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Biomedical subjects

L R Uys

Publications and source records attributed to L R Uys.

At least 19 recordsLinked to original sources
PubMed1995

Views of leading nurse educators regarding the comprehensive basic nursing programme.

This article describes a Delphi survey amongst nurse educators in South Africa. The aim was to describe their perceptions regarding the reasons for the comprehensive basic nursing programme (CBNP), its aims and expected outcomes. There was general agreement that the programme was necessary, and that it was designed mainly to produce a nurse who could function in a comprehensive health service. Integration of information and economic arguments were also mentioned. Making available a nurse who can deliver a comprehensive service to all people, was also seen as the main aim of the programme. Independent learning, competency in a whole range of skills, the ability to function in a multidisciplinary team and high level cognitive skills were mentioned as additional aims.

Attitude of Health Personnel↗
PubMed1995

A profile of selected psychiatric out-patients in South Africa.

This article reflects the results of three studies done between 1988 and 1991 describing psychiatric outpatients in different towns and cities of South Africa. Two of the samples consist of Black patients and one of Asian patients. In all three studies demographic, socio-economic and illness data were gathered and analysed. A total of 230 patients were surveyed. The typical psychiatric outpatient seems to be in productive period of his life, single, but living with family. He is poorly educated, may never have been employed and is probably now unemployed. The income of this person and the household is very limited, with many people dependent on the few economically active members of the household. The person probably has a diagnosis of schizophrenia, epilepsy, depression or substance abuse. If Black, he has been certified and hospitalized at least once for a period of twelve weeks. The person is now attending the outpatient clinic regularly once a month. The socio-economic handicap of these patients is highlighted in the article, as are the implications for families having to care for them. The organization of psychiatric services is addressed in terms of differences in hospitalization rates between different samples and short-comings in the follow-up system.

Adolescent↗
PubMed1995

Amputation history and rehabilitation of black men living in the greater Durban area who have had traumatic amputations of the lower limb.

A survey was undertaken amongst twenty five black men living in the greater Durban area who had had amputations of the lower limbs. The type of amputation care the rehabilitation programme they underwent post-operatively is described. The sample included men from 24 to 50 years of age, of whom the majority were from rural areas. The amputation care intra and post-operatively was marked by the lack of emotional preparation pre-operatively, and lack of rehabilitation information and teaching afterwards. Most respondents had to find information for themselves. This lack of information and teaching seemed to impede physical rehabilitation, with stump sores and limited use of prostheses being the main problems. Vocational rehabilitation was almost totally absent. In contrast to the twenty two respondents who worked before their amputations, only four worked afterwards. The majority had to support their families alone; sixteen of them were totally reliant on a Disability Grant. These problems lead to social isolation, depression, loneliness and other psycho-social problems.

Adult↗
PubMed1994

Writing a philosophy of nursing?

Nurses in education and management settings are often required to write a philosophy for the facility. In this paper, the use of the concept of 'philosophy' in nursing education and nursing management is explored. The nature of philosophy is then outlined, with specific reference to its relationship with a special science such as nursing. In the light of this discussion, the real nature of the document that nursing authors call a 'philosophy' is discussed. The concepts of a life and world view and a mission statement are discussed in this regard. Specific proposals are then made for nurses in approaching the task of producing this planning document.

Curriculum↗
PubMed1994

The social support network for black psychiatric inpatients.

A survey was carried out of almost 50% of Black inpatients in a state psychiatric hospital to evaluate the level of accessibility of the family network of the patients. Staff were interviewed on the problems they have with contacting families. The survey shows the extent of inadequate access and identifies reasons for the problem.

Adolescent↗
PubMed1994

An evaluation of the implementation and the effectiveness of two treatment and organizational strategies in the rehabilitation of long-term psychiatric outpatients.

Mental illness usually needs long-term treatment and rehabilitation. Since de-institutionalisation of psychiatric patients in the 1970s, most of this treatment and rehabilitation has needed to be done in the community through psychiatric clinics. It therefore is important to establish which rehabilitation strategies can be implemented in the South African services, and how effective they are. This study reports on two strategies which were implemented in the service to Black patients in psycho-education groups, and skills teaching. The implementation of the strategies was evaluated by looking at feasibility and effort, and their effectiveness was assessed by measuring functional status, symptom improvement and duration and frequency of hospitalisation. It was found that both strategies could be implemented although there were specific problems. These related to the physical facilities in the clinics, the lack of adequate training of nurses in these techniques, and the inadequacy of community resources. The psycho-educational groups were found to have no influence on either functional status or symptoms, but this might be related to difficulties in the research design. None of the patients were hospitalised from the time the study started so hospitalisation could not be used as a pre-and-post-test. Skills teaching was found to influence functional status positively. Although a positive influence on symptoms was also shown, this may have been due to rater un-reliability. The results of this study show that psychiatric community clinics should be reorganised to include psycho-social rehabilitation strategies. These strategies generally are effective and can be implemented if there is a rehabilitation philosophy in the service.

Adolescent↗
PubMed1994

Factors influencing the relapse of outpatients with schizophrenia in the Kentani area of Transkei.

A survey was carried out to establish the rate of relapse of patients with schizophrenia in one area of the Transkei. Case studies were completed on relapsed and non-relapsed patients to identify factors which play a role in relapse. Twenty percent of patients referred to this area for aftercare never appeared at clinics. Twenty-three percent of the patients were readmitted within one year. The study identified factors in the patient, the family and the community which relate to relapse.

Adult↗
PubMed1994

An investigation into the structure and functioning of nursing councils in South Africa.

This postal survey was done to investigate the opinions of nurses in South Africa about the four regulating bodies for nurses in this country. All categories were included in a sample consisting of a random and a purposive section. The results showed a generally neutral attitude towards the councils, and a more positive attitude towards the disciplinary process. However, there are significant objections against the way in which the councils are constituted, how members are elected, the way regulations are made and the people involved in disciplinary hearing. Nurses also feel that the relationships of the councils are not satisfactory and communication is poor.

Attitude of Health Personnel↗
PubMed1992

A concept analysis of nurses' commitment to patient care.

Commitment to the service of mankind has always been a key concept of professional nursing. However, very little effort seems to have been made to analyse the nature of commitment as a factor in nursing. This article explores the meaning of the concept 'commitment' as revealed by a review of the literature and the responses of a group of registered nurses in unstructured interviews. It goes on to analyse the concept by means of a number of techniques such as an analysis of critical attributes, the construction of model cases and related cases, the identification of antecedents and consequences and of empirical referents. The information gleaned was used to structure a study of the commitment to patient care of a group of professional nurses which will be published in a subsequent article.

Attitude of Health Personnel↗
PubMed1992

Commitment to patient care: an exploratory study among registered nurses in Bophutatswana.

In this second article on the commitment to patient care the methodology and results of the study are briefly described and discussed. The research method was a non-experimental qualitative survey, using several data-gathering methods such as semi-structured interviews with registered nurses and patients, the examination of nurses' and patients' records and non-participant observations. Although the responses of nurses and patients indicated that both groups considered commitment to be essential to patient care, the examination of patient records, nurses' evaluation reports and observations showed lack of commitment in practice. Various reasons for this are explored and recommendations made.

Attitude of Health Personnel↗
PubMed1991

A theoretical framework for psychiatric rehabilitation.

A theoretical framework for psychiatric rehabilitation is presented. It is based on four existing models in the field and describes the process of relapse, intervening variables, interventions and outcomes. Some interactions between the elements of the framework are given and the research support and implications for nursing are readdressed briefly.

Adaptation, Psychological↗
PubMed1989

Nursing education in South Africa.

Basic nursing education in South Africa has recently changed from a series of single registrations to a 4 year integrated programme. Diploma nursing education has also been moved into the mainstream of post-secondary education by the establishment of Nursing Colleges affiliated to Universities. These structural changes have put nursing education on a healthy footing, which should serve it well for the next decade.

Curriculum↗