Nursing Science

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Browsing Nursing Science by Author "Dlamini, Nokuthula Joy"

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    Factors associated with pre-eclampsia and quality care of affected teenagers during labour within health region H. in KwaZulu-Natal Province
    (1996) Dlamini, Nokuthula Joy; Nzimande, P.N.
    This is a descriptive, exploratory study which aimed at identifying the factors that are associated with pre-eclampsia in teenagers. The study also aimed at assessing the quality of midwifery care during labour in teenagers with pre-eclampsia so that recommendations can be made based on empirical findings. The study was done within Health Region H of KwaZulu-Natal Province in South Africa. A structured interview schedule was designed to tap information from pre¬eclamptic teenagers in an attempt to identify factors associated with pre-eclampsia. A checklist was also designed and administered to assess the care of a pre-eclamptic teenager during labour. The study revealed that factors like age, nulliparity and socio-economic status were associated with pre-eclampsia. In as far as the rest of the factors, there was no relationship as indicated in previous studies. The study also revealed that teenagers affected by pre-eclampsia delayed in attending the antenatal clinic resulting in the control of the disease being difficult. In as far as midwifery care, the study revealed that psychological and social care, as well as the hygienic state of patients was not satisfactory. Based on the findings of the study, it is recommended that health education on prevention of pre-eclampsia should be done on an ongoing process, while carers for teenage mothers should be given inservice education programmes on psychosocial care. The physical environment for maternity units must be improved
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    Views of health care services consumers in rural communities on provision of health care in KwaZulu- Natal Province
    (2004) Dlamini, Nokuthula Joy; Zungu, B.M.
    The main aim of this study was to determine the views of health care services consumers on the provision of health care in rural areas. It also aimed at highlighting challenges that faced health care service managers about rural health care service delivery. The study was undertaken in six (6) health districts in KwaZulu-Natal Province. A qualitative and quantitative descriptive survey was conducted. From six (6) health districts selected, six rural hospitals were selected, and out of each hospital two rural clinics were sampled. Twelve rural clinics were selected, and from each clinic twenty five (25) respondents were selected. The total sample consisted of three hundred (300) respondents. The study revealed that people living in rural areas are still faced with a problem of inaccessibility and unaffordability of health care services. It was evident that rural clinics still experience shortage of nurses and doctors, and that health care services in rural areas are still faced with problems of lack of material resources, lack of electricity, insufficient water supply, absence of emergency services, absence of night health care services and inadequate obstetric health services. Poverty, lack of transport and inaccessibility of health care services are still a major problem in rural communities. Recommendations based on the findings of the study highlighted the need for health care authorities, health care planners and managers to focus more on equitable distribution of human and material resources.
University of Zululand