Faculty of Health Sciences
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Item Guidelines to facilitate acceptance of student accoucheurs in clinical practice at the Free State maternal healthcare institutions(2018) Madlala, Siphiwe Themba; Sibiya, Maureen Nokuthula; Ngxongo, Thembelihle Sylvia PatienceBackground In South Africa, the South African Nursing Council (SANC) introduced a four-year comprehensive programme leading to registration as a Nurse (General, Psychiatric and Community) and Midwife, Regulation R425 of 22 February 1985 as amended. This regulation requires student nurses to be trained in all disciplines irrespective of their gender. Student accoucheurs studying at the Free State School of Nursing are faced with resistance, discrimination, rejection and unacceptability by pregnant women during their clinical placement at the Free State maternal health care institutions. Considerable studies have been conducted on males in nursing, but no guidelines have been developed to facilitate student accoucheurs’ acceptance in maternal health care. Aim of the study The aim of the study was to explore and describe the views of student accoucheurs and women regarding the maternal health care services rendered by student accoucheurs, and ultimately to develop guidelines to facilitate acceptance of student accoucheurs in clinical practice at the Free State maternal health care institutions. Methodology An explorative, descriptive, and qualitative research design was employed to conduct the study. The views of student accoucheurs and women, who fulfilled the inclusion criteria for purposeful sampling, were explored and described. Two data collection sets were used to collect data, namely: individual face to face semi- structured interviews with pregnant women and focus groups with student accoucheurs. Data were analysed thematically, and the findings were triangulated with the integration of Peplau’s Theory of Interpersonal Relations as a theoretical framework guiding the study to enable drawing of commonalities regarding the phenomena. ii Findings The findings revealed that women in the Free State Province are culturally and religiously diverse and have different beliefs, values and practices regarding the presence of student accoucheurs in maternal health care institutions. There were a number of contributing factors to resistance, including embarrassment, fear of being seen naked by other men, lack of career knowledge about nursing, age of student accoucheurs and non-exposure to maternal health care services rendered by accoucheurs. The findings of the research study led to the development of guidelines and recommendations for their implementation by stakeholders involved in student accoucheurs’ training in the Free State Province.Item Perceptions of young males at the Free State School of Nursing with regards to teenage pregnancy(2015-03) Madlala, Siphiwe Themba; Sibiya, Maureen Nokuthula; Ngxongo, Thembelihle Sylvia PatienceIntroduction Teenage pregnancy is a socioeconomic challenge and an important public health problem for communities in South Africa. Considerable research has been done on teenage pregnancy in South Africa but it focused mostly on teenage girls. Aim of the study The aim of the study was to explore and describe young males’ perceptions, to identify the roles they play in this phenomenon and to determine the factors that influence their perceptions as well as their practices regarding teenage pregnancy. Methodology A qualitative, explorative, descriptive design was used to conduct the study. The study was guided by the Johnson Behavioural Model System. The study population consisted of young males who were studying at the Free State School of Nursing. Data saturation was achieved after interviewing 10 participants. The four major themes emerged from data obtained were as follows: Theme 1: Perceptions regarding teenage pregnancies, Theme 2: Risk factors leading to teenage pregnancies, Theme 3: Cultural and traditional practices influencing perceptions about teenage pregnancies, Theme 4: Measures to prevent teenage pregnancies. Thematic analysis of data was done. Results The findings of this study revealed that young males were not involved in reproductive health programmes aiming to prevent teenage pregnancies. They lacked knowledge regarding the use of, and the available types of contraceptives. Cultural and traditional practices such as misinterpreting circumcision and cultural beliefs, including misconceptions about sexual practices, played a crucial role such as not using contraceptives during sexual intercourse that could lead to teenage pregnancy. This study recommends that young males need to be actively involved in reproductive health.