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There are links between the inadequate numbers of competent midwives and high maternal mortality ratios and neonatal mortality rates which highlights the significance of job-ready, newly qualified midwives who can display clinical competence. The South African Nursing Council regulated mandatory community service, as a supportive year to develop clinical competence.

To explore and describe newly qualified midwives' perceived level of midwifery clinical competence during community service.

Both the event of the pandemic and the distribution of the potential participants across various geographical settings necessitated planning for data collection in real and online settings convenient to them.

Non-probability purposive sampling was utilized to select and invite the post community service, newly qualified midwives (
= 65), of the select university, who underwent community service in 2018 and experienced exposure to maternity care settings in the eThekwini District (
= 23). Data were collected throutures.
Early career health science professionals often find themselves in a transitional space when moving from a health science professional role to academia. The role of a postgraduate supervisor is especially troublesome. Transitional spaces often bring uncertainty and perceived or real threats, fear, worry, anxiety and stress. Without support, the result could be detrimental to the mental health of the early career as postgraduate supervisors, thereby impacting their professional identity formation.

To understand the underlying elements that shaped the early career health science professional as postgraduate supervisors' habitus and how these features play out in their postgraduate supervision practice.

The research study was carried out at an Open and Distance e-Learning University (ODeL) and a residential university.

Visual elicitation methods in the form of seven drawings were used as data. Pierre Bourdieu's concepts of
and
were used as a theoretical lens, and structural analysis with analytical memoing was used to interrogate the drawings.

Early career health science professional as postgraduate supervisors' bodily habitus presented as fragmented or yet to be formed along with other entanglements, such as emotions, language, power and material arrangements.

These features enable policymakers, employee assistance practitioners, educational developers and experienced academics to consider the changes and structural forces that need to be addressed to support early career health science professional as postgraduate supervisors.

A creative means of exploring the inner world of the early career health science professional as postgraduate supervisors is undertaken. In doing so, the research article potentially illuminates what has up to now been 'unsaid'.
A creative means of exploring the inner world of the early career health science professional as postgraduate supervisors is undertaken. In doing so, the research article potentially illuminates what has up to now been 'unsaid'.
The attitudes of advanced psychiatric nurses significantly contribute to the management, treatment plan and care of the mental healthcare users, and resultantly affects the quality and standards of mental healthcare. Considering these effects, it is imperative to understand how the attitudes of advanced psychiatric nurses are perceived by other multidisciplinary team members.

To describe the perceptions of the multidisciplinary team members regarding advanced psychiatric nurses' attitudes in clinical practice.

Three mental health institutions were utilised to obtain the perceptions related to the attitudes displayed by advanced psychiatric nurses in the clinical environment.

A qualitative research descriptive approach was adopted to obtain in-depth descriptions of the attitudes portrayed by advanced psychiatric nurses. Eight purposefully sampled multidisciplinary team members were interviewed to obtain information. Data were analysed using Colaizzi's method.

Themes and sub-themes emerged. Mental healthcare providers exhibited both negative and positive attitudes towards mental health patients. By perception, unfavorable attitudes hindered effective communication and psychosocial rehabilitation programs for mental health patients. Positivity enhanced feedback during ward rounds and during clinical meetings.

Despite the positive impact advanced psychiatric nurses have on mental health care, views regarding mental health patients remain negative. It is recommended that advanced psychiatric nursing education curriculum address negative attitudes, views, and stereotypes. Mental healthcare users need to be provided with psychosocial rehabilitation programs and activities that address advance psychiatric nurses' lack of initiatives.

A clear set of principles and protocols underpins the collaborative effort among multidisciplinary teams in mental health care.
A clear set of principles and protocols underpins the collaborative effort among multidisciplinary teams in mental health care.
Nursing students learn the science and art of nursing, including presence, from classroom content, using skills in practice, or by watching an experienced nurse interact with a patient. Nursing education must be designed so that nursing students can construct the art and science of nursing practice. Nursing students must be educated to be sound practitioners in the 'being' of nursing practice. Nurse educators modelling presence to nursing students will improve the quality of patient care during clinical training and throughout their professional role.

To explore and describe nurse educators' role modelling of presence to nursing students.

This study was conducted at a public nursing college in the North West province.

A qualitative, ethnographic study was conducted. Purposive sampling was used. Four nurse educators participated in the study and data saturation was reached. Data were collected through shadowing and informal reflective conversations over a period of 8 days.

The following relationshipstors modelling presence.
Screening for chorioamnionitis, or the risk thereof, by midwives is largely lacking during antenatal care and no best practice guidelines for chorioamnionitis in South Africa was noted.

To explore and describe midwives' knowledge and practices related to the screening and management of women who are at risk of or diagnosed with chorioamnionitis.

Public healthcare institutions in a health district in the Eastern Cape province of South Africa.

A qualitative, exploratory, descriptive and contextual research design was used. Ten midwives were purposively included in this study, and semi-structured interviews were conducted with them. The data were analysed using an adapted version of Tesch's eight steps for data analysis.

The main theme revealed that midwives lack knowledge regarding chorioamnionitis, resulting in incorrect practices including a lack of screening, misdiagnosis and mismanagement of the infectious condition.

Findings of this research showed that midwives lacked knowledge regarding the s for screening and managing women with chorioamnionitis.
This research addressed the need to have a deeper understanding of nursing students' experiences of clinical placement and support in primary healthcare (PHC) settings.

To explore and describe the experiences of nursing students' clinical placement in PHC settings.

The study was conducted at PHC clinics in a specific province in South Africa.

A qualitative, exploratory, descriptive and contextual research design was used. The population comprised fourth-year nursing students selected using purposive sampling. Five semi-structured focus group interviews were conducted. Data saturation determined the sample size which comprised 25 nursing students. Thematic data analysis produced four main themes.

The main themes were (1) the meaning of placement, (2) experiences of clinical placement, (3) needs for support, and (4) resilience of nursing students.

Nursing students encountered negative and positive experiences. Both experiences confirmed that PHC settings can be valuable learning opportunities for nu guide professional nurses, nurse educators, nurse managers and other healthcare PHC workers to support nursing students.
Little has been done to evaluate clinical competence of community service nurses (CSNs) during the 12-month compulsory community service in South Africa. Evaluating clinical competence of CSNs would be of benefit as it might improve quality patient care and promote patient satisfaction. It therefore became of paramount importance for the researcher to establish some method of evaluating the CSNs' clinical competence during their compulsory service in the North West province (NWP), South Africa.

To evaluate the clinical competence evaluation tool (CCET) for CSNs for reliability and validity.

A selected regional level 2 hospital.

Ten experts participated in the validation process. selleck products The tool was tested at one of the public hospitals in the NWP and 11 out of 13 CSNs participated in this process. Statistical Package for the Social Sciences version 25 was employed and the reliability of the tool was measured using Cronbach's alpha.

This tool's content validity index has exceeded 0.80 and is indicated at 0.98, which reflects excellent content validity. The higher the content validity ratio score the greater the agreement amongst the experts. The Cronbach's alpha coefficients in the six competencies are all greater than 0.7 implying that the tool developed in this study is reliable. All the experts indicated that the tool is clear, simple, general, accessible and important.

From the above-mentioned results, a CCET for CSNs was proven to be valid and reliable.

This was the first tool to be developed in NWP of South Africa.
This was the first tool to be developed in NWP of South Africa.
The safe transfer of critically ill neonates is important for their survival. This calls for greater preparedness on the part of paramedics to effect these transfers safely.

To understand the experiences and the challenges faced by advanced life support (ALS) paramedics during neonatal transfers.

The study setting consisted of advanced life support paramedics from urban and rural areas in KwaZulu-Natal. It comprised of a network of district hospitals as well air and ground transfer facilities, both public and private.

Using a qualitative research approach, the study sought the views of ALS paramedics who were involved in neonatal transfers in KwaZulu-Natal. A purposive sample of
= 8 ALS paramedics was selected. Data were collected using in-depth semi-structured interviews. The data were analysed through the process of thematic analysis.

The study found that paramedics faced multiple complex challenges related to neonatal transfers. Poor pre-transfer preparation of the neonate, equipment related challenges, lack of clinical support available during transfers and pressure to effect inappropriate transfers were some of the challenges they faced. These challenges coupled with insufficient education and the lack of sub-speciality programmes to capacitate, rendered them unprepared to deal with neonatal transfers effectively.

Emergency medicine needs to provide greater attention towards preparing all stakeholders for successful neonatal transfers.

The findings provide recommendations for a programme that will limit risks involved with, and support the inter-healthcare facility transfer of critically ill neonates in South Africa.
The findings provide recommendations for a programme that will limit risks involved with, and support the inter-healthcare facility transfer of critically ill neonates in South Africa.
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