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.

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.

scholarly journals Operational nurse managers’ perceptions on the competence of community service nurses in public settings in the Western Cape

Curationis ◽  
2021 ◽  
Vol 44 (1) ◽  
Author(s):  
Vatiswa Makie ◽  
Karien Jooste ◽  
Tendani B. Mabuda ◽  
Theresa Bock ◽  
Guinevere M. Lourens ◽  
...  
Keyword(s):  
Public Health ◽  
Patient Care ◽  
Community Service ◽  
Nurse Managers ◽  
Health Facilities ◽  
Theory And Practice ◽  
Western Cape ◽  
Clinical Patient ◽  
Public Health Facilities ◽  
Leadership Quality

Background: Community service nurses placed in the Western Cape Government public health facilities render essential healthcare to underserved populations. Anecdotal evidence from operational nurse managers indicated concerns that community service nurses may lack competence in basic required nursing competencies.Objectives: To investigate operational nurse managers’ perceptions of the competence of community service nurses in public health facilities in the Western Cape.Method: A quantitative survey was conducted with an all-inclusive sample of 297 operational nurse managers in the Western Cape. A self-administered questionnaire with 65 questions with a 4-point rating scale was used to rate perceived competence of community service nurses across the South African Nursing Council (SANC) competencies. Descriptive and inferential statistics were calculated per competency domain.Results: The survey (response rate: 59%) showed that the operational nurse managers perceived the community service nurses to be competent in the clinical patient care domain and mostly either developing proficiency or proficient in the SANC competencies of legal framework and ethical practice, interprofessional relationships, leadership, quality management and management competency domains.Conclusion: Community service nurses were found to be competent in the clinical patient care, possibly because of the integration of theory and practice focus of work-integrated learning in the programme. Education and practice supportive strategies for community service nurses should be developed to support the successful transition from students to community service nurses, especially around the development of research and critical thinking skills.

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 Patients’ Perspectives on Their Safety: A Qualitative Study in Two Public Health Facilities in Kaduna State, Nigeria

2021 ◽  
Vol 16 (2) ◽  
pp. 101-109
Author(s):  
B.K. Lawal ◽  
S. Mohammed ◽  
M.A. Ladan ◽  
B.B. Maiha ◽  
A.A. Aliyu ◽  
...  
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Health Facilities ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Public Health Facilities ◽  
Healthcare Environments ◽  
Medical Wards

Background: Safe healthcare environments influence patients’ valuation of care received and impact on better health outcomes. It has been recognized that patients can contribute invaluably in improving the quality and safety of healthcare services they receive.Objective: To explore the perspectives of patients on their safety in healthcare.Methods: A qualitative study comprising of four (4) focus group discussions (FGDs) with six to eight participants was conducted in two public health facilities in Kaduna State, Nigeria. Patients admitted in medical wards (male and female) were recruited through a purposive sampling technique after obtaining their verbal informed consent to participate. A topic guide, containing open ended questions that explored patients’ opinions on their safety in healthcare was used for the discussions. All FGD sessions were recorded, transcribed and coded using thematic analysis.Results: The participants consisted of 15 females and 13 males in FGD sessions that lasted between 55 to 90 minutes. All participants were Hausa speaking, with varying levels of education. Six (6) themes were generated which the patients perceived to play a role in their safety in healthcare. These themes are: choice of hospital, patient satisfaction, patient experiences, patient engagement, communication openness and suggestions by patients for improvement.Conclusion: The findings of this study have highlighted both positive and negative perspectives of patients regarding their safety in healthcare. The patients provided some recommendations for areas where improvements are required for improved patient safety. These include infrastructural improvements, staffing, and availability of medicines, amongst others.

scholarly journals Professional nurses’ perceptions regarding clinical competence of 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):  
Focus Group ◽  
Community Service ◽  
Clinical Competence ◽  
Public Hospitals ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
North West ◽  
The North ◽  
North West Province ◽  
Professional Nurses

Background: South African Nursing Council requires nurses who successfully complete their training to perform a year of community service before obtaining registration as professional nurses (Regulation 425). Community service for health professionals was introduced as a strategy to retain newly qualified professionals within the country. The premise is that community service for newly graduated nurses gives them the opportunity to develop skills and acquire knowledge critical in their professional development.Aim: To explore and describe the perceptions of professional nurses as the supervisors of community service nurses (CSNs) during their 12 months of community service.Setting: Selected hospitals of the North West province, South Africa.Methods: A qualitative, exploratory and descriptive design was used. The study was conducted between September and November 2018 at three public hospitals in the North West province. Through purposive sampling, 15 professional nurses who supervise CSNs participated in the study. Data were collected in three focus group discussions using semi-structured questions. All focus group discussions were recorded and transcribed for analysis. Data were analysed using Pienaar’s four steps of thematic analysis.Results: Three themes emerged: perceptions of clinical competence, challenges impacting clinical competence and suggestions to improve clinical competence.Conclusion: It is suggested that even though the majority of CSNs were perceived to be competent and capable of working independently, they still required supervision and mentorship to refine their competency. Furthermore, the study reported similar challenges noted from previous studies that were perceived to be affecting CSNs’ ability to deliver quality health care, and therefore recommendations for improvement were made.Contribution: The study contributed to the developed the clinical competence evaluation tool which will be of benefit to the future community service nurses in the province.

scholarly journals Visible Goiter among Pregnant Women Attending Antenatal Clinic in Public Health Facilities of Debre Markos Town, East Gojjam, North West Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Yihun Endalamaw ◽  
Haji Kedir ◽  
Tadesse Alemayehu
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Public Health Problem ◽  
Antenatal Clinic ◽  
Health Facilities ◽  
Iodized Salt ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia ◽  
Debre Markos

Background. Goiter is an abnormal enlargement of the thyroid gland due to inadequate intake of iodine and goitrogenic food. It is the most important public health problem in developing countries like Ethiopia and specifically in East Gojjam. Though there are studies on goiter in Ethiopia, the magnitude is not well known and documented in Debre Markos town on pregnant women. Therefore, this study was carried out to assess the magnitude of visible goiter and associated factors among pregnant women visiting antenatal clinic in three public health facilities of Debre Markos town, North West Ethiopia. Methods. Facility-based cross-sectional study was conducted on 401 pregnant women visiting antenatal clinics at three public health facilities using the systematic sampling technique. Data were collected using pretested structured questionnaire by an interview method. All pregnant women were examined for the presence of goiter using World Health Organization (WHO) criteria. Both bivariate and multivariable binary logistic regression analyses were used to see the association between dependent and each independent variable. Result. The prevalence of visible goiter was found to be 10.5% (95% CI: 7.5–13.5). Visible goiter was more common in the age category between 15 and 19 years. Low household income (AOR = 4.5, 95% CI: 1.1–18.7), cabbage intake (AOR = 5.2, 95% CI: 1.2–22.3), and poor knowledge about the benefits of iodized salt (AOR = 2.4, 95% CI: 1.1, 5.2) were factors associated with visible goiter. Conclusion and Recommendation. Visible goiter is a major public health problem in this study area. Low socioeconomic status, low knowledge of pregnant women about the merits of iodized salt, and frequent intake of goitrogenic foods such as cabbage increase the risk of developing visible goiter. Therefore, due emphasis on goiter prevention and control strategies, increasing knowledge of women on the benefit of iodized salt, including low-income households in safety net programs, and nutritional education on iodine-rich diets (such as tuna, dairy products, and egg) should be emphasized to alleviate the problem.

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

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Gizachew Worku Dagnew ◽  
Yared Mulu Gelaw ◽  
Melash Belachew Asresie ◽  
Zelalem Alamrew Anteneh
Keyword(s):  
Public Health ◽  
Statistical Significance ◽  
Data Entry ◽  
Sampling Technique ◽  
Health Facilities ◽  
Cross Sectional ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia

Background. Implanon discontinuation is unacceptably high in developing countries, including Ethiopia. Furthermore, there is an observed problem of high unintended pregnancy after method discontinuation that strides 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 Andabet district, public health facilities, North-West Ethiopia, 2017. Methods. Facility-based cross-sectional study design was employed among 537 women from Feb. 03 to April 28, 2017. Study participants were selected using a systematic random sampling technique. A face-to-face interview was employed to collect data. Epi-Info version 7 was used for data entry and SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multivariable binary logistic regression, a p value of less than 0.05 was used to declare statistical significance. Results. About 37% of Implanon users have discontinued the method before the intended time. About 86% of them discontinued Implanon before two years of insertion. Women who had no live child ( AOR = 2.17 , 95% CI: 1.25-3.77), women who did not receive preinsertion counseling ( AOR = 1.85 , 95% CI: 1.15-2.97), women who developed Implanon-related side effect ( AOR = 5.17 , 95% CI: 3.18-8.40), and women who did not satisfy by the service provided ( AOR = 5.40 , 95% CI: 3.04-9.57) had higher odds of Implanon discontinuation. On the other hand, women who received appointment follow-up ( AOR = 0.23 , 95% CI: 0.13-0.41) had lower odds of Implanon discontinuation. Conclusions. The level of Implanon discontinuation before its intended time was high in the district. Hence, strengthening preinsertion counseling and appointment follow-up as well as improving the clients’ level of service satisfaction could increase Implanon’s continuation.

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