Journal articles: 'Nursing – Botswana'

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Popovich, Judith M. "Rehabilitation Nursing in Botswana." Rehabilitation Nursing 26, no. 5 (2001): 168–71. http://dx.doi.org/10.1002/j.2048-7940.2001.tb01944.x.

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Akinsola, Henry A. "Ethical Issues in Rural Nursing Practice in Botswana." Nursing Ethics 8, no. 4 (2001): 340–49. http://dx.doi.org/10.1177/096973300100800406.

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The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other.

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Matula, Samuel T. "Palliative Care in Botswana." Journal of Hospice & Palliative Nursing 21, no. 3 (2019): E7—E12. http://dx.doi.org/10.1097/njh.0000000000000517.

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Barchi, F., M. Kasimatis Singleton, M. Magama, and S. Shaibu. "Building locally relevant ethics curricula for nursing education in Botswana." International Nursing Review 61, no. 4 (2014): 491–98. http://dx.doi.org/10.1111/inr.12138.

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Barchi, F., M. Kasimatis Singleton, M. Magama, and S. Shaibu. "Building locally relevant ethics curricula for nursing education in Botswana." Annals of Global Health 81, no. 1 (2015): 16. http://dx.doi.org/10.1016/j.aogh.2015.02.550.

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Kip, Esther, Valerie J. Ehlers, and Dirk M. van der Wal. "Patients’ Adherence to Anti-Retroviral Therapy in Botswana." Journal of Nursing Scholarship 41, no. 2 (2009): 149–57. http://dx.doi.org/10.1111/j.1547-5069.2009.01266.x.

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Tshiamo, Wananani B., Mabedi Kgositau, Esther Ntsayagae, and Motshedisi B. Sabone. "The role of nursing education in preventing medication errors in Botswana." International Journal of Africa Nursing Sciences 3 (2015): 18–23. http://dx.doi.org/10.1016/j.ijans.2015.06.001.

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Seloilwe, E. S., and G. Thupayagale-Tshweneagae. "Community mental health care in Botswana: approaches and opportunities." International Nursing Review 54, no. 2 (2007): 173–78. http://dx.doi.org/10.1111/j.1466-7657.2007.00525.x.

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Shaibu, Sheila. "Experiences of Grandmothers Caring for Orphan Grandchildren in Botswana." Journal of Nursing Scholarship 45, no. 4 (2013): 363–70. http://dx.doi.org/10.1111/jnu.12041.

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Lazenby, Mark. "IF WITTGENSTEIN WERE IN BOTSWANA." Palliative and Supportive Care 8, no. 3 (2010): 379. http://dx.doi.org/10.1017/s1478951510000192.

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Ehlers, V. J., A. Zuyderduin, and M. J. Oosthuizen. "The well-being of gays, lesbians and bisexuals in Botswana." Journal of Advanced Nursing 35, no. 6 (2001): 848–56. http://dx.doi.org/10.1046/j.1365-2648.2001.01922.x.

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McFarland, D. M. "Beliefs about the causes of cervical cancer in Botswana: implications for nursing." International Nursing Review 56, no. 4 (2009): 426–32. http://dx.doi.org/10.1111/j.1466-7657.2009.00742.x.

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Davis, Linda I., Dolores J. Wright, Matthew S. Gutierrez, Jennifer J. Nam, Jenny Nguyen, and Andrew T. Waite. "Interprofessional global service learning: A pharmacy and nursing practice experience in Botswana." Currents in Pharmacy Teaching and Learning 7, no. 2 (2015): 169–78. http://dx.doi.org/10.1016/j.cptl.2014.11.017.

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Essex, M., Joseph Makhema, and Shahin Lockman. "Reaching 90–90–90 in Botswana." Current Opinion in HIV and AIDS 14, no. 6 (2019): 442–48. http://dx.doi.org/10.1097/coh.0000000000000580.

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Wright, Dolores J. "Home Care in Kanye, Botswana." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 29, no. 7 (2011): 402–7. http://dx.doi.org/10.1097/nhh.0b013e31821febb6.

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McFarland, D. M. "Professor Serara Kupe‐Mogwe’s contribution to development of the nursing profession in Botswana." International Nursing Review 68, no. 2 (2021): 159–62. http://dx.doi.org/10.1111/inr.12665.

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Sabone, Motshedisi, Pelonomi Mazonde, Francesca Cainelli, et al. "Everyday ethical challenges of nurse-physician collaboration." Nursing Ethics 27, no. 1 (2019): 206–20. http://dx.doi.org/10.1177/0969733019840753.

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Background: Collaboration between physicians and nurses is key to improving patient care. We know very little about collaboration and interdisciplinary practice in African healthcare settings. Research question/aim: The purpose of this study was to explore the ethical challenges of interdisciplinary collaboration in clinical practice and education in Botswana Participants and research context: This qualitative descriptive study was conducted with 39 participants (20 physicians and 19 nurses) who participated in semi-structured interviews at public hospitals purposely selected to represent the three levels of hospitals in Botswana (referral, district, and primary). Ethical considerations: Following Institutional Review Board Approval at the University of Pennsylvania and the Ministry of Health in Botswana, participants’ written informed consent was obtained. Findings: Respondents’ ages ranged from 23 to 60 years, and their duration of work experience ranged from 0.5 to 32 years. Major qualitative themes that emerged from the data centered on the nature of the work environment, values regarding nurse–doctor collaboration, the nature of such collaboration, resources available for supporting collaboration and the smooth flow of work, and participants’ views about how their work experiences could be improved. Discussion: Participants expressed concerns that their work environment compromised their ability to provide high-quality and safe care to their patients. The physician staffing structure was described as consisting of a few specialists at the top, a vacuum in the middle that should be occupied by senior doctors, and junior doctors at the bottom—and not a sufficient number of nursing staff. Conclusion: Collaboration between physicians and nurses is critical to optimizing patients’ health outcomes. This is true not only in the United States but also in developing countries, such as Botswana, where health care professionals reported that their ethical challenges arose from resource shortages, differing professional attitudes, and a stressful work environment.

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Ingstad, Benedicte. "Debility and the Moral Imagination in Botswana (review)." Bulletin of the History of Medicine 81, no. 3 (2007): 684–85. http://dx.doi.org/10.1353/bhm.2007.0072.

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Fawcett, Jacqueline, Motshedisi B. Sabone, and Freda DeKeyser Ganz. "Nursing, Healthcare, and Culture: A View of the Year 2050 From Botswana and Israel." Nursing Science Quarterly 20, no. 4 (2007): 337–41. http://dx.doi.org/10.1177/0894318407306535.

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Lazenby, Mark, Tony Ma, Howard J. Moffat, Marjorie Funk, M. Tish Knobf, and Ruth McCorkle. "Influences on place of death in Botswana." Palliative and Supportive Care 8, no. 2 (2010): 177–85. http://dx.doi.org/10.1017/s1478951509990939.

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AbstractObjective:There is an emerging body of research aimed at understanding the determinants of place of death, as where people die may influence the quality of their death. However, little is known about place of death for people of Southern Africa. This study describes place of death (home or hospital) and potential influencing factors (cause of death, age, gender, occupation, and district of residence).Method:We collected the death records for years 2005 and 2006 for all adult non-traumatic deaths that occurred in Botswana, described them, and looked for associations using bivariate and multivariate analyses.Results:The evaluable sample consisted of 18,869 death records. Home deaths accounted for 36% of all deaths, and were predominantly listed with “unknown” cause (82.3%). Causes of death for hospital deaths were HIV/AIDS (49.7%), cardiovascular disease (13.8%), and cancer (6.6%). The mean age at the time of all deaths was 53.2 years (SD = 20.9); with 61 years (SD = 22.5) for home deaths and 48.8 years (SD = 18.6) for hospital deaths (p < .001). Logistic regression analysis revealed the following independent predictors of dying at home: unknown cause of death; female gender; >80 years of age; and residing in a city or rural area (p < .05).Significance of Results:A major limitation of this study was documentation of cause of death; the majority of people who died at home were listed with an unknown cause of death. This finding impeded the ability of the study to determine whether cause of death influenced dying at home. Future study is needed to determine whether verbal autopsies would increase death-certificate listings of causes of home deaths. These data would help direct end-of-life care for patients in the home.

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Seloilwe, Esther S. "Experiences and Demands of Families With Mentally Ill People at Home in Botswana." Journal of Nursing Scholarship 38, no. 3 (2006): 262–68. http://dx.doi.org/10.1111/j.1547-5069.2006.00112.x.

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Sabone, M., E. Ntsayagae, M. S. Brown, N. M. Seboni, K. D. Mogobe, and M. Sebego. "Perceptions of undergraduate students not participating in HIV/AIDS prevention activities in Botswana." International Nursing Review 54, no. 4 (2007): 332–38. http://dx.doi.org/10.1111/j.1466-7657.2007.00544.x.

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Brown, Marie S., Miriam Sebego, Keitshokile Mogobe, Esther Ntsayagae, Motshedises Sabone, and Naomi Seboni. "Exploring the HIV/AIDS-Related Knowledge, Attitudes, and Behaviors of University Students in Botswana." Journal of Transcultural Nursing 19, no. 4 (2008): 317–25. http://dx.doi.org/10.1177/1043659608322422.

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Ogar, Rapinyana, Kubanji Rebecca, Naomi Mmapelo, et al. "Sexuality Issues Among Adolescents Living with HIV and AIDS in Botswana." Journal of Humanities and Social Sciences Studies 2, no. 6 (2020): 85–93. http://dx.doi.org/10.32996/jhsss.2020.2.6.10.

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Most of the adolescents living with HIV and AIDS were born prior to the introduction of the Antiretroviral Therapy in Botswana. This cohort had just reached adolescence and it was imperative to understand their sexuality and 26 ALWHA aged 15 to 19 years, their parents/guardians and health care providers participated in the study. An elicitation survey was conducted among this group followed by Focus Group Discussions. In-depth interviews were conducted among 8 and 25 parents/guardians and health care providers respectively. Thematic content analysis was adopted to analyze the data. The following themes were derived: difficulty to disclose one’s HIV-infected status, parents/guardians failure to discuss sexuality issues with adolescents, mode of HIV transmission, sexual activity and inactivity, sex education, sexual violations, conscripted intimacy, and the right to sexual relations. The same issues were expressed by parents/guardians and health care providers. Sexuality education needs to be incorporated and strengthened at both nursing curricula and at policy level. Programes that reinforce parent- child communication should be instituted and strengthened at community, institutional and national levels.

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Miles, K. "Antiretroviral treatment roll-out in a resource-constrained setting: capitalizing on nursing resources in Botswana." Bulletin of the World Health Organization 85, no. 7 (2007): 555–60. http://dx.doi.org/10.2471/blt.06.033076.

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Adejumo, Oluyinka, and Valerie J. Ehlers. "Models of psychiatric nursing education in developing African countries: a comparative study of Botswana and Nigeria." Journal of Advanced Nursing 36, no. 2 (2001): 215–28. http://dx.doi.org/10.1046/j.1365-2648.2001.01962.x.

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Phaladze, N. A. "The role of nurses in the human immunodeficiency virus/acquired immune deficiency syndrome policy process in Botswana." International Nursing Review 50, no. 1 (2003): 22–33. http://dx.doi.org/10.1046/j.1466-7657.2003.00167.x.

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Hockenberry, Marilyn, Tadala Mulemba, Aisha Nedege, Kitsiso Madumetse, and Jennifer Higgins. "Distance-Based Education for Nurses Caring for Children With Cancer in Sub-Saharan Africa." Journal of Pediatric Oncology Nursing 37, no. 5 (2020): 321–29. http://dx.doi.org/10.1177/1043454220938355.

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Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs throughout the world. Excellence in nursing education is at the center of all that is needed to maximize cures for children with cancer in low- and middle-income countries (LMIC). While the burden of childhood cancer care is the highest in LMIC, opportunities for continuing nursing education and specialization are extremely limited. Capacity-building programs using distance-based learning opportunities have been successful in sub-Saharan Africa and provide insight into successful, continuing professional development. The Global Hematology-Oncology Pediatric Excellence (HOPE) program part of Texas Children’s Hospital in Houston, Texas, has developed and implemented a distance-based training program designed for nurses working in sub-Saharan Africa. Following a needs assessment, Global HOPE developed a program using both the Moodle (modular object-oriented dynamic learning environment) distance-based learning platform and computer notebooks that hold the course content. The program teaches basic principles of nursing care for a child with cancer and has been implemented in Malawi, Uganda, and Botswana. Courses are taught using a modular approach and core competencies are established for each module. Frequent teaching sessions using Zoom and WhatsApp reinforce independent learning experiences. Formal course evaluation includes written pre- and posttests, self-competency assessments, and simulated checkoffs on essential pediatric oncology nursing competencies. The success of this distance-based learning program emphasizes the importance of formal training for nurses in LMIC to become full-time specialists in pediatric oncology nursing.

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Lazenby, Mark, Miriam Sebego, Norman Carl Swart, Lidia Lopez, and Katie Peterson. "Symptom Burden and Functional Dependencies Among Cancer Patients in Botswana Suggest a Need for Palliative Care Nursing." Cancer Nursing 39, no. 1 (2016): E29—E38. http://dx.doi.org/10.1097/ncc.0000000000000249.

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Major, Thenjiwe, Bramell Koyabe, Esther Ntsayagae, Barati Monare, Olefile Molwane, and Lesego Gabaitiri. "Norms and beliefs related to cervical cancer screening amongst women aged 25–49 in Botswana: A pilot study." International Journal of Africa Nursing Sciences 9 (2018): 141–47. http://dx.doi.org/10.1016/j.ijans.2018.11.001.

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Seloilwe, Esther S. "Factors That Influence the Spread of HIV/AIDS Among Students of the University of Botswana." Journal of the Association of Nurses in AIDS Care 16, no. 3 (2005): 3–10. http://dx.doi.org/10.1016/j.jana.2005.03.003.

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LaVigne, Anna W., Babe Gaolebale, Goitseone Maifale-Mburu, and Surbhi Grover. "Palliative care in Botswana: current state and challenges to further development." Annals of Palliative Medicine 7, no. 4 (2018): 449–54. http://dx.doi.org/10.21037/apm.2018.07.05.

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Keagaetsho, Gontekanye, and Charlené Downing. "What happens when registered nurses are caring for patients with tracheostomies in the ward of a referral hospital in Botswana?" International Journal of Africa Nursing Sciences 14 (2021): 100277. http://dx.doi.org/10.1016/j.ijans.2020.100277.

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Hockenberry, Marilyn, Tadala Mulemba, Aisha Nedege, Kitsiso Madumetse, and Jennifer Higgins. "Improving Care for Children With Cancer in Sub-Saharan Africa Through Distance-Based Nursing Education." JCO Global Oncology 6, Supplement_1 (2020): 31. http://dx.doi.org/10.1200/go.20.26000.

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PURPOSE Nursing specialization in the care of children with cancer provides the foundation for implementing successful pediatric oncology treatment programs throughout the world. Whereas the burden of childhood cancer care is highest in low- and middle-income countries (LMICs), opportunities for continuing nursing specialization are extremely limited. The Global HOPE Initiative, part of Texas Children’s Hospital in Houston, TX, has developed and implemented a distance-based training program for nurses working in sub-Saharan Africa. METHODS After a needs assessment, the program was developed using the Internet-based, open-sourced education platform, MOODLE. MOODLE is an acronym for Modular Object-Oriented Dynamic Learning Environment, an online learning management system that provides custom learning environments. As Internet access can be difficult at the clinical sites, computer tablets are provided with all educational materials downloaded from the MOODLE learning site. Courses are taught using a modular approach and core competencies established for each module. Zoom and WhatsApp technologies are used for shared learning discussions. A Project ECHO (Extension for Community Healthcare Outcomes) for Global HOPE Nursing was implemented monthly to support the growth of the distance-based learning network. RESULTS This distance-based education program teaches the principles of nursing care for a child with cancer and has been implemented in Malawi, Uganda, and Botswana, where 35 nurses are now enrolled. Formal course evaluation includes written pre- and post-tests and simulated checkoffs on essential pediatric oncology nursing competencies, such as chemotherapy administration. Sixteen nurses have completed the program in the first year and significant improvement in knowledge, self-competency, and skills was found. CONCLUSION The success of this distance-based learning program emphasizes the importance of formal training for nurses in LMICs to become full-time specialists in pediatric oncology nursing. Education programs that build capacity to develop specialists in pediatric oncology nursing are essential to improve global cure rates for children with cancer in LMICs.

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LaVigne, Anna W., Babe Gaolebale, Goitseone Maifale-Mburu, et al. "Strengthening palliative care delivery in developing countries: a training workshop model in Botswana." Annals of Palliative Medicine 7, no. 4 (2018): 444–48. http://dx.doi.org/10.21037/apm.2018.05.14.

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Tshitenge, S. T., K. Nlisi, V. Setlhare, and R. Ogundipe. "Knowledge, attitudes and practice of healthcare providers regarding contraceptive use in adolescence in Mahalapye, Botswana." South African Family Practice 60, no. 6 (2018): 39. http://dx.doi.org/10.4102/safp.v60i6.4928.

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Introduction: Adolescent pregnancy is a global public health problem, for which healthcare providers (HCPs) play a critical role to prevent unintended pregnancy. This study investigated the knowledge, attitude and practice (KAP) of HCPs towards the use of contraceptives in adolescents.Results: Of the 101 eligible for the study, 79.2% HCPs from the selected clinics and hospital responded. The majority (91.2%) of respondents felt confident to explain to adolescents how to use old contraceptive methods such as oral contraceptives or IUCD, less than half of the respondents (41.3%) were confident to explain how to use new contraceptive methods such as transdermal contraceptive patches or vaginal rings. Medical doctors felt more confident to prescribe new contraceptive methods compared with nurses, both vaginal rings (p-value = 0.0006) and transdermal contraceptive patches (p-value = 0.0003). More than two-thirds of the respondents disagreed that beliefs influenced their ability to offer contraceptive services to adolescents, half of the respondents strongly disagreed that it was morally wrong for adolescents to use contraceptives. Although three-quarters of respondents strongly agreed (median = 5, [IQR 5–6]) that they were comfortable with prescribing contraceptives to adolescents, only 23% of the respondents very much prescribed or always prescribed contraceptives to adolescents.Conclusion: Most of the HCPs prescribed contraceptives irregularly, and had limited knowledge about newer methods. To change HCPs’ KAP, in addition to continuing medical education (CME), the establishment of family planning clinics for adolescents and more undergraduate contraceptive teaching for medical and nursing students could result in the increased utilisation of contraceptive services by adolescents.

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Grover, Surbhi, Sidrah Shah, Rohini Bhatia, et al. "Development and Usability of a Smartphone Application for Tracking Oncology Patients in Gaborone, Botswana." Methods of Information in Medicine 59, no. 01 (2020): 031–40. http://dx.doi.org/10.1055/s-0040-1713129.

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Abstract Background The majority of new cancer cases are expected to be diagnosed in low- and middle-income countries (LMICs) by 2025, and 65% of cancer deaths currently occur in LMICs. Treatment adherence, patient monitoring, and follow-up are essential to cancer care but are often not possible in these settings. Out Patient (OP) Care, a smartphone application (app) developed to fill this gap, texts appointment reminders to patients and electronically stores medical records confidentially. Objectives This study aims to present the development of this app and evaluate its usability and feasibility as defined by provider and patient experiences in the context of a multidisciplinary cancer clinic in Gaborone, Botswana. Methods OP Care was piloted at a multidisciplinary team gynecologic oncology clinic in Gaborone, Botswana. The app was developed through an iterative process with feedback from clinic staff and physicians. The usability was evaluated using a cross-sectional survey. All staff members in the gynecologic oncology clinic, which typically consists of one doctor and four nurses, as well as a portion of the staff in the (Princess Marina Hospital general) oncology ward used the app. All providers using the app were surveyed, along with all patients who attended the gynecologic oncology clinic during the 3-week survey period. Staff demographics, reactions, and opinions on usability, as well as patients' reactions to the appointment reminders were collected. Agreement to the ease-of-usability statements was recorded on a 1 (not at all) to 7 (extremely so) scale. Primary outcomes were the app's usability and the feasibility of text reminders from the patient's perspective. Results Nine staff and 15 patients were surveyed. Staff included three doctors and six nurses and encompassed all of the staff in the gynecologic oncology clinic as well as a portion of the general oncology ward. All surveyed staff owned a smartphone and used a computer at home. Most (78%) staff did not feel that OP Care would increase their work burden and were willing to use the app if implemented permanently (median: 6; interquartile range [IQR]: 1). Seventeen out of the nineteen usability questions, such as “I feel comfortable using this system,” scored a median of 6, corresponding to “very much so.” Patients reported that the reminder text messages were helpful (median: 6; IQR: 1) and preferred the text reminders to be in Setswana (median: 7; IQR: 1). Conclusion High usability scores indicate that the app can be scaled up to usage in this clinic and others. Although patients appreciate OP Care, the option for call and text reminders in Setswana is indicated.

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Adejumo, Oluyinka, and Valerie J. Ehlers. "Methodological challenges encountered in conducting a comparative study of psychiatric nursing education approaches in two African countries: Botswana and Nigeria." Archives of Psychiatric Nursing 16, no. 2 (2002): 86–93. http://dx.doi.org/10.1053/apnu.2002.32111.

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Westmoreland, Katherine D., Francis M. Banda, Andrew P. Steenhoff, Elizabeth D. Lowenthal, Erik Isaksson, and Bernhard A. Fassl. "A standardized low-cost peer role-playing training intervention improves medical student competency in communicating bad news to patients in Botswana." Palliative and Supportive Care 17, no. 1 (2018): 60–65. http://dx.doi.org/10.1017/s1478951518000627.

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AbstractObjectiveThe purpose of this study was to demonstrate effectiveness of an educational training workshop using role-playing to teach medical students in Botswana to deliver bad news.MethodA 3-hour small group workshop for University of Botswana medical students rotating at the Princess Marina Hospital in Gaborone was developed. The curriculum included an overview of communication basics and introduction of the validated (SPIKES) protocol for breaking bad news. Education strategies included didactic lecture, handouts, role-playing cases, and open forum discussion. Pre- and posttraining surveys assessed prior exposure and approach to breaking bad news using multiple-choice questions and perception of skill about breaking bad news using a 5-point Likert scale. An objective structured clinical examination (OSCE) with a standardized breaking bad news skills assessment was conducted; scores compared two medical student classes before and after the workshop was implemented.ResultForty-two medical students attended the workshop and 83% (35/42) completed the survey. Medical students reported exposure to delivering bad news on average 6.9 (SD = 13.7) times monthly, with 71% (25/35) having delivered bad news themselves without supervision. Self-perceived skill and confidence increased from 23% (8/35) to 86% (30/35) of those who reported feeling “good” or “very good” with their ability to break bad news after the workshop. Feedback after the workshop demonstrated that 100% found the SPIKES approach helpful and planned to use it in clinical practice, found role-playing helpful, and requested more sessions. Competency for delivering bad news increased from a mean score of 14/25 (56%, SD = 3.3) at baseline to 18/25 (72%, SD = 3.6) after the workshop (p = 0.0002).Significance of resultsThis workshop was effective in increasing medical student skill and confidence in delivering bad news. Standardized role-playing communication workshops integrated into medical school curricula could be a low-cost, effective, and easily implementable strategy to improve communication skills of doctors.

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Ndubuka, Nnamdi O., Hyun J. Lim, Valerie J. Ehlers, and Dirk M. van der Wal. "Health-related quality of life of patients on antiretroviral treatment in Botswana: A cross-sectional study." Palliative and Supportive Care 15, no. 2 (2016): 214–22. http://dx.doi.org/10.1017/s1478951516000638.

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ABSTRACTObjective:Antiretroviral therapy (ART) affords longevity to patients infected with the human immune deficiency virus (HIV). Since little is known about the health-related quality of life (HRQoL) of persons who have been on ART for at least five years, the present study investigated the HRQoL of these patients in Botswana.Method:Medical records, structured interviews, and the World Health Organization Quality of Life–BREF (WHOQoL–HIV–BREF) instrument were employed to obtain information from 456 respondents.Results:Univariate and multivariate regression analyses showed that respondents' highest scores were in the “physical” domain (mean = 15.8, SD = 3.5), while the lowest scores were in the “environment” domain (mean = 12.9, SD = 2.5). Thus, the physical domain had the greatest impact on patients' overall HRQoL. Self-education about HIV-related issues was significantly correlated with all domains of HRQoL scores: physical (ρ = –2.32, CI95% = –3.02, –1.61); psychological (ρ = –2.26, CI95% = –2.87, –1.65); independence (ρ = –1.81, CI95% = –2.54, –1.06); social relationships (ρ = –1.40, CI95% = –2.13, –0.67); environment (ρ = –1.58, CI95% = –2.13, –1.04); and spirituality (ρ = –1.70, CI95% = –82.27, –1.13).Significance of results:HRQoL assessments can identify and address patients' needs, and it is important that guidelines be developed that will yield improved care to ART patients in Botswana.

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Chelenyane, Mothusi, and Ruth Endacott. "Self-reported infection control practices and perceptions of HIV/AIDS risk amongst emergency department nurses in Botswana." Accident and Emergency Nursing 14, no. 3 (2006): 148–54. http://dx.doi.org/10.1016/j.aaen.2006.03.002.

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Magalhães-Barbosa, Maria Clara, Jaqueline Rodrigues Robaina, Arnaldo Prata-Barbosa, and Claudia de Souza Lopes. "Reliability of triage systems for paediatric emergency care: a systematic review." Emergency Medicine Journal 36, no. 4 (2019): 231–38. http://dx.doi.org/10.1136/emermed-2018-207781.

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ObjectiveTo present a systematic review on the reliability of triage systems for paediatric emergency care.MethodsA search of MEDLINE, Cochrane Library, Latin American and Caribbean Health Sciences Literature, Scientific Electronic Library Online, Nursing Database Index and Spanish Health Sciences Bibliographic Index for articles in English, French, Portuguese or Spanish was conducted to identify reliability studies of five-level triage systems for patients aged 0–18 years published up to April 2018. Two reviewers performed study selection, data extraction and quality assessment as recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.ResultsTwenty studies on nine triage systems were selected: the National Triage System (n=1); the Australasian Triage Scale (n=3); the paediatric Canadian Triage and Acuity Scale (PedCTAS) (n=5); the Manchester Triage System (MTS) (n=1); the Emergency Severity Index (ESI) (n=5); an adaptation of the South African Triage Scale for the Princess Marina Hospital in Botswana (n=1); the Soterion Rapid Triage System (n=1); the Rapid Emergency Triage and Treatment System-paediatric version (n=2); the Paediatric Risk Classification Protocol (n=1). Ten studies were performed with actual patients, while the others used hypothetical scenarios. The studies were rated low (n=14) or moderate (n=6) quality. Kappa was the most used statistic, although many studies did not specify the weighting. PedCTAS, MTS and ESI V.4 exhibited substantial to almost perfect agreement in moderate quality studies.ConclusionsThere is some evidence on the reliability of the PedCTAS, MTS and ESI V.4, but most studies are limited to the countries where they were developed. Efforts are needed to improve the quality of the studies, and cross-cultural adaptation of those tools is recommended in countries with different professional qualification and sociocultural contexts.

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"6th International Family Nursing Conference, Botswana, Africa." Journal of Family Nursing 8, no. 2 (2002): 171. http://dx.doi.org/10.1177/107484070200800208.

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Nkomazana, Oathokwa, Wim Peersman, Merlin Willcox, Robert Mash, and Nthabiseng Phaladze. "Human resources for health in Botswana: The results of in-country database and reports analysis." African Journal of Primary Health Care & Family Medicine 6, no. 1 (2014). http://dx.doi.org/10.4102/phcfm.v6i1.716.

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Background: Botswana is a large middle-income country in Southern Africa with a population of just over two million. Shortage of human resources for health is blamed for the inability to provide high quality accessible health services. There is however a lack of integrated, comprehensive and readily-accessible data on the health workforce.Aim: The aim of this study was to analyse the existing databases on health workforce in Botswana in order to quantify the human resources for health.Method: The Department of Policy, Planning, Monitoring and Evaluation at the Ministry of Health, Ministry of Education and Skills Development, the Botswana Health Professions Council, the Nursing and Midwifery Council of Botswana and the in-country World Health Organization offie provided raw data on human resources for health in Botswana.Results: The densities of doctors and nurses per 10 000 population were four and 42,respectively; three and 26 for rural districts; and nine and 77 for urban districts. The average vacancy rate in 2007 and 2008 was 5% and 13% in primary and hospital care, respectively, but this is projected to increase to 53% and 43%, respectively, in 2016. Only 21% of the doctors registered with the Botswana Health Professions Council were from Botswana, the rest being mainly from other African countries. Botswana trained 77% of its health workforce locally.Conclusion: Although the density of health workers is relatively high compared to the region, they are concentrated in urban areas, insuffiient to meet the projected requirements and reliant on migrant professionals.

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"Nurse leader heads health ministry in Botswana." International Nursing Review 52, no. 1 (2005): 10–11. http://dx.doi.org/10.1111/j.1466-7657.2004.00412_5.x.

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Shaibu, Sheila. "Evidence-based nursing practice in Botswana: issues, challenges, and globalization." Primary Health Care Research & Development 7, no. 04 (2006). http://dx.doi.org/10.1017/s1463423606000417.

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Barchi, Francis, Oleosi Ntshebe, Helen Apps, and Peggie Ramaphane. "Contraceptive literacy among school‐going adolescents in Botswana." International Nursing Review, September 2021. http://dx.doi.org/10.1111/inr.12713.

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"A Strategy for Effective Tuberculosis Contact Tracing in Botswana." International Journal of Nursing Education, January 25, 2020. http://dx.doi.org/10.37506/ijone.v12i1.3708.

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Dube, A., and K. Jooste. "The leadership characteristics of the preceptor in selected clinical practice settings in Botswana." Curationis 29, no. 3 (2006). http://dx.doi.org/10.4102/curationis.v29i3.1091.

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A non-experimental, explorative, descriptive, quantitative study was undertaken. The purpose was to explore and describe the views of preceptors and preceptees regarding the fulfilment of the role of the preceptor in selected clinical nursing practice settings in the Botswana context. The study included 72 preceptors and 200 nursing students/preceptees who voluntary agreed voluntarily to participate in the study. A questionnaire was used to collect data, which was analyzed by using descriptive and inferential statistics. The findings of this study indicated that the preceptor lacked leadership characteristics in the accompaniment of the preceptee. These constraints included the lack of desirable characteristics such as intellectual, emotional, physical and other traits that are common to all good leaders. Recommendations were stated for improvements in selecting preceptors with certain leadership skills for the clinical practice settings. The limitations of this study were highlighted.

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Rajeswaran, Lakshmi. "Clinical Experiences of Nursing Students at a Selected Institute of Health Sciences in Botswana." Health Science Journal 10, no. 6 (2017). http://dx.doi.org/10.21767/1791-809x.1000471.

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Journal articles on the topic 'Nursing – Botswana'

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