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The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa
Thesis (MPhil)--Stellenbosch University, 2012.
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| Format: | Thesis |
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Stellenbosch : Stellenbosch University
2012
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| _version_ | 1867613923741532160 |
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| access_status_str | Open Access |
| author | Rhode, Hilary Wallis Juliana |
| author2 | Mash, Bob |
| author_browse | Mash, Bob Rhode, Hilary Wallis Juliana |
| author_facet | Mash, Bob Rhode, Hilary Wallis Juliana |
| author_sort | Rhode, Hilary Wallis Juliana |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MPhil)--Stellenbosch University, 2012. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/71903 |
| institution | Stellenbosch University (South Africa) |
| last_indexed | 2026-06-10T12:43:51.865Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2012 |
| publishDateRange | 2012 |
| publishDateSort | 2012 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/71903 The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa Rhode, Hilary Wallis Juliana Mash, Bob Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Family Medicine and Primary Care. Dissertations -- Family medicine Theses -- Family medicine Community health services for children -- South Africa -- Western Cape Integrated delivery of health care. -- South Africa -- Western Cape Thesis (MPhil)--Stellenbosch University, 2012. Introduction Under-5 year mortality in South Africa is increasing and effectiveness of primary care is a key factor. Adherence to IMCI guidelines by primary care nurses is critical. The IMCI guidelines provide a standardized integrated approach to delivering quality care. Nurses in South Africa are currently using a paper-based guideline. The automated guideline in the format of a convertible personalised computer tablet aimed to improve training in IMCI and the quality of clinical decision making. The automated guideline was designed to systematically guide the nurse through the algorithms thus reducing errors and making care more effective. This study evaluated the use of automated guidelines in improving the training of nurses. Methods A sample size of thirty Professional Registered Nurses (PNs) was selected from the one year Postgraduate Diploma in Clinical Nursing Science at Stellenbosch University. Observational study design compared 15 PNs who used and 15 who did not use the automated guidelines during training. Nurses were compared in terms of their knowledge of IMCI after classroom based teaching and adherence to IMCI in clinical training practices. Results Both groups improved their knowledge of IMCI, but were not significantly different at the end of the classroom teaching. Nurses in the automated group showed significant improvement in their clinical practice (p<0.05): gathering information on HIV risk (50% vs. 93%) or immunisations (68% vs. 93%); making a complete assessment of the patient (61% vs. 100%), prescribing correct medication (50% vs. 85%), correct dose (42% vs. 85%) and safety netting (78% vs. 96%). Conclusion The use of automated guidelines showed potential for improving adherence to IMCI in the Western Cape. Further research is needed to determine if the widespread use of the automated version by PNs translates into better quality of care and improved health outcomes. 2012-11-23T10:14:22Z 2012-12-12T08:16:40Z 2012-11-23T10:14:22Z 2012-12-12T08:16:40Z 2012-12 Thesis http://hdl.handle.net/10019.1/71903 Stellenbosch University 53 p. application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Dissertations -- Family medicine Theses -- Family medicine Community health services for children -- South Africa -- Western Cape Integrated delivery of health care. -- South Africa -- Western Cape Rhode, Hilary Wallis Juliana The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title | The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title_full | The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title_fullStr | The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title_full_unstemmed | The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title_short | The use of automated integrated management of childhood illness guidelines in primary health care in the Western Cape in South Africa |
| title_sort | use of automated integrated management of childhood illness guidelines in primary health care in the western cape in south africa |
| topic | Dissertations -- Family medicine Theses -- Family medicine Community health services for children -- South Africa -- Western Cape Integrated delivery of health care. -- South Africa -- Western Cape |
| url | http://hdl.handle.net/10019.1/71903 |
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