Midwifery hurdles: Navigating tuberculosis screening challenges in South Africa.

BACKGROUND:  In South Africa, screening for tuberculosis during pregnancy is a serious challenge. Tuberculosis is one of the leading indirect causes of mortality in pregnant women. OBJECTIVES:  The objective of the study was to explore the challenges experienced by midwives regarding tuberculosis in pregnant women. METHOD:  A qualitative exploratory research method was used to conduct the study. The study population comprised midwives who worked at primary healthcare clinics in the selected local area, Capricorn District, Limpopo province. Purposive non-probability sampling was used to select 10 participants. Data from participants were acquired using in-depth individual semi-structured interviews. Data analysis was carried out using manual thematic analysis following Tesch's technique. RESULTS:  The outcomes of this study included midwives knowing their roles regarding tuberculosis screening among pregnant women. They further highlighted their challenges while screening tuberculosis in pregnant women, such as shortage of screening tools, withholding of tuberculosis information, and language barrier. CONCLUSION:  Midwives should have the necessary equipment and be trained in various languages used in the province to improve tuberculosis screening among all pregnant women.Contribution: Infected pregnant women and their unborn children's health can be improved by tuberculosis screening.

Mentoring community service nurses in public health settings: Guidelines for nurse managers.

Background: Adequate mentoring and support of community service nurses (CSNs) in transitioning from the learning environment to the public health setting is pivotal. Despite this notion, the mentoring of CSNs is inconsistently implemented. It was therefore imperative that the researchers developed the guidelines that can be used by managers to mentor the CSNs. Aim: This article shares nine guidelines to ensure adequate mentoring of CSNs in public health settings. Setting: The study was conducted in public health settings designated for placement of CSNs, in South Africa. Methods: This study followed a convergent parallel mixed-methods design whereby qualitative data were obtained from purposefully selected CSNs and nurse managers. Quantitative data were obtained from 224 CSNs and 174 nurse managers, with the use of mentoring questionnaires. Semi-structured interviews were used on focus groups of nurse managers (n = 27) and CSNs (n = 28). Quantitative data were analysed with Statistical Package for Social Science software version 23, ATLAS.ti 7 software was used to analyse qualitative data. Results: The merged results evidenced that CSNs were not adequately mentored. The public health setting was not conducive to mentoring CSNs. Mentoring activities were not well structured. Monitoring and evaluation of mentoring of CSNs were not properly done. Evidence from merged results and literature were applied to develop mentoring guidelines for operationalising a mentoring programme for CSNs. Conclusion: The guidelines were: (1) creation of a positive mentoring environment, (2) enhancement of collaboration between stakeholders, (3) attributes of CSNs and nurse managers in the mentoring relationship, (4) enhance orientation for nurse managers and CSNs, (5) facilitation of mentor-mentee matching process, (6) conducting mentoring meetings, (7) capacity development for CSNs and nurse managers, (8) monitoring and evaluation of mentoring process, and (9) reflections and feedback. Contribution: This was the first CSNs' guidelines to be developed in the public health setting. These guidelines could facilitate adequate mentoring of CSNs.

Transition of graduate nurses from student to practice during the COVID-19 pandemic: Integrative review.

The COVID-19 pandemic has had dire consequences for all health care workers including nurses. Consequently, those graduate nurses who transitioned into practice during that time were not spared the pandemic's impact. The purpose of this integrative review is to identify and present the extant literature on the transition of graduate nurses from student to practice during the COVID-19 pandemic. Online data bases ranging from the Cumulative Index to the Nursing and Allied Health Literature, the Education Resources Information Centre and PsychINFO were all perused for publications between 2019 and 2021. Key search terms included COVID-19, graduate nurses, newly qualified nurses, transition. The researchers then carefully assessed the articles found and used the coder to determine the relevance of those selected articles. The Critical Appraisal Skills Programme was used to validate the quality of the research articles considered for review. The search of these data bases produced 10 articles which met the inclusion criteria. Four main themes emerged from the study, namely: Organisational challenges faced by graduate nurses during their transition into practice during the COVID-19 pandemic; Personal challenges experienced by graduate nurses in their transition into practice in the context of COVID-19 pandemic; Positive outcomes emanating from the transition of graduate nurses during the pandemic; and Factors which facilitated the transition from student to practice by graduate nurses during the pandemic. The organisational challenges findings revealed that graduate nurses experienced such problems as a shortage of resources, burnout syndrome, work overload and lack of support. Challenges related to their transition throughout the COVID-19 pandemic period included psychological effects and the theory practice gap. Positive outcomes that emerged were learning and better employment opportunities. Factors which could have better facilitated their transition encompassed the availability of equipment and training opportunities. Recommendations include increased collaborative efforts amongst stakeholders to support and mentor graduate nurses during such emergencies; and psychological interventions that could assist with coping in such dire situations as the COVID-19 pandemic.

Level of job satisfaction amongst nurses in the North-West Province, South Africa: Post occupational specific dispensation.

BACKGROUND: Job satisfaction and burnout have been recurring problems amongst nurses in the Republic of South Africa (RSA). As a result, nurses are still leaving the rural public sector in search of lucrative work at the urban and private sectors and in developed countries. Accordingly, Occupational Specific Dispensation (OSD) was introduced as a strategy to ircumvent the problem. However, since the implementation of OSD in 2007, there have been no studies conducted regarding the level of job satisfaction amongst nurses after the implementation of OSD in the North-West Province, especially because each province has its own challenges that are unique to the area. OBJECTIVES: The study had two objectives: to describe the level of job satisfaction amongstprofessional and other category nurses (OCNs) at a public hospital in the North-West Provinceand describe the perceptions of nurses about OSD and their intention to continue working inthe hospital. METHOD: A quantitative descriptive cross-sectional design was used. Stratified random sampling was used to select a sample of 92 professional nurses (PNs), 90 enrolled nurses and enrolled nursing assistants (Nursing Act 2005), which made a total of 182 participants. For the purpose of the study, the enrolled nurses and enrolled nursing assistants were referred to as OCNs. Data were collected using the Minnesota Satisfaction Questionnaire-short form and OSD statements and analysed with Statistical Package for Social Science (SPSS, version 18). RESULTS: The majority of PNs (79.3%, n = 73) and OCNs (86.7%, n = 77) were dissatisfied with the working conditions and salary: PNs (80.4%, n = 74) and OCNs (87.8%, n = 79). The nurses mostly discredited the current state of the OSD implementation. Majority of the PNs (84%, n = 77) and OCNs (91%, n = 82) disagreed with the statement that 'level of job satisfaction has improved after the implementation of OSD'. CONCLUSIONS: The National Department of Health should consider a holistic approach to address all work-related conditions for nurses in order to curb the attrition rates. Policy makers and unions should urgently review OSD for all categories of nurses.