Tanya Heyns

Background: The effectiveness of mindfulness-based programs in cultivating a sense of well-being has been demonstrated in many populations globally. However, mindfulness research is lacking in low socioeconomic contexts. This study explored how a mindfulness-based program may be adapted to be feasible, acceptable, and accessible to participants in a low socioeconomic setting in Cape Town, South Africa. Methods: Using purposive and snowball sampling and semi-structured interviews, the perspectives of 14 stakeholders in the field of mindfulness were explored. The data were thematically analyzed. Findings: Stakeholders agreed that MBPs could be adapted to increase acceptability, accessibility, and feasibility for participants. The themes that emerged included strategies to encourage attendance and retention, program structure, program content, trauma sensitivity, the qualities and training of the facilitator, communication strategies, the language used, and the approach to translation. Conclusion: Stakeholders agreed that adapted mindfulness-based programs may be beneficial to participants in low socioeconomic contexts if appropriately and sensitively adapted to the needs of the population and context. Further research is invited into the nuances of what, where, when, and how mindfulness-based programs are offered in low-resource and especially high-risk trauma environments, such as those in South Africa.

Background: Diabetes is a global public health concern. Approximately, 79% of people living with diabetes reside in low- and middle-income countries. Community healthcare workers (CHWs) provide basic care to communities, including people living with diabetes in South Africa; however, their contribution still needs to be explored.Aim: To explore the perceptions of CHWs regarding their roles in diabetes care.Setting: This study was conducted at primary healthcare clinics in the Tshwane District, located in the northern part of Gauteng province in South Africa, where CHWs form part of ward-based outreach teams.Methods: Using a descriptive qualitative research design, four focus group interviews were conducted with 32 CHWs with 5 or more years of experience and involved in providing care to people living with diabetes. The Dynamic reading, Engaged code book development, Participatory coding, Inclusive reviewing and summarizing of categories, Collaborative analysis, Translating (DEPICT) approach for collaborative qualitative data analysis was used.Results: The participants indicated that their roles focused on health education, specifically related to diet, lifestyle changes, medication, involving family and self-care, support and monitoring.Conclusion: CHWs play an important role in the screening, continuous monitoring and referral of people living with diabetes. It is important that training and support for CHWs are aligned and informed by evidence and the needs of the communities they serve.Contribution: The results may assist in the development of appropriate competencies, to inform programs and in-service training topics and regulate the practices of CHWs.

Aim: To validate an instrument for measuring healthcare workers’ perceptions of person‐centred teamwork in hospital units. Design: Quantitative cross‐sectional descriptive design. This approach collected numerical data to explore and describe the characteristics of the instrument items, with the goal of generating insights as to the validity and reliability of the items. Methods: The target population included healthcare workers who worked in hospital settings. Total sampling was used to identify healthcare workers. Convenience sampling was used to select the participants. The participants completed the instrument. The data were captured and analysed using the software IBM SPSS Statistics Version 28 and RStudio 2023.06. Results: A 38‐item instrument measuring the perceptions of healthcare workers of person‐centred teamwork was tested psychometrically. A total of 388 healthcare workers working in private ( n = 160) and public ( n = 228) hospitals completed the instrument. Confirmatory factor analysis was used, indicating that the items were significant and that the constructs were well measured. Factor loading was present, and bifactor analysis confirmed the multidimensionality of each construct. The Cronbach’s α confirmed the reliability of each of the 38 items. Conclusion: The person‐centred teamwork instrument was reliable and validated as a multidimensional scale comprising 38 items. The instrument is psychometrically suitable for measuring person‐centred teamwork in hospital settings. Implications: The person‐centred teamwork instrument provides the ability to measure person‐centred teamwork efforts to improve practice. As a measurable concept, person‐centred teamwork can be improved by distinguishing areas for improvement. Link to Practice: The 38 item person‐centred teamwork instrument indicated good fit for measuring the constructs, and the instrument was validated. Each of the items was reliable for measuring person‐centred teamwork. The instrument can be applied internationally to assist in the measurement of person‐centred teamwork practices to improve clinical outcomes.

Introduction: Followership is a critical aspect of leadership because, without followers, there can be no leaders. To be successful, organizations must develop high‐performance, self‐developed, and self‐led followers with specific values. However, organizations have traditionally prioritized developing leaders, leaving out followers in the development equation. Followership development allows nurses to learn how to work effectively in teams, fostering teamwork skills. Aim: To explore nurse leaders’ perceptions of followership development needs. Materials and Methods: A descriptive qualitative design was used. Data were collected via face‐to‐face, semistructured, in‐depth interviews with 10 purposively selected nurse leaders (middle and top management). The interviews were audio‐recorded, transcribed verbatim, and analyzed via Braun and Clarke’s approach. Findings: Participants emphasized the need for followership education for nurses. Followership should be incorporated into undergraduate nursing curricula and in‐service training. Additionally, participants verbalized the need for a followership development program that should train nurse followers in communication, interprofessional collaboration, decision‐making, team building, teamwork, and leadership. The participants suggested that followership could be developed by providing incentives for good followership behavior and conducting periodic performance appraisals. Conclusion: The participants emphasized the importance of a followership development program, which may enhance the relationship between nurse leaders and followers and contribute to positive patient outcomes. Future research needs to develop programs to develop nurses who are followers. Implications for Nursing Management: Developing followers in a hospital setting is critical. Understanding needs and what a followership program should include assists nurse leaders in planning and implementing relevant programs.

Objective To review the available information on clinical practice guidelines for person-centred and current handover practices between emergency care practitioners (ECPs) and healthcare professionals in emergency departments (EDs). Collating existing clinical practice guidelines may improve handover practices. Eligibility criteria Clinical practice guidelines for person-centred handover practices between ECPs and healthcare professionals in EDs. ECPs transporting and handing patients over to healthcare professionals in EDs. Healthcare professionals including doctors and nurses working in EDs, who are involved in handovers with ECPs. Studies conducted in EDs, emergency rooms or emergency centres in any geographical area. No language or time restrictions were applied. The search included published and unpublished studies, opinion papers as well as primary sources, and evidence synthesis. All qualitative and quantitative research designs were included. Sources of evidence The literature on clinical practice guidelines for person-centred handover practices was reviewed. Three electronic databases were searched: MEDLINE (PubMed), CINAHL (EBSCO) and Scopus from inception to May 2023 with no time limits set for the inclusion of published literature in the review. Six guideline organisations were also searched. Charting methods A data extraction tool was developed, pilot-tested and used to extract data from the included studies. Results 19 studies met the inclusion criteria. Various mnemonics exist for handover practices. Where mnemonics are not used, participants have identified important information that should be included during handover practices. We did not find any clinical practice guidelines or information on person-centred handover practices in any of the reviewed articles. Conclusions Currently, there is no gold standard for person-centred handover practices, which has led to various practices being implemented. Currently, there is a paucity of literature on person-centred handover practices. Most articles expressed a need for standardised handover practices; however, not all aspects of handover practices can be standardised and should be kept patient and context-specific. Trial and protocol registration This scoping review protocol was registered on Figshare (10.6084/m9 /m9.figshare.21731528).