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Browsing Nursing by Subject "Action research."

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    Developing an intervention model to manage caregiver burden experienced by family caregivers of patients living with end-stage renal disease in Nigeria.
    (2017) Oyegbile, Yemisi Okikiade.; Brysiewicz, Petra.
    The purpose of the study was to develop and implement an intervention model to manage caregiver burden experienced by family caregivers of patients with End-Stage Renal Disease in South-West Nigeria. The model that was developed may be used by nurses to assist these family caregivers. Methodology Using an action research process, a complementary mixed-method data collection strategy explored and described the extent of caregiver burden, and described family caregivers’ experiences of caregiving. With assistance from the research team, 96 participants were selected for the quantitative aspect of the study, and 15 for the qualitative aspect. Through the cyclical nature of the action research, establishing and exploring the experiences of family caregivers later resulted in the emergence of the crucial concepts and the development of the model. The knowledge process development of Chinn and Kramer (2011) guided the development of an intervention model, and the model implementation process was facilitated by the use of an implementation checklist. Findings On measuring the caregiver burden, the family caregivers experienced moderate to severe burden in all domains of care. Family caregivers’ descriptions of their experience of family caregiving led to the identification of five categories, namely: disconnectedness with others and self; never-ending burden; “feeling like “a fool being tossed around”; obligation to care and promoting a closer relationship. The diagrammatical model to manage caregiver burden resulted from the collaboration of the research team members, and the crucial concepts emerged from the integration of the findings from the study and the interrogation of the existing literature. Model implementation was not evaluated and feedback from nurses and family caregivers indicated that they were excited that the process helped them to manage their burden as caregivers. Conclusion and recommendations Family caregivers’ need for support should be addressed when they begin caregiving, and then subsequently as they continue to provide care, so that they their health is not compromised. There is a need for the implementation and evaluation of this model to assist family caregivers cope with the challenges of prolonged caregiving.
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    Teaching and learning coping strategies adopted by teenage mothers during coronavirus disease lockdown in Makhado Municipality, Limpopo Province.
    (2023) Moganedi, Shonisane Emily.; Mudau, Tshimangadzo Selina.
    Background: The COVID-19 pandemic exposed inequalities in access to technology between rich and poor, rural, and urban, girls and boys and across and within countries. The other negative social and health related impacts that COVID-19 and related restrictions had on the poorest, most marginalized, and vulnerable sectors of society are likely to have been disproportionately affected by school closures due to COVID-19. Teenage mothers living in rural areas have fewer resources such as access to the internet, smartphones, and computers to adapt to and implement measures needed to continue with online learning during school closures. The aim of the study was to explore and describe teaching and learning coping strategies adopted by teenage mothers in the rural communities of Makhado Municipality during the coronavirus disease lockdown in Limpopo Province, South Africa. Design: The study adopted a qualitative critical participatory action research through the community engagement approach. Methods: Purposive and snowballing recruitment were employed in this study. Methods of generation of data included semi-structured face-to-face interviews which were audio-taped, transcribed verbatim, and participatory arts were also applied to generate data. Data was analysed using qualitative thematic analysis. Findings: Thematic analysis of data revealed that teenage mothers experienced challenges such as stigma and discrimination, stress, inability to cope with self-study, financial constraints in caring for and supporting their babies, lack of gadgets and the internet essential for home learning, and inconsistent support from parents and teachers. Recommendations: Policies need be reviewed to address the issue of stigmatization and discrimination in schools. Authorities in education need to be geared in enriching social change towards transformative learning and addressing the issue of the digital divide in rural communities. Conclusion: It was concluded that the COVID-19 pandemic has broadened a huge gap between the rich and the poor, urban and rural learners. It was concluded by the researcher that there was evidence of social segregation and social injustice for teenage mothers in teaching and learning.