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e Appreciative inquiry e 5D-Cycle. Adapted from Whitney and Trosten-Bloom (2003, p. 6) and Cooperrider et al. (2005, p. 5).
Source publication
Background: Professional nurses enrolled in a post-basic emergency nursing programme presented at a tertiary nursing education institution in South Africa are placed in different clinical learning environments to reach the set clinical outcomes and gain appropriate clinical experience. These students are placed in the hospital environment (emergenc...
Context in source publication
Context 1
... Whitney, and Stavros (2005, p. xviii), Appreciative Inquiry of- fers an opportunity to build stimulating and dynamic pro- grammes. Appreciative Inquiry is based on a 5D-cycle that provides access to and mobilises the positive core that is encircled by five phases -definition, discovery, dream, design and destiny -with a central positive core (see Fig. 1). According to Reed (2007, p. 2), Appreciative Inquiry is an inquiry that focuses on appreciating what works well within an organisation (in this case, the emergency nursing programme). Therefore, Appreciative Inquiry is a process that can be utilised to challenge the existing assumptions of an organisation (emergency nursing ...
Citations
... Specifically, emergency nurses were given learning opportunities to develop competencies by having a deeper understanding about the mechanism of injury and better understanding of trauma management protocols. Emergency nurses had also learned more about triage of patient, improve assessment skills, continuous monitoring of patient, effective management of proper handling of injured patient (Wyk, Heyns, & Coetzee, 2015). Having an appropriate knowledge can ensure better quality of trauma care for critically-ill patients (Awwad et al., 2021). ...
... Abortion is not legal in Botswana; however, post-abortion complications are the third leading cause of maternal death [25] . A significant obstacle to accessing safe abortion worldwide is a lack of trained providers [26] . Therefore, training of health care providers in managing complications of abortions should be a priority, mainly focusing on timely referrals since most clinics and health posts cannot provide comprehensive abortion care, including uterine evacuations. ...
Introduction
Rural health clinics in low-resource settings worldwide are usually staffed with health care workers with limited knowledge and skills in managing acute emergencies. The Emergency Centre (EC) at the district hospital or primary hospital serves as an entry point for patients with diverse medical needs from health posts and community clinics. The study described the socio-demographic characteristics, primary diagnosis, and disposition of patients transferred from the clinics and health posts to the district hospital in the Kweneng district.
Method
This study is a chart audit of the triage sheets and admitting medical records (Botswana Integrated Patient Management System, IPMS) conducted for the period June through to December 2020. Descriptive statistics were used to analyze the quantitative data. Frequencies, percentages, and measures of central tendency were calculated using the software, SPSS version 27.
Results
A total of 1565 charts were reviewed; 56% (n = 877) were females and 43.5% (n = 681) were males. Half of the patients presenting to the EC ranged from ages 21 to 50, with a mean age of 36.49. The most frequently reported reason for referral was “trauma,” (23.5%, n = 368) whereas the second common reason for referral was abortion-related complications (14.2%, n = 222). The highest admissions were from abortion-related complications (20.2%, n = 169). Most patients’ transfers were from clinics and health posts outside Molepolole (59.4%, n = 930). More than half of the patients (64.2%, n = 537) transferred from outside Molepolole were admitted than discharged from the EC.
Discussion
Our study has shown significant transfers to a higher facility for emergency care. The higher number of transfers are trauma-related cases, whereas most patients were admitted for abortion-related complications indicating the need for skill-building in trauma care and management of abortions.
