Browsing by Author "Bekelepi, Ntombiyakhe"

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    Development of an intervention strategy to provide emotional support for nurses caring for violent patients in acute wards in psychiatric hospitals in the Western Cape
    (University of the Western Cape, 2022) Bekelepi, Ntombiyakhe; Martin, Penelope
    Globally, workplace violence in healthcare is a major public concern, especially in the nursing profession. Nurses have higher risk of experiencing workplace violence they spend more time with patients. The violence has an impact on nurses’ day-to-day work as it negatively affects their physical and mental health, job satisfaction, productivity, and quality of patient care. Several interventions such as critical incident debriefing, group intervention approach, clinical supervision, and mindfulness-based stress reduction interventions have been developed to support nurses from workplace violence. Despite these interventions, the response to satisfaction with accessibility and utilisation have varied in areas in the workplace.
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    Experience of violence, coping and support for nurses working in acute psychiatric wards
    (AOSIS, 2022) Bekelepi, Ntombiyakhe; Martin, Penelope
    Acute psychiatric wards are stressful working environments because of the nature of the mental illness of patients admitted. These patients present with a variety of complex psychiatric problems and social control that require skilled and competent nurses to manage them. The shortage of nurses, especially with advanced psychiatric qualifications or necessary experience, may create challenges for nurses as they navigate this stressful working environment. The aim of this study was to explore and describe nurses’ experience of patient violence, coping strategies and received support whilst working in acute wards in psychiatric hospitals.
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    Knowledge and skills of professional nurses in managing aggressive patients in a Psychiatric Hospital in the Western Cape
    (University of the Western Cape, 2015) Bekelepi, Ntombiyakhe; Martin, P.D
    Background: Mental illness has become more common than many other diseases such as heart disease, cancer or diabetes. Aggression or violence by patients towards psychiatric nurses is a global issue. These nurses, therefore, face the huge challenge of providing nursing care to aggressive psychiatric patients. Without the necessary knowledge and skills, the nurses are vulnerable to all kinds of injuries, given the time spent managing aggressive patients. Purpose and objectives: The purpose of the study was to determine the level of knowledge and skills that professional nurses possess to manage the aggression of psychiatric patients. The objective of the study was to ascertain whether the knowledge and skills of professional nurses were sufficient to manage aggressive psychiatric patients. Method: A quantitative approach and descriptive design was used to conduct this study at a Psychiatric Hospital in the Western Cape, South Africa. The target population consisted of 149 professional nurses employed at the Psychiatric Hospital. The sample for the study was all-inclusive i.e. all professional nurses employed at the hospital. Only 70 participants were available for the study. Structured questionnaires were distributed to the participants for data collection and the response rate was 77% (n=54). Data analysis was done with the aid of a statistician using a Statistical Package for Social Science, version 22, and nominal as well as ordinal data was analysed using descriptive analysis. The process and purpose of the study was explained to the participants, who gave their consent, prior to the distributing of the questionnaires. The researcher obtained permission from the necessary authorities before commencing with the study. Findings: The study found that nurses were more likely to be exposed to verbal aggression as opposed to sexual aggression. It also revealed that nurses with less years of experience had more knowledge than their counterparts who had more years of experience in same position. Furthermore, the study revealed that those who had training in aggression management reported that the training did not meet their needs. Overall, the findings revealed that nurses had a fair knowledge of managing aggressive psychiatric patients. The overall findings also revealed that professional nurses had the required skills to manage aggressive patients. Recommendations: There is a need for on-going in-service training and refresher courses in the management of aggression. There should also be a needs analysis before commencing with these training courses which should be made compulsory for all staff to attend. Further studies should be conducted on the different categories of nurses, and other disciplines within nursing, to ascertain their knowledge of the management of aggression. Qualitative studies should also be conducted on nurses‟ experience of aggression in different settings.
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    Professional nurses' knowledge and skills in the management of aggressive patients in a psychiatric hospital in the Western Cape
    (UNISA Press, 2015) Bekelepi, Ntombiyakhe; Martin, Penelope D.; Chipps, Jennifer
    Aggression and violence by patients towards psychiatric nurses are a global issue. Professional nurses working in psychiatric hospitals are required to look after psychiatric patients who may become aggressive. They may not be equipped to deal with aggression as the focus of nursing is on patient care, thus they may not have the necessary skills and knowledge to intervene in aggressive episodes. A quantitative approach, descriptive design was used to determine the knowledge and skills of professional nurses in managing aggression of psychiatric patients. The study was conducted in a psychiatric hospital in the Western Cape. The target population consisted of 119 professional nurses working in the psychiatric hospital. An all-inclusive sample of professional nurses was selected to complete a self-developed structured questionnaire. The overall Cronbach's Alpha for the instrument was 0.721. A total of 70 questionnaires were handed out, yielding a return of 52 completed questionnaires. The response rate was74%. Data analysis was done using SPSS version 22 from which descriptive data was obtained. Findings suggest that nurses are likely to be exposed to verbal aggression as opposed to sexual aggression. Nurses with less years of experience had more knowledge than experienced nurses who have been in practice longer. Nurses who had training in aggression management reported that it did not meet their needs. Overall, the findings revealed that nurses have good (above 80) knowledge about management of aggressive psychiatric patients. There is a need for on-going in-service training and refresher courses in the management of aggression. There should be a needs analysis prior to the commencement of the training.
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    Support interventions for nurses working in acute psychiatric units: A systematic review
    (AOSIS, 2022) Bekelepi, Ntombiyakhe; Martin, Penelope
    Diverse support interventions have been implemented to provide support for nurses working in acute psychiatric settings. These interventions aimed at modifying the psychological and social factors, as they either prevent stress responses or reduce its effects to improve the psychological well-being of staff. This study aimed to examine effective stressreduction interventions for nurses and to identify key elements of these successful interventions. Studies included in this review were conducted in acute psychiatric settings. A comprehensive search of electronic databases was conducted for support intervention studies between 2010 and 2021.