Browsing Nursing by Title
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Mogobe, K.D.; Bruce, J.C.; Meyer, S. (University of South Africa (Unisa Press)http://www.unisa.ac.za/, NaN, 2009)[more][less]
Abstract: Higher education in developing countries face a particular challenge; half of the world’s higher education students are found in developing countries, placing great strain on an already under funded system. Whilst the New Partnership for Africa’s Development (NEPAD) health strategy urges countries to embark on massive capacity building, the truth is that the higher education sector in Africa does not have the resources to do so. The NEPAD higher education document (2001) proposes the idea of multi-country partnerships to address the sector’s problem and at the same time, address the capacity building needs for improved health care delivery. This paper reports on pertinent aspects of collaboration between universities on the African continent for the purpose of capacity building in nursing and midwifery. The paper outlines the rationale and context of the Collaboration in Higher Education for Nursing and Midwifery in Africa (CHENMA) project. The discussion focuses on the conditions in Africa that hamper the development of nursing and midwifery. It describes the efforts of the Tau Lambda at-Large Chapter to improve nursing and midwifery, initially in East Africa and later in Francophone Africa through the CHENMA project. The paper articulates the values and underpinning principles, outcomes of and lessons learnt from the project. URI: http://hdl.handle.net/10311/685 Files in this item: 1
Collaboration in higher education.pdf (1.194Mb) -
Seloilwe, E.S.; Thupayagale-Tshweneagae, G. (International Council of Nurses. http://www.wiley.com/bw/journal.asp?ref=0020-8132, January 1, 2007)[more][less]
Abstract: Aim: The purpose of this article is to provide an insight into the developmental trends in community mental health care in Botswana. Different approaches are discussed and the opportunities that have emanated from them. Background: Care of the mentally ill in Botswana is provided at different levels of coverage and sophistication. There is a single mental hospital in the country. Attached to the district hospitals are psychiatric outpatient clinics run by psychiatric nurses and a psychiatrist who visits them on monthly basis. Mental health care in Botswana has gone through a paradigm shift, from the prepenal years, penal years and institutional to community based care, which reflects a philosophy of citizen involvement and collaboration. Conclusion: Several approaches have been utilized in the development of community mental health care. However, difficulties and challenges still exist in the provision of community mental health care. URI: http://hdl.handle.net/10311/816 Files in this item: 1
Seloilwe_INR_2007.pdf (1.345Mb) -
Thupayagale-Tshweneagae, G.; Seloilwe, E.S. (Informa Healthcare, http://informahealthcare.com/journal/mhn, NaN, 2010)[more][less]
Abstract: A Heideggerian hermeneutic phenomenological approach was used to investigate the lived experience of women in Botswana who had experienced emotional abuse in intimate relationships. Hermeneutic phenomenologyis concerned with the human experience as it is lived. Ten educated Botswana women who had formal employment and have been in intimate relationships for longer than ten years, narrated their life experiences with abusive men. Extensive interviews took place over a six month period. Sociocultural practices in Botswana emerged as salient factors that contribute to emotional abuse and predispose womento mental illness. Entwined in these cultural practices are issues of age, ethnicity, payment of lobola (bride price), financial standing, change of name, and relocation to the man's residence. Education and employment seem to worsen the abuse. Depression and anxiety are common results of abuse. Understanding how the sociocultural factors perpetuate abuse can assist nurses in the way they provide health care services to women. URI: http://hdl.handle.net/10311/982 Files in this item: 1
Thupayagale-Tshweneagae_IMHN_2010.pdf (1.091Mb) -
Akinsola, H.A. (Arnold. http://nej.sagepub.com/, NaN, 2001)[more][less]
Abstract: The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other. URI: http://hdl.handle.net/10311/724 Files in this item: 1
Ethical issues in rural nursing.pdf (1.463Mb) -
Shaibu, S. (Cambridge University Press. http://journals.cambridge.org/action/displayJournal?jid=PHC, January 1, 2006)[more][less]
Abstract: This paper presents developments in evidence-based nursing practice in Botswana, Africa. Issues pertaining to evidence-based practice in community health such as the role of research, the digital divide between African countries and developing countries, and evidenced-based nursing curricula are discussed. The role of globalization in capacity building in evidence-based practice is emphasized. Recommendations for addressing challenges faced by some African countries, including Botswana in implementing evidence-based nursing practice are made. URI: http://hdl.handle.net/10311/509 Files in this item: 1
Evidence based nursing.pdf (1.017Mb) -
Seloilwe, E.S. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2005)[more][less]
Abstract: The results discussed in this report are part of a larger study conducted among the students of the University of Botswana regarding their knowledge, attitudes, and behaviors related to HIV/AIDS. The study triangulated survey methods and focus group discussions. Five main areas were investigated: knowledge and personal experiences of HIV/AIDS, sexual behavior and practices, perceptions about risky sexual behavior on campus, and factors that influence the spread of HIV. This article reports high levels of risky behaviors such as alcohol and drug abuse; unprotected sex; frequent change of sexual partners; sex for financial gain, for prestige, for good grades, to relieve stress, and because of peer pressure; and casual sex as part of socializing. URI: http://hdl.handle.net/10311/578 Files in this item: 1
Factors that influence.pdf (1.399Mb) -
Weiser, S.D.; Leiter, K.; Bangsberg, D.R.; Butler, L.M.; Percy-de Korte, F.; Hlanze, Z.; Phaladze, N.; Iacopino, V.; Heisler, M. (Plos Medicine. www.plosmedicine.org, NaN, 2007)[more][less]
Abstract: Background: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. Methods and Findings: We studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and inconsistent condom use, sex exchange, and other measures of risky sex in a cross-sectional population-based study of 1,255 adults in Botswana and 796 adults in Swaziland using a stratified two-stage probability design. Associations were examined using multivariable logistic regression analyses, clustered by country and stratified by gender. Food insufficiency was reported by 32% of women and 22% of men over the previous 12 months. Among 1,050 women in both countries, after controlling for respondent characteristics including income and education, HIV knowledge, and alcohol use, food insufficiency was associated with inconsistent condom use with a nonprimary partner (adjusted odds ratio [AOR] 1.73, 95% confidence interval [CI] 1.27–2.36), sex exchange (AOR 1.84, 95% CI 1.74–1.93), intergenerational sexual relationships (AOR 1.46, 95% CI 1.03–2.08), and lack of control in sexual relationships (AOR 1.68, 95% CI 1.24–2.28). Associations between food insufficiency and risky sex were much attenuated among men. Conclusions: Food insufficiency is an important risk factor for increased sexual risk-taking among women in Botswana and Swaziland. Targeted food assistance and income generation programs in conjunction with efforts to enhance women’s leg URI: http://hdl.handle.net/10311/556 Files in this item: 1
Food insufficiency.pdf (2.245Mb) -
Phaladze, N.; Tlou, S. (Oxfam. http://www.ingentaconnect.com/content/routledg/cgde, January 1, 2006)[more][less]
Abstract: This article discusses the response of Botswana to the HIV/AIDS epidemic. In recognition of the fact that HIV/AIDS is more than just a health issue, Botswana has instigated a multi-sectoral response to the epidemic, which sets Botswana apart as an example of a country following ‘best practice’ in HIV/AIDS prevention and control. Yet the battle is not over. AIDS is the leading cause of death in Botswana for young adult women aged between 15 and 19 years old. This article makes suggestions for future improvement, to respond to the challenges facing Batswana women living with, and affected by, HIV/AIDS. URI: http://hdl.handle.net/10311/567 Files in this item: 1
Gender and HIV.pdf (1.167Mb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Elsevier Ltd, http://www.elsevier.com/locate/microc, NaN, 2007)[more][less]
Abstract: This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/972 Files in this item: 1
Mogobe_JANAC_2007.pdf (1.034Mb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2007)[more][less]
Abstract: Botswana currently has one of the highest HIVpositive prevalence rates in the world. University students are an important group seriously affected by this pandemic. They represent one of the country’s richest resources for the future, and faculty at University of Botswana believe there is a responsibility to educate them in a way that helps them preserve their health and vitality. This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/548 Files in this item: 1
HIV AIDS education.pdf (1.139Mb) -
Sabone, M.B. (Sage Publications, http://jfn.sagepub.com, NaN, 2008)[more][less]
Abstract: This report is part of a larger study that investigated the relationships between illness demands, marital support, and psychological adjustment in the context of diabetes mellitus in rural and urban middle-aged marital couples in Botswana. Ninety-six persons experiencing diabetes and 87 of their spouses participated in the study. This report is based on data from 87 diabetic patients and their spouses. Data were collected through face-to-face interviews. Patients and their spouses were interviewed separately. Three open-ended questions elicited participants’ personal experiences of illness demands. The couple participants reported many challenging illness experiences associated with the illness and contextual factors that influenced their perception about the burden of illness and reported that the illness experienced was often a growth-enhancing and maturing process. URI: http://hdl.handle.net/10311/990 Files in this item: 1
Sabone_JFN_2008.pdf (1.169Mb) -
Mogobe, K.D.; Tshiamo, W.; Bowelo, M. (Reproductive Health Matters. www.rhmjournal.org.uk, NaN, 2007)[more][less]
Abstract: This paper describes the maternity monitoring system in Botswana, developed in 1998, and the main methods used: maternal death and morbidity reviews at service delivery level, analysis by the National Maternal Mortality Audit Committee of data from the reviews as reported on two forms, perinatal reviews and surveys using process indicators. We carried out a study of these findings to examine whether the system was working well. Surveys using process indicators in 2001 and 2006 were analysed. Other data examined were from 2004–2006 and early 2007. The Maternal Death Notification Form was found to be comprehensive but not all health facilities were submitting them and some gave incomplete information. In 2001, 70% of pregnant women attended antenatal care but access to emergency obstetric care was uneven. In 2006, 28 facilities with maternity services surveyed were providing 24-hour delivery care, but laboratory, theatre and blood supplies were more limited, and only 50% of doctors and 67% of midwives had life-saving skills. Antibiotics were widely available, but there were shortages of magnesium sulphate, diazepam, oxytocics and manual vacuum aspiration kits. Recommendations for improvements have been made, training for skilled attendants is ongoing and a medical school has just opened at the University of Botswana. A2007 Reproductive Health Matters. All rights reserved. URI: http://hdl.handle.net/10311/541 Files in this item: 1
Monitoring maternity.pdf (1.714Mb) -
Tshiamo, W. (Blackwell Publishing Asia Pty Ltd. http://www.ingentaconnect.com/content/bsc/ijn, NaN, 2009)[more][less]
Abstract: Although developed countries have largely eliminated the problem of paraffin ingestion in young children, many developing countries have not. Paraffin, used as a home energy source, particularly in rural area, accounts for a significant percent of paediatric poisoning and can lead to serious health problems, complications and death. This paper presents a review done by a nurse clinician concerned about the number of paediatric poisonings she saw in the hospital in one developing country, Botswana. The first stage of solving the problem is presented in which she established the extent and epidemiology of the issue. Suggestions for its solution are also discussed. It is hoped that this can serve both to increase awareness in developing countries of the dangers of paraffin poisoning and serve as a model for nurse clinicians and researchers in developing countries. URI: http://hdl.handle.net/10311/557 Files in this item: 1
Paraffin kerosene poisoning.pdf (527.8Kb) -
Nthomang, K.; Phaladze, N.; Oagile, N.; Ngwenya, B.; Seboni, N.; Gobotswang, K.; Kubanji, R. (Taylor & Francis, http://www.informaworld.com/smpp/title~db=all~content=t713723020, NaN, 2009)[more][less]
Abstract: HIV-related stigma is a life-altering phenomenon. The consequence of the stigmatization process sets apart stigmatized person(s) as a distinct category, leading to various forms of disapproval, rejection, exclusion, labeling, stereotyping, and discrimination. Stigma of HIV-positive people in Botswana is a complex social phenomenon associated with the disease itself and the behaviors that lead to infection. This is a synthesis paper based on the literature review on HIV- and AIDS-related stigmatization of HIV-positive people in Botswana and in-depth interviews with people living with HIV and AIDS (PLWHAs). I examine the literature on HIV- and AIDS-related stigmatization and subsequent discrimination and the implications for intervention programs for people living with HIV and AIDS. The findings from the literature and in-depth interviews show that HIV-AIDS-related stigma is deeply embedded in societal structures and culture which promote nonacceptance of those branded HIV positive. This often is reinforced at a practical level by pervasive negative attitudes toward PLWHAs. Recommendations argue for the adoption of Healthy Relationship. This intervention seeks to promote and strengthen decision-making skills among PLWHAs and programs that promote destigmatization of, and tolerant attitudes toward, PLWHAs. URI: http://hdl.handle.net/10311/857 Files in this item: 1
Nthomang_HCWI_2009.pdf (103.4Kb) -
Weiser, S. D.; Leiter, K.; Heisler, M.; McFarland, W.; Percy-de Korte, F.; DeMonner, S. M.; Tlou, S.; Phaladze, N.; Iacopino, V.; Bangsberg, D. R. (Public Library of Science, http://www.plos.org/, January 1, 2006)[more][less]
Abstract: Background In Botswana, an estimated 24% of adults ages 15–49 years are infected with HIV. While alcohol use is strongly associated with HIV infection in Africa, few population-based studies have characterized the association of alcohol use with specific high-risk sexual behaviors. Methods and Findings We conducted a cross-sectional, population-based study of 1,268 adults from five districts in Botswana using a stratified two-stage probability sample design. Multivariate logistic regression was used to assess correlates of heavy alcohol consumption (>14 drinks/week for women, and >21 drinks/week for men) as a dependent variable. We also assessed gender-specific associations between alcohol use as a primary independent variable (categorized as none, moderate, problem and heavy drinking) and several risky sex outcomes including: (a) having unprotected sex with a nonmonogamous partner; (b) having multiple sexual partners; and (c) paying for or selling sex in exchange for money or other resources. Criteria for heavy drinking were met by 31% of men and 17% of women. Adjusted correlates of heavy alcohol use included male gender, intergenerational relationships (age ≥gap 10 y), higher education, and living with a sexual partner. Among men, heavy alcohol use was associated with higher odds of all risky sex outcomes examined, including unprotected sex (AOR = 3.48; 95% confidence interval [CI], 1.65 to 7.32), multiple partners (AOR = 3.08; 95% CI, 1.95 to 4.87), and paying for sex (AOR = 3.65; 95% CI, 2.58 to 12.37). Similarly, among women, heavy alcohol consumption was associated with higher odds of unprotected sex (AOR = 3.28; 95% CI, 1.71 to 6.28), multiple partners (AOR = 3.05; 95% CI, 1.83 to 5.07), and selling sex (AOR = 8.50; 95% CI, 3.41 to 21.18). A dose-response relationship was seen between alcohol use and risky sexual behaviors, with moderate drinkers at lower risk than both problem and heavy drinkers. Conclusions Alcohol use is associated with multiple risks for HIV transmission among both men and women. The findings of this study underscore the need to integrate alcohol abuse and HIV prevention efforts in Botswana and elsewhere. URI: http://hdl.handle.net/10311/591 Files in this item: 1
Populaton based study.pdf (2.223Mb) -
Seboni, N.M. (Elsevier Ltd. www.elsevier.com/ijns, NaN, 2009)[more][less]
URI: http://hdl.handle.net/10311/576 Files in this item: 1
Proliferation of new health cadres.pdf (360.5Kb) -
Fako, T.T.; Forcheh, N.; Ncube, E. (Elsevier Ltd. www.elsevier.com/locate/socscimed, January 1, 2003)[more][less]
Abstract: This paper examines several key factors that determine nurses’ ability to complete the Botswana Obstetric Record (BOR), an instrument that should help with early diagnosis of problems during pregnancy, labour, delivery and the puerperium. Using a national sample of 309 nurses working in hospitals, clinics and health posts under the local government authority in Botswana, the study found that a nurse’s ability to complete the BOR was significantly related to midwifery training, level of basic nursing training, age group, level of income, job satisfaction, adequacy of equipment, attendance of refresher courses, overall level of in-service training, reliance on workshops and seminars, peer reliance and self-reliance for information on new nursing practices. Multivariate analyses indicated that the most competent nurse in completing the BOR was one trained as a midwife, working in an adequately equipped health facility, and who often consulted with peers as well as attended workshops and seminars. The study concludes that it is more important to train all nurses to become midwives than to upgrade enrolled nurses to become registered nurses if the plan for safe motherhood is to be advanced. Further research is needed to establish the objective competence of nurses who claim to be comfortable completing the BOR. URI: http://hdl.handle.net/10311/564 Files in this item: 1
Prospects of safe motherhood.pdf (2.915Mb) -
Thupayagale-Tshweneagae, G. (Blackwell Publishing Ltd. http://www.ingentaconnect.com/content/bsc/jpmhn, NaN, 2008)[more][less]
Abstract: Studies on the psychosocial effects of grandmothers as primary caregivers in Botswana are non-existent. The purpose of this study was to close that knowledge gap. Twenty-five (n = 25) grandmothers who were primary caregivers to their grandchildren in one rural village of Botswana were interviewed twice a week between January and May 2006. A central theme that emerged from the interviews under psychological effects was ‘disenfranchised grief’ with sub themes that included depression, loneliness, blaming and stress. The themes that emerged on social effects included isolation, loss of control, unavailability of mental health services, financial hardships and a sense of failure for some participants. Implications for mental health practitioners and policy makers are given. URI: http://hdl.handle.net/10311/555 Files in this item: 1
Psychosocial effects experienced.pdf (715.8Kb) -
Phaladze, N.A.; Human, S.; Dlamini, S.B.; Hulela, E.B.; Hadebe, I.M.; Sukati, N. A.; Makoae, L.N.; Seboni, N.M.; Moleko, M.; Holzemer, W.L. (Journal of Nursing Scholarship. http://www.ingentaconnect.com/content/bsc/jnu, NaN, 2005)[more][less]
Abstract: Purpose: To increase understanding of the meaning of quality of life for people living with HIV/AIDS in four countries in sub-Saharan Africa: Botswana, Lesotho, South Africa, and Swaziland. Methods: Using a cross-sectional design and convenience sample, we administered a survey and collected data on demographic characteristics, measures of severity of illness, and perceptions of quality of life. The purposefully selected sample (N=743) consisted of community-based people living with HIV/AIDS in 2002. Based on the Wilson and Cleary framework for organizing variables related to quality of life, a hierarchical multiple regression was conducted with quality of life as the dependent variable. Results: The sample of 743 persons was 61.2% female with a mean age of 34 years. Approximately 62% of the sample reported having received an AIDS diagnosis. Ten predictor variables explained 53.2% of the variance in life satisfaction. Those participants with higher life satisfaction scores were less educated, had worries about disclosure and finances, did not have an AIDS diagnosis or other comorbid conditions, had lower symptom intensity, had greater functioning, and had fewer health worries. None of these participants was taking antiretroviral medications at the time of this study. Conclusions: Several dimensions of the Wilson and Cleary model of quality of life were significantly related to life satisfaction for people living with HIV/AIDS in sub-Saharan Africa. Quality of life for this sample was primarily defined as overall functional ability and control over symptom intensity. These findings are similar to studies in developed countries that have shown the significant relationships among functional abilities, symptom control, and perceived quality of life. As antiretroviral medications become more available in these areas, community members and care providers can help clients realize the possibility of living well with HIV/AIDS, and can work with clients to improve functional ability and control symptom intensity to make living well a reality. URI: http://hdl.handle.net/10311/570 Files in this item: 1
Quality of life.pdf (1.142Mb) -
Phaladze, N.A. (International Council of Nurses. http://www.ingentaconnect.com/content/bsc/inr;jsessionid=81ud25de419e.alexandra, NaN, 2003)[more][less]
Abstract: In Botswana, there is dearth of literature on the role of nursing in health-care policy and resource allocation and yet nurses constitute the majority (85%) of health manpower. The health-care delivery system depends mostly on nurses for service provision. There were two main purposes of this study: first, to gather descriptive data from major key players (with particular emphasis on nurses) concerning knowledge of the policy process and resource allocation for management and care of clients with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in Botswana; and, second, to identify nurse characteristics (e.g. position, education, experience, job category) associated with motivation to influence healthcare policy in HIV/AIDS management and care in Botswana. A policy process conceptual framework was used to guide data collection and analysis. A case-study research method was used to conduct in-depth interviews from a purposive sample of 19 policy makers, and a survey questionnaire was used to collect data from a purposive sample of 95 registered nurses from six study sites in Botswana. The study findings indicate minimal participation of nurses in health-care policy process and resource allocation. The demographic variable of position was a predictor of the involvement of nurses in policy and in budgetary decisions. Both survey and interview data indicated that this minimal participation of nurses in the policy process resulted in implementation problems, thus compromising service provision. Implications of the findings for the nursing profession, nursing practice and policy, which address the importance of nurses’ involvement, are discussed. URI: http://hdl.handle.net/10311/571 Files in this item: 1
Role of nurses.pdf (1.855Mb)