scholarly journals Reflections on a hospital information committee support project in a rural hospital in South Africa

2013 ◽  
Vol 2 (4) ◽  
pp. 100
Author(s):  
Mc Neill ◽  
Laura Mary Campbell ◽  
CP Blanchard

Background: This paper presents an overview of support offered to a hospital information committee by a Hospital Information Committee Support Project (HICSP) in a rural area of South Africa. A specific focus is on the support required at various stages of the project, which was underpinned by Change Theory: any change in practice should be an on-going, phased process (pre-contemplation, contemplation and action). Additionally, change must be seen as having some benefit. Methods: A cross-sectional, mixed-methods evaluation was conducted to determine whether the project had met its aims and to explore participants’ experiences. Quantitative data included: number of meetings held, number of workshops held to develop templates, number of templates developed and in use, and number of action plans developed and implemented. Qualitative data included participants` views of the HICSP. In relation to Change Theory, data was analysed to summarise the type of support required during various stages of the HICSP. Results: Quantitative data revealed that the aims of the HICSP were met. In accordance with Change Theory, support must be regularly provided and must be on-going over a relatively prolonged period of time. Qualitative data illustrated that, generally, the support given was considered to be appropriate and participants continued to collect, analyse, use and monitor data and information on completion of the HICSP. Discussion and conclusions: The need for the strategic use of data at a local level to inform decision making and action is unquestionable. The study demonstrates that in an isolated, rural area an information committee can, in accordance with the stages of Change Theory, be supported and empowered so that hospital and nursing managers can confidently use data in a way that is locally meaningful and responsive.

2021 ◽  
Vol 76 (06) ◽  
pp. 309-314
Author(s):  
Seyi Ladele Amosun ◽  
Greta AVM Geerts ◽  
Reneda Basson

Mentoring programs contribute to the development and retention of academics in dental education. To describe the perceptions of academic staff of the Faculty of Dentistry, University of the Western Cape, South Africa, about a funded pilot mentoring process. Cross-sectional, purposive sampling qualitative design. Twenty mentees who had engaged in the funded mentoring process were targeted for semi-structured interviews, to describe their perceptions about the ongoing mentorship process, experiences in other mentoring processes, and expectations about future formal mentoring in the faculty. Quantitative data was analysed descriptively, while content analysis of the qualitative data was performed to identify themes. Perceptions of eight mentees, aged 37 to 59 years and spent between 3 and over 20 years in the faculty, were categorized into two themes - ‘A welcome initiative’ and ‘Mentorship seen as a holistic experience’. The program provided the much-needed space where mentees felt they could seek guidance for their development. Expectations from a future formal program included assistance in meeting institutional and personal demands. Participants’ expectations were broader than what the pilot program offered, though


Author(s):  
Andries C. Hauptfleisch

Unsubsidised private retirement resorts in South Africa developed during the last three decades present residents with many challenges. There is no existing generally accepted knowledge base or guidelines to serve this sensitive market. The research objective was to establish which elements are experienced by residents of retirement resorts as satisfactory and which as problematic. A literature study was also undertaken. Quantitative as well as qualitative data were obtained by means of structured questionnaires, interviews and a seminar. The results reported pertain to eight resorts in the east of Pretoria, four in Bloemfontein and two in Knysna. The study is currently being extended to other centres. The quantitative data is arranged in order of the priorities set by the biggest group (Pretoria), with the other groups in comparison. So the research was based on the sourcing of quantitative and qualitative data, as well as on descriptive evaluations. The results offer insightful knowledge and guidelines towards establishing an optimal profile for the development of long-term sustainable private retirement resorts. The implications and value of this study are that both developers of retirement resorts and prospective residents are provided with guidelines to better equip them to evaluate a specific retirement resort with regard to the sustainable well- being of residents long-term.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Helena Huerga ◽  
Gilles Van Cutsem ◽  
Jihane Ben Farhat ◽  
Adrian Puren ◽  
Malika Bouhenia ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fredrick Simpeh ◽  
Mariam Akinlolu

Purpose Security, safety, environment and health have become an integral part of facility management (FM). Therefore, FM departments within organisations are required to put measures in place to safeguard facility users. This paper thus aims to investigate and compare the safety and security measures that are provided in the student housing of two universities in South Africa. Design/methodology/approach A mixed method approach was adopted; interview was used to collect qualitative data, whereas a questionnaire was used as an instrument to collect quantitative data. Content analysis was used to analyse the qualitative data, whereas both descriptive and inferential statistics were used to analyse the quantitative data. Findings It became evident that university B had a better provision of safety and security measures in the student housing than university A. The study also found that both universities had some lapses in the safety and security measures provided in the student housing. Measures that were lacking in both universities were weapon detector, closed-circuit television (CCTV), water sprinkler system, burglar bars on the doors, lift for disabled students, disabled toilet facility, traffic light, tags for vehicles, first aid box, accident book and medically trained personnel. Research limitations/implications Data were collected from only two universities, making it difficult to generalise the findings of the research. For a broader perspective, a study that expands the number of participating universities is recommended. Practical implications The facility management and safety department in the universities can use the recommendations to improve on the safety and security measures required in the student housing. Moreover, the recommendations can contribute to the development of policy frameworks for student housing safety. Originality/value There is a paucity of studies on student housing safety/security worldwide, and South Africa in particular. With this study, the authors contribute to the body of knowledge in this area of research.


Author(s):  
Yesuneh Gizaw ◽  
Sintayehu Tsega ◽  
Kibrehewan Hailegiorgis

This study was aimed to assess the challenges that hinder the performance of women engaged in service enterprises. It also aimed to find out the main opportunities that women entrepreneurs might access to attain their goal. Accordingly, it identified lack of working place, shortage of working capital, shortage of training, lack of credit facility, burden of double responsibility and absence of husband support, and poor education back ground were major challenges that constrained the performance of women entrepreneurs. The various institutions providing support to women together with the current constitution were considered as opportunities for women entrepreneurs in the study area. The study utilized descriptive cross sectional statistics to analyze quantitative data and content analysis to compute qualitative data. Various points to tackle the challenges and to utilize the different opportunities available to improve the performance of women entrepreneurs were recommended.


In this chapter, the items of system accuracy, usability, and resources implication of adoption of the BACIS program are considered. System accuracy refers to how well the system is able to pick up issues and make alerts. Here, standard items from medical research such as false positives and false negatives are reported. Usability is about how user-friendly the systems are and also how well the system aids the clinician user in his or her work. Resources implications refers to resources that will be needed in implementation of the system. The data for these evaluation items consisted of quantitative data as well as qualitative data. The chapter closes off with a photo essay depicting places and people in South Africa as well as photos from the BACIS program implementation.


2019 ◽  
Author(s):  
Alaa Abd-Alrazaq ◽  
Zeineb Safi ◽  
Bridgette M Bewick ◽  
Mowafa Househ ◽  
Peter H Gardner

BACKGROUND General practices (GPs) in England have recently introduced a nationwide electronic personal health record (ePHR) system called Patient Online or GP online services, which allows patients to view parts of their medical records, book appointments, and request prescription refills. Although this system is free of charge, its adoption rates are low. To improve patients’ adoption and implementation success of the system, it is important to understand the factors affecting their use of the system. OBJECTIVE The aim of this study is to explore patients’ perspectives of factors affecting their use of ePHRs in England. METHODS A cross-sectional survey was carried out between August 21 and September 26, 2017. A questionnaire was used in this survey to collect mainly quantitative data through closed-ended questions in addition to qualitative data through an open-ended question. A convenience sample was recruited in 4 GPs in West Yorkshire, England. Given that the quantitative data were analyzed in a previous study, we analyzed the qualitative data using thematic analysis. RESULTS Of the 800 eligible patients invited to participate in the survey, 624 (78.0%) returned a fully completed questionnaire. Of those returned questionnaires, the open-ended question was answered by 136/624 (21.8%) participants. A total of 2 meta-themes emerged from participants’ responses. The first meta-theme comprises 5 themes about why patients do not use Patient Online: concerns about using Patient Online, lack of awareness of Patient Online, challenges regarding internet and computers, perceived characteristics of nonusers, and preference for personal contact. The second meta-theme contains 1 theme about why patients use Patient Online: encouraging features of Patient Online. CONCLUSIONS The challenges and concerns that impede the use of Patient Online seem to be of greater importance than the facilitators that encourage its use. There are practical considerations that, if incorporated into the system, are likely to improve its adoption rate: Patient Online should be useful, easy to use, secure, and easy to access. Different channels should be used to increase the awareness of the system, and GPs should ease registration with the system and provide manuals, training sessions, and technical support. More research is needed to assess the effect of the new factors found in this study (eg, lack of trust, difficulty registering with Patient Online) and factors affecting the continuing use of the system.


Author(s):  
Joy Mauti ◽  
Lara Gautier ◽  
Faith Agbozo ◽  
Veronica Shiroya ◽  
Nasreen S. Jessani ◽  
...  

Background: Addressing health in the Sustainable Development Goals (SDGs) calls for intersectoral strategies that mutually enhance both health promotion and sustainable development. Health in All Policies (HiAP) approach aims to address this as well as promote ownership among key stakeholders. Kenya was at the forefront of adopting the SDGs and has committed to the HiAP approach in its Health Policy document for the period 2014-2030. This study aims to assess how the adoption of the HiAP approach can leverage on SDGs implementation in Kenya. Methods: This is an exploratory case study using qualitative data and some descriptive quantitative data. The Organisation for Economic Co-operation and Development’s (OECD’s) eight building blocks for policy coherence on sustainable development was our guiding framework. Qualitative data was derived from a review of relevant peer-reviewed and grey literature, as well as 40 key informant interviews and analyzed in NVIVO. Quantitative data was accessed from the United Nations SDG indicator database and exported to Excel. Results: Kenya has expressed a strong political commitment to achieving the SDGs and has now adopted HiAP. The study showed that Kenya can leverage on local level implementation and long-term planning horizons that it currently has in place to address the SDGs as it rolls out the HiAP approach. The SDGs could be mapped out against the sectors outlined in the Adelaide statement on HiAP. It is also possible to map out how various ministries could coordinate to effectively address HiAP and SDGs concurrently. Funding for HiAP was not addressed in the OECD framework. Conclusion: Kenya can advance a HiAP approach by leveraging the ongoing SDGs implementation. This will be made possible by facilitating coordinated intersectoral action both at national and local level. Funding for HiAP is crucial for its propagation, especially in low- and middle-income countries (LMICs) and can be considered in the budgetary allocations for SDGs.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Tafirenyika Mafugu

Background: School Nutritional Programmes (SNP) provide meals at school to reduce hunger, nutrient deficiencies and improve class alertness among children in poor communities. The purpose of the research was to determine the challenges encountered in implementing the SNP in KwaZulu-Natal Province, South Africa in 2017.Design and methods: A cross-sectional study underpinned by a concurrent triangulation research design where interviews were used to collect qualitative data from stakeholders, and a questionnaire collected quantitative data from students. The set of qualitative data was thematically analysed. Descriptive and inferential statistics were used to analyse the quantitative data. Analysis of variance (ANOVA) and Tukey HSD test were used to compare the mean scores for food quality on different days of the week.Results: Both the quality and quantity of food were affected by delays in payment of food suppliers, lack of training of stakeholders, and poor kitchen facilities. Health problems experienced by students after eating the food made them reluctant to consume meals on some days. The Tukey HSD test indicated that the mean score for the quality of food served on Wednesday (3.2±1.3) was significantly higher than the mean score for the quality of the meal served on Friday (2.5±1.3).Conclusions: Late payment of food-suppliers and inadequate training of food-handlers affected the quality and quantity of the meals. The researcher recommends that the programme administrators should improve the frequency of payment for food suppliers, training of food handlers, and find alternative meals for students who do not consume the regular meals due to various reasons.


2021 ◽  
pp. 1-9
Author(s):  
Nicolas Schippel ◽  
Gloria Dust ◽  
Christian von Reeken ◽  
Raymond Voltz ◽  
Julia Strupp ◽  
...  

Abstract Objective Burdensome transitions are typically defined as having a transition in the last three days or multiple hospitalizations in the last three months of life, which is seldom verified with qualitative accounts from persons concerned. This study analyses types and frequencies of transitions in the last year of life and indicators of burdensome transitions from the perspective of bereaved relatives. Method Cross-sectional explanatory mixed-methods study with 351 surveyed and 41 interviewed bereaved relatives in a German urban area. Frequencies, t-tests, and Spearman correlations were computed for quantitative data. Qualitative data were analyzed using content analysis with provisional and descriptive coding/subcoding. Results Transitions rise sharply during the last year of life. 8.2% of patients experience a transition in the last three days and 7.8% three or more hospitalizations in the last three months of life. An empathetic way of telling patients about the prospect of death is associated with fewer transitions in the last month of life (r = 0.185, p = 0.046). Professionals being aware of the preferred place of death corresponds to fewer hospitalizations in the last three months of life (1.28 vs. 0.97, p = 0.021). Qualitative data do not confirm that burden in transitions is linked to having transitions in the last three days or multiple hospitalizations in the last three months of life. Burden is associated with (1) late and non-empathetic communication about the prospect of death, (2) not coordinating care across settings, and (3) not considering patients’ preferences. Significance of results Time of occurrence and frequency appear to be imperfect proxies for burdensome transitions. The subjective burden seems to be associated rather with insufficient information, preparation, and management of transitions.


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