Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/3866
Title: Experiences of the post basic nursing students with chronic illness in selected colleges in KwaZulu-Natal, South Africa
Authors: Buthelezi, Phindile P. 
Keywords: Nursing;Post-basic nursing
Issue Date: 5-Sep-2019
Abstract: 
Introduction and background: Chronic illness is an illness, disease or disorder
that persists for a long period, often for the remainder of the person’s lifetime.
Post-basic nursing (PBN) students are at greater risk of having chronic illness
because of their age compared to the younger basic nursing students. Usually
students in PBN courses experience challenges balancing life and school
demands and end up having elevated stress levels. The situation is compounded
when the student is also ill, especially when the illness is chronic and uncontrolled.
Aim of the study: The aim of the study was to explore and describe the
experiences of the PBN students with chronic illness in in selected campuses of
the KwaZulu-Natal College of Nursing (KZNCN).
The objectives of the study were to: Explore and describe the experiences of
PBN students with chronic illness in selected campuses of the KZNCN, identify
the challenges if any that are experienced by PBN students with chronic illness in
selected campuses of the KZNCN, and to determine the support measures that
are essential to facilitate academic performance and achievements for PBN
students with chronic illness in selected campuses of the KZNCN.
Method: A qualitative research design using an exploratory descriptive approach
was used to conduct the study. The Health Behaviour Model was used to explore
and describe the experiences of the PBN students with chronic illness. The study
identified the predisposing factors, enabling factors and need factors, which,
according to Andersen’s Health Behaviour Model, are the three dynamic
characteristics that influence behaviour. The sample size was guided by data
saturation, which was reached after ten interviews and confirmed with five
additional interviews. Data was collected from PBN students who were doing their
training in the two main campuses of KwaZulu-Natal Nursing College in eThekwini
District between July and August 2018 using one-on-one semi-structured
interviews. Data was analysed using thematic analysis guided by Tesch’s method
of data analysis.
Findings: The six themes that emerged from the interviews were: additional
demands on the life of the student, fear and anxiety, acceptance and support received, discrimination and lack of confidence, other compounding and some
motivating factors. These findings reflected the challenges that were experienced
by the PBN students with chronic illness. These, together with the motivational
factors, guide the determination of support measures that are essential to facilitate
academic performance and achievements for PBN students with chronic illness.
Conclusion: Both the demands of training and that of chronic illness cause added
stress on a PBN student and have the potential to adversely affect both the studies
and the health of the PBN student. PBN students with chronic illness suffer from
emotional stress caused by trying to balance between the effects of illness, the
side effects of medication and the demands of the PBN programme. Support from
various sources including family, peers, employers, education institutions and
educators is important to facilitate the academic achievement of these students.
Recommendations: Recommendations are made in relation to policy formulation
and implementation, service delivery, nursing education and research. Protocols
on care management and support of PBN students with chronic illness should be
available in academic institutions so as to guide the educators in supporting such
students. The PBN students with chronic illness and the education institutions
need to work together to establish and continue good communication to facilitate
and maintain a clear understanding of what is required to support them and to be
clear on what can, and cannot, be done so that expectations are possible and
realistic. The unique issues related to students with chronic illness can be
addressed through pre-service and in-service training programmes for educators
to make them understand how to handle the situation. A broader study involving
other provinces, educators and peers is recommended. In addition to further
research on PBN students with chronic illness, research on technological
resources essential to support students with chronic illness is recommended.
Description: 
Dissertation submitted in fulfilment of the requirements for the Degree in Master of Health Sciences in Nursing in the Faculty of Health Sciences at the Durban University of Technology, 2019.
URI: https://hdl.handle.net/10321/3866
DOI: https://doi.org/10.51415/10321/3866
Appears in Collections:Theses and dissertations (Health Sciences)

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