scholarly journals Experiences of Nurse Managers during the COVID-19 Outbreak in a Selected District Hospital in Limpopo Province, South Africa

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 76
Author(s):  
Idah Moyo ◽  
Siyabulela Eric Mgolozeli ◽  
Patrone Rebecca Risenga ◽  
Sheilla Hlamalani Mboweni ◽  
Livhuwani Tshivhase ◽  
...  
Keyword(s):  
Patient Care ◽  
Nurse Managers ◽  
District Hospital ◽  
Limpopo Province ◽  
Public Hospitals ◽  
Research Approach ◽  
Hospital Data ◽  
Healthcare Facilities ◽  
Individual Interviews ◽  
The Government

The South African health care system was hard hit by the second wave of Coronavirus disease (COVID-19), which affected nurse managers as healthcare facilities became overwhelmed due to an increased workload emanating from the overflow of admissions. Therefore, this study sought to explore and describe the nurse managers’ experiences during COVID-19 in order to identify gaps and lessons learnt. A descriptive phenomenological research approach was used to explore the experiences of ten nurse managers who were purposively selected from different units of a selected district hospital. Data was collected through telephonic unstructured individual interviews and analysed using Colaizzi’s seven steps method. The study revealed that nurse managers experienced human resource related challenges during COVID-19, worsened by the fact that vacant posts were frozen. It also emerged that there was a shortage of material resources that affected patient care. Nurse managers also indicated that COVID-19 brought a lot of administrative duties plus an additional duty of patient care. Also, nurse managers who had previously contracted COVID-19 experienced stigma and discrimination. The government needs to address resource related challenges in rural public hospitals and provide continuous support to nurse managers, particularly during a pandemic like COVID-19.

Assessment of Healthcare Service Quality

2020 ◽  
pp. 271-291
Author(s):  
Segufta Dilshad ◽  
Afsana Akhtar ◽  
S. S. M. Sadrul Huda ◽  
Nandeeta Samad
Keyword(s):  
Service Quality ◽  
Quality Measurement ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Healthcare Facilities ◽  
Level Of Satisfaction ◽  
Related Quality ◽  
Private And Public

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.

scholarly journals Exploring the impact of COVID-19 on the taxi industry in the City of Johannesburg

2021 ◽  
Vol 10 (2) ◽  
pp. 272-294
Author(s):  
Nicola Wakelin-Theron ◽  
Wilfred Isioma Ukpere
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Supply And Demand ◽  
Insurance Fund ◽  
Research Approach ◽  
Individual Interviews ◽  
The Government ◽  
Technological Means ◽  
Taxi Industry ◽  
The Impact ◽  
The City

The tourism sector is currently one of the hardest hit by the pandemic, with impacts on both travel supply and demand. The transport system forms a key part of tourism, including the tourist experience at a destination. This research sought to understand how the taxi industry operates within the City of Johannesburg under the government restrictions imposed during COVID-19. The study adopted a qualitative research approach, based on interpretative phenomenological analysis (IPA) to explore the topic. Semi-structured individual interviews were conducted with participants who were purposively selected from the Johannesburg CBD taxi rank. Insufficient sanitisation and the breaching of curfews were observed. Limited guidance was provided during the initial stages of the pandemic, with no formal training. Financial support was made available, but drivers did not receive funds, as they did not comply with the requirements for membership of the Unemployment Insurance Fund (UIF) and Temporary Employee Relief Scheme (TERS) (Melzer, 2020). Illegal full-capacity loading and price increases were also evident. All participants seem to have expressed some form of anxiety, loneliness and uncertainty. Few suggestions were proposed towards sustainable practices and innovative technological means to support the industry during the lockdown and going forward.

scholarly journals Challenges faced by caregivers of children on antiretroviral therapy at Mutale Municipality selected healthcare facilities, Vhembe District, Limpopo Province

Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Rhudzani V. Mafune ◽  
Rachel T. Lebese ◽  
Livhuwani H. Nemathaga
Keyword(s):  
Antiretroviral Treatment ◽  
Financial Burden ◽  
Family Members ◽  
Health Department ◽  
Limpopo Province ◽  
Central Question ◽  
Transport Costs ◽  
Healthcare Facilities ◽  
The Government ◽  
Vhembe District

Background: Children depend solely on caregivers who can be either parents or guardians for drug administration to enhance adherence to antiretroviral treatment (ART), which might pose any number of challenges.Purpose: The purpose of this study was to explore and describe the challenges faced by caregivers of children on ART at Mutale Municipality, Vhembe District, Limpopo Province.Research design and method: The research design was qualitative, explorative, descriptive and contextual in nature. The population consisted of 16 caregivers who were 18 years of age and above, and mentally capable, irrespective of educational qualifications, caring for children aged between 0 and 15 years who were on ART between April 2013 and October 2014. Non-probability, purposive sampling was used to select the 16 caregivers. Required permission, approval and ethical clearance were obtained from the University of Venda Higher Degree Committee, Limpopo Provincial Health Department and relevant institutions. An in-depth, individual, unstructured interview method was used to collect data. One central question was asked: ‘What are the challenges you experience when caring for a child on antiretroviral treatment?’ Subsequent questions were based on the participants’ responses to the central question. Qualitative data were analysed by means of Tesch’s open-coding method.Results: The findings of this study revealed that participants, that is, caregivers of children on ART, experienced financial burdens because of transport costs needed to comply with follow-up dates and insufficient of money for food, clothing the child in need of care, pocket money for lunch boxes during school hours and time lost while waiting for consultations. Participants reported some level of stigmatisation against children on ART by family members, especially the husbands or in-laws of the secondary caregivers. Many primary and secondary caregivers seemed to have given up seeking support from government and community structures.Conclusion: The conclusions drawn from this research are that caregivers hardly receive any support from family members or the community. Fear of disclosing the HIV-positive status of children resulted in the delay of financial support from the government, thus leading to serious financial burden on the caregivers.

scholarly journals Nurses’ Experiences in Managing Cardiovascular Disease in Selected Rural and Peri-Urban Clinics in Limpopo Province, South Africa

2021 ◽  
Vol 18 (5) ◽  
pp. 2570
Author(s):  
Mamoeng Nancy Kgatla ◽  
Tebogo M. Mothiba ◽  
Tholene Sodi ◽  
Mpsanyana Makgahlela
Keyword(s):  
Local Governments ◽  
Quality Care ◽  
Poor Quality ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Research Approach ◽  
Remote Areas ◽  
Individual Interviews ◽  
Rural And Remote Areas ◽  
Nurses Perceptions

Deaths caused by cardiovascular diseases (CVDs) account for 60% of all deaths that occur in rural and remote areas. Disease management programs are increasingly used to improve the effectiveness of chronic care. Nurses are a key component of the health workforce and have an important role to play in CVD prevention, treatment, and the care of sick people in remote areas. Due to the nature of their work, nurses are prone to working hard, and to experience burnout, sleep, or eating disorders. This is often exacerbated by a shortage of staff and equipment. The objectives of the study were to explore and describe the experiences of professional nurses in managing CVDs in South African rural and peri-urban clinics. A qualitative, explorative-descriptive design and a contextual research approach were adopted for the present study. Purposive sampling was employed to recruit nurses who were managing patients with CVD from 11 primary health care facilities. Data were collected through semi-structured individual interviews and analyzed using Tesch’s open coding method. Interview transcripts were coded and analyzed for common themes. The following two major themes emerged from the data: perceived institutional challenges affecting the management of CVDs and nurses’ perceptions of patient challenges that impede the effective management of CVD. The study concludes by highlighting that apart from a resource challenge, the shortage of nurses in rural clinics is the biggest reason behind overcrowding, waiting long hours for consultations, and an increase in the workload, resulting in medical errors and poor quality care. It is, therefore, recommended that, for improved care and management of CVD in rural populations, local governments need to employ more skilled nurses whilst availing the necessary material resources.

scholarly journals An Analysis of Budget Planning in Public Hospitals in Limpopo Province: South Africa

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Nkhumeleni Mathobo ◽  
Mashupye Maserumule ◽  
Kabelo Moeti
Keyword(s):  
South Africa ◽  
Quantitative Research ◽  
Planning Process ◽  
Cost Effective ◽  
Limpopo Province ◽  
Public Hospitals ◽  
Primary Data ◽  
Research Approach ◽  
Budget Management ◽  
Budget Planning

Budget planning is a challenge regarding the delivery of cost-effective health services in public hospitals. Budget planning is part of broader planning process in the organisations. The purpose of this article is to analyse budget planning in public hospitals in the Limpopo Province of South Africa. The research approach used for the study is quantitative research design. The sample size of 20 public hospitals was drawn from the population of 40 public hospitals. A survey questionnaire was used as the primary data-gathering instrument. The findings of the research show that budget planning is a management challenge for non-finance managers in public hospitals. The result for this is ineffective budget management in public hospitals. The study recommended that non-finance managers be capacitated on the alignment of budget with a strategy to improve budget management in public hospitals.

scholarly journals Experiences of auxiliary nursing trainees of poverty alleviation programme regarding nursing and nursing profession in Vhembe District, Limpopo Province

Curationis ◽  
2019 ◽  
Vol 42 (1) ◽  
Author(s):  
Maria S. Maputle ◽  
Florance N. Baloyi ◽  
Livhuwani H. Nemathaga
Keyword(s):  
Interpersonal Relationships ◽  
Poverty Alleviation ◽  
Limpopo Province ◽  
Nursing Profession ◽  
Hospital Data ◽  
Individual Interviews ◽  
Department Of Health ◽  
Legal Obligations ◽  
Vhembe District ◽  
Auxiliary Nurses

Background: The Limpopo Department of Health and Social Development introduced a system to train children from poor families as auxiliary nurses as a poverty alleviation strategy in 2003. The programme targeted the needy families, those who depended on social grants, orphaned or child-headed families. The programme has been implemented for more than 10 years and the experiences of trainees were never explored.Objectives: The purpose of this study was to explore the experiences of auxiliary nurse trainees of the poverty alleviation programme regarding nursing and the nursing profession.Methods: A qualitative approach was used. Purposive sampling was used to sample 15 auxiliary nurses who were trained under poverty alleviation programme in four of the seven hospitals of Vhembe District. Data were collected through in-depth individual interviews. One central question ‘As a beneficiary of poverty alleviation programme, could you describe your experiences of training as a nurse and of the nursing profession in this hospital’. Data were collected until no new information emerged. Note taking and a voice recording was performed to capture all the information reported by the participants. Open coding method was used to analyse data.Results: Two themes emerged, namely experiences of being a nurse and about nursing as a profession, and interpersonal relationships between auxiliary nurses and the ward staff.Conclusions: The Department of Health in Limpopo Province was commended and to be encouraged to develop other programmes as poverty alleviation strategy for other government departments, so that the affected children can have a wider career choice. The managers and supervisors in the wards to have moral and legal obligations to support initiatives that foster effective mentoring of neophyte nurses in the nursing profession.

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mastura Jaafar ◽  
Nuzaihan Aras Agus Salim ◽  
Naziah Muhamad Salleh ◽  
Mohd Zailan Sulieman ◽  
Norhidayah Md Ulang ◽  
...  
Keyword(s):  
Fire Safety ◽  
Public Hospital ◽  
Safety Management ◽  
Action Plan ◽  
Management Plan ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Content Type ◽  
Healthcare Facilities

PurposeGlobally, several studies have shown that hospital building is charged with multiple inherent risks because a large number of users are vulnerable in tragic events. Thus, the need for the fire safety management plan (FSMP) has been proved as an instrument to mitigate fire and related risks in healthcare facilities. In Malaysia, FSMP regarding public healthcare building is yet to be explored in-depth. Therefore, this paper explores the information necessary to develop the FSMP framework for public hospital buildings.Design/methodology/approachThe paper’s objectives were accomplished via a combination of five face-to-face interviews and observations of five selected public hospitals in Pulau Pinang, Malaysia. The five key participants were across the five public hospitals and collated data analysed through thematic analysis with the assistance of MAXQDA 2018.FindingsFindings show that fire safety stakeholders practice system, fire safety action plan and fire risk management were the three main variables that promote fire safety programme and will improve FSMP for Malaysia’s public hospital buildings.Research limitations/implicationsThis paper’s data collection is limited to Penang, Malaysia, and a qualitative research approach was used, but this does not deteriorate the strength of the findings. Future studies are needed to consider validating findings from this paper via a quantitative approach.Practical implicationsThe suggested framework can be employed by Malaysia’s public hospital authorities as a guideline to mitigate fire hazards in the country’s healthcare facilities.Originality/valueThis paper is encouraging hospital operators and other key stakeholders to improve on their FSMP for healthcare buildings across Malaysia as part of the study implications.

Challenges of privatizing academic medical centers in Saudi Arabia and appropriate strategies for implementation

2020 ◽  
Vol 25 (1) ◽  
pp. 68-77 ◽  
Author(s):  
Ahmed Al Kuwaiti ◽  
Fahd A. Al Muhanna
Keyword(s):  
Medical Education ◽  
Saudi Arabia ◽  
Patient Care ◽  
Public Hospitals ◽  
Academic Medical Centers ◽  
Healthcare Sector ◽  
Content Type ◽  
Medical Centers ◽  
Academic Medical ◽  
The Government

PurposeA crisis in the financial sustainability of the public healthcare sector often compels governments to consider privatization. The purpose of this paper is to summarize various strategies to overcome the challenges facing the privatization of academic medical centers (AMCs) in Saudi Arabia.Design/methodology/approachIn this paper, the authors discuss the challenges faced in privatizing AMCs in delivering their core functions such as patient care, medical education and research. Further, the appropriate strategies are listed to overcome these challenges in privatization of AMCs.FindingsThe authors described the benefits of privatization that include a reduction in the financial burden on government healthcare expenditure, quick decision making and creation of new financial models to improve healthcare services. On the other hand, the profit motive of private management could create pressure on patients and may divert AMCs from their primary objectives. Therefore, it is imperative for the government to develop and implement appropriate strategies that balance the benefits of privatizing AMCs with eliminating the negative impact of privatization on patient care, medical education and research.Originality/valueThough AMCs privatization is currently feasible in Saudi Arabia, appropriate strategies are essential to overcome the challenges of its implementation. The government should frame a uniform rules and regulations prior to privatizing public hospitals so that it will fulfill the purpose in an efficient manner.

scholarly journals Teenagers’ experiences of sexual health dialogue in the rural villages of the Vhembe District, Limpopo Province

2011 ◽  
Vol 16 (1) ◽  
Author(s):  
Lebese R. Tsakani ◽  
Mashudu Davhana- Maselesele ◽  
Larry C. Obi
Keyword(s):  
Sexual Health ◽  
Cultural Values ◽  
Rural Areas ◽  
Limpopo Province ◽  
Research Approach ◽  
Rural Villages ◽  
Individual Interviews ◽  
The Media ◽  
Vhembe District ◽  
Health Dialogue

Dialogue with teenagers about sexual health is of global concern, as it is found mostly to be minimal, if not absent. This limitation is influenced by the cultural values, beliefs and norms of teenagers. To a great extent, culture influences which and how sexual health issues can be discussed between teenagers and adults. The purpose of this study was to explore and describe teenagers’ experiences of sexual health dialogue in the rural areas of the Vhembe district in Limpopo province, South Africa. A qualitative, explorative, descriptive and contextual research approach was used. Data were collected by means of in-depth, individual interviews and focus-group discussions. A purposive sampling method was used to select the 57 participating teenagers, based on criteria that were set. The findings of the study indicated that there was minimal dialogue between adults and teenagers about sexual health. Most teenagers reported that they learned about issues related to sexual health from friends, the media, initiation schools and relatives who, most often, were aunts. It was also noted with concern that the teenagers always equated sexual health to the act of intercourse and that no attention was paid to other aspects of sexual health. Recommendations to improve the current situation were made.OpsommingDialoog met tienerjariges rakende seksuele gesondheid is ’n wêreldwye probleem omdat daar gevind is dat dit meestal minimaal is of glad nie plaasvind nie. Hierdie beperking word beïnvloed deur die tienerjariges se kulturele waardes, oortuigings en norme. Kultuur beïnvloed in ’n groot mate watter seksuele gesondheidsake tussen tienerjariges en volwassenes bespreek kan word, en hoe dit gedoen kan word. Die doel van hierdie studie was om tienerjariges se ondervindings van seksuele gesondheidsdialoog in die landelike gebiede van die Vhembedistrik in die Limpopo-provinsie van Suid-Afrika te ondersoek en te bespreek. ’n Kwalitatiewe,ondersoekende, beskrywende en kontekstuele navorsingsbenadering is gevolg.Data is versamel deur middel van grondige individuele onderhoude en fokusgroep-besprekings.’n Doelbewuste steekproefmetode is gebruik om die 57 deelnemende tienerjariges op grond van bepaalde kriteria te selekteer.Die bevindings van die studie het aangedui dat daar minimale dialoog oor seksuele gesondheid tussen tienerjariges en volwassenes is. Die meeste tienerjariges het gerapporteer dat hulle by vriende, die media, inisiasieskole en familielede, meestal ’n tante, van seksuele gesondheid geleer het. Daar is met kommer opgemerk dat tienerjariges seksuele gesondheid aan die daad van omgang gelykstel en dat geen aandag aan ander aspekte van seksuele gesondheid geskenk is nie. Aanbevelings ter verbetering van die situasie is gemaak.

Management of Records in Adapted Buildings as Records Centres in Zimbabwe

Mousaion ◽  
2018 ◽  
Vol 35 (3) ◽  
Author(s):  
Samson Mutsagondo ◽  
Getrude Maduyu ◽  
Godfrey Tsvuura
Keyword(s):  
Qualitative Research ◽  
Case Study Research ◽  
Research Approach ◽  
Records Management ◽  
Personal Observation ◽  
Structured Interviews ◽  
Design Data ◽  
Professional Management ◽  
The Government

This paper discusses the challenges of records management that arise from the use of adapted buildings as records centres in Zimbabwe, despite the advantages of using such buildings. A qualitative research approach was used as well as a case study research design. Data were collected from seven officers of the Gweru Records Centre through semi-structured interviews. Personal observation was used to triangulate findings from interviews. It was found that the use of adapted buildings as records centres was a cheaper and quicker way of establishing records centres throughout the country. However, a number of preservation, security and management challenges cropped up as the conditions of the buildings and the environment of the adapted buildings were not conducive to the proper and professional management of records. This study is important in that it explores the prospects and challenges of using adapted buildings as records centres in Zimbabwe, an area that has not been researched by many authors. This provokes archival authorities and the government to seriously consider establishing purpose-built records and archival centres.

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