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Search Results: 1 - 10 of 298386 matches for " Valerie J. Ehlers "
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Professional nurses’ requests to remove their names from the South African nursing council’s register Part 1: introduction and literature review
Valerie J Ehlers
Health SA Gesondheid , 2003, DOI: 10.4102/hsag.v8i2.126
Abstract: Worldwide a severe shortage of professional nurses is expected to occur between 2005 and 2020 - when the “baby boomers” born between 1947 and 1962 reach retirement age. Opsomming Wêreldwyd word daar tussen 2005 en 2020 ‘n ernstige tekort aan professionele verpleegkundiges voorspel - wanneer die “baby boomers” wat tussen 1947 en 1962 gebore is, gaan aftree. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Professional nurses’ requests to remove their names from the South African nursing council’s register Part 2: research process and results
Valerie J Ehlers
Health SA Gesondheid , 2003, DOI: 10.4102/hsag.v8i2.127
Abstract: In this article data obtained from questionnaires, completed by 91 professional nurses who requested their names to be removed from the South African Nursing Council’s register for the 2000 registration year, are presented and discussed. Opsomming In hierdie artikel word data wat vanaf 91 vraelyste verkry is en deur professionele verpleegkundiges voltooi is wat versoek het dat hulle name van die Suid-Afrikaanse Raad op verpleging se register verwyder word vir die 2000 registrasiejaar, bespreek. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Cardio-pulmonary resuscitation challenges in selected Botswana hospitals: Nurse managers’ views
Lakshmi Rajeswaran,Valerie J. Ehlers
Health SA Gesondheid , 2013, DOI: http://dx.doi.org/10.4102/ hsag.v18i1.672
Abstract: Road traffic accident victims, as well as persons experiencing cardiac and other medical emergencies, might lose their lives due to the non-availability of trained personnel to provide effective cardio-pulmonary resuscitation (CPR) with functional equipment and adequate resources.The objectives of the study were to identify unit managers’ perceptions about challenges encountered when performing CPR interventions in the two referral public hospitals in Botswana. These results could be used to recommend more effective CPR strategies for Botswana’s hospitals. Interviews, comprising two quantitative sections with closed ended questions and one qualitative section with semi-structured questions, were conducted with 22 unit managers. The quantitative data indicated that all unit managers had at least eight years’ nursing experience, and could identify CPR shortcomings in their hospitals. Only one interviewee had never performed CPR. The qualitative data analysis revealed that the hospital units sometimes had too few staff members and did not have fully equipped emergency trolleys and/or equipment. No CPR teams and no CPR policies and guidelines existed. Nurses and doctors reportedly lacked CPR knowledge and skills. No debriefing services were provided after CPR encounters. The participating hospitals should address the following challenges that might affect CPR outcomes: shortages of staff, overpopulation of hospital units, shortcomings of the emergency trolleys and CPR equipment, absence of CPR policies and guidelines, absence of CPR teams, limited CPR competencies of doctors and nurses and the lack of debriefing sessions after CPR attempts.
Audits of emergency trolleys’ contents in selected hospitals in Botswana
Lakshmi Rajeswaran,Valerie J. Ehlers
Health SA Gesondheid , 2012,
Abstract: Cardiac arrest is a life-threatening emergency situation. The outcome depends on timely and effective cardio-pulmonary resuscitation (CPR). Successful CPR attempts in hospitals require well-equipped emergency trolleys and properly functioning equipment, as well as staffmembers skilled in performing CPR. The study aimed to determine whether the emergency trolleys in Botswana’s hospitals’ wards or units met the expected standards. The contents of the emergency trolleys in 20 wards or units of two referral government hospitals in Botswanawere audited by using a standardised checklist. No hospital ward or unit had all the expected equipment or drugs on its emergency trolley, some units failed to check their emergency trolleys’ contents daily. All 20 hospital wards or units that participated in this study, needed to improve the contents and maintenance of their emergency trolleys, otherwise in-hospital CPR efforts in Botswana might be doomed to failure, losing lives that could have been saved if emergency trolleys’ equipment and supplies had been up to standard.
Implementing a community-based tuberculosis programme in the Omaheke region of Namibia: nurses’ perceived challenges
Simbisayi Zvavamwe,Valerie J Ehlers
Health SA Gesondheid , 2008, DOI: 10.4102/hsag.v13i3.286
Abstract: Tuberculosis (TB) is a resurgent disease in many regions of the world, including Namibia, fuelled by poor TB control programmes, human immunodeficiency virus (HIV) and poverty. The purpose of this survey was to identify nurses’ perceived challenges in implementing a community-based TB programme in the Omaheke region of Namibia. Structured interviews were conducted with 40 nurses involved in providing TB treatment and care in the Omaheke region. Patient-related challenges which hampered TB treatment included alcohol and drug abuse, poverty and stigma. Lack of transport for nurses to do community-based TB work, centralised TB services and patients’ lack of transport were access-related challenges. Knowledge-related challenges involved a lack of TB knowledge by both nurses and community members. The HIV pandemic has increased the number of TB patients and increased nurses’ workloads, aggravating the burden of TB as a resurgent disease in this region. Decentralisation of TB care to community and family levels would be necessary to reduce the number of people with active TB in the community, and to enhance the TB cure rates, in the Omaheke region of Namibia. In order to implement a successful communitybased TB programme, the patient-related, access-related and knowledge-related challenges, perceived by the nurses, need to be addressed effectively. Opsomming Tuberkulose (TB) is ‘n siekte wat herrys in baie dele van die wêreld, insluitende Namibi , en wat aangevuur word deur swak TB-beheerprogramme, menslike immuniteitsgebreksvirus (MIV) en armoede. Die doel van die opname was om waargenome uitdagings van verpleegkundiges te identifiseer tydens die implementering van ‘n gemeenskapsgebaseerde TB-program in die Omaheke-streek van Namibi . Gestruktureerde onderhoude is met 40 verpleegkundiges gevoer wat gemoeid was met TB-behandeling en -versorging in die Omaheke-streek. Pasi ntverwante uitdagings wat TB-behandeling nadelig be nvloed, sluit alkohol- en dwelmmisbruik asook armoede en stigma in. ‘n Gebrek aan vervoer vir verpleegkundiges om gemeenskapsgebaseerde TB-werk te doen, die sentralisasie van TB-dienste en pasi nte se gebrek aan vervoer was die toegangsverwante uitdagings. Kennisverwante uitdagings het die gebrek aan TB-kennis van beide verpleegkundiges en gemeenskapslede ingesluit. Die MIVpandemie het die aantal TB-pasi nte vermeerder en verpleegkundiges se werksladings verhoog, wat die las van TB as ‘n herrysende siekte in die streek vererger het. Desentralisasie van TB-sorg tot op gemeenskaps- en gesinsvlak sal nodig wees om die getal mense met aktiewe T
Report: Geneva Visit: 4-9 July 1999
Laetitia J King,Valerie J Ehlers
Health SA Gesondheid , 2000, DOI: 10.4102/hsag.v5i3.38
Abstract: This report provides a brief introduction to Geneva and its many international organisations and aims to share some of the insights gained during discussions held with various key persons at the World Health Organisation (WHO), the International Committee of the Red Cross, and the International Nursing Review (INR), the official journal of the International Nursing Council. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Nigerian health workers’ views concerning factors influencing paediatric adherence to anti-retroviral therapy
Valerie J. Ehlers,Robert J. Chiegil
Health SA Gesondheid , 2011, DOI: 10.4102/hsag.v16i1.571
Abstract: Few studies have focused on paediatric anti-retroviral therapy (ART) adherence in Nigeria, probably because of the ethical challenges involved in studying children. The study aimed to identify factors that influence paediatric ART adherence as perceived by health care workers providing ART services in two cities in Nigeria. Knowledge about such factors would be used to formulate recommendations for enhancing paediatric ART adherence in Nigeria, for facilitating the tasks of the health care workers and for enhancing the ART programme’s effectiveness. An exploratory descriptive qualitative research design was used to identify and to describe health care workers’ views in Kano and Lagos, Nigeria. Three focus group discussions were conducted at two clinics that provide free paediatric ARVs (antiretroviral drugs). The transcribed data were analysed by using the framework approach of data analysis. Health care providers perceived poverty, illiteracy, stigma, discrimination, inappropriate care approaches, and parental dynamics as factors that influence paediatric ART adherence. Paediatric ART adherence levels in Nigeria could be enhanced by emphasising paediatric ART adherence counselling and by adopting a comprehensive family centred care approach, by improving free paediatric ART services and by empowering parents and reducing stigma and discrimination. Opsomming Min studies het al op pediatriese anti-retrovirale behandeling (ARB) nakoming in Nigeri gefokus, wat moontlik toegeskryf kan word aan die etiese uitdagings betrokke by die bestudering van kinders. Die studie het gepoog om faktore te identifiseer wat pediatriese ARB nakoming kan be nvloed, soos waargeneem deur gesondheidsdienswerkers wat ARB dienste verskaf in twee stede in Nigeri . Kennis van sulke faktore sal aangewend word om aanbevelings te maak om die pediatriese ARB nakoming in Nigeri te verbeter, om die taak van die gesondheidsorgwerkers te vergemaklik en om die ARM (anti-retrovirale medisyne) program se doeltreffendheid te verbeter.‘n Verkennende beskrywende kwalitatiewe navorsingsontwerp was benut ten einde gesondheidswerkers in Kano en Lagos, Nigeri , se standpunte te identifiseer en te beskryf. Drie fokusgroepbesprekings is gehou in twee klinieke wat gratis ARMs verskaf. Die getranskribeerde data is ontleed deur die raamwerkbenadering tot data analise te gebruik. Gesondheidsdienswerkers het waargeneem dat armoede en ongeletterdheid, stigma en diskriminasie, ontoepaslike sorgbenaderings en ouerlike dinamika, faktore was wat pediatriese ARB nakoming be nvloed het. Pediatriese ARB nakomings
The competencies of newly qualified psychiatric nurses
Lunice B Khoza,Valerie J Ehlers
Health SA Gesondheid , 2000, DOI: 10.4102/hsag.v5i3.37
Abstract: This research report comprises part of a larger study, which endeavoured to identified the competencies of newly qualified nurses (NQNs) as viewed by senior professional nurses (SPNs) in the clinical units. This report concentrates only on the competencies of the NQNs working in the psychiatric nursing units. SPNs (N=29) from certain health services in the Northern Province (NP) of the RSA, constituted the population for this research. A descriptive survey was used as a research approach to conduct this research. The fieldwork, entailing the distrib~ltiona nd collection of the questionnaires by a researcher, was done during a period of political and labour unrest in this area. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
HIV and AIDS knowledge and sexual behaviours amongst secondary school learners in Harare, Zimbabwe
Margaret Mlingo,Valerie J. Ehlers,Janetta Roos
Health SA Gesondheid , 2012,
Abstract: Efforts to stem the tide of the Human immunodeficiency virus (HIV) and Acquired immune deficiency syndrome (AIDS) pandemic in Africa emphasise the necessity that learners should be able to make informed decisions. Although learners in Zimbabwe’s schools are taught about HIV and AIDS, the extent of their knowledge needed to be determined. The major objective was to assess the knowledge of secondary school learners in Harare, Zimbabwe, about HIV and AIDS. Structured interviews were conducted with 75 Grade 8 (Form 1) secondary school learners from four schools in Harare.Most learners had obtained their HIV and AIDS knowledge from schools, but some did so from their parents, community activities, the radio or television. No learner had commenced with sexual activities and all had heard about HIV, but not all knew what HIV was, and even fewer could define AIDS. Less than one-third of the learners could mention the three most important HIV preventive measures. Most learners were willing to undergo voluntary counselling and testing (VCT), but few had done so. As no learner had commenced sexual activities, opportunities existed to empower Grade 8 (Form 1) learners with adequate HIV and AIDS knowledge. Generally the learners’ HIV and AIDS knowledge levels were high but some misconceptions existed. Schools should engage with radio and television programmes to address misconceptions about HIV and AIDS. Learners should be enabled to access VCT services. More effective HIV prevention education in Zimbabwe’s schools, could enable more youth to remain HIV negative.
Factors influencing the retention of registered nurses in the Gauteng Province of South Africa
Kgaogelo E. Mokoka,Valerie J. Ehlers,Martha J. Oosthuizen
Curationis , 2011, DOI: 10.4102/curationis.v34i1.16
Abstract: Background: South Africa is a source country for many destination countries that recruit registered nurses who emigrate for personal and/or professional reasons. A large number of South African nurses belong to the baby boomer generation (born between 1943 and 1964) who will retire within the foreseeable future. Statistics from the South African Nursing Council show a decline of 42.0% in the number of nurses who completed their training in South Africa from 1996 to 2005. These aspects combine to predict a potential dire shortage of nurses in South Africa within the foreseeable future. Objectives: Retention of registered nurses should be the focus of health-care planners to avoid crises in South Africa’s health-care services. This study attempted to identify factors that would influence registered nurses’ decisions to stay with their current employers in the Gauteng Province of South Africa. Methods: An exploratory descriptive quantitative design was adopted and questionnaires were sent to a sample of nurses, registered with the South African Nursing Council (SANC), with addresses in the Gauteng Province. A total of 108 nurses completed and returned questionnaires, of whom 77 (73.1%) had considered leaving their current employers. Results: The most important factors that would influence more than 90.0% of these nurses’ decisions to stay with their current employers related to finances, safety and security, equipment and/or supplies, management, staff and patients. Conclusions: In terms of Maslow’s Hierarchy of Needs Theory, deficiency needs (physiological, safety and social needs) should be met by improved salaries revised on an annual basis, paying long-service and outstanding-service bonuses, and improving the safety and security, as well the available equipment and supplies, at institutions. Sufficient numbers of nurses should be employed and vacancies should be filled rapidly. However, not all changes required to enhance nurses’ retention rates involve increased costs. Managers should lead by example and respect nurses, and encourage doctors as well as patients to do so, to meet nurses’ self-esteem needs. Recognising and rewarding outstanding service would meet nurses’ self-actualisation needs, as well as opportunities to further their education. How to cite this article: Ehlers, V.J. & Oosthuizen, M.J., 2011, ’Factors influencing the retention of registered nurses in the Gauteng Province of South Africa’, Curationis 34(1), Art. 16, 9 pages. http://dx.doi.org/10.4102/curationis.34i1.16
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