Unisa Press Journals (University of South Africa)
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Evaluation of the Training Given to Emergency Department Nurses on Ventrogluteal Site Injection Administration: A Quasi-Experimental Study
No full textEvidence-based data recommends injection to the ventrogluteal (VG) site instead of the dorsogluteal (DG) site for intramuscular injection (IMI) due to the risk of sciatic nerve damage. Despite this, it has been seen that nurses do not prefer this site due to insufficient information and negative opinions. The aim of this study was to determine how the training on administering an injection to the site provided to the nurses affects their knowledge, view and preference for the practice. The study design was a single-group, quasi-experimental pretest-posttest. The study was conducted with 30 nurses in the Adult Emergency Service of Hacettepe University Hospitals in Ankara, Turkey, between May and August 2020. The data was collected by using a nurse information form and forms that evaluated the nurses’ knowledge, opinions and practices regarding using the VG site. The data was analysed by using number, percentage, mean, standard deviation, Friedman test, Wilcoxon test, and McNemar test. As a result of the study, it was found that while the views of 86.7% (n = 26) of the nurses about the VG site changed positively after the training, the mean score of the VG site was 14.80+3.09 before the training, and 18.50+1.68 after the training (p < .001). After the training, 7 of 16 nurses started to prefer the VG site for injection administration (p > .05). The training provided on the VG site increased the knowledge of nurses, changed their views, and affected their preference for the practice. It is recommended that nurses repeat the training on IMI administration to the VG site and assess their abilities on a regular basis
Challenges of Nursing Students during Clinical Practice in Emergency Department: A Case Study
No full textBackground: Transitioning from theoretical studies to practical scenarios, particularly in the Emergency Department (ED), poses significant challenges for nursing students. These challenges include high time pressure, the complexity of cases, and the urgent nature of situations often encountered. The impact can lead to increased stress levels, a higher workload, and a potential lack of confidence in handling situations that require quick and accurate responses. This study investigated the initial adaptation process of these students, known as Ners, emphasising their environmental adjustment, interpersonal skill enhancement, professional development, and emotional coping strategies.
Method: This qualitative study engaged 25 nursing students in ED rotations from November 2023 to March 2024. It utilised detailed interviews, participatory observation, and document analysis, employing thematic analysis to unearth key themes.
Results: Four central themes emerged: acclimatisation to the clinical environment, dynamics of relationships and interactions, skills and competencies enhancement, and coping with emotional and psychological challenges. Initially challenged, students gradually became accustomed to the ED\u27s demands, enhancing their professional and social skills and developing effective stress management strategies.
Conclusion: The findings highlight the necessity for comprehensive preparation and ongoing support and suggest significant implications for improving nursing education and practices within the ED
Methods for Gestational Age Estimation during Pregnancy in Africa: A Scoping Review
No full textMonitoring foetal growth and managing pregnancy complications require the precise determination of gestational age. Estimation of gestational age during pregnancy is of utmost importance as it assists with the identification of high-risk pregnancies like polyhydramnios, multiple pregnancy and intrauterine growth restriction. The purpose of the SR was to map the evidence of estimation of gestational age during pregnancy in Africa using the Joanna Briggs Institute (JBI) Scoping Review Methodology. Electronic search engines were used to search articles published from 1 January 2013 to 31 December 2023. A total of 79 eligible articles were retrieved and uploaded to Rayyan – a web and mobile app for systematic reviews. The selection process included title and abstract screening as well as full text article screening, which resulted in 19 articles. A Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) flow chart was developed to report the 19 studies identified for final SR. There was a minimal publication of studies between 2013 and 2014 with a marked increase in 2019 (n = 4) and 2020 (n = 4). Countries where studies were done included Northern Africa (n = 3), Eastern Africa (n = 3), Western Africa (n = 3), Central Africa (n = 2), Southern Africa (n = 3), and multiple countries (n = 5). Among the 19 articles included in the SR, 16 adopted a quantitative design. This scoping review (SR) identified several methods for gestational age estimation, namely, ultrasound; last menstrual period (LMP); symphysis fundal height (SFH); and clinical data. More systematic reviews should be conducted on the estimation of gestational age to add to the information obtained from the SR
Indigenous Practices of Women during Pregnancy, Labour and Puerperium among Cultural Groupings at Selected Hospitals in Limpopo Province, South Africa
No full textIndigenous practices are performances that occur naturally in a region. Most women believe in Indigenous practices because of their cultures and social structure. In South Africa, regardless of the availability and accessibility of maternal and child health services, 50% of women still consult traditional birth attendants as their first choice during pregnancy, labour, delivery and postnatal care. A qualitative research approach was applied with an explorative and descriptive design to explore the Indigenous practices of women during pregnancy, labour and puerperium among cultural groupings. Non-probability purposive sampling was used to select 25 participants and data was collected through semi-structured interviews with a guide until data saturation was reached. Data was analysed using tech’s open coding method. The study showed most women use Indigenous practices for protection against witchcraft and a fear of caesarean section. This study will help pregnant women to be aware of the harmful Indigenous practices that can affect their own health and that of their baby. It will also help nurses provide holistic nursing care, taking into consideration pregnant women’s cultures and beliefs. The study recommends that nursing education include Indigenous practices in the curriculum so that healthcare practitioners know about them. This could reduce maternal and child morbidity and mortality
Nurse Educators’ Perspectives on LGBTI Nursing Students in a Nursing Education Institution in Gauteng, South Africa
No full textAim: The study explored nurse educators’ perceptions of lesbian, gay, bisexual, transgender, and intersex (LGBTI) nursing students in a nursing education institution in Gauteng, South Africa.
Background: More young students with “fluid” views on sexuality and gender are joining nursing colleges, largely influenced by digital communication. This has made LGBTI students more visible, and nurse educators need to understand their views.
Methods: An interpretive phenomenological inquiry employing focus group interviews (FGI) with eight nurse educators and three student counsellors who were purposively selected was conducted between February and August 2021. A Heideggerian hermeneutic approach formed the basis for data analysis.
Findings: Five themes emerged about LGBTI-oriented nursing students: (1) being in strained relationships; (2) nurse educators are not involved in students’ sexual orientation; (3) religious and cultural views about LGBTI orientation; (4) a process of discovering identity—identity crisis; (5) inheritance, family background, and relationships with family and community.
Conclusion: The findings suggest that acceptance of an LGBTI identity is still a challenge to nurse educators, particularly those with strong religious and cultural beliefs and convictions; however, they were aware of professional standards, human rights, and their support role towards the students. In general, the findings indicate a need for increasing awareness of the LGBTI community and consideration of policies that promote social inclusion and respect for human rights, dignity, and difference
A Bibliometric Analysis of Mental Training in Stroke Patients
No full textBackground: Mental training has been studied extensively. Nevertheless, there are few reviews about mental training in stroke patients.
Purpose: The aim of this research was to map trends and developments of important phrases and sources about mental training in stroke patients in order to find possible research prospects.
Research method: This study used bibliometric analyses based on Scopus data, in June 2024. A comprehensive literature search was conducted using the following keywords: (stroke OR cerebrovascular accident AND mindfulness OR mindful* OR acceptance OR mental practice OR mental training OR mental imagery OR meditation). The bibliometric analysis was performed using VOSviewer and the R package to display data from publications, countries, and keywords.
Results: The final literature search generated a list of 1 547 studies published between 1968 to 2024. The number of publications has increased significantly in the last 30 years. The majority of the authors come from Western countries. The most relevant source is the Journal of Stroke and Cerebrovascular Disease. Research areas were divided into three thematic groups: (1) the importance of large clinical studies and patient attitudes, (2) research articles commonly conducted in humans, and (3) clinical research as the primary type of research and rehabilitation as treatment after stroke.
Conclusion: Publications related to mental training in stroke patients are still rare. Our researched identified several themes for future research, including the psychological aspects of mental practice, caregivers, survivors, imagery, and mindfulness
The Quest for Kikuyu Anglican Churches in the United States of America (USA) 2016 – 2022: Their Establishments, Achievements and Challenges
No full textThe number of people migrating from one region to another today has become rampant. This is attested by the movement of immigrants from developing countries to the most advanced and developed countries, mostly in Europe and North America. This unprecedented trend has seen a new phenomenon because the immigrants from the global South are perceived as economic migrants in the global North in the quest for greener pastures. Interestingly, they have opened a new horizon on the religious front. Against this backdrop, this article explores the endeavours of the Anglican Church of Kenya (ACK) clergy in the United States of America (USA) to open or establish ACK churches in the diaspora. The article is informed by empirical data from in-depth, informative interviews conducted in 2021 with Anglicans in the diaspora. Non-empirical data from grey literature were also consulted, as the author’s observations as an immigrant Anglican clergy. This article establishes a close affinity between religion and migration because ACK churches became where these immigrants formed their identities out of their lived experiences in the diaspora
Reluctant Prophet: Tributes to Albert Nolan, edited by Mike Deeb, Phillippe Denis and Mark James
No full text“Africans and Christians”: Transitioning from Missionary-Guided to a Self-Determining Local Church
No full textPope Paul VI (1963–1978), in his homily on 31 July 1969 at the closing Mass of his pastoral visit in Kampala (Uganda), told the gathered faithful that his main mission was to foster what they already were: “Africans and Christians.” Lurking behind that papal assertion was the fear that Christianity might fade away in sub-Saharan Africa after attaining political independence. That fear came close to becoming a reality in Guinea when Sékou Touré, the country’s post-independent president, experimented with Marxist ideology by expelling foreign missionaries and even imprisoned the first Guinean-born bishop. As it turned out, the Guinean experiment became one of the few rare exceptions. The post-missionary Catholic Church in Africa is believed to have started its trajectory of growth and transition in the 1970s. In terms of a continent-wide consciousness as a local church, the 1974 Synod of Bishops in Rome allowed African bishops to come together to assess the situation of their local church and its post-missionary future. Their continental body, the Symposium of Episcopal Conferences of Africa and Madagascar (SECAM), gave them the platform to speak in unison. Using the historical narrative approach, this research demonstrates the historical/transitional curves of Catholicism in sub-Saharan Africa in the last fifty years. Its point of reference is the 1974 Synod in Rome, whose fiftieth anniversary of convocation is in October 2024
Pentecostal Experiences in the Ministry of Ignatius (Engenas) Lekganyane (1885–1948) in the Zion Christian Church in South Africa
No full textIgnatius Lekganyane (1885–1948), popularly known as Engenas Lekganyane, was the founder and bishop of the Zion Christian Church (ZCC) in South Africa (SA) which he led from its inception in 1924 until he died in 1948. Historians and theologians have studied the life and ministry of Lekganyane; however, what remains under-researched are the links between his ministry and the Pentecostal movement. This article discusses a study that aimed to bridge this gap by using a literature review in qualitative research to trace the Pentecostal experiences in the life and ministry of Lekganyane using the ecclesiastical history framework. In simple terms, Lekganyane’s Pentecostal experiences were traced to analyse the ZCC’s historical implications. This was achieved by conducting a biographical study of the life and ministry of Lekganyane from an early age until he died in 1948. The article discusses Lekganyane’s Pentecostal background by linking his ministry with Pentecostal leaders and movements of the early 20th century. The article also discusses the main Pentecostal characteristics identified in his life and ministry, including Spirit baptism, prophecy, divine healing and triple immersion baptism. The rationale behind the loss of the Pentecostal flavour in his life and ministry was discussed in detail. Furthermore, the article looks at the ZCC’s historical implications of the Pentecostal influence in the life and ministry of Lekganyane in order to offer recommendations for further studies