scholarly journals Strategies to Enhance Knowledge and Practical Skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa

Author(s):  
Thabo Arthur. Phukubye ◽  
Masenyani Oupa. Mbombi ◽  
Tebogo Maria. Mothiba

Purpose: Lack of knowledge and practical skills on triage remains a global problem, especially within rural hospitals, and very little is known about enhancing the knowledge and skills of emergency nursing staff in rural hospitals of South Africa. The objective was to describe the perceived strategies for enhancing knowledge and practices of triage among nurses working in the emergency departments (EDs) of rural hospitals in South Africa. Research methods: A descriptive qualitative research design was applied to achieve the research objective. A non-probability sampling method was applied to select 17 professional nurses from rural hospitals. An unstructured face-to-face interview method was used to collect data. Data collected were analyzed using Tesch’s method of data analysis. Results: The study findings highlighted the academic needs of nurses working in the ED of rural hospitals. Two themes emerged from this study; (1) The consistent description of the importance of triage training for emergency unit staff, and (2) The description of measures to enhance triage practices amongst emergency unit staff. Findings indicated that triage knowledge and practice remains a challenge, but with formulated strategies like continuous training by workshops, refresher courses, and offering a training module on triage, evaluation of developed guidelines and benchmarks is often enhanced. Conclusions: The study describes the strategies to enhance the conversion of knowledge and practice of triage amongst nurses working in the ED of rural hospitals. The paper argues that the knowledge and practical skills of nurses working in ED are enhanced through the provision of continuous training as workshops, triage module, evaluating the developed guidelines to implement triage, and benchmarking with other hospitals.

2017 ◽  
Vol 34 (4) ◽  
pp. 408-421 ◽  
Author(s):  
Samuel Maredi Mojapelo

Community libraries are crucial for people to have access to information to satisfy their multiple needs. As custodians of information and knowledge in diverse spheres, they play a role in the socio-economic development of nations. This article attempts to investigate challenges faced by libraries in three different settings in post-apartheid South Africa. The study adopted a qualitative research design. The users, librarians and a well-placed official of the relevant department were interviewed. Convenience sampling was used to select users and librarians while purposive sampling was used to select an official. Face-to-face interviews and observation and a checklist were used to collect data. Senior officials of the Department of Sport, Arts and Culture need to study challenges revealed by the findings and to take action to remedy the situation.


2021 ◽  
Vol 9 (1) ◽  
pp. 93-106
Author(s):  
Blessing Kanyumba ◽  
Nondumiso Shabangu

In March 2020, the South African President Mr Cyril Ramaphosa announced a national lockdown due to the rising cases of the Covid‑19 pandemic. As a result, some of the higher education institutions closed under lockdown level 5 and strategies had to be developed to adapt to the “new norm”. Consequently, students and the living and learning spaces in South Africa were affected, necessitating therefore that transformation in all spheres takes place. This study, through a qualitative research design, investigated the effect of Covid‑19 on students and the living and learning spaces at a selected university in South Africa. Fifteen students and ten Residence Advisors (RAs) were telephonically interviewed. The results revealed that the living and learning spaces had been significantly transformed by the Covid‑19 pandemic. The operations of these spaces had been compelled to change in order to comply with the Covid‑19 regulations, such that student learning was shifted from face-to-face to online learning. This meant more time spent indoors, stricter measures now in place and the RA roles having been broadened to ensure that they also monitor compliance. The study also noted that even after the pandemic, things will still take time to get back to normal. This article concludes that Covid‑19 has had a huge effect on the living and learning spaces as well as students at the selected university and that both students and staff should play their roles effectively to ensure that everyone remains safe.


Author(s):  
R J Singh

This article reports on the use of blended learning in higher education. Blended learning has become popular in higher education in recent years. It is a move beyond traditional lecturing to incorporate face-to-face learning with e-learning, thereby creating a blend of learning experiences. The problem is that learning in higher education is complex and learning situations differ across contexts. Whilst there is face-to-face contact at some institutions, others offer distance learning or correspondence learning. In each context, the mode of learning may differ. The challenge is to cater for various learning opportunities through a series of learning interactions and to incorporate a blended approach. The aim of this study was to examine various ways of defining blended learning in different contexts. This was done through an examination of experiences of the use of blended learning in different higher education contexts. The study presents a case of blended learning in a postgraduate course. The experiences from all these cases are summarised and conclusions and recommendations are made in the context of blended learning in higher education in South Africa.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Sanction Madambi

The migration of Zimbabweans into South Africa is shaped by several factors and processes. Traditionally, the decision to migrate was mostly based on family considerations (where gender stereotypic roles were a priority), although in some cases the migrants exercised individualism and personal agency. This led to migration trends that were male dominated. Current Zimbabwean migration trends reflect large volumes of women as the socio-economic crisis forces them to leave their country. These migrant women encounter a myriad of challenges in their host countries. This paper explores Zimbabwean women’s migration to the town of Mthatha in South Africa, highlighting their challenges and the strategies they employ to overcome these, as found in a recent case study. Applying a qualitative research design and using questionnaires and interviews to gather data from the 100 purposively sampled women, the study found that many Zimbabwean migrant women in Mthatha encountered numerous challenges. They lacked the required documents to live and work in South Africa, experienced exploitation and marriage constraints, and had broken ties with their families back in Zimbabwe. According to the study, these women managed to navigate these challenges, rising above the stereotypic norms and values that used to label them as non-productive citizens to superheroes who were supporting their families and the country’s economy—thus breaking the shackles of gender stereotyping to create new norms. These findings underline the importance of shifting from the traditional approaches to women migration and pursuing perspectives that present migration as a critical component of the process of social change and development to all migrants.


2021 ◽  
pp. 008124632110201
Author(s):  
Zamafiso Nombulelo Sibande ◽  
Rizwana Roomaney

Fatigue is a common, secondary symptom of endometriosis that has not been qualitatively explored. We conducted individual, face-to-face interviews with 25 women in South Africa about their experiences of endometriosis-related fatigue. Participants were recruited at a public hospital in Cape Town and through several South African endometriosis organizations. Interviews were conducted in English and Afrikaans and ranged from 30 min to 1 hr 16 min in duration. All interviews were audio recorded and transcribed. Interviews were analyzed using thematic analysis. We found that both the experience of fatigue and fatigue-management strategies were highly personalized. Participants reported using a variety of cognitive strategies, such as planning, pacing, and pushing through their fatigue to reduce the levels of fatigue. Participants also employed physical strategies such as rest, dietary changes, using supplements, and exercise. We found that while participants often tried fatigue-management strategies suggested to them by others, they struggled to maintain these strategies even when they were successful. There are currently no interventions aimed at reducing endometriosis-related fatigue. The findings of this study provide insight into the management of fatigue in women with endometriosis and may be used to develop a psychosocial intervention for fatigue among women with the disease.


2021 ◽  
Vol 11 (4) ◽  
pp. 177
Author(s):  
Brantina Chirinda ◽  
Mdutshekelwa Ndlovu ◽  
Erica Spangenberg

The COVID-19 global pandemic widely affected education across the world and engendered unprecedented scenarios that required expeditious responses. In South Africa, the pandemic came on top of pre-existing inequalities in the education system. Using a qualitative research method of exploratory and descriptive nature, this study engaged a social justice framework to explore the teaching and learning of mathematics during the COVID-19 lockdown in a context of historical disadvantage. A sample of twenty-three Grade 12 mathematics teachers at various public secondary schools in Gauteng, South Africa was used in the study. The teachers were selected through purposive sampling. A Google-generated open-ended questionnaire and follow-up telephonic interviews were used to collect data. Data were analysed thematically in five steps. The findings revealed that the WhatsApp platform is a valuable tool that can support the teaching and learning of mathematics beyond the classroom in the contexts of historical disadvantage. The findings also provided insights into how mathematics teachers became learners themselves during emergency remote teaching (ERT) as they had to adapt to digital teaching, find solutions to unfamiliar problems and acquire knowledge from a larger mathematics education community around the globe. The article discusses these findings and teachers’ challenges of transitioning from traditional face-to-face classrooms to ERT and how they were addressed. At the time of publishing the article, most learners in South Africa had started going to school on a rotational basis. Nonetheless, the study reported in this article is of importance as ERT in the context of historical disadvantage has foregrounded issues of inequality in the South African education system that must be dealt with urgently.


2021 ◽  
pp. bmjstel-2020-000814
Author(s):  
Natasha Houghton ◽  
Will Houstoun ◽  
Sophie Yates ◽  
Bill Badley ◽  
Roger Kneebone

The COVID-19 pandemic has prompted the cancellation of clinical attachments and face-to-face teaching at medical schools across the world. Experiential learning—through simulation or direct patient contact—is essential for the development of clinical skills and procedural knowledge. Adapting this type of teaching for remote delivery is a major challenge for undergraduate medical education. It is also an opportunity for innovation in technology enhanced learning and prompts educators to embrace new ways of thinking. In this article, the authors explored how educators from different disciplines (medicine, music and performing arts) are using technology to enhance practical skills-based learning remotely.The authors, five experienced educators from different fields (surgery, medicine, music and magic), jointly documented the transition to technology enhanced remote teaching through a series of five structured conversations. Drawing from literature on distance learning in medicine and professional experience in education, the authors identified seven practice-enhancing recommendations for optimising teaching of procedural knowledge and skills. These are: (1) make a virtue out of necessity; (2) actively manage your environment; (3) make expectations clear; (4) embrace purposeful communication; (5) use digital resources; (6) be prepared for things to go wrong and (7) personalise the approach. The authors argue that widening the discourse in technology enhanced learning to include cross-disciplinary perspectives adds richness and depth to discussions. This article demonstrates a cross-disciplinary approach to addressing challenges in technology-enhanced medical education.


Author(s):  
T. О. Petrushanko ◽  
◽  
T. D. Bubliy ◽  
L. I. Dubovaya ◽  
◽  
...  

The training of future doctors should be continuous and organized at a high level, because medicine is one of the priority spheres of society. With the introduction of quarantine in the context of a pandemic, the question of changing the format of classes has become especially acute, which is associated with the need to exclude massive concentrations of medical students. In our academy, in the first days of quarantine, communication was organized by groups in the Viber and Telegram messengers. In the following days, training was carried out on the use of the Zоm service platform for video conferencing, online meetings and distance learning, and trainings were organized. The department’s website contained the contact information of all teachers, the schedule of classes, the thematic plan of lectures and practical classes, a list of basic and additional literature for students of each course. In the materials for downloading, students had the opportunity to familiarize themselves with multimedia presentations of lectures, teaching aids developed by the staff of the department, methodological recommendations on all topics of practical exercises according to the thematic plan. It should be noted that new educational technologies contribute to the improvement of information competence, allow students to independently master the educational material, but training a doctor in practical skills requires the student’s traditional face-to-face contact with teachers and patients.


2021 ◽  
Vol 8 (2) ◽  
pp. 145-152
Author(s):  
Dina Rasmita

Cancer that occurs in children does not only affect children, but also parents. Parents experience anxiety, stress, fear of losing their children, and helplessness in caring for their children, so that parents are less than optimal in caring for their children. Parent empowerment can increase parents' knowledge, confidence, and ability to care for their children. Previous research found several obstacles to parent empowerment carried out by nurses so that parent empowerment was not optimal in its implementation. Knowing barriers and supports in implementation of parent empowerment in caring for children with cancer can support implementation of parent empowerment to be more optimal. The purpose of this study was to explore barriers and supports in parent empowerment in caring for children with cancer based on the nurse's perception. The design of this study was qualitative research design with a phenomenological approach. The data was collected by in-depth interview method using semi-structured interview guidelines on six nurses who were selected by purposive sampling technique. The data analysis was carried out by thematic analysis with the analysis stage according to Colaizzi. The results of this study were resulted in four themes, namely parental attitudes, parental characteristics, attitudes of nurses, availability of nurses and facilities. This study concluded that implementation of empowering parents to care for children with cancer became more optimal by knowing the barrier and supports in empowering parents care for children with cancer and nurses could make more effective planning in caring for children with cancer.


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