Experiences of student midwives regarding application of Ubuntu principles during provision of midwifery services in Vhembe District, Limpopo Province

Abstract

Background: Ubuntu is a primordial African philosophical paradigm premised on the fundamental principles of sharing, passionate humanness, respect, caring, compassion, as well as ensuring a qualitative human community in the spiritual life of an individual, family, and community. Poor implementation of Ubuntu in nursing and midwifery services reflects negatively on professional ethics. Purpose: The purpose of this study was to describe the experiences of student midwives regarding the application of Ubuntu principles during provision of midwifery services in Vhembe District, Limpopo Province. Methods: A qualitative approach, with exploratory and descriptive research designs was adopted. The sample was 30 Level 4 midwifery students from both the Thohoyandou Nursing Campus and the Department of Advanced Nursing Science, University of Vendaselected using purposive sampling. Data were collected through individual interviews guided by semi-structured interview guide, and thematically analysed according to Tesch’s eight steps. Results: The study found that student midwives had positive and negative experiences of Ubuntu. The positive experiences were characterised by teamwork, patient support, respect for patients and non-discrimination. The negative experiences were characterised by discrimination, disrespect, psychological and physical abuse, shortage of staff and poor infrastructure. The study also found that Ubuntu was important to ensure quality care provision which was holistic, where midwives advocated for patients and in-service training on Ubuntu should be provided. Ubuntu principles were also significant for the establishment and maintenance of relationships between student midwives and registered midwives. Recommendations: It is recommended that training on Ubuntu aspects should be included in the midwifery curriculum. Moreover, to improve midwifery services Ubuntu principles should be inculcated in midwifery service provision by all healthcare workers in all maternity units.