Community Service Nurses’ Experiences Regarding Mentoring in South Africa

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Sisinyana Hannah Khunou
Keyword(s):  
Public Health ◽  
South Africa ◽  
Community Service ◽  
Practical Experience ◽  
Health Facilities ◽  
North West ◽  
Public Health Facilities ◽  
Quality Patient Care ◽  
The North ◽  
Contextual Design

Newly qualified nurses are mandated to do compulsory community service after completion of their education. Anecdotal evidence indicates that these newly qualified nurses are not properly mentored. The purpose of the study was to explore and describe the experiences of community service nurses (CSNs) regarding their mentoring in the public health facilities in the North West province (NWP), South Africa. A qualitative exploratory descriptive contextual design was applied to get a better understanding of mentoring as experienced by CSNs in the NWP. A tape recorder was used to capture the interviews conducted with 28 newly qualified nurses who completed their community service two to three years ago and who were working at public health facilities in the NWP. ATLAS.ti 7 was used to analyse the data obtained from the participants. Three themes, namely (1) a lack of mentoring, (2) challenges of performing community service nursing, and (3) positive experiences emerged from the data collected from the CSNs. These themes were supported by the following sub-themes: Lack of supervision and support; no proper orientation in general; negative attitudes of other nurses to CSNs; unrealistic expectations from CSNs; getting blamed and bullied; CSNs’ lack of practical experience; inadequacy regarding their professional role; use of their education; and gained independence. The study recommended that the facility managers and different stakeholders work together in supporting the CSNs. This will minimise stress and a lack of confidence among CSNs and improve quality patient care.

Mentoring of Community Service Nurses: Nurse Managers’ Perceptions

2020 ◽  
Vol 21 (2) ◽  
Author(s):  
Sisinyana Hannah Khunou
Keyword(s):  
Public Health ◽  
Community Service ◽  
Qualitative Data ◽  
Nurse Managers ◽  
Health Facilities ◽  
Structured Interviews ◽  
Group Discussions ◽  
North West ◽  
Public Health Facilities ◽  
The North

Community service nurses (CSNs) are newly qualified nurses (NQNs) with the least experience and who need constant support and mentoring. They experience numerous challenges, which include the lack of confidence, and feelings of incompetence and inadequacy. These challenges contribute to a difficult transition from the role of a student nurse to that of a professional nurse. This article reports on the qualitative data of a study conducted by Khunou and Rakhudu. The purpose of the study was to explore and describe the perceptions of nurse managers (NMs) regarding the mentoring of CSNs in public health facilities in the North West province (NWP) of South Africa. A qualitative, exploratory, descriptive and contextual research design was used to explore and describe the NMs’ perceptions regarding the mentoring of the CSNs. Three focus group discussions for 20 NMs and 7 individual semi-structured interviews were conducted. A tape recorder was used to capture the NMs’ perceptions regarding the mentoring of CSNs in public health facilities of the NWP. Tesch’s method of data analysis was used to analyse the collected qualitative data. The study revealed the following themes: CSNs lack skills; CSNs are mentored; and both CSNs and NMs have mentoring needs. These themes were supported by the following categories: CSNs lack practical skills; CSNs lack professional responsibility; CSNs lack confidence; CSNs are supported; CSNs need orientation; and CSNs need mentoring to bridge the practice-theory gap. NMs also need to be supported.

scholarly journals Validation of a clinical competence evaluation tool for community service nurses in North West province, South Africa

2021 ◽  
Vol 26 ◽  
Author(s):  
Kholofelo L. Matlhaba ◽  
Abel J. Pienaar ◽  
Leepile A. Sehularo
Keyword(s):  
South Africa ◽  
Community Service ◽  
Clinical Competence ◽  
Content Validity ◽  
Public Hospitals ◽  
Evaluation Tool ◽  
North West ◽  
The North ◽  
Competence Evaluation ◽  
North West Province

Background: Little has been done to evaluate clinical competence of community service nurses (CSNs) during the 12-month compulsory community service in South Africa. Evaluating clinical competence of CSNs would be of benefit as it might improve quality patient care and promote patient satisfaction. It therefore became of paramount importance for the researcher to establish some method of evaluating the CSNs’ clinical competence during their compulsory service in the North West province (NWP), South Africa.Aim: To evaluate the clinical competence evaluation tool (CCET) for CSNs for reliability and validity.Setting: A selected regional level 2 hospital.Methods: Ten experts participated in the validation process. The tool was tested at one of the public hospitals in the NWP and 11 out of 13 CSNs participated in this process. Statistical Package for the Social Sciences version 25 was employed and the reliability of the tool was measured using Cronbach’s alpha.Results: This tool’s content validity index has exceeded 0.80 and is indicated at 0.98, which reflects excellent content validity. The higher the content validity ratio score the greater the agreement amongst the experts. The Cronbach’s alpha coefficients in the six competencies are all greater than 0.7 implying that the tool developed in this study is reliable. All the experts indicated that the tool is clear, simple, general, accessible and important.Conclusion: From the above-mentioned results, a CCET for CSNs was proven to be valid and reliable.Contribution: This was the first tool to be developed in NWP of South Africa.

scholarly journals Level and timing of Implanon discontinuation and associated factors among women who used Implanon in Andabet District, public health facilities, North-West Ethiopia, 2017

2019 ◽  
Author(s):  
Gizachew Worku Dagnew ◽  
Yared Mulu Gelaw ◽  
Melash Belachew Asresie ◽  
Zelalem Alamrew Anteneh
Keyword(s):  
Public Health ◽  
Side Effects ◽  
Health Facilities ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia

Abstract Abstract Background: Implanon discontinuation is unacceptably high in developing countries, including Ethiopia; furthermore there is an observed problem of high unintended pregnancy rate after method discontinuation this might stride to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Adabet district, public health facilities, North-West Ethiopia, 2017. Methods: Facility-based cross-sectional study was conducted among 537 women, from Feb.03 to April 28, 2017, by face to face interview. Systematic random sampling technique was used to select the study subjects. The collected data were entered into Epi Info- version 7 then exported to SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multi-variable binary logistics regression, p-value and odds ratio (AOR) with 95%Ci was used to showing statistical association with the outcome variable. Results: In this study, 36.9% of Implanon users were discontinued the method before the intended time period. Among those women who discontinue the method 85.9% of them were discontinued before two years of Implanon insertion. Women who had no live child at the time of Implanon insertion[AOR=2.17,95%CI:1.25-3.77], didn’t received pre-insertion counseling on potential side effects [AOR=1.85,95%CI: 1.15-2.97], developed side effect secondary to Implanon insertion [AOR=5.17,95%CI:3.18-8.40], received appointment follow-up [AOR=0.23,95%CI:0.13-0.41], and not satisfied by the service provided [AOR=5.40,95%CI:3.04-9.57] were statistically associated with Implanon discontinuation. Conclusions: level of Implanon discontinuation before its intended period was high. Hence, to increase Implanon continuation rate; provide pre-insertion counseling including its possible side effects, improve client’s service satisfaction and strength appointment follow-up for Implanon users should be made.

scholarly journals Costs of integrating HIV self-testing in public health facilities in Malawi, South Africa, Zambia and Zimbabwe

2021 ◽  
Vol 6 (Suppl 4) ◽  
pp. e005191
Author(s):  
Linda Alinafe Sande ◽  
Katleho Matsimela ◽  
Lawrence Mwenge ◽  
Collin Mangenah ◽  
Augustine Talumba Choko ◽  
...  
Keyword(s):  
Public Health ◽  
South Africa ◽  
Hiv Testing ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Time And Motion ◽  
Self Testing ◽  
Secondary Distribution ◽  
Facility Level ◽  
The Cost

IntroductionAs countries approach the UNAIDS 95-95-95 targets, there is a need for innovative and cost-saving HIV testing approaches that can increase testing coverage in hard-to-reach populations. The HIV Self-Testing Africa-Initiative distributed HIV self-test (HIVST) kits using unincentivised HIV testing counsellors across 31 public facilities in Malawi, South Africa, Zambia and Zimbabwe. HIVST was distributed either through secondary (partner’s use) distribution alone or primary (own use) and secondary distribution approaches.MethodsWe evaluated the costs of adding HIVST to existing HIV testing from the providers’ perspective in the 31 public health facilities across the four countries between 2018 and 2019. We combined expenditure analysis and bottom-up costing approaches. We also carried out time-and-motion studies on the counsellors to estimate the human resource costs of introducing and demonstrating how to use HIVST for primary and secondary use.ResultsA total of 41 720 kits were distributed during the analysis period, ranging from 1254 in Zimbabwe to 27 678 in Zambia. The cost per kit distributed through the primary distribution approach was $4.27 in Zambia and $9.24 in Zimbabwe. The cost per kit distributed through the secondary distribution approach ranged from $6.46 in Zambia to $13.42 in South Africa, with a wider variation in the average cost at facility-level. From the time-and-motion observations, the counsellors spent between 20% and 44% of the observed workday on HIVST. Overall, personnel and test kit costs were the main cost drivers.ConclusionThe average costs of distributing HIVST kits were comparable across the four countries in our analysis despite wide cost variability within countries. We recommend context-specific exploration of potential efficiency gains from these facility-level cost variations and demand creation activities to ensure continued affordability at scale.

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