Knowledge, attitude and practices regarding legal and ethical standards in nursing practice among nurses at district hospitals in Namibia

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dc.contributor.advisorHector, Dawnen_ZA
dc.contributor.authorMunenguni, Elise Taatien_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.en_ZA
dc.date.accessioned2024-02-29T10:08:07Z
dc.date.accessioned2024-04-26T11:27:46Z
dc.date.available2024-02-29T10:08:07Z
dc.date.available2024-04-26T11:27:46Z
dc.date.issued2024-03
dc.descriptionThesis (MNur)--Stellenbosch University, 2024.en_ZA
dc.description.abstractENGLISH SUMMARY: Background: At district hospitals in Namibia, it remains a concern regarding the practices of the legal and ethical standards among nurses. This concern may be associated with the adherence and level of knowledge and attitude regarding the legal and ethical standards in nursing. In order to provide safe and high-quality care to patients it is deemed necessary for the nurses to possess adequate knowledge, favourable attitude as well as excellent level of implementing practices regarding the legal and ethical standards in nursing. It is for this reason that the aim of the study was to investigate the knowledge, attitude and practices regarding the legal and ethical standards in nursing practice among nurses at district hospitals in Namibia. Methods: A quantitative, cross-sectional descriptive design was applied in the study. The total study population of 239 who met the criteria were given the opportunity to partake in this study to target 161 participants for the study. Ethical clearance was granted by the Health Research Ethics Committee of Stellenbosch University en health ministry of Namibia. The data were collected using a self-administered questionnaire tested with Cronbach Alpha score 0.847. Hundred and fifty-one nurses agreed to partake in the study however only 144 questionnaires were completed and returned. Stata statistical software, version 17 was used to analyse the data and to determine comparisons between the variables. Results: The study revealed that the participants had good knowledge as the mean knowledge score was 80.63%. However, the participants had an unfavourable attitude towards the legal and ethical standards in nursing with a mean score of 52.77%. In addition, the participants had poor practices regarding the legal and ethical standards in nursing with a mean score of 67.31%, which is <80%. The Two-sample t-test shows significance when comparing knowledge with the gender ( females scored higher) and nursing categories (registered nurses scored higher); the Pearson chi-square and Fisher’s exact tests show a significance in the association of attitude and practice with age, nursing categories, qualification and work experience; ANOVA test result show significance in the participants qualification and the their knowledge score and Bonferonni post-hoc results found statistically significant between a two year Certificate in enrolled nursing and midwifery and a 4-year Diploma in comprehensive nursing and midwifery science ( p<0.05). Conclusion: The study revealed that the nurses' attitudes are unfavourable towards the legal and ethical standards in nursing. Although they possessed sufficient knowledge, they had poor application practices in relation to the legal and ethical standards in nursing. Therefore, it is recommended that stakeholders of nursing practice at the district hospitals increase awareness and strengthen the culture of legal and ethical standards of the profession.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Agtergrond: By distrikshospitale in Namibie bly dit 'n bekommernis oor die praktyke van die wetlike en reties standaarde onder verpleegkundiges. Dit kan geassosieer word met die toepassing en vlak van kennis en houding rakende die wetlike en etiese standaarde in verpleging. Ten einde veilige en hoe kwaliteit sorg aan pasiente te verskaf, word dit nodig geag dat die verpleegkundiges oor voldoende kennis, gunstige gesindheid sowel as uitstekende vlak van implementeringspraktyke rakende die wetlike en etiese standaarde in verpleging moet beskik. Dit is om hierdie rede dat die doel van die studie was om die kennis, houding en praktyke rakende die wetlike en etiese standaarde in die verpleegpraktyk onder verpleegkundiges by distrikshospitale in Namibie te ondersoek. Metode: 'n 'n Kwantitatiewe, deursnee-beskrywende ontwerp is in die studie toegepas. Die totale studiepopulasie van 239 wat aan die kriteria voldoen het, het die geleentheid gekry om aan hierdie studie deel te neem om 161 deelnemers vir die studie te teiken. Etiese klaring is verleen deur die Gesondheidsnavorsingsetiekkomitee van die Universiteit Stellenbosch en die gesondheidsministerie van Namibie. Die data is ingesamel deur gebruik te maak van 'n selftoegediende vraelys wat met uitslag Cronbach Alpha-telling van 0.847 getoets is. Honderd een-en-vyftig verpleegsters het ingestem om aan die studie deel te neem, maar slegs 144 vraelyste was voltooi en teruggestuur. Stata statistiese sagteware, weergawe 17 is gebruik om die data te ontleed en om vergelykings tussen die veranderlikes te bepaal. Resultate: Die studie het aan die lig gebring dat die deelnemers goeie kennis gehad het aangesien die gemiddelde kennistelling 80,63% was. Die deelnemers het egter 'n ongunstige houding teenoor die wetlike en etiese standaarde in verpleging gehad met 'n gemiddelde telling van 52,77%. Daarbenewens het die deelnemers swak praktyke gehad met betrekking tot die wetlike en etiese standaarde in verpleging met 'n gemiddelde telling van 67.31%, wat <80% is. Die Twee-steekproef t-toets toon betekenisvolheid wanneer kennis vergelyk word met die geslag (vrouens het hoer punte behaal) en verpleegkategoriee (geregistreerde verpleegkundiges het hoer punte behaal); die Pearson chi-kwadraat en Fisher se presiese toetse toon 'n betekenis in die assosiasie van houding en praktyk met ouderdom, verpleegkategoriee, kwalifikasie en werkservaring; ANOVA-toetsuitslag toon betekenisvolheid in die deelnemerskwalifikasie en die hul kennistelling en Bonferonni post-hoc-resultate het statistiese betekenisvolheid gevind tussen 'n twee-jaar Sertifikaat in ingeskrewe verpleegkunde en verloskunde en 'n 4-jaar Diploma in omvattende verpleeg- en verloskunde(p<0.05) ).. Slotsom: Die studie het aan die lig gebring dat die verpleegsters se houdings ongunstig is teenoor die wetlike en etiese standaarde in verpleging. Alhoewel hulle oor voldoende kennis beskik het, het hulle swak toepassingspraktyke gehad met betrekking tot die wetlike en etiese standaarde in verpleging. Daarom word dit aanbeveel dat belanghebbendes van verpleegpraktyke by die distrikshospitale bewustheid verhoog en die kultuur van wetlike en etiese standaarde van die professie versterk.af_ZA
dc.description.versionMasters
dc.format.extentxv, 84 pages : illustrations, maps, includes annexures
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/130269
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshNursing -- Law and legislation -- Namibiaen_ZA
dc.subject.lcshNursing ethics -- Namibiaen_ZA
dc.subject.lcshNursing -- Standards -- Namibiaen_ZA
dc.subject.nameUCTD
dc.titleKnowledge, attitude and practices regarding legal and ethical standards in nursing practice among nurses at district hospitals in Namibiaen_ZA
dc.typeThesisen_ZA
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