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Biomedical subjects

W J Kotzé

Publications and source records attributed to W J Kotzé.

At least 19 recordsLinked to original sources

Accompaniment needs of nursing students related to the dying patient.

Nurse educators are responsible for accompanying students towards becoming capable, competent professional nurses who are a credit to themselves, their patients, colleagues and profession. Student nurses need, therefore, to be taught to render comprehensive nursing care to patients in all stages of their lives, including when they are dying. Being confronted with human suffering and death is challenging and traumatic. Those exposed to such events on a daily basis need to have a solid foundation of self preservation to see past the pain of suffering and to bring light and hope to those in need. A young student nurse will only experience positive growth and development in these circumstances if she is also cared for and guided with understanding. The researcher utilized a qualitative, explorative, descriptive and contextual design based on the phenomenological approach to enquiry. The following question was asked at the beginning of each unstructured phenomenological interview: "How was if for you to care for a dying or deceased patient?" The central theme identified that student nurses experience turmoil in their different relationships in their accompaniment of the dying patient. Guidelines based on the central theme and sub-themes that emerged from raw data, as well as literature, are offered as strategies to promote/enhance optimal accompaniment of student nurses caring for the dying patient.

Adaptation, Psychological↗

Experiences of final year nursing students in their preparedness to become registered nurses.

The objectives of this study were: firstly, to explore and describe the experiences of final year nursing students relating to how they experience their preparedness to fulfil the role of professional nurse; secondly, to explore and describe the experiences of novice professional nurses in the role of professional nurse; finally, to generate a model which will assist the final year nursing student to become a professional nurse. A theory-generative, qualitative, explorative, descriptive and contextual research design was utilized to reach the objectives of the study. Results indicated that final year nursing students experience a lack of confidence to take on the responsibilities of professional nursing. The results are displayed in table form and discussed in the article. This abstract forms part of a bigger study that addresses the professional maturity of the novice professional nurse for the practice of nursing.

Education, Nursing↗

A self-management model towards professional maturity for the practice of nursing.

A theory-generative, qualitative, explorative, descriptive and contextual research design for theory generation was used to develop a self-management model towards professional maturity for the practice of nursing. It became evident throughout the research study that the final year nursing students needed to become independent in the management of their practice. Classification of main concepts self and management was made according to the methods of theory generation of Mc Kenna (1998), Walker and Avant (1995), Chinn and Kramer (1995) and Dickoff, James and Wiedenbach (1968). Dickoff, James and Wiedenbach's (1968:422) survey list was utilized to classify the concepts of the model. Concluding relationship statements were inferred through deductive analysis and synthesis after each concept was conceptualized. The relationship statements provided a basis for the model description. A description is given of the model evaluation utilizing the criteria of Chinn and Kramer (1995:119). To ensure trustworthiness of the study, Guba's model in Krefting (1991:215) was utilized. Guba's four criteria for trustworthiness were ensured, namely truth value, applicability, consistency and neutrality. The researcher, throughout the study, considered ethical issues discussed in the previous article, as were the recommendations and limitations.

Education, Nursing↗

Accompaniment needs of first year nursing students in the clinical learning environment.

The clinical learning environment creates many opportunitics for student learning and the development of critical competencies in the nursing profession. The learning that takes place in this environment, however, confronts the first year nursing student with challenges that are absent from the classroom situation and causes the student to experience a significant amount of uncertainty and anxiety. The study revealed that the students experience uncertainty due to the lack of opportunities to develop competence in providing nursing care. The contributing factors towards this experience are: unavailability and inaccessibility of staff due to time constraints; shortage and/or absence of equipment to fulfil nursing duties and meet the needs of patients; conflict in the expectations of nursing school personnel and clinical nursing personnel in hospitals, as well as a lack of awareness among senior professionals of the needs and problems of first year nursing students in the clinical health care environment. Furthermore the students experienced the nature of the clinical learning programme as disrupting the continuity in patient care learning experiences, and the guidance and support by nursing personnel in the clinical learning environment as inadequate. The aim of this study was to reflect the importance of effective accompaniment by tutors/mentors, personnel in the clinical environment and any other person involved in the education of the first year nursing student, to prepare and enable him/her to become a knowledgeable, safe, competent nursing practitioner.

Adolescent↗

The postnatal review: the task of the midwife.

There is growing realization that women's health and involvement in health care are essential keys to health for all. One way in which the midwifery profession can contribute to women's health is by providing high quality care during the six week postnatal review/checkup. A study in three provincial hospitals in the Port Elizabeth area showed that the actual structure of the postnatal review fell far short of the ideal as specified by the literature. Of all the elements included in the ideal postnatal review, only 23.5% of these were performed or supervised by the midwife. Seventy percent (70%) of these elements were not performed at all, thus emphasising the fact that a comprehensive health service is not being provided at the postnatal clinics in Port Elizabeth.

Adolescent↗