Kefiloe Maboe | University of South Africa (original) (raw)
Papers by Kefiloe Maboe
Research Square (Research Square), Apr 29, 2024
Background To meet the ambitious goal of eradicating the HIV epidemic by 2030, the Joint United N... more Background To meet the ambitious goal of eradicating the HIV epidemic by 2030, the Joint United Nations Programme on HIV/AIDS has set 95-95-95 targets. These targets aim for 95% of HIV-infected individuals to know their status, 95% to initiate antiretroviral therapy (ART), and 95% to achieve virologic suppression by 2030. In Ethiopia, progress towards these targets has been made, but challenges persist. This study aims to evaluate same-day ART initiation status regarding retention of patients in HIV/AIDS care at the healthcare facility level in Ethiopia. Methods A cross-sectional study design was conducted involving retrospective document analysis of 332 clinical records. The study included clinical records of patients initiated on same-day ART from the 1st of October 2017 until the 30th of October 2019. Data was analyzed quantitatively, descriptive and inferential statistical analyses were performed using Statistical Package for Social Science (SPSS) version 28.0 software. Data analysis involved conducting logistic regression to examine the relationships between factors associated with retention in HIV care. Results The results indicated varying retention rates over different time intervals: 35% at 6 months (n = 49), 81% at 12 months (n = 50), 89% from 13 to 18 months (n = 63), and 94% at 24 months (n = 34), with an overall retention in HIV/Care at 59% (n = 196). The study's logistic regression analysis revealed that gender has a signi cant effect on retention (β = 2.890, p < 0.01), tertiary education was 0.2 times greater than no formal education, that is, (β = 0.212, p < 0.05), tertiary education was 0.13 times more than a secondary education, which is (β = 0.131, p < 0.01), patients who reside in urban areas were more likely to be retained than those who reside in rural areas, that is, (β = 0.467, p < 0.05), patients with a good level of adherence were 0.1 times more likely to be retained in comparison to those with a fair level of adherence (β = 0.092, p < 0.01). Conclusion The study underscores the importance of same-day ART initiation in enhancing retention rates among patients in HIV/AIDS care in Ethiopia. Factors such as gender, education level, urban residence, adherence, functional status, and WHO stage signi cantly in uence retention. Addressing these factors through targeted interventions is crucial for achieving sustained improvements in HIV care and advancing towards epidemic eradication goals by 2030. same-day ART. Thus, this study aims to investigate the status of same-day ART initiation in selected healthcare facilities in Ethiopia. This study's purpose was to evaluate same-day ART initiation status regarding retention in HIV/AIDS care at selected healthcare facilities in Ethiopia. The results of this study will assist healthcare providers, program managers, and policy designers at the federal level to understand and address factors linked with same-day ART initiation and tracing patients lost to follow-up from HIV/AIDS care in Ethiopia's healthcare services. Methods Study setting This study, was conducted in two health care facilities in Adama and Bishoftu towns in Oromia Regional State, East Shewa zone of Ethiopia. Population The population for this study was the clinical records of patients started on ART from the 1st of October 2017 until the 30th of October 2019 in two healthcare facilities in Ethiopia. Research design A cross-sectional study design was conducted involving retrospective document analysis of 332 clinical records. Sampling and sample A probability simple random sampling technique was used in the selection of the clinical records of patients started on ART from the 1st of October 2017 until the 30th of October 2019 from selected healthcare facilities. In sample size calculation a statistician assisted and the Rao Soft formula was used to estimate the ideal sample size from each healthcare facility (Raosoft formula online [7]. The sample size for Healthcare Facility 1 was 158, and for Healthcare Facility 2, it was 174. Thus, the total sample size from both healthcare facilities was 332. The inclusion criteria encompassed the clinical records of patients who initiated ART on the same-day from the 1st of October 2017 until the 30th of October 2019. Additionally, the study included individuals belonging to adult age groups, de ned as those aged 18 years and above. Data collection Data for this study was collected from the clinical records of patients started on same-day ART clinic smart care databases of selected healthcare facilities. Prior to data collection, permission was obtained from both Healthcare Facility 1 and Healthcare Facility 2. To mitigate the risk of exposure to the COVID-19 pandemic, which was classi ed at level 1, data collection was conducted from the smart care databases. The approved permission to access clinical records used as the consent form. The
International Journal of Africa Nursing Sciences
Curationis
Literature sources express various definitions of the concept of 'nursing'. Florence Nightingale ... more Literature sources express various definitions of the concept of 'nursing'. Florence Nightingale in the 19th century defined nursing as: 'putting the patient in the best condition for nature to act upon him' (Nightingale 1860:133). In the 20th century, other definitions were: 'nursing is a process that was serial and goal-directed demanding certain steps, actions, operations or performances that occurred between the nurse and the person who was nursed' (Peplau 1952). Nursing was also defined as 'to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or a peaceful death)' (Henderson 1964). More recent definitions of 'nursing' are: The use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, in the case of disease or disability, until death. (Royal College of Nursing 2003:3) The South African nursing regulatory body, namely the South African Nursing Council (SANC), define nursing as: Background: Nursing developed over centuries. Changing practice and education influenced its interpretation and understanding. Its meaning and interpretation may differ amongst education institutions, nurse educators and nurses, particularly student nurses. Objectives: The objective was to develop a visual concept map of the concept of 'nursing', allowing nursing education institutions to have a similar approach and understanding in teaching the concept to student nurses. Method: The research design was qualitative, explorative, descriptive and contextual. A selfdesigned, pretested online questionnaire collected data from various categories of nurse participants. An integrative review viewed literature sources published between 2006 and 2016 accessing definitions of 'nursing'. Data analysis involved thematic analysis of narrative data, data coding processes, interpretation and synthesis of data and further analysis using a systematic concept analysis process. The combined analysed data merged, developing a visual concept map of 'nursing'. Expert nurse educators validated the visual concept map of 'nursing' by e-Delphi technique, using an assessment rubric. Results: Various definitions of 'nursing' revealed identified themes and categories underpinning the concept. After formulation of connotative, denotative definitions and empirical referents, a visual concept map of 'nursing' was developed and validated to be an educational tool to facilitate the teaching of the concept of 'nursing', enhancing a similar understanding and interpretation thereof. Conclusion: A visual concept map of 'nursing', a tool facilitating teaching the concept and promoting similar understanding of its meaning is valuable in an evolving digital era, where visual stimulation enhances teaching and learning. Contribution: The primary contribution of the manuscript provided a developed visual concept map of 'nursing', to use as a tool to stimulate critical thinking and integrate the various aspects outlined in the map. The visual concept map of 'nursing' assists in the education and training of all categories of nurses in the profession, especially student nurses, aiming to support better patient outcomes when the concept of nursing is understood and interpreted in the same way.
African Journal for Physical, Health Education, Recreation and Dance, Sep 1, 2013
The purpose of this study was to develop a conceptual teaching and learning model that will integ... more The purpose of this study was to develop a conceptual teaching and learning model that will integrate nursing theory and practice by using social media platforms. The research setting was the three public nursing colleges that offer a basic nursing programme in the Gauteng province, South Africa. We used a qualitative, phenomenological and descriptive approach to obtain the participants’ in-depth thoughts and opinions regarding the feasibility of implementing social media platforms for student nurses’ teaching and learning. A sentiment analysis system, which is a smart service for data analysis and visualisation to discover patterns and meaning in collected data, was used to implement a coding process. Themes and categories were developed and major qualitative findings were summarised. The participants supported the use of social media, with consideration of access to resources, availability of training workshops, interaction between lecturers and students, numerous teaching strateg...
African Journal for Physical, Health Education, Recreation and Dance, Nov 1, 2015
Global Journal of Health Science, 2019
This study investigated sexual activity, knowledge of contraceptives use among females choosing t... more This study investigated sexual activity, knowledge of contraceptives use among females choosing termination of pregnancy (TOP) at a provincial clinic in South Africa. This was a quantitative and observational study in the form of a cross-sectional survey. A pre-tested self-administered questionnaire was used to collect data from 61 respondents who had terminated their pregnancies. Almost ninety-two (91.8%) percent of the respondents were single women between 18 and 27 years of age. Their level of education showed that 32% had completed high school, 28% were high school learners, 21.1% were tertiary education level learners and 1.8% had tertiary education. The frequency of sexual activity was mostly once a month (40%), followed by once a week (36.5%). Unemployment was high (36%), making the respondents dependent on government grants. Most of the women were aware of contraceptives methods (88.5%). The majority of the respondents (75.4%) have heard about emergency contraceptives (EC), ...
Progressio: South African Journal for Open and Distance Learning Practice, 2017
Higher education institutions are gradually adopting online teaching and learning. This research ... more Higher education institutions are gradually adopting online teaching and learning. This research was explorative and descriptive in approach to explore students' online interactivity with their peers and lecturers in a distance education context. Focus group interviews with 54 participants were conducted at six regional campuses of the University of South Africa. The sample consisted of second and third-year Health Services Management (HSM) students. Data was collected from June to September 2012. Giorgi's phenomenological approach was used for data analysis. The findings revealed that students benefitted from online interactivity but encountered more challenges than benefits. Challenges were academic, institutional and administrative in origin. The article recommends a collaborative effort by the university management, information technology specialists, students, lecturers, and the public and private sectors to resolve these challenges. The university should further consider and formalise utilisation of other social media like Twitter, Facebook, LinkedIn and Instagram besides the prescribed online interactive tools to promote online interaction and to facilitate teaching and learning.
Health SA Gesondheid, 2017
Background: Open distance learning (ODL) institutions provide educational challenges with specifi... more Background: Open distance learning (ODL) institutions provide educational challenges with specific reference to the training of nurses. They have adopted online technologies to facilitate teaching and learning. However it is observed that most nurses do not use or minimally use tools such as a discussion forum for online interaction to facilitate teaching and learning. Objective: The purpose of this study was to determine how the discussion forum as an online interactive tool be used in an ODL institution to enhance student-to-student and student-to-lecturer online interactions. Design: Quantitative and descriptive in nature. Method: No sampling was done. An online questionnaire was sent to all 410 second and third years Health Services Management students around the world registered with a specific ODL institution during the second semester. Eighty seven students responded to the questionnaire. Data analysis was done quantitatively and descriptively in the form of diagrams. Results: The findings indicated that 84.9% of students own computers, and 100% own cellular phones, but only 3.8% participated in online discussion forum. Some students indicated that they were technologically challenged. Some lecturers interact minimally online and are not supportive to them. The institution does not give them the support they need to acquire the necessary skills to utilise these technologies. Conclusion: The article suggests that lecturers, active interaction in an online discussion forum as a way of supporting students, are fundamental to effective teaching and learning. The university should consider providing intensive mentoring to students to enable them to utilise the available technologies optimally.
Advances in Educational Technologies and Instructional Design, 2019
Open distance and e-learning (ODeL) gives students who occupy multiple roles and are affected by ... more Open distance and e-learning (ODeL) gives students who occupy multiple roles and are affected by the barriers of distance, cost, and time an opportunity to pursue their studies; these students are called distance students. For them to be successful as distance students, knowledge of technology is important as teaching and learning is conducted online and students are expected to interact actively online. There is no value if you have knowledge of technology as a distance student but do not interact online. The student must actively interact with peers, lecturers, study materials, and the university; failure to do so will affect learning and teaching negatively. Most students do not interact online. ODeL institutions prescribe technological tools for the students to interact online, but they lack academic, administrative, and technical support, which is a concern. ODeL institutions must commit themselves to always supporting distance students-academically, cognitively, administratively, institutionally, and affectively.
Health SA Gesondheid, 2017
Background: Mobile Health is the utilisation of mobile devices like cellphones and tablets for th... more Background: Mobile Health is the utilisation of mobile devices like cellphones and tablets for the delivery of health care. It is an up and coming intervention promising to benefit health services. Recent mobile health studies have tended to focus on mHealth for data collection and surveillance rather than on actual patient care. This paper highlights the potential and the challenges of mHealth use in the delivery of health care services. Objectives: This paper focused on determining the use of mHealth and identifying and describing the opportunities and the challenges faced by the medical doctors in using mHealth at a specific health care facility in Zimbabwe. Methods: A quantitative, descriptive, cross-sectional and analytical design was used to determine the rate of utilisation of selected mHealth "patient identification and treatment activities" by medical doctors. A structured questionnaire was used for data collection form 104 respondents. The number of the returned complete and usable questionnaires was 42. No sampling technique was done because the whole population was of interest to the researcher, accessible and available during data collection. Results: Fifty percent (50%) of the respondents indicated, lack of knowledge and unawareness in using mHealth to support chronically ill patients. The majority of the respondents (83.3%) believed that mHealth presented opportunities to improve health care delivery. The majority of the respondents (95%) indicated the potential for its future use. Conclusion: Given the challenges that were encountered mHealth program to be officially launched for mHealth use and the users to be developed on its utilisation.
INTERACTIVITY is my own work and that all the sources that I have used or quoted have been indica... more INTERACTIVITY is my own work and that all the sources that I have used or quoted have been indicated and acknowledged by means of complete reference and that this work has not been submitted before for any degree at any other institution.
J. of Health Science, 2013
The purpose of this study is to monitor the nature of on-line interaction between the learners an... more The purpose of this study is to monitor the nature of on-line interaction between the learners and educators. Data was collected by qualitatively and descriptively. A non probability purposeful sampling technique was chosen. The required data was extracted from the discussion forum interaction. The sample was second and third year health services management learners of an ODL (Open Distance Learning) University in South Africa. Data was collected weekly during the first semester from March to June 2012. The nature/type and trend of interaction were shown. Out of 1,379 learners only 53 participated in the discussion forum. Themes which emerged were assignments, study material, video conference study groups, registration and examination. Challenges revealed were originally academic, technical and administrative. Challenges of delay in getting study material, delay/no response from the lecturers, assignment answers incorrect and no connection from venues of video conference was noted. Recommendation was awareness of collaborative effort to support learner led by top management of researched ODL institution to address the challenges which learners were facing. Learners to be motivated by the educators are actively participate in the discussion forum. Further research is to be done on educators' prospects and challenges of on-line discussion forum interaction in ODL institutions.
J. of Health Science, 2013
The purpose of this study is to monitor the nature of on-line interaction between the learners an... more The purpose of this study is to monitor the nature of on-line interaction between the learners and educators. Data was collected by qualitatively and descriptively. A non probability purposeful sampling technique was chosen. The required data was extracted from the discussion forum interaction. The sample was second and third year health services management learners of an ODL (Open Distance Learning) University in South Africa. Data was collected weekly during the first semester from March to June 2012. The nature/type and trend of interaction were shown. Out of 1,379 learners only 53 participated in the discussion forum. Themes which emerged were assignments, study material, video conference study groups, registration and examination. Challenges revealed were originally academic, technical and administrative. Challenges of delay in getting study material, delay/no response from the lecturers, assignment answers incorrect and no connection from venues of video conference was noted. Recommendation was awareness of collaborative effort to support learner led by top management of researched ODL institution to address the challenges which learners were facing. Learners to be motivated by the educators are actively participate in the discussion forum. Further research is to be done on educators' prospects and challenges of on-line discussion forum interaction in ODL institutions.
Africa journal of nursing and midwifery, 2011
Nurse educators function in a post-industrial, information and communication technology driven wo... more Nurse educators function in a post-industrial, information and communication technology driven world. They are required to equip student nurses with the competencies to render healthcare in technologically advanced healthcare settings. Modern developments in informationcommunication and educational technologies compel nurse educators to make a paradigm shift by redirecting the emphasis from traditional methods of instruction to computer-assisted instruction (CAI) and computer-based learning. This study investigated the nature of student nurses’ exposure to CAI and computer-based learning, the perceived benefits of this exposure, as well as the challenges encountered. A quantitative, non-experimental, univariate, descriptive survey research design was utilised. The respondents comprised 172 second year and 119 third year student nurses. Although the respondents preferred CAI to traditional modes of teaching, evidence of ineffective CAI was portrayed in the findings. It is recommended...
Global Journal of Health Science, 2019
Caring behaviour is central to all health care organizations and their employees. Nurses spend co... more Caring behaviour is central to all health care organizations and their employees. Nurses spend considerable time with patients and they are ethically bound to provide quality nursing care, regardless of their patients’ social class, gender or ethnic background. To improve patients’ experience of care, it is important that nurses are aware of factors – both within themselves and in their working environment – that might influence their attitude and behaviour. The purpose of this study was to describe and assess factors contributing to nurses’ negative behaviour at a public health facility in Namibia. A quantitative, non-experimental, explorative and descriptive design was used. Simple random sampling was used to select 64 nurses. A pre-tested questionnaire was used to collect data, which were then analysed with the Statistical Package for the Social Sciences (SPSS), version 23, using descriptive statistics. The study results showed a strong association of nurses’ negative behaviour t...
It is important for nurses to show acceptable behaviour when interacting with the patients. The p... more It is important for nurses to show acceptable behaviour when interacting with the patients. The purpose of this study was to explore and describe the factors that contribute to nurses’ negative behaviour when rendering patient care and to determine the effects of nurses’ behaviour on patient outcomes. The study used a non-experimental explorative and descriptive quantitative design. Data collection was done using a structured questionnaire. The sample comprised of 64 respondents which consisted of 25 registered nurses and 39 enrolled nurses. The study found that besides the known contributing factor, that is, the shortage of nurses, further identified contributing factors to nurses’ negative behaviour when rendering patient care are failure to retrain nurses identified with negative behaviours, poor condition of employment and patients’ behaviours and cultural beliefs. These results suggested a need to train more nurses, improve conditions of employment, as well as support and retra...
International Journal of Africa Nursing Sciences
Background: The mortality rates of clients on the transplant waiting list for kidney donations, r... more Background: The mortality rates of clients on the transplant waiting list for kidney donations, raised concerns. Members of their families could have saved their lives by donating one of their kidneys. A need was therefore identified to explore and describe the study participants' knowledge with regard to kidney donation. Aim: The purpose of this article was to explore the knowledge of clients at a health care facility, as regard to kidney donation. Method: A quantitative, explorative, cross-sectional design was used. Simple random sampling was used. The data analysis was done using the Statistical Package for Social Sciences (SPSS) computer software version 25. The respondents were all clients visiting outpatient department at an urban health care facility in Limpopo province, South Africa. Data were collected using a structured pre-tested questionnaire. Of the 317 questionnaires distributed face-to-face, 300 were deemed valid and considered for the study. Results: The study revealed inadequate knowledge and understanding of renal donation among clients at an urban health care facility in Limpopo province. Barriers that prevented the respondents from volunteering to donate a kidney were diseases such as diabetes and hypertension, their cultural beliefs and an HIV-positive status. The study found that the respondents believed kidney donation might change their bodies posttransplant, and were thus unwilling to donate. Conclusion: The respondents' knowledge of kidney donation was inadequate. Their religion was not against kidney donation however, they preferred to die with their intact body parts. The most barrier against kidney donation was cultural beliefs. The results will be presented to the Limpopo Department of Health in South Africa, with a view to promoting effective measures aimed at educating people regarding the importance of kidney donation.
Research Square (Research Square), Apr 29, 2024
Background To meet the ambitious goal of eradicating the HIV epidemic by 2030, the Joint United N... more Background To meet the ambitious goal of eradicating the HIV epidemic by 2030, the Joint United Nations Programme on HIV/AIDS has set 95-95-95 targets. These targets aim for 95% of HIV-infected individuals to know their status, 95% to initiate antiretroviral therapy (ART), and 95% to achieve virologic suppression by 2030. In Ethiopia, progress towards these targets has been made, but challenges persist. This study aims to evaluate same-day ART initiation status regarding retention of patients in HIV/AIDS care at the healthcare facility level in Ethiopia. Methods A cross-sectional study design was conducted involving retrospective document analysis of 332 clinical records. The study included clinical records of patients initiated on same-day ART from the 1st of October 2017 until the 30th of October 2019. Data was analyzed quantitatively, descriptive and inferential statistical analyses were performed using Statistical Package for Social Science (SPSS) version 28.0 software. Data analysis involved conducting logistic regression to examine the relationships between factors associated with retention in HIV care. Results The results indicated varying retention rates over different time intervals: 35% at 6 months (n = 49), 81% at 12 months (n = 50), 89% from 13 to 18 months (n = 63), and 94% at 24 months (n = 34), with an overall retention in HIV/Care at 59% (n = 196). The study's logistic regression analysis revealed that gender has a signi cant effect on retention (β = 2.890, p < 0.01), tertiary education was 0.2 times greater than no formal education, that is, (β = 0.212, p < 0.05), tertiary education was 0.13 times more than a secondary education, which is (β = 0.131, p < 0.01), patients who reside in urban areas were more likely to be retained than those who reside in rural areas, that is, (β = 0.467, p < 0.05), patients with a good level of adherence were 0.1 times more likely to be retained in comparison to those with a fair level of adherence (β = 0.092, p < 0.01). Conclusion The study underscores the importance of same-day ART initiation in enhancing retention rates among patients in HIV/AIDS care in Ethiopia. Factors such as gender, education level, urban residence, adherence, functional status, and WHO stage signi cantly in uence retention. Addressing these factors through targeted interventions is crucial for achieving sustained improvements in HIV care and advancing towards epidemic eradication goals by 2030. same-day ART. Thus, this study aims to investigate the status of same-day ART initiation in selected healthcare facilities in Ethiopia. This study's purpose was to evaluate same-day ART initiation status regarding retention in HIV/AIDS care at selected healthcare facilities in Ethiopia. The results of this study will assist healthcare providers, program managers, and policy designers at the federal level to understand and address factors linked with same-day ART initiation and tracing patients lost to follow-up from HIV/AIDS care in Ethiopia's healthcare services. Methods Study setting This study, was conducted in two health care facilities in Adama and Bishoftu towns in Oromia Regional State, East Shewa zone of Ethiopia. Population The population for this study was the clinical records of patients started on ART from the 1st of October 2017 until the 30th of October 2019 in two healthcare facilities in Ethiopia. Research design A cross-sectional study design was conducted involving retrospective document analysis of 332 clinical records. Sampling and sample A probability simple random sampling technique was used in the selection of the clinical records of patients started on ART from the 1st of October 2017 until the 30th of October 2019 from selected healthcare facilities. In sample size calculation a statistician assisted and the Rao Soft formula was used to estimate the ideal sample size from each healthcare facility (Raosoft formula online [7]. The sample size for Healthcare Facility 1 was 158, and for Healthcare Facility 2, it was 174. Thus, the total sample size from both healthcare facilities was 332. The inclusion criteria encompassed the clinical records of patients who initiated ART on the same-day from the 1st of October 2017 until the 30th of October 2019. Additionally, the study included individuals belonging to adult age groups, de ned as those aged 18 years and above. Data collection Data for this study was collected from the clinical records of patients started on same-day ART clinic smart care databases of selected healthcare facilities. Prior to data collection, permission was obtained from both Healthcare Facility 1 and Healthcare Facility 2. To mitigate the risk of exposure to the COVID-19 pandemic, which was classi ed at level 1, data collection was conducted from the smart care databases. The approved permission to access clinical records used as the consent form. The
International Journal of Africa Nursing Sciences
Curationis
Literature sources express various definitions of the concept of 'nursing'. Florence Nightingale ... more Literature sources express various definitions of the concept of 'nursing'. Florence Nightingale in the 19th century defined nursing as: 'putting the patient in the best condition for nature to act upon him' (Nightingale 1860:133). In the 20th century, other definitions were: 'nursing is a process that was serial and goal-directed demanding certain steps, actions, operations or performances that occurred between the nurse and the person who was nursed' (Peplau 1952). Nursing was also defined as 'to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or a peaceful death)' (Henderson 1964). More recent definitions of 'nursing' are: The use of clinical judgment in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, in the case of disease or disability, until death. (Royal College of Nursing 2003:3) The South African nursing regulatory body, namely the South African Nursing Council (SANC), define nursing as: Background: Nursing developed over centuries. Changing practice and education influenced its interpretation and understanding. Its meaning and interpretation may differ amongst education institutions, nurse educators and nurses, particularly student nurses. Objectives: The objective was to develop a visual concept map of the concept of 'nursing', allowing nursing education institutions to have a similar approach and understanding in teaching the concept to student nurses. Method: The research design was qualitative, explorative, descriptive and contextual. A selfdesigned, pretested online questionnaire collected data from various categories of nurse participants. An integrative review viewed literature sources published between 2006 and 2016 accessing definitions of 'nursing'. Data analysis involved thematic analysis of narrative data, data coding processes, interpretation and synthesis of data and further analysis using a systematic concept analysis process. The combined analysed data merged, developing a visual concept map of 'nursing'. Expert nurse educators validated the visual concept map of 'nursing' by e-Delphi technique, using an assessment rubric. Results: Various definitions of 'nursing' revealed identified themes and categories underpinning the concept. After formulation of connotative, denotative definitions and empirical referents, a visual concept map of 'nursing' was developed and validated to be an educational tool to facilitate the teaching of the concept of 'nursing', enhancing a similar understanding and interpretation thereof. Conclusion: A visual concept map of 'nursing', a tool facilitating teaching the concept and promoting similar understanding of its meaning is valuable in an evolving digital era, where visual stimulation enhances teaching and learning. Contribution: The primary contribution of the manuscript provided a developed visual concept map of 'nursing', to use as a tool to stimulate critical thinking and integrate the various aspects outlined in the map. The visual concept map of 'nursing' assists in the education and training of all categories of nurses in the profession, especially student nurses, aiming to support better patient outcomes when the concept of nursing is understood and interpreted in the same way.
African Journal for Physical, Health Education, Recreation and Dance, Sep 1, 2013
The purpose of this study was to develop a conceptual teaching and learning model that will integ... more The purpose of this study was to develop a conceptual teaching and learning model that will integrate nursing theory and practice by using social media platforms. The research setting was the three public nursing colleges that offer a basic nursing programme in the Gauteng province, South Africa. We used a qualitative, phenomenological and descriptive approach to obtain the participants’ in-depth thoughts and opinions regarding the feasibility of implementing social media platforms for student nurses’ teaching and learning. A sentiment analysis system, which is a smart service for data analysis and visualisation to discover patterns and meaning in collected data, was used to implement a coding process. Themes and categories were developed and major qualitative findings were summarised. The participants supported the use of social media, with consideration of access to resources, availability of training workshops, interaction between lecturers and students, numerous teaching strateg...
African Journal for Physical, Health Education, Recreation and Dance, Nov 1, 2015
Global Journal of Health Science, 2019
This study investigated sexual activity, knowledge of contraceptives use among females choosing t... more This study investigated sexual activity, knowledge of contraceptives use among females choosing termination of pregnancy (TOP) at a provincial clinic in South Africa. This was a quantitative and observational study in the form of a cross-sectional survey. A pre-tested self-administered questionnaire was used to collect data from 61 respondents who had terminated their pregnancies. Almost ninety-two (91.8%) percent of the respondents were single women between 18 and 27 years of age. Their level of education showed that 32% had completed high school, 28% were high school learners, 21.1% were tertiary education level learners and 1.8% had tertiary education. The frequency of sexual activity was mostly once a month (40%), followed by once a week (36.5%). Unemployment was high (36%), making the respondents dependent on government grants. Most of the women were aware of contraceptives methods (88.5%). The majority of the respondents (75.4%) have heard about emergency contraceptives (EC), ...
Progressio: South African Journal for Open and Distance Learning Practice, 2017
Higher education institutions are gradually adopting online teaching and learning. This research ... more Higher education institutions are gradually adopting online teaching and learning. This research was explorative and descriptive in approach to explore students' online interactivity with their peers and lecturers in a distance education context. Focus group interviews with 54 participants were conducted at six regional campuses of the University of South Africa. The sample consisted of second and third-year Health Services Management (HSM) students. Data was collected from June to September 2012. Giorgi's phenomenological approach was used for data analysis. The findings revealed that students benefitted from online interactivity but encountered more challenges than benefits. Challenges were academic, institutional and administrative in origin. The article recommends a collaborative effort by the university management, information technology specialists, students, lecturers, and the public and private sectors to resolve these challenges. The university should further consider and formalise utilisation of other social media like Twitter, Facebook, LinkedIn and Instagram besides the prescribed online interactive tools to promote online interaction and to facilitate teaching and learning.
Health SA Gesondheid, 2017
Background: Open distance learning (ODL) institutions provide educational challenges with specifi... more Background: Open distance learning (ODL) institutions provide educational challenges with specific reference to the training of nurses. They have adopted online technologies to facilitate teaching and learning. However it is observed that most nurses do not use or minimally use tools such as a discussion forum for online interaction to facilitate teaching and learning. Objective: The purpose of this study was to determine how the discussion forum as an online interactive tool be used in an ODL institution to enhance student-to-student and student-to-lecturer online interactions. Design: Quantitative and descriptive in nature. Method: No sampling was done. An online questionnaire was sent to all 410 second and third years Health Services Management students around the world registered with a specific ODL institution during the second semester. Eighty seven students responded to the questionnaire. Data analysis was done quantitatively and descriptively in the form of diagrams. Results: The findings indicated that 84.9% of students own computers, and 100% own cellular phones, but only 3.8% participated in online discussion forum. Some students indicated that they were technologically challenged. Some lecturers interact minimally online and are not supportive to them. The institution does not give them the support they need to acquire the necessary skills to utilise these technologies. Conclusion: The article suggests that lecturers, active interaction in an online discussion forum as a way of supporting students, are fundamental to effective teaching and learning. The university should consider providing intensive mentoring to students to enable them to utilise the available technologies optimally.
Advances in Educational Technologies and Instructional Design, 2019
Open distance and e-learning (ODeL) gives students who occupy multiple roles and are affected by ... more Open distance and e-learning (ODeL) gives students who occupy multiple roles and are affected by the barriers of distance, cost, and time an opportunity to pursue their studies; these students are called distance students. For them to be successful as distance students, knowledge of technology is important as teaching and learning is conducted online and students are expected to interact actively online. There is no value if you have knowledge of technology as a distance student but do not interact online. The student must actively interact with peers, lecturers, study materials, and the university; failure to do so will affect learning and teaching negatively. Most students do not interact online. ODeL institutions prescribe technological tools for the students to interact online, but they lack academic, administrative, and technical support, which is a concern. ODeL institutions must commit themselves to always supporting distance students-academically, cognitively, administratively, institutionally, and affectively.
Health SA Gesondheid, 2017
Background: Mobile Health is the utilisation of mobile devices like cellphones and tablets for th... more Background: Mobile Health is the utilisation of mobile devices like cellphones and tablets for the delivery of health care. It is an up and coming intervention promising to benefit health services. Recent mobile health studies have tended to focus on mHealth for data collection and surveillance rather than on actual patient care. This paper highlights the potential and the challenges of mHealth use in the delivery of health care services. Objectives: This paper focused on determining the use of mHealth and identifying and describing the opportunities and the challenges faced by the medical doctors in using mHealth at a specific health care facility in Zimbabwe. Methods: A quantitative, descriptive, cross-sectional and analytical design was used to determine the rate of utilisation of selected mHealth "patient identification and treatment activities" by medical doctors. A structured questionnaire was used for data collection form 104 respondents. The number of the returned complete and usable questionnaires was 42. No sampling technique was done because the whole population was of interest to the researcher, accessible and available during data collection. Results: Fifty percent (50%) of the respondents indicated, lack of knowledge and unawareness in using mHealth to support chronically ill patients. The majority of the respondents (83.3%) believed that mHealth presented opportunities to improve health care delivery. The majority of the respondents (95%) indicated the potential for its future use. Conclusion: Given the challenges that were encountered mHealth program to be officially launched for mHealth use and the users to be developed on its utilisation.
INTERACTIVITY is my own work and that all the sources that I have used or quoted have been indica... more INTERACTIVITY is my own work and that all the sources that I have used or quoted have been indicated and acknowledged by means of complete reference and that this work has not been submitted before for any degree at any other institution.
J. of Health Science, 2013
The purpose of this study is to monitor the nature of on-line interaction between the learners an... more The purpose of this study is to monitor the nature of on-line interaction between the learners and educators. Data was collected by qualitatively and descriptively. A non probability purposeful sampling technique was chosen. The required data was extracted from the discussion forum interaction. The sample was second and third year health services management learners of an ODL (Open Distance Learning) University in South Africa. Data was collected weekly during the first semester from March to June 2012. The nature/type and trend of interaction were shown. Out of 1,379 learners only 53 participated in the discussion forum. Themes which emerged were assignments, study material, video conference study groups, registration and examination. Challenges revealed were originally academic, technical and administrative. Challenges of delay in getting study material, delay/no response from the lecturers, assignment answers incorrect and no connection from venues of video conference was noted. Recommendation was awareness of collaborative effort to support learner led by top management of researched ODL institution to address the challenges which learners were facing. Learners to be motivated by the educators are actively participate in the discussion forum. Further research is to be done on educators' prospects and challenges of on-line discussion forum interaction in ODL institutions.
J. of Health Science, 2013
The purpose of this study is to monitor the nature of on-line interaction between the learners an... more The purpose of this study is to monitor the nature of on-line interaction between the learners and educators. Data was collected by qualitatively and descriptively. A non probability purposeful sampling technique was chosen. The required data was extracted from the discussion forum interaction. The sample was second and third year health services management learners of an ODL (Open Distance Learning) University in South Africa. Data was collected weekly during the first semester from March to June 2012. The nature/type and trend of interaction were shown. Out of 1,379 learners only 53 participated in the discussion forum. Themes which emerged were assignments, study material, video conference study groups, registration and examination. Challenges revealed were originally academic, technical and administrative. Challenges of delay in getting study material, delay/no response from the lecturers, assignment answers incorrect and no connection from venues of video conference was noted. Recommendation was awareness of collaborative effort to support learner led by top management of researched ODL institution to address the challenges which learners were facing. Learners to be motivated by the educators are actively participate in the discussion forum. Further research is to be done on educators' prospects and challenges of on-line discussion forum interaction in ODL institutions.
Africa journal of nursing and midwifery, 2011
Nurse educators function in a post-industrial, information and communication technology driven wo... more Nurse educators function in a post-industrial, information and communication technology driven world. They are required to equip student nurses with the competencies to render healthcare in technologically advanced healthcare settings. Modern developments in informationcommunication and educational technologies compel nurse educators to make a paradigm shift by redirecting the emphasis from traditional methods of instruction to computer-assisted instruction (CAI) and computer-based learning. This study investigated the nature of student nurses’ exposure to CAI and computer-based learning, the perceived benefits of this exposure, as well as the challenges encountered. A quantitative, non-experimental, univariate, descriptive survey research design was utilised. The respondents comprised 172 second year and 119 third year student nurses. Although the respondents preferred CAI to traditional modes of teaching, evidence of ineffective CAI was portrayed in the findings. It is recommended...
Global Journal of Health Science, 2019
Caring behaviour is central to all health care organizations and their employees. Nurses spend co... more Caring behaviour is central to all health care organizations and their employees. Nurses spend considerable time with patients and they are ethically bound to provide quality nursing care, regardless of their patients’ social class, gender or ethnic background. To improve patients’ experience of care, it is important that nurses are aware of factors – both within themselves and in their working environment – that might influence their attitude and behaviour. The purpose of this study was to describe and assess factors contributing to nurses’ negative behaviour at a public health facility in Namibia. A quantitative, non-experimental, explorative and descriptive design was used. Simple random sampling was used to select 64 nurses. A pre-tested questionnaire was used to collect data, which were then analysed with the Statistical Package for the Social Sciences (SPSS), version 23, using descriptive statistics. The study results showed a strong association of nurses’ negative behaviour t...
It is important for nurses to show acceptable behaviour when interacting with the patients. The p... more It is important for nurses to show acceptable behaviour when interacting with the patients. The purpose of this study was to explore and describe the factors that contribute to nurses’ negative behaviour when rendering patient care and to determine the effects of nurses’ behaviour on patient outcomes. The study used a non-experimental explorative and descriptive quantitative design. Data collection was done using a structured questionnaire. The sample comprised of 64 respondents which consisted of 25 registered nurses and 39 enrolled nurses. The study found that besides the known contributing factor, that is, the shortage of nurses, further identified contributing factors to nurses’ negative behaviour when rendering patient care are failure to retrain nurses identified with negative behaviours, poor condition of employment and patients’ behaviours and cultural beliefs. These results suggested a need to train more nurses, improve conditions of employment, as well as support and retra...
International Journal of Africa Nursing Sciences
Background: The mortality rates of clients on the transplant waiting list for kidney donations, r... more Background: The mortality rates of clients on the transplant waiting list for kidney donations, raised concerns. Members of their families could have saved their lives by donating one of their kidneys. A need was therefore identified to explore and describe the study participants' knowledge with regard to kidney donation. Aim: The purpose of this article was to explore the knowledge of clients at a health care facility, as regard to kidney donation. Method: A quantitative, explorative, cross-sectional design was used. Simple random sampling was used. The data analysis was done using the Statistical Package for Social Sciences (SPSS) computer software version 25. The respondents were all clients visiting outpatient department at an urban health care facility in Limpopo province, South Africa. Data were collected using a structured pre-tested questionnaire. Of the 317 questionnaires distributed face-to-face, 300 were deemed valid and considered for the study. Results: The study revealed inadequate knowledge and understanding of renal donation among clients at an urban health care facility in Limpopo province. Barriers that prevented the respondents from volunteering to donate a kidney were diseases such as diabetes and hypertension, their cultural beliefs and an HIV-positive status. The study found that the respondents believed kidney donation might change their bodies posttransplant, and were thus unwilling to donate. Conclusion: The respondents' knowledge of kidney donation was inadequate. Their religion was not against kidney donation however, they preferred to die with their intact body parts. The most barrier against kidney donation was cultural beliefs. The results will be presented to the Limpopo Department of Health in South Africa, with a view to promoting effective measures aimed at educating people regarding the importance of kidney donation.