scholarly journals Constraints that registered nurses in Namibia are faced with when utilising the nursing process in local-level Primary health care practice

2016 ◽  
Vol 4 (1) ◽  
pp. 32
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Care Delivery ◽  
Local Level ◽  
Care Practice ◽  
Nursing Process ◽  
Primary Health ◽  
And Function ◽  
Role And Function

<p>The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary health care practice in Namibia with regard to Primary health care delivery during their daily practices and secondly, to develop strategies that would support registered nurses in executing their role and function in this regard. These were prompted by the implementation of a Primary health care approach to health care delivery in the country. The objectives of the study were:</p><ul><li>To Explore and describe the way in which registered nurses in clinics, health care centres and outreach posts in the health districts use the nursing process as regards PHC delivery;</li><li> To determine how supervisors perceive the utilisation of the nursing process by registered nurses with regard to PHC;</li><li>To identify the constraints that registered nurses are faced with when utilising the nursing process with regard to the delivery of PHC;</li><li>To develop a conceptual framework on which to base the formulation of relevant strategies,</li><li>To incorporate the findings of this study into the development of strategies to support registered nurses in their utilisation of the nursing process with regard to the delivery of PHC;</li><li>To validate the appropriateness of these strategies.</li></ul><p>A multi- phase, quantitative, exploratory, descriptive and contextual design was selected to provide a picture of how registered nurses fulfill their role and function concerning Primary health care (PHC) during their daily practices.</p><p>The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centres and in Outreach Programmes. The second group consisted of 39 registered nurses supervisors, who supervised the registered nurses in these facilities. A survey was used to gather the data through self-report (questionnaire). Two questionnaires were developed, one for registered nurses and the other for immediate supervisors. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable. Five main areas where registered nurses needed support in execution of their roles and functions were revealed from the results. The areas were: Water and sanitation and other environmental health issues; health education and communication including outreach activities; Nutrition and food supply; Community diagnosis and care and Management support or administrative functions in Primary health Care, including research and education of health workers including fellow registered nurses.</p><p>This paper discusses the constraints that registered nurses in Namibia face when they use the nursing process in local Primary health care facilities.</p>

scholarly journals Conceptual framework for the formulation of strategies to support registered nurses in their utilisation of the nursing process when executing their roles and functions in local-level Primary health care (PHC) practicein Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conceptual Framework ◽  
Registered Nurses ◽  
Local Level ◽  
Phase 1 ◽  
Care Practice ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>This paper describes the conceptual framework upon which the development of strategies to support use of the nursing process by registered nurses in local-level Primary health care practice in Namibia was based. The conceptual framework was developed based on the findings of phase 1 of this study, which was a situational analysis to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia and to identify constraints that registered nurses in local level Primary health care practice face as they implement the nursing process in their daily practice. The study was conducted in four phases namely as follow: Phase1: Needs assessment quantitative survey; Phase 2: Conceptualisation of findings from phase 1; Phase 3: Development of strategies to support the roles and functions of the registered nurse in local level PHC and Phase 4: Validation of these strategies. This article focusses on Phase 2: Conceptualisation of findings from phase 1 and it describes objectives 4 of the study namely, to develop a conceptual framework on which to base the formulation of relevant strategies.</p><p>From phase 1 which focused on needs assessment, findings indicate that registered nurses in local level Primary health care practice in Namibia fulfill most of their expected role functions. However, five main problem areas were identified. The challenges identified were categorised according to the five elements of PHC and management, namely, water and sanitation and related environmental health issues; nutrition and food supply; health education and communication; community diagnosis and care; and management support or administration, including research.</p><p>It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice.</p><p>The development of the conceptual framework, which guided the development of strategies to support registered nurses use the nursing process in local level Primary health care practice, makes this study an original contribution to the body on knowledge.</p>

scholarly journals The level at which registered nurses utilise the nursing process in local-level primary health care practice in Namibia

2016 ◽  
Vol 5 (1) ◽  
pp. 65 ◽  
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Local Level ◽  
Self Report ◽  
Care Practice ◽  
Research Approach ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>The purpose of this study was to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia. The findings were used to serve as a basis to develop strategies to support registered nurses in their daily local PHC practice. A quantitative research approach using a survey design with self-report questionnaire was used. The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centers and in Outreach Programs. The second group consisted of 39 registered nurses supervisors of the registered nurses in these facilities. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable.</p><p>Five main problem areas were identified. It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice. The development of strategies will be dealt with in a different paper.</p>

scholarly journals The effect of preceptorship on nurses' training and preparation with implications for Qatar: A literature review

2018 ◽  
Vol 8 (7) ◽  
pp. 44 ◽  
Author(s):  
Hajer Arbabi ◽  
Jessie Johnson ◽  
Daniel Forgrave
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Literature Review ◽  
Organizational Support ◽  
Care Delivery ◽  
Health Centers ◽  
Primary Health ◽  
Newly Graduated Nurses ◽  
Level Of Training ◽  
High Level

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost. 

scholarly journals FACTORS THAT INFLUENCE THE SELECTION OF LEARNING OPPORTUNITIES FOR STUDENT NURSES IN PRIMARY HEALTH CARE

2002 ◽  
Vol 7 (2) ◽  
pp. 11 ◽  
Author(s):  
H. Lita ◽  
U. Alberts ◽  
A. Van Dyk ◽  
L F Small
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Registered Nurses ◽  
Student Nurses ◽  
Learning Opportunities ◽  
Theory And Practice ◽  
Research Report ◽  
Primary Health ◽  
Selection Of

T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely: • Managerial constraints • Educational constraints Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.

scholarly journals Improving primary health care delivery in Bihar, India: Learning from piloting and statewide scale-up of Ananya

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Gary L Darmstadt ◽  
Kevin T Pepper ◽  
Victoria C Ward ◽  
Sridhar Srikantiah ◽  
Tanmay Mahapatra ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Scale Up ◽  
Primary Health

Medical Students Training In Community Settings: An Essential Requirement To Meet Growing Health Needs Of Pakistani Population

2018 ◽  
Vol 08 (04) ◽  
pp. 202-203
Author(s):  
Sara Shakil
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Delivery ◽  
Health Professions ◽  
Mortality Rates ◽  
Health Needs ◽  
Community Settings ◽  
Essential Requirement ◽  
Pakistani Population ◽  
Primary Health

The successful provision of adequate primary health care delivery for the underprivileged population in the Asian subcontinent has remained a pressing issue over quite some time. Major reforms in health professions education have taken place across the globe including Asia. Unfortunately, the health education system implemented in Southern Asia (including Pakistan, India, Bangladesh etc.) has not been able to decrease morbidity and decrease the figures of adult and infant mortality rates in this region

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