Nursing Recommendations for the Management of HIV and Hypertension in a rural Primary Health Care Setting, Eastern Cape, South Africa

South Africa has an increased number of people living with the human immunodeficiency virus (PLWH). In addition, older PLWH are prone to developing non-communicable diseases (NCDs) as co-morbid illnesses, in particular hypertension. South Africa is experiencing a dual burden of care, that being the co-morbidity of HIV and hypertension. The integration of HIV and non-communicable disease management is needed towards a synergised and comprehensive approach within primary health care (PHC) settings. This article presents nursing recommendations yielded by a descriptive phenomenological study on the management of HIV and hypertension in a rural PHC context. A qualitative research approach, using Husserl’s descriptive phenomenology, was employed, and data were gathered using semi-structured interviews. The interviews were conducted by the first author at Sakhisizwe sub-district clinics, Eastern Cape. Purposive sampling was used to select nine participants. Giorgi’s phenomenological steps underpinned data analysis. Six nursing recommendations were developed to support professional nurses in the management of the co-morbidity of HIV and hypertension: 1) disease-specific health education as opposed to generic health education; 2) utilisation of existing programmes on the integration and management of chronic illnesses; 3) creating social support platforms or spaces; 4) referral pathways; 5) surveillance and monitoring; and 6) management of disease-related stigma. Professional nurses working in PHC clinics have several guidelines to manage chronic illnesses. However, there are limited nursing recommendations on how to manage the co-morbidity of HIV and hypertension. This study focused on a smaller sample of nine participants, in one sub-district and in one district.

Relationship between resilience, depression, stress and anxiety among nurses in a tertiary health institution in Nigeria.

Background: This study determines the relationship between resilience, depression, stress and anxiety among professional nurses who are frontline workers.Methodology: The study was conducted among nurses working in Lagos State University Teaching Hospital (LASUTH) Ikeja, Lagos State. The Connor-Davidson Resilience scale and Depression, Anxiety and Stress questionnaire administered to 360 nurses. Simple frequency, mean, standard deviation and Pearson correlation were used for the analysis.Results: The majority (90%) of the respondents was female and about two thirds of them were married. Overall summarized scores for the level of anxiety, depression and stress were 46.6%, 38.5% and 37.7% respectively. Resilience had statistically significant positive correlation with years of experience (r=0.160, p=0.002); negatively significant with stress (r = -0.281, p< 0.001) and negatively significant with anxiety (r = -0.210, p < 0.001). Depression was negatively significant with years of experience (r = - 0.132, p = 0.013) while stress was positively significant with depression (r = 0.764, p< 0.001) and anxiety (r = 0.751, p < 0.001).Conclusion: There is a need to organize programmes that will improve the resilience of professional nurses should be organized to reduce the effects of stress, anxiety and depression among nurses. Keywords: Resilience, Nurses, depression, stress, anxiety

MATHEMATICS IN THE NURSING PROFESSION: STUDENT AND PROFESSIONAL NURSES' PERSPECTIVE

<p>Mathematical knowledge and skill are needed by all students in their studies and future careers. Students’ perceived relevance of mathematics in their future careers influences their attitude towards learning mathematics. This study explored student and professional nurses' perceived relevance and application of mathematics in the nursing profession. A sample size of 301 nursing students in a University in Ghana and 12 professional nurses participated in the study. Data was collected using a questionnaire and interview and was analyzed using descriptive statistics and thematic analysis. The study revealed that both the professional and the student nurses perceived Statistics, Ratio and Rates, and Percentages as the topics in school mathematics that they find most relevant and applicable to their study and practice of nursing. It is recommended that the senior high school mathematics teachers may need to always share the professional applicability of any topic they teach, by using authentic and real-life situations in various professions.</p>

Un modelo de liderazgo para la retención de enfermeros/as profesionales

En el ámbito de Recursos Humanos es escaso el conocimiento sobre la implicancia de las características del fenómeno del Liderazgo en la retención del talento, en lo referido particularmente a la población de enfermeros/as profesionales. Este estudio empírico basado en un diseño no experimental de alcance descriptivo, tuvo por objetivo general evaluar si existe relación entre las estrategias de intervención enfocadas en el equipo de trabajo que desarrollan los Jefes de Unidad de Enfermería, y la retención del recurso humano de enfermería del Hospital Privado de Comunidad de la ciudad de Mar del Plata (Argentina), para generar una propuesta competitiva y sostenible de retención de Recursos Humanos basada en un modelo de liderazgo ajustado a las necesidades de los colaboradores. Abstract In the field of Human Resources, there is little knowledge about the implication of the characteristics of the Leadership phenomenon in the retention of talent, particularly in relation to the population of professional nurses. This empirical study based on a non-experimental design with a descriptive scope, had the general objective of evaluating whether there is a relationship between the intervention strategies focused on the work team developed by the Heads of Nursing Unit, and the retention of the nursing human resource of the Private Community Hospital of the city of Mar del Plata (Argentina), to generate a competitive and sustainable proposal for the retention of Human Resources based on a leadership model adjusted to the needs of employees.

Strategies to facilitate effective caring for patients in primary health care clinics

Background: Caring is described as the innermost core of nursing which occurs in a relationship between the patient and the care provider. Although caring in nursing is associated with maintaining and strengthening of the patient’s sense of dignity and being a person, there seems to be a gap between caring theories in nursing, healthcare policies and caring for patients by professional nurses in primary health care clinics. Developing strategies that will facilitate effective caring for patients by professional nurses in primary health care clinics within an ethical and mindful manner became an area of focus in this study.Objectives: To develop strategies to facilitate effective caring for patients by professional nurses in primary health care clinics in South Africa.Method: Strategies were developed based on the conceptual framework developed in Phase 2, which was derived from synthesis of the results of Phase 1 of the previously conducted study and supported by literature. The conceptual framework reflects the survey list of Dickoff, James and Wiedenbach’s practice theory.Results: Three strategies were developed: 1) facilitating maintaining of the empowering experiences; 2) facilitating addressing the disempowering experiences by professional nurses, and 3) facilitating addressing of the disempowering primary health care clinic systems.Conclusion: The developed strategies, being the proposed actions, procedures and behaviours, could facilitate effective caring for patients by professional nurses in primary health care clinics.

Burnout, Attachment and Mentalization in Nursing Students and Nurse Professionals

(1) Background. In caretaking professions, attachment style and mentalization capacities are essential factors for establishing an effective caretaker–patient relationship and for buffering burnout. While attachment avoidance and dependency are considered risk factors for burnout, impairment in mentalization capacity is associated with psychological distress and ineffective emotion regulation. (2) Objective: Evaluating the attachment style and mentalization capacity in nurse professionals and nursing students. We further investigated the impact of these factors on burnout in professional nurses. (3) Method: 94 nursing students and 94 controls and 34 professional nurses completed the Attachment Style Questionnaire (ASQ) and the Reflective Functioning Questionnaire (RFQ). For professional nurses, the Maslach’s Burnout Inventory (MBI) was also administered. (4) Results: Nursing students exhibited lower scores in secure attachment and higher scores in anxiety over relationships compared to controls while no difference in mentalization capacity was found between both groups. Importantly, attachment anxiety resulted a significant predictor of burnout in professional nurses. (5) Conclusions: Nursing students might compensate their attachment insecurity with high mentalization. Attachment security may play a protective role against burnout in the professional nurses. Education programs aimed at enhancing mentalizing abilities might facilitate nursing students’ entrance in the forthcoming clinical environment and practice. Implementing training strategies based on attachment theory may contribute to burnout prevention in nurse professionals.

Testing interaction effects of intellectual capital and burnout on innovative work behaviour of professional nurses

PurposeThe present study aims to examine the moderating effect of burnout between intellectual capital and innovative work behaviour of professional nurses.Design/methodology/approachMixed-method approach was followed that involves conducting both quantitative surveys and qualitative semi-structured interviews. Quantitative data was collected from 844 staff nurses. Interviews were conducted with a total of 20 participants including director of nursing, chief nursing officer, general manager operation, professor cum principal, doctors, nurse educators, ward in charges and staff nurses working with multi, super speciality private and charitable trust hospitals in Mumbai (India).FindingsIntellectual capital and burnout (intellectual capital*burnout) interaction increased the proportion of innovative work behaviour from 0.09 to 0.15, an increase of 66.67%. The results also reveal a significant and negative (−0.09) moderating effect of burnout between intellectual capital and innovative work behaviour of nurses. Qualitative findings also could confirm and support that human, structural and relational capital help nurses to be innovative. However, whenever nurses feel a loss of energy, enthusiasm, motivation and exhaustion, they tend to become less innovative and continue only with the routine works.Research limitations/implicationsThis study provides a new implication for multi, super speciality private and charitable trust hospitals management to relook at and reduce the level of burnout to mitigate its adverse effect.Originality/valueTo the best of the authors’ knowledge, this is the first study and findings related to professional nurses working in multi, super speciality private and charitable trust hospitals in India.