Theses and dissertations (Health Sciences)
Permanent URI for this collectionhttp://ir-dev.dut.ac.za/handle/10321/12
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Item A comparative descriptive survey of the professional values of final year student nurses in a college and a university in KwaZulu-Natal(2019) Malambe, Mumcy Zandile; Orton, Penelope Margaret; Razak, A.Introduction: There have been a lot of complaints from the public about professional nurses’ conduct and lack of caring in South African health care facilities. Nurses don’t seem to care about patients and the public cannot trust the nurses due to the way nurses treat patients in the health care facilities. Student nurses are socialised with nursing professional values during their training either from a university or from a nursing college and are expected to have mastered these professional values by the final year of their studies before they go and practice as professional nurses. Aim of the study: The aim of the study was to describe and compare the professional values of final year student nurses in a college and a university in KwaZulu-Natal. Methodology: A quantitative survey design was used to describe and compare the professional values of final year student nurses doing the comprehensive four-year course. A validated Nurses Professional Value Scale (NPVS) 26 item revised questionnaire was used to collect data from 128 college and 83 university students after receiving ethical clearance. Non-probability sampling using a Random and consecutive sampling was used to select the college campuses and the students were selected using purposive sampling method. Analysis was undertaken using SPSS version 23. Results: The descriptive statistics reported on the five factors of the NPVS, which were patient privacy, ethical practice, activism, research and leadership. The majority of the sample viewed patient privacy and ethical practice as the most important values and leadership and research was rated low. There was a statistically significant difference in professional values between the college and the university respondents, with the university respondents scoring higher than the college respondents which indicated that university respondents had more professional values than college respondents. Recommendations: This included teaching and assessment of professional values, ethical practice in clinical placement, leadership training for student nurses and self- directed learning to update their knowledge and research.Item The impact of moral distress on the provision of nursing care amongst critical care nurses in the eThekwini District(2016) Ragavadu, Rita; Sibiya, Maureen Nokuthula; Pillay, PadminiIntroduction Moral distress is a widely recorded phenomenon in the nursing profession. It can be described as a form of distress that occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. Moral distress impacts patients, nurses and the organization. If the nurse is unable to advocate for her or his patient and avoidance behaviour occurs, increased patient suffering result. Moral distress results in high staff turnover, decreased quality patient care and low patient satisfaction. Unrelieved moral distress jeopardizes nurse’s sense of self-worth and threatens their integrity. Aim of the study The aim of the study was to determine the impact of moral distress on the provision of nursing care amongst critical care nurses. Methodology A quantitative descriptive design was used to determine the intensity and frequency of moral distress amongst critical care nurses, to assess the impact of moral distress on the provision of nursing care to the patient as well as to evaluate the effectiveness of organisational strategies implemented to reduce moral distress. Critical care nurses from both private and public hospitals were selected to participate in the study. Data was collected by means of a survey using the moral distress scale which was revised to meet the objectives of the study. A non-probability purposive sampling technique was utilised to gather data from a sample size of 100 critical care nurses currently working in the critical care environment. Results The study indicates that the frequency and intensity of moral distress is related to specific clinical situations in the critical care environment. The study also specifies that moral distress continues to have a negative effect on the provision of nursing care. Critical care nurses feel that some strategies are effective whereas others are not at all effective. Impact of the research study This study reveals that there is a significant negative effect of moral distress on the provision of nursing care. Nurses experience challenges in the clinical environment that result in them experiencing moral distress. Nurses more attuned to the ethical dimensions of care may be more at risk for moral distress since these nurses see the moral dimensions of nursing being neglected. Nurses may find themselves distancing themselves from patient care, resulting in a perceived lack of care and concern for the patient.