Philosophiae Doctor - PhD (Nursing)

Permanent URI for this collectionhttps://hdl.handle.net/10566/12323

Browse

Now showing 1 - 20 of 60

Developing a community engaged intimate partner violence management framework for nurse specialists
(University of the Western Cape, 2024) Ngwenya, Bonita
Intimate Partner Violence (IPV) is a pervasive issue with significant health, social, and economic consequences, particularly in South Africa. Training programs for Nurse Specialists have been found inadequate in equipping healthcare professionals with the necessary skills to manage IPV effectively. This study aimed to develop a Community-Engaged Intimate Partner Violence Management Framework (CE-IPVMF) tailored for Nurse Specialists, utilizing the Intervention Research: Design and Development (IR: D&D) model and the Intervention Mapping (IM) process. The study employed a multi-methods approach to achieve its objectives. Initially, in phase 1 a comprehensive literature review and qualitative data collection through interviews with Nurse Specialists, Higher Education Institution Nurse Specialists academics and stakeholders at the Thuthuzela Care Centre to determine the status of IPV management training in existing PGD Nurse Specialist programs was conducted. The challenges as well as the legal and ethical requirements for managing IPV was identified in the Community Health Care environment. In phase two a detailed document analysis of the SANC Forensic Nurse PGD program was also performed to map relevant IPV management elements. Interviews were conducted with Forensic Nurses and stakeholders at the Thuthuzela Care Centre where the Forensic Nurse Programme was implemented. Successful elements were identified that were translated into performance objectives that could be included in the targeted Nurse Specialists PGD programmes. In phase 3 the IR: D&D model and IM process were applied, involving stakeholder consultations and iterative feedback loops to develop the CE-IPVMF. Finally in phase 4 a preliminary prototype of the CE-IPVMF was developed. The study identified significant gaps in the existing training programs, including inadequate training on IPV management, lack of standardized screening and referral procedures, and limited practical training opportunities. The CE-IPVMF addressed these gaps by incorporating specialized training modules on IPV identification, risk assessment, safety planning, and intervention strategies.
Development of a structured training programme on interpersonal communication and counselling for midwives in Ondo State, Nigeria
(University of the Western Cape, 2025) Fadare, Risikat Idowu
The relevance of effective interpersonal communication in health care has long been emphasised and supported by extensive literature. In their day-to-day activities, midwives need to interact with their patients, their relatives, and other health team members to promote a cordial relationship and relaxed atmosphere that will enhance effective counselling of patients towards illness prevention and wellness promotion. Midwives’ use of effective interpersonal communication and counselling (IPCC) skills in personal and professional situations can reduce patient stress, promote comfort and wellness and improve overall quality health outcomes. Studies have shown that effective communication is a key determinant of patient satisfaction and utilisation of reproductive maternal, newborn, and adolescent child health (RMNCAH) care services. The literature revealed that midwives’ use of interpersonal communication skills is inadequate. This study aimed to assess the knowledge and skills of midwives on IPCC, develop and pilot a structured training programme to correct or add to the midwives’ knowledge and skills on interpersonal communication and counselling (IPCC) towards improved patient-friendly reproductive, maternal, newborn, child, and adolescent health care (RMNCAH) services. The theoretical basis of the study was drawn from the theoretical domain framework, adult learning and experiential learning theories, and the philosophical underpinning was pragmatism.
A health literacy intervention for Jordanian nurses to promote patient adaptation post myocardial infarction
(University of the Western Cape, 2025) Alrababah, Deyaaldeen Mohammad Hasan
Myocardial infarction is a leading cause of death in Jordan. Nurses’ inadequate health literacy practices may impede effective patient care, and lead to increased costs, complications, and mortality. Health literacy training programmes could enhance nurses' ability to support patients in adapting to myocardial infarction. Aim: to develop an intervention for Jordanian nurses about utilising health literacy practices to facilitate adaptive coping and adherence to disease management among patients with myocardial infarction. Methods: A multi-method research design was used in this study. Lazarus and Folkman's Psychological Stress and Coping Theory guided the study's theoretical framework. The first four phases of Rothman and Thomas’s (1994) intervention research design guided the study. Phase One: Problem analysis and project planning. A literature review was conducted on the coping strategies and health literacy practices of patients with myocardial infarction and nurses’ knowledge, attitudes and perceptions, experience and educational needs regarding health literacy. Phase Two: Three studies were conducted to gather information about the problem. Study One is a descriptive survey describing coping strategies and health literacy levels of 140 Jordanian patients with myocardial infarction. Study Two is a descriptive survey which describes nurses’ health literacy practices knowledge, skills and experience, perceptions, attitudes, and educational needs in facilitating adaptive coping and treatment adherence among patients with myocardial infarction. A systematic review was conducted in Study Three to determine the effectiveness of health literacy interventions developed for registered nurses in health care facilities to improve their health literacy knowledge, experience or skills, perceptions, and attitudes towards the promotion of health literacy.
Development of a protocol for nurses to reduce stigma towards mental health care users at primary health care services in the Western Cape
(2023) John James Musafiri; Bimerew, Million
Background: Nearly one in eight individuals across the world lives with a mental disorder. Mental disorders contribute to the global burden of disease, and are the third largest contributor to the overall disease burden in South Africa. The availability of mental health services at primary health care level should reduce the burden of mental disorders. It was found that several studies have revealed that stigma prevents people from seeking mental health care which contributes to delays in their recovery. Consequently, it deprives them of their basic human rights and excludes them from society. Mental health stigma has been reported among nurses and other health care providers.
Development of a model for support of emotional labour of nurses in tertiary hospitals in Nigeria
(University of the Western Cape, 2022) Ibraheem, Mulikat Ayoade; Martin, Penelope
Experience of emotional labour by nurses reflects a stressful work environment where services are guarded by organization and professional display rules and rendered with “a-smile-on-the-face” to shield the negative effect. Poor working conditions, the nature of the nursing job, lack of (or inadequate) resources, lack of role clarity, recognition and autonomy, time constraints, long working hours; a poor referral system are some of the causes of emotional labour for nurses. To regulate their emotions, service sector workers, including nurses use surface acting and deep acting strategies to cope with emotional labour at the workplace.
Intervention strategy to improve pmtct programme implementation for HIV-exposed children in a rural sub-district in North West province
(University of the Western Cape, 2022) Buthelezi, Sibusiso; Phetlhu, Deliwe
Despite the remarkable general decrease of mother-to-child transmission in the global HIV response, a high number, 84%, of child HIV infections are occurring in Sub-Saharan Africa, particularly in rural areas. Mother-to-child transmission in rural areas persists owing to several factors including inadequate implementation of prevention of mother-to-child transmission programmes. In order to achieve a target of zero new HIV infection in children born from women living with HIV, the involvement of professional nurses and mothers of children exposed to HIV in developing new intervention strategies that would improve the implementation of the prevention of mother-to-child transmission programme is undeniable.
Development of a model for nursing management of postpartum depression in Edo state, Nigeria
(University of the Western Cape, 2022) Amiegheme, Felicia Ehobhayi; Daniels, Felicity
Postpartum depression (PPD) is a disease that has been increasingly plaguing women in recent times. The incidence of PPD is high in Edo state, Nigeria. The researcher’s per-sonal clinical experience was that women who had episodes of PPD are usually provided conven-tional postnatal care with other women going through puerperium. A review of the policy statement of the Nigerian Federal Ministry of Health Sentinel records (2011) shows that there are no national nursing care guidelines for PPD. Consequently, this re-search study developed a model based on the findings of this study.
Development of an intervention strategy to provide emotional support for nurses caring for violent patients in acute wards in psychiatric hospitals in the Western Cape
(University of the Western Cape, 2022) Bekelepi, Ntombiyakhe; Martin, Penelope
Globally, workplace violence in healthcare is a major public concern, especially in the nursing profession. Nurses have higher risk of experiencing workplace violence they spend more time with patients. The violence has an impact on nurses’ day-to-day work as it negatively affects their physical and mental health, job satisfaction, productivity, and quality of patient care. Several interventions such as critical incident debriefing, group intervention approach, clinical supervision, and mindfulness-based stress reduction interventions have been developed to support nurses from workplace violence. Despite these interventions, the response to satisfaction with accessibility and utilisation have varied in areas in the workplace.
Developing strategy to improve the implementation of comprehensive sexuality education policy in Oyo state secondary schools in Nigeria
(University of the Western Cape, 2022) Yinyinola, Makinde Olufemi; Bimerew, Million
Sexuality education is a globally emerging social issue leading to discourse among stakeholders in the school system and public health arena. Comprehensive sexuality education (CSE) has emerged as an effective method of preventing teenage pregnancy. However, attempts to implement CSE policy in Nigeria since 2002 have not been successful. Teenage pregnancy is increasing in Oyo State, leading to rising school dropout rates. The aim of this study was to develop strategy to improve implementation of the CSE policy aimed at reducing teenage pregnancy at secondary schools in three LGAs in Oyo State, Nigeria. An explanatory sequential mixed methods design was employed to conduct data collection and analysis in Phase One. Target populations for survey were learners, parents and teachers.
A training programme for nurses on the management of preoperative anxiety and information needs of patients in Ashanti region, Ghana
(University of the Western Cape, 2022) Dankyi, Sawan; Bimerew, Million
Studies reveal that preoperative information hastens recovery, reduces postoperative complications and improves patients’ satisfaction. It is expedient to explore the preoperative information needs of patients as assumptions cannot be employed to identify said preoperative information patient needs. It was discovered in a study in the Ashanti Region of Ghana that few of the nurses follow steps to explore the anxiety and information needs of patients. The study investigated how preoperative anxiety and information needs of patients are explored and managed by nurses at district hospitals in the Ashanti Region of Ghana.
Development of a user centered mobile phone diabetes self-management intervention for people with type-2 diabetes in the ho municipality of Ghana
(University of the Western Cape, 2022) Johnson, Beatrice Bella; Chipps, Jennifer
Self-management remains a key goal for people living with Type-2 diabetes but globally has been an ongoing challenge. The inefficiencies of traditional health education approaches to diabetes care, concerns about the skills deficit and the technological explosion of mobile phone use have provided an opportunity for technologically driven innovations to facilitate selfmanagement of diabetes. Mobile phones are emerging as a tool for healthcare delivery and access to mobile phones is on the increase in the Low- and Middle-Income Countries (LMICs). The related low cost of mobile technology, especially text and voice messaging, has been reported to offer effective options for managing non-communicable diseases and highlighted the need to test this in the self-management of Type-2 diabetes.
Development of a training programme for professional nurses to promote the use of postpartum family planning in Epe local government area, Lagos state, Nigeria
(University of the Western Cape, 2022) Igbinoghodua, Omo-Ojo Betty; Julie, Hester
Postpartum family planning (PPFP) is the initiation of family planning methods among postpartum women, within 12 months after delivery. During this period, the women are a vulnerable group of people with high unmet need for family planning. They are exposed to the risks of unwanted pregnancy, which potentially, could increase maternal mortality, due to the consequences of too frequent pregnancies. Studies have revealed a consistent low use of family planning during the postpartum period. Additionally, it has been documented that the low use of postpartum family planning, most likely, was attributed to inadequate services that had been rendered at healthcare centres, as well as poor motivation by those providing family planning services. A training programme for nurses, to improve health services, was identified as the most appropriate for quality healthcare services, to influence the behavioural skill and good decision making of the PP women, regarding the use of PPFP.
Advisory framework to inform the development of a micro-curriculum for a new bachelor of nursing degree programme offered at a University of the Western Cape
(University of Western Cape, 2021) van der Berg, Lindy Sheryldene; Daniels, Felicity
Curriculum review can ensure that nurses develop appropriate competencies to respond to market demand. Regular revision and updating of curricula are in line with recommendations of the WHO to scale-up health professionals' education and training. Introducing transformative changes in education provides an opportunity to review the strengths and weaknesses of the current systems. The nursing profession was the first of the health professions in South Africa to transform its legislative framework, which led to the development of new qualifications.
Development of a safe conception training programme for healthcare workers in antiretroviral therapy units in the Volta region, Ghana
(University of Western Cape, 2021) Klutsey, Ellen Eyi; Phetlhu, Deliwe R.
Women living with HIV (WLHIV) desire to bear children. Safe conception (SC) education for informed decision-making to prevent peri-conception HIV infection is needed but not routinely available. Poor SC knowledge, attitude, skills in addition to the absence of a standardised training programme were challenges that limited delivery. This study therefore aimed at developing a training programme for healthcare workers to facilitate SC education among WLHIV. The study adopted the intervention research approach. Both qualitative and quantitative methods were employed.
Development of a mindfulness-based unit management training programme for professional nurses in Ondo State, Nigeria
(2021) Ogundele, Alice Igbekele; Julie, Hester
Professional nurses constitute the highest number of health manpower all over the world. The nature of their work make them prone to physical and emotional trauma which sometimes affect the care they render. Therefore, nursing requires that professionals demonstrate acceptable levels of self-awareness and self-control which is congruent with the key principles of mindfulness contributing to a standard of nursing practices that do not always reach by providers as expected. Likewise, Nurse Managers are expected to utilise mindfulness principles in the planning, organising, staffing, directing and controlling activities of their units. Therefore, the aim of this study was to develop a mindfulness-based unit management training programme for professional nurses in Ondo State, Nigeria. The objectives of this study were to: (a) determine the level of individual mindfulness of professional nurses. (b) measure the extent to which individual mindfulness impacts professional nurses’ mindfulness. (c) determine the effect of professional nurses’ mindfulness on unit management performance of professional nurses. (d) design mindfulness-based unit management programme for professional nurses. (e) verify the developed mindfulness-based unit management training programme for professional nurses.
Development of a safe conception training programme for healthcare workers in antiretroviral therapy units in the Volta region, Ghana
(University of Western Cape, 2021) Klutsey, Ellen Eyi; Phetlhu, Deliwe R.
Women living with HIV (WLHIV) desire to bear children. Safe conception (SC) education for informed decision-making to prevent peri-conception HIV infection is needed but not routinely available. Poor SC knowledge, attitude, skills in addition to the absence of a standardised training programme were challenges that limited delivery. This study therefore aimed at developing a training programme for healthcare workers to facilitate SC education among WLHIV. The study adopted the intervention research approach. Both qualitative and quantitative methods were employed.
A model to enhance the empowerment of professional nurses to promote the recovery of people who have been diagnosed with depression
(University of the Western Cape, 2010) Pearce, Shelltunyan; Kortenbout, W.
The purpose of this research study is to develop and describe a model to enhance the empowerment professional nurses to promote the recovery of people who have been diagnosed with depression. Depression is a prevalent psychiatric disorder that despite its increase worldwide, often goes undetected or inadequately treated. The biomedical model's reductionist and dualistic approach proves to be inadequate for nursing practice to address depression and calls for the examination of a multifaceted holistic approach. A multifaceted holistic approach views disease as having multiple causes that are amenable to multiple therapeutic interventions. Despite research evidence about the effectiveness of such an approach, an in-dept literature search did not reveal the availability of such a model to enhance the empowerment of professional nurses to promote the recovery of people who have been diagnosed with depression. The research question that emerged was: • How can professional nurses in the Western Cape be empowered to promote the recovery of people who have been diagnosed with depression? The assumption is that this question was necessary to address. To realise the purpose of this research study, the following objectives were formulated: • To explore and describe the self reported attributes needed by professional nurses to promote the recovery of people who have been diagnosed with depression. • To explore and describe how these self reported attributes can be facilitated in the work environment. • To propose a model to enhance the empowerment of professional nurses to promote the recovery of people who have been diagnosed with depression. • To develop guidelines for the operationalisation of the model. The theoretical framework for this research study was adopted from the Critical Social Theory. The research design and method used was qualitative, explorative, descriptive and contextual in nature. The research was done in two phases. In phase one the researcher did semi- structured interviews with a purposive and convenient sample of fourteen (14) professional nurses who were working in the Cape Town Metropolitan area and the West Coast.
Developing strategies to improve support for grandparents caring for aids orphans in the western cape
(University of Western Cape, 2021) Akimanimpaye, Furaha; Phetlhu, Deliwe René; Bimerew, Million
Literature evidence on challenges facing the grandparents caring for AIDS orphaned children has shown inaccessibility to health care services, inability to afford basic needs, absence of social security provisions (with the exception of the pension scheme) and lack of attention from the government and Non-Government Organizations (NGOs). In South Africa, there is insufficient documented evidence of available sustainable approaches to supporting grandparents caring for AIDS orphans in all health dimensions. This study aimed to develop strategies to improve support for grandparents caring for AIDS orphans in the Western Cape Province of South Africa.
A service learning pedagogy for an undergraduate bachelor of nursing curriculum
(University of Western Cape, 2021) Hoffman, Jeffrey Cornè; Hester, Julie
Globally, healthcare curricula are being transformed to serve societal needs and strengthen the provision of healthcare services towards ensuring Primary Health Care. Community Engagement and its typology were deemed significant to redress the nature of healthcare services, as well as the nature of the nursing curriculum, in order to develop socially accountable graduates. SL is known as a philosophy and an approach to community development and pedagogy. In this current study, the primary focus of SL was viewed as pedagogy, with the intention of fostering skills and values associated with accountability.
Roots and constructs of incivility in professional nursing education: Refocusing solutions and actions
(University of Western Cape, 2020) Vink, Hildeguard Jo-Anne; Frant, José; Julie, Hester
Incivility is rudeness, disrespect, disregard for others or their opinions, and a barrier to social interaction that could be associated with stress. The lack of regard for others creates a disrespectful, conflicting, and stressful environment, which could be perceived as an attack on the individual‟s dignity, or sense of self-worth. According to reports, such behaviour could be increasing and affecting the welfare of educators, students, and the overall educational process. Nursing education has not been exempted from this behaviour. Therefore, incivility is a nursing problem, which affects all those involved, from the academics, students, clinicians, patients and families.

Browse

Recent Submissions