Prof. Nicolette Roman (Social Work)

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https://hdl.handle.net/10566/2398

Professor Nicolette Roman

Faculty: Faculty Community and Health Sciences Qualifications: PhD (Psych), MACFS (Cum Laude) My publications in this repository ORICD iD 0000-0002-5656-5348 HPCSA Registration no:PMT 0066753 More about me: here Tel: +27219592970/2277 Fax: +27219592845 Email: nroman@uwc.ac.za

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Browsing by Subject "Cape Town"

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    Healthcare workers’ beliefs, motivations and behaviours affecting adequate provision of sexual and reproductive healthcare services to adolescents in Cape Town, South Africa: a qualitative study
    (BioMed Central, 2018) Jonas, Kim; Crutzen, Rik; Krumeich, Anja; Roman, Nicolette V.; van den Borne, Bart; Reddy, Priscilla
    BACKGROUND: Adolescents’ sexual and reproductive healthcare (SRH) needs have been prioritized globally, and they have the rights to access and utilize SRH services for their needs. However, adolescents under-utilize SRH services, especially in sub-Saharan Africa. Many factors play a role in the under-utilization of SRH services by adolescents, such as the attitude and behaviour of healthcare workers. The aim of this study therefore, was to explore and gain an in-depth understanding of healthcare workers’ beliefs, motivations and behaviours affecting adequate provision of these services to adolescents in South Africa. METHODS: Twenty-four healthcare workers in public SRH services in Cape Town, South Africa participated in this qualitative study through focus group discussions. To fulfill the aims of this study, nine focus group discussions were conducted among the SRH nurses. RESULTS: SRH nurses indicated that they are experiencing challenges with the concept and practice of termination of pregnancy. They explained that this practice contradicted their opposing beliefs and values. Some nurses felt that they had insufficient SRH skills, which hinder their provision of adequate SRH services to adolescents, while others described constraints within the health system such as not enough time to provide the necessary care. They also explained having limited access to schools where they can provide SRH education and pregnancy prevention services in the surrounding area. CONCLUSIONS: Nurses are faced with numerous challenges when providing SRH services to adolescents. Providing the nurses with training programmes that emphasize value clarification may help them to separate their personal beliefs and norms from the workplace practice. This may help them to focus on the needs of the adolescent in a way that is beneficial to them. At the health systems level, issues such as clinic operating hours need to be structured such that the time pressure and constraints upon the nurse is relieved.
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    Homeless in Observatory, Cape Town through the lens of Max-Neef's Fundamental Human Needs taxonomy
    (SUN, 2017) Schenck, Rinie; Roman, Nicolette V.; Erasmus, Charlene; Blaauw, Phillip (Derick); Ryan, Jill
    The suburb of Observatory, also affectionately known as ''Obs'', is one of the older suburbs of the City of Cape Town, home to multiple cultures, a student population from the University of Cape Town, a variety of churches, the Provincial Government Groote Schuur Hospital, the Government Psychiatric Hospital Valkenburg, and the home of the South African Astronomical Observatory built in 1897 - hence the name of the suburb. It is one of the oldest areas of Cape Town. Unfortunately Observatory also has a high crime rate and many homeless people. In the beginning of 2014 concerned community members of Observatory approached the authors of this article to conduct a research study to profile the homeless in Observatory. The aim of this article is therefore to describe the profile of the homeless in Observatory, Cape Town and to develop some understanding of the lives of the homeless.