Masters Degrees (Nursing)

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An analysis of patients' awareness and attitude concerning end of life issues.
(2002) Khanyile, Bathini Purity.; Ncama, Busisiwe Purity.; Bhengu, Busisiwe Rosemary.
This study was conducted using a qualitative descriptive approach. It was based on an analysis that was done to determine awareness and attitude of patients in end of life issues. The semi-structured interviews were conducted for data collection. A sample of ten patients, five inpatient and five outpatient, was purposively chosen. Permission was obtained from the hospital superintendent and heads of departments, and also consent from patients, for the study. Data was analyzed, using the NVIVO program, a computer software, for data coding, and a conceptual model for categorization. From the findings, the researcher concluded that poor communication causes lack of knowledge in patients, which in turn limits the capacity for decision making in patients. The researcher also noted that participants were not aware of their autonomy in decision-making.
An analysis of the nurse managers' interpretation of the National Health Insurance Policy, its implications for implementation in healthcare facilities in the eThekwini district.
(2012) Mthembu, Nozipho Nokwazi Henrietta.; Bhengu, Busisiwe Rosemary.
Background: The government of South Africa has focused on Primary Health Care and implementation of the National Health Insurance (NHI) as part of the plan to reform the South African health care system. This is based on the principle of the right to healthcare and the right to access health care facilities. Aim: The aim of this study was to analyse the Nurse Managers’ interpretation of the National Health Insurance Policy and, its implications for implementation on their roles and responsibilities in health care facilities. Methodology: The sequential mixed method approach was conducted. There was direct interaction (semi structured interviews) with the Nurse Managers as well as a survey (questionnaires) for both qualitative and quantitative phases. Qualitative data was collected and analysed first, and an instrument was developed based on the analysed data from the qualitative phase to collect quantitative data. Setting: EThekwini district comprising of two district hospitals, three Community Health Centres (CHC) and four Private healthcare facilities were selected. Participants: Nurse Managers in the public Primary Health Care facilities and private hospitals in the EThekwini district. These were Nurse Managers (top middle and lower levels) from the public healthcare facilities (district hospitals, Community Health Centres, primary health clinics) middle and lower levels in the private facilities. Data Analysis: A thematic analysis was used in the qualitative phase. Descriptive statistic was used in the quantitative phase to describe and synthesize data (Polit and Beck 2004) as well as inferential numeric analysis (Creswell 2009). Findings: The findings in both the qualitative and quantitative data revealed that the participants demonstrated a general impression on the NHI rather than specific understanding; hence the researcher believes that there was more general than specific knowledge and interpretation of the NHI policy. The participants’ display of lack of knowledge and understanding of the concept NHI and the implementation process was an indication that there was lack of personal development in relation to expectations from the nurse managers concerning NHI though there is a lot of publicity in this respect from the government and media. There are national policies and guidelines for all citizens to access. Recommendations: The recommendations were made for sharing with the policy makers and seniors in the healthcare facilities in order to improve nursing management, nursing education and nursing research.
The attitudes and perceptions of health care professionals to alternatives to blood transfusion : a case with Jehovah's Witnesses patients in a critical care setting.
(2004) Mjoli, Vuyiswa Yvonne.; Bhengu, Busisiwe Rosemary.
Aim: The aim of this study was to explore the attitudes and perceptions of health care professionals to alternatives to blood transfusion for Jehovah's Witnesses patients in a critical care setting. Methodology: Quantitative and qualitative approaches were used to explore the attitudes and perceptions of health care professional to alternatives to blood transfusion, in a critical care setting. The study was conducted in four largest hospitals in the Durban Metropolitan area, of which two were public and two private. A questionnaire was used as tool for collecting data. Space was provided to accommodate comments from the respondents in the questionnaire. Analysis of findings was done quantitatively by using a computer programme called SPSS (Statistical Packages for the Social Sciences), version 11.5. Themes that emerged from the participant's responses were classified under categories in the conceptual framework and analysed qualitatively. Findings: Most of the respondents had mixed feelings about using alternatives to blood transfusion. The study revealed, however, that although alternatives to blood transfusions were commonly used in a critical care setting, some of the respondents did not know about the different types of alternatives available. Furthermore, it was evident from the respondent's comments that most of them had a positive attitude to people who refused blood transfusion and preferred alternatives. Research into suitable alternatives to blood transfusion was encouraged by most of the respondents. However, transfusion transmitted diseases emerged as a current concern over and above the religious concerns. Recommendations for the future were made for the health care professionals working in critical care setting, nurse educators and nursing management.
A comparative descriptive study of the perspectives of families and nurses regarding the needs of families in adult intensive care unit in two tertiary hospitals in eThekwini district.
(2010) Tao, Zhiqiang.; Bhengu, Busisiwe Rosemary.
The aim of this study was to describe and compare the needs of families of critically ill patients in two adult ICUs from both the family and the nurses' perspectives. A non-experimental descriptive survey design with a quantitative approach was used to explore the family members' needs in an ICU situation. For this study, a non-probability convenience sample of 50 critical care nurses and 50 family members from adult Intensive Care Units (ICUs) in two tertiary hospitals was used. The Critical Care Family Need Inventory (CCFNI) (Molter, 1979) was used as a data collection instrument. There were different perceptions of family needs between families and nurses. Nurses were accurate with 21 (47%) of the 45 families' need items which was less than half of their perceived family needs compared to family members' perceptions despite the fact that the two groups were in agreement with 5 of the first 10 most important needs. Recommendations for future practice included incorporation of educational programmes for critical care nurses concerning family needs in ICU settings, and the provision of specific in-service training to improve communication skills. Critical care unit, critical care nurse, critically ill patient, family, family member, needs, perception, critical care nursing.
An exploratory study of the lived experiences of critical care nurses with Muslim traditional illness practices.
(2003) Emmamally, Waheeda.; Bhengu, Busisiwe Rosemary.
Aim: The aim of the study was to explore the lived experiences of critical care nurses with Muslim traditional practices. Methodology: A phenomenological approach was used in the study to gain the critical care nurses' perspectives of Muslim traditional illness practices. The realised sample was six participants, from intensive care units within one provincial and one private hospital. The researcher applied the principle of theoretical saturation, which was achieved at the verifying interviews of the participants. Two semi- structured interviews were conducted with each participant an initial and a verifying interview, each of which lasted 20 - 30 minutes. All interviews were recorded and transcribed. Manual data analysis was used to identify categories and themes. Findings: The participants were open-minded to the Muslim clients' belief system on healing and agreed that the clients' cultural beliefs took precedence over their own beliefs. The participants believed that Muslims relied on traditional illness practices as these provided them with hope and faith in times of despair as well as provided them with emotional and spiritual contentment. A number of methods were used by the participants to acquire knowledge about Muslim traditional illness practices. There was great support for the delivery of culturally sensitive care amongst the critical care nurses. Recommendations were suggested for nursing education, nursing practice and further research to facilitate the creation of a culturally sensitive climate in health care delivery.
Exploring nurses knowledge, practices and perceptions regarding comprehensive oral care for critically ill patients among intensive care unit (ICU) nurses in Botswana.
(2011) Sarefho, Annah Philo.; Bhengu, Busisiwe Rosemary.
Background: Comprehensive oral care is an evidence-based, cost effective, essential routine nursing intervention that nurses ought to provide with good knowledge/understanding as it prevents and controls nosocomial infections especially Ventilator Associated Pneumonia (VAP) that is associated with increased morbidity and mortality in critically ill patients in Intensive Care Units (ICU). Aim of study: To determine ICU nurses’ knowledge, describe their practices and identify their perceptions regarding comprehensive oral health care to critically ill patients in order to refine or develop evidence based oral care protocol. Methods: A quantitative approach with a descriptive, exploratory survey was used for this study. A non probability convenience sample of thirty-four (34) ICU nurses from two public referral hospitals participated in this study. A questionnaire with a combination of open and closed ended questions was used to collect data on comprehensive oral care to critically ill patients. Results Thirty-four nurses responded to the questionnaire (response rate 89%). Only 18% (n=6) were knowledgeable about important aspects of oral care, while the majority, 82% (n=28) lacked knowledge on important aspects of oral care. Fifty-nine percent (59%) n=20 had received training on comprehensive oral care at basic nursing training and 44% (n=15) had orientation at unit level. Ninety-seven percent (97%) n=33 of the participants requested further updates on comprehensive oral care. No significant relationships were found between nurses’ demographic characteristics and knowledge of comprehensive oral care. All (100%) n=34 of nurses gave oral care a high priority and 91% ranked it very important for critically ill patients. Toothbrushes and toothpaste were used by 85% (n=29) of nurses and only 50% (n=17) used mouthwashes. The reason for non- use of mouthwashes was lack of supplies and not having been foreseen in unit protocol although neither of the units had an oral care protocol in place.
Exploring the nursing students' utilization of family planning methods in a selected nursing education institution in Umgungundlovu District, KwaZulu-Natal.
(2010) Vinkhumbo, Gugu Aretha.; Bhengu, Busisiwe Rosemary.; Mchunu, Gugu Gladness.
AIM. The aim of this study was to describe the utilization of family planning methods by the nursing students in the selected nursing education institution. METHODOLOGY. A non-experimental descriptive survey design with a quantitative approach was used to describe the utilization of family planning methods by the nursing students. For the study, the quota sampling technique where 106 nursing students were selected. A self-developed questionnaire based on a conceptual framework, study objectives, and existing questionnaires was used as a data collection instrument. FINDINGS. The results yielded by the study showed that 63.9% (n = 62) used family planning methods before coming to college which was the majority of the respondents. Of the total number of participants, 35.1% (n = 34) who never used family planning methods before were still not using any method. The majority of students using family planning methods perceive this as beneficial. The perceived self-efficacy by the users is also high. A recommendation for future practice is that there should be health information available to students during orientation. The name used for these services may also need to be looked at. The qualitative study on the topic may yield different or similar results.
Factors that facilitate adherence to haemodialysis therapy amongst patients with chronic renal failure.
(2004) Shabalala, Thandekile M.; Brysiewicz, Petra.; Bhengu, Busisiwe Rosemary.
A study was done to examine factors that facilitate adherence to haemodialysis therapy amongst patients with chronic renal failure and the sources of support available to them. A self developed questionnaire was used to collect data from the respondents. The respondents were purposive and conveniently selected according to the set criteria. The sample consisted of 118 respondents that were selected from four hospitals, two provincial hospitals and two private hospitals. Permission to conduct the study was requested by means of written letters to all people concerned. Letters granting permission were obtained from the two provincial hospitals. The Heads of the Renal Units of the two private hospitals gave verbal permission. Data was analyzed using the Statistical Package for the Social Sciences (SPSS 11.5). Demographic data was analysed through frequency counts. Crosstabulations using Chi-square analysis was performed to test the relationship between the factors that facilitate adherence to haemodialysis therapy and the indicators for adherence. The results were presented in the form of Tables and Figures (Graphs). From the findings the researcher concluded that in order for a haemodialysis patient to adhere to therapy restrictions, the following should be adequate: physical factors, socio-economic factors, psychosocial factors which also encompasses cultural factors. Health education proved to be having a very good impact. Higher level of education is not that essential as long as the patient can read, write and understand the instructions. Religious factors did not have much effect on facilitation of adherence to haemodialysis therapy.
An investigation into the knowledge and practice of securing informed consent for surgery by health care workers in a selected institution in KwaZulu-Natal.
(2017) Ngwenya, Jabulani Goodman.; Bhengu, Busisiwe Rosemary.
Background: Patients undergoing elective surgery experience fear and anxiety because they do not know what to expect and most of them lack knowledge about their legal rights as far as surgery is concerned. Pre-operative information should be provided by members of the multidisciplinary health team, for example the surgeon, anaesthetist, nurse and physiotherapist (Chetty and Ehlers, 2009) so that the patient can foster realistic post-operative expectations and co-operate in his/her wellness. Problem statement: Illiteracy is found to be one of the problems faced by the patients globally, nationally and provincially. In developing African countries religious and cultural issues, uneducated and unsophisticated patient population, as well as pressure of work for health care workers, also pose serious challenges in conveying adequate information to the patient (Ezeome et al., 2011). The purpose: The purpose of the study was an investigation into the knowledge and practice of securing informed consent for surgery by health care workers in a selected institution. Methods: A quantitative approach was taken, whereby orderly, disciplined procedures were used to acquire information. The researcher adopted census and convenient sampling. This study included 61 HCWs in the selected units or wards,15 HCWs observed securing informed consent from the patients, and 31 signed consent forms covering a period of one month were reviewed retrospectively for completeness. A questionnaire with close ended questions for knowledge, and observation and record review checklists for practice were utilised for data collection. Results: The return rate of 76.25 per cent (n=61) was achieved after three reminders through phone calls and visits. The study indicated that there was a discrepancy in the knowledge and practice of informed consent by surgeons. Though efforts were made to ensure understanding in terms of the use of layman‘s language, some important aspects of the information were not shared, for example, risks related to anaesthesia and surgery, adverse effects of blood transfusion, potential undesirable effects of surgery, ventilation (for patients who need ventilation after surgery), length of hospital stay for surgery, and other treatment options, for example, asking for a second opinion. In addition, health care workers sometimes displayed paternalistic attitudes towards patients, possibly relating to the patients‘ illiteracy and language barriers.
Investigation of educational preparation and practice of ICU nurses in providing psychosocial support to families of ICU patients in two educational institutions in KZN .
(2010) Khan, Thazaya.; Bhengu, Busisiwe Rosemary.
Aim: The aim of this study was to investigate the educational shortcomings as evident in the literature reviewed with the intention of developing intervention/s thus contributing to practice, management, research and education. Background: Literature identifies many limitations in psychosocial support to families of patients in ICU. Little is known about the continued educational support the ICU nurses receive, formally and informally, to empower them to provide psychosocial support to the families of ICU patients. Methodology: The mixed method (concurrent triangulation design), was adopted using the survey for both the quantitative and qualitative approach. In-depth interviews, conversations, participative observation and the review of documents were used to collect data. Collection of data occurred simultaneously. A research instrument and guide were used to obtain quantitative and qualitative data respectively. Setting: Purposive sampling was used for the selection of hospitals within which the chosen ICUs were located and the educational institutions which provided the formal education and training to ICU nurses who worked in these hospitals. Participants: The qualitative arm involved interviews with a purposively selected sample of critical care nurses. Saturation was reached after nine interviews. A sample size of 34 (n=34) was used in the quantitative arm of the study. Convenience sample was used. Data Analysis: A mixed method approach was adopted. The study applied a thematic analysis according to the qualitative analysis described by Creswell 2007. Descriptive statistics were used to summarize data and findings were presented in tables and graphs. The SPSS version 15.0 and STATA statistical package calculate non – parametric tests between selected study variables. Findings: The main themes derived from the qualitative analysis and confirmed by the statistical data demonstrated the manner in which continued education preparation was inadequate, the lack of specific clinical accompaniment, the lack of direction in terms of the philosophy of the units, ICU nurses being left on their own to obtain educational preparation. The results indicated that the lack of continued informal education at the unit and hospital level influenced the ICU nurses’ lack of implementation of psychosocial support to families of ICU patients. Statistical results and qualitative themes were converged and integrated during data analysis. Jamerson et al.’s (1996) model of family experience was used to contextualise the findings. Recommendations: Recommendations arising from the study were made for improvements in nursing practice, nursing management, nursing education and future nursing research. A practice checklist was formulated and expert opinion was sought using the Nominal Group Technique.
The perceptions of HIV negative pregnant women towards HIV preventative sexual behaviour in one of the regional hospitals in Durban.
(2005) Msebeni, Sibongile.; Bhengu, Busisiwe Rosemary.; Myeza, T. T.
The aim of the study was to explore the perceptions of the HIV negative pregnant women, after their hiv negative results, towards preventive sexual behaviour. Methodology: A qualitative approach was used in exploring the perceptions of hiv negative pregnant women and describing their behaviour according to the findings. Fifteen participants were interviewed. Two semi - structured interviews were conducted with each participant, an initial interview and a verifying interview, for the purpose of saturation and verification. Each interview lasted for 20 - 30 minutes. The interviews were recorded and transcribed. Manual data analysis was used to identify categories and themes. Findings: The study revealed that the participants knew what the negative status entailed. They were also aware that there is a chance of hiv negative person being infected by hiv virus if they do not engage in preventive sexual behaviour. Furthermore, they had also disclosed their hiv negative status to their partners and most of the partners refused to go for testing. Though the participants believed that it was necessary to use condoms even if they were hiv negative, most of them had not use condoms during their last sexual intercourse. Reasons for not engaging in preventive sexual behaviour were revealed by the study. Recommendations were suggested for clinical practice, nursing education, management and research.
A study of perceptions of workplace stress amongst registered nurses working in selected care areas in public hospitals in Umgungundlovu District province of KwaZulu-Natal.
(2013) Majola, Ntombizakhona Clementine.; Bhengu, Busisiwe Rosemary.; Brysiewicz, Petra.
Nurses work in the environment which presents excessive psychological demands with a low to moderate job control. Depending on the level of social support they receive from the colleagues and supervisors, they perceive their work circumstances to be laden with excessive job demands, in the absence of social support. On the other hand they perceive their work circumstances to be facilitating, with less perceptions of workplace stress, in the presence of social support. Workplace stress results from a combination of factors. There is a three way interaction between job demands (qualitative aspects) job control (skill discretion and decision-making latitude) and social support. Social support moderates the perceptions of workplace stress from the work environment among registered nurses. A Job Content Questionnaire and Perceived Stress Scale instrument was used to describe the levels of perceived stress among registered nurses. There was a significant relationship between job demand and selected care units the participants were working in. There was no significant relationship between job control and the units the participants were working in. The study revealed a highly significant relationship between the population and race and job demand. Age and job demand was highly significant, the younger the nurses’ age was, the higher the incidence of perceived workplace stress. There was a highly significant relationship between job demand and social support. The study did not detect the direction of the relationship among variables. Hypothesis testing revealed that the distribution of perceived workplace stress was normal, thus the null-hypothesis was retained. Availability of social support, capacity building and real world preparation for nurse training, a combination of qualitative and quantitative approaches, were the recommendations for nursing practice, management, education and future research.

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Browsing Masters Degrees (Nursing) by Author "Bhengu, Busisiwe Rosemary."