽  
...  
Keyword(s):  
South Africa ◽  
Adverse Events ◽  
Treatment Program ◽  
Home Based ◽  
Kwazulu Natal ◽  
Mdr Tb

scholarly journals Is Consent Not a Consideration for Instant Messaging?

2021 ◽  
Author(s):  
Christopher Morris ◽  
Richard E. Scott ◽  
Maurice Mars
Keyword(s):  
South Africa ◽  
Instant Messaging ◽  
Healthcare Services ◽  
Steady Increase ◽  
Clinical Use ◽  
District Hospitals ◽  
Kwazulu Natal ◽  
Regulatory Guidelines ◽  
Health Related ◽  
Common Clinical Practice

Background: Recently there has been a steady increase in the use of Instant Messaging (IM) as a means of providing health and healthcare services. This growth has been particularly rapid during the ongoing COVID-19 pandemic. Many reports indicate informal services using IM, in particular WhatsApp, have arisen spontaneously, in the absence of any formal guidelines and little consideration of consent. This study documents the consent practices of healthcare professionals using IM for clinical activities in District Hospitals in KwaZulu-Natal, South Africa and compares these practices with the literature. Methods: As part of a larger audit of telemedicine activity in KwaZulu-Natal a survey questioned clinicians’ use of IM, including consent practices and awareness of regulatory guidelines. Concomitantly multiple electronic databases were searched for papers on WhatsApp use in clinical service. Inclusion criteria were: papers written in English, reported on WhatsApp in clinical use or potential clinical use, and addressed consent. Results: The survey confirmed anecdotal reports of widespread informal use of WhatsApp in District Hospitals. Most clinicians were unaware of regulatory guidelines, and few obtained consent for taking photographs or sharing of images and information with colleagues for consultation. The literature review found that consent was mentioned in only 28 papers. Of these 11 reported that written consent was obtained, of which 5 were for taking photographs and 4 for sharing information with colleagues. Discussion: The survey showed that more than half of the respondents who used IM did not consider this to be telemedicine, with the corresponding ethical requirements governed by national guidelines, thereby risking legal exposure. However, South Africa’s regulatory guidelines do not align with common clinical practice. The literature shows that the majority of doctors shared patient information by IM without obtaining any form of consent. Conclusion: Practical guidelines are urgently required in South Africa and worldwide that balance practical conduct of medical care with sound contemporary ethical principles. Prudent guidance will ensure clinicians do not inadvertently breach patient privacy and confidentiality laws whilst permitting continued health-related use of instant messaging.

Factors associated with adverse events after emergency laparotomy in Cape Town, South Africa: identifying opportunities for quality improvement

2016 ◽  
Vol 206 (2) ◽  
pp. 363-370 ◽  
Author(s):  
Richard Trafford Spence ◽  
Mark Hampton ◽  
Kent Pluke ◽  
Miriam Kahn ◽  
Nkhabe Chinyepi ◽  
...  
Keyword(s):  
South Africa ◽  
Quality Improvement ◽  
Adverse Events ◽  
Cape Town ◽  
Emergency Laparotomy ◽  
Factors Associated

scholarly journals Factors associated with adverse events after emergency laparotomy in Cape Town, South Africa: Identifying opportunities for quality improvement

2016 ◽  
Vol 2 (2) ◽  
Author(s):  
Richard Trafford Spence ◽  
Mark Hampton ◽  
Kent Pluke ◽  
Mariam Kahn ◽  
Nkhabe Chinyepi ◽  
...  
Keyword(s):  
South Africa ◽  
Quality Improvement ◽  
Adverse Events ◽  
Cape Town ◽  
Emergency Laparotomy ◽  
Factors Associated

scholarly journals Circumcised men’s perceptions, understanding and experiences of voluntary medical male circumcision in KwaZulu-Natal, South Africa

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Celenkosini T. Nxumalo ◽  
Gugu G. Mchunu
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Health Related ◽  
Service Training ◽  
And Performance ◽  
The University

Background: KwaZulu-Natal, South Africa, has rolled out voluntary medical male circumcision (VMMC) in response to recommendations that regions with a high human immunodeficiency virus (HIV) prevalence adopt VMMC as an additional HIV prevention strategy. There is a paucity of South African data on the motivators, barriers and experiences of adult male candidates regarding VMMC. This study was conducted to analyse circumcised men’s perceptions, understanding and experiences of VMMC in KwaZulu-Natal, South Africa.Methods: A qualitative phenomenographic design was used. Ethical clearance was obtained from the Biomedical Research Ethics Committee of the University of KwaZulu-Natal (BE 627/18). Data were collected from 12 circumcised male candidates. Individual interviews were conducted and recorded by using an audiotape. Data were transcribed verbatim and analysed manually.Results: Participants’ perceptions regarding VMMC are health related and appear to be the motivators for the uptake of medical circumcision. Circumcised men in this study appeared to misunderstand VMMC in terms of healing and performance time and the nature of the procedure. Negative experiences in terms of quality of care received were reported.Conclusion: The study findings imply that practice interventions to promote demand generation for VMMC in KwaZulu-Natal, South Africa, should incorporate the perceptions and experiences of male candidates regarding the procedure. Tailored messaging to address misunderstanding related to the nature of VMMC should also be provided. Regular in-service training on standardised VMMC implementation practices should be provided to ensure the delivery of optimum quality VMMC services.

CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Services ◽  
Service Providers ◽  
Informal Settlement ◽  
Mutual Trust ◽  
Open Communication ◽  
Community Based ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Qualitative Phase

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.

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