Introduction: This article draws on selected palliative care providers' views and experiences to reflect on the potential benefits and possible challenges of involving traditional healers in palliative care in rural areas of South Africa. There is increasing consensus that palliative care should be offered by a range of professional and non-professional healthcare givers. Including non-professionals such as traditional healers in a palliative care team may strengthen care provisioning as they have intimate knowledge of patients' local culture and spiritual beliefs. Methods: Employing the qualitative method of photo-elicitation, one-on-one discussions about the photographs taken by participants were conducted. The participants -4 palliative care nurses and 17 home-based care workers -were purposively selected to provide in-depth information about their experiences as palliative caregivers in rural homes. Results: Healthcare workers' experiences revealed that the patients they cared for valued traditional rituals connected to illness, dying, death and bereavement. Participants suggested that traditional healers should be included in palliative care training programs as they could offer appropriate psychological, cultural and spiritual care. A challenge identified by participants was the potential of traditional healers to foster a false sense of longevity in patients facing death. Discussion: The importance of recognising the value of traditional practices in palliative care should not be underrated in rural South Africa. Traditional healers could enhance palliative care services as they have deep, insider knowledge of patients' spiritual needs and awareness of cultural practices relating to illness, death, dying and bereavement. Incorporating traditional healers into healthcare services where there are differences in the worldviews of healthcare providers and patients, and a sensitivity to mediate cultural differences between caregivers and patients, could have the benefit of providing appropriate care in rural spaces.
This article offers a retrospective analysis of mathematics teachers’ experiences as learners in school to examine their foregrounds. Based on Skovsmose’s notion, foregrounds are perceptions of possibilities, impossibilities, hope and despair made by an individual whose life chances are compromised by socio-political adversities and economic deprivation. Since foregrounds are imagined it is not possible to be certain about how the future is realised without engaging in a longitudinal study spanning decades. One way to attempt to do so is through memory work, that is, by excavating the memories of persons who are already living in their foreground. Three mathematics teachers were recruited through snowball sampling to share their memories of teachers of mathematics, learning mathematics in schools and how they envisioned the future. The analysis revealed how exposure to mathematics teaching and learning when they were learners is implicated in shaping the foregrounds of teachers, and the ways in which teacher foregrounds are connected to personal and national development. The participants’ narratives confirmed that, although a foreground is shaped by prevailing conditions, a view to a viable future requires an optimism that goes beyond present situations.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.