Magister Curationis - MCur

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Perceptions of nursing students regarding factors influencing their learning in a clinical skills laboratory at a school of nursing in the western cape province
(University of the Western Cape, 2024) Hoffman, Catherine; Willemse, Julliana
Background: In order for a student to be clinically competent in a skill, various resources and preparation are needed. Opportunities should be available for student nurses to intentionally experience meaningful encounters that will broaden their knowledge and skills. Aim of the study: The aim of the study was to explore and describe the perceptions of nursing students’ regarding factors influencing their learning in a clinical skills laboratory at a School of Nursing in the Western Cape Province. Methodology: The study adopted a qualitative research approach, utilising an exploratory and descriptive research design. The population of interest for this research study was nursing students registered for a four-year Baccalaureate Degree at a School of Nursing in the Western Cape Province. The population included all registered nursing students from the first to the fourth year of study. Participants were identified through purposive sampling based on specific inclusion and exclusion criteria. The researcher collected the data through ten focus group interviews across all four-year levels and analysed the data using the six steps of Braun and Clarke (2006). Ethics: Ethical approval to conduct the study was obtained from the Humanities and Social Sciences Research Ethics Committee before the commencement of data collection. Participants were informed that participation in the study was voluntary and they could withdraw from the study at any stage with no consequences to their studies. Findings and recommendations: The findings were linked to the framework for clinical skills learning environment of Haraldseid, Friberg and Aase (2015). The framework identified the physical, organisational, and psychosocial environmental factors that influence the learning process of nursing students in a clinical skills laboratory. The findings of this study indicate the need to implement interventions to improve certain aspects in the clinical skills laboratory to promote quality clinical learning for nursing students.
Professional nurses at a psychiatric hospital in the Western Cape’s knowledge and attitudes towards care of patients with eating disorders
(University of the Western Cape, 2023)
Background: Eating disorders are weakening conditions that will affect a person’s physical and mental well-being. In South Africa, the treatment of eating disorders has changed over the years with more patients being treated in the private sector and on an out-patient basis. However, patients admitted to public psychiatric hospitals are still dependent on the care provided by professional nurses. Eating disorders are a wide range of disorders that require highly specialized care; hence the knowledge and attitudes of health workers in general, and nurses, are important for its management.
Experiences of nurse educators at a college campus in the Western Cape regarding their transition to online teaching during the covid-19 pandemic
(University of the Western Cape, 2023) Petersen, Colette Amanda; Daniels, Felicity
Background: The Covid-19 pandemic has emphasised the importance of continuous education, which could only be accommodated by an online platform during the lockdown imposed on 15 March 2020 in South Africa. Like many other middle-income countries (The World Bank, 2021), South Africa had to scramble to put systems in place to adhere to the demand for pedagogical engagement and adapt speedily to available virtual platforms amid several difficulties i.e., economic, cultural, belief, load shedding, internet connectivity and data costs, it is a challenge to successfully access and engage on these online platforms. This sudden transition was felt by all educators in all spheres of education who had to adapt to new online ways of engagement that many were not previously exposed to. This caused several pedagogical and personal challenges for educators that need further exploration to describe what those challenges were and investigate what preparations were made to transition to online teaching during Covid-19. Additionally, this study sought to explore the personal and environmental challenges these nurse educators at a Nursing College in the Western Cape experienced that facilitated or inhibited the transition to online teaching.
Mental health nurses’ knowledge, attitudes, and practices in the management of pain in mental health care users in a selected psychiatric hospital in the Western Cape
(University of the Western Cape, 2024) Dyasi, Siziphiwe; Chipps, Jennifer
Background: Pain management is central to patient care, including for mental health care users (MHCUs). Pain management has been identified as a concern for MHCUs admitted to a psychiatric hospital as the accurate assessment of pain may be influenced by cognition due to acute mental illness or lack of reporting. Poor pain management may impact on the wellbeing of patients and is an essential aspect of care. Aim: The aim of this study was to investigate pain management knowledge, attitudes and practices among registered and staff nurses working at a selected psychiatric hospital in the Western Cape.
The knowledge, practices and attitude of nurses towards pain management of neonates in the Western Cape
(University of the Western Cape, 2023) Dielle, Rachel Epie; Chipps, Jennifer
Aim: To investigate the knowledge, practices, and attitudes, of nurses towards pain management of neonates in Western Cape. Background: Pain is regarded as a sensory modality which is vital for surviving. Effective pain management presents positive patient’s outcome, reduced hospitalisation, and improved developmental milestone. The advancement of modern technology has facilitated the survival of premature and new-born babies in the Neonatal Intensive Care. This advanced technology may however be inflicting excruciating pain on sick neonates during treatment. The sick neonates are exposed to many painful procedures which include venepuncture, lumber puncture, mechanical ventilation, non-invasive ventilation, urine catheterisation, heel prick and many other procedures. If neonatal pain is not managed, it may cause long-term damage to the child’s neural development. This study is aimed to describe the factors of poor nurse management of neonate pain. The findings will be used to recommend pain management guidelines for the neonates receiving treatments in intensive care.
Factors influencing nursing students’ persistence at a higher education institution in the Western Cape
(University of the Western Cape, 2023) Mapfuranewe, Eggesta; Bimerew, Million
Background: Persistence of undergraduate nursing students at institutions of higher learning is mainly hampered by high attrition rates. High attrition rates are a global problem, attributed to a myriad of challenges that students experience during their years of study. This eventually leads to poor persistence which cascades down to a reduced number of nurses graduating and contributes to the global nursing shortage. Aim: The study aimed to investigate factors influencing the undergraduate nursing students’ persistence at a selected higher education institution in the Western Cape. Methodology: A quantitative method with a descriptive survey research design was employed to conduct the study. An all-inclusive sampling technique was used to include the study population of 317; 149 responses were obtained. Data was collected using both online and face-to-face self-administered questionnaires. Data was analysed using the Statistical Package for Social Sciences version 28. Results: The study showed that respondents were committed to obtaining their nursing degree and their commitment to the institution was robust. The respondents took their academic work seriously and were academically conscientious. The respondents were satisfied with their academic progress, although some had reservations about their relationship with the lecturers. Social coherence among the respondents, institution and campus community was lacking. The respondents did not find the institution convincingly supportive, and they did not have an overall sense of inclusion in the implementation of support services. Conclusion and recommendations: Students’ commitment to obtain their degrees and institutional commitment were the two most highly rated factors. Social engagement and campus support were the least rated factors. It is recommended that the institution should devise supportive academic programmes that make effective use of mentors for first-year students. The lecturers at the institution should attempt to make their presentations more interactive. The institution should also assist in setting up activities that encourage engagement and socialisation for students.
Creating a caring praxis in nursing education and training: The experiences of the clinical supervisors
(University of the Western Cape, 2023) Syme, Beverdene Christine; Hoffman, Jeffrey
Background: The integration of theory, research, and practice as caring praxis was revealed in the everyday work and practice of caring within nursing. “Praxis is a coherent structure of the nurse's work that integrates guiding values, specific actions consistent within the social mission of the profession, knowledge construction, community awareness, and the realization that within a profession lies the process of bringing about some human good”, and that nursing as a “practice-based profession and its training requires the embedment of theoretical and clinical learning” along with national and provincial guidelines and treatment regimens to ensure that nurses are trained according to required standards of the nursing regulatory body in South Africa. It was therefore deemed relevant to examine the caring praxis in the nursing education and training of undergraduate nursing students. Aim: The purpose of this study was to understand the experiences of clinical supervisors in creating a caring praxis in nursing education and training. The theoretical framework of this study is aimed to link the five comportments prescribed in the model of practical skills performance to clinical teaching to create a caring praxis in nursing education and training. Design and method: This study employed a qualitative study method and a qualitative explorative contextual design to meet the two objectives of the study, which were: to explore and describe the experiences of the clinical supervisors doing clinical teaching in hospitals and clinics; and to identify the needs of the clinical supervisors to ensure a caring praxis in nursing education and training. Ethical considerations: The proposal was submitted to the Humanities and Social Science Research Ethics Committee for approval. Permission was obtained from the Head of Department at the School of Nursing and the supervisor coordinator provided access to obtain information from potential participants. Informed consent was obtained from all participants, and they had the right to withdraw at any time should they wish to do so. The researcher aimed to guarantee the well-being of the participants and to minimize harm and discomfort. Anonymity was strictly maintained to protect the participants and ensure confidentiality. Conclusion: Five main themes emerged from the analysis: during clinical supervision the clinical supervisors must ensure that they educate the nursing student to care for their patients holistically and to meet the patient’s needs regarding comfort and safety; the clinical supervisors integrate teaching and learning tools to breech the gap between theory and practice, integrating their experiences to add meaning to clinical teaching and learning; students’ participation and involvement during skills development allowed the clinical supervisors to assess and manage risk during patient engagement; during clinical teaching and learning the clinical supervisors has to ensure the skills are within the scope and guidelines of the clinical facilities; and the clinical supervisors takes on many roles to advocate and facilitate the caring praxis in nursing.
Perceived social support of learners at risk of substance abuse at two selected high schools within the Cape metropolitan area
(University of the Western Cape, 2022) Cassiem, Sabiyah; Martin, Penelope
Substance abuse contributes towards mental illness as part of the global burden of disease. In South Africa, substance abuse presents amongst learners at secondary schools. Substance use affects academic performance negatively and disrupts cognitive, emotional, social, and psychological functioning. Social support has been known to ameliorate the deleterious effects of substance abuse. This study aimed to investigate the perceived social support of learners at risk of substance abuse at two selected high schools in Cape Town.
The attitudes of midwives towards pregnant women using illicit substances in the Metro East Sub-District, Cape Town
(University of the Western Cape, 2023) Finlayson, Jean-Louise; Mayers, Pat
Background: Worldwide, it is estimated that 155 -250 million people between the ages of 15 and 64 use illicit substances; however, an accurate estimation of illicit drug use during pregnancy is not available as this is underreported. The South African National Drug Master Plan (NDMP) reports rising illicit drug use among pregnant women Early initiation and regular antenatal care prevent or decrease many risk factors caused by the use of illicit drugs, leading to improved outcomes for mothers and infants. Pregnant women who use illicit drugs are less likely to engage with health services due to various barriers, of which stigma is particularly pervasive. Stigmatising attitudes from health care providers may lead to reduced management and care. There is limited South African information regarding midwives’ attitudes toward pregnant women who use illicit substances. Aim: To describe midwives’ attitudes toward pregnant women who use illicit substances in the Metro East sub-district of Cape Town. Study setting and population: Primary, secondary, and tertiary maternity services in the Metro East sub-district, Cape Town. All midwives (N=146) in all facilities in the sub-district were included (total population sampling). Method: A quantitative approach with a survey design, using a previously validated questionnaire, was utilised. Face-to-face data collection was conducted. Each questionnaire was checked for completeness. Data analysis was done using SPSS. Ethical considerations: This study strictly adhered to ethical principles. Ethical approval was obtained from the Biomedical Research Ethics Committee, UWC, and Western Cape Department of Health Research Committee. The research adheres to the Protection of Personal Information Act 4 of 2013. Voluntary participation and the right to withdraw at any point during the study was respected and respondent data was anonymised. Results: The study had a response rate of 69%. Most respondents were female and 51.4% were in the < 41 age group. 15.8% of respondents had one year or less experience, with a mean of 10 years of experience.
Exploring health information needs of midwives to support their care for mothers with anxiety and depression during the antenatal and postpartum period in the Western Cape
(University of the Western Cape, 2023) Koopman, Pauline; Bimerow, Million
Background: Mothers experience anxiety and depression during antenatal and postpartum period; midwives need evidenced-based information to improve their care services to mothers experiencing anxiety and depression during the antenatal and postpartum period. Aim: The aim of this study was to explore and describe the information needs of midwives to care for mothers with anxiety and depression during the antenatal and postpartum period in the Western Cape. Methods: The study employed a qualitative research approach with exploratory and descriptive design which involves interviewing professional midwives. This study was conducted at a primary health care facility in Cape Town. Purposive sampling technique was used to select twelve (12) participants. The interview guide questions, and audio recorder were used to conduct face to face interviews. Data were analysed using thematic content analysis. Ethics approval was obtained from Biomedical Ethics Committee at the University of the Western Cape.
Nursing students from a university in the Western Cape’s perceptions of the clinical supervisory relationship
(University of the Western Cape, 2022) Mpopoma, Siyamthanda; Chipps, Jennifer
Background: In nursing education, the clinical supervisory relationship is central to clinical learning for students as it has an impact on the development of professional identity, competency, and clinical skills. A conducive clinical learning environment depends on the supervisory relationship between the nursing student and the clinical supervisor which can be strengthened by professional participation from both students and clinical supervisor. The aim of the study: To describe nursing students’ perceptions of clinical supervision relationships at a selected nursing school at a university in the Western Cape.
University student nurses’ in the Western Cape attitudes towards mental illness
(University of the Western Cape, 2023) Awa, Fritz; Penelope, Martin
Background: Student nurses enter nursing education and training programmes with beliefs and attitudes toward mental illness which are generally negative. These negative attitudes are not different from that of the public. These beliefs and attitudes may impede nursing care and social acceptance of mental health care users, their families, colleagues and friends. Aim: To investigate the attitudes of university student nurses towards mental illness. Method: A quantitative descriptive approach, using stratified random sampling was used to select 289 undergraduate nursing students registered at a higher education institution in the Western Cape. The Attitudes of Severe Mental Illness Scale (ASMI), which is a 30 item, Likert type, structured questionnaire was used to collect the data from the respondents yielding a response rate of 98% (n= 284). The data were analysed using Statistical Package for Social Sciences (SPSS), version 25.
Burnout among nurses working in a maternity department at a tertiary hospital in the Western Cape
(University of the Western Cape, 2023) Booi, Dumo; Penelope, Martin
Burnout syndrome is a health concern that affects many people who work in jobs that need them to interact with others. Among the most vulnerable professions, healthcare personnel have been identified as the group most likely to experience burnout. Globally, research has shown that duty-related strain or pressure is increasing in nurses, leading to nursing burnout. Midwifery can be stressful since it involves working directly with family planning, clients of all ages, expectant moms and fathers, and their families. Nurses working in maternity departments at tertiary hospitals may be more susceptible to burnout due to the amount of work, working hours, and stressful working environment among other.
The experiences of clinical supervisors interacting with undergraduate nursing students in a remote online clinical learning environment during the COVID-19 pandemic at a university in the Western Cape
(University of the Western Cape, 2023) Jodwana, Mankalima Ivy; Hoffman, Jeffrey
Background: In the year 2020 the skills laboratory methodology for a Baccalaureate undergraduate nursing programme had to precipitously adjust to remote online clinical learning, because of the immediate closure of higher education institutions due to the rapid global spread of Covid-19. Clinical supervisors had to swiftly adapt to a new method of clinical teaching and learning, while experiencing the concomitant complexities of the new methodology. Aim: This study explores and describes the experiences of clinical supervisors at a university in the Western Cape in interacting with undergraduate nursing students while swiftly adjusting to the use of remote online clinical learning sessions during the Covid-19 pandemic.
Nursing students from a university in the Western Cape’s perceptions of the clinical supervisory relationship
(University of the Western Cape, 2023) Mpopoma, Siyamthanda; Chipps, Jennifer
Background: In nursing education, the clinical supervisory relationship is central to clinical learning for students as it has an impact on the development of professional identity, competency, and clinical skills. A conducive clinical learning environment depends on the supervisory relationship between the nursing student and the clinical supervisor which can be strengthened by professional participation from both students and clinical supervisor. The aim of the study: To describe nursing students’ perceptions of clinical supervision relationships at a selected nursing school at a university in the Western Cape.
Knowledge and attitudes of nursing students about women who use substances during pregnancy in the Western Cape
(University of the Western Cape, 2022) Andries, Carmen; Mayers, Pat
Substance use has become a major socio-economic problem worldwide and is alarmingly high in South Africa. Substance use is frequent in pregnant women and has a negative impact on foetal, neonatal, and maternal well-being. Nurses play an essential role in identifying and treating substance use and related problems in patients in general and pregnant women. Worldwide, published literature reports that professional and student nurses have insufficient knowledge regarding substance use in pregnant women and often portray punitive, negative attitudes towards them.
An investigation of alcohol and drug use and possible risk factors amongst nursing students at a University in the Western Cape
(University of the Western Cape, 2023) Kovane, Gaotswake Patience; Mayers, Pat
The use of substances (alcohol and other drugs) is a significant global public health challenge, despite extensive awareness and educational strategies about the dangers of alcohol and illicit drug use. Recognition of the factors associated with substance use amongst nursing students is crucial to guide program planning, promotion of awareness and reduce risk of drug use.
Perceptions of nursing students regarding factors influencing their learning in a clinical skills laboratory at a school of nursing in the Western Cape province
(University of the Western Cape, 2023) Hoffman, Catherine; Willemse, Juliana
Background: In order for a student to be clinically competent in a skill, various resources and preparation are needed. Opportunities should be available for student nurses to intentionally experience meaningful encounters that will broaden their knowledge and skills. Aim of the study: The aim of the study was to explore and describe the perceptions of nursing students’ regarding factors influencing their learning in a clinical skills laboratory at a School of Nursing in the Western Cape Province.
Knowledge, attitudes and practices regarding paediatric pain management among undergraduate nursing students at a university in the Western Cape
(University of the Western Cape, 2022) Karikurubu, Amrani; Crowley, Talitha
Despite the availability of analgesics for pain relief, children experience moderate to severe pain during hospitalisation. A student nurse placed in a paediatric setting is part of the healthcare team who can support children in pain. However, studies have documented a gap in the knowledge, attitudes, and practices (KAP) of nursing students regarding paediatric pain management. The study aimed to describe the KAP of undergraduate nursing students regarding paediatric pain management at a university in the Western Cape. The research objectives were to describe a) the knowledge of undergraduate nursing students regarding paediatric pain management, b) the attitudes of undergraduate nursing students regarding paediatric pain management, and c) the practices of undergraduate nursing students regarding paediatric pain management.
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.

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