Magister Curationis - MCur

Permanent URI for this collection

https://hdl.handle.net/10566/12322

Browse

Now showing 1 - 7 of 7

Assessment of common perinatal mental disorders in a selected district hospital of the Eastern Province in Rwanda
(University of the Western Cape, 2014) Umuziga, Marie Providence; Adejumo, Oluyinka
Common perinatal mental disorders (CPMDs) are increasingly being recognised as an important public health issue including depression and anxiety. In low and middle income countries such as Rwanda, CPMDs are prevalent among women in perinatal period. In Africa, the estimated prevalence rates of depression are 11.3% and 18.3% during ante-postnatal respectively, while ante-postnatal anxiety rates are 14.8% and 14% respectively. However, in Rwanda there is limited literature on CPMDs. This study was aimed at determining the occurrence of CPMDs in a selected district hospital of the Eastern Province in Rwanda as well as the factors associated with CPMDs in the selected study area. A descriptive quantitative cross-sectional survey was conducted with a sample of one hundred and sixty five mothers in perinatal period, who were selected systematically. Demographic data and factors associated with CPMDs were determined using structured questionnaire and combined screening tools such as Zungu Self-rating anxiety scale (SAS) and Edinburgh Postnatal Depression Scale (EPDS). The Cronbach alpha values were 0.87 and 0.89 for SAS and EPDS respectively. SPSS Version 21 was utilized to analyse data. Univariate, bivariate correlational and multivariate analyses were performed. Most of the respondents (38.2%) were aged 25-29 years; Protestants (77.6%); married (44.8%); unemployed (77%) and had a primary school level of education (60.6%). With respect to participants in antenatal period (51.5%); 14.5% had a clinical level of anxiety and 19.4% had depression. In terms of participants in postnatal period (46.7%); 22.5% had a clinical level of anxiety and 29.7% had depression. However, participants in both periods (1.8%) all had a normal level of anxiety and 1.2% had depression.
Barriers to utilisation of out-patient mental health services at a children’s hospital in Cape Town
(2013) Mokitimi, Stella; Adejumo, Oluyinka
This mini-thesis is an investigation of the barriers (if any) to utilisation of child and adolescent out-patient mental health services in the Division of Child and Adolescent Psychiatry at a children’s hospital in Cape Town, South Africa. It explores the reasons that make the patients not to honour their appointments. The study examines the relationship between the dependent variables (attendance (0), and non-attendance (1)), and independent variables which are demographic factors (age, sex, education, race, employment, marital status, area of residence, form of treatment, diagnosis and frequency of missed appointments) and continuous variables (finance/costs, language, knowledge, stigma, support system, culture/religion, confidentiality, work, school, service, and other miscellaneous variables (forgetting, inconvenience, refusing, frequency of appointments, and length of the session and emergency). The literature reviewed in the study revealed that non-attendance in mental health is a universal phenomenon, which affects everyone regardless of race, ethnicity or economic class. Furthermore, child mental health differs from other health fields in that almost all the patients are brought for consultation, somehow, against their will (Eapen & Jairam, 2009). In the study, the present researcher argues that even though non-attendance in child and adolescent psychiatry is a universal phenomenon, and literature is consistent in the findings on the barriers to utilisation of mental health services in other parts of the world, there is poor information on similar studies on South Africa, and particularly in Cape Town, where this study is based. This study will therefore contribute information to the existing body of knowledge in this area of child and adolescent mental health care services. iv The present researcher used a quantitative approach and Non-experimental design. Notably, the researcher used random stratified sampling with a population of patients who consulted with the Division of Child and Adolescent Out-patient Psychiatry Unit and at Neuropsychiatry Outpatient Clinic from the 1st of January 2011 to the 31st of December 2011, who missed appointments, and those who never missed appointments. The researcher conducted a survey using self-administered structured questionnaires, with children from 9 years to 18 years, and all parents/caregivers. The data is analysed using the Statistical Package for the Social Sciences (SPSS) software, Version 19.0 and Descriptive and inferential statistics. Findings from this study showed that all other independent variables investigated are statistically insignificant and are not associated with non-attendance in this out-patient unit, except for school related reasons which are found to be dominant possible barriers for attendance, and culture/religion is also statistically significant and has a weak association with non-attendance. These findings have implications on service delivery in this unit. Based on the findings, this mini-thesis concludes with a recommendation that services may possibly need to be reviewed to meet the needs of the patients in order to improve utilisation. I also recommend that this study be rolled out to other community clinics in the Western Cape, as it was done on a smaller scale, and only in one out-patient unit.
Lived experiences of nurses caring for adolescents with mental health problems in a psychiatric hospital in the Western Cape Province
(2013) Satani, Patricia Nomasizakhe; Adejumo, Oluyinka
Mental health care for adolescents is currently provided in a range of settings world-wide. These include the pediatrics units, general hospitals and specialized in-patient units for adolescents. However, care in these specialized units has hitherto not been evaluated. A phenomenological approach as a method and design was chosen to enable participants to describe and explore the lived experiences of nurses caring for adolescents in specialized psychiatric units of the selected psychiatric hospital. A purposive sampling method was used to select respondents. In-depth interviews were conducted with nurses caring for adolescents with mental health problems. Data saturation was reached with seven respondents. Interviews were recorded with a tape recorder that was only accessible to the researcher. Data analysis followed Collazi’s style that included listening to the recorded data, transcribing, coding, and intuition, reflection, reducing and interpreting the data. Ethical clearance was obtained from University of the Western Cape Higher Degrees Committee. The researcher requested permission to conduct the study at selected Psychiatric hospital from the Medical Superintendent and research ethics committee. Informed consent was also sought for those who agreed to participate in the study. Participants remained anonymous as their identity was not revealed. Only information related to the study was collected. Anonymity was assured by omitting names from transcripts as participants were given numbers only rather than using their names. The in-depth interviews were conducted in a quiet office to ensure privacy and confidentiality.
Patients' experiences of being nursed by student nurses at a teaching hospital in the Western Cape
(University of the Western Cape, 2013) Mukumbang, Ferdinand C.; Adejumo, Oluyinka
Patients' experiences of being nursed by student nurses at a teaching hospital in the Western Cape. Results: Three main themes were discovered after the data analysis; methods of identification of student-nurses by patients; positive perceptions of student-nurses by patients and the negative perceptions of student-nurses by the patients. Conclusion: Patients’ experiences with student nurses in their roles during their practicum vary considerably. Some patients reported that the students were very good to them, friendly; making conversations with them that would lighten up their moods. They asserted also that they felt comfortable with the technique and execution of the nursing care process by the student nurses, confirming that they see nothing wrong with them. Conversely, other patients did not hold the student nurses in high esteem and said that they were not very good with discharging their nursing duties and were sometimes found wanting in the execution of certain nursing procedures. Consequently, their experiences were not so good ranging from boredom to extreme pain during the nursing care from students. Emanating from the bad experiences that these patients have had with student nurses, they have become sceptical when it comes to receiving nursing care from student nurses and would refuse should they have the opportunity to decide.
Professional nurses’ attitudes and perceptions towards the mentally ill in an associated psychiatric hospital
(University of Western Cape, 2012) Basson, Marina; Julie, Hester; Adejumo, Oluyinka
Professional nurses, with additional training in mental health, report attitudes and perceptions of mental health nursing that are more positive, whilst those with less training report more negative attitudes and perceptions to mental health nursing. The primary aim of this research study was to describe the attitudes and perceptions of professional nurses towards the mentally ill in a psychiatric hospital in the Cape Metropole. The objectives of the study were: to explore the attitudes and perceptions of professional nurses towards the mentally ill; to identify common factors that influence the professional nurses’ attitudes and perceptions towards the mentally ill; to compare the attitudes and perceptions of professional nurses who have completed the Regulation 425, Regulation 808 and Regulation 212 training in mental health nursing towards the mentally ill. A quantitative, exploratory, descriptive design was employed and cross-sectional survey was carried out. Participants comprised all permanent professional nurses (n=60) at a governmental Associated Psychiatric Hospital in the Cape Metropole. Participants completed a demographic questionnaire and two self-report questionnaires, measuring attitudes to and perceptions of mental health problems. Nurses with a diploma report significantly higher role competency than those nurses with a degree. The ethnicity of nurses played a role in the stereotyping of the mentally ill. No significant differences were evident between those professional nurses who had completed the advanced mental health course and those whom had not. However, the combined effects of learning the appropriate course and experience in the practical field of the mentally ill are necessary for the task of impacting positively on the attitudes of the nurses towards the mentally ill.
Reflective practice in portfolio development: Perceptions of fourth-year nursing students at the University of the Western Cape
(University of the Western Cape, 2015) Ticha, Victoire; Fakude, L.; Adejumo, Oluyinka
Background: At the School of Nursing (SoN) of the University of the Western Cape (UWC) students (usually across all levels) carry out reflective practice when they compile a portfolio of evidence (PoE) to be submitted at the end of each semester. This contributes to their formative assessment. The PoE is a great assessment tool, although for various reasons it is often completed late by the students. Registered fourth-year nursing students were the sample population, because they have been actively involved in reflective practice through the process of compiling a PoE towards the end of every semester, and they have been doing this since their first year. In order to accomplish safe clinical judgements, nurses must be encouraged to become analytical and critical thinkers. Development of a PoE while reflecting on their clinical experiences is one of the strategies that can be used to enhance analytical and critical thinking among the students. Also, these learners carried out reflective practice, mostly on clinical activities that they were exposed to, and the PoE requirements and evidence are mostly clinically inclined (for example, incidents that they encountered, record of attendance at the clinical facilities). How the students perceive this process is important if they are to be encouraged to do reflective practice. Compilation of a PoE at an SoN of a university in the Western Cape requires and comprises a record of evidence that the learners put together and thereafter reflect upon. Objective: To describe the perceptions of fourth-year nursing students regarding reflective practice when compiling their PoE. Method: A qualitative design was used to explore the perceptions of registered fourth-year nursing students regarding their reflective practice when compiling their PoE. A purposive sampling method was employed, and three focus group discussion (FGD) sessions were held consisting of 6-8 participants per group. Data saturation was achieved at the third session. Tesch‟s method of data analysis was used. Ethical considerations were employed through the informed consent process, confidentiality, dependability, credibility of participants and appropriate handling and storage of the collected data and the tape recorder. Results: The results of this study show that through reflection the learners gained experience and professionalism from incidents that occurred and activities expected of them, mainly at the hospitals and classroom. Participants reflected on both good and bad experiences, and saw them as challenges preparing them for the future, bearing in mind that they had just about a month until commencing their Community Service Programme. For some of the participants the compilation of the PoE was a great teaching and learning strategy, as learning gaps were identified and it helped them improve their record-keeping and organisational skills.
The use of information and communication technologies by nurse educators for teaching and learning in edo state, Nigeria
(2013) Esewe, Roselynd Ejakhianghe; Adejumo, Oluyinka
Information and Communication Technologies (ICT) are for information storage, retrieval, display and transmission through electronic means in our day-to-day life. The use of technology in education has made both learners and educators to achieve new possibilities because life is made easy for them due to its inherent advantages which range from support of conventional classroom work, design, development of learning materials to accessing virtual libraries. Harnessing these benefits places a great deal of demand on nurse educators to improve the teaching-learning experience of learners. However, the major players, especially the nurse educators in Nigeria, have not been properly investigated to find out if they use technology in teaching, and if they do, what types they use. The study aimed to explore and describe the nurse educators‟ use of Information and Communication Technologies in teaching and learning in nursing schools in Edo State, Nigeria. It focused on the type of Information and Communication Technologies used by nurse educators, how they use them, and the challenges they face, if any, in the use of technologies with a view to suggesting ways of overcoming the identified challenges. An exploratory descriptive quantitative research design with the use of self-administered questionnaires was adopted. The population was all the 36 nurse educators in the three universities that offer the Bachelor in Nursing Science programmes in Edo State. Validity and reliability of the study questions were ensured and a pilot study was done to ensure internal consistency by measurement with the Cronbach‟s alpha consistency measure that yielded 0.85. Descriptive analysis was employed with the aid of frequencies, tables and graphs. Findings of the study indicate that the nurse educators use technology for teaching and learning. They all use the laptop 34(100%); desktop computer iii accounts for 33(97.1%). The respondents use these technologies in conjunction with word processing and spreadsheet for direct classroom teaching, preparation of lectures and students‟ results as well as classroom facilitation. Twenty-five (25) respondents (73.5%) use the mobile technologies such as cell phones and emails to send and receive messages from students. Thirty (30) respondents (88.2%) store information as well as browse the Internet. The use of these applications is quite high, unlike video transmission to receive recorded lectures from out-stations which amounted to 7(20.6%) and video conferencing to dialogue with nursing experts 6(17.6%). The CD ROMS are used for direct classroom teaching, storage of course materials and for rehearsal and revision purposes by less than 50% of the respondents each. The respondents identified erratic power supply, unstable connectivity and inadequate ICT facilities as some of the major challenges they encounter. In conclusion, the study recommends among other things that the various departmental and personal offices of the lecturers be equipped with modern technology facilities. The university management is urged to explore other alternative power supply like solar energy. Furthermore, all the role players are urged to play their part effectively to make ICT for teaching and learning beneficial and effective.

Browse

Browsing by Author "Adejumo, Oluyinka"

Results Per Page

Sort Options