UWCScholar :: Browsing by Author "Jooste, Karien"

Browsing by Author "Jooste, Karien"

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A contemporary work performance management framework for the Assistant Nurse Manager in the provincial health-care setting
(University of the Western Cape, 2017) Swartz, Beryldene Lucinda; Jooste, Karien
Performance management (PM) in a work setting is seen as process within the broader human resource management (HRM) system that involves people in the attempt to secure the best work performance from the individuals, the working groups and that of the entire work society. Various factors play a role in the performance of nurse managers in South Africa. Since the determination and the simultaneous implementation in 2007 of the occupational specific dispensation (OSD) job descriptions for nurses working in the government setting in South Africa, the understanding of what the required work performance for the Assistant Nurse Manager (ANM) was, remained unclear, as there was no PM framework that directed the work performance of the ANM in the Western Cape Province (WCP).
Challenges of academic healthcare leaders in a higher education context in South Africa
(Wiley, 2018) Jooste, Karien; Frantz, Jose M.; Waggie, Firdouza
Universities are in a highly competitive environment, needing strong academic leadership. Some heads of departments have been appointed into leadership positions in a healthcare faculty after having been mere academics for a few years. They are more likely to experience challenges. This study aimed to explore the views and understanding of heads of departments in a healthcare faculty on being appointed as academic leaders in a higher education context in South Africa. A qualitative design using 12 individual unstructured interviews was conducted with all the heads of departments in a health sciences faculty. Open coding was conducted and two themes emerged, focusing on the varied skills needed for academic leadership positions and developing leadership skills amongst senior academics. The findings indicated that development of senior academics in leadership should be undertaken by a knowledgeable professional in formal or informal settings, to encourage mentorship and more regular group meetings, while addressing the core role of a leader. Implications of these findings for a faculty of health sciences and suggestions for leadership succession in future are discussed.
Community leaders’ perspectives on facilitators and inhibitors of health promotion among the youth in rural South Africa
(Elsevier, 2017) Aziato, Lydia; Majee, Wilson; Jooste, Karien; Teti, Michelle
INTRODUCTION: There are a number of factors that influence health promotion activities among the youth. This study sought to gain a comprehensive understanding of the facilitators and inhibitors of health promotion among the youth from the perspectives of community leaders in a rural setting in South Africa. METHODS: The study adopted an exploratory, descriptive and contextual qualitative approach involving community leaders in rural South Africa. Data saturation occurred after individual interviews with 21 participants. Data analysis employed the principles of content analysis. RESULTS: We found that facilitators of health promotion were access to education on the benefits of health promotion activities, efforts of organizations and community leaders/teachers, access to health care services and engaging in physical activities, and youth motivation and positive role modelling. The themes that described the inhibitors of health promotion were inadequate recreational and health facilities and health personnel, the impact of stringent religious doctrines, unemployment, social vices and poor parenting. CONCLUSION: We concluded that there is the need to implement more engaging activities and opportunities for the youth and parents in rural communities to enhance health promotion.
A conceptual framework for cost management training in the Limpopo Province of South Africa
(Journal of Nursing Management, 2013) Jooste, Karien; Mothiba, Tebogo Maria
This paper describes the perceptions of nurse managers about their dual role in nursing units as cost centres.
A conceptual framework of the resemblance in self-leadership and professional core values of nurses in the South African context
(AFAHPER-SD, 2014) Bimray, Portia B.; Jooste, Karien
In a country such as South Africa with its widely diverse values and belief systems, it could be a challenge to bring about a common understanding of professionalism amongst nurses in a multicultural society. When novice nurses enter the profession, they are confronted by the core values in nursing professionalism in an environment that sometimes lacks leadership by senior nurse practitioners. It was thus decided to explore the resemblance in the concept of self-leadership and the professional values of nursing. Values influence professional practice and commitment and, therefore, principal leadership qualities and functions are to influence oneself to develop a shared service commitment, to nurture and foster the confidence in one’s own capacity, and the ability to make a valuable contribution to nursing practice. The purpose of this study was to explore and describe a conceptual framework on self–leadership and the resemblance with inherent core professional values in nursing. Literature about self-leadership, professionalism, and professional values, in a global context, was explored. A conceptual framework emerged, since the researchers discovered that self-leadership qualities corresponded with professional core values required by novice nurses to be able to deliver quality nursing care. For the young nurse entering the nursing profession, the professional values are often tacit which prevent nurses from recognising their self-leadership qualities in order to act and behave accordingly. This review article could contribute to a common understanding, not previously explored, amongst nurse educators and nurse practitioners of the resemblance between self-leadership and core professional values to prepare novice nurses for professional nursing practice in a multicultural society.
Context-specific components of a training programme for cost centre managers in a public hospital in Limpopo Province, South Africa
(LAM Publication, 2014) Mothiba, Tebogo Maria; Nolte, A.G.W.; Jooste, Karien
The purpose of the study was to determine the context-specific components of a training programme for cost centre managers in a public hospital in Limpopo Province, South Africa. A qualitative, descriptive, exploratory and contextual research design was used. Homogenous purposive sampling was conducted from a population of 36 nurse managers appointed as cost centre managers. One focus group discussion comprising nine cost centre managers and twelve cost centre managers participated in unstructured one-on-one interviews until data saturation was reached. Data were analysed qualitatively using Teschs’ open coding method. The findings revealed that there is a need for context-specific training programme which is relevant to the public hospital and the content for the programme must address the needs of cost centre managers. It was recommended that the programme should indicate the nature of activities that would be included in the new programme and the development should be based on a needs assessment of the people who were going to be trained. A needs assessment is important before decisions are taken about the type of activities and their instructional arrangements to be included in the programme.
Contract workers at HEIs within a framework of motivational leadership
(Unisa Press, 2013) Jooste, Karien; Essa, Ilhaam
Most literature sources are based on negative assumptions about contract workers and career success. Despite the growing number of contract workers employed at higher education institutions (HEIs), and the changes it elicits in the work place, there has been little theoretical work conducted about a positive perspective of contract workers in relation to achieving organisational or personal goals. A review of the topic about contract workers has been undertaken from the perspective of motivational leadership, incorporating the theoretical perspectives of the goal setting theory (Locke 1960 in Jooste 2009) and the model of complex man and organisations (Schein 1992 in Jooste 2009).
Current nursing practice: challenges and successes
(Wiley, 2011) Jooste, Karien
The changing healthcare environment is placing greater demands on all healthcare service sectors, including nursing practice. Nurses are professionally engaged in caring for human beings and to pursue nursing as their profession actively (Merriam Webster Dictionary 2011). However, every year, changes in the healthcare environment accelerate, opportunities become harder to predict, competitors emerge at an ever-increasing pace and partnering with internal and external customers becomes essential for success. It is thus inevitable that the pace of changes in nursing practice will continue to increase, and the level of complexity and interdependence in practice will continue to grow (Boss & Sims 2008, Politis 2006). These new practices and the things nurses will focus on will become their reality, and the actions they will perform will create their reality (Hall & Hammond, Reed 2007).
Debriefing interviews and coaching conversations: strategies to promote student reflexivity and action
(UNISA Press, 2011) Maritz, Jeanette; Jooste, Karien
Without conscious will and engagement in critical reflexivity as a process of growth and learning in research, students remain unaware of their subjective biases and the effect of bias on the inquiry. A qualitative, exploratory, single descriptive case study was used to explore and describe the operationalisation of debriefing interviews and coaching conversations as strategies to promote student reflexivity and action in postgraduate supervision practice. Two female Master of Technology (Somatology) students were purposively selected. Data were collected through in-depth semi-structured debriefing interviews, coaching conversations and semi-structured naïve sketches. Data analysis followed a thematic coding approach. It was found that the strategies of debriefing interviews and coaching conversations promote self-awareness and methodological awareness, transformation, learning and support, and increase students’ capability to act and react more quickly to research challenges. However, bracketing of personal epistemological beliefs and ethical reasoning remain a challenge.
Development of a framework for health care professionals to lead youth victims of violence towards wellness in the Genadendal community of the Western Cape
(University of the Western Cape, 2015) Ahanonu, Ezihe Loretta; Jooste, Karien; Waggie, Firdouza
The Wellness Leadership White Paper states that leadership is needed in a supportive environment with the purpose of guiding clients to lasting wellness. Wellness can be defined as an active process that enables an individual to become aware of all aspects of the self and to make choices in terms of a more healthy existence by means of balancing and integrating various life dimensions. Health care professionals are leaders who play an important role in creating an environment that contributes to wellness. Their leadership is, therefore, viewed as a wellness strategy. Leadership has been identified as an essential role of health care professionals with a responsibility to attend to the needs of their clients, such as youth victims of violence, with the aim of leading them towards wellness. The Provincial Nursing Strategy of the Western Cape in South Africa emphasises the need for health care professionals to demonstrate their leadership capacity in practice. In the communities of the Western Cape Province of South Africa, many youth victims of violence report for treatment at the health care facilities; it places a high burden on the health care system. Even though health care professionals provide treatment to this group of youth, it is not clear how health care professionals lead them towards wellness after an incidence of violence. The purpose of this study was to develop a conceptual framework that can be implemented by health care professionals to gain a better understanding about the important role they play in leading youth victims of violence towards wellness in a rural community in the Western Cape Province of South Africa. This research study applied a qualitative, exploratory, descriptive and contextual design. The study population who were selected by means of a purposive sampling technique consisted of youth attending a high school and who had been victims of violence and of health care professionals (professional nurses, medical doctors and social workers) working at the health care facilities in the community where the study was conducted. The study was conducted in four phases. Phase 1 of the study focused on the exploration and description of the expectations of the youth victims of violence about how health care professionals should lead them towards wellness. Focus group discussions (FGDs) were conducted at a high school at the study site. Phase 2 explored and described the experiences of health care professionals who were supporting youth victims of violence at the health care facilities in the community of study. The execution of this phase comprised of unstructured individual interviews. The total number of the FGDs and unstructured individual interviews conducted in this study was determined by data saturation. Data analysis of the data collected involved transcription of the voice recordings of the all the interviews and writing up of field notes. The steps of Tesch’s coding technique were used at the end of Phases 1 and 2. To ensure trustworthiness of the collected data, Guba and Lincoln’s strategies of credibility, transferability, dependability, confirmability and authenticity were applied. Phase 3 of this study entailed the development of a conceptual framework for health care professionals to lead youth victims of violence towards wellness. It was based on the findings from Phases 1 and 2 of the study; Phase 4 of the study involved peer debriefing and validation of the developed conceptual framework. In Phase 1 of the study, a total of nine (n = 9) FGDs were conducted among fifty eight (n = 58) youth participants between the ages of 15 and 19 years. Each group consisted of 6 to 8 participants and the interviews did not last more than an hour per session. The data analysis in this phase showed that the youth victims of violence did have expectations from the health care professionals in guiding them towards wellness. They shared their interpretation of the term wellness and were also quite aware of the challenges in their community. Four categories emerged from the data in Phase 1: Category 1 - Dimensions of wellness as it related to healthy body, mind, spirit and positive interactions: The findings of this category revealed that youth participants described wellness as a holistic concept that comprised healthy living, self-care and a healthy personality and mind (emotional, psychological) as well as spiritual well-being. They did not necessarily consider wellness as the absence of sickness or illness, Category 2 - Common problems among youth in the context of the community: They articulated that drug abuse, teenage pregnancy and violent behaviour were important issues of concern to them in their community. Category 3 – Building a sound and trusting relationship: They expressed their need for health care professionals to have a positive attitude towards them, to be respectful and to provide them with accurate information, as well as confidential and supportive services. Category 4 - Guidance of youth to wellness: The youth also proposed strategies that they believe could be used by the health care professionals while guiding them towards wellness. These strategies were: Provision of information / health education, school and community outreach programmes, provision of counselling services and role modelling. For the second phase, seven (n = 7) health care professionals were interviewed. Two (n = 2) were professional nurses, three (n = 3) medical doctors and two (n = 2) social workers. The findings of the individual interviews indicated that the health care professionals recognised the fact that wellness is very important. However, they felt that guiding youth victims of violence toward wellness was a challenging process. Three categories emerged from the data in Phase 2: Category 1 - Different points of view about the concept of wellness: The health care professionals described wellness as the holistic wellbeing of a person, an absence of illness or disease and living a healthy lifestyle. Category 2 - Barriers to leading youth victims of violence towards wellness: The health care professionals reported challenges while attempting to lead youth victims of violence towards wellness which included low socioeconomic status of families, unsupervised youth, violent behaviour, drug and substance abuse, a lack of resources in the community, negative staff attitudes, inadequate physical infrastructure and human resources as well as the absence of a process of guiding youth victims to wellness. Category 3 - Guidance to leading youth victims to wellness: The health care workers proposed strategies for guiding youth victims towards wellness. Those strategies included the provision of support in the form of counselling services, use of support groups, family and community support; recreational activities, dedicated staff to work with youth victims of violence and a multidisciplinary team approach. The findings from the first two phases were triangulated during the third phase of this study with the purpose of developing a conceptual framework. The survey list of Dickoff, James and Wiedenbach formed the foundation of the reasoning map for the development of the framework. The unique contribution of this study is the development of an original, participative leadership framework that provides health care professionals with information for leading youth victims of violence towards wellness in a rural community in the Western Cape. This study was conducted in a single rural community of the Western Cape Province of South Africa. Despite this limitation, the framework could be evaluated for use in similar settings. Finally, guidelines to implement the framework and recommendations for improving community health care practice, nursing education and nursing research were suggested based on the findings from the study.
Development of model to facilitate male involvement in the reproductive health context by the registered nurses
(Science Publishing Corporation, 2015) Jooste, Karien; Amukugo, Hans Justus; Van Dyk, Agnes
The purpose of this article is to describe the process followed in the development of the model of facilitating male partner involvement in reproductive health (RH) context by the nurses. Namibia is one of the African countries affected by cultural and socio-economic influences that have persuaded gender roles in a way that hinders male-partner involvement in RH context. This phenomenon make difficult for the nurses to facilitate their involvement. The research methods were done in four phases. Phase 1 entitled concepts analysis. Phase one was done into two steps namely step1 - concepts identification and step 2 - concepts definition. During concept identification, qualitative, exploratory, descriptive design was followed. The target population included male and female partners attending health facilities and all nurse managers (registered nurses in charge) that provided RH services in the health facility in a northern region in Namibia. Individual interviews and focus were conducted until data saturation occurred. During the research three fundamental principles such as respect person, beneficence and justice were adhered. Tech’s eight steps of descriptive data analysis were used. Three (3) main categories, six (6) categories and twelve (12) subcate-gories were identified using open coding and conceptualization. The main concepts of the model were identified and classified using a survey list of Dickoff, James, Wiedenba (Dickoff,James, Wiedenbach, 1968; Mckenna, 2006). Phase 2 dealt with the creation of interre-lationship statements between concepts identified in step 1. In phase 3 focuses with the description of the model using strategies pro-posed by (Chinn & Kramer, 1991). In phase 4, the description of guidelines and evaluation for the model was also done. The applied the principle of trustworthiness through developing dependability, credibility, transferability and confirmability in all four phases. A model was developed based on a theory generated approach. The model consist of five phase namely, situational analysis in the exter-nal environment (community) and internal environment (health facilities); establishment of partnership (male and female partner and Nurses), management process, maintaining the conducive environment and control & terminus/ outcome phase. It was concluded that facilitation of Male involvement in RH care context is needed. Further the recommendations were made to implement a model within the current health care framework in which reproductive health is provided.
End-user centeredness in antiretroviral therapy services in Nigerian public health facilities
(Medpharm publications, 2014) Chiegil, Robert; Zungu, Lindiwe; Jooste, Karien
OBJECTIVE: To describe the perception of end users with regard to end-user centeredness in antiretroviral therapy (ART) service provision in Nigerian public health facilities. DESIGN: A qualitative design was followed. SUBJECTS: and setting: Unstructured focus group discussions were conducted with end users (n = 64) in six locations across the six different geopolitical zones of Nigeria. OUTCOME MEASURES: Data were analysed using the framework approach and Weft QDA® version 1.0.1. qualitative data analysis software. RESULTS: The results focused on end users’ participation in their care, ranging from understanding their diagnosis, choosing from available treatment options and places, and caring for their colleagues and themselves. CONCLUSION: End-user focused ART service provision positions end users to play key roles in decision-making with regard to their care. The findings of this study will be useful for nurses and other healthcare workers when promoting end-user centeredness in ART service provision.
Experience of nurse leaders in delivering care to youth victims of violence
(African Association for Health, Physical Education, Recreation, Sport and Dance (AFAHPER-SD), 2015) Jooste, Karien; Ekole, Harritte
Violence continues to take its toll on post-apartheid South Africa and the youth remain the most affected group in many communities. Research has either dealt with violence in isolation, or the youth affected by violence. Very little is known about the nurse leaders delivering healthcare to youth victims of violence. This study sought to explore and describe the experiences of nurse leaders in delivering care to youth victims of violence at a community health centre in Khayelitsha. A qualitative, descriptive, and contextual design was used. The accessible population was professional nurses (N = 40) taking the lead in influencing victims of violence in the community to wellness. Nine individual unstructured interviews were conducted until data saturation was reached. The findings of this study showed that nurse leaders experienced challenges in terms of under-preparedness, staff shortages, work load, verbal abuse, as well as victim-related factors. Participants also expressed some rewarding experiences, such as increased personal awareness, personal empowerment, victim empowerment, and job satisfaction. The study recommended that in-service training should be conducted for newly-appointed staff members with the purpose of preparing them for the challenges and expectations in the field of violence amongst youth in the community.
The experience of youth victims of physical violence attending a community health centre : a phenomennological study
(UNISA Press, 2015) Selenga, Melitta; Jooste, Karien
The Western Cape Province of South Africa has the worst multifactorial crime problem in the country. It has the fastest growing crime rate in many crime categories, such as rape and gun-related incidents. The experiences of the youth after a violent physical incident are unclear. The purpose of this article is to describe the experiences of youth victims attending a community health centre in the Cape Flats. A phenomenological, exploratory, descriptive, and contextual design was followed in this study. This study explored and described the lived experiences of youth victims of physical violence in terms of the support they received in a natural setting at a community health centre in the Cape Flats. Purposive sampling was used for the study, and data saturation determined the size of the sample. Eight participants who visited a health care centre for followup treatment were selected. Data was analysed using Creswell's six steps of open coding. Main themes that emerged from the data analysis included: (1) violent incidents that had a negative impact on the participant; (2) participants applied defence mechanisms to deal with their trauma; (3) and participants experienced care and support either negatively or positively. A recommendation of this article is the implementation of an in-service training programme to the nurses who care for the youth after violent physical incidents.
Experiences of nurses caring for youth victims of violence at a community health centre in Khayelitsha
(University of the Western Cape, 2013) Ekole-Chabanga, Harrite Achu; Jooste, Karien
The introduction of primary health care in South Africa in 1994 marks a new beginning for the majority of the marginalised population in South Africa during the apartheid era. This introduction has improved access to health care in most communities. Health services are now more decentralised with community health centres that are primarily run by nurses. Violence continues to take its toll in post-apartheid South Africa and the youth remain the most affected group of most communities. It often leaves the youth shattered and traumatised with alarming psychological effects, including poor self-esteem. There is a steady increase of youths who are visiting community health centres to seek health care from nurses with a subsequent increased workload for the nurses at these centres. Previous research has dwelt more on either violence on its own, or the youth affected by violence but very little is known about the nurses caring for these youth victims of violence. It is unclear how nurses who are working at a community health centre experience caring for youth victims of violence. The purpose of this study was to explore and describe the experiences of nurses caring for youth victims of violence at a community health centre in Khayelitsha and to develop guidelines for supporting nurses caring for youth victims. A qualitative, exploratory, descriptive, and contextual design was used. The accessible population (N = 40) included all nurses who are registered under Section 31(1) of the Nursing Act No 33 of 2005 in order to practice nursing or midwifery, and who were working at a community health centre in Khayelisha. Purposive and snowball sampling were used. The data collection method comprised an individual unstructured interview while using an audio recorder and documenting field notes. Tesch's descriptive method of open coding was used for data analysis. Trustworthiness was ensured by means of applicability, dependability, transferability and confirmability. The findings from this study indicated that the experience of nurses who were caring for youth victims of violence was particularly related to a number of factors. These factors included challenges faced by the youth in the community, their socio-economic situation, violence and abuse, gangs, substance abuse, illiteracy, teenage pregnancy; as well as challenges face by nurses, under-preparedness, staff shortage, increase workload, rudeness, and verbal and physical abuse of the nurses. They also emphasised some rewarding experiences. There were some psychological effects on nurses and their emotional responses reported by these nurses. The study also revealed the different coping mechanism these nurses were using and their need for support. Guidelines were developed to support nurses. Recommendations for future implementation are presented in the last chapter.
Experiences of nurses practising mindfulness during self-leadership in delivering a rapid response system for general wards in a private hospital in Gauteng
(AOSIS, 2022) Prinsloo, Carine J.; Jooste, Karien
The increased complexity of the nursing care needs of patients and acuity in general wards present nursing care challenges for nurses. Self-led nurses are attentive, taking responsibility for activating the rapid response service when a patient is starting to deteriorate.The purpose of this article is to describe nurses’ experiences practising mindfulness during self-leadership in delivering a rapid response system (RRS) in a private hospital in Gauteng.
The experiences of private somatology therapists on their self-management in a private practice
(Health SA Gesondheid, 2013) Richter, K; Jooste, Karien
Somatology therapists have a demanding occupation, both physically and emotionally. Long working hours coupled with handling clients on a daily basis, notwithstanding the strain of ensuring high quality client care, are all aspects that place pressure on the therapist. These aspects, in the backdrop of a lack of self-management of a therapist, could result in impaired judgement and substandard performance in the workplace. The purpose of this study included exploring and describing the experiences of private somatology therapists in selfmanagement, from which recommendations for improved self-management within private somatology practices were described. For the purpose of this study, self-management was defined as a method of managing not only the interaction with clients and work stressors, but also the feelings of the therapists, by practising a variety of techniques such as self-discipline. A descriptive, exploratory and contextual qualitative design was followed. The accessible population consisted of therapists (n = 15) practising at six private somatology facilities in the Pretoria North region. Purposeful sampling was followed. Ten individual unstructured interviews as well as a pilot study were conducted in which field notes were taken. Open coding data analysis identified four themes with subthemes. Lincoln and Guba’s model was used to ensure trustworthiness and ethical considerations were followed throughout the process. Informed consent was granted by the private somatology practices and the therapists. One of the themes indicated that self-management strategies should be displayed, in order to gain a sense of control. The study identified that there is a definite need to nurture the therapist within this demanding working environment which we call the somatology practice.
Experiences related to the role of a cost centre manager in a public hospital in Limpopo Province, South Africa
(LAM Publications Limited, 2013) Mothiba, Tebogo Maria; Jooste, Karien
A cost centre in a hospital setting is an identifiable department, for example a nursing care unit, which has been practically assigned an account number in the hospital accounting system. The purpose of a cost centre is to control clinical and administrative costs, as well as accumulated expenses by that identified department. A qualitative, descriptive, exploratory and contextual research design was used for this study. Homogenous purposive sampling was conducted from a population of 36 nurse managers appointed as cost centre managers. One focus group discussion comprising nine cost centre managers and 12 cost centre managers participated in unstructured one-on-one interviews until data saturation was reached. Data were analysed qualitatively using Teschs’ open coding method. The findings revealed there are dominant stories of perceived constraints related to the role of a cost centre manager resulting in personal and professional suffering and a need for a decentralised cost centre management for enhancement of cost centre managers' knowledge and skills. It was recommended that a training programme for cost centre managers be conducted as a process/procedure during which information will be disseminated about cost centre management including problem solving in the team, business plan, business cost planning and overall accountability of people involved. The goal of the training programme should be to clarify roles and values, create a safe environment for cost centre managers and build trusting relationships among all role players.
Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria.
(AOSIS OpenJournals, 2013) Jooste, Karien; Prinsloo, Carine
Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse) perceive the staffing of agency nurses in intensive care units (ICUs). The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124). One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.
First year learner nurses' perceptions of learning motivation in self-directed learning in a simulated skills laboratory at a higher education institution
(2014) Mulube, S.M.; Jooste, Karien
Employing self-directed learning (SDL) methodologies, that are associated with improvement in the affective and psychomotor domains, could be advantageous to learner nurses. Despite the efforts to expose students to SDL in a school of nursing in the Western Cape, South Africa, the challenge remains the students’ lack of self-motivation to SDL during clinical activities in the simulated skills laboratory. This article focuses on first year learner nurses’ perceptions of learning motivation (as part of a larger study) in SDL activities in a skills laboratory. An exploratory descriptive quantitative design was used. A sample of 168 respondents was selected through simple random sampling. A self-administered 5-point Likert scale questionnaire was developed. The data was gathered and then analysed by using the Statistical Package for the Social Sciences (SPSS) Version 21 software. Descriptive statistics were used to present the findings. It was found that learner nurses were self-motivated to learn with some challenges during the implementation of SDL.

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