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- Background: Anecdotal evidence suggests that student accoucheurs studying at the Free State School of Nursing in South Africa are faced with resistance, discrimination, rejection and unacceptability by pregnant women during their clinical placement at the Free State maternal health care institutions. Objective: The aim of the study was to explore and describe the challenges faced by student accoucheurs regarding the maternal health care services they render to women. Methods: An explorative, descriptive, and qualitative research design was employed to conduct the study. Purposive sampling was used to select student accoucheurs who met the inclusion criteria. Focus group discussion was used to collect data from the selected student accoucheurs. Data were analysed thematically, and the findings were triangulated with the integration of Peplau's Theory of Interpersonal Relations as a theoretical framework that guided the study. Results: The findings in relation to the research question were synthesised under four themes: transcultural diversity, socio-economic factors, social interactions and relations, and gender inequality in the work place. Conclusion: The study is a contribution to the emerging education and training of student accoucheurs body of knowledge in the Free State Province and to the global existing body of knowledge regarding the phenomena.
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- Problem: The prevalence of herbal medicine (isihlambezo) use is on the rise worldwide, especially amongst pregnant women. Most women believe that traditional medicine use has significance and advantages to them and their unborn babies during pregnancy. There are few scientific studies about its safety for pregnant women and their babes, regardless of possible teratogenic effects that may result in fatalities amongst pregnant women, who continue to consume isihlambezo. Aim: The study aimed to explore and describe experiences of pregnant women regarding the use of traditional herbal medicine (isihlambezo). Methodology: Qualitative descriptive phenomenology research design was employed in this study. Twelve participants who were purposefully selected to collect data were interviewed until data saturation was reached using unstructured interviews as data collecting strategy. Data was analysed by using Colaizzi steps of phenomenological data analysis. Results: Several themes and sub-themes emerged from the study which included myths about isihlambezo, traditional and cultural beliefs, indication and effects of isihlambezo. Most participants expressed strong beliefs regarding the use of traditional herbal medicine (isihlambezo). Therefore, it is evident that isihlambezo continues to gain momentum among pregnant women despite not being scientifically tested for its safety use during pregnancy. Conclusion: The study’s findings revealed that factors such as unemployment, poverty, lack of education and beliefs contribute to the high uptake of traditional herbal medicine (isihlambezo) among pregnant women. Hence, its consumption during pregnancy is on the rise despite its unknown safety. Contribution: Maternal healthcare institutions should consider reviewing the safety use traditional herbal medicine (isihlambezo).
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- Purpose: The quality of maternal healthcare training is the most optimal degree of health in the delivery of effective, efficient and quality healthcare in midwifery discipline. Student accoucheurs studying at the Free State School of Nursing are faced with resistance, discrimination, rejection and unacceptability by pregnant women during their clinical placement at the Free State maternal healthcare institutions. This results in poor quality of training of student accoucheurs in maternal healthcare. Considerable studies have been conducted on males in midwifery nursing, but no guidelines have been developed to facilitate student accoucheurs' acceptance and improvement of the quality of training in maternal healthcare, hence the purpose of this study. Design/methodology/approach: A descriptive, explorative qualitative design was used in this study. Qualitative focused group discussions (n = 32) were conducted through purposeful sampling method. Data was analysed thematically. Findings: Three main categories emerged: student accoucheurs' related factors with social interactions and relations as a theme; maternal healthcare users’ related factors with transcultural diversity and socio-economic status as themes; nurse training institutions and maternal healthcare institutions service providers-related factors with gender inequality in the work place as a theme. Ultimately, the guidelines to facilitate acceptance and improvement of quality training of student accoucheurs in maternal healthcare institutions were developed and recommended for implementation. Originality/value: The paper developed guidelines to facilitate acceptance and improvement of quality training of student accoucheurs in Free State maternal healthcare institutions.
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- Background: Worldwide, gender inequality has been a dominating factor in the training of student accoucheurs in most maternal healthcare institutions. This poses challenges for the maternal healthcare institutions where student accoucheurs are placed for clinical practice as most women become reluctant or refuse to accept their services. Gender inequality has a negative impact on the training of student accoucheurs as most of them become demotivated which could lead to a high attrition rate. Objectives: This study explored and described the perceptions of student accoucheurs regarding gender inequality in midwifery training at the Free State maternal healthcare institutions. Method: An explorative and descriptive qualitative research design was undertaken. There were 40 student accoucheurs that formed 10 focus group discussions. Each focus group discussion had four participants. Tesch’s eight-steps of data analysis was used to analyse data. Results: Three major themes emerged during data analysis: meeting the training requirements in midwifery, women’s autonomy in a choice of healthcare provider versus student accoucheurs’ autonomy to be trained in midwifery and staff establishment to render maternal healthcare. Conclusion: The participants perceived prejudice, rejection and resistance by women in maternity units as a contributing factor to gender inequality, which has a negative impact on their training in midwifery. The study recommends that health directorates, nurse managers and training institutions should consider revising maternal healthcare policies regarding the recruitment and placement of willing accoucheurs in maternity units in order to address gender inequality.
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