Browsing by Author "Julie, H"

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    An investigations into patients perceptions of contributing factors toward their aggressive and violent behavior after admission to a mental health Facility"
    (University of the Western Cape, 2006) van Wijk, Evalina; Traut, A; Julie, H
    Aggressive and violent behaviour in inpatient mental health facilities is found world-wide and is a frequent and serious clinical and nursing care problem (Duxbury, 2002:325). Despite the importance of international research findings and recommendations, it appears that patients' perceptions of the possible contributing factors toward aggressive and violent behaviour in mental health facilities is an area of enquiry that has not been widely explored in South Africa in general, or in the Westem Cape, in particular. It is against this background, using the theoretical framework of Duxbury (2002), that this study endeavoured to investigate the external and situational contributing to patients' aggressive and violent behaviour in mental health facilities in Cape Town, as seen from patients' perspectives. A qualitative research design was used in this study as it focused on patients' perceptions of possible contributing factors toward their aggressive and violent behaviour. A sample of 40 patients was selected from eligible patients admitted to the pre-discharged wards of Lentegeur and Valkenberg mental health facilities between January 2004 and June 2004. Data was collected by tape-recording interviews using a semi-structured interview schedule at a time acceptable to the patients. A thematic analysis was utilized according to the theoretical framework of external and situational models of possible contributing factors of inpatient aggressive and violent behaviour. The study concluded that the occurrence of aggressive and violent behaviour disrupts the therapeutic alliance. If mental health facilities want to be of optimal benefit to patients, it is required that activities should be restructured and certain nursing staff should change their attitudes. Planning and upgrading efforts require a holistic approach, obtaining and integrating input from a wide range of sector, as well as ensuring nursing staff compliance with suggested changes. Moreover, preventing and lll controlling aggressive and violent behaviour amongst inpatients should be a key innovation in the operation of all mental health facilities. Results of this study indicated that there is a need for interventions that will enable staff to deal effectively with situations that may precipitate anger and assault.
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    Stakeholders’ community-engaged teaching and learning experiences at three universities in South Africa
    (Health and Medical Publishing Group, 2021) Muzeya, Fungai; Julie, H
    Transformation forces in South African (SA) higher education and beyond have called for incorporation of community engagement into higher education. Specifically, the SA white paper 3 that informed the Higher Education Act No. 101 of 1997 mandated higher education institutions, including those involved in the training of nurses, to move towards community-engaged teaching and learning (CETL). An array of interventions has been implemented that aim at magnifying community-engaged pedagogical practices in SA universities, including nursing departments. However, this has not been without challenges.A phenomenological descriptive qualitative study using focus group discussions and semi-structured interviews was conducted with academics, students and community members at the health sciences departments of three universities that applied CETL approaches. Data were analysed through an inductive thematic approach and the outcomes are presented as themes. . Stakeholders in CETL at the health sciences and nursing departments at three universities in SA indicated a rich array of experiences that can be used to leverage a transformative effect in nursing education. Appropriate integration of CETL into programme design and development of curricula, and use of explicit CETL methods with intentional outcomes for the students and communities, will go a long way toward achieving transformation in nursing education.
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    Workplace violence: an exploratory study into nurses interpretations and responses to violence and abuse in trauma and emergency departments
    (University of the Western Cape, 2004) Kennedy, Maureen Angeline; Julie, H; Dept. of Nursing; Faculty of Community and Health Sciences
    Violence in society has reached epidemic level and has permeated the walls of the workplace. Workplace violence has also spread across all occupations, especially those dealing with the public, and has escalated over the years. In this thesis the researcher explored the experiences, perceptions and coping mechanisms used by nurses exposed to violence in the health setting. The main focus was to determine how the nurses interpret abuse, and does this interpretation determine their response to the abuse.