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Introduction
Current institution
Additional affiliations
January 2018 - present
January 2017 - December 2017
January 1991 - December 2015
Editor roles
Nurse Education in Practice
Position
- International Advisory Board Member
Publications
Publications (75)
Purpose:
This article describes the work of the South African Truth and Reconciliation Commission (TRC) in examining the role of the health sector in human rights violations in the protracted conflicts during apartheid.
Organizing construct:
The enabling legislation contained in the Promotion of National Healing and Reconciliation Act of 1995 al...
Background: Antiretroviral therapy (ART), the only effective treatment for human
immunodeficiency virus (HIV), requires excellent long-term compliance. Poor levels of
adherence to ART, especially amongst adolescents and young adults in South Africa, have
been reported.
Aim: This study aimed to explore how young people become motivated to take their...
More than 90% of all HIV infections in children result from mother to child transmission. Elimination of mother-child transmission is a global priority and vital for the improvement of child survival in high-burden, limited resource settings. Retention in HIV care is vital to reduce transmission risk. This qualitative study explored the experiences...
Background: Transition of adolescents from paediatric to adult health services is an important aspect of caring for young people with chronic diseases. Successful transition of adolescents living with a transplant is critical for long-term survival into adulthood. This qualitative study explored the lived experience of adolescents in a South Africa...
Background: The COVID-19 Pandemic had profound effects on healthcare systems around the world. In South Africa, field hospitals, such as the Mitchell’s Plain Field Hospital, managed many COVID patients and deaths, largely without family presence. Communicating with families, preparing them for death and breaking bad news was a challenge for all sta...
PURPOSE
The purpose of the study was to explore the lived experience of Muslims with an ostomy with respect to their cultural and religious practices.
DESIGN
A qualitative, phenomenological design.
PARTICIPANTS AND SETTING
Seven purposively selected participants from a major metropolitan area in South Africa who had lived with an ostomy for 6 mon...
Objective: The impact of acquiring hearing loss might be exacerbated during adolescence, as this normal transition from childhood to adulthood is characterised by identity construction and social intensity. This study aimed to describe the lived experiences of South African adolescents with acquired hearing loss following aminoglycoside treatment f...
Background:
Globally and in South Africa, university students' knowledge of sexual and reproductive health (SRH) is low. This study was conducted in response to the dearth of information about the sexual and reproductive health knowledge of postgraduate students. Research conducted to explore the SRH knowledge of undergraduate students suggests th...
Purpose:
We reflect on our experience of running a remote volunteer counseling service, known as the Counseling Collective, to support patients and their families during the second wave of the COVID-19 pandemic in Cape Town, South Africa, and the learning and implications for practice and policy regarding the effective utilization of volunteers du...
Case and Contact tracing were strategies used by the Western Cape Department of Health to contain the Covid-19 pandemic. To support the public health services, volunteer work groups – called ‘pods’ – were established, under the leadership of provincially employed health professionals. Approximately 50 volunteers, including retired health profession...
During the second wave of the COVID-19 pandemic in Cape Town (December 2020-January 2021), the rate of admissions and deaths was significantly higher than in the first wave. Many individuals and families experienced a high level of distress and anxiety, and the public mental health support services were unable to meet the needs.
In response to this...
Background
Globally and in South Africa, university students’ knowledge of sexual and reproductive health (SRH) is low. This study was conducted in response to the dearth of information about the sexual and reproductive health knowledge of postgraduate students. Research conducted to explore the SRH knowledge of undergraduate students suggests that...
A personal reflection of contact tracing during COVID-19 in Cape Town, South Africa
Background: Evidence-based practice (EBP) plays a key role in improving health outcomes of a country’s population; however, the teaching of EBP is often theoretical and inconsistent, resulting in negative attitudes and limited application.
Objectives: The aim of this study was to determine the knowledge, attitudes and application of EBP by nursing...
Effective health communication: explaining antiretroviral medication (ART) and motivating adherence among young people in Khayelitsha, Cape Town
Objectives: to explore factors contributing to the success of health communication strategies and supporting visual communication tool(s) designed to explain antiretroviral medication (ART) adherence, and...
Health technology is increasingly recognised as a feasible method of addressing health needs in low and middle-income countries (LMICs). Primary Care 101, now known as PACK (Practical Approach to Care Kit), is a printed, algorithmic, checklist-based, comprehensive clinical decision support tool. It assists clinicians with delivering evidence-based...
The extreme levels of grief and trauma experienced in resource-poor communities in South Africa are well documented. The concept of grief or trauma being experienced and managed as an isolated incident and access to psychological therapeutic support being available is assumed in much of Western literature. This study describes a response to the mul...
Background
Mental health leadership is a critical component of patient access to care. More specifically, the ability of mental health professionals to articulate the needs of patients, formulate strategies and engage meaningfully at the appropriate level in pursuit of resources. This is not a skill set routinely taught to mental health professiona...
The extreme levels of grief and trauma experienced in resource-poor communities in South Africa are well documented. The concept of grief or trauma being experienced and managed as an isolated incident and access to psychological therapeutic support being available is assumed in much of Western literature. This study describes a response to the mul...
Background: Survival rates of premature infants have increased due to advances in medicine. Premature infants however, remain at risk for developmental delays including communication difficulties. The bonding and attachment experiences of premature infants and their parents are often challenged, further placing these infants at risk for communicati...
Purpose: To investigate and describe the nature and extent of violence against nurses and the perceived effects thereof on nurses in the southern region of Malawi.
Methods: A descriptive, cross-sectional study in which 190 questionnaires were sent out to nurses from five facilities, 112 were returned completed (60% response rate). The five faciliti...
Knowledge transfer is an inevitable process in higher education where research outputs are largely associated with the production of Masters’ and Doctoral graduates. The supervision of postgraduate students at universities is therefore one of the core responsibilities of academics and is considered a measure of academic output. Supervision not only...
Background: Survival rates of premature infants have increased due to advances in medicine. Premature infants however, remain at risk for developmental delays including communication difficulties. The bonding and attachment experiences of premature infants and their parents are often challenged, further placing these infants at risk for communicati...
Purpose: To investigate and describe the nature and extent of violence against nurses and the perceived effects thereof on nurses in the southern region of Malawi.Methods: A descriptive, cross-sectional study in which 190 questionnaires were sent out to nurses from five facilities, 112 were returned completed (60% response rate). The five facilitie...
Premature infants are known to be at risk for developmental problems including communication delays and disorders. The bonding and attachment experiences of premature infants and their mothers are often challenged, further placing these infants at risk for communication difficulties. This study aimed to explore the communication between four low-ri...
Context: A pilot programme for an advanced certificate for community rehabilitation workers (CRWs) was offered by the Division of Disability Studies, University of Cape Town during 2013. The programme included continuing professional development (CPD) opportunities for health therapists and nurses that addressed task sharing with and task shifting...
The study aimed to describe the current clinical teaching practices and student satisfaction therewith, and then design, implement and evaluate a Structured and Collaborative Clinical Teaching Training Program (SCCTTP) for clinical teaching of pre-registration nursing students at a National Teaching and Referral Hospital in Kampala, Uganda.
Background:
Preterm and low-birth weight infants are often separated from their mothers when admitted to neonatal units for stabilisation of body temperature and technological support.
Objectives:
The aim of the study was to explore and describe the lived experiences of mothers regarding care of their hospitalised preterm infants in a neonatal u...
Task shifting has been suggested to meet the demand for initiating and managing more patients on antiretroviral therapy. Although the idea of task shifting is not new, it acquires new relevance in the context of current healthcare delivery.
To appraise current trends in task shifting related to HIV treatment programmes in order to evaluate evidence...
For persons living with HIV (PLWH) in limited socioeconomic circumstances in South Africa, social grants for disability have contributed significantly to alleviate poverty, yet there is a risk that recipients may lose these grants once they are clinically stable on antiretroviral therapy (ART). Our qualitative research explored perceptions and expe...
Background: Sexual violence in South Africa is a major public health and social problem.
Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape
victim, but also that of her male intimate partner (MIP), irrespective of whether he witnessed
or was informed of the incident.
Objectives: The study aimed to explor...
Asthma is an important chronic inflammatory disorder with significant morbidity and mortality in South Africa. The development of national asthma guidelines by the South African Thoracic Society and National Asthma Education Programme has been one approach to try and improve the quality of care. The effectiveness of previous guidelines has been lim...
How do nurses really experience the guidelines in their practice? This poster explores, using a psychoanalytic lens, the experiences of nurses at primary care level in using guidelines.
Childhood tuberculosis is an increasingly important public health problem and is a major cause of morbidity and mortality in developing countries, contributing to a significant increase in the burden of disease worldwide. TB is particularly difficult to diagnose in children. Sputum induction as a diagnostic method is feasible, effective and well to...
STRETCH Toolkit. STRETCH Implementation toolkit developed by the research team to assist clinic staff in implementing the STRETCH intervention.
ART algorithms. Algorithms for initiation and management of patients on antiretroviral therapy included in the STRETCH edition of the PALSA PLUS guideline that was used in intervention clinics during the STRETCH trial.
ABSTRACT:
Task shifting and the integration of human immunodeficiency virus (HIV) care into primary care services have been identified as possible strategies for improving access to antiretroviral treatment (ART). This paper describes the development and content of an intervention involving these two strategies, as part of the Streamlining Tasks an...
To investigate whether PALSA PLUS, an on-site educational outreach programme of non-didactic, case based, iterative clinical education of staff, led by a trainer, can increase access to and comprehensiveness of care for patients with HIV/AIDS.
Cluster randomised trial.
Public primary care clinics offering HIV/AIDS care, antiretroviral treatment (AR...
Introduction: Asthma is the eighth leading contributor to the burden of disease in South Africa. Previous guidelines have been published in scientific journals with no explicit approach to their dissemination and implementation. The Asthma Guideline Implementation Project (AGIP) attempted to design, monitor and evaluate a model for guideline dissem...
To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses.
Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educat...
Background: Sedation, seclusion or restraint are recognized methods of containing a person experiencing an acute psychotic episode with behavioural disturbance which has not responded to verbal or non-sedating pharmacological interventions. These interventions pose significant ethical and practical challenges to service providers who are responsibl...
ENGLISH ABSTRACT: This dissertation examines how nurses in primary health care in South Africa make use of guidelines. Primary level health care is reliant primarily on nurses, who are under-resourced and often overwhelmed by the complex needs of their clients in the context of the TB and HIV/AIDS epidemic. Despite various continuing education stra...
Asthma is the eighth leading contributor to the burden of disease in South Africa, but has received less attention than other chronic diseases. The Asthma Guidelines Implementation Project (AGIP) was established to improve the impact of the South African guidelines for chronic asthma in adults and adolescents in the Western Cape. One strategy was a...
This study explored and described the experiences of informal female caregivers providing home-based care to people living with HIV (PLWH) in the Dar es Salaam region, Tanzania. The research design was qualitative, descriptive, and exploratory, and was based on the interpretive paradigm. Study participants provided care at home for family members w...
Premature and low birthweight infants pose particular challenges to health services in South Africa. While there is good evidence to demonstrate the benefits of kangaroo care in low birthweight infants, limited research has been conducted locally on the experiences of parents who provide kangaroo care to their preterm infants. This phenomenological...
South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART) delivery. The PALSA PLUS programme provides guidelines and training for primary health care (PHC) nurses in the management of adult lung diseases and HIV/AIDS, including ART. A process ev...
In South Africa, first-contact primary care is delivered by nurses in small clinics and larger community health centres (CHC). CHCs also employ doctors, who often work in isolation from the nurses, with poor differentiation of roles and little effective teamwork or communication. Worcester CHC, a typical public sector CHC in rural South Africa, dec...
Gender-related vulnerability is described as a crucial factor contributing to increased susceptibility of women to HIV, accounting for more women than men being infected. At the same time, empowerment interventions are being promoted as effective strategies for increasing the ability of women to adopt protective behaviours. The aim of the review wa...
This study explores the lived experience of being a Speech-Language Therapist (S-L Therapist) in the South African Western Cape public health service. The lived experience of seven S-L Therapists with varied clinical experience was illuminated using a qualitative phenomenological research design. S-L Therapists, working in the three Western Cape te...
Aim:
The introduction of a module in Health and Human Rights into a Postgraduate diploma curriculum for registered nurses is described.
Background:
An important component of nursing programmes in South Africa has been teaching of the principles of ethical practice and relevant ethical codes. A number of factors have contributed to the need to in...
Background Effective teamwork between doctors and clinical nurse practitioners (CNP) is essential to the provision of quality primary care in the South African context. The Worcester Community Health Centre (CHC) is situated in a large town and offers primary care to the rural Breede Valley Sub-District of the Western Cape. The management of the CH...
Aim: This paper describes the design, facilitation and preliminary assessment of a 1-week cascade training programme for nurse trainers in preparation for implementation of the Practical Approach to Lung Health in South Africa (PALSA) intervention, tested within the context of a pragmatic cluster randomized controlled trial in the Free State provin...
Background. A global shortage of registered nurses (RNs) has been reported internationally, and confirmed in South Africa by the National Audit of Critical Care services. Critical care nurses (CCNs) especially are in great demand and short supply. Purpose. The purpose of this study was to quantify the nursing workforce and compare it with requireme...
WHAT IS ALREADY KNOWN IN THIS AREA• Many papers describing multiprofessional educational activities relate to activities occurring late into curricula activity.• Meta-analyses demonstrate multiprofessional learning only becoming effective when students are placed in a working environment.• Scant attention is placed upon the early development of stu...
Multi-professional education has traditionally aimed to develop health professionals who are able to collaborate effectively in comprehensive healthcare delivery. The respective professions learn about their differences in order to work together, rather than developing unity in their commitment to a shared vision of professionalism and service. In...
Undergraduate inter- and multi-professional education has traditionally aimed to develop health professionals who are able to collaborate effectively in comprehensive healthcare delivery. The respective professions learn from and about each other through comparisons of roles, responsibilities, powers, duties and perspectives in order to promote int...
To develop and implement an educational outreach programme for the integrated case management of priority respiratory diseases (practical approach to lung health in South Africa; PALSA) and to evaluate its effects on respiratory care and detection of tuberculosis among adults attending primary care clinics.
Pragmatic cluster randomised controlled t...
The implementation of the Choice on Termination of Pregnancy Act, Act No. 92 of 1996 brought many challenges for the registered nurses/midwife assisting in the termination of pregnancy.
Opsomming
Die implementering van die Wet op die Beëindiging van Swangerskap, Wet Nr. 92 van 1996, het baie uitdagings meegebring vir die geregistreerde verpleegku...
