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Biomedical subjects

M Greeff

Publications and source records attributed to M Greeff.

At least 19 recordsLinked to original sources
PubMed2005

The patient relationship and therapeutic techniques of the South Sotho traditional healer.

Until 1996 the practice of traditional healers was outlawed in South Africa and not afforded a legal position in the community of health care providers. In 1978 the World Health Organization (WHO) identified traditional healers as those people forming an essential core of primary health care workers for rural people in the Third World Countries. However in 1994 the new South African government identified traditional healers as forming an essential element of primary health care workers. It is estimated that 80% of the black population uses traditional medicine because it is deeply rooted in their culture, which is linked to their religion. The traditional healer shares with the patient a world view which is completely alien to biomedical personnel. Therapeutic techniques typically used in traditional healing conflict with the therapeutic techniques used in biomedicine. The patients' perceptions of traditional healing, their needs and expectations, may be the driving force behind their continuous persistence to consult a traditional healer, even after these patients may have sought the therapeutic techniques of biomedical personnel. The operation of both systems in the same society creates a problem to both providers and recipients of health care. Confusion then arises and the consumer consequently chooses the services closer to her. The researcher aimed at investigating the characteristics of the relationship between the traditional healers and the patients, explored the therapeutic techniques that are used in the South Sotho traditional healing process, and investigated the views of both the traditional healers and the patients about the South -Sotho traditional healing process, to facilitate incorporation of the traditional healers in the National Health Care Delivery System. A qualitative research design was followed. Participants were identified by means of a non-probable, purposive voluntary sample. Data was collected by means of a video camera and semi-structured interviews with the six traditional healers and twelve patients, as well as by taking field notes after each session. Data analysis was achieved by means of using a checklist for the video recordings, and decoding was done for the interviews. A co-coder and the researcher analysed the data independently, after which three consensus discussions took place to finalise the analysed data. The researcher made conclusions, identified shortcomings, and made recommendations for application to nursing education, nursing research and nursing practice. The recommendations for nursing are reflected in the form of guidelines for the incorporation of the traditional healers in the National Health Care Delivery System.

Adult↗
PubMed2004

Health-service utilization by pregnant women in the greater Mafikeng-Mmabatho district.

Since the implementation of free maternity services in South Africa from 1994, more maternity services were provided (SA, 1994: 73). These services are however inaccessible to many pregnant women in the rural areas, leading to sub-optimal antenatal health service utilization. Another problem that emerged, is deterioration in antenatal health service rendering throughout the country, as well as a lack of guidelines for the mobilization of pregnant women in order to promote optimal antenatal health service utilization (ANHSU) in the North West Province. The mentioned problems were the reasons for undertaking this research. The aims formulated for this research were: To determine the composition of the infrastructure of the antenatal health services and the efficacy of the antenatal health-service rendering in the greater Mafikeng-Mmabatho District; To undertake a survey of the ANHSU by pregnant women attending the mentioned services; To explore and describe the perceptions of these pregnant women regarding ANHSU; To formulate recommendations for antenatal health service providers working in the greater Mafikeng-Mmabatho District for the mobilization of pregnant women to promote optimal ANHSU. A qualitative survey design was followed within the context of the greater Mafikeng-Mmabatho District in the North West Province. Data-collection was managed through completion of structured questionnaires by chief professional nurses and puerperal women and by holding semi-structured interviews with puerperal women who were selected using non-probable, voluntary and purposive sampling. The findings that emerged were, that the composition of the infrastructure of the majority antenatal health services in the greater Mafikeng-Mmabatho District were insufficiently equipped indicating the provision of ineffective antenatal health service rendering. Pregnant women were utilizing the antenatal health services sub-optimally and the exploration and description of their ANHSU, revealed factors promoting and preventing utilization. Recommendations have been formulated for nursing education, nursing research and nursing practice with specific reference to the formulation of guidelines for antenatal health service providers to promote optimal ANHSU by pregnant women.

Efficiency, Organizational↗
PubMed2000

[The experience of the patient and the registered nurse during tuberculosis education].

This article focused on the problem that patients suffering from tuberculosis often stop taking their prescribed medicine and become defaulters. Although various factors could possibly contribute to the non compliance of the patients, this research had focused only on the teaching-learning situation. The experience of both the primary health nurse and the patient suffering from tuberculosis, during the teaching-learning situation in tuberculosis education, has been explored and described within the context of the North West Province. Phenomenological interviews were conducted with primary health nurses and defaulting patients suffering from tuberculosis. Interviews were recorded on tape and transcribed verbatim. The method of content analysis was used. The research has proven that adult-teaching principles have not been established in the teaching-learning situation and that the parent-child ego state predominates in communication.

Adolescent↗
PubMed2000

[Guidelines for implementation of tuberculosis education-learning].

This article is a follow up article of the previously published article "Die belewenis van die pasiënt en die verpleegkundige tydens tuberkulose-onderrig" and focuses on guidelines formulated on the basis of the research findings. These guidelines have been formulated in order to promote the nurse's knowledge and skills concerning: interpersonal relations, subject knowledge, a task versus patient orientated nursing approach, the motivation of the nurse, social support systems, stimulation of the patient's motivation, recovery from the patient's chest centredness and the acceptance of responsibility for his own health as well as the affirmation of the role of the nurse.

Attitude of Health Personnel↗
PubMed1996

[Guidelines for the facilitation of wholeness in patients with AIDS: the experience of patients with AIDS: I].

AIDS will be remembered as the illness that was discovered in the 1980s of which the effects of this epidemic were only realised in the 1990s. Statistics show that the number of patients with AIDS increase annually because of the number of patients now diagnosed as HIV infected. Statistics indicate that AIDS has a much wider impact on the community than only homosexuals and drug-dependent people. Much attention is paid currently to the prevention of AIDS, but the problem is vested in the third phase of the HIV infection, namely AIDS. Nurses will be more and more exposed to the patient with AIDS and she can make a valuable contribution to facilitating the quest to wholeness of the patient with AIDS. This research was aimed at exploring and describing the experiences of the patient with AIDS and to lay down guidelines for the nurse and the psychiatric nurse specialist as consultant to facilitate the quest for wholeness of the patient with AIDS. A exploratory, descriptive contextual study was done with the aim of achieving insight into the experiences of the patient with AIDS, by way of a specific convenience test sample, five patients who complied with the set criteria were included in the research. The application possibilities of this research are generally set out as regards practice, research and teaching, and also as specific guidelines for the nurse treating the patient with AIDS. By following the guidelines set out in this research, the nurse can facilitate the patient's quest for wholeness.

Acquired Immunodeficiency Syndrome↗
PubMed1996

[Guidelines for the facilitation of wholeness in patients with AIDS: II].

In the previous article, Die belewenis van die pasiënt met VIGS: Deel I, better insight was obtained in the experiences of the patient with AIDS. In this article the focus is on the clinical application options of this research. Guidelines are set in this research to enable the nurse to facilitate the quest to wholeness of the patient with AIDS and the psychiatric nurse specialist to act as consultant for nurses who nurse the patient with AIDS in hospitals, nursing homes and at home.

Acquired Immunodeficiency Syndrome↗
PubMed1996

[Nurses' and patients' experience of combined health service delivery to all population groups in a hospital].

In a community hospital in Gauteng, the hospital management had, on short notice, to provide combined health services to all population groups. In the past different health services were delivered to each population group. The integration of health service delivery was a sudden change. Based on this, research questions arose, namely: how do nurses and patients experience this change, and how could they be assisted to adjust to the change. The research objectives were twofold, namely: to explore and describe nurses and patients' experience of combined health delivery to all population groups and based on the results to make recommendations to assist them with adjustment to a combined health delivery system. An exploratory, descriptive and contextual research design was followed. Trustworthiness was ensured by applying Guba's approach. Phenomenological and individual focus interviews were conducted with forty nurses and patients who were selected purposively. Field notes were written after completion of each interview. The transcribed data was analysed by using Giorgi's and Kerlinger's methods combined. Results were discussed and a literature control completed. The most important conclusions reached were: there was an insufficient administrative structure in the hospital as a result of insufficient preparation for the combined health service delivery for all population groups; the whites' perception of different populations groups is based on an ethnocentric Western approach. This led to their experience of culture shock that resulted in feelings of anger/frustration, fear and sadness; the willingness of other populations groups to adjust to combined health service delivery led to their experience of happiness; there exists communication problems between population groups because of their not being able to communicate in their own language and the difference in communication styles; the verbalised Christian viewpoint and values of whites nurses and patients are not congruent with their prejudiced perception of people of other population groups and cultures, and the different population groups do not know each other's lifeworlds and that leads to prejudices that block open communication. Several recommendations were made based on these conclusions.

Black or African American↗
PubMed1996

[Service experience of community psychiatric nurses: 1].

Since psychiatric community services were legalised by the promulgation of the Mental Health Act no 18 of 1973 shift to primary mental Health Care has occurred. This change resulted in an increase in psychiatric patients within the community, and because of this increase the workload of the psychiatric community nurse became heavier. This higher expectation might cause pressure for the psychiatric community nurse and therefore influence her therapeutic relationship with her patient negatively. It was therefore important that the work experience of the psychiatric community nurse should be explored and described in order to formulate guidelines to mobilise resources to promote, maintain and restore the mental health of the psychiatric community nurse. A exploratory, descriptive contextual study was done with the aim of achieving insight into the internal environment experiences of the psychiatric community nurse working in the psychiatric community. In depth exploration was achieved by way of the phenomological method of interviewing to obtain data.

Adult↗
PubMed1995

Psychiatric nurses' communication with psychiatric patients.

The psychiatric nurses, as a member of the multi-professional mental health team, utilises a goal-directed approach to assist the psychiatric patient in mobilising resources to promote, restore and maintain his mental health as an integral part of his quest for wholeness. This goal-direct approach is the nursing process which comprises assessment, planning, implementing and evaluation. All four steps of the nursing process and the nurse's interaction with the patient are dependent upon therapeutic communication. Therapeutic communication remains important as the core of all nurse-patient interactions. The aim of this research was to explore and describe the viewpoints of psychiatric nurses on their communication with psychiatric patients and to formulate guidelines for psychiatric nurses. Such guidelines should assist nurses with their communication with psychiatric patients, helping in the restoration and maintenance phases of the patients' mental health. Exploratory, descriptive and contextual research was done with the purpose of gaining insight into the viewpoints of psychiatric nurses on their communication with psychiatric patients.

Attitude of Health Personnel↗
PubMed1995

[Psychiatric nursing support for the families of patients in an oncology unit: Part I].

The family of a patient in an oncology unit or at home, experiences mental discomfort as a result of additional pressure placed on the family system due to long-term implications of cancer. Families are often uncertain about ways of effective coping in their stressful situation. As a result of this uncertainty, they tend to withdraw from one another, thereby worsening their mental discomfort and impeding their pursuit of wholeness. An exploratory, descriptive and contextual study was carried out during the course of which the design for case studies was used. The purpose of the study was to determine the contribution made by a psychiatric nursing specialist offering psychiatric nursing accompaniment to the family of a patient in an oncology unit or at home, regarding the lessening of their mental discomfort. A further goal was to set guidelines as to the manner in which this accompaniment should be presented by the registered nurse in order to lessen the mental discomfort of the family of such a patient.

Adaptation, Psychological↗
PubMed1995

[Instructions for nurses for the support of families of patients in oncology home care: Part II].

Whenever cancer is diagnosed in a member of a family, additional pressure and demands are placed on the family system. Certain issues occur in the family to the extent that they experience their situation and cope with it in their own way. The family's main concern is their experience of mental discomfort. One way of coping with this is by submitting to psychiatric nursing accompaniment tendered by a psychiatric nursing specialist. As the family proceeds to acceptance, specific needs occur, which should be addressed by means of a long-term approach of support. This support rests mainly with the registered nurse who works with the family, since the number of trained psychiatric nursing specialist available is small.

Adaptation, Psychological↗
PubMed1993

[A model for psychiatric nursing accompaniment of a patient with mental discomfort: Part II].

The conceptualization of the concept mental discomfort formed only part of the research methodology. The goal was to conceptualize the concept mental discomfort in the conceptual frame of reference of Psychiatric Nursing. The concept was one of three concepts to be analyzed in this research. The combined approach of concept analysis was used. This was done as follows: Research dictionary and subject terminological definitions of the concept; Construct cases of the concept: a model and borderline case; Formulate criteria for the concept; Conduct internal dialogue; Reformulate and define the concept. After completion of the process the concept mental discomfort was conceptually defined.

Adult↗
PubMed1993

A model for psychiatric nursing accompaniment of a patient with mental discomfort. Part I. Research method and design.

The research process did not proceed in the traditional step-by-step manner. A theory-generating approach was followed by way of exploration and description. The first three levels: factor-isolating, factor-relating and situation relating theories, were generated. A conceptual framework for psychiatric nursing accompaniment was formulated on the basis of concept identification and classification. The concepts mental discomfort, lifestyle functioning and psychiatric nursing accompaniment were identified and subjected to concept analysis. A systematic, logical and consistent approach lead to the conceptualization of the model for psychiatric nursing accompaniment of the patient with mental discomfort. This addresses the initial question according to which the psychiatric nursing specialist could direct her interaction, and also clears up the confusion around the concept of accompaniment. The quest for wholeness is set as the final goal of the accompaniment events, and lifestyle functioning is established as an unit for assessment and diagnosing. Hypotheses for validation of the model were formulated for follow-up research. The conceptualised model for psychiatric nursing accompaniment of the patient with mental discomfort is followed by a literature study of models and theories for nursing and related disciplines and critically judged according to their main themes, application possibilities and limitations. The model for psychiatric nursing accompaniment of the patient with mental discomfort is evaluated on the basis of predetermined criteria. The shortcomings and conclusions are indicated and recommendations are made according to the operational possibilities of the research.

Humans↗
PubMed1993

[Experiences of mothers of young hyperactive children].

An exploratory contextual study was undertaken to expand the insight into and the meaning of the perceptions of the mother of a hyperactive child. The phenomenological method of interviewing was used to gather data. The interviews were recorded on tape and later transcribed verbatim. The random test population consisted of eight participants who were specially selected for the purpose of this study. Data was analysed by way of content analysis. The results firstly crystallised in the mother's experiences with her hyperactive child and secondly in the elements which influenced these experiences. The mother's experience is contained in her involvement with her child and in her interaction with him. She experiences vehement feelings of anger, empathy, insufficiency, guilt and depression. At the same time there is the perception that she is responsible for her child's hyperactivity and the accompanying behavioural problems. The mother finds herself in a stressful situation where she is a buffer between her child and the world. Her experience is influenced inter alia by her religious system, personal stress, the behaviour of the hyperactive child, and the availability of support systems. Based on the findings of this study, it seems that the mother of young hyperactive children are already mentally ill to a degree, or are at risk to develop mental illness. In the light of this, group therapy seems to be the most meaningful intervention to support mothers of young hyperactive children.

Adult↗
PubMed1993

[Handling of stress by psychiatric nursing students: II].

Stress is caused by the demands of everyday life and is an integral part of our lives. The manner in which stress is coped with, remains the responsibility of the individual herself. To be in the nursing profession today, is highly demanding. The psychiatric nurse experiences more stressors, because she is involved in a specialised area, where she uses herself as a therapeutic instrument on a scientific basis. The psychiatric nursing student finds herself in a situation where she is confronted by stressors from her personal and professional environment, as well as stressors caused by her present training in psychiatric nursing. To ensure quality nursing and job satisfaction by the psychiatric nursing students, it is important that their stressors must be identified and that they must learn in good time ways how to effectively cope with it. The psychiatric nursing student must learn ways to cope with her own stressors and consequently she will be in a position to be of assistance to her patients. Coping with stress unsuccessfully and not identifying a high stress load, can have disastrous consequences for both the psychiatric nursing student as well as for the specific organisation in which she is involved. The purpose of this research is to identify the precise stressors which influence the psychiatric nursing student during her training, as well as to establish guidelines to direct the psychiatric nursing student where coping with stress is concerned. A descriptive contextual field study was executed by identifying the stressors of a psychiatric nursing student in the area that she was involved in during her training.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Psychological↗