Theses and dissertations (Health Sciences)
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Item Exploring the supernumerary status of student nurses in the clinical learning environment at two selected private nursing colleges in Durban, Kwa-Zulu Natal(2022-05-13) Naidoo, Roshini; Razak, A.; Naidoo, V.Background Nursing is a practice whereby learning in the clinical environment is just as important as the theoretical component. While specialised training and an abundance of knowledge and skill is required to synchronise patient care with the increased burden of disease globally, a report by the International Council of Nurses, has found that major changes in any healthcare system necessitates the need for nurses to upskill and acquire knowledge for the transition from a novice nurse to an expert. This has made clinical supervision necessary for the experiential foundation for nursing knowledge, skills, and values, allowing it to be to be integrated and applied in the clinical environment. Purpose of the study The purpose of the study was to describe the current role of student nurses registered in the Diploma in General Nursing programme and to explore the perceptions of student nurses of their supernumerary role in the clinical learning environment. Methodology A qualitative, exploratory, descriptive design, was adopted, to explore the supernumerary status of student nurses in the clinical learning environment at two selected private nursing colleges in Durban, a city in the province of KwaZuluNatal, South Africa. Data was collected from in-depth, one-on-one interviews with twenty student nurses and the findings were analysed using Creswell’s step-bystep approach to data analysis. Findings Four major themes that emerged from the data analysis were a) Integration of theory and practice; b) Influences relating to the teaching and learning area; c) Supervision of nursing students; d) Communication. Conclusion Nursing care is a core element in the clinical environment as knowledge and skills are an integral part of clinical practice in a healthcare facility. Patient care has been given top priority in South Africa by SANC, Department of Health (DoH) the Council on Higher Education (CHE), legislation, guidelines, procedures and programmes, hence there was a need to change the nursing curriculum in 2020. The findings of this study hopefully, will generate awareness for the need to support and guide student nurses in achieving the specific learning outcomes as stipulated in the SANC curriculum, by allowing clinical practice opportunities. Therefore, an understanding of the evolving changes in the SANC curriculum regarding student nurses functioning under a supernumerary status in the clinical learning environment, will significantly contribute to the accomplishment of competent graduate nurses rendering holistic patient care.Item Clinical learning environment and supervision of student nurses' in a private nursing college : a cross sectional study(2021-05-27) Mbonambi, Maureen Phindile; Orton, Penelope Margaret; Radana, Nolundi (Jevu)ABSTRACT BACKGROUND: it is in my view that nursing education relates to the process of teaching and learning, given by nurse educators and clinical facilitators to nursing students. The teaching and learning process is conducted in a special Clinical Environment (CLE) entailing theoretical and practical learning. In addition to the teaching personnel, the clinical facilitators are responsible for placement of students in positive learning facilities for practical orientation in the clinical learning outcomes. It is these interactive processes that determine the state of readiness of the students in regards to their suitable attitudes required to provide nursing care. AIM OF THE STUDY: The purpose of this study is to describe nursing students’ experiences of clinical learning and clinical supervision at a private nursing college in eThekwini, in order to achieve improvements. METHODOLOGY: This study is influenced and guided by the quantitative, descriptive cross-sectional survey. It was done among student nurses (n = 120) at a private nursing college in eThekwini which offers the bridging course leading to registration as a Registered Nurse (R683) (South African Nursing Council 2006). In this study, data was gathered using the Clinical Learning Environment and Supervision (CLES) questionnaire developed by Mikko Saarikoski (2002), and it was analyzed by means of IBM SPSS statistics version 21. RESULTS: According to the study a general consensus has provided meaningful situations in the clinical learning environment. The clinical managers should give feedback to student nurses as it enhances their learning process. DISCUSSIONS: Findings in this study revealed that most participants were motivated and optimistic, and according to them, there was a positive clinical atmosphere; which is the most important features of a good clinical environment. RECOMMENDATIONS: It is encouraged that the clinical facilitators make more visits to the wards where the students are allocated for greater learning ability by the students. Professional nurses in the wards are to create a positive learning environment and use the presence of the students to maintain trust and prevent confusion.Item Guidelines to enhance the human caring attributes amongst the undergraduate nursing students and nurse graduates in KwaZulu-Natal(2020-06-10) Zikalala, Nomusa Penicca; Sibiya, M. N.; Jinabhai, C. C.The nursing profession needs caring individuals. Graduating nurses who interrelate with others in an empathetic and compassionate manner is obligatory for nursing to uphold the image of being a caring profession. Not only nursing’s reputation is at stake, but also having caring or uncaring nurses does have financial bearing in healthcare. South Africa is witnessing a sharp increase in medical malpractice litigation as patients increasingly become aware of their rights in a setting of an overburdened health system with limited resources. The consequences of increased litigation are a further reduction in the state’s ability to finance health care because of large pay-outs and a continuing increase in malpractice premiums in the private sector. Aim The aim of this study was to critically analyse the role played by theoretical and clinical learning experiences, in influencing the development of human caring attributes among undergraduate nursing students and newly graduated professional nurses (less than five years of experience) in the province of KwaZulu-Natal (KZN) in order to establish clear guidelines that could be used by lecturers to enhance human caring attributes among the nursing students. Methodology The convergent mixed method design (Qualitative + Quantitative) was used in the current study. This method allowed the researcher to use concurrent timing to implement the qualitative and quantitative strands during the same research process, prioritise both methods equally, but kept the strands independent and only mixed the quantitative and qualitative results during the overall interpretation. The quantitative aspect enabled the researcher to gather information from undergraduate nursing students and newly graduated professional nurses (less than five years of experience) from both selected KZN College of Nursing (KZNCN) and University of Technology (UoT) using the Caring Behaviour Inventory Tool after the researcher received permission from the author. The qualitative aspect allowed the researcher to gather information from the newly graduated professional nurses (less than five years of experience) and nursing students’ from KZNCN and UoT, understanding of the concept human caring, to explore the intrinsic and extrinsic factors related to the development of human caring attributes from their perspectives and to determine their experiences in both the theory and the clinical setting that contributed to the development of human caring attributes through semi-structured in-depth interviews. Focus group discussions with nurse educators from the selected KZNCN and UoT as well as nurse managers and nursing students from DUT and KZNCN practice, also enabled the researcher to gather some rich information from these participants. The quantitative data was analysed using version 25.0 of the Statistical Package of Social Sciences and the qualitative data was analysed using Tech’s method of data analysis. Findings The quantitative data showed that the nursing students and newly graduated professional nurses had a clear idea regarding the constituents of caring in nursing. The findings identified a caring nurse as being giving the patient information, so that he/ she can make a decision, supporting the patient, giving good physical care, giving instructions or teaching the patients, treating patient information confidentially, making the patient physically or emotional comfortable, helping to reduce the patients’ pain, encouraging the patient to call if there are problems, showing respect for the patient and giving good physical care. The qualitative findings of the current study revealed that there was a unanimous agreement amongst the nurses irrespective of their professional ranks about the understanding of the concept human caring. These findings also revealed that the lack of human and material resources, unconducive working environment and lack of management support impact negatively on the quality of patient care as well as nursing students’ integration of theory into practice. The researcher also established clear guidelines that can be used by lecturers to enhance human caring attributes among the nursing students. Recommendations for implementation and evaluation of the effectiveness of the developed guidelines were suggested for future research.