Curationis

Background: The integrated chronic disease management (ICDM) model is seen to be a promising strategy as it is gaining global acceptance as an approach to enhance healthcare delivery.Objectives: The study objectives were to explore and describe professional nurses’ perspectives on the model, identify challenges experienced during implementation and identify factors that could improve the model implementation.Method: An explorative, descriptive qualitative design was used, nine professional nurses from three selected facilities were interviewed. Data obtained from semi-structured individual interviews were analysed using thematic analysis and NVivo software.Results: Three main themes emerged: the professional nurses’ perceived benefits of the model, challenges experienced during implementation and recommendations to ensure effective implementation of the model. The perceived benefits of the model included the integration of care, adequate medication and the alleviation of stigma related to diseases. However, the challenges of the model included a shortage of staff, poor infrastructure and patients missing scheduled appointments. The study noted the need for adequate staff, infrastructure and ongoing training for the successful implementation of the model.Conclusion: Despite challenges in the South African healthcare system, professional nurses perceived the implementation of the model positively. The study highlighted the need for adequate staff, adequate infrastructure and ongoing training for staff.Contribution: This study outlined the challenges and recommendations identified, enabling healthcare organisations, policymakers and educators to develop targeted strategies for successful implementation. The findings will also inform future research focussed on optimising the utilisation of the model in the study setting and similar contexts

Avhaathu S. Dagume-Ndou

Thanyani G. Lumadi

Professional nurses’ perspectives on the implementation of integrated chronic disease management model

专业护士对综合慢性病管理模式实施的看法

Background: South Africa has seen strides in reducing HIV and tuberculosis (TB); however, adherence counselling for people living with HIV (PLHIV) coinfected with TB remains a challenge, particularly in specific sub-districts like Cape Town. Understanding the attributes of existing training programmes is crucial.Objectives: This study explored attributes of training programme development for nurses and other health professionals to enhance adherence counselling for PLHIV coinfected with TB in Cape Town.Method: An integrative literature review was conducted in five steps following PRISMA guidelines. Electronic searches encompassed multiple databases: COCHRANE, PsycINFO, PUBMED, ENMBASE, Science Direct, SCOPUS, SocINDEX, Academic Search Complete, Eric, SABINET, Health Resources and World Health Organization Global Health Library Regional Indexes. Inclusion criteria encompassed English language, peer-reviewed full-text studies on training programme development, qualitative and quantitative, published between January 2012 and May 2021. Exclusion criteria included non-English articles, conference proceedings and irrelevant studies. Thematic data analysis synthesised findings.Results: Three main themes emerged: participant identification, key programme content and programme implementation process, crucial for effective training programme development.Conclusion: Identifying participants, defining programme content and outlining implementation processes are pivotal in enhancing nurses’ adherence counselling skills. This approach could stabilise patient treatment adherence, potentially reducing treatment default, loss to follow-up and mortality rates.Contribution: These findings lay the groundwork for developing effective training programmes aimed at improving adherence counselling among nurses.

Victoire Ticha

Million Bimerew

Rene D. Phetlhu

Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review

护士培训以加强南非艾滋病-结核病共感染患者的依从性咨询：整合性综述

Background: South Africa is a diverse country that promises equality, dignity, linguistic and cultural rights to all its citizens. Therefore, understanding the cultural, religious and nursing practices in caring for the deceased body is crucial to ensure meaningful integrated care of the deceased body and collective mourning and support within a community.Objectives: This study aimed to strengthen multidisciplinary collaboration and knowledge sharing on caring for the human body at all stages of life and beyond death using Ubuntu principles.Method: A qualitative exploratory-descriptive design was used to understand the meaning of the human body after cessation of life within African, Christian and nursing practice. The study was conducted in three countries in Southern Africa (eSwatini, South Africa and Zimbabwe). Snowball and purposive sampling techniques were used to recruit participants. In-depth telephonic and face-to-face interviews were conducted. The data were analysed thematically.Results: To provide comprehensive insights, themes from the three population groups were integrated. Four main themes emerged from the thematic analysis: (1) death as an end to physical life, (2) cleanliness of the deceased body, (3) ritualisation of death and (4) beyond death and burial.Conclusion: Strengthening multidisciplinary collaboration is vital to providing comprehensive care for the body and spirit of the deceased. Understanding cultural and religious rituals helps with collective mourning and support in the community.Contribution: Reflecting on the meaning of the deceased body and the respect given to it during the process of transition into the spiritual world through ritualisation.

Simangele Shakwane

Dumisani B. Vilakati

Promoting collaborative care of the human body after cessation of life: Ubuntu beyond death

促进生命终止后人体协作护理：超越死亡的乌班图

Providing care for adolescents living with intellectual disabilities (ALWIDs) within healthcare settings is a complex challenge. These adolescents require an environment that is specialised and conducive to their health, alongside tailored care, treatment and rehabilitation services. Nurse managers play a crucial role in supporting these adolescents, particularly given the difficulties parents face in meeting their unique needs.

Rakgadi G. Malapela

Nurse managers on healthy environments for adolescents living with intellectual disabilities

智障青少年健康环境中的护士管理者

Background: In South Africa, many mental healthcare users reside in rural areas and 91% of them live with their family members. Exploring and describing the needs of family members caring for mental healthcare users is important to determine their expectations of the healthcare system.Objectives: The study aimed to explore and describe the healthcare needs and expectations of family members caring for mental healthcare users in Vhembe district, Limpopo province, South AfricaMethod: A qualitative, descriptive and contextual design was used to collect data from 16 purposively selected family members caring for mental healthcare users. Data were collected through semi-structured face-to-face interviews, and analysed using thematic data analysis to develop themes and categories.Results: The results of the interviews yielded two themes, healthcare needs and expectations of family members. The needs included physical healthcare, psychological healthcare, and social, financial, educational and spiritual needs. The healthcare expectations were divided into two sub-themes: (1) expectations from the healthcare systems, and (2) expectations from healthcare professionals.Conclusion: The study showed that support from community members and healthcare providers could reduce the burden of care perceived by family members. Results confirmed the need for developing a family psychoeducational programme adapted to the South African context to meet the family members’ needs. Quantitative research on healthcare needs with a larger sample of family members is recommended.Contribution: The study may contribute to mental health nursing practice and education. Nursing support based on the needs of family members may enhance their well-being and caregiving abilities. The importance of tailor-made psychoeducational family support should be emphasised in nursing education.

Takalani E. Mbedzi

Anna E. Van der Wath

Miriam M. Moagi

Healthcare needs and expectations of family members caring for mental healthcare users in South Africa

南非精神卫生保健用户家属的医疗需求和期望

ISSN	0379-8577, 2223-6279
h-index	27

涉及主题	医学心理学护理部政治学法学社会学经济生物哲学经济增长计算机科学数学医学教育社会科学业务病理人类学认识论家庭医学环境卫生物理医疗保健精神科
出版信息	出版商: AOSIS (Pty) Ltd，出版周期: ，期刊类型: journal，开源期刊: 是
基本数据	创刊年份: 1978，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%
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Professional nurses’ perspectives on the implementation of integrated chronic disease management model

Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review

Promoting collaborative care of the human body after cessation of life: Ubuntu beyond death

Nurse managers on healthy environments for adolescents living with intellectual disabilities

Healthcare needs and expectations of family members caring for mental healthcare users in South Africa

Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review

Promoting collaborative care of the human body after cessation of life: Ubuntu beyond death

Professional nurses’ perspectives on the implementation of integrated chronic disease management model

Healthcare needs and expectations of family members caring for mental healthcare users in South Africa

Nurse managers on healthy environments for adolescents living with intellectual disabilities