Bench, bed and beyond: Communication and responsibility in decentralised tuberculosis care

Watermeyer, Jennifer; Penn, Claire; Scott, Megan; Seabi, Tshegofatso

doi:10.4102/hsag.v24i0.1208

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…According to the National Department of Health’s Framework and Strategy for Disability and Rehabilitation Services in South Africa (National Department of Health, 2016 ), rehabilitation should be decentralised and begin as early as possible and should extend from community to tertiary and specialised rehabilitation levels. The frustration amongst the participants resonates with the findings of Watermeyer, Penn, Scott and Seabi ( 2019 ) regarding difficulties with communication in decentralised tuberculosis care. It seems that when communication between healthcare, education institutions and administrative entities fails, responsibility for communication and continuity of care is unduly shifted onto the patient or caregiver (Watermeyer et al, 2019 ).…”

Section: Discussionmentioning

confidence: 74%

“…The frustration amongst the participants resonates with the findings of Watermeyer, Penn, Scott and Seabi ( 2019 ) regarding difficulties with communication in decentralised tuberculosis care. It seems that when communication between healthcare, education institutions and administrative entities fails, responsibility for communication and continuity of care is unduly shifted onto the patient or caregiver (Watermeyer et al, 2019 ). As reported by some of the participants, the therapists are often excluded from the school admissions process because of procedures that rely on the simplified classification of cognitive abilities of each child, from a limited group of medical professionals, signifying a medical model approach.…”

Section: Discussionmentioning

confidence: 74%

“…There was an overwhelming sense of frustration amongst participants in both the provincial health and education sectors that highlighted a desperate need to address the lack of communication between these two sectors. (Watermeyer et al, 2019). As reported by some of the participants, the therapists are often excluded from the school admissions process because of procedures that rely on the simplified classification of cognitive abilities of each child, from a limited group of medical professionals, signifying a medical model approach.…”

Section: Discussionmentioning

confidence: 99%

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A chasm: Consequences of poor collaboration between health and education in paediatric cerebral palsy care in Johannesburg

Lydall

Gerber

2021

South African Journal of Communication Disorders

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Background: Nearly 20 years since the establishment of the National Rehabilitation Policy, strides have been made within the health and education sectors to improve accessibility to rehabilitation services as well as the quality of life of children with cerebral palsy (CP). Shortfalls, however, still exist in implementing the policy. An in-depth study into the implementation of policy would be beneficial in identifying and understanding the shortfalls of the rehabilitation process.Objectives: To investigate the perceptions of Speech-Language Therapists (SLTs) working in the Gauteng Department of Health (GDH) and Gauteng Department of Education (GDE), in Johannesburg Region A, about systemic strengths and weaknesses surrounding the service delivery for children with CP, from birth to 6 years.Method: A qualitative study was conducted. Thirty-one (31) SLTs working in public hospitals, clinics and schools for Learners with Special Educational Needs participated in eight focus group interviews. Interviews were audio-recorded for transcription and subsequent thematic analysis.Results: The participants reported a lack of resources and knowledge that contributed to a perceived chasm between the GDH and GDE, resulting in fragmented and uncoordinated service delivery for children with CP leaving the health system and entering the education system.Conclusion: The results suggest that a cohesive plan should be formulated to bridge the perceived chasm between GDH and GDE in the referral process of children with CP from the health setting, into the school environment. This may facilitate communication, collaboration, education, as well as resource-sharing between the departments. Rehabilitation professionals should actively participate in such planning processes.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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A chasm: Consequences of poor collaboration between health and education in paediatric cerebral palsy care in Johannesburg

Lydall

Gerber

2021

South African Journal of Communication Disorders

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“…Central personnel to the communication of health education to the public are nurses because of their close contact with patients (Pueyo-Garrigues et al, 2022). However, a previous South African study revealed challenges in communication between patients and nurses which adversely affects patients' adherence to treatment (Watermeyer et al, 2019). Hence, the competence to promote health education, particularly among new nurses, should not be assumed to be satisfactory simply based on their college training.…”

Section: Introductionmentioning

confidence: 99%

The competence of novice nurses in providing health education to patients in South Africa

Skakane-Masango¹,

Ngcobo

2022

IJRBS

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Providing health education to patients is one of the competencies that nurses develop during training because of its critical role in managing lifestyle diseases. However, novice nurses’ ability to render health education once they are in the workplace is underreported. The study aimed to determine novice nurses' competence in giving patients health education. One hospital in the eThekwini district in KwaZulu Natal province of South Africa formed the setting of this study in which a quantitative, descriptive design was used. Hence, a questionnaire was utilized as a data-gathering tool among purposively sampled 125 nurses in supervisory roles. The data were statistically analyzed and presented in tables and figures. The results showed the respondents perceived the novice nurses as competent in planning and giving health education to patients. The novice nurses’ shortcoming was that less attention was paid to family involvement in giving health education and giving health education at the patient's level of understanding based on their educational level. The study contributes knowledge on the importance of the competence of novice nurses in giving health education as a strategy to tackle lifestyle diseases.

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“…Decentralised care has been shown to improve patient outcomes (4,5), and to reduce costs (6), however there are challenges. These surround patient expectations (7) and the different skillset of the non-expert provider (8), resulting in the need for high level support (9), training (10) and improved provider-provider communications (11).…”

Section: Introductionmentioning

confidence: 99%

Following Guidelines for Drug-Resistant Tuberculosis: “Yes, it’s a challenge”

et al. 2021

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BackgroundDrug-resistant tuberculosis (DR-TB) is a major contributor to antimicrobial resistance (AMR) globally and is projected to be responsible for up to a quarter of AMR-associated deaths in the future. Management of DR-TB is increasingly decentralised to primary healthcare settings, and simultaneously becoming more complex due to a growing range of treatment options (e.g. novel agents, shorter regimens). This is reflected in the numerous recent updates to international guidelines and as such understanding the barriers and enablers to how healthcare workers access and use guidelines is vital.Materials and MethodsWe used an established psychological framework – the theoretical domains framework (TDF) – to construct and analyse an online survey and focus groups to explore healthcare workers current use of DR-TB guidelines in South Africa. We aimed to identify barriers and enablers with which to direct future attempts at improving guideline use.ResultsThere were 19 responses to the online survey and 14 participants in two focus groups. 28% used the most up-to-date national guidelines, 79% accessed guidelines primarily on electronic devices. The TDF domains of ‘Social Influences’ (mean Likert score = 4.3) and ‘Beliefs about Consequences’ (4.2) were key enablers, with healthcare workers encouraged to use guidelines and also recognising the value in doing so. ‘Environmental Resources’ (3.7) and ‘Knowledge’ (3.3) were key barriers with limited, or variable access to guidelines and lack of confidence using them being notable issues. This was most noted for certain subgroups: children, HIV co-infected, pregnant women (2.7).DiscussionCurrent use of DR-TB guidelines in South Africa is suboptimal. Planned interventions should focus on overcoming the identified key barriers and might include an increased use of digital tools.

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Bench, bed and beyond: Communication and responsibility in decentralised tuberculosis care

Cited by 3 publications

References 22 publications

A chasm: Consequences of poor collaboration between health and education in paediatric cerebral palsy care in Johannesburg

A chasm: Consequences of poor collaboration between health and education in paediatric cerebral palsy care in Johannesburg

The competence of novice nurses in providing health education to patients in South Africa

Following Guidelines for Drug-Resistant Tuberculosis: “Yes, it’s a challenge”

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