Department of Community Health Science
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Browsing Department of Community Health Science by Author "Amakali, Kristofina"
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Item Deliverance of the adolescent friendly health service standards by nurses in Otjozondjupa region of Namibia(2017) Muyenga, Marry L.; Amakali, Kristofina; Wilkinson, WilmaDespite the implementation of the national standards for Adolescent Friendly Health Services (AFHS) towards the prevention among others teenage pregnancy the, problem continues to rise across the regions of Namibia. This article presents the findings of a quantitative, cross-sectional, descriptive, analytical study regarding the implementation of the components on Adolescent Friendly Health Care Providers and the Adolescent Friendly Environment of the Adolescent Friendly Health Services standards by nurses in Otjozondjupa Region of Namibia. Quantitative data were collected from 12 registered nurse midwives and 23 enrolled nurse-midwives who implement the AFHS at the health care facilities (through structured self-interview questionnaire) and 18 health care facilities that implement the AFHS in Otjozondjupa Region (through checklist) for triangulation of the data. The data were analysed using the SPSS Version 16 data base. Descriptive and inferential statistics were performed on selected variables to determine the relationship of variables. The findings indicated that only 30% of the registered nurse-midwives compared to 75% of the enrolled nurses who implement the AFHS were formally trained in adolescent reproductive and sexual health issues. The findings further indicated that although 75% and 87% of the respective categories of nurse respondents indicated that they conduct school outreach activities, the initiative seems not being implemented effectively as can be inferred from only 14% of the registered nurse who indicated that they do conduct health education at schools. In the same vein, 90% of the health facilities had no spaces that were designated for the adolescent health services. Therefore, the recommendations were made in respect of the implementation of these two components of the AFHS standards at the health care facilities in the region.Item Health information about chemotherapy side-effects for patients with leukemia at an oncology ward: Do nurses still lead at the frontline?(2017) Amboto, Justin N.; Amakali, KristofinaChemotherapy is the universal treatment for leukemia, a common type of cancer that involves abnormal production of immature leucocytes (white blood cells). As with any medicine, chemotherapy is also associated with the side-effects. The knowledge about the side-effects of chemotherapy helps patients to better manage them, adapt to chemotherapy and thereby enhances treatment outcomes. Therefore, a descriptive cross sectional study was conducted at the Windhoek Central Hospital oncology ward to assess and describe the knowledge about side-effects of chemotherapy among adult male and female patients with leukemia and to determine if nurses provide health education to patients. The data were collected from 21 participants representing a 91% response rate of the study population. The findings indicated that the most known side-effects were the loss of hair (48%) and vomiting (38%). Although a significant percentage (62%) of patients knew about the side-effects of chemotherapy, 60% of the patients received their information from the physicians. The study therefore concluded that nurses at oncology wards seem not being proactive to provide health information to patients. Recommendations were made for the nurses to increase their participation in providing health education to patients.Item Nursing and radiography students' perceptions of their learning climate at the School of Nursing, University of Namibia(2017) Small, Louis F.; Pretorius, Louise; Kuugongelwa, S.; Brinkman, C.; Bampton, Elizabeth L.; Anyolo, Epafras; Haoses-Gorases, Lischen; Amakali, KristofinaAn effective learning climate is described as being humanistic, authentic, supportive and caring. Both the nurse educators and the institution alike therefore have a key responsibility to provide a caring environment that offers optimal learning opportunities for their students. Nevertheless, in biannual student forums anecdotal comments from the students, sometimes emotion laden and without specific detail, challenges have been identified regarding the learning climate. It was thus evident that problems relating to the learning climate existed among students and that these problems needed to be investigated and documented. The aim of this study was to explore the perceptions of Nursing and Radiography students about their learning climate during the course of their studies at the School of Nursing on the Windhoek campus of the University of Namibia. A quantitative, descriptive and analytical study was conducted during October 2013. The population included all the Nursing and Radiography students enrolled for that academic year at the School of Nursing. A questionnaire that focused on various aspects of the learning climate and support was used after pilot test. Ethical considerations were adhered to. Six of the eleven items discussed obtained a median score of less than 2.5 out of a possible 5, which is regarded as less than average. Suitable recommendations were subsequently submittedItem Nursing and radiography students' perceptions on their wellbeing at the School of Nursing, university of Namibia(2016) Small, Louis F.; Pretorius, Louise; Walters, A.; Kuugongelwa, S.; De Villiers, E.; Amakali, Kristofina; Anyolo, Epafras; Bampton, Elizabeth L.; Brinkman, C.; Nelumbu, Lucia N.This paper discusses a report of perception of wellbeing among nursing and radiography students at the School of Nursing of the University of Namibia. A mixed method of descriptive, analytical quantitative and qualitative study was conducted to gather data on self-report perception of wellbeing among the study and target population of 440 Nursing students (both undergraduate and postgraduate) and Radiography students registered for the 2013 academic year at the School of Nursing, University of Namibia, Windhoek campus. Data were collected from a convenient sample of 403 students with a response rate of 95% (n = 383), through a self- administered questionnaire that focused on the six subcomponents of wellbeing. Descriptive and analytical analysis were applied to describe participants’ perceived wellbeing and to determine possible associations between the perceptions of wellbeing as a dependent variable and the independent variables. The findings indicated a significant overall low level of perceived wellbeing among all students irrespective of the study programme and levels of studies.