Professional Nursing Today - Volume 19, Issue 1, 2015
Volume 19, Issue 1, 2015
Source: Professional Nursing Today 19 (2015)More Less
The National Department of Health organised a medico-legal summit from 9-10 March 2015, represented by attendees from the public and private sectors. The representation covered medical, legal and general management, and input was provided from all angles. The summit was convened to discuss the increasing number of medical negligence claims against the state. The major concerns for the presenters were the huge cost of the legal claims to the public and private sector, but drivers from the hospital industry and specialists, as well as the corruption within these organisations.
Author Suseth GoosenSource: Professional Nursing Today 19 (2015)More Less
Source: Professional Nursing Today 19, pp 6 –7 (2015)More Less
Its own particular set of challenges is encountered in the provision of adequate health care for everybody in South Africa. There is an urgent need to train more healthcare professionals across the board, in other words to update, upskill and refresh registered personnel within the current budget and time constraints. The practice of medicine in its various disciplines is also a rapidly changing field. New protocols, changing guidelines and limited time has resulted in the present situation, in which large hospitals can only afford to offer training to 10-20% of their workforce in a budget year. Therefore, the entire staff complement does not have the same understanding or familiarity with the latest protocols and guidelines at any given time. So how can the quality of patient care be improved? It is necessary to innovate, to do it differently! There is simply not enough time or budget to ensure that there is enough staff trained in any one year.
Author Suzi DaveySource: Professional Nursing Today 19, pp 8 –11 (2015)More Less
Lymphoedema is a progressive, chronic oedema condition that can have significant effects on psychosocial health, physical health and quality of life issues for patients. Proper diagnosis, early detection and appropriate treatment can effectively slow the progression of Lymphoedema. Wound care specialists should be aware of this condition and address not just the wound but the proximal and distal oedematous areas contributing to delayed wound healing. Even if diagnosed properly, health care practitioners and patients are often unaware that specialised treatment is available to treat Lymphoedema in South Africa and may not know where to seek help. This is one reason why the Lymphoedema Association of South Africa (LAOSA) was formed in 2012 by a group of Lymphoedema Specialists, each with over 135 hours of International Certified Training.
Author S. NaudeSource: Professional Nursing Today 19, pp 12 –13 (2015)More Less
How important is it to have a measles vaccination in South Africa? Measles is highly contagious and a leading cause of vaccine-preventable deaths in children, particularly in sub-Saharan Africa. The World Health Organization (WHO) estimated a 92% decrease in measles-related deaths in the WHO Afro region from 2000 - 2008. The National Institute of Communicable Diseases (NICD) reported an increase of laboratory-confirmed cases of measles in Gauteng, KwaZulu-Natal, Mpumalanga, and the Northern Cape and Western Cape from six in 2013, to 49 in 2014. Distribution of the disease is presented in Table I. Earlier in 2015, the Mail and Guardian reported on these statistics under the heading, Measles threat puts Ebola to shame. Unlike Ebola, measles is much more pervasive in its spread.
Author N. GeyerSource: Professional Nursing Today 19, pp 14 –16 (2015)More Less
Nursing records remain one of the most important communication tools for the multi-professional healthcare team. These records must provide an accurate and comprehensive report of the care planned and decisions made, as well as the treatment and care delivered to the patient. When considering the statistics reported by the SA Nursing Council (SANC), the prevalence of poor nursing care reported is notable, with 410 cases of a total of 899 professional conduct cases involving poor nursing care being reported. This represents 46% of the cases. Total patient care constitutes both the hands-on physical care provided, as well as the recording thereof, followed by monitoring of the response and condition of the patient. Poor recordkeeping plays a role in all of these cases. Let's consider one of them.
Author S. GoosenSource: Professional Nursing Today 19, pp 18 –20 (2015)More Less
Communication is a way of conveying messages to various people using a common system of symbols, signs or behaviour. Language is used to transmit verbal messages; from single-letter words to complex discussions, in order to produce the anticipated effect. We start our first communication soon after birth when we cry to convey the message of discomfort or hunger, i.e. basic messages pertaining to our needs. Later in life, more complex messages needs to be communicated. Nonverbal communication is a way of communicating without words. It includes behaviour such as "facial expressions, eye movement, touching and tone of voice, as well as less obvious messages, such as dress, posture and the spatial distance between two or more people".
Author L. LambertSource: Professional Nursing Today 19, pp 22 –25 (2015)More Less
Winter will soon be upon us with the usual influx of patients presenting with colds and influenza (the "flu"). An annual flu vaccine remains the best defence against contracting flu. Secondary bacterial pneumonia is an important complication associated with influenza, and Streptococcus pneumoniae is a leading cause of secondary bacterial pneumonia. Infants are routinely vaccinated against S. pneumoniae as part of the World Health Organization's Expanded Programme on Immunization (EPI). However, a pneumococcal vaccine is also indicated in certain high-risk individuals. This article focuses on vaccination against flu, and the flu vaccine strains for the 2015 season, as well as vaccination against pneumococcal disease in high-risk adults.
Source: Professional Nursing Today 19, pp 28 –29 (2015)More Less
The role of the nurse globally and in South Africa has evolved significantly during the 21st century as a result of changing population needs, followed by changes in health and nursing policy and legislation. One of the most recent developments is the transition of all pre-service (basic) nursing education programmes to a higher education level at which all other health professional programmes are currently positioned. The challenge to nurse academics and nursing education to promote and strengthen a research culture is in parallel to this transition as nursing education institutions will function in a higher education arena.