Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District
Thesis (MNur)--Stellenbosch University, 2023.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
| Published: |
Stellenbosch : Stellenbosch University
2023
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613936519479296 |
|---|---|
| access_status_str | Open Access |
| author | Shalang, Lehlohonolo Olga |
| author2 | Kitshoff, Danine |
| author_browse | Kitshoff, Danine Shalang, Lehlohonolo Olga |
| author_facet | Kitshoff, Danine Shalang, Lehlohonolo Olga |
| author_sort | Shalang, Lehlohonolo Olga |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNur)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/129081 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:44:04.029Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/129081 Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District Shalang, Lehlohonolo Olga Kitshoff, Danine Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Chronic diseases -- Nurses -- Attitudes Chronic diseases -- Treatment Chronic diseases -- Management UCTD Thesis (MNur)--Stellenbosch University, 2023. ENGLISH SUMMARY: Background: Primary healthcare services are essential services which are made available by the government to the public. Primary healthcare services offer affordable, accessible, quality healthcare to communities. Despite the availability of laws, policies and guidelines that regulate provision of primary healthcare, the vulnerable in society have limited access to free healthcare services. This infringes their right to healthcare. Low socioeconomic status, poverty, unemployment, substance abuse, and other predisposing factors contribute to the high number of people diagnosed with noncommunicable disease. As a result, there is an increase in the number of users of public healthcare services to access noncommunicable disease management and treatment. Therefore, this necessitates the involvement of community health workers as role players in the public healthcare setting. As part of public healthcare supporting structure, the lack of proper scope of community health workers in the public healthcare setting creates confusion and low utilisation of community health workers in the management of patients. This has a negative impact on patients’ treatment outcomes. Aim: The study aimed to explore perceptions of primary healthcare nurses and to provide insight about the role of community health workers in public healthcare and policy implementation. Methods: An exploratory-descriptive qualitative research design, was used. Participants from three primary healthcare facilities in Tshwane, Region 6, were invited to participate using a purposive sampling method. Eleven primary healthcare nurses who met the inclusion criteria were individually interviewed using a semistructured interviewing tool in their respective primary healthcare facilities. A pilot interview was conducted to refine the study sampling process and probe relevant responses from participants. The data was analysed using the Braun & Clarke thematic analysis method. This assisted the researcher to set aside participants’ preconceived ideas. Ethical principles, such as respect for persons, confidentiality, anonymity, beneficence, and non-maleficence, were applied and maintained throughout the study process. Trustworthiness encompassing credibility, transferability and dependability were also applied. Results: Eleven semi-structured one-on-one interviews were conducted in private areas in the primary healthcare facility. The participants highlighted the following as issues that were affecting the utilisation of community health workers in primary healthcare: work environment challenges, supervision challenges, allocation and delegation challenges, reporting, poor role clarification of community health workers, professionalism and professional development, patient compliance, return to care and continuity of care in households. Conclusion: This study provided an opportunity for participants to voice their perceptions and experiences. The key finding of the study highlighted the perceptions of primary healthcare nurses about the management of noncommunicable diseases by community health workers in the Tshwane District. AFRIKAANSE OPSOMMING: Agtergrond: Primere gesondheidsorgdienste is noodsaaklike dienste wat deur die regering aan die publiek beskikbaar gestel word. Primere gesondheidsorgdienste bied bekostigbare, toeganklike, kwaliteit gesondheidsorg aan gemeenskappe. Ondanks die beskikbaarheid van wette, beleide en riglyne wat die voorsiening van gesondheidsorg reguleer, het die kwesbares in die samelewing beperkte toegang tot gratis gesondheidsorgdienste. Dit maak inbreuk op hul reg op gesondheidsorg. Lae-sosio-ekonomiese status, armoede syfer, werkloosheid, dwelmmisbruik en ander predisponerende faktore dra by tot die hoe aantal mense wat met nieoordraagbare siektes gediagnoseer is. As gevolg hiervan is daar 'n toename in die aantal gebruikers van PGS-dienste om toegang tot die bestuur en behandeling van nie-oordraagbare siektes (NOS) te verkry. Daarom noodsaak dit die betrokkenheid van die Gemeenskapgesondheidswerkers (KGW) as rolspelers in PGS-omgewing. As deel van die ondersteuning van die struktuur skep die gebrek aan behoorlike omvang van gemeenskapgesondheidswerkers (GGW) in die PGS-omgewing verwarring en lae benutting in die bestuur van pasiente. Dit het 'n negatiewe impak op pasiente se behandelings uitkomste. Doel: Die studie wat daarop gemik is om persepsies van primere gesondheidsorg verpleegkundiges (PGSV) te verkry, sal insig gee in die wanopvattings tussen die rol van GGW's in PGS en beleidsimplementering, maar bied ook aan PGSV’s die geleentheid om hul frustrasies, verwagtinge en bekommernisse uit te spreek. Metodes: 'n Verkennend-beskrywende kwalitatiewe navorsingsontwerp is gebruik. Deelnemers van drie primere gesondheidsorgfasiliteite in Tshwane, Streek 6, is genooi om deel te neem deur 'n doelgerigte steekproefmetode te gebruik. Tien primere gesondheidsorgverpleegkundiges wat aan die insluitingskriteria voldoen het, is individueel ondervra deur 'n semi-gestruktureerde onderhoudshulpmiddel in hul onderskeie primere gesondheidsorgfasiliteite te gebruik. ’n Loodsonderhoud is gevoer om die studiesteekproefnemingsproses te verfyn en relevante antwoorde van deelnemers te ondersoek. Die data is ontleed deur gebruik te maak van die Braun & Clarke tematiese ontledingsmetode. Dit het die navorser gehelp om deelnemers se vooropgestelde idees tersyde te stel. Etiese beginsels, soos respek vir persone, vertroulikheid, anonimiteit, weldadigheid en nie-kwaadwilligheid, is regdeur die studieproses toegepas en gehandhaaf. Betroubaarheid wat geloofwaardigheid, oordraagbaarheid en betroubaarheid insluit, is ook toegepas. Resultate: Elf semi-gestruktureerde een-tot-een onderhoude is in privaat areas in die primere gesondheidsorgfasiliteit gevoer. Die deelnemers het die volgende uitgelig as kwessies wat die gebruik van gemeenskapsgesondheidswerkers in primere gesondheidsorg beinvloed: werksomgewingsuitdagings, toesiguitdagings, toewysings- en delegeringsuitdagings, verslagdoening, swak rolklarifikasie rolverheldering van gemeenskapsgesondheidswerkers, professionaliteit en professionele ontwikkeling, pasientnakoming, terugkeer na sorg en kontinuiteit van sorg in huishoudings. Masters 2023-11-28T14:58:59Z 2024-01-08T21:42:55Z 2023-11-28T14:58:59Z 2024-01-08T21:42:55Z 2023-12 Thesis https://scholar.sun.ac.za/handle/10019.1/129081 en_ZA Stellenbosch University xiii, 85 pages : illustrations, maps, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Chronic diseases -- Nurses -- Attitudes Chronic diseases -- Treatment Chronic diseases -- Management UCTD Shalang, Lehlohonolo Olga Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title | Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title_full | Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title_fullStr | Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title_full_unstemmed | Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title_short | Perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the Tshwane District |
| title_sort | perceptions of primary healthcare nurses regarding the management of noncommunicable diseases by community health workers in the tshwane district |
| topic | Chronic diseases -- Nurses -- Attitudes Chronic diseases -- Treatment Chronic diseases -- Management UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/129081 |
| work_keys_str_mv | AT shalanglehlohonoloolga perceptionsofprimaryhealthcarenursesregardingthemanagementofnoncommunicablediseasesbycommunityhealthworkersinthetshwanedistrict |