Experiences and attitudes of dietitians during the first compulsory community service year (2003)

Visser, Janicke; Marais, Maritha; Plessis, Johan du; Steenkamp, Ilona; Troskie, I

doi:10.1080/16070658.2006.11734084

Cited by 6 publications

(8 citation statements)

References 3 publications

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“…The survey questionnaire was developed by the researcher from the literature obtained regarding community service for doctors (Reid 2001 ) and dieticians (Visser et al 2006 ), as well as adapting the Casey Fink questionnaire that was used for the graduate nurse experience survey (Casey et al 2004 ). Section A was structured to obtain demographic data, whilst section B contained questions on a four-point Likert scale from 4 to 1 for ‘strongly agree’, ‘agree’, ‘disagree’ and ‘disagree strongly’, respectively, to solicit information on CNPs’ perceptions of CCS, their educational preparation, as well as their perceived experiences and perceptions whilst working as CNPs.…”

Section: Methodsmentioning

confidence: 99%

“…Pillay and Harvey’s ( 2006 ) survey of the experiences of 52 clinical psychologists serving CCS for the first time found that more than 50% experienced role confusion and difficulties in communicating with patients because of language differences, even though they felt they made a difference to the communities they served and had gained confidence in their professional ability. Visser et al ( 2006 ) examined the experiences and attitudes of dieticians carrying out CCS whilst Parker et al ( 2013 ) found that even though dieticians were well prepared for CCS, aspects of their educational preparation required revision in order to ensure their readiness to serve the communities in which they were placed. Khan, Knight and Esterhuizen’s ( 2009 ) survey of all speech, hearing and language therapists found that less than 50% were willing to serve in rural institutions after completing CCS, citing differences in the level of support and supervision, a lack of infrastructural support and resources, as well as language barriers as reasons.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of newly-qualified nurses performing compulsory community service in KwaZulu-Natal

Govender¹,

Brysiewicz

Bhengu

2015

curationis

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BackgroundCompulsory community service (CCS) for nurses commenced in South Africa in January 2008 after it was legislated in the new Nursing Act (Act No. 33 of 2005). Nurses completing their registered nurse programme are registered as community nurse practitioners (CNPs) during the CCS period and make up the largest number of health professionals serving CCS. Whilst health institutions have welcomed CNPs as additional resources for the shortage of nursing staff, no structured guidelines have been provided at a regional level as to how these nurses should be utilised or managed during the CCS year. To date, no large-scale study has been conducted on nurses carrying out CCS in order to generalise the findings.ObjectivesTo establish the perceptions of newly-qualified nurses carrying out CCS in KwaZulu-Natal, South Africa.MethodA quantitative survey design was used to obtain data from a randomly selected sample of the 2012 cohort of nurses carrying out CCS in KwaZulu-Natal.ResultsCNPs have a positive attitude toward CCS and perceive themselves as being well prepared for the year of community service in terms of knowledge, skills and ability to administer nursing care. They identified positive benefits of the year of community service. The concerns raised were limited orientation and support; and a few CNPs experienced problems of acceptance by the nurses with whom they work.ConclusionIt is recommended that all health institutions who receive CNPs develop structured orientation and support for these nurses in order to promote their development, thereby enhancing their benefit to the communities they serve.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions of newly-qualified nurses performing compulsory community service in KwaZulu-Natal

Govender¹,

Brysiewicz

Bhengu

2015

curationis

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“…[2] The scheme currently employs an annual cohort of ~8 000 young professionals on 12-month contracts, who are allocated to public health facilities in different provinces according to the human resources need. While a number of studies have described the initial experience and effects of CS officers of various professional groups qualitatively, [3][4][5][6][7] none has yet looked at the programme longitudinally. This article focuses on medical practitioners, about whom most of the longitudinal data have been accumulated based on an annual survey of CS officers that was instituted in 2000.…”

Section: Researchmentioning

confidence: 99%

Compulsory community service for doctors in South Africa: A 15-year review

Reid¹,

Peacocke²,

Kornik³

et al. 2018

S Afr Med J

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Background. Compulsory community service (CS) for health professionals for 12 months was introduced in South Africa (SA) in 1998, starting with medical practitioners. Up to 2014, a total of 17 413 newly qualified doctors and ~44 000 health professionals had completed their year of service in public health facilities around the country. While a number of studies have described the experience and effects of CS qualitatively, none has looked at the programme longitudinally. Objectives. To describe the findings and analyse trends from surveys of CS doctors between 2000 and 2014, specifically with regard to their distribution, support, feedback and career plans. Methods. A consecutive cross-sectional descriptive study design was used based on annual national surveys of CS doctors. The study population of between 1 000 and 1 300 each year was surveyed with regard to their origins, allocations, experiences of the year and future career plans. Results. The total study population varied between 1 057 and 1 308 each year, with response rates of 20 -77%. The average turn-up rate of 89% showed a decreasing tendency, while 77% of respondents were satisfied with the allocation process. Over the 15-year period, the proportion of CS doctors who were black and received a study bursary, and who were allocated to rural areas and district hospitals, increased. The great majority believed that they had made a difference (91%) and developed professionally (81%) over the course of the year, but only about half felt adequately supported clinically and administratively. The attitude towards CS of the majority of respondents shifted significantly from neutral to positive over the course of the 15 years. In terms of future career plans, 50% hoped to specialise, a decreasing minority to go overseas or into private practice, and a constant 15% to work in rural or underserved areas.Conclusions. This study is the first to track the experience of compulsory CS over time in any country in order to describe the trends once it had become institutionalised. The SA experience of CS for doctors over the first 15 years appears to have been a successively positive one, and it has largely met its original objectives of redistribution of health professionals and professional development. Greater attention needs to be given to orientation, management support and clinical supervision, and focusing professional development opportunities on the important minority who are prepared to stay on longer than their obligatory year. CS still needs to be complemented by other interventions to capitalise on its potential.

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“…A number of reviews have been carried out on other HCPs, including dentists (Naidoo, 2002;, dieticians (Visser, 2006;Paterson, 2007), pharmacists (khan, 2002), therapists (khan, 2009;Penn, 2009), speech-language and hearing therapy professionals (Wranz, 2011), and nurses (Erasmus and Blaauw, 2011). Although the majority of CSOs in every profession report that they made a difference and found the experience professionally rewarding, common findings include a mismatch between the competencies of graduates and health-service demands, especially when essential equipment or supplies are not available.…”

Section: Non-medical Hcpsmentioning

confidence: 99%

Reconceptualising Health Professions Education in South Africa

2018

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Reproduction is permitted, provided the source and publisher are appropriately acknowledged. The Academy of Science of South Africa (ASSAf) was inaugurated in May 1996. It was formed in response to the need for an Academy of Science consonant with the dawn of democracy in South Africa: activist in its mission of using science and scholarship for the benefit of society, with a mandate encompassing all scholarly disciplines that use an open-minded and evidence-based approach to build knowledge. ASSAf thus adopted in its name the term 'science' in the singular as reflecting a common way of enquiring rather than an aggregation of different disciplines. Its Members are elected on the basis of a combination of two principal criteria, academic excellence and significant contributions to society.

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Experiences and attitudes of dietitians during the first compulsory community service year (2003)

Cited by 6 publications

References 3 publications

Perceptions of newly-qualified nurses performing compulsory community service in KwaZulu-Natal

Perceptions of newly-qualified nurses performing compulsory community service in KwaZulu-Natal

Compulsory community service for doctors in South Africa: A 15-year review

Reconceptualising Health Professions Education in South Africa

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