A review of geriatric care training in the undergraduate nursing and medical curricula at the University of KwaZulu-Natal, South Africa

Naidoo, Keshena; Waggie, Firdouza; Wyk, Jacqueline Van

doi:10.7196/ajhpe.2020.v12i3.1349

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Almost all of the curricula lacked an independent module and geriatric health care competencies except that followed by Mbarara University of Science and Technology at the undergraduate level. These findings are similar to those found by Naidoo et al where there was a lack of a module and emphasis on geriatric health care competencies in the nursing undergraduate curriculum at the University of KwaZulu Natal in South Africa [ 27 ].…”

Section: Discussionsupporting

confidence: 89%

“We are never taught anything about the elderly.” Establishing the gap in elderly health care competencies in nursing education in Uganda

et al. 2022

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Background Nurses contribute the largest portion of Uganda’s health workforce providing care to individuals of all ages and communities. However, despite the growing number of the elderly population in Uganda with improved life expectancy, there is hardly any study that has looked at the elderly health care competencies in the nursing training programs at various levels. This paper provides an overview of the gaps in elderly health care competencies in nursing education in Uganda. Methods We conducted a descriptive qualitative cross-sectional study that involved document review, Key Informant Interviews (KIIs) with nursing leaders, and Focus Group Discussions ( FGDs) with faculty at all levels of nursing training and nurses in practice. Data was analyzed using latent and manifest content analysis with Open Code software 4.03. Common categories were identified and incorporated into a matrix to create themes. Results Almost all the curricula and minimum standards for training nurses at certificate, diploma, and degree levels lack a module and nursing competencies on elderly nursing care. This is aggravated by a lack of faculty trained in elderly health care skills, and a lack of specialized wards for nursing elderly care clinical training among others. Conclusions There is hardly any elderly health care training module and elderly nursing competencies at all levels of nursing training in Uganda.

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Section: Discussionsupporting

confidence: 89%

“We are never taught anything about the elderly.” Establishing the gap in elderly health care competencies in nursing education in Uganda

et al. 2022

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Section: What Is the Need For A Public Health Ethics Framework For Th...mentioning

confidence: 99%

“…Thirdly, healthcare practitioners and workers delivering public health programmes may evidently not be trained sufficiently or have enough experience to consider the ethical consequences of their actions and care. 9,19 In this article, building blocks for a framework to guide public health practitioners and workers offering care, management or administration, on how to pass ethical judgement on public health programmes and interventions aimed at the geriatric community are presented. These building blocks are application-based and practice-oriented.…”

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confidence: 99%

Building blocks for a public health ethics framework for the geriatric community

2022

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What is the need for a public health ethics framework for the geriatric community?Kass' 1 seminal publication on a public health ethics framework is presented as an analytical tool to contemplate the ethical implications of proposed interventions, policy proposals, research initiatives and programmes in public health. Such a framework should enable public health workers to anticipate what the ethical implications and outcome of actions could be. This opens the possibility of alternative views on the ethical implications of public health interventions, or how ethical principles should be implemented. Any alternative should be an acceptable ethical option and not merely the satisfaction of political considerations.Studies from Baylis, Kenny and Sherwin, 2 Spike 3 and Marckmann, Schmidt, Sofaer and Strech 4 also considered what informs a public health ethics framework. Although their approaches may differ, the common agreement for such a framework lies in ethical principles relevant to public health. All three studies recommend a practice-oriented framework. From the authors' comments, the interpretation is that a public health ethics framework needs to identify and apply ethical principles for healthcare that can promote health through healthcare services and interventions mindful of the targeted community's needs. The aim of the public health ethics framework is not only to be ethical in healthcare delivery but also to secure that communities' human rights are respected and advanced. The application of this framework will promote ethical healthcare delivery and add to the understanding of how to be ethical in public health. Baylis et al. 2 placed the emphasis on people and relationships in the context of public health's scope. They argued that there exists the need to focus on relations amongst people instead of Background: The elderly population is steadily growing in South Africa. However, there is limited strategic planning or policy initiatives to address this group's vulnerability resulting in several public health ethical issues that need to be considered and addressed. This article aims to develop a public health ethics framework for the geriatric community with the purpose to review ethical implications when working with the geriatric community. Methods:The Q-methodology was selected for data collection. Fifteen statements were ranked by means of a five-point Likert-scale questionnaire. Twenty-two participants from six geriatric institutions participated in the ranking of the statements. Results:The ranking of the statements confirmed the need for a public health ethics framework to provide guidance when working with the geriatric community and to evaluate decisions about geriatric care. Such a framework should be application-based and practiceoriented which can assist in addressing unfamiliarity with public health ethics in general and can extend the capacity for decision-making. The ranking of these statements contributed to the scope of the planned framework, by considering the vulnerability of healthca...

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A review of geriatric care training in the undergraduate nursing and medical curricula at the University of KwaZulu-Natal, South Africa

Cited by 2 publications

References 8 publications

“We are never taught anything about the elderly.” Establishing the gap in elderly health care competencies in nursing education in Uganda

“We are never taught anything about the elderly.” Establishing the gap in elderly health care competencies in nursing education in Uganda

Building blocks for a public health ethics framework for the geriatric community

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