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HEALTH AND SAFETY (530 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 23)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 30)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 6)
American Journal of Health Studies     Full-text available via subscription   (Followers: 10)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 26)
American Journal of Public Health     Full-text available via subscription   (Followers: 232)
American Journal of Public Health Research     Open Access   (Followers: 29)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 4)
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 2)
Archive of Community Health     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 3)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 5)
Behavioral Healthcare     Full-text available via subscription   (Followers: 6)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 20)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 17)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 12)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 13)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 2)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 2)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 15)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 5)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 2)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 4)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 2)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 6)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 6)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Food and Public Health     Open Access   (Followers: 11)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 16)
Global Journal of Health Science     Open Access   (Followers: 9)
Global Journal of Public Health     Open Access   (Followers: 12)
Global Medical & Health Communication     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 16)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 52)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 14)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 15)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 38)
Health Policy and Technology     Hybrid Journal   (Followers: 2)
Health Professional Student Journal     Open Access   (Followers: 2)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 48)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 41)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 11)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 3)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthy-Mu Journal     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 11)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 5)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 34)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 8)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 16)
International Journal of Health & Allied Sciences     Open Access   (Followers: 3)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 10)

        1 2 3 | Last

Journal Cover Health SA Gesondheid
  [SJR: 0.194]   [H-I: 4]   [2 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1025-9848 - ISSN (Online) 2071-9736
   Published by Elsevier Homepage  [3118 journals]
  • Experiences of South African multiparous labouring women using the
           birthing ball to encourage vaginal births

    • Authors: Sindiwe James; Melissa Hudek
      Pages: 36 - 42
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Sindiwe James, Melissa Hudek
      The article explores the experiences of South African multiparous labouring women on their use of the birthing ball during the first stage of labour. The authors used a qualitative research approach using unstructured audiotaped interviews as the data collection method and data were collected over a period of one calendar month. The sample for the study were women who were six hours to six weeks post-delivery, had at least one child already, used the birthing ball, were on no medication, and had delivered a live infant. The sample consisted of twelve purposively selected participants, two of whom were used for the pilot study. The data analysis method was Data Analysis Spiral. The authors made use of an independent coder to assist with coding the data and three major themes were identified. The results revealed that the labouring women experienced the birthing ball as a useful labour tool, as shortening the labour process and as empowering them during labour.

      PubDate: 2017-01-22T10:12:13Z
      DOI: 10.1016/j.hsag.2016.08.004
      Issue No: Vol. 22 (2017)
  • The motivational needs of primary health care nurses to acquire power as
           leaders in a mine clinic setting

    • Authors: Karien Jooste; Mida Hamani
      Pages: 43 - 51
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Karien Jooste, Mida Hamani
      Motivation is a process that influences and directs behaviour in order to satisfy a need. It links with goal 3 of the sustainable development goals that focus on ensuring healthy lives and promoting well-being at all ages. Motivation of nurses is important in the primary health care environment of, for instance, mine settings; since low levels of motivation among Primary Health Care (PHC) nurses could have a negative effect on the achievement of high standards in health service delivery. The study was conducted within the theoretical framework of McClelland's Acquired Motivation Theory which consists of three basic needs, – the need for achievement, the need for power, and the need for affiliation. One of the research questions posed was “What are the motivational needs of PHC nurses to acquire power in the workplace at mine clinic settings?” A quantitative, explorative, descriptive design was followed. The accessible population in this study was PHC nurses (N = 30) working at 13 mine clinics, that also served as the total sample. A 7 point Likert scale was used in a self-administered structured questionnaire that was developed from a literature review. Ethical considerations were adhered to and respondents gave written informed consent. Data was analysed by using descriptive and inferential statistics. The Mann–Whitney test compared the mean ranks and a p-value of p < 0.05 was indicative of a significant difference between male and female groups. Validity and reliability principles were applied during the entire research process. The results indicated that PHC nurses needed acknowledgement, organisational responsibility, strategic planning and promotion, as well as support. Significant differences between gender were not found in relation to the need to acquire power.

      PubDate: 2017-02-05T01:33:29Z
      DOI: 10.1016/j.hsag.2016.09.005
      Issue No: Vol. 22 (2017)
  • Nurses perceptions about their behavioural counselling for HIV/AIDS, STIs
           and TB in eThekwini Municipality clinics KwAZulu-Natal, South Africa

    • Authors: Margaret N. Mntlangula; Nelisiwe Khuzwayo; Myra Taylor
      Pages: 52 - 60
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Margaret N. Mntlangula, Nelisiwe Khuzwayo, Myra Taylor
      Background HIV and AIDS, sexually transmitted infections (STIs) and tuberculosis (TB) are common co-infections in South Africa, and constitute major public health problems. Nurses have frequent contact with HIV positive and TB co-infected patients, their counselling behaviour being influenced by knowledge about counselling as well as their beliefs, attitudes and perceptions about barriers to counselling. Purpose The purpose of the survey was to assess the knowledge, attitude and beliefs of nurses about behavioural counselling for HIV and AIDS, STIs and TB (HAST) in three areas of the eThekwini Municipality. Results This was a quantitative descriptive cross sectional study, with stratified sampling being used to select 87 nurses from 24 PHC facilities who completed self-administered questionnaires. The most significant factors associated with the knowledge, attitude and beliefs of nurses about counselling behaviour were their age and level of education. Nurses were well informed about counselling behaviour (mean scores 4.1/5). However, the potential barriers to implementing effective counselling behaviour included their negative perceptions about counselling in HAST. Conclusion There is an urgent need for further studies to explore barriers to counselling behaviour and how these can be addressed by the nurses and their managers.

      PubDate: 2017-02-05T01:33:29Z
      DOI: 10.1016/j.hsag.2016.09.001
      Issue No: Vol. 22 (2017)
  • Is community-based electrocardiography education feasible in the early
           phase of an undergraduate medical curriculum?

    • Authors: Carol Olivia Larson; Johan Bezuidenhout; Lynette Jean van der Merwe
      Pages: 61 - 69
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Carol Olivia Larson, Johan Bezuidenhout, Lynette Jean van der Merwe
      Accreditation authorities expect medical schools to increase their teaching standards and civic engagement, despite limited resources. The aim of this study was to investigate the feasibility of community-based (CB) electrocardiography (ECG) instruction in semesters 4 and/or 5 of the undergraduate MBChB programme at the University of the Free State in Bloemfontein, South Africa. A literature review and 34 structured interviews were employed, using a mixed-methods QUAN (+qual) research design. Regarding the preclinical phase, 18 interviewees strongly supported community-based learning (CBL) and 21 strongly supported task-based (TB) CBL. Responses were more conservative regarding the practicability of TB CBL. Twenty-two interviewees supported preclinical phase ECG-specific CBL. There was more support for implementing CB ECG in the clinical phase than in the preclinical phase. Challenges identified included finances, transport, personnel availability, clinic space, curriculum time constraints, student and driver absenteeism, and ethical aspects. Solutions for the preclinical phase included combining electrocardiography with other CBL tasks. Many interviewees supported preclinical phase TB CBL, although several factors determine its feasibility. Availability of human and other resources and curriculum time significantly impact CB ECG learning. Solutions necessitate additional location-specific research.

      PubDate: 2017-02-05T01:33:29Z
      DOI: 10.1016/j.hsag.2016.11.005
      Issue No: Vol. 22 (2017)
  • Adherence challenges encountered in an intervention programme to combat
           chronic non-communicable diseases in an urban black community, Cape Town

    • Authors: Nasheetah Solomons; Herculina Salomé Kruger; Thandi Rose Puoane
      Pages: 70 - 78
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Nasheetah Solomons, Herculina Salomé Kruger, Thandi Rose Puoane
      Background Chronic non-communicable diseases (CNCD) have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide. Objectives Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate in CNCDs intervention programmes in their community was explored. Methods Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47 participants using a question guide. Summative content analysis was used to analyse the data. Results Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes. Conclusions Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages.

      PubDate: 2017-02-05T01:33:29Z
      DOI: 10.1016/j.hsag.2016.11.006
      Issue No: Vol. 22 (2017)
  • The quality of life of HIV-infected and non-infected women post-caesarean
           section delivery

    • Authors: Preshani Reddy; José Merle Frantz
      Pages: 87 - 92
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Preshani Reddy, José Merle Frantz
      There is a dearth of literature on the postnatal quality of life (QoL) of women. This study aimed to determine to QoL of HIV-infected and non-infected women post-caesarean section delivery. This prospective, longitudinal and comparative study was conducted at four public hospitals in KwaZulu-Natal. The participants were followed for six-months post-delivery and the QoL was measured using the SF-36 and the pelvic floor impact questionnaire (PFIQ-7). The results showed that the QoL of women were negatively affected post-operatively with the HIV-infected group scoring lower over the six-months. Understanding postpartum QoL problems is essential in efforts to provide effective comprehensive care.

      PubDate: 2017-02-16T21:14:07Z
      DOI: 10.1016/j.hsag.2016.09.006
      Issue No: Vol. 22 (2017)
  • Supply chain solutions to improve the distribution of antiretroviral drugs
           (ARVs) to clinics in rural areas: A case study of the QwaQwa district

    • Authors: Mamolise Mokheseng; Gideon S. Horn; Aileen G. Klopper
      Pages: 93 - 104
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Mamolise Mokheseng, Gideon S. Horn, Aileen G. Klopper
      This article serves as a case study based on research that was performed in the QwaQwa district in the Free State Province where the distribution of ARVs to the regional Manapo hospital, as well as between the hospital and its peripheral clinics, was interrupted and inconsistent due to problems in the supply chain. An unreliable and interrupted ARV supply chain creates the risk of virus reactivation and eventual patient mortality. The objectives of the study were to explore the problems experienced with the ARV distribution practices at the Manapo hospital, and to recommend ways in which the distribution of ARVs can be improved so that patients can receive an uninterrupted supply. The nature of the topic researched dictated the use of mainly the quantitative research method. The main problems identified include: Wrong and no uniform practice of ordering stock by the hospital and the clinics; lack of reliable, structured transportation from the depot to the hospital; as well as poor inventory management and poor overall communication. Recommendations to address the problems include: Implementing a supply chain planning and design process; improving inventory management and warehousing practices; implementing more effective and reliable distribution and transportation processes; as well as improving supply chain coordination and overall communication.

      PubDate: 2017-02-24T05:15:03Z
      DOI: 10.1016/j.hsag.2016.11.001
      Issue No: Vol. 22 (2017)
  • A creative analysis of the role of practice development facilitators in a
           critical care environment

    • Authors: Tanya Heyns; Yvonne Botma; Gisela Van Rensburg
      Pages: 105 - 111
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Tanya Heyns, Yvonne Botma, Gisela Van Rensburg
      Practice development focuses on methods to address the quality of care and advance healthcare practices. The role of practice development facilitators to address challenges of delivering evidence-based person-centred care in the critical care environment was determined by using a nominal group technique. Eleven participants from public and private healthcare services reached consensus on seven clusters: theory-practice application, facilitation of learning, increasing collaboration, effective communication, facilitation of change, time management and role modelling. The clusters were visually represented as a hot air balloon. Competence as facilitators is of vital importance to ensure knowledge translation with the aim to improve quality.

      PubDate: 2017-02-24T05:15:03Z
      DOI: 10.1016/j.hsag.2016.03.002
      Issue No: Vol. 22 (2017)
  • Ocular allergy

    • Authors: Khathutshelo Percy Mashige
      Pages: 112 - 122
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Khathutshelo Percy Mashige
      Aim To systematically review relevant literature investigating the classification and nomenclature, epidemiology and pathophysiological mechanisms, as well as diagnosis and treatment of ocular allergy. Method The Medline, PubMed, Elsevier Science Direct, and Google Scholar databases were used to search for evidence-based literature on ocular allergy. Main outcome measures Classification and nomenclature, epidemiology and pathophysiological mechanisms, diagnosis and management of ocular allergy. Results The search retrieved 5200 number of studies of which 6 met the criteria. Conclusions While numerous studies regarding pharmacological and immunological research have identified new treatment options, there is a dearth of clinical studies to discover the biomarkers and immune therapeutic management to control sensitisation and effector phases of this condition. Given the complexity of this condition due to the multifactorial nature of the possible aetiologies, rigorous well-designed scientific studies are needed to determine the exact classification, prevalence and underlying immune pathological processes of ocular allergy.

      PubDate: 2017-03-02T22:44:06Z
      DOI: 10.1016/j.hsag.2016.07.001
      Issue No: Vol. 22 (2017)
  • Change in patient nutritional knowledge following coronary artery bypass
           graft surgery

    • Authors: L. van Rooy; Yoga Coopoo
      Pages: 123 - 129
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): L. van Rooy, Yoga Coopoo
      Introduction In order to reduce coronary artery disease (CAD) risk, moderate physical activity should be combined with other lifestyle modifications, such as proper nutrition, to have a dramatic impact. This necessitates educational and preventative measures, which should begin in childhood and continue throughout life. Aim The aim of this study was to measure the change in nutrition knowledge of coronary artery bypass graft patients by implementation of a lifestyle intervention programme. Methods The Hawkes and Nowak Nutrition Knowledge Questionnaire (1998) was administered to 18 coronary artery bypass graft (CABG) patients to assess the change in nutrition knowledge. Results Significant improvements were noted in the nutrition knowledge score (18.9 ± 3.4–23.2 ± 4.5; p = 0.000). Although all components measured exhibited improvements in knowledge, cholesterol reduction knowledge (5.3 ± 1.8–7.2 ± 1.8; p = 0.0066), low fat food knowledge (3.8 ± 2.3–5.1 ± 2.7; p = 0.011) and high fibre food knowledge (4.1 ± 1.4–4.7 ± 1.1; p = 0.022) exhibited the highest and most significant improvements. Conclusion Notably, these significant improvements in nutrition knowledge points toward effective education being delivered during the intervention. Cardiac rehabilitation has proved to be effective in changing lifestyle habits in a holistic way and this study further shows an improvement in nutritional knowledge based on sound educational principles.

      PubDate: 2017-03-09T13:38:03Z
      DOI: 10.1016/j.hsag.2017.01.002
      Issue No: Vol. 22 (2017)
  • The perceptions of professional nurses on student mentorship in clinical
           areas: A study in Polokwane municipality hospitals, Limpopo province

    • Authors: Chokwe M. Setati; Zerish Z. Nkosi
      Pages: 130 - 137
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Chokwe M. Setati, Zerish Z. Nkosi
      The purpose of the study was to explore the perceptions of professional nurses on student mentorship in clinical areas. A qualitative hermeneutic phenomenological research was conducted to determine the meaning of mentoring as perceived by professional nurses and to identify the successes and challenges encountered by professional nurses with regard to student mentorship during clinical practice. Data was collected using in-depth individual interviews to collect data from sixteen operational managers who were managing all unit activities, including student mentoring. Each interview lasted for ±45 min. A hermeneutic data analysis (hermeneutic circle) was used to analyse data. Four (4) themes and fourteen (14) sub-themes emerged from data collected from operational managers. The findings revealed that mentoring was perceived as a valuable tool to apply in the preparation of student nurses for future professional role. In the process of mentoring, the caring attitude is important. Factors that facilitated the mentoring process were good communication, time and available resources.

      PubDate: 2017-03-12T18:12:59Z
      DOI: 10.1016/j.hsag.2017.01.008
      Issue No: Vol. 22 (2017)
  • Exploring resilience in nurses caring for older persons

    • Authors: Petronella Benadé; Emmerentia du Plessis; Magdalena Petronella Koen
      Pages: 138 - 149
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Petronella Benadé, Emmerentia du Plessis, Magdalena Petronella Koen
      Background A shortage of nurses caring for older persons is experienced due to adverse working conditions. Resilience might empower nurses to persevere while caring for older persons. Research regarding the resilience of nurses caring for older persons is scarce. Objectives The objectives were to explore and describe the strengths and coping abilities of nurses caring for older persons and to formulate recommendations to strengthen their resilience. Methodology An explorative, descriptive qualitative research design was used. An all-inclusive sample of nurses caring for older persons in an urban setting in the North West Province, South Africa, participated in the study. During phase one, demographic information was obtained, and narratives were written (n = 43). Four focus group interviews were conducted in phase two (n = 17) and recommendations were formulated in phase three. Content analysis was used. Principal results Participants experienced adverse working circumstances while caring for older persons and they needed resilience to balance the emotional nature of the work, work ethics, staff shortages, physical demands of the work and the dependency of the older persons. These nurses used personal, professional, contextual and spiritual strengths to handle adverse working conditions. Conclusions By applying their personal, professional, contextual and spiritual strengths, nurses could further enhance these strengths and possibly their resilience. The participants' identified strengths were used to formulate recommendations to strengthen resilience of nurses caring for older persons.

      PubDate: 2017-03-21T05:55:07Z
      DOI: 10.1016/j.hsag.2017.01.003
      Issue No: Vol. 22 (2017)
  • Cost-savings accruable to removing value added tax from antiretrovirals in
           the South African private health sector

    • Authors: Varsha Bangalee; Fatima Suleman
      Pages: 150 - 156
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Varsha Bangalee, Fatima Suleman
      Background Despite the important and essential role that medicines play in any society, all medicines, including those identified as essential, are uniformly subjected to 14% value added tax (VAT), regardless of their therapeutic value in the private healthcare sector of South Africa. The aim of this article is to demonstrate the potential cost-saving attained from the removal of VAT from the private sector pricing of essential medicines, using antiretroviral treatment as an example. Methods An empirical analysis was undertaken to illustrate the potential cost-saving achieved by removing VAT from the Single Exit Price and the dispensing fee of essential medicines. This outcome was demonstrated by applying the methodology to an adult fixed dose combination 1st line antiretroviral regimen as well as to a group of 3rd line antiretroviral medicines. Results The potential saving for the lowest priced generic and originator 1st line antiviral regimen accrued to ZAR 693.84 and ZAR 1085.04 over a year respectively. Regarding the 3rd line antiretroviral drugs, results yielded an annual saving of ZAR 1678.68 (darunavir), ZAR 5741.04 (maraviroc) and ZAR 159.48 (rilpivirine). Conclusions Lobbying for the removal of VAT from the supply chain of medicines should be intensified. Policy development to monitor and recover lost government revenue through the removal of taxes should be explored.

      PubDate: 2017-03-21T05:55:07Z
      DOI: 10.1016/j.hsag.2016.11.003
      Issue No: Vol. 22 (2017)
  • Movement as a critical concept in model generation to attain wholeness

    • Authors: Charlene Downing; Marie Poggenpoel; Chris Myburgh
      Pages: 157 - 165
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Charlene Downing, Marie Poggenpoel, Chris Myburgh
      Movement is an integral aspect of daily living. Movement allows the human being to express, find meaning and reflect a part or the whole of the unfolding of the stories of their lives. The essence of the dialogue is the movement towards caring and healing between the professional nurse and the individual. The purpose of this research is to develop, describe, evaluate and provide guidelines for the operationalisation of a model as a framework of reference for nursing to facilitate the individual faced with mental health challenges as an integral part of wholeness. A model was generated to facilitate the engagement of self through movement, which contributes to and manifests in a mindful way of living to promote mental health as an integral part of wholeness. The findings of the study are applicable to the world of nursing practice, nursing education and research.

      PubDate: 2017-03-27T13:46:04Z
      DOI: 10.1016/j.hsag.2017.01.010
      Issue No: Vol. 22 (2017)
  • Experiences of registered nurses caring for patients with an open abdomen
           in an intensive care unit in Gauteng

    • Authors: Mpho Grace Chipu; Irene Kearns; Wanda Elzabe Nel
      Pages: 166 - 173
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Mpho Grace Chipu, Irene Kearns, Wanda Elzabe Nel
      The researcher observed that nurses prefer not to nurse patients with an open abdomen as they fear that the abdominal contents will protrude. The purpose of the study was to explore and describe the experiences of registered nurses taking care of patients with an open abdomen in intensive care in an academic hospital in Gauteng, and to provide recommendations for registered nurses when taking care of patients with an open abdomen. The research design used was a qualitative, exploratory, descriptive and contextual design. Focus group interviews were conducted with each group comprising six participants. The research question was: What are the experiences of registered nurses caring for patients with an open abdomen in an intensive care unit? What recommendations can be made to assist registered nurses in taking care of patients with an open abdomen in an intensive care unit? The data was analysed using Tesch's method. Three themes emerged: Difficulty in nursing care, complications such as fistula and infections, and poor hospital administration. Recommendations for assisting registered nurses in taking care of patients with an open abdomen were then made based on the findings of the four focus group interviews. Ethical principles and measures of trustworthiness were adhered to throughout the research study.

      PubDate: 2017-03-27T13:46:04Z
      DOI: 10.1016/j.hsag.2017.01.009
      Issue No: Vol. 22 (2017)
  • Factors influencing recruitment and retention of professional nurses,
           doctors and allied health professionals in rural hospitals in KwaZulu

    • Authors: J. Lyn Haskins; Sifiso A. Phakathi; Merridy Grant; Christiane M. Horwood
      Pages: 174 - 183
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): J. Lyn Haskins, Sifiso A. Phakathi, Merridy Grant, Christiane M. Horwood
      Introduction In South Africa fewer health professionals (HPs) work in rural areas compared to urban areas, despite rural communities having greater health needs. This study explores factors influencing recruitment and retention of three categories of HPs in KwaZulu-Natal and has implications about how to retain them in rural areas. Methods A cross-sectional, descriptive survey was conducted in 8 hospitals, 5 rural and 3 urban, in one district in KZN in 2011. Data were collected on single day in each hospital and all HPs on duty were requested to participate. We compared responses from rural and urban based HP as well as professional nurses (PNs), doctors, and allied HPs. Results 417 questionnaires were completed: 150 from HPs in rural and 267 from HPs in urban hospitals. Perceptions of living/working in rural areas is negative and the quality of health care provided in rural areas is perceived as poor by all categories of HP. Rural-based HPs were more likely to report living apart from spouse/partner (72.1% vs 37.0%, p < 0.001) and children (76.7% vs 36.9%, p < 0.001), and living in hospital accommodation (50.8% vs 28.9%; p < 0.001). Conclusions Decisions made by HP about where to work are complex, multifactorial and should be tailored to each category of health professional.

      PubDate: 2017-04-03T18:10:10Z
      DOI: 10.1016/j.hsag.2016.11.002
      Issue No: Vol. 22 (2017)
  • The prevalence of osteoarthritic symptoms of the hands amongst female
           massage therapists

    • Authors: Heinmari Kruger; Valencia Khumalo; Nicolette Nadene Houreld
      Pages: 184 - 193
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Heinmari Kruger, Valencia Khumalo, Nicolette Nadene Houreld
      Background Numerous occupations increase one's risk of developing osteoarthritis. Massage therapists rely heavily on their hands and cumulative hand strain injuries that occur whilst performing a massage may lead to the development of osteoarthritic symptoms. Females are at greater risk of developing osteoarthritis. Furthermore age weight, genetic predisposition; working years, working hours as well as body mass index all increase the risk of developing osteoarthritis. Objective This study sought to investigate the prevalence of osteoarthritic symptoms of the hands amongst female massage therapists, as well as to establish both an average age of symptomatic onset and whether their daily work productivity was influenced. Materials and methods Since the massage industry is predominantly practiced by females, female massage therapists, irrespective of age and registered with a South African Regulating Body were included. Participants were required to complete a self-administered questionnaire which evaluated age, self-reported symptomatic presence of and family history of osteoarthritis, and body mass index. Participants also completed the AUSCAN™ Hand Osteoarthritis Index LK3.1 (Australian/Canadian Hand Osteoarthritis Index) which assesses pain, disability and joint stiffness of the hands. The sample was divided into two groups based on the presence or absence of self-reported symptoms. All gathered data was analysed by the University of Johannesburg's statistics department (Statkon) by use of IBM SPSS Statistics software version 21. Results The mean age of symptomatic presentation was 43 years. The AUSCAN™ Index found that more than half of the total sample reported osteoarthritic symptoms in their hands. Participants in the non-symptomatic group also indicated a positive response to symptoms on the AUSCAN™ Index although they did not self-report a symptomatic onset age. Conclusion In this sample, massage therapists experienced osteoarthritic symptoms that cause pain and stiffness in their hands. It also seemed evident that the symptoms experienced were also responsible for placing strain on their ability to perform daily tasks. This study serves as a basis for further dialogue, research and professional awareness.

      PubDate: 2017-05-13T12:23:05Z
      DOI: 10.1016/j.hsag.2017.01.006
      Issue No: Vol. 22 (2017)
  • Developing, implementing and evaluating a simulation learning package on
           post-partum haemorrhage for undergraduate midwifery students in

    • Authors: Hafaza Bibi Amod; Petra Brysiewicz
      Pages: 194 - 201
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Hafaza Bibi Amod, Petra Brysiewicz
      Background The training of undergraduate midwifery students to identify and manage post-partum haemorrhage, is an essential skill in midwifery. Aim The aim of this study was to develop, implement and evaluate a simulation learning package (SLP) on post-partum haemorrhage for undergraduate midwifery students using high fidelity simulation without risks to real-life patients. Methods An exploratory sequential mixed methodology was used in this study. The study was made up of three phases namely; the development, implementation and evaluation of the learning package. The research participants were fourth year baccalaureate of nursing midwifery students and midwifery experts involved in teaching midwifery. Data was collected using an evaluation checklist for experts, a student satisfaction survey and focus group sessions. Quantitative data were analysed using SPSS Version 23.0 and the qualitative data was analysed using content analysis as described by Graneheim and Lundman (2004). Results The evaluation checklist for experts revealed that the developed SLP was considered suitable for undergraduate students. It encouraged active learning, teamwork and accommodated diverse learning styles. The package was easy to use and offered opportunities for student feedback. The student satisfaction survey revealed that the pre-simulation support received was adequate and helpful, and the post simulation outcomes showed that using high fidelity simulation improved clinical skills, knowledge, critical thinking, self-confidence and satisfaction. The focus group sessions revealed that the SLP was an innovative and interactive method of learning; it improved the student's perception of their clinical competence, stimulated critical thinking and increased self-confidence. Conclusion A simulation learning package, that uses high fidelity simulation, can be an innovative and interactive method to teach midwifery emergencies.

      PubDate: 2017-05-17T17:04:25Z
      DOI: 10.1016/j.hsag.2016.11.004
      Issue No: Vol. 22 (2017)
  • Exploring the stigma related experiences of family members of persons with
           mental illness in a selected community in the iLembe district,

    • Authors: Celenkosini Thembelenkosini Nxumalo; Gugu Gladness Mchunu
      Pages: 202 - 212
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Celenkosini Thembelenkosini Nxumalo, Gugu Gladness Mchunu
      Background Stigma in mental illness is a serious social problem which has a multitude of consequences on the individual concerned, as well as his or her family. Research has shown that families of persons living with mental illnesses are often subjected to stigma by virtue of their association with such a person. The stigma of families is seen in the form of assignment of blame, social isolation and rejection. This stigma subsequently perpetuates a cycle of disability on the part of the patient and family. Purpose To explore the stigma related experiences of family members of persons with mental illness in a selected community in the iLembe district of KwaZulu-Natal (KZN), in order to develop recommendations to help families cope with such stigma. Methods This was a descriptive qualitative study; data was collected from a purposive sample of six family members, which resulted in data saturation. Semi-structured interview questions were used during data collection and content analysis using Creswell's (2009) method was done to analyse the data; resulting in the formation of themes and sub-themes which were supported by the participants' responses and existing literature. Results Participants reported experiencing stigma from the community in the form of isolation, blame and exploitation, community neglect, as well as labelling and stereotyping. The majority of the participants reported using emotion-focused coping mechanisms to deal with the stigma they faced. Participants suggested that education of communities regarding the myths and facts about mental illness may help to curb the stigma faced by the family members of persons with mental illness. Conclusion Based on the results of this study, it was recommended that a combination of coping strategies, together with the integration of public and private sector support, be used to holistically deal with family related stigma. It was found that ground level education and support to families is the key to curbing family related stigma of mental illness, local NGO's and the clinics would be instrumental in this area.

      PubDate: 2017-05-22T21:08:55Z
      DOI: 10.1016/j.hsag.2017.02.002
      Issue No: Vol. 22 (2017)
  • A concept analysis of young adults; Perception of HIV Counselling and

    • Authors: Patrone Rebecca Risenga; Mashudu Davhana-Maselesele
      Pages: 213 - 220
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Patrone Rebecca Risenga, Mashudu Davhana-Maselesele
      Aim The aim of the study was to investigate perceptions of young adults regarding HIV Counselling and Testing (HCT) and the factors contributing to either negative or positive perceptions towards the programme. This article is a report of a concept analysis of young adults' perceptions of HCT that were collected during the study. Background Perception forms the core of HIV Counselling and Testing (HCT) use by young adults, because it is from these perceptions that young adults will decide to follow an HCT programme or not, depending on how they perceive the programme. HCT as an entry point in HIV and AIDS services should be accessible and young adults' perceptions towards the programme be promoted in order to assist them to develop positive perceptions towards the programme, which will enhance its uptake. Data sources A literature search was undertaken using internet search engines, different journals, websites and electronic literature indexes. A sample of 60 documents met the criteria. The inclusion criterion was any article addressing perceptions in psychology, social sciences, nursing and education were reviewed. Review method A concept analysis was conducted according to the steps of Rodger and Knafl (2000); Walker and Avant (2005) and Wilson (1963). Results Perception has been defined as a constructive process that relies on a top–down processing. This entails that people make inferences about what they see and try to make a best guess as to what the object is all about. Attributes for perception were defined as intensity and physical dimension of stimulus, past experiences, and attention factors such as readiness to respond to the stimulus, motivation and emotional state of the subject. Consequences include increased HCT uptake by young adults, a positive lifestyle, a reduction in the spreading of HIV and AIDS and lowered HIV statistics amongst young adults. Conclusion The study findings related to HCT and perceptions paved the way towards a further understanding of HCT as an entry programme in HIV/AIDS services or programmes in relation to young adults. The ability of young adults to use their auditory senses to hear the nurses talk about HCT and HIV, the ability to see the attitudes displayed by HCT counsellors, and their perceptions with regard to lack of privacy, together with a lack of treatment for HIV made young adults to perceive HCT programme as being of less importance to them.

      PubDate: 2017-05-22T21:08:55Z
      DOI: 10.1016/j.hsag.2017.01.007
      Issue No: Vol. 22 (2017)
  • Use of online interactive tools in an open distance learning context:
           Health studies students' perspective

    • Authors: Kefiloe Adolphina Maboe
      Pages: 221 - 227
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Kefiloe Adolphina Maboe
      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.

      PubDate: 2017-07-11T22:33:04Z
      DOI: 10.1016/j.hsag.2017.02.001
      Issue No: Vol. 22 (2017)
  • Utilisation of mobile health by medical doctors in a Zimbabwean health
           care facility

    • Authors: Chester Marufu; Kefiloe Adolphina Maboe
      Pages: 228 - 234
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Chester Marufu, Kefiloe Adolphina Maboe
      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.

      PubDate: 2017-07-11T22:33:04Z
      DOI: 10.1016/j.hsag.2017.03.002
      Issue No: Vol. 22 (2017)
  • Reported exposure to trauma among adult patients referred for
           psychological services at the Free State Psychiatric Complex, Bloemfontein

    • Authors: Laurisa van Zyl; Carla Nel; Martie du Toit; Gina Joubert
      Pages: 235 - 240
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Laurisa van Zyl, Carla Nel, Martie du Toit, Gina Joubert
      Background Information regarding lifetime exposure to potentially traumatic events is critical in the management of various psychiatric disorders. Recent South African research suggests high levels of trauma exposure in the general population, however, the prevalence and type of potentially traumatic events among tertiary psychiatric patients are unknown. Objective The study aimed to explore and describe the extent and nature of reported potentially traumatic events and associated variables in adult patients referred for psychological services at the Free State Psychiatric Complex (FSPC), Bloemfontein. Methods In this cross-sectional study, demographic information, diagnostic morbidity and co-morbidity, and presence and type of reported trauma exposure reported by patients during the initial assessment were obtained from files of adult patients seen during a one-year period (2010) at the out-patient unit and the in-patient affective ward at the FSPC. Data were captured on data record forms by the researchers and analysed by means of descriptive statistics, univariate analysis and logistic regression (SAS version 9.1). Results Of the 192 adults (71.9% White and 67.2% female) referred for psychological services, 75.5% were diagnosed with mood disorders, 17.2% with anxiety disorders, 22.4% with substance-related disorders and 20.9% with cluster B personality disorders or traits. A total of 145 (75.5%) reported past trauma exposure. The most frequently reported types of trauma exposure were traumatic death/injury of a loved one (37.0%), physical assault (24.5%), witnessed/threatened violence (19.3%), and sexual assault (17.7%). Women were more likely to have been exposed to trauma than men (OR 4.02, 95% CI 1.87–8.62), in particular to traumatic death of a loved one (OR 3.13), physical assault (OR 4.08), or sexual assault (OR 5.43). Conclusions The findings of this study contribute to current data regarding the prevalence of exposure to trauma and its possible association with mental illness. The importance of comprehensive trauma exposure screening in routine psychiatric interviewing practices is highlighted.

      PubDate: 2017-07-11T22:33:04Z
      DOI: 10.1016/j.hsag.2017.01.001
      Issue No: Vol. 22 (2017)
  • An elderly, urban population: Their experiences and expectations of
           pharmaceutical services in community pharmacies

    • Authors: Alta Janse van Rensburg; Irma Kotze; Martie Susanna Lubbe; Marike Cockeran
      Pages: 241 - 251
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Alta Janse van Rensburg, Irma Kotze, Martie Susanna Lubbe, Marike Cockeran
      Objective The aim of this study was to determine the pharmaceutical services experiences of an elderly, urban population in relation to their expectations in community pharmacy. Design and setting: The study was a cross-sectional descriptive empirical study and was conducted by means of a structured questionnaire, designed and administered by the researcher, in face-to-face interviews at an old age residence in the participants' own dwellings (N = 242). The management of this specific village approached the researcher about healthcare concerns for their residents and granted permission for this study to be conducted. Main outcome and results The sample population of elderly patients (n = 67) had a higher expectation of community pharmacists, in terms of pharmaceutical services, than what they had experienced. Significant differences were found in all aspects examined. Effect size, amongst others, revealed that expectations were not met in discussions about the effect of other medicines on their chronic medicine (d = 1.94); whether they had any medicines left from previous issues (d = 1.77) and questions regarding existing chronic conditions (d = 1.69). There was an association between questions, regarding the use of chronic medicines at pharmacies and at other healthcare professionals (d = 0.26), as well as the supply of written information at pharmacies and other healthcare professionals (d = 0.42). The study reveals that this population has expectations of their community pharmacists that are not met. Conclusions Pharmacists can be active members of the healthcare team and restore their professional image in the eyes of the community, if they renew their attitudes, have confidence in their abilities and understand their role in patient care. The community pharmacist should focus on the health-related quality of life of the individual patient and identify the immediate healthcare needs of their unique community, with specific reference to vulnerable populations like the elderly. Pharmacists should establish themselves as the go-to healthcare professional.

      PubDate: 2017-07-11T22:33:04Z
      DOI: 10.1016/j.hsag.2016.12.002
      Issue No: Vol. 22 (2017)
  • Effect of personal and work stress on burnout, job satisfaction and
           general health of hospital nurses in South Africa

    • Authors: Natasha Khamisa; Karl Peltzer; Dragan Ilic; Brian Oldenburg
      Pages: 252 - 258
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Natasha Khamisa, Karl Peltzer, Dragan Ilic, Brian Oldenburg
      The majority of studies to date have focused on the effects of work stress in the nursing environment, with the effect of personal stress in nursing being less explored. This study sought to determine whether personal stress is a more significant predictor of burnout, job satisfaction and general health than work stress. Of the 1200 nurses randomly selected to participate in the study, 895 agreed to complete six questionnaires over 3 weeks. Data was analysed using hierarchical multiple linear regression. Findings revealed that personal stress is a better predictor of burnout and general health than job satisfaction, which is better predicted by work stress. The findings of this study could inform potential solutions to reduce the impact of personal and work stress on burnout, job satisfaction and general health. Coping strategies and staffing strategies need to be evaluated within developing contexts such as South Africa to ascertain their effectiveness.

      PubDate: 2017-07-24T12:42:03Z
      DOI: 10.1016/j.hsag.2016.10.001
      Issue No: Vol. 22 (2017)
  • Lived experience of patients on tuberculosis treatment in Tshwane, Gauteng

    • Authors: Oluwafunmilayo Olabisi Akeju; Susanna C.D. Wright; Todd M. Maja
      Pages: 259 - 267
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Oluwafunmilayo Olabisi Akeju, Susanna C.D. Wright, Todd M. Maja
      Tuberculosis is one of the communicable diseases that still contributes substantially to the worldwide disease burden and is still a major health threat worldwide. In order to gain a better understanding of being a patient taking tuberculosis treatment and to improve adherence to treatment, this phenomenological study was conducted to explore the lived experience of patients on tuberculosis treatment. The population comprised patients in an identified tuberculosis clinic in Tshwane who had been on treatment for at least four months and who were able to communicate in English. The data gathering instrument was self-report by in-depth interview. Some of the main themes that emerged include influence of personal social situation, influence of good social support and disclosure, experience of taking medication daily and knowledge about tuberculosis treatment. Findings revealed that the personal social situations of the participants which include accommodation, unemployment and nutritional requirements influenced the adherence of the participants to treatment. It was discovered that good social support had an influence on adherence which could only be enjoyed when the treatment and diagnosis of tuberculosis is disclosed to the family members and friends. Some of the participants, who had been non-adherent in the past, attributed the reasons for their non-adherence to the side effects that they experienced. Lastly, participants also reported knowledge about tuberculosis, that is, knowledge about its causes, treatment and prevention, as crucial for adherence to treatment.

      PubDate: 2017-07-24T12:42:03Z
      DOI: 10.1016/j.hsag.2017.03.001
      Issue No: Vol. 22 (2017)
  • A review of the transportability of cognitive therapy for the treatment of
           PTSD among South African rape survivors

    • Authors: Anita Padmanabhanunni
      Pages: 268 - 274
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Anita Padmanabhanunni
      This study aimed to evaluate the transportability of cognitive therapy (CT) for rape survivors with PTSD to South African conditions. Ten local treatment outcome studies investigating the transportability of CT were identified and appraised. The common elements of CT for PTSD including psychoeducation, exposure therapy and cognitive restructuring of trauma-related appraisals were found to be transportable to local contexts. Contextual factors that can complicate treatment delivery were also identified namely exposure to multiple traumatic events, HIV, absence of safety and support in the external environment and language barriers. The augmentations made to an existing evidence-based treatment protocol to address these contextual factors are described.

      PubDate: 2017-09-03T04:31:08Z
      DOI: 10.1016/j.hsag.2017.01.005
      Issue No: Vol. 22 (2017)
  • A conceptual framework to facilitate clinical judgement in nursing: A
           methodological perspective

    • Authors: Anna Catharina van Graan; Martha Johanna Susanna Williams
      Pages: 275 - 290
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Anna Catharina van Graan, Martha Johanna Susanna Williams
      The South African health care and education systems are challenged to provide independent, critical thinking nurses who can cope with diversity in a creative way and define their role in a complex, uncertain, rapidly changing health care environment. Quality clinical judgement is an imperative characteristic that newly qualified professional nurses should possess. To accommodate these needs, SANC in line with the SAQA Act, advocated the development of teaching and learning strategies to balance theory and practice opportunities together with an outcome-based, studentcentred approach and appropriate clinical supervision. This resulted in a positive outcome to facilitate the integration/fusion of theory and practice. The purpose of this study was to synthesise a teaching–learning strategy for creating an enabling learning environment to facilitate clinical judgement in South African undergraduate nursing students. The proposed teaching–learning strategy is grounded in modern-day constructivist approach of learning. The conceptual or theoretical framework of this study aimed to link the central concepts that were identified from the conclusions of four (4) strategic objectives of the two preceding phases of the study into a new structure of meaning that served as a basis for the proposed strategy. The implementation of the proposed action plan to achieve the stated strategic objectives should empower the relevant role players to facilitate clinical judgement in undergraduate nursing students and thereby promote autonomous and accountable nursing care.

      PubDate: 2017-09-03T04:31:08Z
      DOI: 10.1016/j.hsag.2017.01.004
      Issue No: Vol. 22 (2017)
  • Evidence-based recommendations to facilitate professional collaboration
           between allopathic and traditional health practitioners

    • Authors: Rachel Magdalena (Dalena) van Rooyen; Blanche Pretorius; Nomazwi Maudline Tembani; Wilma ten Ham-Baloyi
      Pages: 291 - 299
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Rachel Magdalena (Dalena) van Rooyen, Blanche Pretorius, Nomazwi Maudline Tembani, Wilma ten Ham-Baloyi
      Background Globally, and in South Africa, there is an increased demand for consulting both traditional and allopathic health practitioners. As both health practitioners are working within the same communities, their respective practices could complement or undermine the health of consumers using both health services. Professional collaboration between traditional and allopathic health practitioners is therefore desirable and requires collaboration between the systems, which is currently legislated by the Traditional Health Practitioners Act 22 of 2007. However, in the Eastern Cape, no evidence-based recommendations were found that facilitated the collaborative relationship between the two health practitioner groups. Purpose of the research To develop evidence-based recommendations aimed at facilitating professional collaboration between allopathic and traditional health practitioners for the benefit of patients. Methodology Descriptive evidence-based recommendations to enhance professional collaboration between both groups of health practitioners were developed based on focus group interviews with allopathic practitioners (n = 10) and individual interviews with traditional health practitioners (n = 18) (traditional health practitioners (n = 14) and traditional healers who are also allopathic health practitioners (n = 4)) practising in the Amathole District in the Eastern Cape, South Africa. Dickoff et al.'s (1968) Survey List was used as a conceptual framework. Results Collaboration was hampered by allopathic practitioners demonstrating negative attitudes by not referring patients to traditional practitioners based on lack of knowledge and mutual understanding of each other's practices. Suggestions for collaboration made by both groups resulted in the development of two distinct sets of evidence-based recommendations. The first set of recommendations aims to enhance professional collaboration between both groups of health practitioners. This is done through facilitating mutual understanding based on respect and acceptance between the different practitioners. The second set of recommendations aims to enhance professional collaboration through facilitating open communication between different practitioners. Conclusion These evidence-based recommendations can be used to facilitate professional collaboration between allopathic and traditional health practitioners resulting in mutual understanding and open communication, enhancing team work in a multi-professional environment, and ultimately leading to improved patient care.

      PubDate: 2017-10-04T11:39:05Z
      DOI: 10.1016/j.hsag.2017.05.001
      Issue No: Vol. 22 (2017)
  • e-Learning readiness amongst nursing students at the Durban University of

    • Authors: Marilynne Coopasami; Stephen Knight; Marí Pete
      Pages: 300 - 306
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Marilynne Coopasami, Stephen Knight, Marí Pete
      e-Learning and other innovative open learning multimedia modalities of delivering education are being introduced to enhance learning opportunities and facilitate student access to and success in education. This article reports on a study that assessed students' readiness to make the shift from traditional learning to the technological culture of e-Learning at a university in Durban. A quasi-experimental study design was employed to assess such readiness in first year nursing students before and after an appropriate educational intervention. A modified Chapnick Readiness Score was used to measure their psychological, equipment and technological readiness for the change in learning method. It was found that, while students' psychological readiness for e-Learning was high, they lacked technological and equipment readiness. Although e-Learning could be used in nursing education, technological and equipment readiness require attention before it can be implemented effectively in this institution. Fortunately, these technical aspects are easier to resolve than improving psychological readiness.

      PubDate: 2017-10-13T21:56:11Z
      DOI: 10.1016/j.hsag.2017.04.003
      Issue No: Vol. 22 (2017)
  • A student-facilitated community-based support group initiative for Mental
           Health Care users in a Primary Health Care setting

    • Authors: Leana Meiring; Maretha Visser; Nicola Themistocleous
      Pages: 307 - 315
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Leana Meiring, Maretha Visser, Nicola Themistocleous
      Background South African Mental Health Care (MHC) legislation advocates for supportive rehabilitative services in Primary Health Care (PHC) settings. PHC settings are often understaffed and MHC nurses in these settings overburdened with high patient loads. Alternative cost-effective psycho-social intervention strategies must be explored to supplement the overstrained MHC sector to meet the rehabilitative and supportive needs of service users in community settings. Using a social constructionist epistemology, this study aimed to highlight the value of a community-based support group for MHC users at a Tshwane District Community Health Centre. This was done by exploring the meaning group members attached to the group. The intervention was a collaborative partnership between a local University Psychology Department and the Department of Health, Tshwane District, utilising post-graduate psychology students as group facilitators. Methods Qualitative research methods were applied. Data were collected using semi-structured interviews and a collage-making and storytelling method. Thematic analysis highlighted the main themes representing the meaning the five participants ascribed to the group. Results The findings suggest that the group offered the participants a sense of belonging and a means of social and emotional support. The group also created opportunity for learning, encouraged mental and physical mobilisation and stimulation, and served as an additional link to professional services. Conclusion The findings suggest that student-facilitated support groups could offer a viable supplement for offering support to service users in PHC settings. The group assisted MHC users to cope with symptoms, social integration, and participating in meaningful activities as part of rehabilitation services.

      PubDate: 2017-11-02T16:56:12Z
      DOI: 10.1016/j.hsag.2017.04.004
      Issue No: Vol. 22 (2017)
  • Community caregivers' perspectives of community well-being in a mining

    • Authors: Vicki Koen; Elizabeth Hermina Ryke; Martha Jacoba Watson; Elize Sonja Van Eeden
      Pages: 316 - 324
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Vicki Koen, Elizabeth Hermina Ryke, Martha Jacoba Watson, Elize Sonja Van Eeden
      Mining communities throughout the Southern African Development Community are faced with numerous challenges impacting on their wellbeing. As part of an integrative multidisciplinary research project, this study sought to explore aspects that affect community wellbeing in the informal Bekkersdal mining community in South Africa from the perspective of local community caregivers. An explorative-descriptive qualitative study including 22 mainly female (91%) participants who were purposively sampled was conducted. As part of data collection, participants answered a series of open-ended questions in a questionnaire and kept journals. Thematic analysis was used to analyze that data. The results indicate aspects that either promote (contribute to) or hinder community wellbeing.

      PubDate: 2017-12-11T22:31:44Z
      DOI: 10.1016/j.hsag.2017.05.002
      Issue No: Vol. 22 (2017)
  • Nurses experiences regarding staffing patterns in the surgical wards of a
           private hospital in Gauteng South Africa

    • Authors: Moloko Malatji; Hafisa Ally; Agnes Makhene
      Pages: 325 - 332
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Moloko Malatji, Hafisa Ally, Agnes Makhene
      Background Staffing patterns refers to the number and types or categories of staff assigned to the particular wards in a hospital. Staffing patterns that accommodate imbalanced patient to nurse ratios can affect nursing staff negatively. The negative experiences increased emotional stress, physical exhaustion, high nurse turnover and consequences of poor patient outcomes. The high patient to nurse ratios and the profitability factor of private hospitals virtually dictates the type of staffing patterns that are used in these wards. As such, the current staffing patterns appear to require nursing staff to work longer shifts as well as overtime work without a choice, the consequences of which are the effects highlighted above. Purpose The purpose of this study was to explore and describe nurses' experiences regarding staffing patterns in the surgical wards of a private hospital in Gauteng in order to develop recommendations for staffing patterns in these wards. Methodology A qualitative, exploratory, descriptive and contextual research design was used. Data was collected by means of in-depth semi structured individual interviews from a purposive sample of professional nurses working in the surgical wards of this hospital. Data was analysed using Tesch's method of qualitative thematic analysis. Principles of trustworthiness and ethical principles to ensure the protection of human rights were applied throughout the study. Results The findings of the study revealed one central theme which reflected that participants experienced the staffing patterns of the surgical wards negatively. Two main themes emerged as, nurses had negative experiences in the surgical wards as well as negative emotional experiences related to the staffing patterns. Conclusion It is evident from the findings of the study that nurses are experiencing staffing patterns negatively.

      PubDate: 2017-12-17T21:25:03Z
      DOI: 10.1016/j.hsag.2017.04.002
      Issue No: Vol. 22 (2017)
  • Needs and challenges of lay community health workers in a palliative care
           environment for orphans and vulnerable children

    • Authors: Bonita Bernice Visagie; Jace Pillay
      Pages: 333 - 341
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Bonita Bernice Visagie, Jace Pillay
      Introduction The escalation of HIV/AIDS infections in the last decade has increased the need for palliative care community organizations to care for orphans and vulnerable children, who are in dire need of support. Many of these organizations depend on the services of lay community health workers to provide constant care to those in need of it in their local communities. The focus of this study is to explore the role of lay health workers in a community organization located in rural Bronkhorstspruit, Gauteng Province of South Africa. That provides palliative care for orphans and vulnerable children diagnosed with HIV/AIDS. Their roles were analysed critically through a job-demands and job-resources theoretical framework. Methods A descriptive phenomenological case study design was employed to collect data through twenty five individual interviews, two separate focus groups consisting of ten participants in one group and eleven participants in the other group, observations and document analysis. Data were processed through a rigorous thematic analysis. Results The findings pointed out specific knowledge and skills these lay community health workers needed in order to be satisfied with, and successful in, their administration of palliative care to orphans and vulnerable children. Participants identified the following organizational challenges that were deemed to be impacting negatively on their work experiences: the lack of career pathing processes; sufficient career guidance; and inadequate employment processes, such as staff retention, succession planning, and promotion. Conclusion Through the findings, a framework for enhancing the work experiences of the lay community health workers was developed. The uniqueness of this framework is that the focus is on improving the work lives of the lay community health workers, who have serious skills-resourcing needs. There were specific concrete strategies that the organization could adopt to support the knowledge and skills requirements of the lay community health workers in relation to the needs and challenges that will enhance their efficiency in the palliative care environment. The findings and framework that emanated from this study could be used to support lay community health workers in their respective organizations to be more effective in the support they provide to orphans and vulnerable children. Because South Africa is afflicted by the HIV/AIDS epidemic, this framework can be used in similar organizations that are working with lay community health workers with skill-resourcing needs not only in the health sector, but also in other sectors, such as in education and agriculture.

      PubDate: 2017-12-27T06:49:07Z
      DOI: 10.1016/j.hsag.2017.04.001
      Issue No: Vol. 22 (2017)
  • Editorial comments on 2016 volume of HSAG

    • Authors: Marie Poggenpoel
      Abstract: Publication date: Available online 9 March 2017
      Source:Health SA Gesondheid
      Author(s): Marie Poggenpoel

      PubDate: 2017-03-09T13:38:03Z
      DOI: 10.1016/j.hsag.2016.12.001
  • Young families become mindful of their possibilities through the
           appreciation of their family life

    • Authors: Marie Poggenpoel; Frieda E. Jacobs; Chris P.H. Myburgh; Annie M. Temane
      Pages: 1 - 8
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Marie Poggenpoel, Frieda E. Jacobs, Chris P.H. Myburgh, Annie M. Temane
      Young families, as viewed through a multi-generational lens, provide the environment in which children can be nurtured and socialised. The purpose of the research is to explore and describe how the parents and grandparents of young families appreciate their family life. A qualitative, exploratory, descriptive and contextual multiple case study design was used to conduct the study. Purposive sampling methods were applied to select families according to the sampling criteria, each family representing an individual case study. Appreciative inquiry interviews were conducted with the young parents and available grandparents, during which the participants were asked four open-ended questions. Data collection was enriched by means of reflective letters to participants, collages created by the young parents, and the researcher's field notes and journal inscriptions. The data collected from each individual case study was analysed and then synthesised by means of a cross-case analysis. A cross-case validation report was compiled. The themes and categories that emerged from the data were discussed. The research study concluded that when young families embarked on a journey of discovering their strengths and potential in the larger family system, they creatively envision and discovered the possibilities to transform their destiny in a purposeful and constructive way.

      PubDate: 2016-11-13T23:46:13Z
      DOI: 10.1016/j.hsag.2016.08.003
      Issue No: Vol. 22 (2016)
  • Best practice during intrapartum care: A concept analysis

    • Authors: Mary M. Chabeli; Jackie M.L. Malesela; Anna G.W. Nolte
      Pages: 9 - 19
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Mary M. Chabeli, Jackie M.L. Malesela, Anna G.W. Nolte
      Rationale Best practice is an abstract word open to different interpretations. The definition of best practice depends on the context. Purpose The purpose is to explore the meaning of the concept of best practice within the context of intrapartum care. Method The concept of best practice was analysed using Wilson's method of concept analysis. Dictionaries, a thesaurus, and an internet search were employed. References of journals were used to identify extra sources. Data saturation was reached at 117 definitions and uses of the concept of best practice. The definitions and uses of the concept of best practice listed in column one were read repeatedly. Common and similar patterns of words were highlighted. Grouping of common attributes and connotations occurred in column two and further deductive analysis and synthesis occurred in column three where derived essential attributes of the concept of best practice were categorised. Results Three broad categories emerged, namely (1) Values as antecedents of best practice; (2) A three-phased interactive integrative cyclic process of best practice; (phase one: awareness; phase two: need analysis and interactive process; phase three: consolidation); and (3) Desired outcomes of best practice, with resultant theoretical definition of the concept best practice during intra-partum care. Theoretical validity was attained through 117 sources used. Recommendation The results of the concept analysis of best practice should be used to develop a model to facilitate best practice during intra-partum care.

      PubDate: 2016-11-21T10:31:34Z
      DOI: 10.1016/j.hsag.2016.07.006
      Issue No: Vol. 22 (2016)
  • The conceptualization of family care during critical illness in
           KwaZulu-Natal, South Africa

    • Authors: J. de Beer; P. Brysiewicz
      Pages: 20 - 27
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): J. de Beer, P. Brysiewicz
      Introduction In recent years there has been a movement to promote patients as partners in their care; however this may not always be possible as in the case of critically ill patients, who are often sedated and mechanically ventilated. This results in family members being involved in the care of the patient. To date, this type of care has been represented by three dominant theoretical conceptualizations and frameworks one of which is family centered care; however there is a lack of consensus on the definition of family centered care. Hence the objective of this study was to explore the meaning of family care within a South African context. Methodology This study adopted a qualitative approach and a grounded theory research design by Strauss and Corbin (1990). Participants from two hospitals: one private and one public were selected to participate in the study. There was a total of 31 participants (family members, intensive care nurses and doctors) who volunteered to participate in the study. Data collection included in-depth individual interviews. Open, axial and selective coding was conducted to analyse data. Nvivo data analysis software was used to assist with the data analysis. Findings The findings of this study revealed that family care is conceptualized as togetherness, partnership, respect and dignity. Conclusion During a critical illness, patients' families fulfil an additional essential role for patients who may be unconscious or unable to communicate or make decisions. FMs not only provide vital support to their loved one, but also become the “voice” of the patient.

      PubDate: 2016-12-12T00:34:31Z
      DOI: 10.1016/j.hsag.2016.01.006
      Issue No: Vol. 22 (2016)
  • Strengths of families to limit relapse in mentally ill family members

    • Authors: Tlhalefi T. Tlhowe; Emmerentia du Plessis; Magdalene P. Koen
      Pages: 28 - 35
      Abstract: Publication date: December 2017
      Source:Health SA Gesondheid, Volume 22
      Author(s): Tlhalefi T. Tlhowe, Emmerentia du Plessis, Magdalene P. Koen
      Background Relapse prevention in mental health care is important. Utilising the strengths of families can be a valuable approach in relapse prevention. Studies on family strengths have been conducted but little has been done on the strengths of family members to help limit relapse in mental health care users. The purpose of this research was to explore and describe the strengths of family members in assisting mental health care users to limit relapses. Methods A phenomenological design was followed. Purposive sampling was used and 15 family members of mental health care users who have not relapsed in the previous two years participated. Individual unstructured interviews were conducted. Data were analysed using thematic analysis. Results Four main themes were identified, namely accepting the condition of the mental health care users, having faith, involving the mentally ill family members in daily activities and being aware of what aggravates the mentally ill family members. Conclusions Family members go through a process of acceptance and receive educational information and assistance from health professionals. In this process families discover and apply their strengths to limit relapses of mentally ill family members. It is important that family members caring for mentally ill family members are involved in their treatment from the onset, and that they are guided through a process of acceptance.

      PubDate: 2016-12-19T07:50:04Z
      DOI: 10.1016/j.hsag.2016.09.003
      Issue No: Vol. 22 (2016)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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Fax: +00 44 (0)131 4513327
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