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Puoane, Thandi; Katie, Cuming; Sanders, David; Ashworth, Ann (Oxford University Press, 2008)[more][less]
Abstract: Staff at 11 rural hospitals in an under-resourced region of Eastern Cape Province, South Africa, participated in an intervention to improve the quality of care of severely malnourished children through training and support aimed at implementing the WHO case-management guidelines. Despite similar intervention inputs, some hospitals reduced their case-fatality rates by at least half, whereas others did not. The aim of this study was to investigate reasons for this disparity. Two successful and two poorly performing hospitals were purposively selected based on their case-fatality rates, which were <10% in the successful hospitals and >30% in those performing poorly. Comparative data were collected during June to October 2004 through structured observations of ward procedures, compilation of hospital data on case-loads and resources, and staff interviews and discussions related to attitudes, teamwork, training, supervision, managerial support and leadership. The four study hospitals had broadly similar resources, infrastructure and child:nurse ratios, and all had made changes to their clinical and dietary management following training. Case-management was broadly in line with WHO guidelines but the study revealed clear differences in institutional culture which influenced quality of care. Staff in the successful hospitals were more attentive and assiduous than staff in the poorly performing hospitals, especially in relation to rehydration procedures, feeding and the recording of vital signs. There was a strong emphasis on in-service training and induction of incoming staff in the successful hospitals and better supervision of junior staff and carers. Nurses had more positive attitudes towards malnourished children and their carers, and were less judgmental. Underlying factors were differences in leadership, teamwork, and managerial supervision and support. We conclude that unless there are supportive structures at managerial level, the potential benefits of efficacious interventions and related training programmes to improve health worker performance can be thwarted. URI: http://hdl.handle.net/10566/295 Files in this item: 1
PuoaneHospitals2008.pdf (102.3Kb) -
Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Introduction: Research has become an integral part of all health care practitioners. Finding effective ways of sharing the valuable work that is being done in the clinical setting is essential. A case report is a form of communicating information to other health care practitioners regarding exceptional cases. Aim: This paper aims to describe the importance and role of case reports in the literature and summarise the guidelines for doing a case report. Method: A literature search was conducted in Pubmed and Medline using terms such as case reports, publishing, and guidelines to determine successful literature that highlights how to write a case report. Case reports will contribute to the body of evidence needed for professions and could stimulate debate around controversial issues. A summary of the relevant information needed to write a good case report for publication based on the literature is summarised in order to facilitate the process for new authors. Conclusion: Case reports if written in a scientific manner, can make a valuable contribution to research. URI: http://hdl.handle.net/10566/116 Files in this item: 1
FrantzCaseReport2009.pdf (72.39Kb) -
Phillips, Julie; Frantz, Jose M.; Mpofu, Ratie (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Introduction: There is mounting evidence of the health risk behaviours that adolescents are involved in on a daily basis. Local and national governments have advocated for intervention programmes to prevent an increase in the health risk behaviours among young people. In order to introduce effective prevention strategies, evaluation of the current situation is needed. The University of the Western Cape, identified Youth Wellness as one of the niche areas for research. Aim: This paper aims to synthesize the studies on youth wellness conducted at the University of the Western Cape. Findings: The studies conducted included epidemiological studies and intervention studies. Studies used both qualitative and quantitative designs. Most of the studies highlighted the need for intervention programmes at various levels such as personal (individual), community and policy. Conclusion: The findings of the research clearly highlights the need for researchers at UWC to identify appropriate criteria by which to measure the desired intervention outcomes. URI: http://hdl.handle.net/10566/112 Files in this item: 1
FrantzYouthHealth2008.pdf (909.0Kb)
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