https://curationis.org.za/index.php/curationis/issue/feedCurationis2024-03-02T04:10:53+01:00AOSIS Publishingsubmissions@curationis.org.zaOpen Journal Systems<a id="readmorebanner" href="/index.php/curationis/pages/view/journal-information" target="_self">Read more</a> <img style="padding-top: 2px;" src="/public/web_banner.svg" alt="" />https://curationis.org.za/index.php/curationis/article/view/2497Identifying avoidable causes of perinatal deaths in a district hospital in Lesotho2024-03-02T04:10:53+01:00Rose Nonyanenonyanerose@gmail.comEmmerentia du Plessisemmerentia.duplessis@nwu.ac.zaJeannette Clasejeannette.Clase@nwu.ac.za<p><strong>Background:</strong> Certain determinants can be associated with avoidable perinatal deaths, and audits are needed to establish what these determinants are, and what can be done to prevent such deaths.</p><p><strong>Objectives:</strong> The study aimed at identifying and describing determinants associated with avoidable perinatal deaths at a district hospital in Lesotho and strategies to curb their occurrence.</p><p><strong>Method:</strong> A retrospective descriptive study was conducted using 142 anonymised obstetric records from January 2018 to December 2020. A data collection tool was adopted from the Perinatal Problem Identification Programme. In this tool, avoidable determinants are referred to as ‘factors’ or ‘problems’.</p><p><strong>Results:</strong> A concerning number of perinatal deaths were secondary to avoidable patient factors, namely a delay in seeking medical care, inappropriate responses to antepartum haemorrhage, and inadequate responses to poor foetal movements. Medical personnel factors are also worth observing, namely incorrect use of partograph, insufficient notes to comment on avoidable factors and ‘other’ medical personnel problems. Ranking highest among administrative problems were the unavailability of intensive care unit beds and ventilators and inadequate resuscitation equipment. Administrative problems accounted for more perinatal deaths than the patient-related factors and medical personnel factors.</p><p><strong>Conclusion:</strong> There is an urgent need for periodic audits, health education for patients, staff competency and the necessary equipment to resuscitate neonates.</p><p><strong>Contribution:</strong> Avoidable determinants associated with perinatal deaths in a district hospital in Lesotho could be identified. This information provides an understanding of what can be done to limit avoidable perinatal deaths.</p>2024-02-29T14:14:00+01:00Copyright (c) 2024 Rose Nonyane, Emmerentia du Plessis, Jeannette Clasehttps://curationis.org.za/index.php/curationis/article/view/2461Development of a conceptual framework for teaching-learning of spiritual care in nursing education2024-03-02T04:10:53+01:00Ntombizodwa S.B. Lindazodwalinda1@gmail.comHester C. Klopperhklopper@sun.ac.zaDeliwe R. Phetlhudeliwe.phetlhu@smu.ac.za<p><strong>Background:</strong> Conceptual frameworks are not only necessary for maintaining and preserving nursing knowledge through their unique contribution, but they also assist in the organisation and provision of complex nursing interventions. The lack of formal integration of spiritual care in health professions’ education is blamed on the unavailability of guiding models among other challenges such as unavailability of relevant theories.</p><p><strong>Objectives:</strong> The objective of this article was to describe the process followed to develop a conceptual framework as the basis for a practice theory for teaching-learning of spiritual care in nursing.</p><p><strong>Method:</strong> An overall theory generative methodology was used. To develop the conceptual framework, conclusion statements deduced from empirical data using deductive and inductive strategies were applied.</p><p><strong>Results:</strong> The main concepts were identified, described, and classified. The relationship between concepts promoted synergy of the developed conceptual framework for teaching spiritual care in nursing.</p><p><strong>Conclusion:</strong> The developed conceptual framework was founded on the notion that knowledge from different sources can provide a solid base in theory generation. Therefore, the concepts of the developed conceptual framework were not only related to what is ‘ideal’; instead, their significance was underpinned by the created universal meanings for effective purposeful communication. Therefore, sources used to obtain data were critical in the development of the conceptual framework because they constituted different ways of perceiving and understanding the world.</p><p><strong>Contribution:</strong> The conceptual framework does not only guide nursing interventions but framework also provides a philosophical guide in meeting patient-centred diverse needs.</p><p> </p>2024-02-29T06:00:00+01:00Copyright (c) 2024 Ntombizodwa S.B. Linda, Hester C. Klopper, Deliwe R. Phetlhuhttps://curationis.org.za/index.php/curationis/article/view/2477Psychological distress among South African healthcare workers during the COVID-19 pandemic2024-03-01T13:03:44+01:00Shandir Ramlagansramlagan@hsrc.ac.zaRonel Sewpaulrsewpaul@hsrc.ac.zaYolande Sheanyshean@hsrc.ac.zaTenielle Schmidttschmidt@hsrc.ac.zaAlicia NorthAlicia.North@sahmri.comSasiragha P. Reddysasiragha.reddy@gmail.com<p><strong>Background:</strong> The COVID-19 pandemic has placed immense pressure on healthcare workers (HCWs).</p><p><strong>Objectives:</strong> This study sought to find the prevalence and factors associated with psychological distress among HCWs in South Africa during the beginning phases of COVID-19 and make relevant recommendations.</p><p><strong>Method:</strong> The survey was administered online through a data-free platform. Data were benchmarked to the national population of over 500 000 healthcare professionals in South Africa. Multiple logistic regressions were used to determine association between psychological distress and potential explanatory variables.</p><p><strong>Results:</strong> A total of 7607 healthcare professionals participated in the study (1760 nurses, 2843 medical practitioners and 3004 other healthcare professionals). Half of the nurses, 41% of medical practitioners and 47% of other healthcare professionals were classified as psychologically distressed. Those who were of older age, provided with well-being support services and having a positive outlook on the healthcare system were significantly less likely to be distressed. Being female medical practitioners and female other healthcare professions, requesting routine counselling, being concerned about not having enough leave and that their life insurance policy did not cover COVID-19 were more likely to be distressed.</p><p><strong>Conclusion:</strong> Psychological well-being of HCWs in South Africa is at risk. We recommend that psychological distress of HCWs be routinely assessed and that routine counselling, well-being support services, appropriate hazardous leave and insurance be provided to all HCWs.</p><p><strong>Contribution:</strong> This study adds to the literature on the psychological distress faced by HCWs in South Africa during COVID-19.</p>2024-02-19T06:00:00+01:00Copyright (c) 2024 Shandir Ramlagan, Ronel Sewpaul, Yolande Shean, Tenielle Schmidt, Alicia North, Sasiragha P. Reddyhttps://curationis.org.za/index.php/curationis/article/view/2591Corrigendum: Experiences of healthcare staff in forensic care facilities supporting sexual violence survivors, in Tshwane, South Africa2024-03-01T13:03:44+01:00Moreoagae B. RandaMoreoagae@gmail.comJulie McGarryj.h.mcgarry@sheffield.ac.ukNo abstract available.2024-02-13T10:19:00+01:00Copyright (c) 2024 Moreoagae B. Randa, Julie McGarryhttps://curationis.org.za/index.php/curationis/article/view/2576Corrigendum: Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa2024-02-01T12:41:43+01:00Moreoagae B. RandaMoreoagae@gmail.comJulie McGarryj.h.mcgarry@sheffield.ac.ukSarah Griffithssarah.griffiths@dmu.ac.ukKathryn Hinsliff-Smithkathryn.hinsliff-smith@dmu.ac.ukNo abstract available.2024-01-10T12:07:00+01:00Copyright (c) 2024 Moreoagae B. Randa, Julie McGarry, Sarah Griffiths, Kathryn Hinsliff-Smithhttps://curationis.org.za/index.php/curationis/article/view/2279The psychosomatic experiences of women who had intrauterine foetal death in rural South Africa2023-12-19T08:43:41+01:00Martha Kharivhemarthalufunokharivhe@gmail.comMary Malulekemary.maluleke@univen.ac.zaThingahangwi Masuthathingamasutha71@gmail.comTakalani Thabathetakalanimakhubele1@gmail.comDuppy Manyumaduppy.manyuma@gmail.comNdivhaleni Lavhelaninrlavhelani@gmail.comMuofheni Nemathagamuofheninemathaga@gmail.comMuvhango Ramovhamuvhangor1@gmail.comMutshinyalo Netshikwetalizzy.Netshikweta@univen.ac.zaMulatedzi Mulaudzimulatedzimulaudzi4@gmail.com<p><strong>Background:</strong> Intrauterine foetal death (IUFD) is a traumatic event leading to substantial grief reactions with a variety of experiences in an expectant woman. After delivery, these experiences have shown to impact the mother’s psychological well-being, where she experiences post-traumatic stress, sadness, anxiety and depression. The psychosomatic experiences before labour commenced are not known.</p><p><strong>Objectives:</strong> This study explored the psychosomatic (mind–body connection) experiences of women who had an IUFD before labour commenced in rural areas of Limpopo province, South Africa.</p><p><strong>Method:</strong> A qualitative approach with an explorative descriptive design was carried out among all 10 consented participants who were selected using a purposive sampling technique. The sample consisted of women who delivered an IUFD as reflected by the hospital register from the selected hospitals. Data were collected at the participants’ homes through in-depth individual interviews guided by one open-ended central question as follows, ‘Please share with me your experiences of IUFD before you went into labour’, and analysed using Tesch’s open coding method.</p><p><strong>Results:</strong> Two themes reflecting the psychosomatic (mind–body connection) experiences of women who had an IUFD emerged from the analysis. The themes are danger alerts and emotional responses.</p><p><strong>Conclusion:</strong> This qualitative study revealed that women could relate a lack of or decreased foetal movement as the danger alert or warning sign that the baby was in danger before labour commenced. Upon noticing that something was wrong with the baby, a message was sent to the women’s minds, which equally affected and activated their emotional dimensions. An investigation regarding the kind of support needed by women after being informed of an IUFD is recommended.</p>2023-12-05T09:12:00+01:00Copyright (c) 2023 Martha Kharivhe, Mary Maluleke, Thingahangwi Masutha, Takalani Thabathe, Duppy Manyuma, Ndivhaleni Lavhelani, Muofheni Nemathaga, Muvhango Ramovha, Mutshinyalo Netshikweta, Mulatedzi Mulaudzihttps://curationis.org.za/index.php/curationis/article/view/2423Concept analysis: Community-based postnatal care2023-12-19T08:43:41+01:00Katekani J. Shirindzakatekani.joyce@yahoo.comThivhulawi Malwelathivhulawi.malwela@univen.ac.zaMaria S. Maputlesonto.maputle@univen.ac.za<p><strong>Background:</strong> Community-based postnatal care is a valuable resource in the provision of maternal and neonatal care, specifically outside the hospital environment. However, its application in maternal and neonatal care is not clearly documented in relation to the rendering of services by primary caregivers.</p><p><strong>Objectives:</strong> This study clarifies the concept of ‘community-based postnatal care’ by using the concept analysis method.</p><p><strong>Method:</strong> To analyse the concept, relevant literatures were reviewed and analysed using the Walker and Avant method, namely, selecting a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case, identifying borderline, related and contrary cases, identifying antecedents and consequences and identifying the empirical referents. Characteristics that repeatedly appeared throughout the literature were noted and categorised.</p><p><strong>Results:</strong> It was established from the concept analysis that ‘community-based postnatal care’ was complex and experienced ethnically. The analysis included that primary caregiver participation was based on home-levelled-skilled care, community participation and mobilisation, linkages of health services and community stakeholders. The attributes were influenced by antecedents and consequences.</p><p><strong>Conclusion:</strong> The empirical referents of community based can be integrated within the midwifery guidelines to measure the concept. When concepts are understood, self-care on early detection, early management and referral during early postnatal care will be enhanced.</p><p><strong>Contribution:</strong> The results of this study will foster independence, confidence and a respectful relationship between primary caregivers and the health care facility staff. The results are expected to guide future research and enhance community-based postnatal care in midwifery practice.</p>2023-12-04T10:06:00+01:00Copyright (c) 2023 Katekani J. Shirindza, Thivhulawi Malwela, Maria S. Maputlehttps://curationis.org.za/index.php/curationis/article/view/2553Acknowledgement to reviewers2023-12-04T07:51:28+01:00Editorial Officepublishing@aosis.co.zaNo abstract available.2023-11-20T06:30:00+01:00Copyright (c) 2023 Editorial Officehttps://curationis.org.za/index.php/curationis/article/view/2453Career advancement of professional nurses at a regional hospital in Gauteng2023-12-04T07:51:28+01:00Crescelda L. van Biljoen-Mokhotlacmokhotla@gmail.comAgnes Makheneagnesm@uj.ac.za<p><strong>Background:</strong> Career advancement is of importance to professional nurses and a motivation for those who desire to occupy leadership positions. However, there were perceived barriers enunciated by participants, which were seen as contributory factors that hinder their progression in the institution.</p><p><strong>Objectives:</strong> The objective of the study was to explore and describe the perceptions of professional regarding their career advancement.</p><p><strong>Method:</strong> The study was conducted at a regional hospital in Gauteng. A qualitative, exploratory, descriptive design that is contextual was used. Non-probability purposive sampling method was used to draw the sample from a target population of professional nurses. Individual semi-structured interviews were conducted with 10 professional nurses to obtain in-depth information on their perceptions. Tesch’s method of qualitative data analysis was used. Lincoln and Guba’s strategies of credibility, dependability, confirmability and transferability were used to establish trustworthiness of the study. Ethical considerations were applied throughout the study.</p><p><strong>Results:</strong> A lack of recognition of postgraduate qualifications, no opportunities for self-identification of interest to lead, no mentoring processes for potential leader and succession planning and emotional experiences were barriers to career advancement. The researcher recommended that recognition of further qualifications, enhancement of self-identification for leadership roles, mentoring of young professionals for leadership and succession planning be considered to enhance career development of the professional nurses.</p><p><strong>Conclusion:</strong> The findings suggest that professional nurses encounter significant challenges to career advancement in this regional hospital.</p><p><strong>Contribution:</strong> Nurse managers to identify, mentor and support professional nurses for leadership positions in their career.</p>2023-11-13T06:00:00+01:00Copyright (c) 2023 Crescelda L. van Biljoen-Mokhotla, Agnes Makhenehttps://curationis.org.za/index.php/curationis/article/view/2459Knowledge, attitudes and practices of Zimbabwean men relating to prostate cancer2023-12-04T07:51:28+01:00Tendai Chisambatchisamba555@gmail.comJohanna E. MareeLize.maree@wits.ac.zaJacoba J. Jansen van RensburgKotie230@gmail.com<p><strong>Background:</strong> Prostate cancer is one of the leading causes of death in Zimbabwe. However, screening for prostate cancer is opportunistic as population-based screening is not available.</p><p><strong>Objectives:</strong> This study aimed to describe the knowledge, attitudes and practices of men living in Harare, Zimbabwe relating to prostate cancer.</p><p><strong>Method:</strong> A door-to-door survey took place in Mufakose, Harare. Each household was included, and men, 40 years and older, were convenience sampled until realisation of the calculated sample size of 269 (<em>n</em> = 269). A researcher-administered questionnaire collected the data, analysis was performed with descriptive statistics, and Chi-square tested statistically significant differences between the variables.</p><p><strong>Results:</strong> The majority of the sample (53.2; <em>n</em> = 143) was between 40 years old and 49 years old. Most (74.5%; <em>n</em> = 201) did not know what prostate cancer was, but the total sample (100%; <em>n</em> = 269) indicated that prostate cancer could lead to death. Only 50.6% (<em>n</em> = 136) were of the opinion that men should be screened; most (87.7%; <em>n</em> = 236) had never been screened. A Chi-square test of independence found a statistically significant difference between educational level and having had prostate cancer screening, χ<sup>2</sup> (1) = 47.881, <em>p</em> < 0.000.</p><p><strong>Conclusion:</strong> As confirmed by other studies, the respondents had limited knowledge of prostate cancer, but had a positive attitude towards the disease, as most were willing to go for screening. There had been only a small percentage screened previously, and less than half returned to learn the results.</p><p><strong>Contribution:</strong> The study emphasises the role of primary health clinics as it could be an ideal setting to teach men about prostate cancer and its screening, and provide screening services in Zimbabwe.</p>2023-11-13T06:00:00+01:00Copyright (c) 2023 Tendai Chisamba, Johanna E. Maree, Jacoba J. Jansen van Rensburg