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    Guidelines for disclosure of traditional medicine use to allopathic medicine practitioners by patients who use both traditional and allopathic medicines at selected hospitals in Gauteng, South Africa
    (2022-11) Gumede, Lindiwe; Nkosi, Pauline Busisiwe; Sibiya, Maureen Nokuthula
    Background Within the South African context, the concurrent use of traditional medicine (TM) and allopathic medicine (AM) is often not disclosed to allopathic medicine practitioners (AMPs) during a consultation. It is quite common for patients to consult with traditional health practitioners (THPs) prior to reaching out to AMPs for further assistance. When compared to AM, TM used by patients who use both TM and AM has on many occasions been perceived as a sub-standard treatment option. Non-disclosure of TM use by patients who use both TM and AM may render the AM prescribed by the AMPs ineffective if not detected in a timely manner. While there is literature that identifies the reasons why patients who use both TM and AM do not disclose this to AMPs during a consultation, no guidelines have been developed to focus on facilitating disclosure by these patients. Aim The aim of the research was to explore and describe the perceptions of AMPs regarding disclosure of TM use to AMPs by patients who use both TM and AM and ultimately to develop guidelines for disclosure of TM use to AMPs at selected hospitals in Gauteng. Methodology An exploratory, descriptive, qualitative research design was employed. The opinions of AMPs who met the non-probability, purposive sampling inclusion criteria were explored and described. Data was gathered through one-on-one, masked semi-structured interviews and qualitative observations of AMPs in their natural environment. The findings were triangulated and integrated with Petronio's communication privacy management (CPM) theory as a theoretical framework informing the study to help delineate correspondence concerning the phenomenon. Findings The findings of the one-on-one, semi-structured interviews reveal that the practice of AMPs in Gauteng regarding the concurrent use of TM and AM by patients they consult with is limited by their knowledge of the TM used by these patients. Secondary elements of non-disclosure include stigma, AMP attitudes, AMP training, belief systems, lack of knowledge, lack of communication skills, scoffing at TM and prejudice. The research findings prompted the development of guidelines and recommendations for stakeholders involved in patient care and management in Gauteng.
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    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 Patience
    Background 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.