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  • 1
    In: Health SA Gesondheid, AOSIS, Vol. 27 ( 2022-11-09)
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: English
    Publisher: AOSIS
    Publication Date: 2022
    detail.hit.zdb_id: 2114588-X
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  • 2
    In: Health SA Gesondheid, AOSIS, Vol. 25 ( 2020-03-16)
    Abstract: Background: The increasing number of people testing human immunodeficiency virus positive and who demand antiretroviral therapy (ART) prompted the Department of Health to adopt World Health Organization’s task shifting where professional nurses (PNs) initiate ART rather than doctors. This resulted in decentralisation of services to primary healthcare (PHC), generating a need to capacitate PNs on nurse-initiated-management of ART (NIMART). The impact of NIMART was assessed and even though there was an increased number of patients on ART, the quality of care is of serious concern.Aim: The aim of this study was to explore and describe the challenges influencing NIMART training and implementation amongst PNs and programme managers.Setting: The study was conducted from the PHC facilities, in the rural districts of the North West province.Methods: An exploratory programme evaluation and contextual research design was used in the study. Purposive sampling was used. Focus group discussion (n = 28) and individual interviews were used to collect data. Data was analysed using ATLAS.ti software.Results: The results revealed two themes: inadequacy in NIMART training and the healthcare system challenges that influence NIMART training and implementation. Theme 1 included among others the lack of standardised curriculum and model or conceptual framework to strengthen NIMART training. And theme 2 included patient and district healthcare structural system.Conclusion: There a need to improve NIMART training and implementation through the standardisation of NIMART curriculum, introduction of pre-service NIMART training in institutions of higher learning, addressing staff shortages and negative attitude of PNs providing ART.
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: Unknown
    Publisher: AOSIS
    Publication Date: 2020
    detail.hit.zdb_id: 2114588-X
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  • 3
    In: Health SA Gesondheid, AOSIS, Vol. 29 ( 2024-02-28)
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: English
    Publisher: AOSIS
    Publication Date: 2024
    detail.hit.zdb_id: 2114588-X
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  • 4
    In: Health SA Gesondheid, AOSIS, Vol. 25 ( 2020-02-20)
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: English
    Publisher: AOSIS
    Publication Date: 2020
    detail.hit.zdb_id: 2114588-X
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  • 5
    In: Health SA Gesondheid, AOSIS, Vol. 19, No. 1 ( 2014-06-20)
    Abstract: Background: Gender-based violence is a challenge in South Africa, despite available interventions. Caring for the survivors of both forms of violence is critical for ensuring their speedy recovery.Objectives: To compare the effects of trauma on female survivors of sexual assault versus those experienced by survivors of physical assault by their intimate partners.Method: A quantitative cross-sectional comparative study design was used to compare 30 sexually-assaulted women and 30 physically-assaulted women regarding depressive symptoms, posttraumatic stress disorder and coping styles three months after the incident. Semi-structured interviews were conducted with the survivors of both types of assault and the Beck Depression Inventory posttraumatic stress disorder checklist and Brief COPE Inventory were administered in order to obtain quantitative data. Both parametric and non-parametric statistics were employed. Ethical measures were adhered to throughout the research process.Results: A significantly-higher proportion of sexually-assaulted women disclosed the incident to family (p = 0.021). The majority of sexually- (90%) and physically- (86%) assaulted women were likely to recall the incident. Sexually-assaulted women had a significantly-higher mean for avoidance/numbness (p 〈 0.001) and physical-assaulted women in arousal (p 〉 0.051). About 41% of sexually-assaulted participants reported severe depression. Findings confirmed that sexual assault is more personal whilst physical assault is more interpersonal. If physically-assaulted women were removed from the perpetrators they recovered faster than sexually-assaulted women. Their stay with the perpetrators may perpetuate the violence.Conclusion: The need for counselling and support for the survivors of both traumas was recommended. All stakeholders should be educated to provide support to survivors of both traumas. Agtergrond: Ten spyte daarvan dat daar intervensies beskikbaar is, bly geslagsgebaseerde geweld ‘n uitdaging in Suid-Afrika. Die versorging van die oorlewendes geweld is van kritieke belang om die oorlewendes se spoedige herstel te verseker.Doelwitte: Die doel was om die gevolge van trauma op die vroulike slagoffers van seksuele aanranding te vergelyk met die trauma wat die oorlewendes van fisiese aanranding ervaar het.Metode: ‘n Kwantitatiewe dwarssnit ontwerp is gebruik om 30 seksueel aangerande vroue en 30 fisiek aangerande vroue te vergelyk sover dit depressiesimptome, posttroumatiese stresversteuring en coping styl betref drie maande na die voorval plaasgevind het. Semi-gestruktureerde onderhoude is gevoer met die oorlewendes van beide soorte aanvalle, terwyl die Beck depressie-inventaris, die kontrolelys vir posttroumatiese stresversteuring en die bondige COPE-inventaris afgeneem is om kwantitatiewe data te bekom. Sowel parametriese as nie-parametriese statistiek is gebruik. Etiese vereistes is regdeur die navorsingsproses nagekom.Resultate: ‘n Aansienlik hoër persentasie seksueel aangerande vrouens het hulle gesin oor die voorval ingelig (p = 0.021). Die meeste seksueel (90%) en fisiek (86%) aangerande vrouens het die voorval onthou. Seksueel aangerande vrouens toon ‘n aansienlik hoër gemiddelde vir vermyding of gevoelloosheid (p 〈 0.001) en fisiese aangerande vrouens het ‘n hoër gemiddelde vir opwekking (p 〉 0.051). Sowat 41% van die seksueel aangerande deelnemers meld erge depressie. Die studie bevestig dat seksuele aanranding persoonliker is, terwyl fisieke aanranding meer interpersoonlik is. As fisiek aangerand vroue van die oortreders verwyder word, herstel hulle vinniger as die seksueel aangerande vroue. As hulle by die oortreders bly, kan die geweld voortduur.Gevolgtrekking: Die noodsaak aan berading en ondersteuning vir beide groepe oorlewendes word aanbeveel. Alle belanghebbendes moet opgevoed word om ondersteuning aan oorlewendes te bied.
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: Unknown
    Publisher: AOSIS
    Publication Date: 2014
    detail.hit.zdb_id: 2114588-X
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  • 6
    Online Resource
    Online Resource
    AOSIS ; 2016
    In:  Health SA Gesondheid Vol. 21 ( 2016-10-11), p. 1-10
    In: Health SA Gesondheid, AOSIS, Vol. 21 ( 2016-10-11), p. 1-10
    Abstract: The challenges of caring for people living with HIV (PLWH) in a low-resource setting has had a negative impact on the nursing profession, resulting in a shortage of skilled nurses. In response to this shortage and perceived negative impact, we conducted a descriptive, cross-sectional study to describe the level of knowledge and psychosocial wellbeing of nurses caring for PLWH at a regional hospital in Limpopo Province, South Africa. A total of 233 nurses, the majority being female, participated and were stratified into professional nurses (n =108), enrolled nurses (n = 58) and enrolled nursing auxiliaries (n = 66). Data were collected using HIV/AIDS knowledge questionnaire, Maslach Burnout Inventory; AIDS Impact Scale and Beck's Depression Inventory. The total knowledge score obtained by all the participants ranged from 2 to 16, with an average of 12.93 (SD = 1.92) on HIV/AIDS knowledge. Depersonalization (D) (83.7%) and emotional exhaustion (EE) (53.2%) were reported among participating nurses caring for PLWH. Burnout was higher among professional nurses as compared to both enrolled nurses and enrolled nursing auxiliaries. There was a moderate negative significant correlation between HIV knowledge with the nurses' emotional exhaustion (r = 0.592), depression (r = 0.584) and stigma and discrimination (r = 0.637). A moderate to high level of burnout was evident among all levels of nurses. These findings lead to the recommendations for support of nurses caring for PLWH that include structured nursing educational support, organisational support with respect to employee wellness programmes that address depression and work burnout, as well as social support. The provision of these support mechanisms has the potential of creating a positive practice environment for nurses in the Vhembe District of the Limpopo Province in particular, and South Africa in general, and in improved care for PLWH.
    Type of Medium: Online Resource
    ISSN: 2071-9736 , 1025-9848
    Language: Unknown
    Publisher: AOSIS
    Publication Date: 2016
    detail.hit.zdb_id: 2114588-X
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