Faculty of Health Sciences
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Item Knowledge and practices of radiographers when imaging children with non-accidental injuries at a public hospital in KwaZulu-Natal, South Africa(2020-11-30) Lekaota, Olehile Edward; Nkosi, P. B.Non-accidental injury (NAI) in children is defined as an abuse, where injury is inflicted intentionally. Radiographers are the first point of care to identify the area with injury and provide x-ray films to show that the injuries result from NAIs. The research shows a dearth of studies on knowledge and practice of radiographers when imaging children with NAIs. It is imperative to understand this information in order to provide training for radiographers, and ultimately improve the diagnosis of NAIs, so that children can be protected from the abuse. Aim of the study The purpose of the study was to explore radiographers’ knowledge and practice when imaging children with NAI in order to develop them in this aspect and ultimately recommend training required. Methodology An exploratory, qualitative research design using a case study approach was employed in this research. Criterion sampling was used to select a public hospital that treats children with injuries in KwaZulu-Natal. Homogenous sampling was used to select radiographers employed by this hospital to participate in the study and a sample size of 10 radiographers participated in this study. Semi-structured, face-to-face and one-on-one interviews utilising open-ended questions were used to collect data from the participants. Data collection stopped with the 8th participant when data became saturated. Data was transcribed verbatim before data analysis. Tesch’s method of data analysis was used in the analysis. Findings Collected raw data was transcribed and proceeded with thematic analysis where the following themes merged; knowledge of NAI in children, care of children with NAI, practice when imaging children with NAI, quality of images in children with NAI and acquiring knowledge of NAI in children. The study revealed that radiographers lack knowledge and practice on imaging children with NAI. The study findings also identified factors that compromise a lack of knowledge and practice. Conclusion It is vital for radiographers to attain knowledge and practice on imaging children with NAI so as to enable them to detect a suspected NAI case. The intervention of Government on the implementation of relevant policies pertaining NAI, will assist radiographer and other medical team to follow all required procedures elicit the evidence of NAI. The participants of the study insist they require training on how to treat and classify NAI cases, and the ultimately goal is to secure the safety and protection of children.Item Knowledge, understanding and perception of parents towards the utilization of chiropractic treatment for paediatric patients in the Durban Metropolitan area(2016) Cawood, Hughnique; Basson, Petro Magdalena; Maharaj, PraveenaINTRODUCTION: The utilization of complementary and alternative medicine (CAM) in the treatment of paediatric patients is increasing, especially the utilization of chiropractic treatment for children. However controversy exists regarding the reasons why parents may or may not choose to utilize chiropractic treatment for children. Parents are the gatekeepers to care as they consent to all treatment that is given to their children. Parents that have a lack of knowledge and understanding regarding chiropractic, as well as a negative perception regarding chiropractic treatment for children may be reluctant to choose chiropractic treatment as a treatment option. Both positive and negative opinions regarding chiropractic treatment have been identified in other populations in South Africa which emphasizes the need to explore the way parents feel about chiropractic treatment for children. A lack of knowledge and understanding of CAM has been identified as a reason for underutilization. Insight into the status of knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients in the Durban Metropolitan Area equips the profession to better understand how parents view chiropractic treatment for children. AIMS AND OBJECTIVES: The main aim of this research was to explore and describe the knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients. The outcomes of such a study can provide useful information which can serve as a baseline from which education and chiropractic treatment awareness can be built, as well as dispelling any misconceptions and myths regarding chiropractic treatment for children. RESEARCH DESIGN: An explorative, descriptive, qualitative research design was followed in this research. This research design was chosen in order to evaluate the knowledge, understanding and perception of parents regarding the utilization of chiropractic treatment for paediatric patients, within the Durban Metropolitan area. RESEARCH METHODOLOGY: Semi-structured interviews were conducted with participants of the Durban Metropolitan Area in order to determine the current knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients within this area. Interviews were conducted with the participants until saturation was met, after which an additional five interviews were conducted. A total of 13 interviews were analyzed. The data was transcribed and coded by the researcher as well as a co-coder. NVivo software was utilized for the coding process. RESULTS: It was found that the participants had a lack of knowledge and understanding regarding chiropractic treatment for children. The participants felt that this lack of knowledge and understanding of chiropractic treatment for children left them unsure, resulting in the non-use of this form of treatment for their children. The participants were however not opposed to the utilization of chiropractic treatment for children; they felt fear and concern regarding chiropractic treatment as they felt they were uneducated regarding the outcome of the treatment, what the treatment would involve and the reasons why chiropractic treatment should be utilized for children. The participants mentioned that if they had increased knowledge and understanding they would feel more comfortable in utilizing chiropractic treatment for their children. The participants felt that they did not have the resources to learn more about chiropractic treatment and they showed interest in learning more about chiropractic treatment for children. Recommendations were made for further research and for the chiropractic profession regarding increasing the knowledge and understanding of parents regarding chiropractic treatment.