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  1. Home
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Browsing by Author "Fakude, Lorraine"

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    Attitudes of undergraduate nursing students towards E- learning at the University of the Western Cape
    (University of Western Cape, 2012) Akimanimpaye, Furaha; Fakude, Lorraine
    The development of internet has provided an opportunity for offering online learning. Online learning otherwise known as ‘e-learning’ is a fast growing new concept of modern education. Substantial evidence indicates that many universities across the world have started offering study programmes through a variety of e-learning methods. Although e- learning environments are becoming popular, there is minimal research on learners’ attitudes toward online learning environments. Past research has recommended a variety of factors affecting user attitude so far as e-Learning is concern. It is thus against this background that this study purports to determine the attitudes of undergraduate nursing students toward e–learning at the University of the Western Cape. The study developed an integrated model with six dimensions: learners, instructors, courses, technology, design, and environment. A survey was conducted on 213 undergraduate nursing students to assess their attitudes toward e-learning. The study employed the survey methodology based on the questionnaire that was distributed randomly to students to assess their attitudes towards e-learning and to find out if any existing demographical factors impact on the students’ use of e- learning. The results revealed that males and females differed significantly in terms of satisfaction levels. When specific demographic variables with two outcome levels (age group, computer facility at home, computer training experience and experience in e-learning prior to registering at UWC) are considered, there is no statistically significant difference (from the sample t-test) in learner satisfaction between these groups. From a valid response rate (90% of the sample), statistical analysis (multivariate analysis) revealed that learner satisfaction as the control variable is influenced by perceived easy to use, gender and year level of participants. The findings also showed a significant difference between male and female satisfaction. In this regard, 4th year nursing students were proven to be less likely to be satisfied with e-learning than 2ndyear nursing students, whereas female nursing students are more likely to be satisfied with e-learning than male nursing students. Generally, the study’s findings demonstrate a favourable attitude towards e-learning among nursing students at University of the Western Cape.
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    Attitudes of undergraduate nursing students towards E-learning at the University of the Western Cape
    (African Association for Physical, Health Education, Recreation and Dance, 2015) Akimanimpaye, Furaha; Fakude, Lorraine
    The development of the Internet has provided an opportunity for offering e-learning as a new addition to modern education. Substantial evidence indicates that many universities across the world are offering study programmes through a variety of e-learning methods. Although e-learning environments are becoming popular, there is limited research on learners’ attitudes toward online learning environments. Past research has identified a variety of factors affecting user attitude in relation to e-learning. It is against this background that this article seeks to determine the attitudes of undergraduate nursing students toward e-learning at the University of the Western Cape. A survey was conducted among 213 undergraduate nursing students to assess their attitudes toward e-learning. The study employed a survey methodology based on the questionnaire that was distributed randomly to students to assess their attitudes towards e-learning, and to establish whether any existing demographical factors impacted on the students’ use of e-learning. From a valid response rate of 86%, the statistical analysis revealed that learner satisfaction was influenced by perceived ease of use, gender, and study-year level of respondents. The findings demonstrate a favourable attitude towards e-learning among nursing students at the University of the Western Cape.
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    Blogging to enhance reflective and collaborative learning
    (AFAHPER-SD, 2014) Fakude, Lorraine
    This study explored the educational benefit and value of blogging by postgraduate nursing students registered for Masters in Nursing Education in order to become professional nurse educators. The researcher assumed that blogging could improve collaborative learning among postgraduate students and enhance reflective practice skills. Critical reflection on experiences is envisaged to allow lecturers and students to develop a deeper understanding of themselves. Salmon’s five-stage model of online learning was used as it can provide valuable insight into how blogs can be utilised in online learning. The whole class was trained to set up group blogs by colleagues from the Centre for Innovative Educational and Communication Technologies at the university. Within their blogs they engaged with issues relating to curriculum development, also giving own reflections on these issues. Students were assessed on how well they reflected and commented on specific topics, concepts and principles. The students were initially challenged by this activity and seemed frustrated by low levels of engagement with colleagues within their blogs. The facilitator noticed adequate engagement in two of the three group blogs, where the students exchanged thoughts and ideas and shared experiences. On reflection, they expressed very positive attitudes toward use of blogs as a platform to reflect on their learning and teaching. The blog of the third group of students was dormant, with very limited activity. It is important that facilitators carefully select appropriate technological tools or strategies for teaching and learning, and do not assume that students will be comfortable with the technology even after training and preparation.
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    Clinical learning experiences of male nursing students in a Bachelor of Nursing programme" Strategies to overcome challenges
    (AOSIS Publishing, 2015) Buthelezi, Sibusiso; Fakude, Lorraine; Martin, Penelope D.; Daniels, Felicity M.
    BACKGROUND: Male nursing students are faced with more challenges in the clinical setting than their female counterparts. The ways in which male nurses are viewed and received by nursing staff and patients have an impact on how they perceive themselves and their role in the profession. These perceptions of self have a significant impact on their self-esteem. This study was conducted to explore the clinical learning experiences of male nursing students at a university during their placement in clinical settings in the Western Cape Province, and how these experiences impacted on their self-esteem. OBJECTIVES: To describe the learning experiences of male nursing students during placement in clinical settings, and how these impact on their self-esteem. METHOD: A qualitative, exploratory study was conducted. Purposive sampling was used to select participants. Three focus group (FG) discussions, consisting of six participants per group, were used to collect data. Data analysis was conducted by means of Coliazzi’s (1978) seven steps method of qualitative analysis. STUDY FINDINGS: The following three major themes were identified: experiences that related to the constraints in the learning environment, the impact on the self-esteem, and the social support of students working in a female-dominated profession. CONCLUSION: Male nurses should be supported in nursing training, as the rate at which males enter the profession is increasing.
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    Innovative education strategies implemented for large numbers of undergraduate nursing students: the case of one South African university nursing department
    (Sciedu Press, 2013) Fakude, Lorraine; Bimray, Portia B.; Le Roux, Loretta
    The nurse education and training landscape in South Africa has changed in different ways over the past century, with the result that education and training of nurses does not necessarily translate into an adequate supply of professional nurses for the health care service. Today there is a shortage in this category. Factors which contribute to this shortage include nurses moving from the public to the private sector due to perceived better conditions of service, migration, burden of disease, reduction in bed occupancy and an ageing nurse population. Many professional nurses are now reaching retirement, and it is imperative that the training and supply of young professional nurses for the country be reconsidered in the light of this. According to Pillay, the majority of nurses’ training begins in the public sector and their knowledge is grounded on this experience. When sufficient experience is gained, they seek out better opportunities in the private sector and migrate to the more developed countries. This loss of experience from the public sector impacts negatively on the capacity to mentor new graduates, which in turn results in the young, professional, trained nurses seeking better opportunities with organizations where they can develop further. The net result of this is that the public sector is left with overworked, older staff who are on the verge of retirement.
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    Nurse educators’ experiences of case-based education in a South African nursing programme
    (AOSIS Open Journals, 2015) Daniels, Felicity M.; Fakude, Lorraine; Linda, Ntombizodwa S.; Marie-Modeste, Regis R.
    BACKGROUND: A school of nursing at a university in the Western Cape experienced an increase in student enrolments from an intake of 150 students to 300 students in the space of one year. This required a review of the teaching and learning approach to ensure that it was appropriate for effective facilitation of large classes. The case-based education (CBE) approach was adopted for the delivery of the Bachelor of Nursing programme in 2005. AIM: The aim of the study was to explore nurse educators’ experiences, current practices and possible improvements to inform best practice of CBE at the nursing school in the Western Cape. METHODS: A participatory action research method was applied in a two day workshop conducted with nurse educators in the undergraduate nursing programme. The nominal group technique was used to collect the data. RESULTS: Three themes emerged from the final synthesis of the findings, namely: teaching and learning related issues, student issues and teacher issues. Amongst other aspects, theory and practice integration, as well as the need for peer support in facilitation of CBE, were identified as requiring strengthening. CONCLUSION: It was concluded that case-based education should continue to be used in the school, however, more workshops should be arranged to keep educators updated and new staff orientated in respect of this teaching and learning approach.
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    Reflections of nursing students, lecturers and clinical supervisors in the Western Cape on large classes
    (Unisa Press, 2014) Fakude, Lorraine; Le Roux, Loretta; Scheepers, Nicholin; Daniels, Felicity M.
    Nursing education in the Western Cape responded to the South African higher education transformation agenda by establishing a Common Teaching Platform (CTP) for the delivery of the undergraduate nursing programme. Three universities in the region have collaborated since 2005 in the delivery of this programme. One of the universities was identified as the enrolling institution. During this period, the province experienced a shortage of nursing personnel. In response to this shortage and to transformation in the country, there was an increase in the enrolment target for the undergraduate programme offered by the three collaborating universities. Five years after the establishment of the CTP and the increased student intake, there was a need to explore the experiences of the lecturers, clinical supervisors and students regarding teaching and learning in large classes. In this article, the experiences of nursing students, clinical supervisors, and lecturers are shared and suggestions from the target groups are presented.
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    Reflections on clinical practice whilst developing a portfolio of evidence: Perceptions of undergraduate nursing students at a university in the Western Cape, South Africa
    (AOSIS Open Journals, 2015) Fakude, Lorraine; Ticha, Victoire
    BACKGROUND: In order to develop clinical judgement, nurses should be encouraged to become analytical and critical thinkers. Development of a portfolio of evidence (PoE) of reflection on clinical experiences is one of the strategies that can be used to enhance analytical and critical thinking amongst nursing students. Students’ perceptions of the process are important in order to encourage their reflective practice. PoE compilation at a school of nursing at a university in the Western Cape includes evidence of students’ clinical learning which they present in a portfolio. The students are expected to reflect on their clinical learning experiences and include these reflections in their portfolios. OBJECTIVE: To describe the perceptions of fourth-year nursing students regarding reflective practice whilst compiling their PoEs. METHOD: A qualitative design was used to explore the perceptions of registered fourth-year nursing students with regard to their reflective practice whilst compiling their PoEs. Purposive sampling was used for selection of participants. Three focus group discussions were held, each consisting of six to eight participants. Data saturation was reached during the third meeting. Tesch’s method of data analysis was used. RESULTS: Findings revealed that reflection enabled the learners to gain experience and identify challenges related to the expected events and tasks carried out at the hospitals and in the classroom whilst developing their PoE. CONCLUSION: The compilation of a PoE was a good teaching and learning strategy, and the skills, experience and knowledge that the participants in this study acquired boosted their self-esteem, confidence and critical thinking. Reflection also assisted in self-directed learning.
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    Reflections on nursing students’ e-learning experiences
    (University of the Western Cape. Faculty of Community & Health Sciences, 2006) Fakude, Lorraine; Julie, Hester
    Introduction: E-learning has been integrated into the curriculum of the School of Nursing (SON) because it supports the principles of the case-based approach adopted by the SON. Aim: The primary aim was to gather baseline data on e-learning by exploring the perceptions and experiences of the first pilot group of undergraduate nursing students who were exposed to this strategy. Methods: A descriptive cross -sectional quantitative design was used to collect data regarding the students’ understanding and value of e-learning, the benefits and skills gained, challenges experienced, by means of a structured, open-ended questionnaire. Convenience sampling was used because the questionnaire was distributed to the 87, third year undergraduate nursing students who completed the Primary Mental Health Care module in June 2006. Microsoft Excel software was used for the capturing and analysis of the data. Results: The findings indicate that 19.5% did not have an accurate theoretical understanding of e-learning in spite of being exposed to at least two sessions of KNG training. The data confirmed that e-learning affords convenience, flexibility and improved access to digital resources. Initial confusion and system down times were cited as important challenges. Conclusion: Although some students struggled initially, the majority (87.8%) succeeded finally in mastering e-learning and regarded the experience as valuable in that 90% rated it as beneficial enough to be recommended to other students.
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    Revisiting innovative approaches to teaching and learning in nursing programmes: educators’ experiences with the use of a case-based teaching approach at a nursing school
    (Unisa Press, 2014) Adejumo, Oluyinka; Fakude, Lorraine; Linda, Ntombizodwa S.
    Innovative approaches to teaching and learning have been acclaimed by educators in health care related professions as being more suitable to teaching future professionals, and to engendering critical thinking, as well as the competencies that are relevant to the needs of the society. This article focuses on teachers’ concerns about the implementation of the case-based method of teaching at a school of nursing in the Western Cape, South Africa. Teachers involved in this method of teaching for at least two years provided qualitative data through a series of focus group discussions (4 FGDs) organised according to the different year levels of the nursing programme of the School of Nursing, so as to be able to contextualise answers to the study questions. The FGDs were followed by a one-day consensus workshop for all educators involved in case-based teaching for a shared discussion that concentrated on finding solutions for the future. Concerns raised included issues about the facilitation role of the teacher; the role of the student; curriculum alignment; assessment methods; and the role of the environment in case-based teaching and learning settings. Recommended solutions were aligned to the identified concerns.
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    Students’ experiences of the Case-Based Teaching and Learning Approach at a school of nursing in the Western Cape, South Africa
    (AFAHPER-SD, 2014) Marie-Modeste, Regis R.; Linda, Ntombizodwa S.; Fakude, Lorraine; Daniels, Felicity M.
    With the increase in nursing students’ enrolments in the first year of the Bachelor of Nursing programme at the University of the Western Cape (UWC) from 150 in 2003 to 300 in 2005, case-based education (CBE) was introduced as one of the innovative teaching strategies and methods more relevant for teaching and learning in large student classes. The CBE was identified and selected as an overarching teaching strategy as it was believed that it would ensure that students were adequately prepared for nursing practice. After more than six years of CBE being implemented at the School of Nursing (SoN) at UWC, its inherent value to teaching and learning had not been established. Answers to whether nursing students, as users, value the CBE approach and whether or not CBE meets the purpose for which it was adopted were sought. This study describes the views of nursing students with regard to implementation of the case-based teaching and learning methodology in large classes to establish whether or not CBE is viewed as beneficial. Qualitative document analysis and a case study design were used. Inclusion criteria were nursing module evaluations and learning portfolios of students registered in first and second year of the Bachelor of Nursing programme at the SoN. The sample consisted of purposefully selected students’ documents. Data were analysed using Tesch’s thematic analysis method. The students had mixed views about their learning experiences, and it was noted that with time they started appreciating CBE.

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