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Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting
Background Since its introduction in the 1980s, reports show an increase in the placement of gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date, little has been reported on the practices, perceptions and experiences of the health care practitione...
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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Department of Health and Rehabilitation Sciences
2019
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| _version_ | 1867613299169820672 |
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| access_status_str | Open Access |
| author | Coetzee, Samantha Fae-Lee |
| author2 | Singh, Shajila |
| author_browse | Coetzee, Samantha Fae-Lee Singh, Shajila |
| author_facet | Singh, Shajila Coetzee, Samantha Fae-Lee |
| author_sort | Coetzee, Samantha Fae-Lee |
| collection | Thesis |
| description | Background
Since its introduction in the 1980s, reports show an increase in the placement of
gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date,
little has been reported on the practices, perceptions and experiences of the health care practitioners
when engaging in the management of children with gastrostomies.
Research aims
This study aims to provide insight into the practices as well as the perceptions and
experiences of the health care practitioners working with gastrostomies in a paediatric setting.
Method
A qualitative interpretative design was used. Eighteen healthcare practitioners, who form
part of the multidisciplinary team working with paediatric gastrostomies, from one of the two
prominent tertiary institutions in Cape Town, South Africa were recruited for this study. Semi
structured interviews were conducted after which data analysis took place.
Results
Four themes emerged from the data collected; experience of better patient health evolving
post gastrostomy despite complications, health care practitioners’ perceived change to a family’s
quality of life, the gastrostomy process: just as you think it’s going right then something goes wrong; and experiencing multidisciplinary team work, and its influences on the management of
patients with gastrostomies.
Conclusion
The health care practitioners reflected on their practices, perceptions and experiences of
gastrostomy management as being a process. During the different stages of the process, they
engaged with the advantages and disadvantages the gastrostomy has on the health of a child; the
positive and negative influences on the quality of life for families and identified the importance of
but also the lacking in the provision of education and ongoing support for caregivers. An effective
multidisciplinary team is a requirement for the management of the gastrostomy; inadequacies
within the team contributed to undesirable service delivery and poor health outcomes for the child.
This study highlights the importance of and the need for the implementation of best practice
guidelines for gastrostomy decision-making, placement and management in the paediatric setting. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/30169 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:55.830Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Department of Health and Rehabilitation Sciences |
| publisherStr | Department of Health and Rehabilitation Sciences |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/30169 Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting Coetzee, Samantha Fae-Lee Singh, Shajila Norman, Vivienne Speech-Language Pathology Background Since its introduction in the 1980s, reports show an increase in the placement of gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date, little has been reported on the practices, perceptions and experiences of the health care practitioners when engaging in the management of children with gastrostomies. Research aims This study aims to provide insight into the practices as well as the perceptions and experiences of the health care practitioners working with gastrostomies in a paediatric setting. Method A qualitative interpretative design was used. Eighteen healthcare practitioners, who form part of the multidisciplinary team working with paediatric gastrostomies, from one of the two prominent tertiary institutions in Cape Town, South Africa were recruited for this study. Semi structured interviews were conducted after which data analysis took place. Results Four themes emerged from the data collected; experience of better patient health evolving post gastrostomy despite complications, health care practitioners’ perceived change to a family’s quality of life, the gastrostomy process: just as you think it’s going right then something goes wrong; and experiencing multidisciplinary team work, and its influences on the management of patients with gastrostomies. Conclusion The health care practitioners reflected on their practices, perceptions and experiences of gastrostomy management as being a process. During the different stages of the process, they engaged with the advantages and disadvantages the gastrostomy has on the health of a child; the positive and negative influences on the quality of life for families and identified the importance of but also the lacking in the provision of education and ongoing support for caregivers. An effective multidisciplinary team is a requirement for the management of the gastrostomy; inadequacies within the team contributed to undesirable service delivery and poor health outcomes for the child. This study highlights the importance of and the need for the implementation of best practice guidelines for gastrostomy decision-making, placement and management in the paediatric setting. 2019-05-17T10:49:52Z 2019-05-17T10:49:52Z 2018 2019-05-17T09:45:29Z Master Thesis Masters MSc http://hdl.handle.net/11427/30169 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences |
| spellingShingle | Speech-Language Pathology Coetzee, Samantha Fae-Lee Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| thesis_degree_str | Master's |
| title | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| title_full | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| title_fullStr | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| title_full_unstemmed | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| title_short | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting |
| title_sort | health practitioners practices perceptions and experiences regarding gastronomy placement in a paediatic setting |
| topic | Speech-Language Pathology |
| url | http://hdl.handle.net/11427/30169 |
| work_keys_str_mv | AT coetzeesamanthafaelee healthpractitionerspracticesperceptionsandexperiencesregardinggastronomyplacementinapaediaticsetting |