Mangena Mack Phega, Mulaudzi Fhumulani Mavis, Peu Mmapheko Doriccah
University of Pretoria, Pretoria, South Africa.
Contemp Nurse. 2010;37(1):69-81. doi: 10.5172/conu.2011.37.1.069.
The circumcision of males is a ritual that is performed in the veld, out of the public eye. Traditionally, it has to be attended by circumcised men only; no one is allowed to see the initiates before they are officially released or discharged. In recent times, initiates have been admitted to hospitals following complications during the circumcision process. In the hospitals, they are cared for by nurses. Hospitalisation of initiates creates problems for the elders who accompany the initiates as well as the nurses who are expected to care for them. The purpose of the study was to explore and describe the experiences of nurses who care for initiates who have been admitted into hospital with medical and physical complications. A qualitative approach was adopted for this study, and the data was collected by means of unstructured interviews. A purposively selected sample of nurses of different categories from a rural hospital in the Nkangala district in Mpumalanga Province, South Africa, participated in the study. The data was analysed, and five major categories were developed. The major categories were: conflicting cultural practices, emotions, common complications, ethical issues and possible solutions. Based on the findings of the study, it is recommended that traditional circumcision should be regulated to avoid complications that lead to the admission of initiates into hospitals. Also, a collaborative partnership should be established between the health institutions and the traditional surgeons and healers in caring for initiates.
男性割礼是一种在草原上秘密进行的仪式。传统上，只有接受过割礼的男性才能参加；在新入会者正式解禁或出院之前，任何人都不允许见到他们。近年来，新入会者在割礼过程中出现并发症后被送往医院。在医院里，他们由护士照料。新入会者住院给陪同他们的长辈以及负责照料他们的护士都带来了问题。这项研究的目的是探索和描述那些照料因医疗和身体并发症而入院的新入会者的护士的经历。本研究采用定性研究方法，通过非结构化访谈收集数据。从南非姆普马兰加省恩康加拉区一家乡村医院中有意选取了不同类别的护士样本参与研究。对数据进行分析后，归纳出了五个主要类别。主要类别包括：相互冲突的文化习俗、情感、常见并发症、伦理问题和可能的解决办法。基于该研究的结果，建议对传统割礼进行规范，以避免导致新入会者入院的并发症。此外，在照料新入会者方面，卫生机构与传统外科医生和治疗师之间应建立合作关系。
