scholarly journals Perceptions of the clinical competence of newly registered nurses in the North West province

Curationis ◽  
2004 ◽  
Vol 27 (3) ◽  
Author(s):  
M.R. Moeti ◽  
S.E. Van Niekerk ◽  
C.E. Van Velden

The clinical competence of newly registered nurses relating to the care of individual Clients, depends on their ability to correlate theoretical knowledge learned in the classroom with practice and the development of clinical skills. Its foundation lies in the ability to identify and solve problems that emanate from critical thinking, analytical reasoning and reflective practice. It is clear that the quality of clinical exposure plays a leading role in the development of nursing professionals. Nursing skills alone cannot ensure quality care of clients without the application of theory. Facilitation of this theory to practice therefore remains an essential component of nursing education. This study was aimed at identifying areas of incompetence of newly registered nurses (1998- 2001) in the clinical area by determining the newly registered nurses1 and professional nurses1 perceptions of the competence of the newly registered nurses. A quantitative, non-experimental, descriptive survey was used to collect the data regarding the clinical competence of newly registered nurses (1998-2001).

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Masego C. Mokgothu ◽  
Emmerentia Du Plessis ◽  
Magdalena P. Koen

Background: Although families caring for a mentally-ill family member may experience challenges, some of these families may display strengths that help them to overcome difficulties and grow even stronger in caring for their family member. In cases where these families are unable to cope, the mentally-ill family member tends to relapse. This indicated the need to explore the strengths of families that cope with caring for mentally-ill family members.Objective: The purpose of this study was to explore and describe the strengths of families in supporting mentally-ill family members in Potchefstroom in the North-West Province.Method: A qualitative, explorative, descriptive and contextual design was employed, with purposive sampling and unstructured individual interviews with nine participants. Tesch’seight steps of thematic content analysis were used.Results: Twelve themes emerged from the data. This involved strengths such as obtaining treatment, utilising external resources, faith, social support, supervision, calming techniques, keeping the mentally-ill family member busy, protecting the mentally-ill family member from negative outside influences, creative communication, praise and acceptance.Conclusion: Families utilise external strengths as well as internal strengths in supporting their mentally-ill family member. Recommendations for nursing practice, nursing education and for further research could be formulated. Psychiatric nurses should acknowledge families’ strengths and, together with families, build on these strengths, as well as empower families further through psycho-education and support.


2021 ◽  
Vol 103 (4) ◽  
pp. 206-210
Author(s):  
M Theodoraki ◽  
TS Hany ◽  
H Singh ◽  
M Khatri

Introduction Physician associates (PAs) are dependent medical practitioners who work alongside doctors and other healthcare professionals. There are approximately 350 PAs working throughout the UK, with another 550 in training. Methods An online questionnaire was sent to healthcare professionals throughout the North West region with a total of 119 responding. Participants were asked nine questions on clinical skills and three on communication skills. These were to be rated as ‘excellent’, ‘good’, ‘satisfactory’, ‘needs to improve’ or ‘unacceptable’. In addition, respondents were asked to indicate their agreement with 14 statements about the role of PAs. There was also a field for free text comments. Results Of the 1,071 individual responses to the survey questions on clinical skills, 859 (80%) were ‘excellent’ or ‘good’. Similarly, among the 357 answers to the questions on communication skills, 317 (89%) were ‘excellent’ or ‘good’. Comments in the free text field included both positive and negative observations, with all negative comments coming from junior doctors. Conclusions Overall feedback for the PA role was overwhelmingly positive. However, the most commonly mentioned problem was that they are not being utilised effectively and in turn, that they are taking learning opportunities from junior doctors. This is an important concern to note and warrants further investigation. PAs are clearly useful assets and are set to increase in number in the NHS over the coming years. It is therefore imperative that this new role works well with the existing roles and training structure of junior doctors.


Curationis ◽  
2016 ◽  
Vol 39 (1) ◽  
Author(s):  
Kathleen Froneman ◽  
Emmerentia Du Plessis ◽  
Magdelene P. Koen

Background: Little research has been conducted in private nursing schools with regard to the educator–student relationship to strengthen the resilience of nursing students and to improve the educator–student relationship. An effective educator–student relationship is a key factor to ensure a positive learning climate where learning can take place and resilience can be strengthened.Purpose: The purpose was to explore and describe nursing students’ view on the basic elements required for an effective educator–student relationship to strengthen their resilience and the educator–student relationship.Method: This study followed an explorative, descriptive and contextual qualitative design in a private nursing education institution in the North West Province. Purposive sampling was used. The sample consisted of 40 enrolled nursing auxiliary students. The World Café Method was used to collect data, which were analysed by means of content analysis.Results: The following five main themes were identified and included: (1) teaching–learning environment, (2) educator–student interaction, (3) educator qualities, (4) staying resilient and (5) strategies to strengthen resilience.Conclusion: Students need a caring and supportive environment; interaction that is constructive, acknowledges human rights and makes use of appropriate non-verbal communication. The educator must display qualities such as love and care, respect, responsibility, morality, patience, being open to new ideas, motivation, willingness to ‘go the extra mile’ and punctuality. Students reported on various ways how they manage to stay resilient. It thus seems that basic elements required in an effective educator–student relationship to strengthen the resilience of students include the environment, interaction, educator and student’s qualities and resilience.Keywords: Educator-student relationship, nursing education, nursing education institution (NEI), nursing student, learning environment, resilience


2021 ◽  
Vol 26 ◽  
Author(s):  
Kholofelo L. Matlhaba ◽  
Abel J. Pienaar ◽  
Leepile A. Sehularo

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.


2020 ◽  
Vol 7 (1) ◽  
pp. 93-112
Author(s):  
Mehdi Hosseini Nia ◽  
Karim Hajizadeh ◽  
Habib Shahbazi Shiran ◽  
Reza Rezalou

In the early Islamic centuries, Ardabil is considered to be the oldest and the first city in the Azerbaijani province due to its regional biodiversity in geographical texts. The present study investigates the communication routes to the peripheral points in the Islamic period and their role in the survival of the city based on historical literature and archeological data. The importance and safety of roads and communication routes were two important components that influenced each other, making Ardabil a city in the center of commercial and trading routes in the North-West. This situation can be seen and prosecuted during the Islamic period from the beginning of Islam to the late Islamic centuries. The research method is historical-analytical and the data were collected through the study of historical and geographical literature and the use of the archaeological reports of the area. The main question of this article is: “What effect did the communication routes have had on the survival of the Islamic period until the end of the Safavid period?” The results show that in the early centuries, the city's communication routes were significantly prosperous. The description of the roads and the importance of the buildings and the cities inside them are described together. In this period, roads have played a leading role in the survival and prosperity of the city. In the Middle Ages, this city became a trivial city in the region as the capital, trade and communication routes changed. During the Safavid period, the city was once again restored to its former prosperity due to the importance of the tomb complex of Sheikh Safiad-din Ardabili to the kings of the dynasty as well as the conversion of the city to the site of the Silk Road. During this period, numerous routes were created and led to the orientalists and tourists’ travelling to this ciy


Author(s):  
Claire Van Deventer ◽  
Nontsikelelo Sondzaba

Background: The Integrated Primary Care (IPC) rotation is undertaken over six weeks by final year medical students at the University of Witwatersrand. Students are placed in either rural or urban primary health care centres based in Gauteng or the North West Province. As part of the IPC rotation, students undertake short quality improvement (QI) projects. The purpose of this study is to evaluate the impact of the QI projects undertaken over the period stretching from 2006 to 2010. Methods: An observational study of QI reports done by students. Project reports assessed and compared to site marks, indicators of learning assessed and individual and group marks compared.Results: Of 274 projects undertaken, 223 (81.4%) were available for evaluation. Geographical placements and QI themes were categorised. Management issues were most frequently identified as being problematic followed by chronic illnesses. Understanding and applying the principles of QI was partially achieved and gaps were identified for future projects. The most common intervention was training of personnel and design and distribution of posters or pamphlets.Conclusions: Most QI projects were well thought out and relevant to the chosen setting. In the majority of cases, a great deal of effort and creativity went into the process and skills other than clinical skills were employed such as writing, presentation of data in graphs and tables. Integration of theory and practice was achieved only partially.


Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Kathleen K. Direko ◽  
Mashudu Davhana-Maselesele

Background: Professional nursing in South Africa is obtained through a 4-year diploma offered at nursing colleges, or a 4-year degree in universities, and the South African Nursing Council (SANC) registered both for professional nursing. New SANC legislation now requires a bachelor’s degree for registration as professional nurse.Objectives: The aim of the study was to explore and describe perceptions of nurse educators and stakeholders to develop a model of collaboration for joint education and training of nursing professionals by colleges and universities through a bachelor’s degree.Method: A mixed methods approach was used to explore perceptions of nurse educators utilising a questionnaire, and perceptions of other nurse training stakeholders through interviews, about a model of collaboration between the college and the university.Results: Themes that emerged from the interviews included identifying collaboration goals, establishing a conducive environment, maximising exchange of resources, role clarification and perceived challenges. Quantitative results showed high agreement percentages (84.13%–100%) on most basic concepts and themes. A model of collaboration was developed indicating a framework, agents, recipients, procedure, dynamics, and terminus.Conclusion: A model of collaboration was acceptable to the majority of nurse education stakeholders. Other implications are that there was a need for the improvement of scholarship among nurse educators and clinical mentors, sharing rare skills, and addressing perceived challenges.


2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Gedina E. De Wet ◽  
Emmerentia Du Plessis ◽  
Hester C. Klopper

Despite acknowledgement of the importance of sharing HIV- and AIDS-related information with people living with HIV, it is still unclear as to what their actual comprehension is of this information. This research was part of a larger project, Tswaragano, conducted in the North-West Province, South Africa, which explored and described the competence, ability and strengths of the family of the HIV-positive patient during home support. This research focused on Potchefstroom in the North-West Province. This article focuses on research with the objective being to explore and describe the comprehension of HIV-positive patients and their families with regard to HIV- and AIDS-related information, and to formulate recommendations to improve their comprehension of this information. A quantitative, explorative and descriptive survey design was followed. Data were collected by means of questionnaires completed by HIV-positive patients (n = 79) and their family members (n = 34). Descriptive statistical analysis by means of frequency analysis was conducted. Ethical considerations and mechanisms to enhance validity and reliability are discussed. The results indicated that both HIV-positive respondents and their families face social and financial challenges due to unemployment and low income. A strength found in this research is that the majority of respondents are linked to a church, which can be a valuable platform to share information on HIV and AIDS. With regards to sharing, sources and comprehension of HIV- and AIDS-related information, it is apparent that respondents perceived that pre- and post-counselling provided an opportunity for information sharing, but that they need health care workers to spend more time with them, to be non-judgemental and to make more use of visual aids. It furthermore seems that the majority of HIV-positive respondents in this study did comprehend the need for and negotiate for safer sexual practices. It was concluded that although HIV-positive patients and their families have relatively good levels of comprehension of HIV- and AIDS-related information, there are certain gaps in their comprehension of this information. Accordingly, recommendations regarding improving comprehension of HIV-related information were formulated. Recommendations for nursing education, research and practice were formulated. These recommendations highlight the importance of openness in communication, building trust relationships, collaboration, cultural sensitivity and empowering HIV-positive patients and their families.


Author(s):  
Т.В. Гиоргобиани ◽  
Д.П. Закарая

В результате многолетнего детального изучения выявлены закономерности внутреннего строения альпийской складчатой структуры СевероЗападного Кавказа. Установлено, что одной из характерных особенностей этого региона является латеральная зональность его складчатой структуры в поперечном сечении, выразившаяся в последовательной смене с югозапада на северовосток интенсивной складчатости умеренной, а затем слабой. Это свидетельствует о спаде деформационных усилий в указанном направлении в процессе образования складчатости СевероЗападного Кавказа. Выявлено широкое развитие в пределах южного склона СевероЗападного Кавказа интерференционных складчатых структур, возникающих в результате наложения деформаций разного плана и возраста. Выяснено, что интерференционная складчатость в регионе образована в процессе повторной деформации ранее возникшей линейной складчатости северозападного простирания, тангенциальным долготным сжатием. Установлено, что интерференционная складчатость отражает изменение плана деформации СевероЗападного Кавказа от северовосточного на субмеридиональное во время образования складчатой системы. Рассмотрены кинематические особенности образования складчатости различной морфологии, развитой в пределах изученного региона. Выявлены причины разнообразия складчатых форм, наблюдаемых в современной структуре СевероЗападного Кавказа. Установлено широкое развитие в регионе многочисленных разнообразных по ориентировке, возрасту и кинематике разрывных нарушений. На основании проведенного детального анализа складчатой структуры СевероЗападного Кавказа реконструированы условия ее образования. Выяснено, что в деформировании складчатой структуры СевероЗападного Кавказа выделяются два этапа тектогенеза. На первом этапе деформации (юрасредний миоцен) ведущая роль в складкообразовании принадлежит югозападным тангенциальным силам, возникающих в результате придвигания и прижатия ЧерноморскоЗакавказкого микроконтинента к СевероЗападному Кавказу. Поэтому такую деформацию можно рассматривать как проявление микроплитовой тектоники. На втором этапе тектогенеза (поздний миоценантропоген) в обстановке субмеридионального горизонтального сжатия отдельные блокишоли микроконтинента продвигаясь на север, вторгались в складчатую систему СевероЗападного Кавказа, обусловливая ее повторную дислокацию. Показано, что действие шолевой тектоники привело к преобразованию первичной складчатости в южном активном крае СевероЗападного Кавказа. Новейший процесс деформации с образованием наложенных на первичную складчатость структур продолжается в регионе и в настоящее время. As a result of many years of detailed study, regularities of the internal structure of the Alpine folded structure of the NorthWest Caucasus are revealed. It has been established that one of the characteristic features of this region is the lateral zonality of its folded structure in cross section, which manifests a successive change of intense folding to moderate and then to weak from the southwest to the northeast. This indicates a decrease in deformation strain in the indicated direction during the formation of folding in the NorthWest Caucasus. Widespread development of interference folded structures arising as a result of superimposed deformations of different orientation and age was revealed within the southern slope of the NorthWest Caucasus. It was found that the interference folding in the region is formed in the process of repeated deformation of the linear folding of the northwestern strike formed earlier by the tangential longitudinal compression. It was determined that interference folding reflects a change of the plan of deformation of the NorthWest Caucasus from the northeast to submeridional during the formation of the folded system. The kinematic features of folding formation of various morphology developed within the studied region are considered. The reason of the variety of folded forms observed in the modern structure of the NorthWest Caucasus is revealed. Wide distribution of faults with different orientation, age and kinematics in the region is outlined. The conditions of formation of the folded structure of the NorthWest Caucasus are reconstructed on the basis of a detailed analyses. Its clarified that two stages of tectogenesis were distinguished in the forming of folded structure of NW Caucasus. At the first stage of deformation (JurassicMiddle Miocene) the leading role had the tangential forces SW direction arised as a result of movement and pressing of the Black SeaTranscaucasian Microcontinent to the NW Caucasus. Therefore, such a deformation can be considered as a manifestation of microplate tectonics. During the second stage (Late MioceneAnthropogen) of tectogenesis at the conditions of submeridional horizontal compression, traveling to the north individual blocks of the microcontinent intruded into the folded system of the region, causing its secondary dislocation. It is shown that the activities of schole tectonics led to the transformation of primary folding in the southern active region of the NorthWest Caucasus. The recent processes of deformation with the formation of new superimposed structures is continues in the region at present.


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