Browsing by Author "Crowley, Talitha"

Now showing 1 - 8 of 8
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    Contextual factors influencing self-management of adolescents and youth living with HIV: A cross-sectional survey in Lesotho
    (MDPI, 2023) Nagenda, Mapaseka Chabalala; Crowley, Talitha
    HIV treatment outcomes of adolescents and youth living with HIV (AYLWH) are lagging. One way to improve outcomes is through supporting AYLWH to acquire self-management skills. Although self-management is associated with improved health outcomes, condition-specific, individual/family, and social/environmental contextual factors influence self-management. We aimed to describe factors influencing the self-management of AYLWH in Lesotho. Methods: A cross-sectional survey design was used. AYLWH (n = 183) aged 15–24 were conveniently sampled from two HIV treatment sites in Lesotho. Participants completed self-report questionnaires in English or Sesotho. Participants (89.1% female) had high HIV self-management scores (mean 92.7%, SD 5.3%) that corresponded with treatment outcomes (98.9% adherent and 100% viral load < 1000 copies/mL). This might be attributed to condition-specific factors, including once-daily doses (100%) and longer duration of treatment (81.4% on ART for more than 10 years).
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    Contextual factors influencing self-management of adolescents and youth living with HIV: A cross-sectional survey in Lesotho
    (MDPI, 2023) Nagenda, Mapaseka Chabalala; Crowley, Talitha
    HIV treatment outcomes of adolescents and youth living with HIV (AYLWH) are lagging. One way to improve outcomes is through supporting AYLWH to acquire self-management skills. Although self-management is associated with improved health outcomes, condition-specific, individual/family, and social/environmental contextual factors influence self-management. We aimed to describe factors influencing the self-management of AYLWH in Lesotho. A cross-sectional survey design was used. AYLWH (n = 183) aged 15–24 were conveniently sampled from two HIV treatment sites in Lesotho. Participants completed self-report questionnaires in English or Sesotho.
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    Effectiveness, acceptability and feasibility of technology-enabled health interventions for adolescents living with HIV in low- and middle-income countries: A systematic review
    (MDPI, 2023) Crowley, Talitha; Petinger, Charné; Nchendia, Azia Ivo
    Adolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa. This review synthesized the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar were searched to identify studies in LMIC published from 2010 to 2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) were included. The review was performed, and findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols.
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    Effectiveness, acceptability, and feasibility of technology-enabled health interventions for adolescents living with HIV in low- and middle income countries: A systematic review protocol
    (Public Library of Science, 2023) Crowley, Talitha; Petinger, Charne; van Wyk, Brian
    Adolescents living with chronic conditions such as HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology offers a promising platform to deliver behaviour-change interventions to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa; yet little is known about the effectiveness, feasibility and acceptability of technology-enabled interventions to deliver and support health care to ALHIV in resource-constraint settings. This study aims to explore the literature and synthesise the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar will be searched to identify technology-enabled health interventions for ALHIV in LMIC published from 2010–2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) will be included.
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    Factors promoting exclusive breastfeeding at a public health facility in Windhoek Namibia: A descriptive comparative study
    (Elsevier, 2023) Nangolo, Ruusa Megameno; Robertson, Anneline; Crowley, Talitha
    Exclusive breastfeeding (EBF) refers to the practice of giving an infant breast milk only up to the age of six months, except for oral rehydration solutions or drops/syrups of vitamins, minerals or medicines. Globally and in Namibia, EBF rates remain well below the 70% World Health Organisation (WHO) target. This study aimed to investigate factors that promote EBF amongst mothers at a public health facility in Windhoek, Namibia. A quantitative comparative descriptive design was used. Women aged 18 and above with infants aged 0 to 6 months attending a public health facility (n = 270) in Windhoek, Namibia, were selected using non-probability consecutive sampling. A structured self-administered questionnaire was used to collect data on socio-demographic, economic, knowledge, psychosocial, biophysical and sociocultural factors. Data was analysed using descriptive statistics and logistic regression..
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    Knowledge, attitudes and practices regarding paediatric pain management among undergraduate nursing students at a university in the Western Cape
    (University of the Western Cape, 2022) Karikurubu, Amrani; Crowley, Talitha
    Despite the availability of analgesics for pain relief, children experience moderate to severe pain during hospitalisation. A student nurse placed in a paediatric setting is part of the healthcare team who can support children in pain. However, studies have documented a gap in the knowledge, attitudes, and practices (KAP) of nursing students regarding paediatric pain management. The study aimed to describe the KAP of undergraduate nursing students regarding paediatric pain management at a university in the Western Cape. The research objectives were to describe a) the knowledge of undergraduate nursing students regarding paediatric pain management, b) the attitudes of undergraduate nursing students regarding paediatric pain management, and c) the practices of undergraduate nursing students regarding paediatric pain management.
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    Nursing education reform in South Africa: Implications for postgraduate nursing programmes
    (Elsevier, 2023) Crowley, Talitha; Daniels, Felicity
    Training of Specialist Nurses is of critical importance for the continued delivery of quality health services globally and in South Africa. In accordance with international trends, nursing education in South Africa has undergone significant educational reforms in the past few years. The aim of this paper is to critically reflect on current nursing education reform in South Africa and the implications for the postgraduate diploma in nursing programmes. The paper highlights some of the challenges encountered with the development, accreditation and implementation of the new nursing postgraduate diploma programmes. Successful nursing education reform requires collaborative and proactive conversations between all stakeholders before changes are made to existing nursing categories and skills mix, during the development of new programme frameworks, during programme development and after implementation of the reform strategies.
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    Primary care nurses’ preparedness for COVID-19 in the Western Cape province, South Africa
    (AOSIS, 2021) Crowley, Talitha; Kitshoff, Danine; de Lange-Cloete, Frances
    The novel coronavirus 2019 or COVID-19 pandemic has brought about a global public health crisis. Primary care (PC) nurses render first line care, or refer for more specialised services. To investigate the preparedness of PC nurses for COVID-19 in the Western Cape. The Western Cape province of South Africa. We administered an online survey, with closed and open-ended questions, to 83 Stellenbosch University postgraduate PC nursing students and alumni working in the Western Cape, between 03 July and 01 September 2020.