Preparedness of professional nurses to recognise and respond to gender-based violence in higher education institutions in the city of Cape Town, South Africa

Abstract

Background: Gender-based violence (GBV) is a widespread problem worldwide, deeply affecting public health and touching people in many areas, including healthcare and universities. In South Africa, GBV rates are exceptionally high, and universities face these challenges too. Nurses working in campus health clinics are vital in identifying and addressing GBV, which makes proper training and readiness essential. Aim: This study focused on evaluating how well professional nurses at certain higher education institutions are prepared to identify and respond to gender-based violence, exploring nursing lecturers' recommendations for enhancing nursing curricula to effectively address GBV, and developing guidelines for integrating comprehensive GBV management into nursing education. Methodology: The study used a qualitative case study approach, conducting semi structured interviews with professional nurses and nurse lecturers from two higher education institutions in Cape Town, South Africa, along with reviewing relevant curriculum documents. Data was collected until saturation was reached, and thematic analysis was used to identify key themes and patterns. Findings: The study identified significant gaps in the preparedness of professional nurses to address GBV, including insufficient knowledge, skills, and resources, as well as limited GBV-related content in existing nursing curricula. Based on these gaps, this study proposes guidelines for HEIs that include integrating formal GBV education, establishing dedicated GBV modules, incorporating ethical and human rights considerations, promoting interdisciplinary teaching, and implementing practical training and simulation exercises. The guidelines also emphasise the need for accurate documentation protocols, regular in-service training, innovative teaching methods, and continuous curriculum review. Conclusion: This study underscores the importance of integrating comprehensive GBV education into nursing curricula and provides practical guidelines for curriculum planners, policymakers, and administrators to enhance the preparedness of nursing professionals in addressing GBV effectively and ensuring empathetic and competent care for survivors.