On day two of her testimony‚ Hearing Judge Dikgang Moseneke suggested Manamela didn't care about people when she signed licences for ill-equipped‚ unskilled NGOs to look after profoundly mentally ill patients. He said: “Maybe you didn’t care‚ you signed whatever you signed‚ you forget it was about people who had blood and flesh.”
When asked during the hearing by Section 27 advocate Adila Hassim about her profession as a nurse‚ Manamela raised her voice and said‚ “I am here as the director [of the Gauteng mental health marathon project] not as a nurse.” She expressed frustration when reminded of what nursing stood for.
Here are some areas in her thesis where she speaks of nurses' duties to look after patients. The following quotes are literal - mistakes and all.
• “Patient participants felt that they were left alone to die. Nurses failed to realise the need for the patients’ mental well-being. They saw themselves as the bearers of the nursing procedures and nothing more."
• “Patients expected support from nurses. If the patients are supported their anxiety‚ hopelessness and depression would be reduced.”
• “Psychiatric nursing considers the mental health as the cornerstone of its practice. The practice requires that in every encounter with the patient the aim should be to promote mental health.”
• “Nurses violated patients’ dignity by scolding and insulting them. The violation of a person’s dignity may have an impact on their self-image‚ have such significant‚ pervasive‚ long lasting effects that may represent a pathogenic force that destroys individuallity and also the collective well-being as effectivelly as a virus or bacteria”.