Browsing by Author "Phetlhu, D.R."

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    A systematic review of the effectiveness of lifestyle and medication: interventions in the management of hypertension in pregnancy
    (University of the Western Cape, 2017) Kutumbuka, Benjamin Kukatula; Phetlhu, D.R.
    Pregnancy induced hypertension is one of the causes of maternal, fetus and neonatal morbidity and mortality. It is the condition in which a pregnant woman develops hypertension because of physiological changes that result during pregnancy and both mother and fetus can be affected. According to the World Health Organization (WHO), the first target of the third United Nations Sustainable Development Goals (SDG-3) is to reduce the maternal mortality rate (MMR) to less than 10 per 100.000 live births by 2030 (WHO, 2017). This is because globally, about 350 000 women die every year from pregnancy related causes (Hogan, Foreman, & Naghavi, 2010). According to the WHO (2015), these conditions namely post-partum hemorrhage, hypertension in pregnancy, infections, unsafe abortion and other delivery-related complications cause three quarters of all maternal deaths in the World. Hence the needs to prevent or successfully treat conditions that contribute to this scourge (WHO, 2011). The two main interventions that are used to prevent or treat hypertension in pregnancy are medication and lifestyle adjustment. However, it is important to understand the intervention that is most suited to a context and its patient and compare the effects of these interventions on management of hypertension in pregnant women as a patient outcome.
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    Factors that motivate nurses to provide quality patient care in a rural hospital in Vhembe district, Limpopo Province, South Africa
    (AFAHPER-SD, 2014) Luhalima, T.R.; Mulaudzi, Fhumulani Mavis; Phetlhu, D.R.
    Health services in rural areas are known to be under-resourced in several ways and working conditions are often described as unfavourable. Nurses working under such conditions are likely to be demotivated; however, it seems that not all nurses feel demotivated because of the number of nurses who remain and serve in those areas. This article describes factors that motivate nurses to render quality patient care in a rural hospital in Vhembe district of Limpopo Province in South Africa. A qualitative, exploratory, descriptive research design guided by an Appreciative Inquiry approach was used. Individual semi-structured interviews with 20 participants were conducted and analysis was conducted according to Tesch’s open-coding technique. The results indicated both intrinsic and extrinsic factors as motivators, which relate to the events in participants’ personal and social life as well as those in the work environment. Passion for the job was identified as the key driver from the intrinsic space while open communication from the employer was raised by the majority of participants as an external driver. This study revealed that although nurses in a rural hospital have challenges that can negatively impact on their motivational levels, their internal drive to care overcomes any negative factors.
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    Practice theory for teaching-learning of spiritual care in the undergraduate nursing programme at a higher education institution in the Western Cape
    (University of the Western Cape, 2016) Linda, Ntombizodwa Sarah Beauty; Phetlhu, D.R.; Klopper, H.C.
    Literature attest that holistic approach to care is the best way to ensure that all human needs, including spiritual needs are taken care of. As such holistic approach to care accepts the notion of "wholeness" nature of the patient. However, in practice patient's holistic needs, which are essential for optimum health, are not routinely addressed when practicing nursing. This implies that regardless of the nurses doing their best to attend to patient's health needs, patients still do not achieve their required optimum health. Furthermore, in the face of good nursing education programmes, attempts to meet the patient's care needs as advocated, a gap still exists in rendering nursing services that truly promote health in a holistic manner. Confusion regarding the scope and holistic nature of nursing, relates not only to nursing organisations having failed to define nursing with clarity concerning the spiritual dimension of care; but they have also not succeeded in implementing nursing that is truly holistic. In this study, it is argued that where spiritual care aspects in nursing remain at the periphery, holistic nursing cannot be truly attained. According to Burkhardt and Hogan promoting one's spirituality within a nursing paradigm can be one way to promote and optimise health, particularly in response to illness. In view of the existing gap between teaching-learning of spiritual care and espoused theory of holistic nursing, a need to develop a theory that would guide and assist nurse educators and nursing students in the teaching and learning of spiritual care was imperative. The aim of this research was to generate a practice theory for teaching-learning of spiritual care in the undergraduate nursing programme at a higher education institution by answeringthe research question "how can a practice theory for teaching-learning of spiritual care in the undergraduate nursing programme at a higher education institution in the Western Cape be generated? Ethical procedures were applied in accordance to stipulations of the University Research Ethics Committee. The credibility of the study was ensured by application of Guba's model of trustworthiness for qualitative data.