scholarly journals Community service nurses’ experiences regarding their clinical competence

2019 ◽  
Vol 24 ◽  
Author(s):  
Kholofelo L. Matlhaba ◽  
Abel J. Pienaar ◽  
Leepile A. Sehularo

Background: In South Africa, it is mandatory for nurses who have qualified as a nurse (general, psychiatric and community) and midwifery, leading to registration in Government Gazette Notice No. R425 of 22 February 1985, to perform 12 months’ compulsory community service after completion of training at a College of Nursing. Community service affords new graduate nurses the opportunity to improve their clinical skills and knowledge while nurturing professional behavioural patterns and critical thinking consistent with the profession.Aim: To explore and describe the experiences of community service nurses (CSNs) regarding clinical competence during their placement in three selected hospitals.Setting: The study setting was North West Province (NWP), South Africa.Method: This study followed a qualitative, exploratory, descriptive and contextual research design. A cluster sampling technique was used and 17 CSNs participated in the study. Three focus group discussions framed by semi-structured questions were conducted with five to six participants per group. All discussions were recorded using a digital voice recorder and transcribed. Data were analysed using Pienaar’s four steps of qualitative thematic analysis.Results: Four themes emerged from this study: facilitative experiences, defacilitative experiences, challenges confronted during placement and suggestions to improve clinical competence.Conclusion: Clinical competence of CSNs could be improved if all the stakeholders, including professional nurses and CSNs themselves, hospital management and the regulatory body, the South African Nursing Council, collaborate. More importantly, this study’s results were used to develop a clinical competence evaluation tool in the NWP, South Africa.

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.


2015 ◽  
Vol 13 (1) ◽  
pp. 1396-1409 ◽  
Author(s):  
Claudette Ramnarain ◽  
Sanjana Brijball Parumasur

This study aims to determine whether employees are motivated to a greater extent by monetary (financial compensation) or non-monetary (promotion opportunities, workplace spirituality) incentives and, to assess whether biographical influences exist in this regard. The study was undertaken in a large municipality department in eThekweni (Durban), South Africa. A sample of 108 participants was drawn using the cluster sampling technique. In this quantitative, cross-sectional, hypothesis-testing methodology, data was collected using a questionnaire whose psychometric properties of validity and reliability were statistically assessed using Factor Analysis and Cronbach’s Coefficient Alpha. Data was analysed using descriptive and inferential statistics. The results indicate that financial compensation is the main motivating factor for employees in the organisation, followed by workplace spirituality and lastly, promotional opportunities. It is evident that the elements of workplace spirituality have not yet been embraced by this public sector institution and, unhappiness exists with regards to perceptions of unfair and inconsistent implementation of promotional opportunities which are not linked to performance. Biographical influences of gender on financial compensation and, tenure and marital status on promotional opportunities respectively were noted. Recommendations are presented, which when carefully implemented, has the potential to bring about enhanced employee motivation in the organisation.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ikeoluwapo O. Ajayi ◽  
Tolulope Soyannwo ◽  
Onoja M. Akpa

Introduction. Distribution of Affordable Medicine Facility-malaria Artemisinin Combination Therapies (AMFm-ACTs) started in Nigeria in 2011, but its use at community level has not been documented. Methods. Four hundred seventy-eight caregivers whose under-five children had fever within two weeks prior to the survey were selected using cluster sampling technique. Information on sociodemographic characteristics, treatment seeking for malaria, and awareness and use of AMFm-ACTs was collected using an interviewer administered questionnaire. Result. More than half of the respondents (51.2%) bought AMFm-ACTs without prescription. Awareness of AMFm was low as only 9.1% has heard about the programme. Overall, 29.2% used AMFm-ACTs as their first line choice of antimalarial drug. On bivariate analysis age, group (25–34 years), public servants, respondents with tertiary education, respondents with high socioeconomic status, respondents with poor knowledge of symptoms of malaria, awareness of AMFm-ACTs, availability of AMFm-ACTs, and sources of drug were significantly associated with utilization of AMFm-ACTs (P<0.05). Logistic regression demonstrated that only people who were aware of AMFM-ACTs predicted its use (AOR: 0.073; CI: 0.032–0.166; P<0.001). Conclusion. Interventions which targeted at raising awareness of AMFm-ACTs among people at risk of malaria are advocated for implementation.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Estelle Van Tonder ◽  
Mornay Roberts-Lombard

Orientation: Independent financial advisers in South Africa can make a valuable contribution to the financial well-being of the country’s citizens and, through sound financial planning and education, assist them in becoming financially independent.Research purpose: The purpose of this study was to develop guidelines for creating customer loyalty towards independent financial advisers in South Africa.Motivation: To succeed, financial advisers need to build good relationships with clients and ensure they remain loyal to them in the long term.Research design, approach and method: A convenience non-probability sampling technique was applied, and altogether 262 self-administered questionnaires were completed and used in the analysis. Descriptive and standard multiple regression analysis and the one-way analysis of variance (ANOVA) technique were used to test four hypotheses formulated for the study.Main findings: Relationship commitment must be established in a trustworthy environment, regardless of the type of province where the business is operated.Practical/managerial implications: In urban provinces (such as Gauteng) both trusting relationships and commitment could lead to customer loyalty; in semi-urban provinces (such as North-West) only the commitment variable might do so. Independent financial advisers in both provinces should explore additional factors that could foster customer loyalty.Contributions: The research findings of this study challenge the seminal work of Morgan and Hunt (1994) by establishing that in South Africa, the extent to which trust and commitment predicts customer loyalty is specific to both industrial and geographical location. This study further provides customer loyalty guidelines for independent financial advisers in South Africa.


Author(s):  
Sisinyana Hannah Khunou

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.


2018 ◽  
Vol 16 (5) ◽  
pp. 711-733
Author(s):  
Oluwaseun Dosumu ◽  
Clinton Ohis Aigbavboa

PurposeThis paper aims to investigate the level of awareness about, adoption of and willingness to adopt light steel (LS) for building projects. It also assessed the benefits, challenges and solutions to the challenges of adopting LS for building projects. Design/methodology/approachThe quantitative (questionnaire) research method was used for the study. The research design was survey in nature. The whole-population cluster sampling technique was adopted. The clusters were the LS buildings from two (Western Cape and Gauteng) out of the eight provinces in South Africa. The respondents were the construction organizations that have executed LS building projects in the selected provinces. Hence, 56 firms filled and returned the questionnaire. Data analysis was done with frequency, mean scores, t-test and analysis of variance (normality of data distribution assumed). FindingsResults indicated that, out of the 29 areas of application of LS identified in literature, respondents were aware of 11 areas, adopted LS for seven areas and were willing to adopt LS for six areas. Respondents also noted that 18 of the 25 identified benefits of LS were relevant to South Africa. Despite the benefits, few developers embrace it, it is a threat to suppliers’ and contractors’ businesses and it delays building approval due to low awareness. Practical implicationThe implication of the results is that there is low awareness about, adoption of and willingness to adopt LS for building projects in South Africa, and this may be due to the identified challenges. To boost the awareness about, adoption of and willingness to adopt LS, LS technologies need to be imported, LS warehouses should be provided in all cities and it must be ensured that LS building projects are cheaper than conventional buildings. Originality/valueThe value of the study is that the adoption of LS for building projects will improve the capacity of sustainable development.


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).


2021 ◽  
Vol 1 (2) ◽  
pp. 117-133
Author(s):  
George. N. Shava ◽  
Jan Heystek ◽  
Thompson Chasara

Recent studies conducted around the world have revealed a clear link between the instructional position of principal leadership and school improvement. Instructional leadership, which aims to foster a teaching and learning community, is seen as a key component of successful teaching and long-term school improvement. The rise in site-specific management roles, which are based on instructional leadership experiences, is one of the initiatives launched by the South African government to reform education. In South Africa, school principals are responsible for academic development. This qualitative research aimed to learn more about the role of principals in sustaining school improvement in the North West Province of South Africa. Premised in the qualitative research approach, a purposive sampling technique was used to select six schools that had sustained school improvement for some years. Findings from the study revealed that principals play a crucial role in sustaining school improvement. The study findings reinforce recent literature that identifies instructional leadership as a cornerstone for school improvement.


2018 ◽  
Vol 10 (5(J)) ◽  
pp. 116-124 ◽  
Author(s):  
Oduniyi Oluwaseun Samuel ◽  
Antwi Micheal ◽  
Busisiwe Nkonki-Mandleni

Climate change and rural livelihood capitals remain the major inextricable dimensions of sustainability in this twenty-first century globally. It is known to be an important challenge facing food security status among African countries. Additionally, it is an indisputable fact that climate change and agriculture are intertwined. In view of this, climate change awareness needs to be strengthened in the rural farming households. The study was carried out in Ngaka Modiri Molema District Municipality, in the North West Province of South Africa to determine awareness of climate change. Stratified random sampling technique was used to select three hundred and forty-six (346) farmers who were interviewed from the study area. Data were analyzed using statistical package for social sciences (SPSS). The binary logistic regression model was employed to analyse the factors driving climate change awareness. The study established that majority of the rural farmers in the study area aware of climate change, in which farm size, education, who owns the farm, information received on climate change, source of climate change information, climate change information through extension services, channel of information received on climate change and support received on climate change are statistically significant (p<0.05) determinants of climate change awareness in the study area.


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