Browsing by Author "Fouché, Nicola A"

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    Knowledge and attitudes of undergraduate nurses towards organ donation and transplantation in a selected campus of a college in the Eastern Cape
    (2016) Gidimisana, Nozibele Dorothy; Fouché, Nicola A; Mayers, Pat
    South Africa has a low organ donation and transplantation rate despite the availability of medical professionals with the expertise to perform such transplants. This can be attributed to various factors, such as knowledge and attitudes towards organ donation and transplantation. Despite the efforts of the Organ Donor Foundation in South Africa by conducting awareness and education campaigns organ donation rates remains low. There is a wide discrepancy in the rate of organ donation among the different ethnic groups in the country, perhaps due to a lack of knowledge or for cultural or religious reasons. Nurses, as health-care providers, have an important role to play in enabling patients and families to deal with the topic of organ donation. This cross-sectional study investigated the knowledge and attitudes of 268 pre-registration nursing students towards organ donation, at a nursing college in Mthatha, using an anonymous, self- administered questionnaire for data collection. A stratified convenient sampling method was used. The data was captured and analysed using the SPSS statistical package, Version 21; thereafter, descriptive and cross-tabulation analyses were performed on the data. Results: The majority of respondents (62.8%) were aware of organ donation with a small number (1.6%) registered as organ donors. Ethnicity and religion did not influence an individual's decision to donate his/her organs, which suggested that the decision was a personal one. There was no association between age group and willingness to donate a kidney to a relative, although younger respondents were willing to donate kidneys as living donors. There was also no clear relationship between gender and willingness to donate an organ (p-values of 0.03). Knowledge about organ donation was seen as a strong predictor of the attitudes towards organ donation. The majority of respondents were willing to donate organs for transplantation to save the lives of others. It is highly recommended from the results of the study that awareness campaigns to promote organ donation using various strategies and emphasising altruistic motives can increase the organs for donation.
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    The last hours of living in the ICU - priorities of care for critical care nurses
    (Health & Medical Publishing Group, 2006) Fouché, Nicola A
    Critical care is associated with a high mortality rate. While this varies, overall it is likely to be between 15% and 25%. In some cases death occurs almost immediately after an emergency admission and there is little time to prepare either the patient or the family. In the majority of cases, however, death occurs after a period of time. It may be an expected outcome, or it may become evident that further intervention and continuation of treatment is futile and distressing for the patient, the family, and especially the nursing staff.
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    The experiences of expatriate mothers regarding pregnancy, childbirth and motherhood in the host city Cape Town, South Africa
    (University of Cape Town, 2020) Penduka, Annaloice; Clow, Sheila; Fouché, Nicola A
    The study explored the experiences of expatriate mothers' pregnancy, childbirth and motherhood in a host city. This included identifying how expatriate mothers access public healthcare, and adapt to motherhood in a host country in a subsequent pregnancy. These expatriate mothers had previously experienced childbirth in their country of origin. A descriptive qualitative approach was utilised as it describes individuals' lived experiences. Purposive sampling was chosen and I had an in-depth conversation with nine expatriate mothers. Thematic analysis was used to identify themes and sub-themes. Findings: The participants established that antenatal care was easily accessible. Mothers were confronted with a lack of respectful care in labour wards. They also had personal challenges. This all led to the development of the four themes. These are: expatriate mothers' need for support; organised antenatal healthcare; high cost of living; as well as labour and childbirth challenges in Cape Town (public healthcare). These revealed mothers need support to manage motherhood in a different setting. Further, the expatriate mothers rely on their husbands as their main support in the host city. Recommendations: An emphasis on teaching of respectful maternity care in midwifery is needed, the availability of more and highly skilled and caring midwives and the need for support groups for expatriate mothers.
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    What a critical care nursing curriculum does not teach us
    (Health & Medical Publishing Group, 2006) Fouché, Nicola A
    Caring for a person facing death is not an easy undertaking - but it is a privilege. It has been pointed out in the literature that nurses' anxiety in caring for the dying is strongly related to fear of their own death. Cumulative nursing experience has not been found to be a significant factor in dealing with such a fear. In fact, there are indications that the opposite holds true; uneasiness associated with interaction with the dying has increased with nursing experience.