Biomedical subjects

M Poggenpoel

Publications and source records attributed to M Poggenpoel.

At least 19 recordsLinked to original sources

PubMed2000

Support for nurses directly involved with women who chose to terminate a pregnancy.

Research conducted by Poggenpoel, Myburgh and Gmeiner (1998:2-8) on "One voice regarding the legalization of abortion: Nurses who experience discomfort" indicated that the nurses were in favour of the fact that nurses should volunteer to participate in terminating a pregnancy of a woman. From our observations in clinics where nurses voluntarily participate in providing reproductive health services, including termination of pregnancy, it became clear that supporting these nurses may be essential. To be able to provide support, it is necessary to identify, explore and describe nurses' experience of being directly involved with women who terminate their pregnancy. To enable us to address the identified problems, a qualitative research strategy was implemented in which respondents were included in the sample through purposive sampling. Phenomenological interviews were conducted individually. Data was analyzed by means of Tesch's descriptive approach. Thereafter, guidelines for operationalization were inferred from the results and a literature control completed to verify and enrich guidelines. Measures to ensure trustworthiness have been applied in the research and ethical measures have been strictly adhered to regarding this sensitive issue.

Abortion, Induced↗

PubMed1999

A management model for professional wholeness.

The purpose of this article is to describe a management model for professional wholeness. A theory generating research design was followed. Based on this model the consequences of management could be a state, which varies dynamically between minimal and maximal professional wholeness. A list of descriptive words was developed to generate qualitative indicators of professional wholeness.

Holistic Health↗

PubMed1999

The experience of education students in the TechnoLab. Do engineers and educationalists have to co-operate?

The purpose of this study was firstly to explore and describe post graduate students' experiences of Technology Education in the TechnoLab and secondly to deduct recommendations to assist and facilitate the learning process of students in the TechnoLab. The research design can be described as qualitative, exploratory, descriptive and contextual. Twenty-eight post graduate students in Technology Education participated in a workshop at the TechnoLab for one morning session. The aim of this workshop was to expose them to the so-called technological process, which they had already studied theoretically. After participating in this workshop students were requested to write down their experience of Technology Education in the TechnoLab. They were then divided into three focus groups for interviews conducted by three moderators. The same question was posed to each group: "How did you experience Technology Education in the TechnoLab?" These interviews were audiotaped and later transcribed. Tesch's method of analysis was applied to the data by three researchers independently followed by a consensus discussion. Three major themes were identified from the data, namely the TechnoLab and Technology Education were conducive to learning; fear and anxiety were experienced in the unknown situation, that is the TechnoLab and Technology Education; and empowerment through exposure to the TechnoLab and Technology Education. Further categories were identified within each of these three themes. Recommendations are made to assist and facilitate the learning process of these students in the TechnoLab.

Attitude↗

PubMed1999

Adolescents previously involved in Satanism experiencing mental health problems.

No research has previously been done regarding the phenomenon of adolescents who have previously been involved in Satanism and who experience obstacles in their strive for mental health. Adolescents previously involved in Satanism present behavioral problems like aggressive outbursts, depression, "psychosis" or suicide attempts, that could lead to suicide. In the phenomenon-analysis semi-structured, phenomenological interviews were performed with the respondents and their parents. The respondents were requested to write a naïve sketch about their life. After completion of the data-control, guidelines for nursing staff were set. The guidelines are set for the management of adolescents who have previously been involved in Satanism and who experience obstacles in their strive for mental health. Interviews with experts in Satanism were conducted, literature in the form of books, magazines and newspaper-clippings were used to verify the research findings. The most important guidelines are that the caregivers have to be reborn Christians; they are not allowed to show any fear or sympathy; they must have sufficient knowledge about Satanism; the adolescents have to be unconditionally accepted; the caregivers have to work in a team and the adolescents have to be taught to deal with their emotions.

Adolescent↗

PubMed1999

Adolescent interpersonal communication patterns.

Adolescents are admitted to psychiatric wards presenting with psychiatric problems which are essentially secondary to problematic interpersonal relationships. Successful interpersonal relationships however depend on effective interpersonal communication. Therefore the aim of research on adolescent interpersonal communication was to explore and describe the interpersonal communication patterns of adolescents and to develop an interpersonal communication skills approach to facilitate adolescent interpersonal communication skills within a training programme for adolescents. In this article however attention will be given to the description of the interpersonal communication patterns of adolescents. The target population of the research was 17 year old adolescents. The research consisted of a pre-phase where two contextual scenarios were formulated within group discussions with adolescents. During phase one of the research these scenarios were used to obtain video taped role plays from pairs of adolescents of the target population which were transcribed for data gathering purposes. Written dialogues were also obtained from each pair of adolescents on the same scenarios used for triangulation purposes. During phase two of the research the data was analysed according to Tesch's method and a literature control was done to verify the results. Guba's model for the trustworthiness of qualitative research was used. Four recurrent interpersonal communication patterns were identified, namely: Recurrent patterns of defocusing and externalizing the topic under discussion; Recurrent patterns of struggling for power; Recurrent patterns of not listening; and Recurrent patterns of focusing only on cognitive contents of messages and not on feelings. The research showed that adolescents have ineffective interpersonal communication patterns. Recommendations were made to facilitate adolescent interpersonal communication within an interpersonal communication skills approach.

Adolescent↗

PubMed1999

School and nursing service managers' ability to hold their own amidst daily demands.

Improving quality of life itself subsumes the experience, maintenance, and continuous enhancement of physical and psychological health. It is therefore important for the physical and psychological health of school and nursing service managers that they are able to hold their own successfully, both personally and professionally. Bearing this in mind, the question of the extent to which school and nursing service managers succeed in holding their own (coping) successfully remains. Does their profession (field of work) influence school and nursing service managers' personal beliefs, perceptions of their coping ability amidst daily demands and their use of different types of coping strategies. The purpose of this research project was to address these issues. An empirical investigation was undertaken with reference to a theoretical framework to assess school and nursing service managers' personal beliefs, perceptions of their coping ability amidst daily demands and the coping strategies they use. Consecutive factor analytical procedures, item analyses, Hotelling T2-tests and Student t-tests were conducted on the data. The results of the analyses indicated, inter alia, that nursing service managers and, especially school managers, do not quite perceive themselves capable enough to cope with interpersonal demands. School managers find it significantly more difficult than nursing service managers to cope with demands arising from professional and personal relationships.

Adaptation, Psychological↗

PubMed1999

A model for culture-congruent psychiatric nursing.

The purpose of the research conducted was to explore and describe the influence of culture on approaches to mental illness and the patients' compliance with psychiatric treatment, and to generate a practice model for culture-congruent psychiatric nursing from which guidelines were described. The Nursing for the Whole Person Theory was used as the paradigm. The research method followed three phases--each addressing a different objective. Firstly, explanatory, descriptive research was conducted to compile explanatory case studies reflecting cultural approaches to mental illness and the patients' compliance with psychiatric treatment. The sample consisted of four psychiatric patients purposively selected from four long-term wards of a psychiatric hospital, a group of psychiatric nurses, and the psychiatrists treating each of these patients based on information obtained from the semi-structured interviews, field notes and the patients' clinical documents. From the results of the case studies a practice model for culture-congruent psychiatric nursing was generated using Chinn and Kramer's approach as framework and the major concept "negotiation". Guidelines for a culture-congruent approach in psychiatric nursing were compiled from the model using deductive reasoning and analysis.

Cultural Diversity↗

PubMed1998

[Burnout among psychiatric nurses in a private, psychiatric hospital].

The purpose of this study was to explore and describe aspects which cause and promote burnout amongst psychiatric nurses. Participants were purposively selected and individual focus interviews were recorded on tape. Certain themes were identified during data analysis and based on that the following conclusion were reached: an external locus of control leads to feelings of "stuckness"; high personal standards lead to psychiatric nurses making themselves available in the work environment with subsequent negative effects on themselves; psychiatric nurses take too much responsibility and become indifferent or overly involved (co-dependent) due to vague boundaries leading to feelings of fatigue, apathy and loss of motivation; lack of support and a need of recognition in the work environment lead to emotional fatigue; a too heavy workload, staff shortage and an uncertainty regarding role description in the work environment leads to feelings of fatigue, negativity, "stuckness", anger and apathy.

Burnout, Professional↗

PubMed1998

The experience of registered nurses nursing in the general adult intensive care unit. A phenomenological qualitative research study.

In this article a phenomenological qualitative research study is discussed. More attention will be given to the methodology of the research. The objectives of the study are two-fold: firstly to explore and describe the experience of registered nurses nursing in the adult intensive care unit (this is the first phase of the research) and to describe guidelines based on the information obtained in the first phase to support the nurses in the form of a support programme in the second phase. The units of research are the registered nurses in the intensive care unit. The characteristics of the unit of research led to the emergence of a qualitative phenomenological research design of an explorative, descriptive and contextual nature. In the discussion of research methodology attention will be given to phase one: data gathering (ethical considerations and informed consent; purposive selection, phenomenological interviews and field notes); data analysis (Tesch's method of data analysis, methods to ensure trustworthiness, organisation of raw data and integration of findings supported by literature. Five themes were identified through the data analysis: impaired communication with management; discrimination: white on black racism; lack of fair, competitive remuneration and disregard for professional worth; non-conducive physical environment, and stressful working environment. Phase two: Guidelines were described to support the registered nurses in the intensive care unit based on the information obtained in phase one of the research.

Adult↗

PubMed1998

One voice regarding the legalisation of abortion. Nurses who experience discomfort.

The legalisation of abortion has been implemented since February, 1997. No research has been conducted on the effects of abortion on nurses. The objectives of this project were: 1. to explore and describe nurses' experience of abortion, and 2. to describe guidelines to support nurses. A qualitative, explorative, descriptive and contextual research design was used. The research was conducted in two phases, i.e., the exploration of nurses' experience, and description of guidelines. Trustworthiness measures as well as ethical measures were applied. Five themes were identified from the result of the interviews with nurses: freedom of choice of nurses to provide support; negative perceptions regarding the women who requested the abortion and staff providing the abortion; need for information; turmoil regarding life versus death, and recommendations from nurses regarding the management of abortion. Guidelines to support nurses were deducted from the identified themes.

Abortion, Legal↗

PubMed1998

[Support for the psychiatric nurse specialist and the psychiatric community nurse in their interactions with the psychiatric patient. Part II].

In this article the research is described that had as goal to generate a supportive approach for the psychiatric nurse specialist to the psychiatric community nurse in interaction with the psychiatric patient, to promote, maintain and restore their mental health as an integral part of health. Guidelines for operationalisation of this supportive approach by the psychiatric nurse specialist, are also described. The research design utilised a qualitative, descriptive and contextual design. The exploratory field work was done in phase one of this research (as described in part I of these articles) and consisted of phenomenological interviews and focus groups. Trustworthiness was ensured by utilising Guba's model for trustworthiness.

Communication↗

PubMed1998

[The phenomenon of families who are involved in decision making about life support withdrawal in family members].

The overall objective of this study was to explore and describe the phenomenon of families who are involved in deciding about withdrawal of life-support treatment of a family member. A phenomenon analysis was undertaken in two phases. During the first phase, secondary analysis of primary data was done on the family used in Burger's study (1996: 1-175) and was followed up by phenomenological interviews with families used as member checking from the same circumstances and according to the same criteria that Burger (1996: 1-185) used in her study. Data were analysed in collaboration with an independent coder. The family used as member checking in this study is also used as data control. A literature control was conducted as part of data control. The themes that were identified included were: physical and bodily experiences of families; defence mechanisms used by families to cope with grief; emotional experiences of families; need of knowledge/perceptions/outlook on life/internal conflict/feelings of guilt/ability to make decisions/respect of patient wishes/the effect of time and prior experiences; support needed by an given to families; spiritual and supernatural experiences/hope/acceptance/ability to 'let go' of the patient. In phase two, guidelines were described for psychiatric nurse specialists to mobilise resources for families to promote, maintain and restore their mental health as an integral part of health.

Adaptation, Psychological↗

PubMed1998

[Adolescents previously involved in Satanism: mental health problems experience].

As far as the phenomena of adolescents previously involved with satanism that experience obstacles in the strive for mental health, no research has previously been done. Adolescents previously involved in satanism, presents behaviour problems like aggressive outbursts depression, "psychosis", or suicide attempts that can even lead to suicide. In the phenomena-analysis semi-structured, phenomenological interviews with the respondents and their parents, were performed. The respondents were requested to write a naive sketch about there life. After the data-control was done, guidelines for nursing staff had been set. The guidelines are set for the management of adolescents that has previously been involved in satanism, and experiences obstacles in their strive for mental health. Interviews with experts in satanism was done, literature in the form of books, magazines and newsclippings were used to verify the findings in the research. The most important guidelines are that: the caregivers have to be reborn Christians; they are not allowed to show, any fear or sympathy; they have to have sufficient knowledge about satanism; the adolescent has to be unconditionally accepted; the caregivers have to work in a team; the adolescents have to be taught to deal with their emotions.

Adolescent↗

PubMed1998

[The world of Hillbrow street children].

The street child that is driven by circumstances to live outside the supportive structure of the family, is on his own. He doesn't have the educational developmental opportunities that children who grow up in families and societies do. He finds himself in a unique educational and living environment. From an educational psychologist's point of view, this environment is abnormal. It is therefore a great challenge for the educational psychologist to try and avoid or resolve negative effects of the child's living environment. An exploratory-, descriptive-, contextual- and qualitative study was done, with the aim of gaining insight and understanding into the life of the street child in Hillbrow as well as his experiences of his situation. The results obtained from the interviews were placed in four categories. These categories are: The street child's continuous struggle to survive his need for a "normal child life", his inability to accept responsibility and the presence of a normative awareness within the street child. In conclusion it is clear that the experiential world of the street child is multi-facetted. In general it appears that the street child has many limitations and difficulties which he experiences, and that input by an educational psychologist can have meaningful influence in his life.

Adaptation, Psychological↗

PubMed1997

Nurses' responses to patients' communication.

In this article the results of research undertaken to explore and describe nurses' responses to patients' communication as a factor in health promotion, maintenance and restoration are discussed. Nurses who have completed their basic course in nursing, question the need for participation in post-basic interpersonal skills courses. In contrast to this, patients, families and communities complained that nurses communicate with them in a poor manner and do not listen to them. The research question arose: "How do nurses respond to patients' communication?". A qualitative, exploratory, descriptive and contextual research design was utilised. The naive sketch method was used to collect data regarding nurses' responses to patients' communication. To ensure trustworthiness Guba's model was implemented. Through data analysis five categories of nurses' responses on patients' communication were identified: reassuring: giving of advise/dictating from own frame of reference; explaining; moralizing; and first level empathy. The first four categories of communication patterns are detrimental to the promotion, maintenance and restoration of the patient's health. Previous interpersonal or communication skills programs completed by nurses, do not guarantee the internalisation of attitudes and effective communication skills that are conducive to the promotion, maintenance and restoration of patients' health.

Attitude of Health Personnel↗

PubMed1997

[The psychiatric community nurse's experience about her interaction with the psychiatric patient].

The experiences of psychiatric community nurses with regard to their interaction with psychiatric patients were explored and described. A qualitative, exploratory, descriptive and contextual design was used. Phenomenological semi-structured interviews were conducted with a purposefully selected sample population. Trustworthiness was ensured by using Lincoln & Guba's (1985) model. A literature control was conducted as well. Results indicated that healthier support is needed for the psychiatric nurse to facilitate therapeutic interaction between the psychiatric patient and the community psychiatric nurse.

Community Mental Health Services↗

PubMed1997

[The life world of adolescents with mental health problems].

Adolescents are currently being exposed more and more to the expectations of parents, educators, healthworker/helpers and policy makers to meet the demands of society and conform with it. The perception arises that adults are not able to let the adolescent take responsibility for the HOW of his own life story, despite of all the expectations and demands. Under the influence of the postmodern approach to science and the narrative therapy it appears that each person is an expert of his own life and that each person is responsible for the how and the writing and rewriting of his own life story. This means that even the adolescent with mental health problems is busy with the writing and rewriting of his life story till even unpleasant incidents and experiences can get new meaning. This demands from the adolescent with mental health problems to be actively involved with his treatment programme while the therapist is a participative observer of the therapeutic events. A one sided approach where the therapist's objectives and ideals for the adolescent with mental health problems make the difference to the treatment is outdated. A alternative approach is suggested where the adolescent with mental health problems becomes co-author of his own life story and his treatment programme. In this research the researcher aimed to explore and describe the HOW of the lifeworld of the adolescent with mental health problems. The utilization of the case-study format as research method enabled a in depth, holistic description of the lifeworld of the adolescent with mental health problems. The implementation of the strategies to ensure trustworthiness, as described by Guba were applied to ensure the validity and reliability of this study. Focus were especially placed on the application of the strategy of cross validation. This implies that multiple data-collection sources, different experts, theories and respondents were utilized in the exploration of the lifeworld of the adolescent with mental health problems before this lifeworld was describe in depth. The researcher makes a few conclusions and based on this made recommendations for application in practice, education and research.

Adolescent↗

PubMed1996

Patients' internal world experience of interacting with psychiatric nurses.

Research was conducted to explore the patient's perception of interaction with psychiatric nurses. In-depth interviews were conducted with 13 psychiatric patients. The interviews were conducted in two phases. In phase 1 of each interview, the focus was exploratory and phenomenological, where a single central question was posed concerning the nature of a psychiatric patient's experience of interaction with psychiatric nurses. In phase 2 of each interview, the focus was to probe for further patient experience, based on the data elicited in phase one. The results of the research show significant findings within the psychological dimension of psychiatric patients' internal environment with specific reference to: their perception of the interaction (including stereotyping, custodialism, rule enforcement, lack of intimacy, friendliness, and lack of empathy and caring); defense mechanisms, identified during the interaction as denial and avoidance; and anxiety as emotion. These results emphasize the importance of a facilitative psychiatric nurse-patient interaction to assist the patient in the promotion, maintenance, and restoration of mental health.

Anxiety↗