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10 October 2018 | Story UFS
UFS School of Nursing gets funding for mental health project
Ronelle Jansen received research funding to provide adolescents with improved access to mental health services and care.
Ronelle Jansen from the School of Nursing at the University of the Free State (UFS) received research funding as part of a multistakeholder capacity-building project to provide adolescents with improved access to mental health services and care in PHC (primary healthcare) settings. 

The research aims to develop and implement a mobile mental health (mHealth) application screening tool for primary healthcare workers (PHCW) to identify adolescent mental health problems and provide mental healthcare training. 

Under pressure 

Jansen (UFS team leader) says mental health screening is sometimes lacking at the clinic level, because the clinics are so busy. “PHCW are under huge pressure due to the number of people they have to see every day, and due to severe staff shortages.

“There is, amongst others, a huge amount of paperwork that needs to be completed for each patient. The nurses only get about 10 minutes to see each patient and mental health screening is seen as time consuming.”

Early identification 

Jansen says the mHealth tool will focus on adolescents and they hope that the mobile application will help nurses with early identification of mental health problems. The clinic staff will then be able to treat and refer the patient correctly. 

She says they hope an accessible and user-friendly mobile tool will also help to motivate PHCW to more regularly screen for mental health problems.

This research is a three-year project co-funded by the Erasmus + programme of the European Union. Nine universities will collaborate on the project. Other partner institutions include the Turku University of Applied Science in Finland (project coordinator); Hamburg University of Applied Sciences in Germany; Riga Technical University in Latvia; the universities of Stellenbosch; Cape Town; Pretoria; the University of Zambia and the Lusaka Apex Medical University.

Jansen says the benefit of the research may be that PHCW will be better empowered to screen for mental health problems, with the aim to improve adolescent mental healthcare and train competent PHCW.

News Archive

Medical team performs first hybrid procedure in the Free State
2014-12-08

The days when a heart operation meant hours in an operating theatre, with weeks and even months of convalescing, will soon be something of the past.

A team of cardiologists from the University of the Free State’s (UFS) Faculty of Health Sciences once again made medical history when they performed the first hybrid procedure in the Free State.

The Department of Paediatric Cardiology, in conjunction with the Department of Cardiothoracic Surgery, performed this very successful procedure on a 45-year-old woman from Kuruman.

During the procedure of 30 minutes, the patient’s thorax was opened up through a mini thoracotomy to operate on the beating heart.

“The patient received an artificial valve in 2011. Due to infection, a giant aneurism developed from the left ventricle, next to the aorta. Surgery would pose a very high risk to the patient. Furthermore, her health was such that it would contribute to problems during open-heart surgery,” explains Prof Stephen Brown, Head of the UFS’s Department of Paediatric Cardiology.

“After the heart was opened up through a mini thoracotomy, the paediatric cardiologists performed a direct puncture with a needle to the left ventricle cavity. A Special sheath was then placed in the left ventricle to bypass the catheters. Aided by highly advanced three-dimensional echocardiography and dihedral X-ray guidance, the opening to the aneurism, located directly below the artificial aorta valve, was identified and the aneurism cannulated.”
 
During the operation, a special coil, called a Nester Retractor, was used for the first time on a patient in South Africa to obtain stasis of extravasation and ensure the stability of devices in the aneurism.

“This is highly advanced and specialist work, as we had to make sure that the aneurism doesn’t rupture during manipulation and the devices had to be positioned in such a way that it doesn’t cause obstruction in valve function or the coronary artery. The surgical team was ready all the time to switch the patient to the heart-lung machine should something go wrong, but the procedure was very successful and the patient was discharged after a few days.”

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