scholarly journals Maternal experiences of caring for preterm infants in a vulnerable South African population

2021 ◽  
Vol 26 ◽  
Author(s):  
Kristen Buys ◽  
Berna Gerber
Keyword(s):  
Preterm Infants ◽  
Well Being ◽  
Tertiary Hospital ◽  
Main Concern ◽  
Western Cape ◽  
Cross Sectional ◽  
Traditional Medicines ◽  
Staff Members ◽  
Continued Education ◽  
Maternal Coping

Background: Caring for a preterm infant is known to be a stressful experience as these infants are at a high risk of medical sequelae and developmental delays. Early intervention is imperative for the best developmental outcome for the infant. Such interventions are often delivered through the mother or primary caregiver; however, healthcare professionals are seldom aware of all the factors that influence maternal well-being, potentially influencing her ability to provide optimal care.Aim: To explore the experiences of a group of vulnerable women, namely, isiXhosa-speaking mothers of preterm infants living in low socio-economic circumstances in the Western Cape province of South Africa, regarding having, caring for and feeding their preterm infants within the first 6 months of the infant’s life.Setting: A follow-up clinic for preterm infants and their mothers at a public tertiary hospital in Cape Town, South Africa.Methods: The study employed a qualitative, cross-sectional design that was explorative and contextual in nature. A discussion schedule was used to guide 15 in-depth interviews with mothers that were later thematically analysed.Results: Social support and religion positively influenced maternal coping. The infant’s medical stability was the main concern for mothers and concerns regarding the infant’s development did not arise. Prematurity influenced mothers’ decisions to use traditional medicines and hospital care affected some traditional practices.Conclusion: The study findings highlighted the influence of traditional and religious beliefs, the importance of the cultural education of medical staff members and a support system to improve maternal experiences.Contribution: The findings provide insights into maternal experiences with implications for healthcare practitioners’ continued education in an ethnically diverse setting.

scholarly journals An investigative study of the experiences of elderly people in a South African black township

2002 ◽  
Vol 58 (3) ◽  
Author(s):  
G. M. Chigali ◽  
M. Marais ◽  
R. M. B. Mpofu
Keyword(s):  
Elderly People ◽  
Well Being ◽  
The Elderly ◽  
Metropolitan Region ◽  
Western Cape ◽  
Group Discussions ◽  
Cross Sectional ◽  
Qualitative Survey ◽  
African Black ◽  
Loss Of Dignity

The aim of this study was to investigate the experiences which impact on aspects of the lives and sense of well-being of elderly people in a township in South Africa in order to make recommendations for future service delivery. A cross- sectional, qualitative survey was carried out in Mfuleni Township, a part of the Cape Metropolitan Region in the Western Cape.  Sixteen people of ages ranging from 60-82 years were conveniently selected from a group of elderly people who meet regularly at a community centre. Data were collected through focused  group discussions and unstructured interviews. Analysis of data revealed three main categories namely, psychological/ emotional, socio-economic and health, under which different themes emerged. The experiences of individuals in a given society may vary, but somehow, their basic rights tend to be universal as revealed by the literature. Loneliness and isolation, lack of recreation facilities, loss of dignity and respect, poor health services and lack of shelter are some of the experiences expressed by the elderly people in this sample. These experiences highlight the need for clearly stated policies andcommitment by governmental and non-governmental structures, appropriate health service strategies and improved socio-economic standards supported by properly researched data.

scholarly journals Evaluation of selected aspects of the Nutrition Therapeutic Programme offered to HIV-positive women of child-bearing age in Western Cape Province, South Africa

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Tine T. Hansen ◽  
Marietjie Herselman ◽  
Lisanne Du Plessis ◽  
Luzette Daniels ◽  
Tirsa Bezuidenhout ◽  
...  
Keyword(s):  
Vulnerable Groups ◽  
Nutritional Deficiencies ◽  
Western Cape ◽  
Western Cape Province ◽  
Cross Sectional ◽  
Staff Members ◽  
Hiv Positive Women ◽  
Nutritional Advice ◽  
Child Bearing ◽  
Therapeutic Programme

Background: The Nutrition Therapeutic Programme (NTP) involves the provision of food supplements at primary health clinics (PHCs) to correct nutritional deficiencies in vulnerable groups. Although previous studies have identified problems with implementing the programme at PHCs, assessments of its efficiency have been scarce.Objective: To evaluate implementation of the NTP at PHCs that provide antiretroviral therapy.Methods: A cross-sectional, descriptive study was conducted at 17 PHCs located within 3 districts of Western Cape Province. Two target groups were chosen: 32 staff members working at the sites and 21 women of child-bearing age enrolled in the NTP. Questionnaires were used to obtain data.Results: Only 2 women (10%) lived in food-secure households; the rest were either at risk of hunger (29%) or classified as hungry (61%). Most of the women knew they had to take the supplements to improve their nutritional status, but the majority only recalled receiving basic nutritional advice, and the information was mainly given verbally. Ten of the women had shared their supplements with others, mostly with their children. The study identified lack of clearly defined NTP responsibilities at the PHCs, causing confusion amongst the staff. Although many staff members expressed problems with the NTP, only 38% of them reported having routine evaluations regarding the programme.Conclusion: Several aspects compromised the effectiveness of the NTP, including socio- economic factors leading to clients’ non-compliance. The strategic organisation and implementation of the NTP varied between different PHCs offering antiretroviral therapy, and staff experienced difficulties with the logistics of the programme.

scholarly journals Determinants of treatment adherence among the patients receiving treatment in the ART centre of a tertiary hospital in Kolkata, West Bengal, India

2016 ◽  
Vol 4 (1) ◽  
pp. 73
Author(s):  
Atanu Biswas ◽  
Asok Kumar Mandal
Keyword(s):  
West Bengal ◽  
Population Sample ◽  
Well Being ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Adherence Level ◽  
Cross Sectional ◽  
Medical College ◽  
Hiv Aids

Background: WHO recommended adherence of 95% or more to antiretroviral therapy for better outcome in terms of general well-being and decreased chance of drug resistance. This study was conducted with the objective of describing the factors associated with adherence pattern to ongoing ART regimens in adults with HIV/AIDS in R. G. Kar Medical College and Hospital (RGKMCH), a tertiary hospital in Kolkata, West Bengal, India.Methods: An observational, descriptive cross-sectional study was conducted on the adults receiving treatment at the ART centre of R. G. Kar Medical College, Kolkata. Patients above 15 years of age, who received at least one year of treatment before the day of the interview, comprise the study population. Sample size was 279. We tried to find out any association between adherence level and factors like socio-demographic profile, treatment profile, lifestyle pattern etc. applying bivariate analysis, Chi square test, multiple logistic regressions. Data were analyzed using IBM SPSS (version 20).Results: Different factors like employment status, monthly income, language of communication, addiction, following advice on food and water intake, side effects from ART were found to be statistically associated with level of adherence among the subjects.Conclusions: Emphasis should be given on thorough counseling of the people with HIV/AIDS so as to motivate them to take medication as advised and to maintain adequate adherence level of therapy improving their general well-being.

scholarly journals The Relationship Between Spiritual Health With The Levels of Anxiety And Depression Among Cancer Patients

2021 ◽  
Author(s):  
Mohammad Ali Hossein Tehrani ◽  
Mohammad Hadi Yadollahpour ◽  
Mohsen Vakili Sadeghi ◽  
Angela Hamidia
Keyword(s):  
Mental Health ◽  
Cancer Patients ◽  
Pearson Correlation ◽  
Depression Scale ◽  
Well Being ◽  
Tertiary Hospital ◽  
Spiritual Health ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
The Relationship

Abstract Purpose: Spiritual health is one of the dimensions of health associated with physical, social, and mental health. It can play an essential role in coping with stressful disease-related conditions. The purpose of this study was to evaluate the association between spiritual health and the level of anxiety and depression among cancer patients. Methods: In this cross-sectional study, 200 cancer patients were referred to a tertiary hospital in Iran. Hospital Anxiety and Depression Scale (HADS) and Spiritual Well Being Scale questionnaires were provided to the patients. Results: The mean score of spiritual health was 76.61±20.007 in cancer patients, which was considered moderate. The relationship between spiritual health and anxiety and between spiritual health and depression was significant. According to the Pearson correlation coefficient, the relationship between spiritual health and anxiety (r=-0.838) and depression (r=-0.834) was inverse. Furthermore, the relationship between spiritual health and anxiety (P<0.001) (r=-0.832) and depression (P<0.001) (r=-0.842) and the relationship between existential health and anxiety (P<0.001) (r=-0.830) and depression (P<0.001) (r=-0.813) were significant and inverse. Conclusion: The present study showed that spiritual health positively reduces anxiety and depression in cancer patients, promotes mental health, and accelerates and improves the disease.

scholarly journals Workplace Violence Experienced by Nursing Staff at a Tertiary Hospital in Urban Nepal

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Bimala Dhamala ◽  
Prithutam Bhattarai ◽  
Chandrakala Sharma ◽  
Shyam Thapa
Keyword(s):  
Nursing Staff ◽  
Workplace Violence ◽  
Tertiary Hospital ◽  
Physical Assault ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Staff Members ◽  
The Past ◽  
Large Teaching Hospital ◽  
Monitoring And Enforcement

Background: Healthcare workplaces are prone to the occurrence of violence of varying types and degrees. This study assessed the prevalence of violence experienced by nursing staff at a tertiary hospital in urban Nepal. Methods: A self-administered, cross-sectional survey was distributed to the entire nursing staff (N=146) currently working at a large teaching hospital in Kathmandu. The types of violence ascertained included verbal abuse, general harassment, physical assault, and sexual violence. Descriptive and logistic regression were applied to the data analysis. Results: General harassment was the second most commonly experienced; 44% reported having experienced it any time in the past; and 28% reported to have experienced it in the last 12 months. Overall, 68% of all the respondents reported having experienced any type of violence, and 47% reported having experienced it any time in the last 12 months. Compared to single nurses/respondents, married nurses were particularly more likely to experience violence. Conclusion: Development of workplace standards, orientation for all staff members, and the establishment of an effective monitoring and enforcement system are needed to minimize workplace violence at the study site, and most likely elsewhere in Nepal as well.

Conflict Avoidance in Old Age

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler
Keyword(s):  
Social Support ◽  
Perceived Social Support ◽  
Well Being ◽  
Cross Sectional Study ◽  
Conflict Avoidance ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adult Lifespan ◽  
Set Up

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

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