Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting
| dc.contributor.advisor | Singh, Shajila | |
| dc.contributor.advisor | Norman, Vivienne | |
| dc.contributor.author | Coetzee, Samantha Fae-Lee | |
| dc.date.accessioned | 2019-05-17T10:49:52Z | |
| dc.date.available | 2019-05-17T10:49:52Z | |
| dc.date.issued | 2018 | |
| dc.date.updated | 2019-05-17T09:45:29Z | |
| dc.description.abstract | Background Since its introduction in the 1980s, reports show an increase in the placement of gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date, little has been reported on the practices, perceptions and experiences of the health care practitioners when engaging in the management of children with gastrostomies. Research aims This study aims to provide insight into the practices as well as the perceptions and experiences of the health care practitioners working with gastrostomies in a paediatric setting. Method A qualitative interpretative design was used. Eighteen healthcare practitioners, who form part of the multidisciplinary team working with paediatric gastrostomies, from one of the two prominent tertiary institutions in Cape Town, South Africa were recruited for this study. Semi structured interviews were conducted after which data analysis took place. Results Four themes emerged from the data collected; experience of better patient health evolving post gastrostomy despite complications, health care practitioners’ perceived change to a family’s quality of life, the gastrostomy process: just as you think it’s going right then something goes wrong; and experiencing multidisciplinary team work, and its influences on the management of patients with gastrostomies. Conclusion The health care practitioners reflected on their practices, perceptions and experiences of gastrostomy management as being a process. During the different stages of the process, they engaged with the advantages and disadvantages the gastrostomy has on the health of a child; the positive and negative influences on the quality of life for families and identified the importance of but also the lacking in the provision of education and ongoing support for caregivers. An effective multidisciplinary team is a requirement for the management of the gastrostomy; inadequacies within the team contributed to undesirable service delivery and poor health outcomes for the child. This study highlights the importance of and the need for the implementation of best practice guidelines for gastrostomy decision-making, placement and management in the paediatric setting. | |
| dc.identifier.apacitation | Coetzee, S. F. (2018). <i>Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting</i>. (). ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. Retrieved from http://hdl.handle.net/11427/30169 | en_ZA |
| dc.identifier.chicagocitation | Coetzee, Samantha Fae-Lee. <i>"Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting."</i> ., ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2018. http://hdl.handle.net/11427/30169 | en_ZA |
| dc.identifier.citation | Coetzee, S.F. 2018. Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting. . ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences. http://hdl.handle.net/11427/30169 | en_ZA |
| dc.identifier.ris | TY - Thesis / Dissertation AU - Coetzee, Samantha Fae-Lee AB - Background Since its introduction in the 1980s, reports show an increase in the placement of gastrostomies in children, particularly in those with disabilities, due to its many benefits. To date, little has been reported on the practices, perceptions and experiences of the health care practitioners when engaging in the management of children with gastrostomies. Research aims This study aims to provide insight into the practices as well as the perceptions and experiences of the health care practitioners working with gastrostomies in a paediatric setting. Method A qualitative interpretative design was used. Eighteen healthcare practitioners, who form part of the multidisciplinary team working with paediatric gastrostomies, from one of the two prominent tertiary institutions in Cape Town, South Africa were recruited for this study. Semi structured interviews were conducted after which data analysis took place. Results Four themes emerged from the data collected; experience of better patient health evolving post gastrostomy despite complications, health care practitioners’ perceived change to a family’s quality of life, the gastrostomy process: just as you think it’s going right then something goes wrong; and experiencing multidisciplinary team work, and its influences on the management of patients with gastrostomies. Conclusion The health care practitioners reflected on their practices, perceptions and experiences of gastrostomy management as being a process. During the different stages of the process, they engaged with the advantages and disadvantages the gastrostomy has on the health of a child; the positive and negative influences on the quality of life for families and identified the importance of but also the lacking in the provision of education and ongoing support for caregivers. An effective multidisciplinary team is a requirement for the management of the gastrostomy; inadequacies within the team contributed to undesirable service delivery and poor health outcomes for the child. This study highlights the importance of and the need for the implementation of best practice guidelines for gastrostomy decision-making, placement and management in the paediatric setting. DA - 2018 DB - OpenUCT DP - University of Cape Town KW - Speech-Language Pathology LK - https://open.uct.ac.za PY - 2018 T1 - Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting TI - Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting UR - http://hdl.handle.net/11427/30169 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/30169 | |
| dc.identifier.vancouvercitation | Coetzee SF. Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting. []. ,Faculty of Health Sciences ,Department of Health and Rehabilitation Sciences, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/30169 | en_ZA |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Department of Health and Rehabilitation Sciences | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.subject | Speech-Language Pathology | |
| dc.title | Health practitioners' practices, perceptions, and experiences regarding gastronomy placement in a paediatic setting | |
| dc.type | Master Thesis | |
| dc.type.qualificationlevel | Masters | |
| dc.type.qualificationname | MSc |