scholarly journals Utilization of Spirituality and Spiritual Care in Nursing Practice in Public Hospitals in KwaZulu-Natal, South Africa

Religions ◽  
2016 ◽  
Vol 7 (3) ◽  
pp. 23 ◽  
Author(s):  
Sandhya Chandramohan ◽  
Raisuyah Bhagwan
Keyword(s):  
South Africa ◽  
Spiritual Care ◽  
Nursing Practice ◽  
Public Hospitals ◽  
Kwazulu Natal

scholarly journals Distinctive nursing practices in working with mothers to care for hospitalised children at a district hospital in KwaZulu-Natal, South Africa: a descriptive observational study

2020 ◽  
Author(s):  
Natasha North ◽  
Angela Leonard ◽  
Candice Bonaconsa ◽  
Thobeka Duma ◽  
Minette Coetzee
Keyword(s):  
South Africa ◽  
Family Involvement ◽  
Nursing Practice ◽  
District Hospital ◽  
Family Members ◽  
Models Of Care ◽  
Inpatient Ward ◽  
Visual Research Methods ◽  
Kwazulu Natal ◽  
Global North

Abstract Background: The presence of family members and their active involvement in caring for hospitalised children is an established practice in many African paediatric settings, with family members often regarded as a resource. This aspect of African paediatric nursing practice lacks formal expression or a clear conceptual basis, and difficulties arise when applying concepts of family involvement originating from the higher-resourced and culturally distinct practice environments of the global North. The aim of this study was to articulate a nurse-led practice innovation intended to facilitate family involvement in the care of hospitalised children, observed in a paediatric inpatient ward in a district hospital in rural KwaZulu-Natal, South Africa.Methods: A qualitative case study design was used. Data collection included visual research methods (graphic facilitation, sociograms and photo-elicitation) as well as a focus group, interviews and practice observation. Activities associated with 20 nurses and 22 mother-child dyads were observed. Data were subjected to content analysis, with Standards for Reporting Qualitative Research (SRQR) applied. Results: Findings relate to six aspects of practice, categorised thematically as: preserving the mother-child pair; enabling continuous presence; psychological support and empathy; sharing knowledge; mothers as a resource; and belief and trust. Conclusion: The nursing practices and organisational policies observed in this setting relating to the facilitation of continuous maternal presence represent a distinctive nursing practice innovation. This deliberate practice contrasts with models of care provision which originate in the global North, such as Family Centred Care, and contrasts with informal practices in local African settings which tolerate the presence of mothers in other settings, as well as local institutional policies which limit mothers’ presence to varying extents.

scholarly journals Estimating the Burden of Snakebite on Public Hospitals in KwaZulu Natal, South Africa

2016 ◽  
Vol 27 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Wood Darryl ◽  
Benjamin Sartorius ◽  
Richard Hift
Keyword(s):  
South Africa ◽  
Public Hospitals ◽  
Kwazulu Natal

scholarly journals Physiotherapy management strategies for woman post-ceasarean section delivery in public hospitals in KwaZulu-Natal, South Africa

2013 ◽  
Vol 69 (1) ◽  
Author(s):  
P. Reddy ◽  
J. Frantz
Keyword(s):  
South Africa ◽  
Caesarean Section ◽  
Management Strategy ◽  
Management Strategies ◽  
Public Hospitals ◽  
Steady Increase ◽  
Cross Sectional ◽  
Breathing Exercises ◽  
Kwazulu Natal ◽  
Caesarean Section Delivery

South Africa has seen a steady increase in the rate of caesarean section deliveries, and while physiotherapists are often requested to treat these patients, there are no guidelines on their physiotherapeutic management. Current treatment is therefore based on clinical presentations of the patient. This paper reports on the physiotherapy management strategies for women post-caesarean section delivery used at four public hospitals in KwaZulu-Natal during 2011-2012. The study used a quantitative, cross-sectional, descriptive design. The sample consisted of 31 physiotherapists who completed an anonymous self-administered questionnaire, of whom eight had not treated post-caesarean section delivery women at all in the one year period. The results showed mobilization (100%), breathing exercises (94%) and education (94%) were common choices, with 68% selecting pelvic floor exercises as part of their management strategy. The study concluded that the current physiotherapy management strategy for women post-caesarean section delivery is based mainly on the doctors’ referral. Due to their limited knowledge about physiotherapy treatment, doctors overlook other complication(s) and potential complication(s) that could benefit from treatment post-delivery. The study showed that there is a need to improve the role and influence of physiotherapists in the multidisciplinary team.

scholarly journals Technical efficiency and productivity of public district hospitals in KwaZulu-Natal province, South Africa

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Tesleem K. Babalola ◽  
Indres Moodley
Keyword(s):  
South Africa ◽  
Technical Efficiency ◽  
Significant Proportion ◽  
Health Service Delivery ◽  
Public Hospitals ◽  
District Health ◽  
District Hospitals ◽  
Study Results ◽  
Kwazulu Natal ◽  
Efficiency And Productivity

Background: District hospitals (DHs) constitute a significant proportion of public hospitals and consume a more substantial percentage of the government’s total hospital budget. With the level of resources disbursed to DHs, it is essential to ensure efficient allocation and utilization. Hence, this study set out to assess the technical efficiency and productivity of public DHs in KwaZulu-Natal province, South Africa. Methods: Data envelopment analysis (DEA) and Malmquist total factor productivity (MTFP) were used to assess technical efficiency, identify adjustments required to make inefficient facilities more efficient, and determine overall productivity growth. Input data such as medical personnel and output information such as outpatient visits were retrieved from the databases of the district health information system (DHIS), and personnel salary systems (PERSAL) for three consecutive financial years (2014/15, 2015/16 and 2016/17). A total of 38 district hospitals were included in the study. Results: The proportion of technically efficient facilities according to constant return to scale (CRS) were 12 (31.6%), 16 (42.1%) and 14 (36.8%) in 2014/15, 2015/16 and 2016/17, respectively, while according to the variable return to scale (VRS) technically efficient facilities were 22 (57.9%), 19 (50.0) and 21 (55.2%), respectively, for the three consecutive years. On average, the total productivity of DHs increased by 4.8 percent over the three years, which is attributed majorly to technical growth of 6.9 percent. Conclusion: This study showed that a significant proportion of the district hospitals were technically inefficiency. Also, steps that could enable more efficient use of healthcare resources to yield optimal health service delivery were recommended.

scholarly journals Knowledge of diabetes mellitus and its ocular complications amongst diabetic patients attending private and public hospitals in eThekwini Municipality, KwaZulu-Natal province, South Africa

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Diane Van Staden ◽  
Luke P. Deutshmann ◽  
Sameer Ganas ◽  
Maxine Manickam ◽  
Amishka Manillal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
Public Hospitals ◽  
Survey Method ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Ocular Complications ◽  
Cross Sectional ◽  
Kwazulu Natal ◽  
Private And Public

Background: The prevalence of Diabetes Mellitus (DM) is increasing in South Africa as a result of changes in lifestyles and rising levels of obesity. Knowledge of management protocols for DM may empower patients to better control the disease and prevent secondary complications.Aim: The aim of this study was to determine if there was a difference in the level of knowledge of DM and its ocular complications amongst public and private hospital diabetic patients.Setting: The study was conducted in four private and four public hospitals in the eThekwini Municipality, KwaZulu-Natal Province.Methods: A cross-sectional survey method was used to collect data from diabetic patients attending selected hospitals. Convenience sampling was used and analysis of descriptive and correlation statistics was done using Statistical Package for Social Sciences (SPSS) version 21.Results: Participants (N = 370) consisted of 44% males and 56% females with 41.6% being from private and 58.4% from public hospitals. The ages of participants ranged from 20 to 79 years. Although most of the participants (74.8%) were knowledgeable about DM and its management, private sector patients were more knowledgeable about DM management than were public sector patients (p = 0.000). Furthermore, private patients had better knowledge of ocular complications related to DM (p = 0.000). Those (74%) who had previously attended a diabetic seminar had significantly better knowledge than those who had not (p = 0.000).Conclusion: Patients with DM attending public hospitals will benefit from targeted education campaigns or seminars related to diabetes and its complications.

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