Department of Advanced Nursing Science
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Browsing Department of Advanced Nursing Science by Author "Khoza, L. B."
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Item Open Access Assessment of knowledge, perceptions and beliefs related to tuberculosis in the rural, communities of Vhembe District in Limpopo Province(2013-02-25) Shiluvane, Nkhensani Grace; Risenga, P. R.; Khoza, L. B.Item Open Access An assessment of the implementation of Batho Pele principles by health care providers at selected mental health hospitals in the Limpopo Province(2015-02-10) Mabunda, Nkhensani Florence; Lebese, R. T.; Khoza, L. B.The Batho Pele Principles is incorporated in the National Government’s White Paper on the Transformation of the Public Service. It is applicable to the public sector, both National and Provincial Government which are regulated by Public Service Act, 1994, to guide public servants on how to practice (Draft White Paper, 1995:2). Furthermore, health care providers as public servants are expected to practice Batho Pele Principles to improve quality health care services. The purpose of this study was to evaluate the implementation of Batho Pele Principles by health care providers at selected mental health hospitals of Limpopo Province. The objectives of the study were to assess the implementation of Batho Pele Principles at the selected mental health hospitals of the Limpopo Province, to describe the challenges experienced by health care providers in the implementation of Batho Pele Principles and to formulate specific recommendations to improve and promote the implementation of Batho Pele Principles. A quantitative, descriptive research design was used and the population for the study comprised health care providers working at the selected mental health hospitals in the Limpopo Province. A probability-stratified random sampling method was used to select participants. Data were collected using a questionnaire containing both open- and close ended questions. Data were analyzed statistically by a statistician using the Statistical Package for Social Sciences (SPSS), version 21. The Higher Degrees Committee of the University of Venda and the Limpopo Province Department of Health granted permission to conduct the study. The validity and reliability of the questionnaire was ensured though conducting a literature review, which also provided operational definitions of key concepts and development of the questionnaire from existing ones, in consultation with the supervisors of this study. Adherence to ethical considerations included approval from University of Venda Health, Safety and Research Ethics Committee, thus ensuring the quality of the research, confidentiality, anonymity and informed consent. Study findings revealed that health care providers lacked certain skills in relation to mental health care users’ (MHCUs') experiences, plans and needs and that the principles of openness and transparency, redress and value for money were not easily implemented. Challenges experienced by health care providers in the implementation of Batho Pele Principles were discussed according to the eight Batho Pele Principles. Recommendations were formulated based on the findings, related to nursing practice, management, education and further research. This study was conducted to evaluate the implementation of Batho Pele Principles by health care providers at the selected mental health hospitals of Limpopo Province as a strategy to improve quality nursing care.Item Open Access Competence of midwives regarding prevention of low Apgar score among neonates(2010-08) Mulondo, Seani Adrinah; Khoza, L. B.; Risenga, P. R.See the attached abstract belowItem Open Access Determination of strategies that contribute to nurse educator-student nurse neophyte interaction in the classroom setting(2013-10-01) Mathevhula, Rirhandzu Friddah; Khoza, L. B.Item Open Access The development of an adapted tuberculosis directly observed treatment programme in Limpopo Province of South Africa.(2013-02-25) Mabunda, Tiyane Edith.; Khoza, L. B.; Van Den Borne, B.Item Open Access Development of an intervention programme for the prevention of complications of tuberculosis during pregnancy and puerperium period, Limpopo Province, South Africa(2017-09-18) Netshimbupfe - Mulondo, Seani Adrinah; Khoza, L. B.; Maputle, S. M.See the attached abstract belowItem Open Access Experiences of family members caring for tuberculosis patients at home at Vhembe District in Limpopo Province(2012-12-19) Sukumani, Tshavhuyo Joyce; Lebese, R. T.; Khoza, L. B.Item Open Access The experiences of teenage pregnancy by teenage mothers in the Thulamela Municipality of the Vhembe District in Limpopo Province(2010-09) Mulelu, Virginia; Khoza, L. B.; Nemathaga, L. H.; Molapo, R. R.See the attached abstract belowItem Open Access Factors contributing to absenteeism and their effects on student nurses at the Limpopo College of Nursing(2021-06) Mamatsharaga, Tshinyadzo; Shilubane, N. H.; Khoza, L. B.Background Absenteeism among student nurses is a serious issue for nursing schools worldwide. The literature describes various individual, faculty and socio-environmental reasons contributing to absenteeism among student nurses. In South Africa, the increased rate of absenteeism results in most nurses not completing their studies and consequently leading to a shortage of professional nurses in the country. The purpose of this study was to determine factors contributing to absenteeism and their effects on student nurses at the Limpopo College of Nursing. Method The study followed a quantitative approach, using cross-sectional descriptive design. Purposive sampling was used to select three nursing campuses. The systematic sampling method was used to select participants. The target population was student nurses from the three selected nursing campuses in the Limpopo Province. Slovin's formula was used to calculate the number of participants for this study which was 259. A self-administered questionnaire, pre-tested among students with similar characteristics with study participants, was used for data collection. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 24 to obtain descriptive and inferential statistics. An informed consent form was signed by those who voluntarily agreed to participate in the study. Confidentiality and anonymity were maintained throughout the study. Results The findings of the study were that more male students than female students were absent. The poor environment on campuses and peer group influence were seen as contributing factors to absenteeism, as well as drug use, interaction with peers, poor security around students’ residence, lecturers reading from the book during lectures without explanation, voluntary class attendance, lack of space in the department and the use of teaching strategies.Item Open Access Knowledge and practices of women regarding cervical cancer prevention at Thulamela Municipality of Vhembe District in Limpopo Province(2016) Ngambi, Doris; Ramathuba, D. U.; Ramakuela, N. J.; Khoza, L. B.Cervical cancer remains one of the major public health problems globally, despite the fact that it is preventable and curable if identified at an early stage. Currently, cervical cancer is the leading cause of death among women in Sub-Saharan Africa where the knowledge about the disease is scarce among the affected population. Methods A quantitative cross-sectional survey was conducted in Thulamela Municipality of Limpopo Province. The purpose of the study was to assess the knowledge of cervical cancer prevention among women in four villages in Thulamela Municipality. The population of the study was composed of all women aged above 30 in the villages Malamulele, Mhinga, Muledane and Phiphidi. A sample of one thousand five hundred and forty-six (1546) was drawn using random sampling. Quantitative data were collected using a twenty-six-item questionnaire. The data were coded and then processed using the Statistical Package for Social Sciences to produce frequency tables and descriptive statistics such as chi-square and correlation. Results A number of findings were made in this study. The majority of the women in this study had little or no knowledge about cervical cancer, human papilloma virus and vaccines. The majority of the women had little or no knowledge on cervical cancer risk factors and how the disease is spread. These findings were confirmed by chi-squared values at p<0.05 and showed significant association between variables: that young women were likely to be aware of cervical cancer compared to elderly women, educated women were more likely to be knowledgeable about cervical cancer than those with low education attainment, elderly women were more likely to be not worried about cervical cancer compared to young women. Correlation, Pearson rho scores at p<0.05 showed significant correlations knowledge of cervical cancer and age (negative), knowledge and education (positive). The findings signified the need for cervical cancer prevention education in Vhembe District, and the need for primary health care nurses to promote access to such services through robust health education. vi Recommendations The study made a number of practical recommendations likely to educate women about cervical cancer, human papilloma virus and its prevention. These include: The possibility of large hospitals having their own small broadcasting stations that will frequently disseminate information throughout the local municipalities, road shows and use of informal sector like politicians and traditional healers in disseminating information.Item Embargo Knowledge, attitudes and practices of nurses's regarding mother-baby friendly initiative in non-accredited primary healthcare facilities of Makhuduthamaga Sub-District in Limpopo Province(2017-09-18) Mgolozeli, Siyabulela Eric; Shilubane, N. H.; Khoza, L. B.Background: The Mother-Baby Friendly Initiative (MBFI) promotes and supports breastfeeding in environments such as clinics, community health centres and hospitals that have fully-functioning maternity units. The implementation of the Mother-Baby Friendly Initiative in hospitals is associated with significant increases in the initiation and duration of exclusive breastfeeding (EBF). The Mother-Baby Friendly Initiative also leads to improved healthcare for infants, children and provides improved maternal health to all mothers. The main aim of this study was to assess the knowledge, attitudes and practices (KAP) of nurses regarding the Mother-Baby Friendly Initiative in non-accredited primary healthcare (PHC) facilities of Makhuduthamaga Sub-district. Method: Descriptive, cross-sectional and correlational study designs were used with the quantitative method. All the 18 non-accredited primary healthcare facilities were purposively selected and a total sampling method was used to select all the nurses working in these non-accredited primary healthcare facilities. Permission to conduct the study was sought from the University of Venda Research Ethics Committee and the Limpopo Department of Health Research Committee. Data was collected using a structured self-administered questionnaire. Content and face validity were enhanced before the actual data collection process. One hundred and ninety questionnaires were distributed and 164 responded, giving a response rate of 86.3%. Cronbach’s alpha test determined the reliability and reflected 0.981, indicating high reliability. Data was analysed using the Statistical Package for Social Sciences (SPSS) 23.0 and the Pearson coefficient of correlation established the relationship between variables. The study followed ethical considerations such as privacy, autonomy, confidentiality, fair treatment and right to self-determination. Results: In this study, 50.6% were professional nurses (PNs), 6.7% were nursing managers (NMs), 15.2% were enrolled nurses (ENs) and 27.4% were enrolled nursing assistants (ENAs). This study found that 100% of NMs, 65.1% of PNs, 54.2% of ENs and 26.7% of ENAs had received formal training on lactation management. Seventy-two percent (72%) of NMs, 90.4% of PNs, 72% of ENs vii and 66.7% of ENAs were knowledgeable about the duration of exclusive breastfeeding. This analysis found that the majority of nurses agreed that MBFI increases breastfeeding rates. Results showed that 63.6% of NMs, 69.6% of PNs, 56% of ENs and 46.7% of ENAs teach and demonstrate hand-milk expression to breastfeeding mothers. Furthermore, this research revealed that there was a significant relationship between the knowledge, attitudes and practices of nurses with a p-value of (p-00.01). Recommendations and Conclusion: This study recommends that all nurses should receive formal training on MBFI implementation and this should be conducted to improve ENs and ENAs’ awareness about MBFI. MBFI should be integrated into the training curriculum for all nursing categories. This study further recommends that a support model for implementation of MBFI be developed and implemented.Item Open Access Lived experiences of mothers when providing Kangaroo mother care at the hospitals in Vhembe District of Limpopo Province, South Africa(2018-09-21) Mulaudzi, Thivhavhudzi Mavis; Ndou, N. D.; Khoza, L. B.Each year, an estimated 3.6 million infants die worldwide in the first four weeks of life due to complications of premature birth. One-third of Low Birth Weight (LBW) babies die within the first 12 hours after delivery. The main reasons premature babies are at greater risk of illness and death is that they lack the ability to control their body temperature meaning that they get cold or hypothermic very quickly. Kangaroo Mother Care reduces mortality and if widely applied it could reduce deaths in premature newborn babies. The purpose of this study is to explore and describe the lived experiences of mothers when providing Kangaroo Mother Care at the hospitals in Vhembe District of Limpopo province. Qualitative approach with explorative descriptive, contextual and phenomenological designs were employed to explore the experiences of mothers when providing Kangaroo Mother Care. The study population consisted of all mothers who were providing Kangaroo Mother Care. A non-probability convenience sampling method was used to determine the sample of the study. The size of the sample was determined by data saturation. In-depth individual interviews were conducted using a central question. The Tesch’s eight steps of open-coding model guided the process to analyse data. Trustworthiness was ensured throughout by employing the principles of credibility, dependability, conformability, and transferability. Ethical considerations were followed to protect the participants. Recommendations were made based on the research findings. The findings of the study revealed that mothers who provide Kangaroo Mother Care experience challenges. They received inconsistent information about the practice of Kangaroo Mother Care from nurses. The relationship between mothers and nurses was good. Recomendations were made based on the findings and relevant structures in order to ensure that mothers challenges are addressed. The study revealed ineffective support provided to mothers by nurses and family members.Item Open Access Midwifery Practice Guidelines to Promote Quality Care of Preterm Babies in Resource-Limited Obstetric Units of Limpopo Province, South Africa(2018-09-21) Malwela, Thivhulawi; Maputle, M. S.; Khoza, L. B.; Ramakuela, J. N.Preterm birth is an unresolved health issue; globally it is the largest contributor to mortality among children under 5 years of age. Worldwide, approximately 9.6% of all births are preterm which the World Health Organization (WHO) recognizes as one of the top ten causes of neonatal deaths. The alarming rates of preterm births and deaths may be directly linked to the shortage of resources and an inadequate database of midwifery care guidelines for midwives in South Africa resulting in poor maternal care in public health. This study sought to develop midwifery practice guidelines to promote quality care of preterm babies in resource-limited obstetric units of the Limpopo Province of South Africa. The convergent parallel mixed method was used, explorative, descriptive and contextual qualitative design were run concurrently with the descriptive quantitative approach. For the qualitative design, non-probability purposive sampling was used to select midwives and managers from Limpopo Province. In-depth one-to-one interviews were conducted with 11 midwives and 4 managers. Tesch’s eight steps of open-coding was used to analyze qualitative data. Trustworthiness was ensured through credibility, confirmability, dependability and transferability. For the quantitative approach, 31 midwives and 24 managers completed the Likert scale questionnaire. The non-probability method was employed to select midwives and managers to make up a sample size of 55 participants. Reliability and validity of the instrument was ensured through extensive literature review and a pilot study. Data were analyzed with the IBM Statistical Package for the Social Sciences (SPSS) version 23.0. Both quantitative and qualitative data analysis yielded three themes as follows: the role of midwives in reduction of preterm births and deaths in obstetric units; challenges faced by midwives whilst executing their role during preconception, antenatal, labour and v puerperium period; support needed by midwives during provision of maternal and neonatal care to reduce preterm births and deaths. In the discussion of the findings, qualitative findings were supported by quantitative findings. The WHO model (PICOS & GRADES) was adapted in the development of the guidelines. The group then validated the guidelines using a closed-ended checklist to verify whether the guidelines were congruent with practice. The results were analyzed through simple descriptive statistics where the data were summarized using frequencyItem Open Access A model to enhance training for male student nurses in midwifery nursing science in the Limpopo Province(2018-09-18) Mthombeni, Courage Salvah; Maputle, M. S.; Khoza, L. B.See the attached abstract belowItem Open Access A model to fascilitate women's coping with menopause(2013-09-18) Ramakuela-Mashamba, Nditsheni Jeanette; Khoza, L. B.; Akinsola, H. A.Item Open Access A model to support professional nurses for patients diagnosed with HIV/AIDS-related illness in Tshwane District, Gauteng Province(2016-01-06) Ndou, Nthomeni Dorah; Lebese, R. T.; Khoza, L. B.Item Open Access Strategies for enhancing the competence of lay counsellors that provide voluntary HIV counselling and testing programme in the Mopani District, Limpopo Province, South Africa(2015-02-03) Ramalepe, Mankuba Jacobeth; Khoza, L. B.; Maputle, M. S.Item Open Access A supportive care model for mothers of children with intellectual disabilities in selected health institutions of Limpopo Province, South Africa(2018-09-21) Raliphaswa, Ndidzulafhi Selina; Ramakuela, N. J.; Tugli, A. K.; Khoza, L. B.Disability is the most painful experience for the mother and relatives when a child is born. This is because every parent expects a normal child once a woman conceives. For a mother to be able to cope with their children they need to be supported emotionally, psychologically and physically by the family members, community, and health care professionals and other support service providers.The overall purpose of the study was to develop a model to support mothers of children with intellectual disabilities in selected institutions of Limpopo Province.An exploratory sequential mixed method was employed which includes both qualitative and quantitative approaches to guide the study.Population was all mothers of children with intellectual disabilitiesand health care professionals from the selected institutions where the research was conducted. Health care professionals were purposively selected whereas mothers were conveniently selected. The study was carried out in two phases i.e Phase1(a & b) and Phase 2. Qualitative results were used to build a subsequent quantitative phase. In Phase 1a,a qualitative approach was employed using descriptive and exploratory designs. Qualitative data was collected through individual interviews.Data analyses were done utilising Tesch’s open coding method.In Phase 1b was quantitative approach wherein a cross-sectional descriptive design was used.Questionnaireswere developed and data were collected from the health care professionals in the selected study areas.Data analyses were done using the Statistical Package for the Social Sciences (SPSS) version 24 and the level of statistical difference being set at p<0,05.In Phase 2, concept analysis, model development and validation of the model were performed. Themes and sub- themes were identified from the analysed data. Current study revealed that some mothers were fully supported and some were not supported at all by both the family, friends, relatives, community members and health care professionals. Hence continuous support was seen to be very crucial to them.The study recommendations include: open communication, social, psychological and emotional support, combined available support services, access to special schools and formulation of support groups.