SciELO - Scientific Electronic Library Online

vol.32 issue1 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google



On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.32 n.1 Pretoria  2009




Implementing community-based education in basic nursing education programs in South Africa



NG Mtshali

PhD. School of Nursing: University of KwaZulu-Natal





Education of health professionals using principles of community-based education is the recommended national policy in South Africa. A paradigm shift to community-based education is reported in a number of nursing education institutions in South Africa. Reviewed literature however revealed that in some educational institutions planning, implementation and evaluation of Community-based Educational (CBE) programmes tended to be haphazard, uncoordinated and ineffective, resulting in poor student motivation. Therefore the purpose of this study was to analyse the implementation of community-based education in basic nursing education programmes in South Africa. Strauss and Corbin's (1990) grounded theory approach guided the research process. Data were collected by means of observation, interviews and document analysis. The findings revealed that collaborative decision-making involving all stakeholders was crucial especially during the curriculum planning phase. Furthermore, special criteria should be used when selecting community learning sites to ensure that the selected sites are able to facilitate the development of required graduate competencies. Collaborative effort, true partnership between academic institutions and communities, as well as government support and involvement emerged as necessary conditions for the successful implementation of community-based education programmes.

Key words: Community-based education, nursing programmes, service learning, community health nursing programme



“Full text available only in PDF format”




AFIFI, WA2007: Nonverbal communication. (In Whaley, BB & Samter, W, eds. Explaining communication: contemporary theories and exemplars. Hillside, N.J.: Erlbaum. p. 39-60.         [ Links ])

AIRHIHENBUWA, CO & OBREGAN, R 2000: A critical assessment of theories/models used in health communication for HIV/AIDS. Journal of health communication. 5(2):5-16, Apr-Jun.         [ Links ]

BARNETT, T & WHITESIDE, A 2006: AIDS in the twenty-first century: disease and globalisation. New York: Palgrave Macmillan.         [ Links ]

BEACH, AW 2007: Conversational interaction: understanding how family members talk through cancer. (In Whaley, BB & Samter, W, eds. Explaining communication: contemporary theories and exemplars. Hillside, N.J.: Erlbaum. p. 333-350.         [ Links ])

BEYTELL, A 2002: A communitybased model for health care social work. Johannesburg: University of Johannesburg. (Thesis - PhD.         [ Links ])

BEZUIDENHOUT, C & JOUBERT, S 2003: Child and youth misbehaviour in South Africa: a holistic view. Pretoria: Van Schaik Publishers.         [ Links ]

BEZUIDENHOUT, FJ 1998: Areader on selected social issues. Pretoria: Van Schaik.         [ Links ]

BRADSHAW, D 2008: Determinants of health and their trends. South African health review, 4:51 -69.         [ Links ]

COURTRIGHT, JA2007: Relational communication: as viewed from the pragmatic perspective. (In Whaley, BB & Samter, W, eds. Explaining communication: contemporary theories and exemplars. Hillside, N.J.: Erlbaum. p.         [ Links ]

CRESSWELL, JW 2003: Research design: qualitative and quantitative and mixed approaches. London: Sage.         [ Links ]

CUMMINS, L; SEVEL, J & PEDRICK, L 2006: Social work skills demonstrated. Boston, Mass.: Allyn & Bacon.         [ Links ]

DE SWARDT, C & THERON, F 2007: Cape Town African poor: an assessment of poverty manifestations and impact. Africanus. 37( 1 ):21 -35. DODD, CH 1998: Dynamics of intercultural communication. Boston, Mass.: McGraw-Hill.         [ Links ]

EVIAN, C 2003: Primary HIV/AIDS care. Houghton: Jacana Media.         [ Links ]

FAULKNER, SL & HECHT, ML2007: Tides in the ocean: a layered approach to communication and culture. (In Whaley, BB & Samter, W, eds. Explaining communication: contemporary theories and exemplars. Hillside, N.J.: Erlbaum. p. 383-402.         [ Links ])

FREDERICK, J & GODDARD, C 2007: Exploring the relationship between poverty, childhood adversity and child abuse from the perspective of adulthood. Child abuse review. I6(5):323-341.         [ Links ]

GATHIRAM, N 2005: Poverty alleviation: the need for a knowledgeable, active and empowered civil society. Social Work/Maatskanlike Werk. 41(2):123-130.         [ Links ]

GLANZ, K & RIMER, BK 1995: Theory at a glance - a guide for health promotion practice. Washington: U.S. Department of Health and Human Services.         [ Links ]

GOLDMAN, FIH; MORRISSEY, JP; RIDGELY, MS; FRANK, RG; NEWMAN, SI & KENNEDY, C 1992: Lessons from the program on chronic mental illness. Health affairs. 11:51-68.         [ Links ]

GREEFF, M 2005: Information collection: interviewing. (In De Vos, A.S., Strydom, H., Fouché, C.B. & Delport, C.S.L., eds. Research at grass roots: for the social sciences and human service professions. Pretoria: Van Schaik. p. 286-313.         [ Links ])

KING,IM 1981: A theory for nursing: systems, concepts, process. New York: Wiley.         [ Links ]

KING, R 1999: Sexual behavioural change for HIV: where have theories taken us? Geneva: UNAIDS. (UNAIDS/ 99.27E.) Accessed 12 October 2006.         [ Links ]

KREFTING,L,ed. 1991: Rigor in qualitative research: the assessment of trustworthiness. American journal of occupational therapy. 45(3):214-221, March.         [ Links ]

LITTLEJOHN, SW & FOSS, KA 2005: Theories of human communication. Toronto: Wadsworth.         [ Links ]

MOUTON, J & MARAIS, DC 1996: Basic concepts in the methodology of social sciences. Pretoria: HSRC Publishers.         [ Links ]

NATIONAL WELFARE DEPARTMENT 1998: Social Welfare Action Plan, Accessed 5 December 2006.         [ Links ]

NEW DICTIONARY OF SOCIAL WORK 1995: Cape Town: Book Printers. NORTHOUSE, LL & NORTHHOUSE, PG 1998: Health communication - strategies for health professionals. Upper Saddle River, N.J.: Prentice Hall.         [ Links ]

OKUN, BF 1992: Effective helping: interview and counselling techniques. Pacific Grove, Calif.: Brookes/Cole.         [ Links ]

OXFORD ADVANCED LEARNER'S DICTIONARY 2005: 7th ed. Oxford: Oxford University Press.         [ Links ]

OXFORD POCKET DICTIONARY OF CURRENT ENGLISH 2009: Accessed 10 March 2009.         [ Links ]

PELSER, AJ, NGWENA, CG & SUMMERTON, JV 2004: The HIV/AIDS epidemic in South Africa: trends, impacts and policy responses. (In Van Rensburg, H.C.J., ed. Health and health care in South Africa. Pretoria: Van Schaik Publishers, p. 276-311.         [ Links ])

POLIT, DF & HUNGLER, BP 1997: Nursing research: principles and methods. Philadelphia, Pa.: Lippincott.         [ Links ]

REAGAN, PA& BROOKINS-FISHER, J 1997: Community health in the 21st century. Boston, Mass.: Allyn & Bacon.         [ Links ]

ROGERS, CR 1951: Client-centered therapy: its current practice, implications and theory. Boston, Mass.: Houghton Mifflin.         [ Links ]

ROGERS, EM 1996: The field ofhealth communication today: an up-to-date report. Journal of health communication. 1(1115-23.         [ Links ]

SCHENCK, CJ 2004: Problems rural social workers experience. Social Work / Maatskaplike Werk. 40(2): 158-171.         [ Links ]

SCHUTTE, PJ 2004: HIV/Aids policy: communication between provincial and local levels in the North-West Province -doesitwork? ,23(1):171- 196, July.         [ Links ]

SHAUGNESSY, PW; CRISLER, IS; SCHLENKER, RE; ARNOLD, AG; KRAMER, AM; POWELL, MC & HITTLE, DF 1994: Measuring and assuring the quality of home health care. Health care financing review. 16:35-68.         [ Links ]

SIMPSON, B 2003: What do residents of informal settlements think social workers should do: voices from Bhambayi. Social Work/Maatskaplike Werk. 39(2'):149-160.         [ Links ]

SOUTH AFRICA(REPUBLIC) 1997a: The White Paper for Social Welfare. Government Gazette. 386:101. SOLTII AFRICA (RKPUBLIC) 1997b: The White Paper for the transformation of the Health System of South Africa. Government Gazette. 832:104.         [ Links ]

SOUTH AFRICA (REPUBLIC). Department of Education 1997c: Education White Paper 3 - A programme for higher education transformation. Government Gazette. No 18207,15 August.         [ Links ]

SOUTH AFRICA (REPUBLIC). Department of Health 2007a: IV/AIDS and STI: strategic plan for South Africa, 2007-2011. Pretoria: Department of        [ Links ]

SOUTH AFRICA (REPUBLIC). Department of Social Development 2007b: Budget speech: Minister of Social Development, Zola Skweyiya, 28 March 2007. Pretoria: Department of Social Development.         [ Links ]

SPIES, M 2007: The bio psychosocial factors influencing HIV/AIDS patient adherence to antiretroviral therapy (ART): a social work study. Pretoria: University of Pretoria. (Thesis - DPhil.         [ Links ])

STATISTICS SOUTH AFRICA 2006: Stats in brief. Accessed 5 December 2007.         [ Links ]

STRYDOM, M 2008. Maatskaplike werkers by gesinsorganisasies se perspektief op gesinsinstandhoudingsdienste aan hoërisiko-gesinne. Stellenbosch: University of Stellenbosch. (Thesis - DPhil.         [ Links ])

SWANEPOEL, H & DE BEER, F2006. Community development: breaking the cycle of poverty. Lansdown: Juta.         [ Links ]

TALBOT, L 1995: Principles and practice of nursing research. St Louis, Miss.: Mosby.         [ Links ]

TLADI, LS 2006: Poverty and HIV/ AIDS in South Africa: an empirical contribution. Joumaklesj\sgectsSociaux uVIH/SIDA. 3(11):369-381.         [ Links ]

UYS, L & CAMERON, S 2004: Homebased HIV/AIDS care. Cape Town: Oxford University Press.         [ Links ]

WONDMIKU, Y; FELEKE, A & TAFETE, M 2005: Successful coupling of community attachment of health science students with relief work for drought victims. Education for health. 18(2): 179-193, July.         [ Links ]



Professor NG Mtshali
University of KwaZulu Natal
School of Nursing
Private Bag XI0
Durban 4010
South Africa
Tel: 27 312602499; Fax: 27 31260 1543

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License