Public HealthArticle by UL authorshttp://hdl.handle.net/10386/14662024-03-29T07:53:29Z2024-03-29T07:53:29ZAssessment of reliability and validity of a nursing tool used to examine knowledge, attitude, and practices of professional nurses in writing nursing care plans at a teaching hospital in Gauteng Province, South AfricaLodi, Louisa M.Randa, Moreoagae B.Ntuli, Samuel T.Matlala, Sogo F.http://hdl.handle.net/10386/42742023-08-11T01:00:07Z2023-01-01T00:00:00ZAssessment of reliability and validity of a nursing tool used to examine knowledge, attitude, and practices of professional nurses in writing nursing care plans at a teaching hospital in Gauteng Province, South Africa
Lodi, Louisa M.; Randa, Moreoagae B.; Ntuli, Samuel T.; Matlala, Sogo F.
Background:
A nursing care plan is a guideline developed for a patient's needs. A well-documented care plan provides holistic patient-centred care and includes
assessing, evaluating, and administering a variety of interventions as well as teaching patients and families. There are existing tools to measure
nurses' knowledge, attitude, and practices in writing nursing care plans in many countries. However, cultural differences and most of the tools do
not cover region-specific aspects of diseases, making it challenging to be used between countries.
Objective:
Thisstudy aimed to develop and validate a tool for determining the knowledge, attitudes, and practices of nurses in writing nursing care plans at a
teaching hospital in Gauteng province, South Africa.
Methods:
A cross-sectional study was conducted among 218 registered nurses in selected hospital wards. Reliability was examined using Cronbach alpha and
item-total correlation, while validity was assessed using Exploratory Factor Analysis (EFA EFA) and convergent validity. SPSS for Windows
(version 10.0; SPSS, Inc., Chicago, IL, USA) was used to analyze data.
Results
Cronbach's alpha was 0.75 for knowledge, 0.74 for attitude, and 0.77 for practices. The item-total correlation values ranged from -0.203 to 0.742.
Kaiser-Meyer-Olkin was 0.877, 0.793, and 0.797 for the three dimensions, respectively and the Bartlett test was significant (p< 0.0001). The EFA
showed that all the items had loadings ≥0.5 except for item A1. Knowledge and practice had a good convergent validity.
Implications for Nursing
Efforts to develop, validate and implement a new instrument to assess nursing knowledge, attitudes, and practice in writing nursing care plans
improve communication between nursing staff, and involve patients more in their care, resulting in fewer medical errors and improving the quality
of patient care.
Conclusion:
This study indicates that the tool has satisfactory reliability, and the use of EFA for the investigation of validity is adequate, but one item in the
attitude dimension has a lower threshold value. Further confirmatory factor analysis studies with a larger sample size are needed to support
construct validity.
Journal article published in The Open Nursing Journal
2023-01-01T00:00:00ZFactors associated with COVID-19 inpatient mortality cases within 24 hours in South AfricaMphekgwana, P. M.Sono-Setati, M. E.Tshitangano, T. G.Matlala, S. F.Ramalivhana, N. J.http://hdl.handle.net/10386/42462023-06-08T01:00:10Z2023-01-01T00:00:00ZFactors associated with COVID-19 inpatient mortality cases within 24 hours in South Africa
Mphekgwana, P. M.; Sono-Setati, M. E.; Tshitangano, T. G.; Matlala, S. F.; Ramalivhana, N. J.
Background. African countries with limited healthcare capacity are particularly vulnerable to the novel coronavirus (COVID‑19). The
pandemic has left health systems short on resources to safely manage patients and protect healthcare workers. South Africa (SA) is still
battling the epidemic of HIV/AIDS and tuberculosis (TB), which had their programme/services interrupted due to the effects of the
pandemic. Lessons learnt from the HIV/AIDS and TB programme have shown that South Africans delay seeking health services when a
new disease presents itself.
Objective. To investigate the risk factors for COVID‑19 inpatients’ mortality within 24 hours of hospital admission in public health facilities
in Limpopo Province, SA.
Methods. The study used retrospective secondary data obtained from the 1 067 clinical records of patients admitted between March 2020
and June 2021 by the Limpopo Department of Health (LDoH). A multivariable logistic regression model, both adjusted and unadjusted,
was used to assess the risk factors associated with COVID‑19 mortality within 24 hours of admission.
Results. This study, which was conducted in Limpopo public hospitals, discovered that 411 COVID‑19 patients (40%) died within 24 hours
of admission. The majority of the patients were aged ≥60 years, mostly of female gender, and had comorbidities. In terms of vital signs, most
had body temperatures <38°C. Our study findings revealed that COVID‑19 patients who present with fever and shortness of breath were
1.8 and 2.5 times more likely to die within 24 hours of admission to the hospital, respectively, than patients without fever and with normal
respiratory rate. Hypertension was independently associated with mortality in COVID‑19 patients within 24 hours of admission, with a
high odds ratio (OR) for hypertensive patients (OR 1.451; 95% confidence interval 1.013 - 2.078) compared with non-hypertensive patients.
Conclusion. Assessing demographic and clinical risk factors for COVID‑19 mortality within 24 hours of admission aids in understanding
and prioritising patients with severe COVID‑19 and hypertension. Finally, this will provide guidelines for planning and optimising the use
of LDoH healthcare resources, and also aid in public awareness endeavours.
Journal article published in SAMJ June 2023, Vol. 113, No. 6
2023-01-01T00:00:00ZAn assessment of traditional birth attendants as an untapped human resource to help sustain the health system in South AfricaMatlala, Sogo Francehttp://hdl.handle.net/10386/41632023-04-18T01:00:07Z2023-01-01T00:00:00ZAn assessment of traditional birth attendants as an untapped human resource to help sustain the health system in South Africa
Matlala, Sogo France
The purpose of this study is to explore motivations and experiences of women who became traditional birth attendants in South Africa. The study was designed to clarify some potential advantages of their integration into the health system to sustain maternal and child health services. A qualitative thematic analysis of 15 transcripts of semi-structured interviews with traditional birth attendants from seven provinces of South Africa, obtained from Human Sciences Research Council repository, was conducted. Data was analysed thematically guided by the framework analysis approach. Findings show that a critical situation characterised by lack of access to health facilities, skilled birth attendants, and ambulances, motivated women to learn the required skills to assist pregnant women in their communities. They learned the required skills through observation and practice under the guidance of experienced elders and some nurses. Traditional births attendants operated without government support but continued to provide valuable services to communities. Given the devastating impact of COVID-19 on the health system and persistent challenges with access to skilled birth attendants, the role of traditional births attendants should be revived to participate in maternal and child health services as partners with government. This will strengthen safe and accessible birth and other health services for women within their communities.
Journal article published in International Journal of Development and Sustainability Volume 12 Number 2 (2023): Pages 39-51
2023-01-01T00:00:00ZHeroic actions by sports personalities, clubs and associations in response to the COVID-19 pandemicMatlala, Sogo Francehttp://hdl.handle.net/10386/41072023-03-24T01:00:19Z2022-01-01T00:00:00ZHeroic actions by sports personalities, clubs and associations in response to the COVID-19 pandemic
Matlala, Sogo France
This chapter focuses on the philanthropic, educational and socially responsible responses to the COVID-19 pandemic by sports personalities and sporting
bodies in the African context. The chapter contributes to knowledge by
showing that sports personalities and sporting bodies have an obligation to
help communities in times of pandemics such as COVID-19 and other forms
of disasters. It is from these communities that fans and spectators come. These
fans and spectators have legitimate expectations on their favourite players and
athletes, their teams or clubs and the associations to which these teams and
clubs affiliate to do heroic actions in times of need. These heroic actions can
take the form of messages of encouragement, material donations from personal resources, fundraising, the mobilisation of other resources and behaveing in a socially responsible way so as to model expected behaviour such as
hand washing, physical distancing and respecting lockdown rules. Fans and
spectators see sports personalities as celebrities and role models. This places
an obligation on celebrities to return the favour. Some fans support their favourite sports personalities and their clubs even when they experience poor
performance as it happens even to the best sports teams or clubs. Through
narrative review of both news media and scholarly literature, the chapter identifies and describes philanthropic, educational and responsible behaviours by
sports personalities, sport clubs and sport associations in the African context.
Scholarly literature suggests reasons for heroic actions during disasters, while
news media demonstrate the types of these heroic actions. Celebrities use
news media to show fans their heroic actions, and sports journalists are willing
to report these heroic actions as there are no live sports to report.
Book chapter from The COVID-19 Pandemic : Impacts of the Coronavirus on Sport and Society pp 58-78
2022-01-01T00:00:00Z