Learning needs of caregivers of older persons in residential care facilities: an explorative case study

dc.contributor.advisorVan Jaarsveldt, D. E.
dc.contributor.advisorSpies, C.
dc.contributor.authorMarais, Cecilia
dc.date.accessioned2021-05-14T12:10:09Z
dc.date.available2021-05-14T12:10:09Z
dc.date.issued2020-12
dc.date.updated2021-05-14
dc.description.abstractCaregivers play a prominent role in rendering basic care to older persons in residential care facilities, whose needs are intricate and unpredictable. Yet, caregivers were found to be underprepared, especially in rural areas of the Northern Cape province in South Africa. Substandard education, training and the absence of formal in-service training programmes contribute to varied quality of care, as well as caregiver stress and burnout. Therefore the question arose: What are the learning needs of caregivers of older persons in residential care facilities in two sub-districts of the Northern Cape province? Guided by constructivism, knowledge was socially constructed by incorporating the perspectives of various role players. In accordance with the research question and the need to obtain multiple perspectives within a particular geographical context, an explorative case study design was applied. Data were collected by means of four respective nominal groups with caregivers and family members of residents, as well as a small group interview with the registered nurses working at three facilities. During data analysis the different data sets were individually analysed and then consolidated. Eight main categories of learning needs were identified, namely: basic nursing skills, hygiene, Alzheimer’s disease, medication, communication, rights and responsibilities, as well as staff monitoring and evaluation. Many of the suggested learning needs were, however, beyond the expected tasks of caregivers set by the South African Qualifications Authority unit standard for the provision of care to a frail person. The ignorance of the caregivers with regard to essential aspects such as their rights and job description revealed unfair labour practices. Ethics of employment emerged from the findings as underlying theme with unrealistic work expectations and a power disadvantage as subthemes. A formal in-service training programme addressing the learning needs, appropriate for the caregivers’ expected level of functioning could enrich the quality of their caring for older persons in the particular residential care facilities. Action should also be taken to address the emerging issues affecting both the caregivers and quality of care rendered to older persons in this setting. Further, larger scale research could cast light on the research issue in other contexts and ostensibly inform policy development in this regard.en_ZA
dc.identifier.urihttp://hdl.handle.net/11660/11090
dc.language.isoenen_ZA
dc.publisherUniversity of the Free Stateen_ZA
dc.rights.holderUniversity of the Free Stateen_ZA
dc.subjectDissertation (M.Soc.Sc. (Nursing))--University of the Free State, 2020en_ZA
dc.subjectLearning needsen_ZA
dc.subjectCaregiversen_ZA
dc.subjectOlder personsen_ZA
dc.subjectResidential care facilitiesen_ZA
dc.subjectNorthern Cape provinceen_ZA
dc.titleLearning needs of caregivers of older persons in residential care facilities: an explorative case studyen_ZA
dc.typeDissertationen_ZA
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