scholarly journals Nurses’ Practices During Implementation of the Nursing Process at a Selected Public Hospital of Limpopo Province, South Africa: A Qualitative Pilot Study Analysis

2020 ◽  
Vol 13 (1) ◽  
pp. 309-315
Author(s):  
Takalani E. Mutshatshi ◽  
Tebogo M. Mothiba
Keyword(s):  
South Africa ◽  
Patient Care ◽  
Public Hospital ◽  
Structured Interview ◽  
Limpopo Province ◽  
Nursing Process ◽  
Multiple Traits ◽  
Data Saturation ◽  
Service Training ◽  
Open Coding

Background: The nursing process is a systemic approach to patient care and enables nurses in health care institutions to render comprehensive care aimed at achieving quality. During the implementation of the nursing process, nurses are faced with multiple traits that hinder effective implementation. The nursing process has been widely recommended as an approach that guides nurses towards quality nursing care, thus, non-adherence is associated with substandard patient care. Objective: The objective was to explore and describe the practices of nurses when implementing the nursing process at a selected public hospital in Limpopo province, South Africa. Methods: A qualitative, explorative-descriptive approach research method was used to collect data. A non-probability purposive sampling method was used to initially select 5 professional nurses to participate in the study and later on, more data was collected from 3 unit managers. Data was collected using a semi-structured interview until data saturation, and data was analyzed using the Tesch’s open coding method of data analysis, where themes and sub-themes were developed. Measures to ensure trustworthiness were all adhered to the study. Results: The results explained the practices of nurses when implementing the nursing process and the challenges encountered during the implementation of the nursing process. Conclusion: The study findings indicated a need for continuous in-service training, provision of adequate resources and development of a formal training program.

scholarly journals Factors influencing the uptake of contraception services by Vatsonga adolescents in rural communities of Vhembe District in Limpopo Province, South Africa

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Rachel T. Lebese ◽  
Sonto M. Maputle ◽  
Dorah U. Ramathuba ◽  
Lunic B. Khoza
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Health Beliefs ◽  
Target Population ◽  
Limpopo Province ◽  
Negative Attitudes ◽  
Comprehensive Knowledge ◽  
Data Saturation ◽  
Open Coding ◽  
Vhembe District

The aim of the study was to determine the factors that influence the uptake of contraception services by adolescents in the Vhembe district of Limpopo Province, South Africa. A qualitative research method which is explorative, descriptive and contextual in nature was used to investigate the phenomenon from the adolescents’ perspective. The target population comprised of adolescents residing in one of the six villages of Vhembe District. Data was collected through six focus group discussions until data saturation was achieved. Data was analysed using an open coding method. The findings revealed that adolescents are aware of the availability of contraceptive services. However, they lack a comprehensive knowledge about contraception and contraceptives, which led to negative attitudes towards using the services. Cultural health beliefs and attitudes were also identified as a barrier to the uptake and use of contraceptives. Recommendations were made on interventions to increase the uptake of contraception services amongst adolescents.Die doel met die studie was om te bepaal watter faktore beïnvloed adolessente in die Vembe distrik van Limpopo Provinsie, Suid Afrika se besluit om voorbehoedmiddels te gebruik. ’n Kwalitatiewe navorsingsmetode wat eksploratief, beskrywend en kontekstueel van aard is, is gebruik om die fenomeen vanuit die perspektief van die adolessent te ondersoek. Data is ingewin deur ses fokusgroepbesprekings todat ’n punt van dataversadiging bereik is. Data is met behulp van oop kodeering geanaliseer. Bevindinge het getoon dat die adolessente wel bewus is van die beskikbaarheid van voorbehoeddienste, alhoewel hulle kennis van voorbehoeding en voorbehoedmiddels gebrekkig is, en dit het tot ’n negatiewe houding jeens die gebruik van die dienste gelei. Kulturele en kulturele gesondheidsgelowe gelowe en houdings is ook geidentifiseer as ’n hindernis tot die gebruik van voorbehoedmiddels. Aanbevelings is gemaak ten opsigte van intervensies om die gebruik van voorbehoeddienste onder adolessente te bevorder.

scholarly journals Experiences of people affected by rabies in Ethekwini district in the province of Kwazulu-Natal, South Africa

2020 ◽  
Vol 20 (1) ◽  
pp. 150-157
Author(s):  
Jeffrey Mduduzi Hadebe ◽  
Maureen Nokuthula Sibiya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Structured Interview ◽  
Family Stability ◽  
Notifiable Disease ◽  
The Past ◽  
Kwazulu Natal ◽  
Data Saturation ◽  
Care Assistance ◽  
Rabies Exposure

Background: South Africa is one of the countries in Africa adversely affected by rabies, a notifiable disease which can be fatal. Fatalities can be prevented if health care is sought timeously and people are educated about the disease. The Province of Kwa- Zulu-Natal, in particular, has had rabies outbreaks in the past which have led to loss of many lives and devastation of entire families. Objective: The aim of the study was to explore the experiences of people affected by rabies in the eThekwini district of Kwa- Zulu-Natal, South Africa. Methods: The study was guided by a qualitative, exploratory, descriptive design. The sample was purposively selected, and a semi-structured interview was used to collect data from people affected by rabies in the eThekwini district. Data saturation was reached after 12 participants were interviewed. Data was analysed by using Tesch’s eight steps of thematic analysis. Results: The themes included family stability and support structures, exposure to risk factors and risky practices, factors that hindered participants from seeking health care assistance, limited knowledge about rabies and the effects of rabies. Conclusion: It was evident that participants experienced many challenges during their rabies exposure. Individuals, who were directly affected by rabies through contact with rabid animals, were expected to take responsibility for their own lives. Keywords: Rabies; South Africa; qualitative research. 

scholarly journals Midwives’ challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study

2021 ◽  
Vol 21 (1) ◽  
pp. 311-9
Author(s):  
Thifhelimbilu Irene Ramavhoya ◽  
Maria Sonto Maputle ◽  
Rachel Tsakani Lebese ◽  
Lufuno Makhado
Keyword(s):  
South Africa ◽  
Health Care ◽  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Successful Implementation ◽  
Data Saturation ◽  
Care Guidelines ◽  
Primary Health Care Facilities

Background: Postpartum haemorrhage is one of the causes of the rise in maternal mortality. Midwives’ experiences related to postpartum haemorrhage (PPH) management remain unexplored, especially in Limpopo. The purpose of the study was to explore the challenges experienced by midwives in the management of women with PPH. Methods: Qualitative research was conducted to explore the challenges experienced by midwives in the management of women with PPH. Midwives were sampled purposefully. Unstructured interviews were conducted on 18 midwives working at primary health care facilities. Data were analysed after data saturation. Results: After data analysis, one theme emerged “challenges experienced by midwives managing women with PPH” and five subthemes, including: “difficulty experienced resulting in feelings of frustrations and confusion and lack of time and shortage of human resource inhibits guidelines consultation”. Conclusion: The study findings revealed that midwives experienced difficulty when managing women with postpartum haemorrhage. For successful implementation of maternal health care guidelines, midwives should be capacitated through training, supported and supervised in order to execute PPH management with ease. Keywords: Midwifery in South Africa; implementation of maternal guidelines; postpartum haemorrhage; maternal mortality.

scholarly journals Caring for Tuberculosis Patients: Understanding the Plight of Nurses at a Regional Hospital in Limpopo Province, South Africa

2019 ◽  
Vol 16 (24) ◽  
pp. 4977 ◽  
Author(s):  
Hulisani Matakanye ◽  
Dorah U. Ramathuba ◽  
Augustine K. Tugli
Keyword(s):  
South Africa ◽  
Regional Hospital ◽  
Limpopo Province ◽  
Working Environment ◽  
Individual Interviews ◽  
Data Saturation ◽  
Research Findings ◽  
Colaizzi's Method ◽  
Nurses Perceptions

Tuberculosis (TB) is a disease which is caused by a relatively large, non-motile, rod-shaped pathogen called Mycobacterium tuberculosis. TB is a major cause of illness and death worldwide, especially in Asia and Africa. Despite the fact that TB is a curable illness, the tragedy is that TB remains the biggest killer in the world as a single pathogen. The aim of this study was to determine the experiences of nurses caring for TB patients at a regional hospital in Limpopo Province, South Africa. Qualitative, exploratory, and descriptive designs were used. A non-probability purposive sampling method was used to select the participants. The personal experiences of six nurses with more than five years’ experience caring for TB patients at a regional hospital were explored, and it was guided by data saturation. Data were collected through in-depth individual interviews. Data were analyzed using Colaizzi’s method. Trustworthiness was ensured and ethical considerations were observed in this study. The research findings revealed six major themes from the raw data: challenges of the working environment, problems impacting on the quality of nursing care, fear, anxiety, stress and risk of contracting infection, nurses’ perceptions towards patients, support structure available in the hospital, and support needs for the nurses. Therefore, there is an urgent need to address the challenges experienced by nurses caring for communicable diseases through provision of a positive practice work environment.

scholarly journals Usage of Implant Contraceptive Method by Sexually Active Women: An Exploration of The Factors Contributing To Implant Contraceptive Method Uptake in Vhembe District, Limpopo Province, South Africa.

2021 ◽  
Author(s):  
Rhulani Caroline Shihundla ◽  
Rachel Tsakani Lebese ◽  
Sonto Maria Maputle
Keyword(s):  
South Africa ◽  
Contraceptive Method ◽  
Negative Attitude ◽  
Cost Effective ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Sexually Active ◽  
Structured Interviews ◽  
Data Saturation ◽  
Vhembe District

Abstract Background The estimation of unmet contraceptive needs triggered the National Department of Health in South Africa to introduced the Implant contraceptive method in 2014 to increase the range of contraceptive options for sexually active women. Implant contraceptive uptake remains low in the Vhembe District despite its effectiveness in preventing unintended pregnancy. Very little is known about the factors that affect the usage of this cost-effective device. Aim To explore sexually active women's knowledge, practices and attitudes related to the usage of the Implant contraceptive method in Vhembe District, Limpopo Province. Methods The study was qualitative, explorative, descriptive and contextual, conducted using a non-probability purposive technique to sample 62 sexually active women aged from 18–45 years. The sample size was determined by data saturation. Five (5) focus group discussions were conducted using semi-structured interviews, which lasted for 45–60 minutes. Tesch's eight steps of open coding were used to analyse data. Results Results revealed that sexually active women experience some challenges related to Implant Contraceptive Method. The majority of women had little knowledge about the device, making it difficult for them to use the method. The majority of sexually active women indicated that they are interested in the method and would like to enjoy the benefits. Conclusion Sexually active women's intentions to utilise the Implant contraceptive method was very low as the majority of them had a negative attitude towards the method, due to insufficient knowledge. Professional nurses should inform women and public members about newly introduced Implant contraceptive method at Primary Health Care facilities to enhance usage.

scholarly journals Working conditions that contribute to absenteeism among nurses in a provincial hospital in the Limpopo Province

Curationis ◽  
2008 ◽  
Vol 31 (1) ◽  
Author(s):  
M Nyathi
Keyword(s):  
South Africa ◽  
Patient Care ◽  
Quantitative Study ◽  
Working Conditions ◽  
Limpopo Province ◽  
Provincial Hospital ◽  
Quality Of Patient Care ◽  
Professional Nurses

Absenteeism results in an increased workload for nurses who stand in for colleagues and can lead to situations in which a lack of motivation among nurses and a lowering of the quality of patient care may occur. The researcher observed that certain conditions, such as inflexible working schedules, were given as reasons for the absenteeism in units in a provincial hospital. A non-experimental, descriptive, quantitative study was undertaken. The purpose of the article was to describe the working conditions that contribute to absenteeism among the professional and sub-professional nurses at a provincial hospital in the Limpopo province of South Africa.

scholarly journals Exploring Professional Nurses’ Use of the Nursing Process at Selected Public Hospitals in Limpopo, South Africa

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Takalani Edith Mutshatshi ◽  
Tebogo Maria Mothiba ◽  
Pamela Mafengwe Mamogobo
Keyword(s):  
South Africa ◽  
Nursing Education ◽  
Patient Care ◽  
Nursing Practice ◽  
Nursing Intervention ◽  
Public Hospitals ◽  
Initial Assessment ◽  
Nursing Process ◽  
Quality Patient Care ◽  
Professional Nurses

The nursing process is regarded as a systematic approach in which professional nurses use problem-solving to identify, plan and implement nursing interventions to enhance quality patient care. The steps of the nursing process include assessment, nursing diagnosis, planning, implementation and evaluation. However, nurses’ effective and efficient use of the nursing process steps in public hospitals still poses a challenge due to several factors. The current study is significant to nursing practice as the nursing process remains a standard of nursing practice for hospitals to provide quality patient care. The purpose of the study was to explore professional nurses’ use of the assessment and implementation steps of the nursing process at selected public hospitals in the Vhembe District, Limpopo, South Africa. A qualitative, phenomenological, descriptive, explorative and contextual research design was used. Non-probability purposive sampling was used to select professional nurses who were using the nursing process in the nursing care units until data saturation was reached with 13 participants. The data was collected using semi-structured one-on-one interviews using an interview guide, and then analysed using Tesch’s open-coding method where themes and sub-themes emerged. The study found that the participants’ initial assessment of patients during admission is an achievable performance, while implementation of the set nursing intervention is still a challenge on different levels. It is recommended that a problem-based learning approach be made a compulsory practical teaching method in order to equip nurses with the knowledge of the nursing process at all nursing education institutions.

scholarly journals Challenges Midwives in Limpopo Province Encounter when Implementing Saving Mothers Recommendations

2020 ◽  
Vol 14 (1) ◽  
pp. 292-299
Author(s):  
Kobel Elizabeth Mothapo ◽  
Maria Sonto Maputle ◽  
Hilda N Shilubane ◽  
Lizzy Netshikweta
Keyword(s):  
Nursing Education ◽  
Mortality Rate ◽  
Limpopo Province ◽  
National Committee ◽  
Research Approach ◽  
Live Births ◽  
Contextual Design ◽  
Data Saturation ◽  
Open Coding ◽  
The Individual

Introduction: The recommendations of Saving Mothers report by the National Committee for Confidential Enquiry into Maternal Deaths (NCCEMD) were formulated in response to the high maternal mortality rate in South Africa. Saving Mothers’ Report recommendations were implemented in maternity units of Limpopo province. However, the mortality rate for 2014-2016 in Limpopo was 165.16/100000 live births against the national target of 38/100000 live births. The purpose of this study was to explore the challenges faced by registered midwives when implementing these recommendations. Methods: A qualitative research approach, which is descriptive, exploratory and contextual design, was used. A non-probability, purposive and convenience sampling was used to select 25 participants. Data were collected from August to October 2017 through the individual in-depth unstructured interview from 22 participants based on data saturation. Trustworthiness was ensured through credibility, dependability, transferability and confirmability. Data were analysed using Tesch’s open coding technique. Ethical standards were adhered to. Results: The findings revealed one theme and five sub-themes indicating hindrances to the implementation of recommendations of Saving Mothers Report by midwives in maternity units in Limpopo province. Conclusion: The researchers concluded that the registered midwives were faced with challenges that need to be addressed to facilitate the implementation of recommendations for Saving Mothers report effectively. Further research was recommended with implications in practice and nursing education.

scholarly journals Perceived Roles of Fathers in the Promotion, Support and Protection of Breastfeeding

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Siyabulela Eric Mgolozeli ◽  
Hilda Nwamuhohova Shilubane ◽  
Lunic Base Khoza ◽  
Cebisa Noxolo Nesamvuni
Keyword(s):  
Post Partum ◽  
Healthcare Providers ◽  
Limpopo Province ◽  
World Health ◽  
Young Infants ◽  
Coding Method ◽  
Feeding Choice ◽  
Data Saturation ◽  
Open Coding ◽  
Health Organization

Fathers of young infants have a crucial role to play in the promotion, support and protection of breastfeeding as women often face many challenges during the post-partum period. The World Health Organization recommends paying particular attention to participation by the male partners in child and maternal health as they also have responsibilities and roles to play in nurturing their young ones and supporting their families. The focus of this research was to explore and to describe the perceived roles of fathers in the support, protection and promotion of breastfeeding. This study adopted a qualitative method using an explorative and descriptive design, and the sample included twelve fathers of infants aged less than six months at Schoonoord Village, Sekhukhune District, Limpopo province, South Africa. Using in-depth individual unstructured interviews, data were collected until data saturation was attained and analysed using Tesch’s open-coding method. The findings show that fathers perceive breastfeeding to be the optimum feeding choice for the baby and beneficial to the mother. Provision of emotional and financial support to the women, protection of the mother and the baby, motivation and assistance in seeking healthcare emerged as the key roles of fathers during the breastfeeding period. This study recommends that fathers be involved in breastfeeding counselling and that healthcare providers create an environment that is conducive to the participation of fathers in the topic of infant feeding.

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