A best practice guideline for evidence based teaching strategies for nurse educators
- Authors: Breytenbach, Cecile
- Date: 2015
- Subjects: Nursing -- Study and teaching -- Great Britain , Nurse educators , Evidence-based nursing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4831 , vital:20699
- Description: Evidence based practice (EBP) is a worldwide phenomena defined as the “conscientious explicit and judicious use of current best evidence in making decisions about the patient’s care”. The evidence based practice concept’s aim is to effectively guide health care professionals to build knowledge that will be supported by evidence. Evidence based practice must be supported by evidence based teaching. Nurse educators must be up to date with evidence based teaching as well as the latest evidence based teaching strategies, in order to teach the new millennial nursing students and for the new qualifications structure. Teaching the concept of evidence based practice by implementing evidence based teaching to nursing students will enable them to transform the future of healthcare by delivering high quality care practice. A paucity of evidence is available on evidence based teaching and teaching strategies in the South African context. Therefore the researcher used a systematic review methodology to explore and describe the best available evidence based teaching strategies and to develop a guideline on evidence based teaching strategies for nurse educators. The data bases searched included: MEDLINE, CINAHL, PubMed and Google Scholar. Manual searches were done and completed with the assistance of librarians. A total number of n=50 studies were identified as potentially relevant to the study. The number or articles included for critical appraisal were 20. On completion of the critical appraisal n=17 articles were identified for the review. The included studies for the review were n=7 Level 1, systematic reviews and n=10 Level 2, quasi-experimental studies. Three studies were excluded after critical appraisal from two reviewers, appraisal was done independently, and consensuses were reached between the two reviewers. The Joanna Briggs Institutes critical appraisal and data extraction instruments were used for the study. The descriptive data synthesis was done of the included studies as well as a comparison of teaching strategies to determine which one to better than the other one. Although n = 4 of the teaching strategies (concept mapping, internet-based learning, evidence based interactive strategy and cultural competence) significantly increased knowledge, the overall results found that a variety of teaching strategies to be implemented to increase the knowledge outcomes of the nursing students. The different teaching strategies found were: e-learning, concept mapping, internet-based learning, web-based learning, gaming, problem-based learning, and case studies, evidence based learning and cultural competence. However, more research is needed to investigate the best use of the different teaching strategies and compare the impact of a variety of teaching strategies on increasing knowledge of the nursing student.
- Full Text:
- Date Issued: 2015
- Authors: Breytenbach, Cecile
- Date: 2015
- Subjects: Nursing -- Study and teaching -- Great Britain , Nurse educators , Evidence-based nursing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4831 , vital:20699
- Description: Evidence based practice (EBP) is a worldwide phenomena defined as the “conscientious explicit and judicious use of current best evidence in making decisions about the patient’s care”. The evidence based practice concept’s aim is to effectively guide health care professionals to build knowledge that will be supported by evidence. Evidence based practice must be supported by evidence based teaching. Nurse educators must be up to date with evidence based teaching as well as the latest evidence based teaching strategies, in order to teach the new millennial nursing students and for the new qualifications structure. Teaching the concept of evidence based practice by implementing evidence based teaching to nursing students will enable them to transform the future of healthcare by delivering high quality care practice. A paucity of evidence is available on evidence based teaching and teaching strategies in the South African context. Therefore the researcher used a systematic review methodology to explore and describe the best available evidence based teaching strategies and to develop a guideline on evidence based teaching strategies for nurse educators. The data bases searched included: MEDLINE, CINAHL, PubMed and Google Scholar. Manual searches were done and completed with the assistance of librarians. A total number of n=50 studies were identified as potentially relevant to the study. The number or articles included for critical appraisal were 20. On completion of the critical appraisal n=17 articles were identified for the review. The included studies for the review were n=7 Level 1, systematic reviews and n=10 Level 2, quasi-experimental studies. Three studies were excluded after critical appraisal from two reviewers, appraisal was done independently, and consensuses were reached between the two reviewers. The Joanna Briggs Institutes critical appraisal and data extraction instruments were used for the study. The descriptive data synthesis was done of the included studies as well as a comparison of teaching strategies to determine which one to better than the other one. Although n = 4 of the teaching strategies (concept mapping, internet-based learning, evidence based interactive strategy and cultural competence) significantly increased knowledge, the overall results found that a variety of teaching strategies to be implemented to increase the knowledge outcomes of the nursing students. The different teaching strategies found were: e-learning, concept mapping, internet-based learning, web-based learning, gaming, problem-based learning, and case studies, evidence based learning and cultural competence. However, more research is needed to investigate the best use of the different teaching strategies and compare the impact of a variety of teaching strategies on increasing knowledge of the nursing student.
- Full Text:
- Date Issued: 2015
A child's journey through traumatic grief: a case study
- Authors: Goliath, Chantal Debra
- Date: 2015
- Subjects: Post-traumatic stress disorder in children -- South Africa , Victims of family violence -- South Africa , Grief in children -- South Africa , Violent crimes -- South Africa , Family violence -- South Africa , Ritual abuse -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9953 , http://hdl.handle.net/10948/d1018646
- Description: The death of a parent is one of the most serious stressors that can occur in a child’s life. The aim of this study was to describe an 11-year-old child’s journey through traumatic grief after the violent death of her mother. The conceptual framework utilised was Trauma-Focused Cognitive Behavioural Therapy (TF-CBT). The case study approach was applied as it provided a suitable research design in which to give an account of the subject in a therapeutic situation. A purposive sampling technique was utilised to select the research subject in the study. The following three principles of data collection were adhered to: a) using multiple sources of information, b) creating a case study database, and c) maintaining a chain of evidence. Irving Alexander’s content-analysis technique in conjunction with Guba’s model of trustworthiness was employed for data analysis. The finding that emerged from the study was the resilience shown by Linda in relation to her adaptive functioning following the trauma of witnessing the violent death of her mother. Conclusions and recommendations were made following the findings based on the information obtained during the therapy sessions.
- Full Text:
- Date Issued: 2015
- Authors: Goliath, Chantal Debra
- Date: 2015
- Subjects: Post-traumatic stress disorder in children -- South Africa , Victims of family violence -- South Africa , Grief in children -- South Africa , Violent crimes -- South Africa , Family violence -- South Africa , Ritual abuse -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9953 , http://hdl.handle.net/10948/d1018646
- Description: The death of a parent is one of the most serious stressors that can occur in a child’s life. The aim of this study was to describe an 11-year-old child’s journey through traumatic grief after the violent death of her mother. The conceptual framework utilised was Trauma-Focused Cognitive Behavioural Therapy (TF-CBT). The case study approach was applied as it provided a suitable research design in which to give an account of the subject in a therapeutic situation. A purposive sampling technique was utilised to select the research subject in the study. The following three principles of data collection were adhered to: a) using multiple sources of information, b) creating a case study database, and c) maintaining a chain of evidence. Irving Alexander’s content-analysis technique in conjunction with Guba’s model of trustworthiness was employed for data analysis. The finding that emerged from the study was the resilience shown by Linda in relation to her adaptive functioning following the trauma of witnessing the violent death of her mother. Conclusions and recommendations were made following the findings based on the information obtained during the therapy sessions.
- Full Text:
- Date Issued: 2015
A positive clinical psychology approach to developing resilience among state employed nurses
- Authors: Plumb, Sarah
- Date: 2015
- Subjects: Nurses -- Job stress , Nursing -- Psychological aspects , Resilience (Personality trait)
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9955 , http://hdl.handle.net/10948/d1018879
- Description: Nurses are confronted with numerous work-related stressors that can result in burnout. This can contribute to absenteeism and high turn-over rates in the nursing profession. A review of the literature indicated that psycho-educational interventions to increase resilience could be an effective way of addressing this problem. The study aimed to develop a positive clinical-psychology approach to increasing resilience in State employed nurses. The study used a mixed-method approach to determine the current psychological functioning of a sample of 87 nurses. Quantitative data on personality traits, character strengths and levels of resilience were obtained, using the NEO PI-R, VIA – IS, and Resilience Scale. Qualitative data on the coping responses of nurses were obtained through the thematic analysis of focus groups. These data were integrated to create a positive clinical psychology conceptualisation of resilience and to develop therapeutic guidelines for a group psycho-educational intervention. The results of the study indicated a struggling psychological profile. This was defined as the ability to deal with work-related stressors – but with the potential risk of developing symptoms of burnout. The moderate levels of resilience were attributed to elevated character strengths in the sample. The distribution of personality traits indicated that the nurses in the sample were at risk of developing burnout; and this prevented them from flourishing. These data were synthesised to create therapeutic guidelines for developing resilience aimed: (1) increasing emotional stability and invulnerability; (2) increasing agreeableness; and (3) increasing conscientiousness. These guidelines were based on the personality traits that were deemed to negatively impact the resilience of the nurses. These personality traits were correlated with several character strengths that displayed strong relationships with resilience. This indicated that resilience could be developed through the cultivation of the following character strengths: perspective; perseverance; fairness; forgiveness; leadership; love; zest; hope; curiosity; and appreciation of beauty and excellence. These character strengths were identified to facilitate the positive adaptation of the personality traits identified in the therapeutic guidelines. A group psycho-educational intervention was developed, using the positive clinical psychology conceptualisation of resilience. The literature was reviewed to identify techniques to cultivate the ten character strengths specified in the therapeutic guidelines. These techniques were adapted to create experiential learning processes for the intervention. This psycho-educational programme can be applied as a secondary and tertiary intervention. It can be used to increase resilience to prevent burnout among nurses. It can also be used to psychologically empower nurses that have existing symptoms of burnout.
- Full Text:
- Date Issued: 2015
- Authors: Plumb, Sarah
- Date: 2015
- Subjects: Nurses -- Job stress , Nursing -- Psychological aspects , Resilience (Personality trait)
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9955 , http://hdl.handle.net/10948/d1018879
- Description: Nurses are confronted with numerous work-related stressors that can result in burnout. This can contribute to absenteeism and high turn-over rates in the nursing profession. A review of the literature indicated that psycho-educational interventions to increase resilience could be an effective way of addressing this problem. The study aimed to develop a positive clinical-psychology approach to increasing resilience in State employed nurses. The study used a mixed-method approach to determine the current psychological functioning of a sample of 87 nurses. Quantitative data on personality traits, character strengths and levels of resilience were obtained, using the NEO PI-R, VIA – IS, and Resilience Scale. Qualitative data on the coping responses of nurses were obtained through the thematic analysis of focus groups. These data were integrated to create a positive clinical psychology conceptualisation of resilience and to develop therapeutic guidelines for a group psycho-educational intervention. The results of the study indicated a struggling psychological profile. This was defined as the ability to deal with work-related stressors – but with the potential risk of developing symptoms of burnout. The moderate levels of resilience were attributed to elevated character strengths in the sample. The distribution of personality traits indicated that the nurses in the sample were at risk of developing burnout; and this prevented them from flourishing. These data were synthesised to create therapeutic guidelines for developing resilience aimed: (1) increasing emotional stability and invulnerability; (2) increasing agreeableness; and (3) increasing conscientiousness. These guidelines were based on the personality traits that were deemed to negatively impact the resilience of the nurses. These personality traits were correlated with several character strengths that displayed strong relationships with resilience. This indicated that resilience could be developed through the cultivation of the following character strengths: perspective; perseverance; fairness; forgiveness; leadership; love; zest; hope; curiosity; and appreciation of beauty and excellence. These character strengths were identified to facilitate the positive adaptation of the personality traits identified in the therapeutic guidelines. A group psycho-educational intervention was developed, using the positive clinical psychology conceptualisation of resilience. The literature was reviewed to identify techniques to cultivate the ten character strengths specified in the therapeutic guidelines. These techniques were adapted to create experiential learning processes for the intervention. This psycho-educational programme can be applied as a secondary and tertiary intervention. It can be used to increase resilience to prevent burnout among nurses. It can also be used to psychologically empower nurses that have existing symptoms of burnout.
- Full Text:
- Date Issued: 2015
Antibiotic stewardship: the role of clinical pharmacist
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
Articulating the nature of clinical nurse specialist practice
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
Co-mapping the maze: a complex systems view of human trafficking in the Eastern Cape
- Authors: Van der Westhuizen, Amanda
- Date: 2015
- Subjects: Human trafficking -- South Africa -- Eastern Cape Forced labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/23305 , vital:30523
- Description: Researchers have described human trafficking as a complex, multi-layered crime. South Africa, including the Eastern Cape Province, is a source, transit, and destination country for trafficked people. However, a dearth of research on human trafficking exists in the province. Furthermore, traditional, modernist research using reductionist methods to investigate complex phenomena has proven unable to capture the complex interrelationships between the myriad of interrelated elements inherent in complex phenomena. In this qualitative study, I explore and describe the human trafficking system in the Eastern Cape via participants’ perspectives through a complex systems approach that consists of two complementary theories, namely Bronfenbrenner’s bioecological theory of human development and complexity theory. The participants, who were knowledgeable about human trafficking in the province, were obtained through purposive and snowball sampling. Data collection took place through open-ended interviews with individual participants. I analysed the data according to Miles and Huberman’s data analysis process and Braun and Clarke’s thematic data analysis process. The findings demonstrate that the complex systems approach successfully facilitated the mapping and conceptualisation of an in-depth, multi-level picture of the complex interrelationships within and between multiple system components in the human trafficking system and its environment in relation to the Eastern Cape Province. Participants’ perspectives revealed two main themes, namely, the prominence of the nonlinear interactions between traffickers and trafficked persons in the holistic human trafficking system and the major obstacle regarding the lack of witness credibility for human trafficking prosecutions to be successful. Utilising complex systems theory to conduct further human trafficking research could assist counter-trafficking stakeholders with an alternative approach to generating effective planning and executing counter human trafficking strategies in a rapidly changing and increasing complex interconnected world.
- Full Text:
- Date Issued: 2015
- Authors: Van der Westhuizen, Amanda
- Date: 2015
- Subjects: Human trafficking -- South Africa -- Eastern Cape Forced labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/23305 , vital:30523
- Description: Researchers have described human trafficking as a complex, multi-layered crime. South Africa, including the Eastern Cape Province, is a source, transit, and destination country for trafficked people. However, a dearth of research on human trafficking exists in the province. Furthermore, traditional, modernist research using reductionist methods to investigate complex phenomena has proven unable to capture the complex interrelationships between the myriad of interrelated elements inherent in complex phenomena. In this qualitative study, I explore and describe the human trafficking system in the Eastern Cape via participants’ perspectives through a complex systems approach that consists of two complementary theories, namely Bronfenbrenner’s bioecological theory of human development and complexity theory. The participants, who were knowledgeable about human trafficking in the province, were obtained through purposive and snowball sampling. Data collection took place through open-ended interviews with individual participants. I analysed the data according to Miles and Huberman’s data analysis process and Braun and Clarke’s thematic data analysis process. The findings demonstrate that the complex systems approach successfully facilitated the mapping and conceptualisation of an in-depth, multi-level picture of the complex interrelationships within and between multiple system components in the human trafficking system and its environment in relation to the Eastern Cape Province. Participants’ perspectives revealed two main themes, namely, the prominence of the nonlinear interactions between traffickers and trafficked persons in the holistic human trafficking system and the major obstacle regarding the lack of witness credibility for human trafficking prosecutions to be successful. Utilising complex systems theory to conduct further human trafficking research could assist counter-trafficking stakeholders with an alternative approach to generating effective planning and executing counter human trafficking strategies in a rapidly changing and increasing complex interconnected world.
- Full Text:
- Date Issued: 2015
Comparison between Endothelin, Nitric Oxide and their Association to Blood Pressure and Body Composition in HIV Patients, in Mthatha
- Authors: Zono, Sinethemba
- Date: 2015
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/2909 , vital:43105
- Description: Background: Dysfunction of the vascular endothelium is an early finding in the progression of cardiovascular disease and is closely related to clinical events in patients with obesity and hypertension. Vascular function is mediated by nitric oxide (NO) and endothelin (ET-1) which serve as natural counterparts. The aim of the study was to determine the physiological effects of HIV infection, blood pressure and body composition on the changes of ET-1 and NO and association between ET-1 and NO. Methods and results: This was a descriptive and comparative study. A Quota sample method was used. The study population consisted of 154 participants categorized into the following groups: 57 HIV negative participants (A), 40 HIV positive not on treatment participants and 57 HIV positive on treatment participants. Enzyme immunoassay kit was used for the quantitative determination of ET-1 and Nitrate/nitrite colorimetric assay kit was used for the determination of NO. Anthropometric measurements, body composition were determined. Hemodynamic measurements were also taken into account. Results: Resting metabolism, waist circumference (WC) and hip circumference had low mean levels in both HIV positives groups compared to HIV negative group. On lipid profiles visceral fat (VF), whole fat (WF) had low mean levels but skeletal muscle fat (SMF) showed the highest mean levels in both HIV positive groups. All the blood pressures between HIV groups were on a normal range scale. Mean values of endothelin and nitric oxide are increased in HIV positive not on ART and HIV (+) on ART compared with the HIV negative group. Conclusion: NO, ET-1, ART and HIV itself were associated with the pathogenesis of endothelial dysfunction in persons with HIV infection. Elevated endothelial markers namely ET-1 and NO can lead to improvement of endothelium dependent relaxation to some extent but not completely. Although these markers have deleterious effect on the endothelium but can also serve as up-regulator of hypertension. Key words: HIV-infection, antiretroviral therapy, endothelial dysfunction, Endothelin1 (ET-1), nitric oxide (NO), blood pressures (BPs). , Thesis (MSc) -- Faculty of Health Sciences, 2015
- Full Text:
- Date Issued: 2015
- Authors: Zono, Sinethemba
- Date: 2015
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/2909 , vital:43105
- Description: Background: Dysfunction of the vascular endothelium is an early finding in the progression of cardiovascular disease and is closely related to clinical events in patients with obesity and hypertension. Vascular function is mediated by nitric oxide (NO) and endothelin (ET-1) which serve as natural counterparts. The aim of the study was to determine the physiological effects of HIV infection, blood pressure and body composition on the changes of ET-1 and NO and association between ET-1 and NO. Methods and results: This was a descriptive and comparative study. A Quota sample method was used. The study population consisted of 154 participants categorized into the following groups: 57 HIV negative participants (A), 40 HIV positive not on treatment participants and 57 HIV positive on treatment participants. Enzyme immunoassay kit was used for the quantitative determination of ET-1 and Nitrate/nitrite colorimetric assay kit was used for the determination of NO. Anthropometric measurements, body composition were determined. Hemodynamic measurements were also taken into account. Results: Resting metabolism, waist circumference (WC) and hip circumference had low mean levels in both HIV positives groups compared to HIV negative group. On lipid profiles visceral fat (VF), whole fat (WF) had low mean levels but skeletal muscle fat (SMF) showed the highest mean levels in both HIV positive groups. All the blood pressures between HIV groups were on a normal range scale. Mean values of endothelin and nitric oxide are increased in HIV positive not on ART and HIV (+) on ART compared with the HIV negative group. Conclusion: NO, ET-1, ART and HIV itself were associated with the pathogenesis of endothelial dysfunction in persons with HIV infection. Elevated endothelial markers namely ET-1 and NO can lead to improvement of endothelium dependent relaxation to some extent but not completely. Although these markers have deleterious effect on the endothelium but can also serve as up-regulator of hypertension. Key words: HIV-infection, antiretroviral therapy, endothelial dysfunction, Endothelin1 (ET-1), nitric oxide (NO), blood pressures (BPs). , Thesis (MSc) -- Faculty of Health Sciences, 2015
- Full Text:
- Date Issued: 2015
Cyberbullying and adolescents' self-esteem
- Authors: Van Rensburg, Philip
- Date: 2015
- Subjects: Cyberbullying , Self-esteem in adolescence
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4343 , vital:20587
- Description: Cyberbullying can be defined as the wilful and repeated harm inflicted upon others through the medium of electronic text (Patchin, 2002). Typically, cyberbullying involves sending harassing or threatening e-mails and instant messages, posting derogatory comments of someone on a website, or physically threatening or intimidating someone online. The purpose of this study was to investigate the relationship between adolescents’ experience with cyberbullying and their level of self-esteem. There is a considerable amount of support, which has been accrued over the years, alluding to the fact that incidents involving bullying have damaging consequences upon adolescent development. One such correlation that has earned a considerable amount of interest is the consequence of bullying on selfesteem. Self-esteem can be defined as a favourable or unfavourable attitude toward the self. The current research study employed an exploratory, descriptive quantitative research design. Quantitative research focuses on using empirical data with findings based on certainty. Results are accumulated through formal measurements using prearranged instruments and analysed through the use of statistical measures. Research consisted of the completion of a biographical questionnaire which provided data on the demographics of the sample. The cyber bully/victim questionnaire provided information about the prevalence of cyberbullying behaviours among the participants. James Battle’s Culture-Free Self-Esteem Inventory was utilised to measure the construct of self-esteem. Participants were selected by means of non-probability sampling and comprised of a sample of grade seven learners enrolled at a primary school in George, Western Cape. Quantitativedata, obtained from the self-report questionnaires, were analysed through the use of descriptive statistics, ANOVA statistics and a Pearson R correlation coefficient. One key finding revealed that over fifty percent (51.40%) of the grade 7 participants had been involved in cyberbullying behaviours. No significant relationship was found to exist between cyberbullying and selfesteem in the grade 7 sample. Self-esteem scores did not vary significantly among the cyberbullies, cybervictims, cyberbully-victims and bystanders in the sample.
- Full Text:
- Date Issued: 2015
- Authors: Van Rensburg, Philip
- Date: 2015
- Subjects: Cyberbullying , Self-esteem in adolescence
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4343 , vital:20587
- Description: Cyberbullying can be defined as the wilful and repeated harm inflicted upon others through the medium of electronic text (Patchin, 2002). Typically, cyberbullying involves sending harassing or threatening e-mails and instant messages, posting derogatory comments of someone on a website, or physically threatening or intimidating someone online. The purpose of this study was to investigate the relationship between adolescents’ experience with cyberbullying and their level of self-esteem. There is a considerable amount of support, which has been accrued over the years, alluding to the fact that incidents involving bullying have damaging consequences upon adolescent development. One such correlation that has earned a considerable amount of interest is the consequence of bullying on selfesteem. Self-esteem can be defined as a favourable or unfavourable attitude toward the self. The current research study employed an exploratory, descriptive quantitative research design. Quantitative research focuses on using empirical data with findings based on certainty. Results are accumulated through formal measurements using prearranged instruments and analysed through the use of statistical measures. Research consisted of the completion of a biographical questionnaire which provided data on the demographics of the sample. The cyber bully/victim questionnaire provided information about the prevalence of cyberbullying behaviours among the participants. James Battle’s Culture-Free Self-Esteem Inventory was utilised to measure the construct of self-esteem. Participants were selected by means of non-probability sampling and comprised of a sample of grade seven learners enrolled at a primary school in George, Western Cape. Quantitativedata, obtained from the self-report questionnaires, were analysed through the use of descriptive statistics, ANOVA statistics and a Pearson R correlation coefficient. One key finding revealed that over fifty percent (51.40%) of the grade 7 participants had been involved in cyberbullying behaviours. No significant relationship was found to exist between cyberbullying and selfesteem in the grade 7 sample. Self-esteem scores did not vary significantly among the cyberbullies, cybervictims, cyberbully-victims and bystanders in the sample.
- Full Text:
- Date Issued: 2015
Developing the marital life course perspective as a conceptual framework for describing and understanding marital life events and marital transitions
- Authors: Rautenbach, John Victor
- Date: 2015
- Subjects: Marriage , Marital status , Married people
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/2991 , vital:20384
- Description: This research seeks to explore the development of the Marital Life Course Perspective as a conceptual framework for describing and understanding marital life events and marital transitions. The study’s orientation is guided by the Life Course Perspective (Glen Elder Jr.) as a theoretical framework and draws on Interpretative Phenomenological Analysis (Jonathan Smith) and Concept Analysis (Walker & Avant) as methodological approaches. One hundred and thirty (130) academic works that use the term marital life course in their texts constituted a literature-dataset for a Concept Analysis (Walker & Avant, 1988; 2011) that tracked the theoretical development of the Marital Life Course Perspective since 1980 (George, 1980, p. 80). The residents of retirement centres and old age homes in East London and Buffalo City (all older than 65 years of age) were invited to share a retrospective history of their relationship experiences, about their multiple marital life events and the marital transitions that shaped their marital life course. The 16 women who participated in the in-depth interviews had all been previously married more than once and were currently single due to divorce or the death of their husbands. This empirical data was analysed using Interpretative Phenomenological Analysis (IPA) as a guide (Smith, Flowers, & Larkin, 2009). After the analysis and synthesis of both datasets the following proposed operational definition of the Marital Life Course Perspective was constructed: The Marital Life Course Perspective is a conceptual framework for describing and understanding marital life events and marital transitions. As a subset of the Life Course Perspective, the Marital Life Course Perspective seeks to understand all stages of the marital experience within their wider social and cultural contexts, which are shaped by the historical dimension of a cohort’s specific time and geographic location. Marital life events include, but are not limited to, marital status changes. An individual may experience multiple marriage life events throughout their life, each with associated role transitions that vary according to their temporality and the individuals whose lives are linked to the marital experience. Well-being and transition outcomes across the marital life course may be promoted or impeded by an interplay of risk and protective factors, and agency-related capacity or resilience.
- Full Text:
- Date Issued: 2015
- Authors: Rautenbach, John Victor
- Date: 2015
- Subjects: Marriage , Marital status , Married people
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/2991 , vital:20384
- Description: This research seeks to explore the development of the Marital Life Course Perspective as a conceptual framework for describing and understanding marital life events and marital transitions. The study’s orientation is guided by the Life Course Perspective (Glen Elder Jr.) as a theoretical framework and draws on Interpretative Phenomenological Analysis (Jonathan Smith) and Concept Analysis (Walker & Avant) as methodological approaches. One hundred and thirty (130) academic works that use the term marital life course in their texts constituted a literature-dataset for a Concept Analysis (Walker & Avant, 1988; 2011) that tracked the theoretical development of the Marital Life Course Perspective since 1980 (George, 1980, p. 80). The residents of retirement centres and old age homes in East London and Buffalo City (all older than 65 years of age) were invited to share a retrospective history of their relationship experiences, about their multiple marital life events and the marital transitions that shaped their marital life course. The 16 women who participated in the in-depth interviews had all been previously married more than once and were currently single due to divorce or the death of their husbands. This empirical data was analysed using Interpretative Phenomenological Analysis (IPA) as a guide (Smith, Flowers, & Larkin, 2009). After the analysis and synthesis of both datasets the following proposed operational definition of the Marital Life Course Perspective was constructed: The Marital Life Course Perspective is a conceptual framework for describing and understanding marital life events and marital transitions. As a subset of the Life Course Perspective, the Marital Life Course Perspective seeks to understand all stages of the marital experience within their wider social and cultural contexts, which are shaped by the historical dimension of a cohort’s specific time and geographic location. Marital life events include, but are not limited to, marital status changes. An individual may experience multiple marriage life events throughout their life, each with associated role transitions that vary according to their temporality and the individuals whose lives are linked to the marital experience. Well-being and transition outcomes across the marital life course may be promoted or impeded by an interplay of risk and protective factors, and agency-related capacity or resilience.
- Full Text:
- Date Issued: 2015
Experiences of first year NMMU students from previously disadvantaged communities regarding academic resilience in high school education
- Hokonya, Nozipho Rungano Emma-Jean
- Authors: Hokonya, Nozipho Rungano Emma-Jean
- Date: 2015
- Subjects: Resilience (Personality trait) -- South Africa , Motivation in education , Academic achievement -- South Africa , College students -- South Africa -- Attitudes , Self-perception in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4067 , vital:20509
- Description: The current landscape of South Africa’s education system is one riddled with many challenges. Young people studying in this unfavourable climate have become disillusioned by the failing system and this has resulted in negative attitudes towards schooling. A shortage of teaching personnel and a lack of resources further exacerbate the situation. In recent years however, it has been found that a significant number of young people seem to have “beaten the odds”, in spite of these unfavourable conditions as they have seen themselves being granted entry into tertiary institutions. The dearth of information on academic resilience and the increased number of “educational success stories” led the researcher to embark on this qualitative study. The aim of this exploratory, descriptive and contextual research study was: to enhance understanding of the academic resilience and subsequent academic success at school, as experienced by first year NMMU students from disadvantaged communities, by exploring their constructions of academic resilience. Bronfenbrenner’s Ecological Systems Theory as well as Resilience Theory was used to examine the phenomenon of academic resilience. Purposive sampling techniques was utilised to draw participants within the NMMU’s School of Behavioural Sciences and data was collected by means of narrative accounts by participants. The two phases of narrative analysis were applied to analyse the data collected and Guba’s model for trustworthiness was used to verify the data. The findings of the study indicated that both intrinsic and extrinsic factors contribute to the fostering of resilience.
- Full Text:
- Date Issued: 2015
- Authors: Hokonya, Nozipho Rungano Emma-Jean
- Date: 2015
- Subjects: Resilience (Personality trait) -- South Africa , Motivation in education , Academic achievement -- South Africa , College students -- South Africa -- Attitudes , Self-perception in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4067 , vital:20509
- Description: The current landscape of South Africa’s education system is one riddled with many challenges. Young people studying in this unfavourable climate have become disillusioned by the failing system and this has resulted in negative attitudes towards schooling. A shortage of teaching personnel and a lack of resources further exacerbate the situation. In recent years however, it has been found that a significant number of young people seem to have “beaten the odds”, in spite of these unfavourable conditions as they have seen themselves being granted entry into tertiary institutions. The dearth of information on academic resilience and the increased number of “educational success stories” led the researcher to embark on this qualitative study. The aim of this exploratory, descriptive and contextual research study was: to enhance understanding of the academic resilience and subsequent academic success at school, as experienced by first year NMMU students from disadvantaged communities, by exploring their constructions of academic resilience. Bronfenbrenner’s Ecological Systems Theory as well as Resilience Theory was used to examine the phenomenon of academic resilience. Purposive sampling techniques was utilised to draw participants within the NMMU’s School of Behavioural Sciences and data was collected by means of narrative accounts by participants. The two phases of narrative analysis were applied to analyse the data collected and Guba’s model for trustworthiness was used to verify the data. The findings of the study indicated that both intrinsic and extrinsic factors contribute to the fostering of resilience.
- Full Text:
- Date Issued: 2015
Experiences of labouring women of unexpected neonatal resuscitation
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
Experiences of mothers relating to live premature birth and the premature infant at a private hospital in the Eastern Cape
- Martin, Samantha Rochelle, Rall, Nadine
- Authors: Martin, Samantha Rochelle , Rall, Nadine
- Date: 2015
- Subjects: Premature infants -- South Africa -- Eastern Cape Premature labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/11482 , vital:26931
- Description: Premature births, which are among the leading causes of neonatal mortality and morbidity in South Africa, often result not only in adverse effects on the infant due to the poorly developed organs and systems, but also affect the mother. Much literature exists about the causes of premature birth, clinical manifestations and management of premature infants; but healthcare practitioners, researchers and authors have not reported much on the mothers’ thoughts and feelings while going through the experience of premature labour and birth. This study deals with the experiences of mothers relating to live premature birth and the premature infant at a private hospital in the Nelson Mandela Metropolitan Municipality, an urban area within the Eastern Cape Province. The objectives of the study were to explore and describe the experiences of mothers relating to live premature birth and the premature infant at a private hospital in the Eastern Cape Province and to make recommendations based on the research findings which could be utilised by midwives when caring for mothers who had experienced a premature birth. This study, which is qualitative in nature, utilised an explorative, descriptive and contextual design. The population of the study was mothers between the ages of 18 and 38 years who had had a premature birth and were of a gestational age ranging from 28 to 34 weeks. Data collection took place at a private hospital in the Eastern Cape Province over a period of five months. A private room that was designated for the data collection and was not far from the unit where the neonate was kept, proved to be suitable for data-collection purposes. Semi-structured one-on-one interviews were conducted and recorded with an audio digital taperecorder, with a purposefully selected sample of 12 mothers including the pilot study. Data analysis followed formally after data saturation and the data collected was transcribed verbatim and analysed as recommended by Tesch, namely, data coding. An independent coder was used to verify and finalise the results. Two main themes with three sub-themes each and several categories emerged from the data analysis. The two main themes were that: 1. participants had experienced premature birth as an unexpected and traumatic occurrence; and 2. participants had experienced positive support as a coping mechanism throughout the premature birth. Direct quotations were used from the raw data collected to support the description of experiences and findings of this study. Trustworthiness of the study was maintained by using the criteria of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, non-maleficence and justice were used to ensure that the research was conducted in an ethical manner. A summary of the study including limitations, recommendations and conclusions was provided.
- Full Text:
- Date Issued: 2015
- Authors: Martin, Samantha Rochelle , Rall, Nadine
- Date: 2015
- Subjects: Premature infants -- South Africa -- Eastern Cape Premature labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/11482 , vital:26931
- Description: Premature births, which are among the leading causes of neonatal mortality and morbidity in South Africa, often result not only in adverse effects on the infant due to the poorly developed organs and systems, but also affect the mother. Much literature exists about the causes of premature birth, clinical manifestations and management of premature infants; but healthcare practitioners, researchers and authors have not reported much on the mothers’ thoughts and feelings while going through the experience of premature labour and birth. This study deals with the experiences of mothers relating to live premature birth and the premature infant at a private hospital in the Nelson Mandela Metropolitan Municipality, an urban area within the Eastern Cape Province. The objectives of the study were to explore and describe the experiences of mothers relating to live premature birth and the premature infant at a private hospital in the Eastern Cape Province and to make recommendations based on the research findings which could be utilised by midwives when caring for mothers who had experienced a premature birth. This study, which is qualitative in nature, utilised an explorative, descriptive and contextual design. The population of the study was mothers between the ages of 18 and 38 years who had had a premature birth and were of a gestational age ranging from 28 to 34 weeks. Data collection took place at a private hospital in the Eastern Cape Province over a period of five months. A private room that was designated for the data collection and was not far from the unit where the neonate was kept, proved to be suitable for data-collection purposes. Semi-structured one-on-one interviews were conducted and recorded with an audio digital taperecorder, with a purposefully selected sample of 12 mothers including the pilot study. Data analysis followed formally after data saturation and the data collected was transcribed verbatim and analysed as recommended by Tesch, namely, data coding. An independent coder was used to verify and finalise the results. Two main themes with three sub-themes each and several categories emerged from the data analysis. The two main themes were that: 1. participants had experienced premature birth as an unexpected and traumatic occurrence; and 2. participants had experienced positive support as a coping mechanism throughout the premature birth. Direct quotations were used from the raw data collected to support the description of experiences and findings of this study. Trustworthiness of the study was maintained by using the criteria of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, non-maleficence and justice were used to ensure that the research was conducted in an ethical manner. A summary of the study including limitations, recommendations and conclusions was provided.
- Full Text:
- Date Issued: 2015
Experiences of professional nurses regarding clinical placement exposure during their compulsory community service at state hospitals in Nelson Mandela Bay
- Authors: Mshweshwe, Nonkululeko Mica
- Date: 2015
- Subjects: Nurses -- In-service training -- South Africa -- Nelson Mandela Bay Municipality , Community health services -- South Africa -- Nelson Mandela Bay Municipality , Nursing -- Practice -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10069 , http://hdl.handle.net/10948/d1021074
- Description: The nursing student who has undergone the four year diploma or degree training as a nurse also has to undergo compulsory community service as a requirement before she/he can be registered as a qualified professional nurse. While it has been compulsory for other health professionals such as doctors, dieticians or dentists to place students in compulsory community service, it has only been compulsory for nursing students since 2008. This means that the practice is relatively new in nursing and it is not clear how the newly qualified professional nurse experiences compulsory community service (CCS). The overall goal of this study is to determine the experiences of professional nurses placed at the state hospitals in Nelson Mandela Bay regarding compulsory community service clinical placement exposure and to use these descriptions to develop guidelines. The study followed a qualitative, exploratory, descriptive, contextual design. Literature was reviewed in order to identify research that was done previously regarding compulsory community service amongst health care professionals. The research population included professional nurses who underwent compulsory community service in the three state hospitals in the Nelson Mandela Bay. Purposive sampling was utilised to identify the participants. Semi-structured interviews were conducted to collect information and field notes were kept. The interviews were transcribed and Tech’s (1990) in Creswell, 2009:186) eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely credibility, transferability, dependability and conformability (Lincoln & Guba, 1999, as cited in Schurink, Fouche & de Vos, 2011:419- 421). Three themes and sub themes were identified. Literature control was done to compare the findings with existing research results. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity. All the participants in the study felt that the clinical placement exposure was a worthwhile experience. The participants expressed a feeling of gratitude that they were afforded this opportunity of practicing under the guidance of experienced professional nurses. To them it was an opportunity to master whatever they were taught as student nurses so that by the time they practice as independent practitioners they would be confident and knowledgeable. The CCS nurses indicated that orientation and mentorship were not always of good quality and professional nurses were not always available as in some units professional nurses were not readily accessible. The CCS nurses were left alone and isolated with no one to consult. If proper orientation and mentorship had been in place the CCS nurses would have enjoyed the community service year more and they felt that they would have benefited more. Had there been a mentoring system in place it could have gone a long way to ascertain that the participants gained confidence and were able to perform tasks independently and confidently. The participants overwhelmingly indicated that unit management should have been included in their CCS year placement. During the CCS year the CCS nurses were not exposed to unit management. This was seen by CCS nurses as a missed opportunity. Had they been afforded the opportunity to practice unit management under the supervision of unit nursing managers, professional growth and development in unit management could have been facilitated. That they were not afforded that opportunity deprived them of a valuable skill as well as personal and professional growth. In conclusion guidelines for placement of CCS nurses in the Nelson Mandela State hospitals have been formulated for implementation. Recommendations were made to enhance nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2015
- Authors: Mshweshwe, Nonkululeko Mica
- Date: 2015
- Subjects: Nurses -- In-service training -- South Africa -- Nelson Mandela Bay Municipality , Community health services -- South Africa -- Nelson Mandela Bay Municipality , Nursing -- Practice -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10069 , http://hdl.handle.net/10948/d1021074
- Description: The nursing student who has undergone the four year diploma or degree training as a nurse also has to undergo compulsory community service as a requirement before she/he can be registered as a qualified professional nurse. While it has been compulsory for other health professionals such as doctors, dieticians or dentists to place students in compulsory community service, it has only been compulsory for nursing students since 2008. This means that the practice is relatively new in nursing and it is not clear how the newly qualified professional nurse experiences compulsory community service (CCS). The overall goal of this study is to determine the experiences of professional nurses placed at the state hospitals in Nelson Mandela Bay regarding compulsory community service clinical placement exposure and to use these descriptions to develop guidelines. The study followed a qualitative, exploratory, descriptive, contextual design. Literature was reviewed in order to identify research that was done previously regarding compulsory community service amongst health care professionals. The research population included professional nurses who underwent compulsory community service in the three state hospitals in the Nelson Mandela Bay. Purposive sampling was utilised to identify the participants. Semi-structured interviews were conducted to collect information and field notes were kept. The interviews were transcribed and Tech’s (1990) in Creswell, 2009:186) eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely credibility, transferability, dependability and conformability (Lincoln & Guba, 1999, as cited in Schurink, Fouche & de Vos, 2011:419- 421). Three themes and sub themes were identified. Literature control was done to compare the findings with existing research results. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity. All the participants in the study felt that the clinical placement exposure was a worthwhile experience. The participants expressed a feeling of gratitude that they were afforded this opportunity of practicing under the guidance of experienced professional nurses. To them it was an opportunity to master whatever they were taught as student nurses so that by the time they practice as independent practitioners they would be confident and knowledgeable. The CCS nurses indicated that orientation and mentorship were not always of good quality and professional nurses were not always available as in some units professional nurses were not readily accessible. The CCS nurses were left alone and isolated with no one to consult. If proper orientation and mentorship had been in place the CCS nurses would have enjoyed the community service year more and they felt that they would have benefited more. Had there been a mentoring system in place it could have gone a long way to ascertain that the participants gained confidence and were able to perform tasks independently and confidently. The participants overwhelmingly indicated that unit management should have been included in their CCS year placement. During the CCS year the CCS nurses were not exposed to unit management. This was seen by CCS nurses as a missed opportunity. Had they been afforded the opportunity to practice unit management under the supervision of unit nursing managers, professional growth and development in unit management could have been facilitated. That they were not afforded that opportunity deprived them of a valuable skill as well as personal and professional growth. In conclusion guidelines for placement of CCS nurses in the Nelson Mandela State hospitals have been formulated for implementation. Recommendations were made to enhance nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2015
Exploring the communication skills of community pharmacists in the Nelson Mandela Metropole
- Authors: Knoesen, Brent Claud
- Date: 2015
- Subjects: Communication in pharmacy , Pharmacist and patient
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/7981 , vital:24333
- Description: Pharmacy is an information-driven profession that requires effective face-to-face pharmacist-client communication. With the addition of corporate community pharmacies to traditional independent community pharmacies in South Africa (SA), new challenges may hamper pharmacist-client interactions. This study aimed to identify, adapt and improve the communication skills pharmacists require for a changing community pharmacy environment. Specific objectives were to identify basic communication skills, to evaluate the use of these skills by community pharmacists in the Nelson Mandela Metropole (NMM), to identify communication barriers, and to identify any differences in pharmacist-client communication in the two community pharmacy sectors. A mixed methods research design was implemented. The empirical activities consisted of three client focus groups (17 citizens from the NMM), a client survey (220 clients visiting seven independent and seven corporate community pharmacies in the NMM), a pseudo-client study (the same 14 community pharmacies in NMM), and a Delphi study. Twenty-one pharmacists from the 14 community pharmacies participated in Phase one of the Delphi study; nine academic pharmacists from five pharmacy departments/schools/faculties in SA participated in Phase two. Various qualitative and quantitative techniques were used to analyse and interpret the results. Results indicated that clients consult on many occasions with community pharmacists. Community and academic pharmacists listed listening and nonverbal skills as most important communication skills to ensure effective pharmacist-client communication. Counselling privacy and language barriers were listed as major problems influencing the interaction. The results obtained allowed the researcher to propose a practical communication model to assist future community pharmacists in communication skills training
- Full Text:
- Date Issued: 2015
- Authors: Knoesen, Brent Claud
- Date: 2015
- Subjects: Communication in pharmacy , Pharmacist and patient
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/7981 , vital:24333
- Description: Pharmacy is an information-driven profession that requires effective face-to-face pharmacist-client communication. With the addition of corporate community pharmacies to traditional independent community pharmacies in South Africa (SA), new challenges may hamper pharmacist-client interactions. This study aimed to identify, adapt and improve the communication skills pharmacists require for a changing community pharmacy environment. Specific objectives were to identify basic communication skills, to evaluate the use of these skills by community pharmacists in the Nelson Mandela Metropole (NMM), to identify communication barriers, and to identify any differences in pharmacist-client communication in the two community pharmacy sectors. A mixed methods research design was implemented. The empirical activities consisted of three client focus groups (17 citizens from the NMM), a client survey (220 clients visiting seven independent and seven corporate community pharmacies in the NMM), a pseudo-client study (the same 14 community pharmacies in NMM), and a Delphi study. Twenty-one pharmacists from the 14 community pharmacies participated in Phase one of the Delphi study; nine academic pharmacists from five pharmacy departments/schools/faculties in SA participated in Phase two. Various qualitative and quantitative techniques were used to analyse and interpret the results. Results indicated that clients consult on many occasions with community pharmacists. Community and academic pharmacists listed listening and nonverbal skills as most important communication skills to ensure effective pharmacist-client communication. Counselling privacy and language barriers were listed as major problems influencing the interaction. The results obtained allowed the researcher to propose a practical communication model to assist future community pharmacists in communication skills training
- Full Text:
- Date Issued: 2015
Exploring the lived experiences of South African maladaptive gamblers
- Authors: Tennant, Charnel
- Date: 2015
- Subjects: Gambling -- South Africa -- Psychological aspects , Gambling -- Social aspects -- South Africa , Gambling industry -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/5021 , vital:20792
- Description: For many individuals, gambling is regarded as a recreational activity, a socially encompassed pastime. For the individuals who partook in the present study, gambling is an Achilles heel at which the individuals were hopelessly at the mercy of. Initially a ‘fun’ activity, gambling emerged as an activity that provided both an aspect of enjoyment and escapism. Later, as the behaviour increased, interpersonal and intrapersonal consequences emerged; which eventually led participants to take action and break free from the activity once experienced as recreational and now as a “monster”. The aim of the study was to explore the lived experience of six South African individuals who met the criteria for a gambling disorder. Both a phenomenological approach and ecological perspective were used to elicit the essence of this particular phenomenon as experienced by the participants. Purposive sampling procedures were implemented. Data was collected through the use of a biographical questionnaire and individual, open ended conversations with six gamblers. The data was processed and analysed according to qualitative data processing and analysis procedures. Due to the gap in qualitative research in this particular area, specifically in the South African context, this research study has the potential to create a better understanding of the lived experience of gambling addiction through the shared experiences of participants.
- Full Text:
- Date Issued: 2015
- Authors: Tennant, Charnel
- Date: 2015
- Subjects: Gambling -- South Africa -- Psychological aspects , Gambling -- Social aspects -- South Africa , Gambling industry -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/5021 , vital:20792
- Description: For many individuals, gambling is regarded as a recreational activity, a socially encompassed pastime. For the individuals who partook in the present study, gambling is an Achilles heel at which the individuals were hopelessly at the mercy of. Initially a ‘fun’ activity, gambling emerged as an activity that provided both an aspect of enjoyment and escapism. Later, as the behaviour increased, interpersonal and intrapersonal consequences emerged; which eventually led participants to take action and break free from the activity once experienced as recreational and now as a “monster”. The aim of the study was to explore the lived experience of six South African individuals who met the criteria for a gambling disorder. Both a phenomenological approach and ecological perspective were used to elicit the essence of this particular phenomenon as experienced by the participants. Purposive sampling procedures were implemented. Data was collected through the use of a biographical questionnaire and individual, open ended conversations with six gamblers. The data was processed and analysed according to qualitative data processing and analysis procedures. Due to the gap in qualitative research in this particular area, specifically in the South African context, this research study has the potential to create a better understanding of the lived experience of gambling addiction through the shared experiences of participants.
- Full Text:
- Date Issued: 2015
Factors enhancing readmission of mental health care users to a mental health unit in East London as described by their caregivers
- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
- Full Text:
- Date Issued: 2015
- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
- Full Text:
- Date Issued: 2015
Formulation and process optimisation of ethionamide 250 MGtablets using quality by design principles
- Authors: Isaacs, Nasreen
- Date: 2015
- Subjects: Pharmaceutical chemistry , Drugs -- Design , Pharmaceutical technology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/3979 , vital:20497
- Description: The traditional approach of Quality by Testing (QbT) limits the assurance of product quality to in-process and post-production testing. To overcome these limitations, a more proactive and systematic means to product development and optimisation is required. Quality by Design (QbD) is an example of such an approach which focuses on understanding the product and its manufacturing process and emphasises that quality should be built into the product and not merely tested. The study aims to optimise ethionamide tablets, an immediate release oral solid dosage form using QbD.
- Full Text:
- Date Issued: 2015
Formulation and process optimisation of ethionamide 250 MGtablets using quality by design principles
- Authors: Isaacs, Nasreen
- Date: 2015
- Subjects: Pharmaceutical chemistry , Drugs -- Design , Pharmaceutical technology
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/3979 , vital:20497
- Description: The traditional approach of Quality by Testing (QbT) limits the assurance of product quality to in-process and post-production testing. To overcome these limitations, a more proactive and systematic means to product development and optimisation is required. Quality by Design (QbD) is an example of such an approach which focuses on understanding the product and its manufacturing process and emphasises that quality should be built into the product and not merely tested. The study aims to optimise ethionamide tablets, an immediate release oral solid dosage form using QbD.
- Full Text:
- Date Issued: 2015
Guidelines for psychiatric nurses to assist in the care of female patients with bipolar disorder during their admission and stay in a tertiary level psychiatric facility in the Eastern Cape, South Africa
- Authors: Du Plessis, Anneki
- Date: 2015
- Subjects: Psychiatric nurses -- South Africa -- Eastern Cape , Manic-depressive persons -- South Africa -- Eastern Cape , Psychiatric hospitals -- Admission and discharge -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10072 , http://hdl.handle.net/10948/d1021160
- Description: Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative approach, with a phenomenological research strategy. An explorative, descriptive and contextual design was utilized to gain more insight into female patients’ lived experiences during their admission and stay in a tertiary level psychiatric institution. The research population was female patients who were diagnosed with bipolar disorder and who had recently experienced being admitted to and treated at a tertiary level psychiatric facility where they were treated for this condition. Purposive sampling was utilised to obtain the sample for the study. A pilot study was conducted before the study commenced to ensure the trustworthiness of the findings. The researcher obtained the data via semi-structured interviews as well as field notes and reflective journals. Data was analysed by using Tesch’s method as adopted by Creswell. Once the data had been analysed, a literature control was done in accordance with the findings. Guba’s model of trustworthiness was utilized to ensure that this study was trustworthy and credible. The researcher implemented ethical principles to ensure that no harm was done to the participants during the research study. Finally, guidelines were developed to assist professional nurses to manage patients optimally during their admission and stay in a closed unit of a tertiary psychiatric facility.
- Full Text:
- Date Issued: 2015
- Authors: Du Plessis, Anneki
- Date: 2015
- Subjects: Psychiatric nurses -- South Africa -- Eastern Cape , Manic-depressive persons -- South Africa -- Eastern Cape , Psychiatric hospitals -- Admission and discharge -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10072 , http://hdl.handle.net/10948/d1021160
- Description: Bipolar disorder is the sixth leading cause of disability in the world among people aged 15-44. Bipolar disorder is a chronic psychiatric disorder with a significant impact on patients’ social, occupational, and general functioning well-being. Patients who are diagnosed with bipolar type 1 disorder are usually admitted to a psychiatric hospital as an involuntary patient which means that they will be cared for in a closed unit. In a critical analysis of the literature it was noted that not much is known of the experiences of patients in psychiatric wards. The researcher used a qualitative approach, with a phenomenological research strategy. An explorative, descriptive and contextual design was utilized to gain more insight into female patients’ lived experiences during their admission and stay in a tertiary level psychiatric institution. The research population was female patients who were diagnosed with bipolar disorder and who had recently experienced being admitted to and treated at a tertiary level psychiatric facility where they were treated for this condition. Purposive sampling was utilised to obtain the sample for the study. A pilot study was conducted before the study commenced to ensure the trustworthiness of the findings. The researcher obtained the data via semi-structured interviews as well as field notes and reflective journals. Data was analysed by using Tesch’s method as adopted by Creswell. Once the data had been analysed, a literature control was done in accordance with the findings. Guba’s model of trustworthiness was utilized to ensure that this study was trustworthy and credible. The researcher implemented ethical principles to ensure that no harm was done to the participants during the research study. Finally, guidelines were developed to assist professional nurses to manage patients optimally during their admission and stay in a closed unit of a tertiary psychiatric facility.
- Full Text:
- Date Issued: 2015
Guidelines for the responsible use of social media by nursing students
- Authors: Nyangeni, Thandolwakhe
- Date: 2015
- Subjects: Nursing students , Social media
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10065 , http://hdl.handle.net/10948/d1020658
- Description: Social media use is becoming a popular activity among students at Nursing Education Institutions in South Africa, with Facebook, WhatsApp, YouTube, Twitter, LinkedIn, Instagram, Blackberry Messaging, Mxit and Google Plus being some of the social networking sites adopted for various reasons by nursing students. However, lack of accountability and unethical use of social media by nursing students in South Africa has been reported. Owing to the lack of accountability and unethical misconduct associated with the use of social media, guidelines for responsible usage are needed. A qualitative, descriptive, explorative and contextual research study was conducted to explore and describe the perceptions of nursing students regarding the responsible use of social media. Nursing students registered for the undergraduate nursing degree at a Nursing Education Institution in the Eastern Cape, South Africa were interviewed using a semi-structured individual interview method in order to elicit rich descriptions of their perceptions regarding the use of social media. The goal of the study was to develop guidelines for the responsible use of social media by nursing students. In phase one, the researcher explores and describes the perceptions of nursing students regarding the use of social media. In phase two, guidelines for the responsible use of social media by nursing students were developed, using the findings of the study. Tesch’s method of thematic synthesis was utilised to analyse the data. To ensure rigour and trustworthiness in the study, the researcher used Guba and Lincoln’s criteria, namely: credibility, dependability, confirmability, and transferability. To protect the rights and dignity of the participants and to safeguard the integrity of this study, the researcher complied with the following ethical principles: beneficence and non-maleficence, autonomy, justice, privacy, and confidentiality. Twelve in-depth, semi-structured interviews provided saturated data, which was then transcribed and coded to yield the major and sub-themes that were identified in this study. The information shared by the participants provided the basis for the development of guidelines for the responsible use of social media by nursing students, which are intended to provide guidance for legally and ethically acceptable social networking. Three themes that emerged from the data were: Nursing student’s lives are centred around social media, Nursing students experience blurred personal and professional boundaries and lack of accountability, and Students expressed a need for the guidelines for the responsible use of social media. Six principle guidelines focusing on accountable and ethically acceptable use of social media were developed. The study concludes with the recommendations regarding nursing practice, nursing education and nursing research. The limitations of the study were that data was collected from students in the undergraduate nursing degree programme and therefore the experiences of the nursing students in the postgraduate degree and diploma programmes regarding the use of social media are not known. The researcher depended solely on the story as told by the participants and did not get the opportunity to observe their social networking conduct, so the researcher made inferences based on the information that was supplied by students. The paucity of research in this topic made it a challenge for the researcher to find context-specific research articles for South Africa. Recommendations from this study could be used to influence further research aimed at establishing the effectiveness of the guidelines. The findings of this research study could also be used to influence policy making at national and provincial levels of government regarding the use of social media at healthcare facilities.
- Full Text:
- Date Issued: 2015
- Authors: Nyangeni, Thandolwakhe
- Date: 2015
- Subjects: Nursing students , Social media
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10065 , http://hdl.handle.net/10948/d1020658
- Description: Social media use is becoming a popular activity among students at Nursing Education Institutions in South Africa, with Facebook, WhatsApp, YouTube, Twitter, LinkedIn, Instagram, Blackberry Messaging, Mxit and Google Plus being some of the social networking sites adopted for various reasons by nursing students. However, lack of accountability and unethical use of social media by nursing students in South Africa has been reported. Owing to the lack of accountability and unethical misconduct associated with the use of social media, guidelines for responsible usage are needed. A qualitative, descriptive, explorative and contextual research study was conducted to explore and describe the perceptions of nursing students regarding the responsible use of social media. Nursing students registered for the undergraduate nursing degree at a Nursing Education Institution in the Eastern Cape, South Africa were interviewed using a semi-structured individual interview method in order to elicit rich descriptions of their perceptions regarding the use of social media. The goal of the study was to develop guidelines for the responsible use of social media by nursing students. In phase one, the researcher explores and describes the perceptions of nursing students regarding the use of social media. In phase two, guidelines for the responsible use of social media by nursing students were developed, using the findings of the study. Tesch’s method of thematic synthesis was utilised to analyse the data. To ensure rigour and trustworthiness in the study, the researcher used Guba and Lincoln’s criteria, namely: credibility, dependability, confirmability, and transferability. To protect the rights and dignity of the participants and to safeguard the integrity of this study, the researcher complied with the following ethical principles: beneficence and non-maleficence, autonomy, justice, privacy, and confidentiality. Twelve in-depth, semi-structured interviews provided saturated data, which was then transcribed and coded to yield the major and sub-themes that were identified in this study. The information shared by the participants provided the basis for the development of guidelines for the responsible use of social media by nursing students, which are intended to provide guidance for legally and ethically acceptable social networking. Three themes that emerged from the data were: Nursing student’s lives are centred around social media, Nursing students experience blurred personal and professional boundaries and lack of accountability, and Students expressed a need for the guidelines for the responsible use of social media. Six principle guidelines focusing on accountable and ethically acceptable use of social media were developed. The study concludes with the recommendations regarding nursing practice, nursing education and nursing research. The limitations of the study were that data was collected from students in the undergraduate nursing degree programme and therefore the experiences of the nursing students in the postgraduate degree and diploma programmes regarding the use of social media are not known. The researcher depended solely on the story as told by the participants and did not get the opportunity to observe their social networking conduct, so the researcher made inferences based on the information that was supplied by students. The paucity of research in this topic made it a challenge for the researcher to find context-specific research articles for South Africa. Recommendations from this study could be used to influence further research aimed at establishing the effectiveness of the guidelines. The findings of this research study could also be used to influence policy making at national and provincial levels of government regarding the use of social media at healthcare facilities.
- Full Text:
- Date Issued: 2015
Histopathology induced by a medicinal plant indigenous to South Africa that has shown in vitro anti-microbial activity against drug resistant strains of Mycobacterium tuberculosis
- Authors: Shauli, Mathulo Mathabiso
- Date: 2015
- Subjects: Mycobacterial diseases , Tuberculosis -- Treatment -- South Africa , Medicinal plants -- Microbiology , Traditional medicine
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/3990 , vital:20498
- Description: Tuberculosis (TB) still remains a health problem globally with over a million new infections and a mortality rate of 1.5 million individuals annually (Hawn et al., 2014). The emerging multi-drug resistant (MDR) strains that accompany human immune deficiency virus (HIV) infection in high-incidence populations contribute significantly to the health burden of TB (Areeshi et al., 2014). The standard treatment that is advocated by the World Health Organization (WHO) for active tuberculosis includes long-term therapy that incorporates the use of isoniazid, rifampicin, pyrazinimide and ethambutol as front line drugs (WHO, 2013). Drug resistance against established treatment options for TB makes research into new forms of therapy an imperative in health care (Ntulela et al., 2009). South Africa is currently witnessing a high number of cases of drug-resistant TB. In some parts of the country, one in ten cases of TB is resistant to treatment. It is therefore essential to have new anti-tuberculosis agents, which can be readily and simply produced from some local source (Warner et al., 2014). A logical starting point for this research of new agents would be the herbal medicines which have been used for centuries in rural areas by local healers. Western developed countries have harvested ethno botanical knowledge and have produced drug therapies for conventional medicines for other ailments. The activity of extracts of the active plants and their properties still require study in animal models in order to assess their future as new anti-tuberculosis agents (Lall and Meyer, 1999). This study focuses on qualitative and quantitative experimental findings after the administration of a medicinal plant extract to animals. This will include daily observation of animals, recording of feed consumption, recording of animal weights, macroscopic examination of animals at necropsy, tissue harvesting, histological procedures and microscopy.
- Full Text:
- Date Issued: 2015
- Authors: Shauli, Mathulo Mathabiso
- Date: 2015
- Subjects: Mycobacterial diseases , Tuberculosis -- Treatment -- South Africa , Medicinal plants -- Microbiology , Traditional medicine
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/3990 , vital:20498
- Description: Tuberculosis (TB) still remains a health problem globally with over a million new infections and a mortality rate of 1.5 million individuals annually (Hawn et al., 2014). The emerging multi-drug resistant (MDR) strains that accompany human immune deficiency virus (HIV) infection in high-incidence populations contribute significantly to the health burden of TB (Areeshi et al., 2014). The standard treatment that is advocated by the World Health Organization (WHO) for active tuberculosis includes long-term therapy that incorporates the use of isoniazid, rifampicin, pyrazinimide and ethambutol as front line drugs (WHO, 2013). Drug resistance against established treatment options for TB makes research into new forms of therapy an imperative in health care (Ntulela et al., 2009). South Africa is currently witnessing a high number of cases of drug-resistant TB. In some parts of the country, one in ten cases of TB is resistant to treatment. It is therefore essential to have new anti-tuberculosis agents, which can be readily and simply produced from some local source (Warner et al., 2014). A logical starting point for this research of new agents would be the herbal medicines which have been used for centuries in rural areas by local healers. Western developed countries have harvested ethno botanical knowledge and have produced drug therapies for conventional medicines for other ailments. The activity of extracts of the active plants and their properties still require study in animal models in order to assess their future as new anti-tuberculosis agents (Lall and Meyer, 1999). This study focuses on qualitative and quantitative experimental findings after the administration of a medicinal plant extract to animals. This will include daily observation of animals, recording of feed consumption, recording of animal weights, macroscopic examination of animals at necropsy, tissue harvesting, histological procedures and microscopy.
- Full Text:
- Date Issued: 2015