DENOSA concerned by brutal killings of women in SA ...

MEDIA STATEMENT 

 

Sunday, 14 May 2017 

 

The Democratic Nursing Organisation of South Africa (DENOSA) is gravely concerned by recent chain of killings of women, mainly by their male partners.

 

DENOSA calls on men to be protectors of women. The recent incidents call for a serious introspection by men of all ages. Women won't have any reason to trust men – whether spouses or relatives – and they will not feel safe in the surroundings of men.

 

As an organisation majority of whose members are women, we are not able to remain silent when the society women live in is increasingly becoming dangerous towards.

 

DENOSA calls on all its gender structures throughout the country to play their bit in engaging men in society about behaviour modifications. The recent incidents of women who were killed brutally are indicative of a behaviour where men are made to feel superior to women and therefore beyond reproach, which needs to change as a matter of urgency.

 

DENOSA calls on law enforcement agencies, and the justice system in the country, to take note of this trend of heartless behaviour and get involved in society engagements on the unlawful behaviour and consequences thereof.

 

We call on communities not to let guard down and be more protective of women. It cannot be correct that women must start to learn survival tricks as if they are in a jungle. 

 

DENOSA sends a message of heartfelt condolences to families of victims. 

 

Ends

 

Issued by the Democratic Nursing Organisation of South Africa (DENOSA).

 

For more information, contact:

 

Sibongiseni Delihlazo, DENOSA Communications Manager

Mobile: 079 875 2663 

Email: sibongisenid@denosa.org.za

Website: www.denosa.org.za

Facebook: DENOSA National Page

Twitter: @DENOSAORG

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DENOSA Limpopo and Health MEC to lead nurses in commemorating International Nurses Day on 12 May in Seshego ...

MEDIA INVITATION  

Wednesday, 10 May 2017 

The Democratic Nursing Organisation of South Africa (DENOSA) Limpopo, in collaboration with the provincial Department of Health, will lead thousands of nurses in the province in commemorating International Nurses Day (IND) on Friday 12 May at Ngoako Ramatlhodi Sport Complex in Seshego where they will reflect on both successes and challenges that nursing is faced with. 

The theme for this year’s International Nurses Day is: ‘Nurses: A Voice To Lead – Achieving Sustainable Development Goals’, which calls on all nurses throughout the world to do their bit in every SDG, as each is closely linked to health. It also calls on nurses to come forth and show the role they are playing in the achievement of every SDG. 

DENOSA National Treasurer, Mosidi Nkambule, Health MEC, Dr Phophi Ramathuba, and DENOSA provincial leadership will address nurses, who will be coming from all corners of the province, about many challenges that the profession is faced with in the province. These challenges will make the role of nurses in achieving Sustainable Development Goals (SDGs) almost impossible if they are not addressed with urgency.  

The United Nations (UN) launched 17 SDGs in September 2015 as new goals for the world to strive to achieve by year 2030. Goal 1, for example, calls on the world to have No Poverty. Goal 2 calls for Zero Hunger. Goal 3, which is health related, calls for Good Health and Wellbeing among citizens. 

Because other SDGs are closely linked to health and are what we term Social Determinants of Health (SDH), achievement of other goals will almost automatically or indirectly lead to the achievement of SDG 3 which talks to health.  

DENOSA is proud that in South Africa, nurses are committed to achieving the SDGs, and that many constraints in facilities are the main causes that restrict nurses from being highly effective. For example, many nurses especially in our rural facilities go an extra mile in their work by embarking on nutritious and gardening projects, but shortage in facilities restrict many nurses to clinics, CHCs and hospitals when they could be at schools, homes and other avenues. 

 

DETAILS OF THE EVENT ARE AS FOLLOWS:

DATE: Friday 12 May 2017

VENUE: Ngoako Ramatlhodi Sports Complex, Seshego   

CONTACT DETAILS: DENOSA Provincial Secretary: Cornwell Khoza 

MOBILE: 082 776 0971 

DENOSA and the Department cordially invite members of the media to this event to Report. Thousands of nurses, who are majority health professionals in the country’s healthcare system, will grace the event with their presence as they commemorate the birth of Florence Nightingale, the pioneer of modern nursing. 

For Media RSVP or for more information, contact DENOSA Communications Manager, Sibongiseni Delihlazo on 072 584 4175 or 079 875 2663. 

………………………………
Challenges faced by nurses in the province 

The challenges faced by nurses, however, are forever increasing, which makes it almost impossible for them to become as effective in achieving these SDGs. In Sub-Saharan Africa, which is burdened by high rate of diseases and illnesses among its people, the gross shortage of nurses at bedside is alarming. This gives no chance to nurses to be able to perform these other tasks that will help achieve other Goals as effectively as they would like to be. 

Great and possible intervention by our government is desperately needed in this regard. Overhaul of provincial health department’s HR will become a real and tangible solution to this challenge. Mass exodus of nurses for greener pastures is slowly becoming another challenge that places the achievement of the goals as a further dream. Staff recruitment and retention mechanisms need to be the top priority for the provincial government. Proper planning for intake of student nurses and utilization of their service when they finish should not be the big problem that it currently is.  

Occupation-Specific Dispensation (OSD), which was a great recruitment and retention strategy by government in 2007, which improved salaries of public servants the longer they stayed in government and perform and the more they acquired specialties, has since outlived its usefulness and has by far passed its sell-by-date. OSD for nurses should have been reviewed at least seven years ago. That has not happened, and there is no will that it will be reviewed anytime soon. More and more nurses now find no reason to stay in South Africa, and so they are leaving for greener pastures abroad. This challenge, if not resolved soon, will soon see SA with far fewer nurses than it already has. 

These challenges and many others, like retention of PERSAL system as the college student funding model, have led to our march in the province to the office of the MEC in October last year.   

THE SDGs 

image003.jpg

 

End 

Issued by the Democratic Nursing Organisation of South Africa (DENOSA) Mpumalanga

For more information, contact:

Cornwell Khoza, DENOSA Limpopo Provincial Secretary

Mobile: 082 776 0971   

 

Or

 

Sibongiseni Delihlazo, DENOSA Communications Manager 

Mobile: 072 584 4175 or 079 875 2663 

Email: sibongisenid@denosa.org.za

Website: www.denosa.org.za

Facebook: DENOSA National Page 

Twitter: @DENOSAORG 

 

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DENOSA Mpumalanga and Health MEC to lead nurses in commemorating International Nurses Day on 12 May in Bushb...

MEDIA INVITATION  

Wednesday, 10 May 2017 

The Democratic Nursing Organisation of South Africa (DENOSA) Mpumalanga, in collaboration with the provincial Department of Health, will lead thousands of nurses in the province in commemorating International Nurses Day (IND) on Friday 12 May at Word of Life Bible Church in Bushbuckridge where they will reflect on both successes and challenges that nursing is faced with. 

The theme for this year’s International Nurses Day is: ‘Nurses: A Voice To Lead – Achieving Sustainable Development Goals’, which calls on all nurses throughout the world to do their bit in every SDG, as each is closely linked to health. It also calls on nurses to come forth and show the role they are playing in the achievement of every SDG. 

DENOSA 2nd Deputy President, Thandeka Msibi, Health MEC, Gillion Mashego, and DENOSA provincial leadership will address nurses, who will be coming from all corners of the province, about many challenges that the profession is faced with in the province. These challenges will make the role of nurses in achieving Sustainable Development Goals (SDGs) almost impossible if they are not addressed with urgency.  

The United Nations (UN) launched 17 SDGs in September 2015 as new goals for the world to strive to achieve by year 2030. Goal 1, for example, calls on the world to have No Poverty. Goal 2 calls for Zero Hunger. Goal 3, which is health related, calls for Good Health and Wellbeing among citizens. 

Because other SDGs are closely linked to health and are what we term Social Determinants of Health (SDH), achievement of other goals will almost automatically or indirectly lead to the achievement of SDG 3 which talks to health.  

DENOSA is proud that in South Africa, nurses are committed to achieving the SDGs, and that many constraints in facilities are the main causes that restrict nurses from being highly effective. For example, many nurses especially in our rural facilities go an extra mile in their work by embarking on nutritious and gardening projects, but shortage in facilities restrict many nurses to clinics, CHCs and hospitals when they could be at schools, homes and other avenues. 

 

DETAILS OF THE EVENT ARE AS FOLLOWS:

DATE: Friday 12 May 2017

VENUE: Word of Life Bible Church (Shatale), Bushbuckridge  

CONTACT DETAILS: DENOSA Provincial Secretary: Mzwandile Shongwe 

MOBILE: 072 564 0136  

DENOSA and the Department cordially invite members of the media to this event to Report. Thousands of nurses, who are majority health professionals in the country’s healthcare system, will grace the event with their presence as they commemorate the birth of Florence Nightingale, the pioneer of modern nursing. 

For Media RSVP or for more information, contact DENOSA Communications Manager, Sibongiseni Delihlazo on 072 584 4175 or 079 875 2663. 

………………………………
Challenges faced by nurses in the province 

The challenges faced by nurses, however, are forever increasing, which makes it almost impossible for them to become as effective in achieving these SDGs. In Sub-Saharan Africa, which is burdened by high rate of diseases and illnesses among its people, the gross shortage of nurses at bedside is alarming. This gives no chance to nurses to be able to perform these other tasks that will help achieve other Goals as effectively as they would like to be. 

Great and possible intervention by our government is desperately needed in this regard. Overhaul of provincial health department’s HR will become a real and tangible solution to this challenge. Mass exodus of nurses for greener pastures is slowly becoming another challenge that places the achievement of the goals as a further dream. Staff recruitment and retention mechanisms need to be the top priority for the provincial government. Proper planning for intake of student nurses and utilization of their service when they finish should not be the big problem that it currently is.  

Occupation-Specific Dispensation (OSD), which was a great recruitment and retention strategy by government in 2007, which improved salaries of public servants the longer they stayed in government and perform and the more they acquired specialties, has since outlived its usefulness and has by far passed its sell-by-date. OSD for nurses should have been reviewed at least seven years ago. That has not happened, and there is no will that it will be reviewed anytime soon. More and more nurses now find no reason to stay in South Africa, and so they are leaving for greener pastures abroad. This challenge, if not resolved soon, will soon see SA with far fewer nurses than it already has. 

These challenges and many others, like retention of PERSAL system as the college student funding model, have led to our march in the province to the office of the MEC in October last year.   

THE SDGs 

image003.jpg

 

End 

Issued by the Democratic Nursing Organisation of South Africa (DENOSA) Mpumalanga

For more information, contact:

Mzwandile Shongwe, DENOSA Mpumalanga Provincial Secretary

Mobile: 072 564 0136  

 

Or

 

Sibongiseni Delihlazo, DENOSA Communications Manager 

Mobile: 072 584 4175 or 079 875 2663 

Email: sibongisenid@denosa.org.za

Website: www.denosa.org.za

Facebook: DENOSA National Page 

Twitter: @DENOSAORG

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Trauma Nursing Matters...

Evidence based practice: Is cricoid pressure effective in preventing gastric aspiration during rapid sequence intubation in the emergency department?

By Ntombifuthi Jennet Ngiba (BN) (UKZN).

There is on-going change within trauma nursing due to increased research in the area. Practices have been routinely adopted as the norm, but subsequently on further examination proven to be useless and more of a risk to the patient (Moore & Lexington, 2012). Research has brought into question practices or techniques such as the application of cricoid pressure during rapid sequence tracheal intubation. This practise was goaled at preventing the regurgitation of gastric content into the pharynx and subsequent aspiration into the pulmonary tree, but now questioned.

Cricoid pressure was briefly defined by Sellick in 1961 as a method used to reduce the risk of aspiration during the induction phase of anaesthesia. Sellick`s technique was to apply backwards pressure to the cricoid cartilage, compressing the oesophagus against the underlying vertebral body (Ellis, Harris & Zideman 2007; Priebe 2005). In this application of pressure the oesophageal lumen is occluded, preventing the passage of regurgitated gastric content into the pharynx and subsequent aspiration into the pulmonary tree (Stewart et al, 2014). Cricoid pressure is incorporated into the overall approach in reducing the chances of aspiration through rapid sequence induction of anaesthesia (Ellis et al., 2007; Priebe 2005). Over the years rapid sequence induction has been adapted by emergency physicians to allow ventilation as required to prevent hypoxia and subsequently termed “rapid sequence tracheal intubation”. Rapid sequence tracheal intubation (RSTI) is now the most widely used technique for tracheal intubation in the emergency department (ED) and cricoid pressure is taught as a standard component of emergency airway management (Ellis et al., 2007).

Despite inadequate scientific evaluation of the risks and benefits of cricoid pressure it is adopted as an integral component of rapid sequence intubation in EDs. No randomised controlled trials have shown any benefit of its use during rapid sequence intubation (Trethewy, Burrows, Clausen & Doherty, 2012). Furthermore, the application of cricoid pressure may be linked to increased risks to the patient such as  impeding airway management, prolonging intubation time by concealing laryngeal view, inducing nausea/vomiting and oesophageal rupture with excessive force (Ellis et al., 2007; Priebe 2005;Trethewy, et al, 2012). Paradoxically, cricoid pressure may promote aspiration by relaxing the lower part of the oesophagus (Ellis et al., 2007). Some case reports note that tracheal intubation was impeded by cricoid pressure and regurgitation occurred despite application of cricoid pressure, possibly due to its improper application (Trethewy, et al, 2012). According to Bhatia, Bhagat and Sen (2014) the application of cricoid pressure increases the incidence of lateral displacement of the oesophagus from 53% to 91%.

However despite this evidence and the outcome of Trethwy’s (2012) RCT the judicial system appears guided in its judgement by outdated practises. A judge in UK ruled against an anaesthesiologist for failing to apply cricoid pressure to a patient with irreducible hernia who had regurgitated and aspirated. The judge argued that “We cannot assert that cricoid pressure is not effective until trials have been performed, especially as it is an integral part of anaesthetic technique that has been associated with a reduced maternal death rate from aspiration since the 1960's” (Bhatia et al. 2014). Therefore one may say that despite cricoid pressure entering medical practice on limited evidence and only supported by common sense, it somehow remains the practice of choice (Bhatia et al., 2014).

Thus it is about time nurses and doctors embrace evidence-based practice within the emergency department and let go of traditional practice that are proven to do more harm than good. There is still a great need for further evidence-based practice within the emergency department, to investigate the validity of the notion that cricoid pressure prevents regurgitation.

Ntombifuthi Jennet Ngiba is a Professional Nurse at Greytown Hospital.

REFERENCES

Bhatia N, Bhagat H & Sen I. (2014). Cricoid pressure: Where do we stand? J Anaesthesiol Clin Pharmacol, Vol 30 pp 3 – 6.

Ellis D.Y, Harris T & Zideman D. (2007). Cricoid pressure in the emergency department rapid sequence tracheal intubations: a risk-benefit analysis. American College of emergency physicians.Vol 50, pp 653 – 665. 

Moore K & Lexington K.Y (2012). Evidence-based practise guidelines for trauma care. Journal of emergency nursing. Vol 38, pp 401-402.

Priebe H.J, (2005). Cricoid pressure: an alternative view. Elsevier. Germany.

Stewart J.C, Bhananker S, & Ramaiah R. (2014). Rapid-sequence intubation and cricoid pressure. J Crit Illn Inj Sci, Vol 4, pp 42 - 49.

Trethewy C.E, Burrows J.M, Clausen D & Doherty S.R. (2012). Effectiveness of cricoid pressure in preventing gastric aspiration during rapid sequence intubation in the emergency department: study protocol for a randomised controlled trial. BioMedCentral. Australia. Retrieved 04 August 2016: http://www.trialsjournal.com/content/13/1/17


 

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National changes in nursing training: South African perspectives 2015...

Dr. Respect Mondli Miya,(D.Lit et Phil)

Senior Lecturer: Psychiatry at Durban University of Technology, Department of Nursing Science

 

Nursing is a career of love rooted in rich and fertile soil governed by caring ideologies and philosophies. Individuals within the profession have strong and inexplicable desires to serve and preserve humanity at all cost. The nursing profession drives the health care system and is forever in the forefront of preventing, promoting and management of various diseases.  Nurses have always been there and have survived trials and tribulations. Nursing demands not only the brain for cognitive purposes but a humble heart, selflessness in daily duty execution. An individual without passion for the sick will never survive a minute of nursing’s demanding tasks.

Nursing novices are professionally socialized and groomed on their first day of training. Noble traditions of nursing are gradually unpacked and monitored up to graduation to enhance relevance and dignity of nursing profession. Nursing demands the utmost respect for humanity even after death itself. Most professions have minimum set of working hours yet nursing philosophy calls and promotes dedication beyond duty. Nursing is a way of living not just mere qualification written on papers but lived and experienced charisma. 

Historically, nursing was viewed as a religious vocation and was predominantly religious in nature which explains chapels, and meditation designated facilities utilized for prayers before commencing daily duties in old hospitals. Nursing training in South Africa before 1976 was hospital-based hence the notion of viewing nursing as a “hands-on” career has been accepted nationally and acknowledged by most prolific nursing scholars who remain sceptical to have nursing pitched at a degree level and offered in higher training of education in South Africa.   

Such training exposed and subjected nurses to poor recognition as a career.  Nurses were abused and viewed as medical officers’ hand maids who were good for nothing but to offer a bed pan, bathing the sick, and carry orders as prescribed without being objective. The training at that time was strict and limiting, even the scope of practice was limited and nobody could imagine a degree in nursing or university based nursing teaching and learning. Hospitals mostly trained nurses in general nursing and later midwifery.

Around 1987, nursing in South Africa was gradually introduced in tertiary education system and scope of practice and curriculum were amended. Nursing graduates were introduced to a 4-year degree obtaining general, psychiatry, midwifery and community health nursing. That made older nurses to feel bitter and never fully accepted university graduates as satisfactorily trained. Even medical officers were threatened and witness role change from nurses as hand maids into fully recognized members of the multidisciplinary health team with independent roles and functionality. These changes failed to bridge the gap of scope of practice and remuneration packages. Even to this date, the university and hospital trained nurses earn the same salary and follow same stream of training regulated by the same nursing Act 50 of 1978 as amended with specification stipulated in Regulation 425 (R.425).

The nursing act 33 of 2005 introduced community service of one year post- training for both hospital- and university-trained individuals. Errors still exist within the nursing education such as same recognition of a hospital and university trained graduate have similar scope of practice, universities are allowed to implement R425 differently. For example, some South African universities train students for six months in midwifery while others dedicate two full years for midwifery and three years for community health nursing which is offered for six months in colleges and some universities. The problem in South Africa is that there is one R.425 and implemented differently from one university to the other.

The current health ministry is proposing nursing training restructurization. In the proposal dated 23 July 2015, it recommends reintroduction of the old nursing training system with a hope of extending the nursing training duration and to phase out the R.425 of Act 50 (1978). The current proposal overlooks scope of practice and remuneration packages of such graduates irrespective of their qualification which is an error not even Occupational Specific Dispensation (OSD) could resolve in 2007. OSD failed to address issues of salaries in the nursing fraternity; an obvious error is that a nursing lecturer is graded as a nursing specialist.

The unresolved question here is: Who teaches the other? And why do they earn same salary if the other is a teacher? Up to the very same date, the public health system continues to fail to distinguish university graduates from hospital nursing graduates yet continues to differentiate auxiliary social worker from a University graduate Social Worker, and experienced Medical Officer from a Master of Medicine graduate. Why not with nursing in South Africa? 

The proposed training changes are as follows: general nursing and midwifery be done in a college over a period of four years without indicating whether that shall be Bachelor of nursing offered in a college which can never materialize as colleges do not offer degrees but universities do. If agreed upon, this will mean degrading the dignity of nursing as a profession over medicine which continues to be offered in the university without interruptions.

According to the proposed plan, nursing training is extended to 9 years (four year of midwifery and general, 18 months of psychiatry and one year of community health) which is unnecessary waste of time for an undergraduate qualification yet medicines years of training have been reduced to 5 years (MBCHB).

 

There is absolutely no need for such drastic changes in the nursing education.  It is alarming to witness MBCHB years of training have been reduced to five years and get paid a satisfactory remuneration package compared to Bachelor of Nursing graduates with stagnant remuneration. The introduction of Masters Degree in Medicines in South Africa is preparing sound clinical researchers and such projects (thesis and dissertations) are evaluated by nursing professors who in turn receive less recognition and degrading salaries compared to MMed graduates.

The South African health system requires the following:

1.     Strong and vocal task team of nursing professors who shall preserve the image and dignity of nursing as a profession and strongly oppose plans to change nursing training.

2.     No college shall be allowed to offer a bachelor of nursing, strictly universities only.

3.     Salary packages to be reviewed and sort clear distinction of a university graduate over a hospital trained graduate.

4.     Revised scope of practice, degree holders be given more opportunity to execute complex clinical procedures and be given better remuneration packages.

5.     Chief Nursing Officer to be more vocal and avoid external influences to disorganise nursing training.

6.     Hospitals to create portfolios and acceptable remuneration packages for all nursing qualifications from a diploma to PHD level.

7.     All South African universities to adopt and implement similar training structure  that is two years of midwifery, two years of psychiatry and two years of community health nursing

8.     Develop a Nursing Ministry by nurses with nurses and for nurses.

9.     MBCHB degree be afforded same status as B.Cur degree thereafter if need be.

10.  South African nursing council to be headed by prolific PHD holders and nursing qualifications be regulated and registered up to PHD level.

11.  Any qualification obtained outside university be regarded as either associate professional nurse and associated medical office until related exam has been endorsed by the regulating body.

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WHY DO WE SAY NURSING IS A CALLING? ...

 
We are professionals, and let us fight to be recognised as such… 
Vuyolwethu Mashamayite - 20150728_073623
By Vuyolwethu Mashamaite 
Ever since I joined nursing in 2005 I have heard nurses say nursing is a ‘calling’ and it's not about money. I couldn't understand why they said so and I still don't.   
I believe that everyone is called by God to be in the profession or job they are doing, unless nurses consider themselves in the same umbrella as ‘Sangomas’ and ‘Preachers’. Those are the people who will leave their profession or jobs and focus on their calling or do both, regardless of whether they are paid or not. 
Perhaps this could be the reason why nurses are under-paid and left to work in extreme unfavourablecircumstances ...because it’s a "Calling".
Don't get me wrong; I have passion and great respect for human life as a nurse. But I cannot keep quiet. Nurses are the most abused professionals by the employer because they consider themselves "called" instead of being employed professionals.
Nurses you are jack of all trades doing everyone's jobs from a cleaner to a doctor but come pay day you are the ones who cry the most because you are underpaid while doing everyone's jobs. I guess it's the consequences of having been “called" instead of being professional.
We feel so comfortable working out of our scope of practice to an extent that we run a risk of performing tasks that we are not equipped to do. When told it's not your scope of practice you tell us of how long you've been doing this and you didn't kill anyone. But the South African Nursing Counci (SANC) is out there nailing nurses and not considering your "calling" but rather your profession and scope of practice.
What hurts the most is the fact that you studied for four years and someone from another discipline who studied the same years is treated and paid better than you. I guess they are professionals and you are in a "calling". 
Nurses, let's STOP hiding behind "CALLING" and start taking our profession seriously. If you don't do it, no one will do it for you. Like it or not we are professionals and let us fight to be recognised as such. 
Vuyolwethu is a nurse based in Kimberley, Northern Cape   
End

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Publications

Nursing Update

         
January 2017

Nursing Update is jointly published by the Democratic Nursing Organisation of South Afr... More.

Curationis

         
January

Curationis provides a forum for cutting-edge theories and research models related to th... More

About us

The Democratic Nursing Organisation of South Africa (DENOSA) in its current form was established on 5 December 1996.

The organisation was formed through political consensus after the transition to democracy and was mandated by its membership to represent them and unite the nursing profession. Prior to this, the South African Nursing Council (SANC) and the South African Nurses Association (SANA) were statutory bodies which all nurses had to join. It was also important after the transition to democracy to incorp... Read more