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Item Interpersonal communication and caring experience with clients from the perspective of student nurses(2000) Jun, Wu YaThe study is grounded in Watson's theory of transpersonal caring. Therefore, a qualitative research design and methods guided the collection and analysis of data. Participants included ten fourth-year-nursing students enrolled at the University of Namibia. The objectives of the study were to describe student nurses' experiences with interpersonal communication in establishing a caring relationship with clients/patients, explain the concept of caring from the perspective of the students, explore the ways that student nurses use to foster a caring relationshipItem A survey to determine how experiential learning is applied during clinical teaching of student nurses in training institutions in Namibia(2000) Nelumbu, Lucia N.This study was undertaken to determine how the experiential learning cycle is applied during clinical sessions in the nursing training institutions in Namibia. The main objectives of this study were: to find out how learning experiences were selected by registered nurses and nurse educators for concrete exposure by the students and to evaluate how students were assisted for future actionsItem Empowerment of nurse managers to facilitate change management during Namibian health sector reforms(2005) Hofnie-//Hoëbes, KItem An educational programme to facilitate critical thinking by the student nurse in Namibia(2008) Pretorius, LouiseSummary provided by authorItem Experiences of people with physical disabilities who participate in the community based rehabilitation (CBR) programme in Okamatapati community, Otjozondjupa Region(2011) Shumba, Tonderai W.Abstract provided by authorItem Experiences of men diagnosed with Prostate cancer in the four northern regions of Namibia(University of Namibia, 2015) Salomo, SalomoMen diagnosed with prostate cancer have different experiences and express different emotions regarding their diagnosis. In daily conversations, some patients revealed that they were totally surprised by the diagnosis, others expressed that they were in denial, while some anticipated their diagnosis. As a result, a qualitative study aimed at exploring and describing the experiences of men diagnosed with prostate cancer was carried out in the four northern regions: Oshana, Ohangwena, Omusati and Oshikoto. A phenomenological, explorative and descriptive design was followed as the basis for conducting the study. The data was collected through in-depth interviews conducted at an intermediate hospital in the northern part of the country. A sample of ten (10) men diagnosed and living with prostate cancer was selected using a purposive sampling technique. The sample size was determined by saturation of data as reflected in repeating themes. Rich data on participants’ experiences with prostate cancer after being diagnosed was obtained through individual interviews. During these interviews, participants were asked only one central question: “What is your experience with prostate cancer after being diagnosed?” Interviews were tape recorded and field notes were taken during the interview to ensure that all experiences of the participants were captured. Communication skills were employed to encourage participants to verbalize their experiences regarding prostate cancer. Interview data was transcribed verbatim. The data was analysed according to Tesch’s eight steps of coding. The steps entail a process of breaking down, examining, comparing and categorizing the raw data. The researcher and an independent qualitative research expert carried out the coding. Four (4) themes emerged and form the study’s results. Measures to ensure trustworthiness, as proposed by Polit & Beck (2012), were used to ensure reliable and valid findings. It became evident that men diagnosed and living with prostate cancer had different experiences after their diagnoses, some experienced physical discomfort and physiological changes in their bodies. It was recommended that more emphasis should be put on supportive care towards men diagnosed with prostate cancer to reduce the burden of various experiences after being diagnosed with the disease. Community-based health education programmes on prostate cancer are needed to create awareness and knowledge on the disease. Individual approaches to assist men with their thoughts and feelings after being diagnosed with prostate cancer should be considered, as well as the incorporation of strategies to be more effective at obtaining social support. Existing misconceptions about prostate cancer that are likely to influence how men prioritize to cope with the diagnosis needs to be addressed. It is also recommended that a model to facilitate effective communication should be developed with the aim of improving interaction between nurses and doctors with men diagnosed and living with prostate cancers and their families.Item Perceptions of registered nurses regarding their role of clinical teaching of student nurses at state training hospitals in Windhoek, Namibia(University of Namibia, 2016) Emvula, OliviaClinical teaching is an important component of nurses training in Namibia. The study therefore, emphasized the important role registered nurses can play to ensure effective clinical teaching of student nurses. The aim of the study was to explore the perceptions of Registered nurses regarding their role of clinical teaching of student nurses at training hospitals in Windhoek. The objective of the study was to explore and describe the perceptions of registered nurses regarding their role of clinical teaching of student nurses at state training hospitals in Windhoek. A qualitative research design was adopted in the study and a total number of ten (10) registered nurses from the two training hospitals were interviewed. An interview guide, an audio recorder and field notes were used as the data collection instruments. The researcher used the face-to-face interview technique of collecting data, while using convenience, purposive sampling and survey approach. Key themes which emerged from the study were: Registered Nurses perceptions regarding their clinical teaching role, Registered Nurses perceptions regarding the availability of resources and Registered Nurses perceptions of the clinical teaching environment. The study revealed that clinical teaching of student nurses at training hospitals is negatively affected by many factors, such as lack of human resources, lack of materials and equipment, workload, staff shortages as well as personal attitudes of both registered nurses and students. The study recommends an increased in the number of Enrolled Nurses to be trained to compliment the number of nursing personnel. This in turn will increase and alleviate nursing personnel shortages, thus decrease the workload. Nursing schools need to increase the number of clinical instructors to compliment the efforts of registered nurses in the clinical environment. The MOHSS should ensure that training hospitals are equipped with adequate training equipment and materials.Item Knowledge, attitudes and practices of patients regarding coronary artery disease at the cardiac clinics in Windhoek, Namibia(University of Namibia, 2018) De Klerk, Justa F.Phenomena such as urbanisation and individual traits such as health literacy, affect people’s exposure and vulnerability to coronary artery disease risk factors. Namibia, as a developing country, is no exception. Although studies have indicated significant effects of predictor variables such as knowledge, attitudes and practices (KAP) on coronary artery diseases, none has been reported in the Namibian context. The purpose of this study was to determine and describe the knowledge, attitudes and practices of patients regarding coronary artery disease at the cardiac clinics in Windhoek, Namibia. This study employed a quantitative approach to assess knowledge, attitudes and practices towards coronary artery disease. Using probability sampling, the study selected 306 respondents, who then completed a self-administered questionnaire. Data collection was done between February and August 2017. From the results, it emerged that the respondents’ mean age was 57 with a standard deviation of 12.5. The majority of the respondents were males, with most of them having completed tertiary and secondary education. Many of them also reported on co-morbidities and results revealed a high prevalence of hypertension, elevated cholesterol levels and diabetes. Regarding knowledge, as an underlying construct and test bed, respondents were tested on the most common signs and symptoms of myocardial infarction. Results revealed that respondents had limited knowledge about coronary artery disease (CAD), but were able to recognise the related symptoms. Practices did not always correlate with knowledge, as the majority of the respondents were aware of the adverse effects of smoking and alcohol consumption, but still indicated to have been smoking and consuming alcohol. The respondents appeared to have positive attitudes regarding self-image. This was based on their self-rating on being overweight or not and the objective Body Mass Index (BMI) obtained from each respondent. The subjective self-rating did not correlate with the objective data obtained during data assessment of BMI. Many were overweight, but regarded themselves as having normal weight. The study concluded that respondents had limited knowledge on some aspects of CAD and that their practices do not reflect their knowledge levels. Their practices also appeared to be in contradiction with their attitudes. Recommendations were made to the Ministry of Health and Social Services, private hospitals, in-service education departments and training institutions for post-graduate students regarding health education and preventative measures.Item Assessment of management of newborn babies with neonatal asphyxia at maternity units of a state hospital in Windhoek(University of Namibia, 2018) Hanyanya, JohannaDespite guidelines on essential and obstetric emergency care devised by the Ministry of Health and Social Services to address obstetric and neonatal related challenges in Namibia, the report on perinatal and neonatal death review of April 2010 - March 2012, indicated that birth asphyxia is in first position contributing 49.4 % to neonatal deaths. This reflects the severity of asphyxia as a public health concern in Namibia (MoHSS, 2014). The aim of the study was to assess the management of newborn babies with neonatal asphyxia at maternity units of a hospital in Windhoek. A quantitative, descriptive and retrospective study was used on a total population of 90 patients’ files who died due to asphyxia. The sample and the population were the same (90 numbers of patients’ files). Data were collected by means of a structured checklist, analyzed with Epi info 7, as software computer package for statistical analysis purpose and presented as descriptive statistics. The results of the study showed that there was a delay with early recognition and timely decision-making on the safer method of delivery especially for cases of breech presentations, cephalopelvic disproportion (CPD) and prolonged first stage of labour. Referral of patients from district and regional hospitals to a national referral hospital takes too long. The results of the study further showed that many deliveries were conducted by registered midwives in the absence of a pediatrician or medical doctor. Recommendations were made with regard to improvement of knowledge and skills on maternal and neonatal care by health care providers in order to provide quality antenatal care to pregnant women, conduction of safe deliveries and provision of efficient care to the new-born babies who are at risk of asphyxia. Deliveries of cases at risk to be conducted with the presence of a paediatrician for expert resuscitation. Regulations of the referral system on maternal care should strictly be put in place regarding the hours mothers have to stay in labour after complications have been detected to prevent avoidable neonatal deaths especially due to asphyxiaItem The knowledge, attitude and practices of nurses regarding the provision of services on Cervical cancer at healthcare facilities in Windhoek district, Namibia(University of Namibia, 2019) Shiweda, Ndahafa A.The purpose of this study was to determine the knowledge, attitudes and practices of nurses regarding the provision of services on cervical cancer at the health facilities in Windhoek district, Namibia. To achieve this aim, four objectives were set: (a) to assess the knowledge of cervical cancer and cervical cancer services among nurses (b) to determine the nurses' attitudes towards the provision of cervical cancer services (c) to assess the practices of nurses towards the provision of services on cervical cancer; and (d) to analyse the association between the key variables with regards to cervical cancer and the provision of its services. A quantitative, descriptive and analytical study, using a self-administered structured questionnaire was completed in 2019. Data on socio-demographic, knowledge, attitudes and practices regarding cervical cancer service provision was collected from nurses that are working at the randomly selected healthcare facilities such as Windhoek Central hospitals, Intermediate Katutura Hospital, Hakahana clinic, Wanaheda clinic, Okuryangava clinic and Katutura Health Centre. A total of eighty (80) participants was sampled with the means of stratified random sampling, proportionate to the size of the population at a certain health facility. With SPSS version 25, the researcher started with double data entry, descriptive statistics, recoding, redefining, scoring and finally categorising the findings. At a later stage Cross tabulation was done together with Pearson‘s Chi-squared test to determine the significance of the association between the variables, p-value < 0.05. The study comprised mostly females (78.4%) with 21.6% of males. Of the participants, 74.3% were reported to have a good level of knowledge of cervical cancer and the provision of its services. None of the nurses was found to have poor level of knowledge. All nurses in this study showed a positive attitude towards cervical cancer and its services. Many nurses 71.2% indicated to have a good practice compared to few 28.8% of the nurses with poor practice of cervical cancer service provision. The findings further reported gender to be a significant predictor of practice with the p-value=0.000. Moreover, the study revealed that the level of knowledge was not significantly associated with practice p-value= 0.366. The researcher proposed for an ongoing in-service training to improve nurses’ knowledge and to keep them updated with information on cervical cancer services. Additionally, the researcher recommended a different study to on the challenges faced by healthcare workers in providing services regarding cervical cancer and the women uptake of these services.Item Factors that influence the competency of nursing staff in managing aggressive behaviour in mentally ill patients at a Mental Health Care Centre, Khomas region, Namibia(University of Namibia, 2021) Beukes, Katrina; Wilkinson, WMental illness is amongst the leading causes of disabilities and can cause disturbances in emotional, cognitive and behavioural functioning of mentally ill patients. Caring for mentally ill patients and managing their aggressive behaviour is done by mental health nurses and therefore, they should have certain competencies to competently manage aggressiOn. The purpose of this study was to determine the factors that influence the competency of nursing staff in managing aggressive behaviour displayed by mentally ill patients at a select mental health care centre, Windhoek, Namibia. A convergent parallel mixed method design was applied; the quantitative study employed a convenience sampling method to engage all 61 registered and enrolled nurses to identify and describe the factors influencing their competency in managing aggressive behaviour in mentally ill patients and the qualitative study; a purposive sampling method to select 17 nursing staff to explore their perceptions regarding their competency in managing aggressive behaviour in mentally ill patients. Quantitative data were collected using structured questionnaires and analysed with Statistical Package for Social Science, Version 24, from which descriptive statistics were obtained. Qualitative data was collected through three focus group discussions, verbatim transcribed, organized into themes and categories according to Tesch 's descriptive method of open coding. Trustworthiness was ensured in accordance with the principles of credibility, dependability, confmnability and transferability. Field notes were kept and a literature control was done for the purpose of triangulation. Quantitative and qualitative data results revealed that personal factors such as theoretical knowledge, clinical skills and external factors including experience and role modelling influenced nursing competency in managing aggressive patients. Moreover, this study concluded that the attitudes of the nursing staff during the management of aggression affected their development of competency either positively or negatively. This study recommended that debriefing sessions, training on the management of aggression, a compulsory induction and orientation program should be favourably considered for implementation to ensure effective management of aggressive patientsItem Effects of the shortage of midwives on performance and quality of care, in maternity ward, Rundu Intermediate hospital and Nyangana district hospital, Kavango East region(University of Namibia, 2021) Kandjimi, EmilieMidwives play a vital role in improving maternal and neonatal health. An adequate number of professional midwives is associated with improved quality of care and decreased maternal and newborn mortality. An increased workload due to the shortage of staff exposes midwives to unnecessary pressure, which might affect the quality of care they provide to patients. Addressing barriers that hinder midwives from providing quality care is a step towards improving the health care deliverance and hence, a step towards achieving the Millennium Developmental Goal (MDG) 5 and the Standard Developments Goal (SDG) 3. The aim of this study was to assess the effects of the shortage of midwives on their performance and quality of care, in the maternity ward of Rundu Intermediate Hospital and Nyangana District Hospital, Kavango East Region, Namibia. A quantitative analytic descriptive cross-sectional study was conducted using a purposive, non-random sampling method on fourty (40) midwives, in which thirty-one (31) were from Rundu Intermediate Hospital and nine (9) from Nyangana District Hospital. A self-administered questionnaire was used. The results revealed that the major effects of the shortage of midwives on their performance were as follow: increases workload (100%), feelings of fatigue and emotional exhaustion (97.5%), increases stress levels (95%), causes burnout and moral distress (87.5%), increases job dissatisfaction (87.5%), decreases willingness to work (70%), causes high staff turnover (65%), decreases the ability to work (65%) and increases medical errors committed among midwives (60%). Moreover, late attendance to patients (95%), poor monitoring of patients’ conditions (92.5%), inadequate or poor patient care (90%), delay in treatment of patients (87.5%), delay in initiating emergency interventions (82.5%) and lack of performance in the implementation of the EmOC (Emergency Obstetric Care) guideline (82.5%), were among the effects of the shortage of midwives on the quality of care. Other effects on the quality of care included increase in mortality rate (i.e. still birth, neonatal and maternal death) (77.5%), unnecessary complications that delay recovery (75%), negative attitude of health workers towards patients (67.5%) and medical errors committed by midwives (67.5%). The study concluded that the shortage of midwives has negative effects on both midwives’ performances and quality of care. The study recommended the followings: the MoHSS and the professional councils to come up with proper midwife-to-patient ratio to reduce workload pressure; the human resource of the MoHSS to make provision of recruiting adequate staff in maternity sections; and provide adequate equipment to enhance performance of few staff. In addition, the obstetric care trainings need to be provided to all midwife staff prior to allocation to maternity sections. The MoHSS should make provision of a service that provides the midwives with emotional and psychological support, to assist them on coping with stress from work-related pressures and help them deal with their emotions. The MoHSS should also create a conducive working environment to attract more staff, therefore, overcome staff shortage, and eventually, minimise effects of the shortage of midwives.Item Experiences of patients with extensive drug-resistant tuberculosis regarding prolonged isolation in a TB ward at a selected hospital in Namibia.(University of Namibia, 2021) Sirongo, Eine H.The focus of this study is to understand the experiences of participants with Extensive Drug Resistance (XDR) regarding prolonged isolation. The participants with XDR-TB are admitted in isolation for a minimum of twenty (20) months in the hospital. Different factors contributed to the participants not adhering to the rules of isolation in the TB ward. The fact that the isolation TB ward does not have proper measures to keep patients enclosed imposes the risk of cross infection to the public. The study aimed to explore and describe the experiences of patients with XDR-TB regarding prolonged isolation at a selected hospital in Namibia. The objectives of the study were to: Explore and describe the experiences of participants with XDR-TB regarding prolonged isolation at the TB ward at the selected hospital in Namibia. This study adopted a qualitative, explorative, descriptive, and contextual approach to understanding in-depth the participants’ experiences of being isolated for a longer period. A purposive sampling approach was used to select the study participants and saturation was achieved at seventh (7th) participants. The data was collected using face-to-face individual interviews and analyzed using the thematic content method of analysis. Four main themes became apparent after the data was analyzed: Isolation, Challenges regarding basic needs, Psychological Support, and Improved health status. This study concluded that the participants experienced some psychosocial problems due to prolonged isolation. Living in isolation deprived them of a normal social lifestyle which resulted in pain, loneliness, anxiety, fear and depression. It was also revealed that participants believed that completing XDR-TB treatment guaranteed them cured.Item Assessment of quality of midwifery care during labour at maternity departments of intermediate and refferral hospitals in Namibia(University of Namibia, 2021) Nghifikwa, JoniaQuality of midwifery care can be defined as care delivered by midwives, which is safe, effective, efficient, accessible, acceptable, patient-centred, equitable, and results in a positive pregnancy outcome. This research aims to assess the quality of midwifery care rendered during labour at the intermediate and referral hospital in Namibia. In Namibia, the Ministry of Health and Social Services (MoHSS) in particular, has come up with many interventions aiming to reduce maternal and neonatal mortality and morbidity. Even though these programmes were implemented, the programme reviews conducted by MoHSS in 2016 identified some gaps in the quality of midwifery care and recommended the conduct of a second nationwide Emergency Obstetric and Neonatal Care (EmONC) assessment. The main objectives of this study therefore were to describe the demographic profile, conclude the standard of midwifery care rendered during the first, second, third and fourth stages of labour by reviewing maternity records and analysing the standard of midwifery care rendered during the first, second, third and fourth stages of labour of the women who gave birth at intermediate and referral hospital from 01 January to 31 March 2018. The study was a retrospective study with a descriptive quantitative design conducted on 653 maternity records at the above mentioned hospitals. The findings revealed the age group from twenty to thirty-five to be the highest age group that gave birth i.e. (78.6%), while (10.7%) were adolescents and (10.7%) of the women aged above 36 years of age. This study indicated that (95%) of these women attended antenatal care. However, obstetric history indicates that the majority of the women who had delivered 391 (59.9 %), had two to four children, followed by those who gave birth for the first time 197 (30.2 %), while the lowest were those who had five or more children 65 (10.0%). Early opening of a partograph could lead to early identification of problems and plans for interventions. This study further shows that 402 (61.6%) partographs were mostly opened with women in the active phase of labour. Few partographs 33 (5.1%) were opened in the latent phase of labour. However, partographs that were opened, the study results revealed that not all were managed according to the WHO guidelines. Poor documentation of midwifery interventions and care was noted, suggesting poor midwifery care. Most of the deliveries 499 (76.4%) were normal vaginal deliveries, followed by 151 (23.1%) who had caesarean section deliveries. The rest had assisted deliveries with one breech delivery. According to the findings of this study it can be concluded that midwifery care rendered during labour at the studied hospitals was of substandard.Item Knowledge, attitudes and practices regarding the risk of Hepatitis E virus among the residents of Havana information settlement in Windhoek, Namibia(University of Namibia, 2021) Nangolo, Risto Ndawedapo H.Globally, every year there are an estimated 20 million Hepatitis E virus infections worldwide, leading to an estimated 3.3 million symptomatic cases of hepatitis E. The 237 probable and confirmed cases at health facilities in Windhoek district are mostly from Havana informal settlement. These areas are characterized by overcrowded, poor living conditions and residents have limited access to safe drinking water, sanitation, and hygiene. The aim of this study was to determine the knowledge, attitudes and practices of the residents of Havana informal settlement regarding the risk factors contributing to the hepatitis E virus in Windhoek district, Khomas region Namibia. In this study, a quantitative and cross - sectional analytical study design was employed. The target population of this study was adults aged group 18- 60 years. A stratified sampling method was used. In this study, a structured questionnaire was developed to collect data from the participants. The data were collected through a questionnaire. The responses from each questionnaire were entered into a data entry template of the SPSS statistics software and the Chi square method was used. The study revealed that the majority of the participants 83.3% had sufficient knowledge while the least participants 16.8% had low level of knowledge regarding the risk factors of Hepatitis E virus. Majority number of participants 93.3% had a positive attitude which covers total population in the study while the fewer number of the participants 6.8% were negative attitude which was the least in the study. Study revealed that majority of the number of the participants 66.3% had poor practice while a small number of the participants 33.8% had good It is therefore recommended that the Ministry of Health and Social Services and the Ministry of Urban and Rural Development train and employ health care assistants who could help the affected residents in the community on how to implement control measures that will minimize the risk of Hepatitis E virus among residents in the Havana informal settlement.Item Experiences of patients with extensive drug-resistant Tuberculosis regarding prolonged isolation in a TB ward at a selected hospital in Namibia(University of Namibia, 2021) Sirongo, Eine K HThe focus of this study is to understand the experiences of participants with Extensive Drug Resistance (XDR) regarding prolonged isolation. The participants with XDR-TB are admitted in isolation for a minimum of twenty (20) months in the hospital. Different factors contributed to the participants not adhering to the rules of isolation in the TB ward. The fact that the isolation TB ward does not have proper measures to keep patients enclosed imposes the risk of cross-infection to the public. The study aimed to explore and describe the experiences of patients with XDR-TB regarding prolonged isolation at a selected hospital in Namibia. The objectives of the study were to: Explore and describe the experiences of participants with XDR-TB regarding prolonged isolation at the TB ward at the selected hospital in Namibia. This study adopted a qualitative, explorative, descriptive, and contextual approach to understanding in-depth the participants’ experiences of being isolated for a longer period. A purposive sampling approach was used to select the study participants and saturation was achieved at seventh (7th) participants. The data was collected using face-to-face individual interviews and analyzed using the thematic content method of analysis. Four main themes became apparent after the data was analyzed: Isolation, Challenges regarding basic needs, Psychological Support, and Improved health status. This study concluded that the participants experienced some psychosocial problems due to prolonged isolation. Living in isolation deprived them of a normal social lifestyle which resulted in pain, loneliness, anxiety, fear and depression. It was also revealed that participants believed that completing XDR-TB treatment guaranteed them cured.Item Knowledge, attitudes and practice of patients diagnosed with diabetes regarding diabetic self-care management in intermediate Rundu hospital, Kavango east region(University of Namibia, 2022) Sakeus, JacobinaDiabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. The majority of people with diabetes have type 2 diabetes. The study aimed to assess the level of knowledge, attitudes and practice of self-care management among patients diagnosed with diabetes at Rundu Intermediate Hospital. A quantitative, cross-sectional and analytic study was conducted among patients diagnosed with diabetes. Self-reporting questionnaires were used to collect data from 198 participants diagnosed with diabetes mellitus at Rundu Intermediate hospital. The data were analysed using SPSS version 25. Chi-squared test was used to analyse the possible associations among variables. The study findings indicated that the majority of respondents were female 125 (63%) and belonged to the age group of 60 and above 76 (38.4%). Most, 91 (47%), of the patients were uneducated, 115 (58.5%) on oral medications. 79 (39.9%), were on insulin and only 4 (2%) were on both oral medication and insulin. Almost half, 97 (49%) of patients had adequate knowledge regarding self-care management mainly on domains such as meal plan 184 (92.9%), medication-taking 195 (98.5%), and physical exercise 112 (56.6%). However, 154 (77.8%) had inadequate knowledge of diabetic foot care. The study revealed average attitudes 113 (57.4%) toward self-care management. Poor practice was observed in glucose monitoring 111 (59%). The study found a highly significant association knowledge among participants with university and secondary education levels. Finally, he study found a significant association between age, education level and employment status with the practice of self-care management of diabetes p-<0.05. Awareness creation to the community through health education should be emphasised on lifestyle changes, physical exercise, and foot care, cessation of smoking and healthy dietary habits.