Magister Curationis - MCur

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'n Ondersoek na die behoeffes van studentverpleegkundiges met betrekking tot die ontwikkeling van basiese studievaardighede.
(University of Western Cape, 1997) Fischer, Marie; Boshoff, ELD
Die grondgedagte vir hierdie studie spruit voort uit die verantwoordelikheid van die verpleegdosente om die vermoëns van studentverpleegkundiges tot selfgerigte studie te ontwikkel. Selfgerigte studie vereis onder andere, die vermoë om inligting te kan vind, te verwerk, en toe te pas in die praktyk. Hierdie vaardighede is essensiële voorvereistes vir onafhanklike professionele praktisering. Die ontwikkeling van die genoemde vaardighede impliseer 'n multi-dimensionele benadering wat die student in totaliteit aanspreek. Voorts vereis dit nougesette betrokkenheid van die student by sy/ haar studies. Laasgenoemde veronderstel, onder andere, egter dat studente oor sekere essensiële vaardighede, in verband met leer en studie, beskik. Uit die literatuur blyk dit duidelik dat sekondêre onderwys, oor die algemeen, studente nie voldoende voorberei vir tersiêre onderwys nie. Deur middel van hierdie studie wou die navorser dus antwoorde probeer vind op die vraag of studenteverpleegkundiges behoeftes ervaar aan leiding met betrekking tot spesifiek geïdentifiseer studievaardighede, die leiding wat verskaf word en of daar leemtes bestaan in die leiding wat studente reeds ontvang. Nadat die studieterrein afgebaken is, is verskillende terme en begrippe, grondliggend tot die studie, omskryf en in perspektief gestel. Hoofstuk twee is gewyaan 'n bespreking van die konsepte leer, -probleme en studie binne die perspektief van hierdie studie, asook verbandhoudend relevante begrippe. Aandag is in die daaropvolgende twee hoofstukke geskenk aan, onderskeidelik, spesifieke stud ievaardighede verbandhoudend tot die versameling van inligting en studievaardighede verbandhoudend tot die benutting van inligting.
Nurses experiences of abortion: An exploratory study of nurses experiences in assisting with termination of pregnancy in South Africa and Zambia.
(University of Western Cape, 1999) Ndhlovu, Martha Phiri; Mkwelo, Nomafrench
The legislation of abortion in many countries, allowing women the right to decide to terminate pregnancy, has introduced an unfamiliar situation to the medical professionals, especially nurses and doctors who are the implementers of the legislation.
'n Ondersoek in verband met die voorkoms van post- traumatiese stressteuring by kinders in die Wes-Kaap
(University of Western Cape, 2000) Traut, Annelene; Boshoff, Elo
Hierdie studie is 'n poging om die probleem synde die voorkoms van Post Traumatiese Stressteuring (PTSS) by kinders in die Wes-Kaap aan te spreek. Dit is 'n retrospektiewe studie wat baseer word op die inligting wat vanuit pasiënte-lêers verkry is gedurende die periode 1994 -1996, by die Kinder- en Adolessente Psigiatrie Eenheid by Tygerberg Hospitaal in die Wes-Kaap. Volgens hierdie inligting kom dit voor asof die professionele verpleegpraktisyn geen noemenswaardige rol speel in die voorkoming en waar dit nie moontlik is nie, in die vroeë identifisering en dienooreenkomstige tussentrede van PTSS by kinders nie.Hoofstuk Een fokus op die oriëntering tot die terrein van die studie synde die voorkoms van PTSS by kinders in die Wes-Kaap, die motivering vir die studie, die probleemformulering en die organisering van die daaropvolgende hoofstukke. Ten einde die probleem te definieer en te kontekstualiseer en die situasie waarbinne die betrokke probleem geïdentifiseer is, omvat Hoofstukke Twee, Drie en Vier 'n omvangryke literatuurstudie in verband met die geskiedenis, etiologie, bydraende faktore, patogenese en simptomatologie, die hantering en die rol van die professionele verpleegpraktisyn in die voorkoming en vroeë opsporing en tussentrede van PTSS by kinders. Hoofstuk Vyf handelaar die navorsingsmetodologie, terwyl Hoofstukke Ses en Sewe die gevolgtrekkings, aanbevelings en die beperkinge van die studie toelig.
Pharmacological evaluation of Leonotis Leonurus for antiepilectic activity
(UWC, 2001) Bienvenu, E; Amabeoku, G
The present study investigated the anticonvulsant properties of the aqueous extract of Leonotis leonurus (L.) R. BR. of the family, Lamiaceae and the possible mechanism of the antiepileptic activity of this plant. A preliminary phytochemical screening of the said plant extract was also carried out.
The effect of a breastfeeding intervention program on the knowledge of pregnant women at the Bishop Lavis clinic.
(University of the Western Cape, 2001) Walker, Sonja Lynn; Daniels, Felicity
Introduction: Breastfeeding is an important child survival strategy. Many mothers choose not to breastfeed their babies or do so for only a short duration, despite the undisputed physiological, social, psychological, economic, immunological and nutritional benefits to mother and infant. The study was conducted in Bishop Lavis, a low socio-economic community in the City of Tygerberg, Cape Town. Poverty, unemployment and inadequate housing are a few problems which this community faces. Aim: To implement an antenatal group breastfeeding education programme and evaluate the knowledge gained by participants. Methodology: A quasi-experimental design was used. Before-after studies were used to measure the knowledge of breastfeeding before and after the implementation of the breastfeeding education programme. Study population: All primigravidas attending the Bishop Lavis antenatal clinic. Sampling: A total of 58 primigravidas were sampled, using systematic random sampling over a four-week period. Data Analysis: Statistical analyses were carried out using the Statistical Analysis Software. Means, percentages and p- values were calculated. Results: The results proved that there was a significant increase in the participants' knowledge after the breastfeeding education education. Conclusion: There is a need to educate all pregnant women regarding the advantages of breastfeeding and to establish permanent breastfeeding education and support systems.
Perceptions and experiences of women regarding postnatal care in Ndola-Zambia
(UWC, 2002) Kalunga, EK; Daniels, F
Postnatal care has remained fundamentally unchanged for a long time and has been subject to very little research. Despite the importance of the postnatal period, women's experience of postnatal care has not received great attention and most writing about women's birthing experience has largely been concentrated on antenatal and labor care. The importance of understanding client perceptions of service is widely acknowledged and becoming more relevant in health care, as attempts to incorporate clients' views into service development, provision, and evaluation are increasing. Healthcare providers are beginning to recognize the importance of consumer satisfaction as a measure of quality of service.
An investigation into factors influencing the rate of readmissions of schizophrenic patients into the Amanuel psychiatric hospital, Ethiopia.
(University of the Western Cape, 2003) Bimerew, Million Shiferaw; Sonn, F.C.T
The problem of recurrent readmission of schizophrenic patients into the hospital has an impact on the service provision to all patients. Those frequently admitted patients usually occupy most beds and also utilize the limited hospital resources and time of the professionals. This makes it difficult to provide quality service to other psychiatric patients. The aim of the study was to ascertain the factors associated with recurrent in-patient admissions. The research was conducted at the Amanuel Psychiatric Hospital, Ethiopia. The biopsychosocial model was used as conceptual framework of the study, which represents a holistic approach emphasizing treatment, rehabilitation and prevention of the relapse of schizophrenic patients. The research employed quantitative survey methods and focus group interviews, The instruments used for data collection was structured interviews and a questionnaire for schizophrenic patients and health professionals respectively and an interview guide for focus group interviews. Samples of 43 schizophrenic patients and 20 health professionals were selected using random sampling methods, and 14 care-givers were selected using a purposive sampling method. The quantitative data was analyzed using the SPSS program and the data from the focus group interviews was analyzed by generating themes. The findings obtained from this triangulated study has shown that the modifiable factors i.e. medication non-compliance, poor after-care services, poor socio-economic conditions, that and alcohol abuse, were mainly associated with frequent readmissions of schizophrenic patients- Side effects of the drugs, lack of enough food to tolerate the unwanted effect of the drugs and negative attitudes to the treatment, were the reasons given for the medication non-compliance. The absence of continuity of care and support, lack of community psychiatric services and rehabilitation programs were mentioned as poor after-care services. Lack of money for food, transport and medication as well as stigmatization, rejection and abuse were the main socio-economic problems of the patients. The problems of khat and alcohol abuse were frequently mentioned by the focus group informants as common. More male patients tended to be readmitted than female patients. More than 90olo of the patients' themselves and their caregivers did not know the diagnosis of the patient. Community psychiatric services and psychosocial rehabilitation programs as well as family psycho-education and support systems should be promoted to reduce the risk of rehospitalization. Although the findings of this study is not representative due to the small sample size, it provides a starting point about the problems associated with schizophrenic readmissions and it also serve as a basis for further studies and for the development of an appropriate model for community psychiatric care and services.
A systematic review evaluating the effects of bilateral tubal ligation on menorrhagia and dysmenorrhoea (post-tubal ligation syndrome).
(University of the Western Cape, 2004) Muntanga, Veronica Longwe; Nikodem, Cheryl
A systematic review evaluating the effects of bilateral tubal ligation on menorrhagia and dysmenorrhoea (post-tubal ligation syndrome). The complaints about the tubal sterilization surgery leading to post-tubal ligation syndrome first surfaced in the 1950s. With the introduction in the 1970s of laparoscopy, which was less invasive than previous surgery, more women than never before chose tubal ligation, and reports of post-operative symptoms increased. Alteration in menstrual flow, dysmenorrhoea, menorrhagia and change I n cycle length after tubal sterilization have been reported in several studies since 1970. The term "post sterilization syndrome" has been used to refer to these changes. Often studies have failed to account for factors other than tubal sterilization that can affect menstrual cycles. The primary objective of this research project is to evaluate the long-term risks associated with female tubal ligation by executing a systematic review.
An assessment of the knowledge and practice of registered midwives regarding policy guidelines for routine episiotomies at two academic, state tertiary hospitals in the Western Cape.
(University of the Western Cape, 2004) de Maar, Major Colleen; Nikodem, Cheryl
An episiotomy is the surgical incision of the perineum. As far is known, was this procedure was done as early as 17 41. Sir Fielding Quid, was the first person to describe this procedure in his "Treatise of Midwifery in Three parts", as an aid to assist with difficult deliveries. The implementation of this intervention is a worldwide phenomenon and has been recorded during the 19th century as one of the most common surgical procedures in the clinical practice. The World Health Organisation has taken a clear stand against routine episiotomies and recommend that episiotomy rates should be around 10% and no more than 20%. There are no clear guidelines in the literature available that give true and valid indications for the performance of an episiotomy. Aim The aim was to determine whether the two tertiary academic institutions in the Western Cape have policies and guidelines available regarding the performance of episiotomies by registered midwives and to determine the knowledge and practice of registered midwives regarding these policies and Methodology The researcher made use of a descriptive survey to explore the issue whether guidelines exist regarding episiotomies and whether midwives are aware about these guidelines. Structured questionnaires were used to gain information from the registered midwives. The researcher also made use of documents (birth register) and in-depth interviews (unit managers). Results The findings of the study concluded that midwives are aware of the latest evidence that episiotomies are not done routinely even though no evidence of existing policies could be allocated in any of the two wards. The finding further shown that the current guidelines are not based on evidence. Midwives do not directly rely on guidelines in the wards (non available), but an inference is made that the midwives obtain access via secondary sources such as obstetricians. Midwives feels competent to do episiotomies but would like to be updated on knowledge regarding procedures and agree that skills updates are important. They are not aware of how to gain access to evidence based literature such as systematic reviews. Conclusions There is an urgent need to inform the regulatory professional body to review their regulations as the current regulation as it stands promotes more harm than good. Similarly is there a need to inform the national, provincial and local government I institutions, that if they publish guidelines they need to ensure that these guidelines are based on the latest evidence where possible. It is further important that policies be available to all members of staff to update them self with current information. In-service updates on evidence.
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.
An inquiry into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the district health system: the Zambian experience
(University of the Western Cape, 2004) Kabamba, Beatrice Mubanga; Mbombo, Nomafrench; Dept. of Nursing; Faculty of Community and Health Sciences
Research has shown that there is a problem in the delivery of quality care in maternal and child health services in Zambia. The 1996 Zambia demographic and health survey estimated maternal mortality rate as high as 649 per 100,000 live birth, with this reason among others, human resource constraints and low number of supervised antenatal clinics, deliveries and postnatal clinics by skilled personnel as some of the reasons for the high maternal mortality. Selected studies identify the role of a clinical nurse specialist in advanced midwifery and neonatology who has acquired the knowledge and practical skills to bring about the desired impact of quality care in safe mother hood in order to bring down the high maternal mortality rates. In order to achieve this, the government needs to integrate the advanced midwifery and neonatology clinical nurse specialist in the health system. It was the purpose of the study to inquire into the feasibility of integration of the advanced midwifery and neonatology clinical nurse specialist in the Ndola District Health system .
Community- based service-learning through reflective practice.
(University of the Western Cape, 2004) Julie, Hester; Kortenbout, E; Dept. of Nursing; Faculty of Community and Health Sciences
Domestic violence is a pervasive problem in South Africa. The School of Nursing at the University of Western Cape has responded to the challenge of training sensitive, knowledgeable and skilled health personnel by developing a Management of Gender- Based Violence Module. The purpose of this study is to describe the professional and personal development of nursing students who were placed at the Saartjie Baartman Centre for Abused Women and Children for the service-learning trial run of this Gender- Based Violence module in 2003. A qualitative, contextual, and descriptive design was therefore used to provide rich information from in-depth descriptions of students’ perceptions and experiences with regard to the service-learning module. Purposive, convenient sampling was used because the key informants, 27 female students involved in the trial run of the module, were selected to “illuminate" the research question. Content analysis was done and to ensure credibility, data triangulation was done using focus group, project reports and the students’ journals. Informed consent to use data from the previously mentioned sources was obtained from students. The overall findings indicate that the service-learning programme allowed students to achieve the goals defined by the community, services and the university. Students came to understand the supportive roles that health professionals can play and recognised that the development of the attributes of caring, advocacy and civic ngagement is essential to their professional development. Comments in their reflective journals revealed that students valued their service-learning experience, and believed that this experience would expand into future collaborative relationships within civil society. The recommendation is that further in depth research be conducted given the promise shown by this educational approach.
A phenomenological study of vicarious trauma experienced by caregivers working with children in a place of safety in the Western Cape
(University of the Western Cape, 2005) Booysen, Barbara Philidia Ruth; Daniels, Felicity; Dept. of Nursing; Faculty of Community and Health Sciences
The aim of this study was to investigate vicarious trauma experienced by caregivers working with children in residential care, who were victims of sexual abuse or assault. The objectives of the study were to determine the occurrence of vicarious trauma among caregivers working with victims of sexual abuse or assault; to describe the experiences of caregivers working with children who were victims of sexual abuse; to describe the caregiver's experience of staff support within the facility.
A systematic review on maternal and neonatal outcomes of ingested herbal and homeopathic remedies used during pregnancy, birth and breastfeeding
(University of the Western Cape, 2005) Boltman, Haaritha; Nikodem, C; Linn, Gary; Dept. of Nursing; Faculty of Community and Health Sciences
Herbal and homeopathic compounds have been used to aid in childbearing and pregnancy for centuries. Much of this information is anecdotal and lacks scientific support, making it difficult to evaluate safety and efficacy. Increased public interest in alternative treatments leads to the need for a systematic review on the topic. Herbal remedies are most often used to treat the most common pregnancy-related problems like nausea, stretch marks and varicose veins. In contrast to this, concerns have also been raised about the adverse effects of these remedies. The primary objective of this research project was to conduct a systematic review to assess the maternal and neonatal outcomes of ingested herbal and homeopathic remedies using during pregnancy, birth and breastfeeding.
An assessment of the adherence to guidelines for the management of asthma exacerbations in selected primary healthcare facilities in the Western Cape
(University of the Western Cape, 2005) Brickles, Vernon; Dept. of Nursing; Faculty of Community and Health Sciences
Asthma is described as a chronic inflammatory disorder of the airways. Recurrent episodes of acute attacks or exacerbation may occur in susceptible individuals. Asthma could be a controllable disorder and most people with asthma should be able to lead a n
The knowledge, skills and attributes of facilitators of psychotherapeutic groups for children
(University of the Western Cape, 2005) Olckers, Patonia Geraldine; Daniels, Felicity; Dept. of Nursing; Faculty of Community and Health Sciences
Because children have different needs and function differently from adults, special training for leaders of children's groups is required. Child group psychotherapy is a unique treatment modality and it requires specific facilitation skills. The primary objective of child group psychotherapy is to improve the child's immediate adaptation to his or her life situation, build ego strength and teach problem-solving skills. The aim of the study was to explore the knowledge, skills and attributes of facilitators of psychotherapeutic groups for children.
An explorative study of the experiences and the reasons why health workers report a needle stick injury
(University of the Western Cape, 2005) Williams, Bonita; Nikodem, C; Aranachallum, L; Dept. of Nursing; Faculty of Community and Health Sciences
The aim of the study was to explore the reasons why health workers reported their occupationally acquired needle stick injury. The secondary reasons for this study was to be able to identify the factors that contributed to the choice to report as well as the feelings health workers experienced during and after the injury. Methodology A qualitative research design with a phenomenological approach was used to gain understanding around why health workers reported the needle stick injury. Data was collected through a semi- structured interview. Population The 89 health workers at a Secondary Hospital in the Cape Town Metropole Health district who reported an occupational injury from 2001 to 2004. Sample Nine health workers were interviewed. Findings From the nine participants only six had needle stick injuries, while the other three had other blood and body fluid occupational exposures. The most common reason for reporting was that the health workers wanted to ensure their own physical well-being. Health workers and their families experienced emotional turmoil after the needle stick injury.
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.
Stress and coping strategies amongst registered nurses working in a South African tertiary hospital
(University of the Western Cape, 2006) Makie, Veronica Vatiswa; Jackson, D; School of Public Health; Faculty of Community and Health Sciences
A survey of the literature revealed that althougth a great deal of research has been carried out relating to stress and coping internationally, little has been written about nurses in South Africa. The aim of this study was to identify the possible causes and frequency of stress experienced by registered nurses working in a hospital, to identify the coping strategies used, to assess the relationship between stress and coping mechanisms of registered nurses, to compare stress and adopted coping strategies among registered nurses in the different units/wards, to identify the support systems that minimize stress and to address stress amongst nurses in South Africa.
Experiencing night shift nursing: a daylight view
(University of the Western Cape, 2006) Swartz, Beryldene Lucinda; Kearns, E.; Nikodem, C.; Dept. of Nursing; Faculty of Community and Health Sciences
This study focused on nurses who work the night shift, and on some of the aspects of their lives. The objectives of the study were to identify and describe these experiences with specific reference to the physical, social and work-related effects.

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