UWCScholar :: Browsing by Author "Bimerew, Million"

Browsing by Author "Bimerew, Million"

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Adequacy and sustainability of undergraduate midwifery programmes training course materials
(African Association for Health, Physical Education, Recreation, Sport and Dance (AFAHPER-SD), 2014) Bimerew, Million; Mbombo, Nomafrench
The purpose of the study was to determine the adequacy and sustainability of Undergraduate midwifery programmes training course materials. A quantitative survey method was employed to collect sustainability data from lecturers and clinical supervisors (N=33) and data on adequacy of the training course materials from graduated professional nurses doing their community service (N=34). The data was analyzed using SPSS programme for frequency distributions and percentages. More than 90% of the participants stated that the integrated PMTCT training course materials were sustainable. Participants stated that they were unlikely or very unlikely to exclude PMTCT competencies from the undergraduate midwifery programme: PICT (provider-initiated counselling and testing)/HCT (HIV counselling and testing) course unlikely (60.61%) and very unlikely (30.3%); antiretroviral therapy (ART) course unlikely (33.33%) and very unlikely (60.61%); PCR testing course unlikely (48.48%) and very unlikely (39.39%); and infant-feeding management course unlikely (27.27%) and very unlikely (66.67%). The course was regarded as very adequate or fairly adequate: PICT/HCT very (59%) and fairly adequate (49.2%); antiretrovirals/ART very (64.7%) and fairly adequate (32.4%); polymerase chain reaction training very (52.9%) and fairly adequate (41.2%); and infant-feeding options very (73.5%) and fairly adequate (26.5%). The results of this study show that PMTCT competency-based course materials were adequately provided to undergraduate midwifery students to equip them with necessary knowledge and skills in management of the PMTCT client. The PMTCT course was regarded as sustainable, which influences its continuation in the midwifery programme after the end of the PMTCT project.
Barriers to community mental health users’ access to information needed to deal with mental health problems, Western Cape, South Africa
(African Association for Physical, Health Education, Recreation and Dance, 2015) Bimerew, Million; Adejumo, Oluyinka; Korpela, Mikko
The most important advancement in the healthcare industry in the 21st century is the application of information technology (IT) in health care. While integrated IT is critical in transforming mental health care, IT infrastructure in mental health lags behind other sectors. This study explored community mental health users’ barriers to accessing information in dealing with mental health problems. Semi-structured individual interviews were conducted with 11 mental health users and their family members, and two focus group discussions were held with eight mental health consumers and family members of each. Major barriers to accessing information were long waiting times for services; inadequate mental health education and information sessions; and lack of a support club to share information and experiences with people with similar mental problems. Empowering mental health users with adequate and appropriate mental health information helps to improve their care. Use of IT such as tele-health communication, email and text messages using computers was proven to improve access to information and quality of care provision.
Challenges in the use of information technology in processing health information in resource limited settings: a comprehensive systematic review
(UNISA Press, 2015) Bimerew, Million
The use of information technology in processing and utilising health information has significant health care outcomes. Its use in the assessment, diagnosis and management of health problems through access to relevant health information is crucial. The aim of this review was to identify the use of information technology in processing and utilising health information in low resource settings. A comprehensive systematic review focusing on resource limited settings was conducted. The review identified the following challenges in the use of information technology in resource limited settings: lack of health information system and networking; limited knowledge and skills; lack of information users’ participation; unavailability of standardised health indicators and poor quality information processing. Combining manual and technology assisted information processing system in less resource settings is essential in transforming and promoting the utilisation of health information. The capacity development training, involvement of community professional nurses and midwives in the design and development of health information system for processing and utilisation, and creating an enabling environment could help overcome the challenges in the use of information technology in low resource settings.
Developing strategies to improve support for grandparents caring for aids orphans in the western cape
(University of Western Cape, 2021) Akimanimpaye, Furaha; Phetlhu, Deliwe René; Bimerew, Million
Literature evidence on challenges facing the grandparents caring for AIDS orphaned children has shown inaccessibility to health care services, inability to afford basic needs, absence of social security provisions (with the exception of the pension scheme) and lack of attention from the government and Non-Government Organizations (NGOs). In South Africa, there is insufficient documented evidence of available sustainable approaches to supporting grandparents caring for AIDS orphans in all health dimensions. This study aimed to develop strategies to improve support for grandparents caring for AIDS orphans in the Western Cape Province of South Africa.
Developing strategy to improve the implementation of comprehensive sexuality education policy in Oyo state secondary schools in Nigeria
(University of the Western Cape, 2022) Yinyinola, Makinde Olufemi; Bimerew, Million
Sexuality education is a globally emerging social issue leading to discourse among stakeholders in the school system and public health arena. Comprehensive sexuality education (CSE) has emerged as an effective method of preventing teenage pregnancy. However, attempts to implement CSE policy in Nigeria since 2002 have not been successful. Teenage pregnancy is increasing in Oyo State, leading to rising school dropout rates. The aim of this study was to develop strategy to improve implementation of the CSE policy aimed at reducing teenage pregnancy at secondary schools in three LGAs in Oyo State, Nigeria. An explanatory sequential mixed methods design was employed to conduct data collection and analysis in Phase One. Target populations for survey were learners, parents and teachers.
Development of a protocol for nurses to reduce stigma towards mental health care users at primary health care services in the Western Cape
(2023) John James Musafiri; Bimerew, Million
Background: Nearly one in eight individuals across the world lives with a mental disorder. Mental disorders contribute to the global burden of disease, and are the third largest contributor to the overall disease burden in South Africa. The availability of mental health services at primary health care level should reduce the burden of mental disorders. It was found that several studies have revealed that stigma prevents people from seeking mental health care which contributes to delays in their recovery. Consequently, it deprives them of their basic human rights and excludes them from society. Mental health stigma has been reported among nurses and other health care providers.
District facility managers’ perspectives of mental health information processing and utilisation at primary care level in the Western Cape
(AFAHPER-SD, 2014) Bimerew, Million; Korpela, Mikko; Adejumo, Oluyinka
District health facility managers play a significant role in provision of primary health care (PHC) services, particularly in integration of mental health services into the PHC level and developing a district health information system, which includes an integrated mental health information system (MHIS). The aim of the study was to explore the views and involvement of district health facility managers in the mental health information processing and utilization in improving mental health service delivery within the context of PHC. The study employed a qualitative research approach. Fourteen facility mangers were recruited using purposive sampling techniques, and interviews were conducted in 2012 and 2013. The interview data were analysed using thematic content analysis. The study identified that mental health information processing systems are fragmented and inadequate for decision making, and it was not known how to use mental health information. Lack of knowledge in information processing and utilization, as well as poor information infrastructure and networking was associated with poor understanding about mental health, not considering mental health as one of the priorities within the district health services, and lack of higher officials’ interest in the mental health development programme. Also notable were the attitudes towards mental illness, which were a major problem. These findings have major implications, such as behavioral /attitudinal risk factors of higher officials, policy makers, and the community for MHIS development and interventions in the reduction of mental health problems in South Africa.
Experiences of community nurses in management of a district-based mental health information system in the Western Cape, South Africa
(Africa Association for Health, Physical Education, Recreation, Sport and Dance, 2014) Bimerew, Million; Adejumo, Oluyinka; Korpela, Mikko
The aim of this study was to explore the experiences of community nurses in the management of a mental health information system (MHIS). A purposive convenient sampling method was employed to select 23 community mental health nurses from 23 community health facilities for the study. Individual semi-structured interviews were used, and the data were analysed for themes. The main findings of the study were categorised into the themes of information gathering tools and contents, information processing, and challenges of mental health information processing. Subthemes which emerged were information gathering tools, head count information content, knowledge and skills, computer technology, information flow and sharing, resources, and feedback in information processing. Information processing in terms of data gathering, compiling, analysing, getting feedback, and sharing information were the major concerns. There were inadequate knowledge and skills in information systems, no standard information collection tools designed for mental health, and lack of infrastructure, such as a mental health information network system across the health facilities and up to the higher level. Mental health requires a responsible person that deals with the MHIS in terms of reporting, analysing and getting feedback from the results of analysis back to the people at ground level for implementation. The amount of mental health information being collected and processed was inadequate and of poor quality. This has resulted in having few data available for the decision making process and/or planning mental health services.
Exploring the coping strategies of mothers with preterm babies admitted to a Neonatal Care Unit in one hospital in Cape Town
(University of the Western Cape, 2017) Awah, Delphine Sih; Bimerew, Million
Most pregnant women have uncomplicated pregnancies. In South Africa mothers with uncomplicated pregnancies are able to deliver at community-based health facilities called Midwife Obstetric Units. However, due to complications that occur during pregnancy, including preterm labour, some women deliver their babies in a secondary or tertiary hospital. During this time, the neonates have to be admitted to the neonatal care unit, which becomes stressful and challenging to their mothers. This is usually due to the daunting hospital environment, the different equipment used to care for their babies and the neonatal care unit routine. The aim of this research was to explore and describe the coping strategies and support needs of mothers with preterm babies admitted to a neonatal care unit in one hospital in Cape Town. This research adopted a qualitative research approach and an exploratory and descriptive design to elicit information from participants. A purposive sampling strategy was used for participant selection. The researcher and the trained data collector conducted one-toone interviews with the participant which took place in a private room.
Exploring the sexual and reproductive health information needs and barriers of teenage girls at a high school in the Western Cape
(University of the Western Cape, 2022) Holtman, Natheerah; Bimerew, Million
The sexual reproductive health information needs of teenage girls are unmet in developing countries. This coupled with poor information-seeking behaviour to acquire appropriate SRH information and understanding of how the body works as well as misconceptions about contraceptive use expose teenage girls to unintended pregnancies and school dropout. The study aimed to explore the sexual reproductive health information needs, and barriers of teenage girls at a high school in the Western Cape. A qualitative research method with exploratory, descriptive, and contextual research design was used for this study. The targeted population was teenage girls aged 16–17, across Grade 11. Purposive sampling was used to select participants. In-depth semi-structured interviews were conducted with 17 participants, which were audio recorded and transcribed verbatim. Data were analyzed using thematic analysis.
Factors influencing nursing students’ persistence at a higher education institution in the Western Cape
(University of the Western Cape, 2023) Mapfuranewe, Eggesta; Bimerew, Million
Background: Persistence of undergraduate nursing students at institutions of higher learning is mainly hampered by high attrition rates. High attrition rates are a global problem, attributed to a myriad of challenges that students experience during their years of study. This eventually leads to poor persistence which cascades down to a reduced number of nurses graduating and contributes to the global nursing shortage. Aim: The study aimed to investigate factors influencing the undergraduate nursing students’ persistence at a selected higher education institution in the Western Cape. Methodology: A quantitative method with a descriptive survey research design was employed to conduct the study. An all-inclusive sampling technique was used to include the study population of 317; 149 responses were obtained. Data was collected using both online and face-to-face self-administered questionnaires. Data was analysed using the Statistical Package for Social Sciences version 28. Results: The study showed that respondents were committed to obtaining their nursing degree and their commitment to the institution was robust. The respondents took their academic work seriously and were academically conscientious. The respondents were satisfied with their academic progress, although some had reservations about their relationship with the lecturers. Social coherence among the respondents, institution and campus community was lacking. The respondents did not find the institution convincingly supportive, and they did not have an overall sense of inclusion in the implementation of support services. Conclusion and recommendations: Students’ commitment to obtain their degrees and institutional commitment were the two most highly rated factors. Social engagement and campus support were the least rated factors. It is recommended that the institution should devise supportive academic programmes that make effective use of mentors for first-year students. The lecturers at the institution should attempt to make their presentations more interactive. The institution should also assist in setting up activities that encourage engagement and socialisation for students.
Health information officers’ views of mental health information processing and utilisation within an integrated primary healthcare service in Cape Town, South Africa
(African Association for Health, Physical Education, Recreation, Sport and Dance, 2015) Bimerew, Million; Adejumo, Oluyinka; Korpela, Mikko
Health facility information officers have significant roles in gathering and processing health information and communicating it for utilisation. The purpose of this study was to explore the views of health information officers in processing and utilisation of mental health information within the context of primary health care. Fourteen health information officers were selected using purposive sampling techniques; they were interviewed, and data were grouped into themes. The study revealed a lack of structured information validation and feedback systems to improve the quality of information processing, and facility-level mental health information processing was fragmented and not used to improve service outcomes. Staff involved in health information recording and processing had limited skills to fulfill these tasks, and there were barriers to collecting and processing mental health information. These findings have major implications in improving mental health services within the integrated primary mental healthcare services, and in developing a sound and strong mental health information system.
Integrating prevention of mother to child HIV transmission competencies into the nursing curriculum: Methodological lessons from a university-based undergraduate programme
(Oasis OpenJournals, 2012) Mbombo, M.; Bimerew, Million
South Africa (SA) has the highest number of women infected with HIV and AIDS during pregnancy, which results in more than 70 000 infected babies being born each year AIDS is the major contributor to maternal and child morbidities and mortalities in the country. To combat this, the SA government has developed a national policy to prevent mother-to-child HIV transmission (PMTCT). However, for effective implementation of this policy, there is a dire need for a competent, skilled health worker to render the service. In response to this, the School of Nursing at the University of the Western Cape has integrated PMTCT competencies into the undergraduate Bachelor of Nursing Science curriculum. In this paper, we described teaching and learning approaches used to integrate PMTCT competencies, including the skills laboratory methodology and case-based learning, as well as a portfolio of evidence assessment tool. A quantitative descriptive design was used to analyse data collected from students in regard to assessment of PMTCT competencies achieved. The study used the conceptual framework of Lenburg’s competency outcomes and performance assessment model, which focuses on competency development and assessment in a clinical environment. HIV competencies, including PMTCT, should be integrated both theoretically and at service delivery into other nursing and midwifery competencies, including assessment strategies. Provincial policies in provision of antiretrovirals by nurses and midwives become barriers to successful implementation of PMTCT, resulting in limited learning opportunities for students to practice PMTCT competencies. Further research is required to assess an attribute, affect, which is another prong for competencies.
Investigating the knowledge and attitudes of nurses on the benefit of the quality of patient record-keeping in selected hospitals in Burundi
(University of the Western Cape, 2018) Bizimana, Edison; Bimerew, Million
Background: Complete recording of information is the foundation of continuity of care. However, the quality of patient information recording is a major problem being experienced by health services institutions in many countries. In Burundi there is a lack of accurate information recording and processing of patient information. The quality of patient information recorded is unreliable for decision making and management of healthcare delivery. Aim: This study investigated the quality of patient information record-keeping among nurses in selected hospitals in Burundi. The objectives were as follows: (a) to describe the knowledge of nurses on the benefits of the quality of patient record-keeping in selected hospitals in Burundi, (b) to describes nurses’ attitudes on the benefits of the quality of patient record-keeping in selected hospitals in Burundi, c) to determine the association between sociodemographic characteristics and nurses’ knowledge and attitudes on the benefits of the quality of patient record-keeping in selected hospitals, and (d) to identify barriers influencing the quality of record-keeping in selected hospitals in Burundi. Methodology: The study employed a quantitative research approach using a descriptive survey design. The target population for this study was N=121 nurses; an all-inclusive sampling technique was used to include all 121 qualified nurses who were working in the selected hospitals. A self-administered questionnaire was used to collect the data. The data were analysed using SPSS version 24. Statistical variables such as knowledge, attitudes and barriers were analysed using descriptive statistics to generate frequency, and cross tabulation using chi square test was also adopted to determine the association between sociodemographic characteristics and nurses’ knowledge and attitudes on the benefits of the quality of patient record-keeping. The reliability and validity of the instrument were established and a pre-test was conducted to validate the questions. All ethical principles regarding the study were adhered to. The findings from this study provide relevant information about the benefits of quality of patient record-keeping for the management of the hospitals and all relevant stakeholders in Burundi.
Investigating the reproductive health knowledge, attitudes and practices among student nurses at a selected private nursing college in South Africa
(University of the Western Cape, 2018) Forsyth, Patricia Eileen; Bimerew, Million
Background: The changes in sexual and reproductive behaviour of young people as they become students, has been widely documented. International and local studies promote the development of student-centred, comprehensive and accessible reproductive health services. In order to establish effective reproductive health care within education institutions, it is strongly recommended that one should understand the local context well. Aim: This study aimed to describe the reproductive health knowledge, attitudes and practices of student nurses at a select private nursing college in South Africa.
Knowledge, attitudes and barriers of nurses on benefits of the quality of patient record-keeping at selected public district hospitals in Burundi
(Elsevier, 2021) Bizimana, Edison; Bimerew, Million
The study examined the patient record-keeping knowledge, attitudes and barriers of nurses on benefits of the quality of patient record-keeping in two hospitals in Burundi. A quantitative descriptive survey design with a selfadministered questionnaire was used to collect data from 121 nurses at two public district hospitals. The results show 82.6% (n = 100) of nurses scored > 80% on the scale of knowledge indicating adequate knowledge; 17.4% (n = 21) of nurses scored < 80%, indicating insufficient knowledge. Regarding attitudes, 64% (n = 78) of nurses scored > 80% on the attitudes scale, while 36% (n = 43) scored < 80%, indicating negative attitudes. Barriers contributing to poor quality of patient record-keeping were lack of training on record-keeping (81.3%, n = 99), excessive work load, demotivation (81.3%, n = 99), lack of time (46, n = 38%), and poor support by administrative policies (55.4%, n = 67). The Chi-square test show statistically there was a significant association between years of experience and respondents’ knowledge on benefits of the quality of patient record-keeping (χ2 = 19.182, p = .000724). On the attitudes scale the Chi-square test shows that level of education was significantly associated with respondents’ attitudes on benefits of the quality of patient record-keeping (χ2 = 22.674, p = .001). The study demonstrated that although there was adequate knowledge and positive attitudes on benefits of the quality of patient record-keeping, there were barriers contributed to poor quality of patient record-keeping in the selected hospitals. Gender, and years of experience as well as level of education was significantly associated with nurse’s knowledge on benefits of the quality of patient record-keeping. Implications of the findings were discussed.
Knowledge, attitudes, and practices of nurses towards hand washing at a selected Psychiatric Hospital in the Western Cape, South Africa
(University of Western Cape, 2020) Muhawenimana, Feza; Bimerew, Million
Studies have shown that no great emphasis has been put on hand washing practices in psychiatric health facilities, despite the fact that nosocomial infection outbreaks have been reported for decades. Most studies have focused on hand washing practices among general health personnel; however, little is known about hand washing practices among nurses working at psychiatric hospitals.
Knowledge, perceived skills and attitude of nurses regarding the use of electronic health records in selected primary health care facilities in the Western Cape
(University of Western Cape, 2020) Tengeh, Laura Ngweh; Bimerew, Million
The implementation, adoption and the use of EHR globally has been proven a challenge, despite the numerous advantages that have been noted with the use of an electronic health recording system to improve health care services. Among some of the challenges that have been reported is lack of knowledge and staff attitudes towards this new technology. It has also been noted that the success or failure of an EHR system is dependent on nurses’ or individual user acceptance, as they are pivotal in the healthcare team; therefore, their attitude towards an EHR system is crucial.
Nurses’ knowledge of tuberculosis, HIV, and integrated HIV/TB care policies in rural Western Cape, South Africa
(Elsevier, 2018) Phetlhu, Deliwe Rene; Bimerew, Million; Marie-Modeste, Regis R.; Naidoo, Mogasweri; Igumbor, Jude
HIV and tuberculosis (TB) co-infection remain the leading causes of mortality in many developing countries. Several policies for their prevention and management exist; however, progress to meet the World Health Organization’s indicators is slow. As nurses in rural areas are the main health care professionals responsible for the implementation of policies, questions arose about nursing knowledge regarding TB and HIV policies. A concurrent mixed method research approach was used to investigate this issue in a rural area of the Western Cape in South Africa. After a two-step sampling process, data were collected through 44 questionnaires and 12 interviews. We used descriptive and inferential statistics as well as content analysis methods. We found that most of the nurses had insufficient knowledge on certain aspects of policy guidelines that included medications, intensive case findings, and management of multidrug-resistant TB. It is recommended that training be intensified to improve implementation of policies.
Nursing students’ perceptions of the clinical learning environment at a university in South Africa
(Elsevier, 2022) Jaganath, Chanthelle; Bimerew, Million; Mthimunye, Katlego Dumisani Trevor
The clinical learning environment has been found to be significantly related to nursing practice and ultimately patient outcome. However, despondency among nursing students towards the clinical learning environment has been widely reported. This study adopted a quantitative research method that included a descriptive survey design with the aim to examine nursing students’ perceptions of the clinical learning environment. The target study population (N = 498) was comprised of third- and fourth-year undergraduate nursing students at the selected university. The sample (n = 218) was selected through a simple random sampling technique. Data were collected using the 42-items Clinical Learning Environment Inventory Tool. Descriptive and inferential statistics (Chi-square and independent sample t-test) were used to analyse the data using the Statistical Package for Social Science version 25.

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