Employee Assistance Program (EAP) as a context for social work practice placement
- Authors: Cummings, Nicki
- Date: 2017
- Subjects: Social service -- Fieldwork -- South Africa Social work education -- South Africa , Employee assistance programs -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15314 , vital:28218
- Description: The Bachelor of Social Work degree is a four year course consisting of classroom and field practicum training. In 2013, the Automotive Information and Development Centre (AIDC) and Nelson Mandela Metropolitan University agreed upon placing fourth year social work students within the Employee Assistance Programs affiliated with the AIDC. The research goal of this study is to enhance an understanding of Employee Assistance Programs (EAP) as a context for practicum training for (4th) fourth year social work students by exploring and describing the perceptions and experiences of students, campus supervisors and EAP company representatives. In this respect, the study seeks to determine whether EAP provides the opportunity to meet the Exit Level Outcomes for the Bachelor of Social Work degree. This study is focussed on the practical application of social work knowledge and skills; it is framed within the principles of the Outcomes Based Educational Approach to Education. It was thus considered relevant to introduce a literature review on this particular approach with the focus on the achievement of outcomes. In order to understand whether EAP is an effective learning context the researcher needed to understand how students apply the experience and bridge the gap between theory and practice to gain meaning and understanding and, essentially, learn from the practicum training experience thus further enhancing the framework. The experiential learning cycle presented by Kolb (1984) extended the framework to provide an appropriate model for facilitating learning by linking practice to theory and knowledge. Kolb’s experiential learning cycle was thus explored. The study utilised an exploratory, descriptive, qualitative approach, which is contextual in nature. Non-probability, purposive sampling was utilised to select fourth year social work students, supervisors and company representatives who were involved with EAPs and fourth year social work students at their company. Data collection incorporated semi-structured interviews. Data analysis resulted in themes, sub-themes, categories and sub-categories emerging. Upon analysis of these themes, it was clear that with the appropriate support and creativity, students were able to meet the required Exit Level Outcomes of the Bachelor of Social Work degree. The study concludes that the overall the experience of fourth year social work students placed at EAP companies has been a positive one, with students meeting the Exit Level Outcomes for the Bachelor of Social Work degree. Although this was a positive experience, greater preparation is required and communication between the relevant parties needs to be improved.
- Full Text:
- Date Issued: 2017
- Authors: Cummings, Nicki
- Date: 2017
- Subjects: Social service -- Fieldwork -- South Africa Social work education -- South Africa , Employee assistance programs -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15314 , vital:28218
- Description: The Bachelor of Social Work degree is a four year course consisting of classroom and field practicum training. In 2013, the Automotive Information and Development Centre (AIDC) and Nelson Mandela Metropolitan University agreed upon placing fourth year social work students within the Employee Assistance Programs affiliated with the AIDC. The research goal of this study is to enhance an understanding of Employee Assistance Programs (EAP) as a context for practicum training for (4th) fourth year social work students by exploring and describing the perceptions and experiences of students, campus supervisors and EAP company representatives. In this respect, the study seeks to determine whether EAP provides the opportunity to meet the Exit Level Outcomes for the Bachelor of Social Work degree. This study is focussed on the practical application of social work knowledge and skills; it is framed within the principles of the Outcomes Based Educational Approach to Education. It was thus considered relevant to introduce a literature review on this particular approach with the focus on the achievement of outcomes. In order to understand whether EAP is an effective learning context the researcher needed to understand how students apply the experience and bridge the gap between theory and practice to gain meaning and understanding and, essentially, learn from the practicum training experience thus further enhancing the framework. The experiential learning cycle presented by Kolb (1984) extended the framework to provide an appropriate model for facilitating learning by linking practice to theory and knowledge. Kolb’s experiential learning cycle was thus explored. The study utilised an exploratory, descriptive, qualitative approach, which is contextual in nature. Non-probability, purposive sampling was utilised to select fourth year social work students, supervisors and company representatives who were involved with EAPs and fourth year social work students at their company. Data collection incorporated semi-structured interviews. Data analysis resulted in themes, sub-themes, categories and sub-categories emerging. Upon analysis of these themes, it was clear that with the appropriate support and creativity, students were able to meet the required Exit Level Outcomes of the Bachelor of Social Work degree. The study concludes that the overall the experience of fourth year social work students placed at EAP companies has been a positive one, with students meeting the Exit Level Outcomes for the Bachelor of Social Work degree. Although this was a positive experience, greater preparation is required and communication between the relevant parties needs to be improved.
- Full Text:
- Date Issued: 2017
Employee commitment towards safety measures implementation in the Public Health institutions
- Authors: Mbengo,Nomatshawe Josette
- Date: 2017
- Subjects: Health facilities--safety measures Employee health promotion-- Safety measures Hospitals--Employees-- Health and hygiene
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/44482 , vital:37845
- Description: Healthcare services are important to maintaining and improving the wellbeing of a country’s citizens. Nurses are part of medical professionals who ensure that the health and wellbeing of patients are maintained, improved and restored. In order to ensure that nurses provide quality services to patients, healthcare institutions are required to address the health and safety needs within their institutions. This implies that public health institutions are required to protect the health and wellbeing of nurses by implementing safety measures within the institutions. The commitment towards the implementation of safety measures in public health institutions is crucial in order to protect the health of nurses, patients and their families. Should public health institutions neglect the implementation of safety measures, and safety management, it will lead to exposure to risks and hazards, high nurse turnover, an increase in costs and a decrease in profitability. This study investigated employee commitment towards the implementation of safety measures in public healthcare institutions. Furthermore, this study investigated the influence of employee commitment towards the implementation of safety measures on employee retention and organisational performance. This study utilised questionnaires to gather primary data from a total number of 1400 nurses from public healthcare institutions located in the Eastern Cape and KwaZulu-Natal provinces. The primary data was subjected to five types of analysis, namely, reliability, exploratory factor analysis (EFA), descriptive statistics, multiple regression analysis and correlation analysis. The empirical results of this study reveal that there is a relationship between migration, role considerations, health environment, organisational support, work conditions (enabling environment and benefits) and employee commitment to the implementation of safety measures related to safety compliance.
- Full Text:
- Date Issued: 2017
- Authors: Mbengo,Nomatshawe Josette
- Date: 2017
- Subjects: Health facilities--safety measures Employee health promotion-- Safety measures Hospitals--Employees-- Health and hygiene
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/44482 , vital:37845
- Description: Healthcare services are important to maintaining and improving the wellbeing of a country’s citizens. Nurses are part of medical professionals who ensure that the health and wellbeing of patients are maintained, improved and restored. In order to ensure that nurses provide quality services to patients, healthcare institutions are required to address the health and safety needs within their institutions. This implies that public health institutions are required to protect the health and wellbeing of nurses by implementing safety measures within the institutions. The commitment towards the implementation of safety measures in public health institutions is crucial in order to protect the health of nurses, patients and their families. Should public health institutions neglect the implementation of safety measures, and safety management, it will lead to exposure to risks and hazards, high nurse turnover, an increase in costs and a decrease in profitability. This study investigated employee commitment towards the implementation of safety measures in public healthcare institutions. Furthermore, this study investigated the influence of employee commitment towards the implementation of safety measures on employee retention and organisational performance. This study utilised questionnaires to gather primary data from a total number of 1400 nurses from public healthcare institutions located in the Eastern Cape and KwaZulu-Natal provinces. The primary data was subjected to five types of analysis, namely, reliability, exploratory factor analysis (EFA), descriptive statistics, multiple regression analysis and correlation analysis. The empirical results of this study reveal that there is a relationship between migration, role considerations, health environment, organisational support, work conditions (enabling environment and benefits) and employee commitment to the implementation of safety measures related to safety compliance.
- Full Text:
- Date Issued: 2017
Employee engagement in small medium micro enterprise in the Buffalo City Municipality
- Authors: Mlakalaka, Bulelwa Ndileka
- Date: 2017
- Subjects: Employee empowerment -- South Africa -- Buffalo City Sustainable development -- South Africa -- Buffalo City
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/18959 , vital:28760
- Description: The purpose of the study was to identify the factors that affect the engagement of the employees in Small Medium and Micro Enterprises (SMMEs) in Buffalo City. The quantitative data gathering was conducted in the form of questionnaires accompanied by a covering letter and was distributed amongst the SMMEs in the Buffalo City Area. The companies selected were those that had been operational for longer than four years with an employee complement of more than five. Employee engagement is given different definitions by different authors. The Kenexa Work Trends Report, (2012 cited by Bhuvanaiah and Raya) explain employee engagement as the extent to which employees are motivated to contribute to organisational success and are willingly applying their efforts to accomplish the organisational goals (Bhuvanaiah and Raya 2014:65). Dubrin says that engagement is the employee’s commitment and willingness to stay in the company they work for and to deliver beyond what is expected of them (Dubrin 2013: 205). The variables identified in literature that affect employee engagement are: Nature of continuous learning, Revenue transparency, Employee value proposition, Job satisfaction, Leadership style, Equitable rewards, Supportive colleagues, Supportive working conditions, Compensation and job security and Policies and procedures. The study proved that different variables cannot be looked at in isolation by the SMMEs. This is because the study showed some form of dependency, which was weak, moderate or strong, that existed in these variables. The research proved a weak relationship exists between working conditions and leadership management. A moderate relationship existed between: Continuous learning and Leadership style, Leadership style and Revenue transparency, Working conditions and Continuous improvement, Job security and Leadership style, Leader and Management, Working conditions and Revenue transparency A strong relationship was seen to exist between Continuous learning and Revenue Transparency. A strong relationship also exists between Continuous learning and Management innovation and leadership and revenue transparency. The final recommendations provide the SMMEs in the Buffalo City Municipality with the opportunity to take their businesses from good to great.
- Full Text:
- Date Issued: 2017
- Authors: Mlakalaka, Bulelwa Ndileka
- Date: 2017
- Subjects: Employee empowerment -- South Africa -- Buffalo City Sustainable development -- South Africa -- Buffalo City
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/18959 , vital:28760
- Description: The purpose of the study was to identify the factors that affect the engagement of the employees in Small Medium and Micro Enterprises (SMMEs) in Buffalo City. The quantitative data gathering was conducted in the form of questionnaires accompanied by a covering letter and was distributed amongst the SMMEs in the Buffalo City Area. The companies selected were those that had been operational for longer than four years with an employee complement of more than five. Employee engagement is given different definitions by different authors. The Kenexa Work Trends Report, (2012 cited by Bhuvanaiah and Raya) explain employee engagement as the extent to which employees are motivated to contribute to organisational success and are willingly applying their efforts to accomplish the organisational goals (Bhuvanaiah and Raya 2014:65). Dubrin says that engagement is the employee’s commitment and willingness to stay in the company they work for and to deliver beyond what is expected of them (Dubrin 2013: 205). The variables identified in literature that affect employee engagement are: Nature of continuous learning, Revenue transparency, Employee value proposition, Job satisfaction, Leadership style, Equitable rewards, Supportive colleagues, Supportive working conditions, Compensation and job security and Policies and procedures. The study proved that different variables cannot be looked at in isolation by the SMMEs. This is because the study showed some form of dependency, which was weak, moderate or strong, that existed in these variables. The research proved a weak relationship exists between working conditions and leadership management. A moderate relationship existed between: Continuous learning and Leadership style, Leadership style and Revenue transparency, Working conditions and Continuous improvement, Job security and Leadership style, Leader and Management, Working conditions and Revenue transparency A strong relationship was seen to exist between Continuous learning and Revenue Transparency. A strong relationship also exists between Continuous learning and Management innovation and leadership and revenue transparency. The final recommendations provide the SMMEs in the Buffalo City Municipality with the opportunity to take their businesses from good to great.
- Full Text:
- Date Issued: 2017
Employee happiness at a financial institution
- Authors: McConnell, Daniel Matthys
- Date: 2017
- Subjects: Job satisfaction -- South Africa Happiness -- South Africa -- Employees , Positive psychology -- Employees Corporate culture -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/19026 , vital:28766
- Description: Happiness, or the concept of well-being can be traced back to the era of Aristotle (384 to 322 BC), Epicuruss (341 to 270 BC), John Locke (1632 to 1704) and more recently Ed Diener (DOB 1946), who played an integral part in the well-being revolution. People have very different ways in seeking happiness, whether it is closely associated to their personal life, the work environment or in society, they are constantly striving towards a goal of experiencing happiness at its purist form. Bursts of absolute joy and the purist form of immediate gratification cannot provide a path to finding happiness and well-being. The process is intricate and requires a variety of variables integrated into a combination of events and lifestyle experiences to culminate into an existence which produces a feeling of inner peace and fulfillment. Current research suggests that this is not an attainable state of existence, but human nature drives every individual to seek out a path to finding true happiness. The advent of the modern day economic crisis has changed the global environment to the extent where society is attempting to find a new norm to operate in. As a consequence, individuals are presented with new challenges which have forced them to re-evaluate their path to finding a balance in their lives. These changes have added new challenges to deal with and adapt to as new forces in the global environment start to shape a new tomorrow. People spend a large portion of their existence working to earn an income and to provide a means of supporting themselves and their dependents. The challenges they face are enhanced by the strains of working in stressful and pressurised working environments as their employers are also adapting to the changing global environment. Economic pressure is passed on to employees, as they are pushed to achieve the financial results demanded by shareholders. The last ten years has seen a wealth of research being conducted in the space of well-being and how it relates to business has gained popularity. The study of epidemiology refers to the study of components of human behaviour, which have a negative impact on individual functioning, like stress and anxiety disorders. Well-being in the workplace can counter these ailments and create a working environment absent of these negative afflictions which damage the productivity of a workforce. Employers who understand the positive aspects associated with well-being are in a position to effectively deploy their employees to produce improved financial results. The starting point for many organisations is to determine the current level of happiness in their businesses and to establish what variables are responsible for the current state of well-being. The main objective of the empirical study was to determine the level of happiness at a financial institution. The target population (354 potential respondents) is the regional office the financial institution based in Port Elizabeth, South Africa. Potential respondents received electronic requests by email, requesting their participation in the study. A total of 164 completed questionnaires were returned (46.33%) and analysed. Literature was reviewed to develop a conceptual model. Seven variables were identified as having an influence on employee happiness and have the potential to change employee well-being levels to aid organisations in their quest to adapt to the prevailing economic conditions and stress people have to deal with on a daily basis. The results from the study show that Work-life, Safety and Security, Growth and Development, Health, Recognition and Reward, Autonomy and Social Connectedness are all closely associate with employee well-being. Safety and security, Autonomy and Recognition and Reward have direct positive associations with the concept of well-being and have a significant relationship and potential to enhance well-being. The end result is that with the correct interventions by an employer, well-being can be measured and applied in the working environment. The correct combination of variables can have a positive impact in the work environment. A happy workforce can be an advantage to an organisation, their interventions can add great value to employees by increasing their commitment to the organisation and ultimately the business can benefit from their Interventions by seeing their efforts being realised in their financial results.
- Full Text:
- Date Issued: 2017
- Authors: McConnell, Daniel Matthys
- Date: 2017
- Subjects: Job satisfaction -- South Africa Happiness -- South Africa -- Employees , Positive psychology -- Employees Corporate culture -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/19026 , vital:28766
- Description: Happiness, or the concept of well-being can be traced back to the era of Aristotle (384 to 322 BC), Epicuruss (341 to 270 BC), John Locke (1632 to 1704) and more recently Ed Diener (DOB 1946), who played an integral part in the well-being revolution. People have very different ways in seeking happiness, whether it is closely associated to their personal life, the work environment or in society, they are constantly striving towards a goal of experiencing happiness at its purist form. Bursts of absolute joy and the purist form of immediate gratification cannot provide a path to finding happiness and well-being. The process is intricate and requires a variety of variables integrated into a combination of events and lifestyle experiences to culminate into an existence which produces a feeling of inner peace and fulfillment. Current research suggests that this is not an attainable state of existence, but human nature drives every individual to seek out a path to finding true happiness. The advent of the modern day economic crisis has changed the global environment to the extent where society is attempting to find a new norm to operate in. As a consequence, individuals are presented with new challenges which have forced them to re-evaluate their path to finding a balance in their lives. These changes have added new challenges to deal with and adapt to as new forces in the global environment start to shape a new tomorrow. People spend a large portion of their existence working to earn an income and to provide a means of supporting themselves and their dependents. The challenges they face are enhanced by the strains of working in stressful and pressurised working environments as their employers are also adapting to the changing global environment. Economic pressure is passed on to employees, as they are pushed to achieve the financial results demanded by shareholders. The last ten years has seen a wealth of research being conducted in the space of well-being and how it relates to business has gained popularity. The study of epidemiology refers to the study of components of human behaviour, which have a negative impact on individual functioning, like stress and anxiety disorders. Well-being in the workplace can counter these ailments and create a working environment absent of these negative afflictions which damage the productivity of a workforce. Employers who understand the positive aspects associated with well-being are in a position to effectively deploy their employees to produce improved financial results. The starting point for many organisations is to determine the current level of happiness in their businesses and to establish what variables are responsible for the current state of well-being. The main objective of the empirical study was to determine the level of happiness at a financial institution. The target population (354 potential respondents) is the regional office the financial institution based in Port Elizabeth, South Africa. Potential respondents received electronic requests by email, requesting their participation in the study. A total of 164 completed questionnaires were returned (46.33%) and analysed. Literature was reviewed to develop a conceptual model. Seven variables were identified as having an influence on employee happiness and have the potential to change employee well-being levels to aid organisations in their quest to adapt to the prevailing economic conditions and stress people have to deal with on a daily basis. The results from the study show that Work-life, Safety and Security, Growth and Development, Health, Recognition and Reward, Autonomy and Social Connectedness are all closely associate with employee well-being. Safety and security, Autonomy and Recognition and Reward have direct positive associations with the concept of well-being and have a significant relationship and potential to enhance well-being. The end result is that with the correct interventions by an employer, well-being can be measured and applied in the working environment. The correct combination of variables can have a positive impact in the work environment. A happy workforce can be an advantage to an organisation, their interventions can add great value to employees by increasing their commitment to the organisation and ultimately the business can benefit from their Interventions by seeing their efforts being realised in their financial results.
- Full Text:
- Date Issued: 2017
Establishing good cause subsequent to a deemed dismissal
- Authors: Rafapa, Malose Given
- Date: 2017
- Subjects: Employees -- Dismissal of -- Law and legislation -- South Africa Labor laws and legislation -- South Africa Civil service -- Dismissal of -- South Africa , Labor contract -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: http://hdl.handle.net/10948/11425 , vital:26922
- Description: The establishing of good cause subsequent to a deemed dismissal, as practiced currently only in the public sector, has been a controversial issue for the courts, labour law commentators and academics alike. It has been so because of a number of legislative deficiencies which caused the inconsistent application of the deeming provisions across the public service. Amongst others, the legislative deficiencies regarding establishing good cause are; the time-limit for establishing good cause, what happens when the employee returns, whether establishing of good cause should be entertained through written response or a hearing, the Termination of Employment Convention, 1982(No. 158) is silent on the deeming provisions, review of the employer’s discretion not to reinstate the absconding employee and the legal position regarding the traditional healer’s certificate. There will be an intensive investigation on the validity of the traditional healer’s certificate. Majority of South Africans rely on the THP for a number of illnesses. In some cases, they use the traditional healer’s certificate to establish good cause subsequent to a deemed dismissal. The traditional healer’s certificate is not yet valid given the pending legislative processes. This issue will be broadly explored in order to uncover the causes for the delay in finalising this crucial issue. Most of the absconding employees have a problem of alcoholism. There is a causal relationship between deemed dismissal and alcoholism. It is again the intention of this study to fully investigate this phenomenon and provide solutions for the employers faced with this challenge. Practical solutions will be proposed for each identified legislative deficiency and any related challenge to help employers to manage the deeming provisions in a very effective and efficient manner.
- Full Text:
- Date Issued: 2017
- Authors: Rafapa, Malose Given
- Date: 2017
- Subjects: Employees -- Dismissal of -- Law and legislation -- South Africa Labor laws and legislation -- South Africa Civil service -- Dismissal of -- South Africa , Labor contract -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: http://hdl.handle.net/10948/11425 , vital:26922
- Description: The establishing of good cause subsequent to a deemed dismissal, as practiced currently only in the public sector, has been a controversial issue for the courts, labour law commentators and academics alike. It has been so because of a number of legislative deficiencies which caused the inconsistent application of the deeming provisions across the public service. Amongst others, the legislative deficiencies regarding establishing good cause are; the time-limit for establishing good cause, what happens when the employee returns, whether establishing of good cause should be entertained through written response or a hearing, the Termination of Employment Convention, 1982(No. 158) is silent on the deeming provisions, review of the employer’s discretion not to reinstate the absconding employee and the legal position regarding the traditional healer’s certificate. There will be an intensive investigation on the validity of the traditional healer’s certificate. Majority of South Africans rely on the THP for a number of illnesses. In some cases, they use the traditional healer’s certificate to establish good cause subsequent to a deemed dismissal. The traditional healer’s certificate is not yet valid given the pending legislative processes. This issue will be broadly explored in order to uncover the causes for the delay in finalising this crucial issue. Most of the absconding employees have a problem of alcoholism. There is a causal relationship between deemed dismissal and alcoholism. It is again the intention of this study to fully investigate this phenomenon and provide solutions for the employers faced with this challenge. Practical solutions will be proposed for each identified legislative deficiency and any related challenge to help employers to manage the deeming provisions in a very effective and efficient manner.
- Full Text:
- Date Issued: 2017
Evaluating critical success factors for effective leadership of projects
- Authors: Notununu, Fezile
- Date: 2017
- Subjects: Project managers Leadership
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/20042 , vital:29069
- Description: Leadership skills in projects are viewed as the secondary need in projects for a competent project manager while technical core skills are viewed as the primary need. This argues that leadership and technical core skills should be treated the same as the primary need, furthermore the leadership skills should never be compromised when recruiting a project manager. Qualitative research was employed for this study. The researcher explored the ontology and epistemology as the research paradigms of the study. Data was collected through focus groups, unstructured interviews and through case study. The data collected was analysed by employing the content analysis and descriptive analysis. The quality of the data was the main focus for ensuring that correct information was obtained, and hence triangulation was employed. The recommendations provided will contribute to the efficient and successful execution of projects. The drive to ensure effective leadership projects can be achieved through employing the following: Development of accidental project managers; accreditation of project managers; project management training for project managers; recruitment of project managers, hard technical skills and soft skills for competent project managers. If these recommendations are properly implemented the organisation may realise savings on their projects, and will be able to complete their projects on time, within approved budgets and approved scope of work.
- Full Text:
- Date Issued: 2017
- Authors: Notununu, Fezile
- Date: 2017
- Subjects: Project managers Leadership
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/20042 , vital:29069
- Description: Leadership skills in projects are viewed as the secondary need in projects for a competent project manager while technical core skills are viewed as the primary need. This argues that leadership and technical core skills should be treated the same as the primary need, furthermore the leadership skills should never be compromised when recruiting a project manager. Qualitative research was employed for this study. The researcher explored the ontology and epistemology as the research paradigms of the study. Data was collected through focus groups, unstructured interviews and through case study. The data collected was analysed by employing the content analysis and descriptive analysis. The quality of the data was the main focus for ensuring that correct information was obtained, and hence triangulation was employed. The recommendations provided will contribute to the efficient and successful execution of projects. The drive to ensure effective leadership projects can be achieved through employing the following: Development of accidental project managers; accreditation of project managers; project management training for project managers; recruitment of project managers, hard technical skills and soft skills for competent project managers. If these recommendations are properly implemented the organisation may realise savings on their projects, and will be able to complete their projects on time, within approved budgets and approved scope of work.
- Full Text:
- Date Issued: 2017
Evaluating intrapreneurship levels at an Eastern Cape automotive manufacturing plant
- Authors: Barnard, Christiaan Beautry
- Date: 2017
- Subjects: Business incubators -- South Africa Entrepreneurship -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/14960 , vital:28023
- Description: The term automotive industry is an umbrella term for concerns and undertakings contributing to the manufacturing of motor vehicles. This includes components such as engines, electronics, harnesses, interiors and shells, but excludes consumables such as tires, batteries and fuel. The local automotive industry is one of South Africa’s most profitable industries, funding more than 7% of the country’s GDP and contributing towards almost 12% of South Africa's manufacturing exports. Many multinational automotive manufacturers have invested in South Africa. This has allowed them to be strategically placed with the intention to source components, assemble and produce vehicles locally for the South African and other world markets. Due to the current contributions and its potential to grow the South African economy, the South African administration has recognised the automotive industry as an important sector. The South African government introduced the Motor Industry Development Programme during 1994 and the Automotive Production and Development Programme since 2013 to further stimulate the market and investment and further aims to increase the local production of vehicles to 1.2 million units per year as part of its 2020 vision. When considering the global competition, from China and Eastern Europe, it is imperative for the South African manufacturers to pursue and implement innovative practices to ensure that they can be competitive in the global arena, to retain and attract more multinational manufacturers to invest in the country and to ensure the future of existing multinational manufacturing facilities. Many scholars agree that intrapreneurship, also known as corporate entrepreneurship, is an approach which has the ability to help organisations to be more innovative and can guarantee competitiveness. Intrapreneurship is a valid and important aspect of entrepreneurial research. The subject of intrapreneurship can be divided into several key areas: 1. The individual operating as an intrapreneur within an organisation, focusing on his or her traits and the acknowledgement and support received within the organisation; 2. The conceptualisation and implementation of innovative projects from inside the organisation, focusing on the different departments and business units within the organisation’s corporate structure; 3. The entrepreneurial organisation, focusing on the core characteristics of the organisation. This study explores the concept of intrapreneurship, by consulting existing literature and then measuring the levels of intrapreneurship at a German automotive manufacturing plant in the Eastern Cape. To ensure anonymity of the organisation in which the study is conducted, it will be referred to as Company X. Currently no studies focused on intrapreneurship have been conducted within Company X. Innovative practices are not demonstrated as much as desired at the local manufacturing plant of company X and the levels of intrapreneurship within the manufacturing plant are currently still unknown. With the automotive industry being such an important contributor to the South African economy, it might be beneficial to do a similar study pertaining to multiple companies within the industry and value chain. This can assist in creating a bigger awareness within the industry, so that the affected organisations can have a more intrapreneurial approach towards business. The study can furthermore be adapted to consider a more technical approach of production facilities within South Africa and the intrapreneurial approach and innovations implemented to insure productivity and future investments, locally and international, within the production sector of South Africa.
- Full Text:
- Date Issued: 2017
- Authors: Barnard, Christiaan Beautry
- Date: 2017
- Subjects: Business incubators -- South Africa Entrepreneurship -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/14960 , vital:28023
- Description: The term automotive industry is an umbrella term for concerns and undertakings contributing to the manufacturing of motor vehicles. This includes components such as engines, electronics, harnesses, interiors and shells, but excludes consumables such as tires, batteries and fuel. The local automotive industry is one of South Africa’s most profitable industries, funding more than 7% of the country’s GDP and contributing towards almost 12% of South Africa's manufacturing exports. Many multinational automotive manufacturers have invested in South Africa. This has allowed them to be strategically placed with the intention to source components, assemble and produce vehicles locally for the South African and other world markets. Due to the current contributions and its potential to grow the South African economy, the South African administration has recognised the automotive industry as an important sector. The South African government introduced the Motor Industry Development Programme during 1994 and the Automotive Production and Development Programme since 2013 to further stimulate the market and investment and further aims to increase the local production of vehicles to 1.2 million units per year as part of its 2020 vision. When considering the global competition, from China and Eastern Europe, it is imperative for the South African manufacturers to pursue and implement innovative practices to ensure that they can be competitive in the global arena, to retain and attract more multinational manufacturers to invest in the country and to ensure the future of existing multinational manufacturing facilities. Many scholars agree that intrapreneurship, also known as corporate entrepreneurship, is an approach which has the ability to help organisations to be more innovative and can guarantee competitiveness. Intrapreneurship is a valid and important aspect of entrepreneurial research. The subject of intrapreneurship can be divided into several key areas: 1. The individual operating as an intrapreneur within an organisation, focusing on his or her traits and the acknowledgement and support received within the organisation; 2. The conceptualisation and implementation of innovative projects from inside the organisation, focusing on the different departments and business units within the organisation’s corporate structure; 3. The entrepreneurial organisation, focusing on the core characteristics of the organisation. This study explores the concept of intrapreneurship, by consulting existing literature and then measuring the levels of intrapreneurship at a German automotive manufacturing plant in the Eastern Cape. To ensure anonymity of the organisation in which the study is conducted, it will be referred to as Company X. Currently no studies focused on intrapreneurship have been conducted within Company X. Innovative practices are not demonstrated as much as desired at the local manufacturing plant of company X and the levels of intrapreneurship within the manufacturing plant are currently still unknown. With the automotive industry being such an important contributor to the South African economy, it might be beneficial to do a similar study pertaining to multiple companies within the industry and value chain. This can assist in creating a bigger awareness within the industry, so that the affected organisations can have a more intrapreneurial approach towards business. The study can furthermore be adapted to consider a more technical approach of production facilities within South Africa and the intrapreneurial approach and innovations implemented to insure productivity and future investments, locally and international, within the production sector of South Africa.
- Full Text:
- Date Issued: 2017
Evaluating neuropsychiatric symptomology in HIV-positive patients on efavirenz in public-sector clinics and psychiatric hospitals
- Gaida, Razia, Grobler, Christoffel
- Authors: Gaida, Razia , Grobler, Christoffel
- Date: 2017
- Subjects: Drugs -- Side effects -- South Africa , HIV (Viruses) -- Enzymes , Antiretroviral agents -- South Africa , Anti-infective agents -- Side effects -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/29772 , vital:30776
- Description: Background: South Africa has the highest number of people living with human immunodeficiency virus (HIV) infection in the world. In 2014, an estimated 10.2% of the population was HIV-positive which amounted to 5.51 million people. Efavirenz forms part of the triple therapy backbone used in South Africa and is part of the firstline treatment for HIV. Efavirenz has been strongly associated with causing neuropsychiatric side effects in at least 50.0% of patients to whom it is prescribed. These side effects cause hesitation amongst healthcare professionals to prescribe this agent to patients with active mental illnesses. Aim: The aim of the study was to evaluate the neuropsychiatric side effects of efavirenz in HIV-positive psychiatric and non-psychiatric patients and to determine whether this drug may be recommended for use in an HIV-positive psychiatric patient population. Method: The study was divided into two parts, namely a quantitative portion and a qualitative portion. The quantitative study was a prospective drug utilisation study, while the qualitative portion consisted of semi-structured interviews carried out with healthcare professionals working with people living with HIV/AIDS (PLWHA). The study included five municipal clinics in the Nelson Mandela Metropole as well as two public-sector psychiatric facilities in the Eastern Cape where medical records were reviewed to obtain the information required. Patients were followed in both instances for a period of 24 weeks with follow-up assessments carried out at two, four, 12 and 24 week intervals. In terms of the qualitative study, nurses at the clinics and doctors at the hospitals were contacted and appointments for interviews were made. The interviews were recorded using a voice recorder and were transcribed and analysed using theoretical framework analysis. Results: The review of 126 medical records at the clinics revealed that no patient had suffered from or complained of a neuropsychiatric side effect. This may indicate that patients were not suffering from clinically significant side effects, side effects were not being adequately recorded by healthcare staff, or the healthcare staff were not questioning patients regarding side effects. A total of 26 hospitalised patients were followed for 24 weeks in the psychiatric facilities. Almost half of the patients using efavirenz experienced an improvement in symptoms to the extent that they were iii discharged from the facility. The majority of patients (66.7%) not on an efavirenzcontaining regimen did not improve to the point of discharge. Healthcare staff were vague when providing a definition of neuropsychiatric side effects. There were conflicting ideas on whether or not efavirenz should be used in patients with an active psychiatric illness. Conclusions: Further studies need to be performed in public-sector institutions to obtain a clearer picture of the side effects experienced by patients using efavirenz. Healthcare staff need to be encouraged to keep complete records to allow for meaningful analysis. The further integration of mental health services into existing HIV programmes is essential for holistic treatment. Patients in psychiatric hospitals demonstrated that even patients with psychiatric disorders on efavirenz can experience positive outcomes and stabilisation of psychiatric symptoms, which may indicate that these may not have due to efavirenz use. Further elucidation concerning the use of efavirenz in patients with psychiatric disorders, a description of the neuropsychiatric side effects, as well as management strategies must be provided in subsequent HIV guidelines.
- Full Text:
- Date Issued: 2017
- Authors: Gaida, Razia , Grobler, Christoffel
- Date: 2017
- Subjects: Drugs -- Side effects -- South Africa , HIV (Viruses) -- Enzymes , Antiretroviral agents -- South Africa , Anti-infective agents -- Side effects -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/29772 , vital:30776
- Description: Background: South Africa has the highest number of people living with human immunodeficiency virus (HIV) infection in the world. In 2014, an estimated 10.2% of the population was HIV-positive which amounted to 5.51 million people. Efavirenz forms part of the triple therapy backbone used in South Africa and is part of the firstline treatment for HIV. Efavirenz has been strongly associated with causing neuropsychiatric side effects in at least 50.0% of patients to whom it is prescribed. These side effects cause hesitation amongst healthcare professionals to prescribe this agent to patients with active mental illnesses. Aim: The aim of the study was to evaluate the neuropsychiatric side effects of efavirenz in HIV-positive psychiatric and non-psychiatric patients and to determine whether this drug may be recommended for use in an HIV-positive psychiatric patient population. Method: The study was divided into two parts, namely a quantitative portion and a qualitative portion. The quantitative study was a prospective drug utilisation study, while the qualitative portion consisted of semi-structured interviews carried out with healthcare professionals working with people living with HIV/AIDS (PLWHA). The study included five municipal clinics in the Nelson Mandela Metropole as well as two public-sector psychiatric facilities in the Eastern Cape where medical records were reviewed to obtain the information required. Patients were followed in both instances for a period of 24 weeks with follow-up assessments carried out at two, four, 12 and 24 week intervals. In terms of the qualitative study, nurses at the clinics and doctors at the hospitals were contacted and appointments for interviews were made. The interviews were recorded using a voice recorder and were transcribed and analysed using theoretical framework analysis. Results: The review of 126 medical records at the clinics revealed that no patient had suffered from or complained of a neuropsychiatric side effect. This may indicate that patients were not suffering from clinically significant side effects, side effects were not being adequately recorded by healthcare staff, or the healthcare staff were not questioning patients regarding side effects. A total of 26 hospitalised patients were followed for 24 weeks in the psychiatric facilities. Almost half of the patients using efavirenz experienced an improvement in symptoms to the extent that they were iii discharged from the facility. The majority of patients (66.7%) not on an efavirenzcontaining regimen did not improve to the point of discharge. Healthcare staff were vague when providing a definition of neuropsychiatric side effects. There were conflicting ideas on whether or not efavirenz should be used in patients with an active psychiatric illness. Conclusions: Further studies need to be performed in public-sector institutions to obtain a clearer picture of the side effects experienced by patients using efavirenz. Healthcare staff need to be encouraged to keep complete records to allow for meaningful analysis. The further integration of mental health services into existing HIV programmes is essential for holistic treatment. Patients in psychiatric hospitals demonstrated that even patients with psychiatric disorders on efavirenz can experience positive outcomes and stabilisation of psychiatric symptoms, which may indicate that these may not have due to efavirenz use. Further elucidation concerning the use of efavirenz in patients with psychiatric disorders, a description of the neuropsychiatric side effects, as well as management strategies must be provided in subsequent HIV guidelines.
- Full Text:
- Date Issued: 2017
Evaluating the automotive production development programme of the automotive component manufacturing industry: envisaged future interventions
- Authors: Fokker, Cornelis Dirk
- Date: 2017
- Subjects: Automobile industry and trade -- Developing countries , Sustainable development -- Developing countries , Production management -- Developing countries
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/15215 , vital:28179
- Description: The automotive component manufacturer's (ACM's) operations are not sustainable due to their competitiveness, only determined by price. for ACM's to be competitive, effective government incentives in the automotive industry need to be present. The study was undertaken to provide a blueprint for change required in government incentives.
- Full Text: false
- Date Issued: 2017
- Authors: Fokker, Cornelis Dirk
- Date: 2017
- Subjects: Automobile industry and trade -- Developing countries , Sustainable development -- Developing countries , Production management -- Developing countries
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/15215 , vital:28179
- Description: The automotive component manufacturer's (ACM's) operations are not sustainable due to their competitiveness, only determined by price. for ACM's to be competitive, effective government incentives in the automotive industry need to be present. The study was undertaken to provide a blueprint for change required in government incentives.
- Full Text: false
- Date Issued: 2017
Evaluating the effectiveness and efficiency of performance management and development system, Amathole District Municipality
- Authors: Dlelaphantsi, Vuyokazi
- Date: 2017
- Subjects: Performance -- Management Employees -- Rating of -- South Africa -- Amathole District Municipality , Organizational effectiveness -- South Africa -- Amathole District Municipality
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10948/15522 , vital:28266
- Description: The aim of this study was to evaluate the efficiency and effectiveness of the Performance Management System, since its inception and to date, with regards to the advancement of organisational goals and objectives through employee development, as well as resource allocation for service delivery to the residents of the Amathole District Municipality (ADM). The concept of performance management is key for achieving organisational goals and objectives, since it seeks to develop employees by identifying areas of strengths and weakness. The study is based on the assumption that although municipalities are different, and their approach to performance management particularly individual performance differs. This study therefore is based on the assumption that, levels of poor service delivery, and the consequent service delivery protests experienced in the ADM, can be ascribed to a poor linkage between annual performance planning and the assessment of municipal officials. Annual organisational performance, and individual performance planning and output, is not commensurate. Furthermore, a lack of correlation between these variables has led to the poor implementation of basic services and good governance, which has resulted in low levels of citizen satisfaction with the ADM. The empirical survey and research methodology used in the study is described and explained and followed by the data collection in a form of questionnaires. The research findings from the empirical survey are then analysed and reported accordingly. Recommendations are presented in the last chapter based on the empirical survey findings through the respondent’s inputs in the questionnaire. Recommendations are therefore also presented on how Amathole District Municipality can improve its business to achieve the objectives performance management. The key recommendation that came from the study is that ADM planning should be executed in collaboration with other government departments, government agencies, municipalities, private sector and NGOs, in order to maximize chances of achieving effective and efficient service delivery in communities.
- Full Text:
- Date Issued: 2017
- Authors: Dlelaphantsi, Vuyokazi
- Date: 2017
- Subjects: Performance -- Management Employees -- Rating of -- South Africa -- Amathole District Municipality , Organizational effectiveness -- South Africa -- Amathole District Municipality
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10948/15522 , vital:28266
- Description: The aim of this study was to evaluate the efficiency and effectiveness of the Performance Management System, since its inception and to date, with regards to the advancement of organisational goals and objectives through employee development, as well as resource allocation for service delivery to the residents of the Amathole District Municipality (ADM). The concept of performance management is key for achieving organisational goals and objectives, since it seeks to develop employees by identifying areas of strengths and weakness. The study is based on the assumption that although municipalities are different, and their approach to performance management particularly individual performance differs. This study therefore is based on the assumption that, levels of poor service delivery, and the consequent service delivery protests experienced in the ADM, can be ascribed to a poor linkage between annual performance planning and the assessment of municipal officials. Annual organisational performance, and individual performance planning and output, is not commensurate. Furthermore, a lack of correlation between these variables has led to the poor implementation of basic services and good governance, which has resulted in low levels of citizen satisfaction with the ADM. The empirical survey and research methodology used in the study is described and explained and followed by the data collection in a form of questionnaires. The research findings from the empirical survey are then analysed and reported accordingly. Recommendations are presented in the last chapter based on the empirical survey findings through the respondent’s inputs in the questionnaire. Recommendations are therefore also presented on how Amathole District Municipality can improve its business to achieve the objectives performance management. The key recommendation that came from the study is that ADM planning should be executed in collaboration with other government departments, government agencies, municipalities, private sector and NGOs, in order to maximize chances of achieving effective and efficient service delivery in communities.
- Full Text:
- Date Issued: 2017
Evaluating the importance of mangroves as fish nurseries in selected warm temperate South African estuaries
- Authors: Muller, Cuen
- Date: 2017
- Subjects: Mangrove ecology -- South Africa Mangrove fisheries -- South Africa , Estuarine ecology -- South Africa
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12080 , vital:27029
- Description: The value of mangrove habitats as fish nurseries was assessed by comparing communities of early stage and juvenile fishes between estuaries with and without mangroves. Early stage fishes were sampled using boat-based plankton towing while juveniles were sampled by seine netting. Sampling took place at five sites spaced 1 km apart starting near the estuary mouth in four estuaries along the temperate coastline of the Eastern Cape Province of South Africa. Four estuaries were selected based on shared similarities which included catchment area, estuarine area and shared habitats barring the presence of mangroves which occupied the river margins of two systems. Results revealed that early stage and juvenile fish communities (both marine- and estuary-spawned) were similar between systems with and without mangrove habitats. Differences in fish communities among estuaries were rather attributed to axial salinity gradients associated with greater freshwater input, while season and temperature produced significant variances in fish densities with Generalised Additive Models revealing responses of communities to these variables. A common estuarine-dependent fish, Rhabdosargus holubi (Family Sparidae), was further investigated to determine habitat use, residency and dietary patterns in different mangrove habitats. High habitat residency in this species was revealed during a short-term tagging study using Visible Implant Elastomer tags and long-term isotope analysis in juveniles sampled from two contrasting mangrove habitats. A wider feeding niche was observed in an eelgrass-red mangrove connected habitat when compared with more exposed white mangrove areas. Low dependence on mangrove habitats in temperate estuaries is likely due to their tidally dominated inundation and limited refuge potential due to smaller area coverage by mangroves in temperate estuaries. Relatively lower primary productivity in warm temperate mangrove areas, relative to their tropical counterparts, provides no significant feeding advantage or refuge opportunities relative to other available habitats in these estuaries. Warm temperate estuaries, which are both spatially and temporally highly variable, instead host species which are habitat generalists, able to capitalise on these highly dynamic environments.
- Full Text:
- Date Issued: 2017
- Authors: Muller, Cuen
- Date: 2017
- Subjects: Mangrove ecology -- South Africa Mangrove fisheries -- South Africa , Estuarine ecology -- South Africa
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12080 , vital:27029
- Description: The value of mangrove habitats as fish nurseries was assessed by comparing communities of early stage and juvenile fishes between estuaries with and without mangroves. Early stage fishes were sampled using boat-based plankton towing while juveniles were sampled by seine netting. Sampling took place at five sites spaced 1 km apart starting near the estuary mouth in four estuaries along the temperate coastline of the Eastern Cape Province of South Africa. Four estuaries were selected based on shared similarities which included catchment area, estuarine area and shared habitats barring the presence of mangroves which occupied the river margins of two systems. Results revealed that early stage and juvenile fish communities (both marine- and estuary-spawned) were similar between systems with and without mangrove habitats. Differences in fish communities among estuaries were rather attributed to axial salinity gradients associated with greater freshwater input, while season and temperature produced significant variances in fish densities with Generalised Additive Models revealing responses of communities to these variables. A common estuarine-dependent fish, Rhabdosargus holubi (Family Sparidae), was further investigated to determine habitat use, residency and dietary patterns in different mangrove habitats. High habitat residency in this species was revealed during a short-term tagging study using Visible Implant Elastomer tags and long-term isotope analysis in juveniles sampled from two contrasting mangrove habitats. A wider feeding niche was observed in an eelgrass-red mangrove connected habitat when compared with more exposed white mangrove areas. Low dependence on mangrove habitats in temperate estuaries is likely due to their tidally dominated inundation and limited refuge potential due to smaller area coverage by mangroves in temperate estuaries. Relatively lower primary productivity in warm temperate mangrove areas, relative to their tropical counterparts, provides no significant feeding advantage or refuge opportunities relative to other available habitats in these estuaries. Warm temperate estuaries, which are both spatially and temporally highly variable, instead host species which are habitat generalists, able to capitalise on these highly dynamic environments.
- Full Text:
- Date Issued: 2017
Evaluating the safety climate effects on employee safety behaviour in ESKOM distribution Eastern Cape operating unit
- Authors: Rondganger, Aron Dominique
- Date: 2017
- Subjects: Eskom (Firm) Industrial safety -- South Africa , Employee health promotion -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/47755 , vital:40368
- Description: Work-related injuries have a significant social and economic impact on organisations and countries. Safety climate has been found to be the leading indicator to predict employee safety behaviour in an effort to reduce incidents and injuries. The organisation selected has implemented a health and safety strategy that includes a safety management system that defines safety practices. There has been an improvement seen at an organisation level, however this improvement is not wide spread. The aim of this study is to understand the role of safety climate and its effect on safety behaviour within the Eastern Cape Operating Unit. The sample only consisted of employees from the organisation selected for this study. A stratified sampling method was chosen and three hundred (300) questionnaires were distributed to managers (10), supervisors (20) and field workers (270). A total of two hundred and seventy eight employees (92.7% response rate) participated in the study consisting of nine managers (90% response rate), seventeen supervisors (85% response rate) and two hundred and forty-nine field workers (92.2% response rate). The empirical results show that organisational-level safety climate has a significant influence on team-level safety climate. The overall safety climate within the organisation was not high and the safety climate perceptions of managers, supervisors and field workers were not related. Organisation-level and team-level safety climate was found to influence safety behaviour. The results also revealed that the compliance and participation safety behaviours reported by managers, supervisors and field workers are high. It was further discovered that the safety behaviours of these three groups are related. The implementation of the recommendations that were highlighted from these results would have a significant improvement in the organisation’s safety climate and this would lead to reduced unsafe acts and safety related incidents in the workplace.
- Full Text:
- Date Issued: 2017
- Authors: Rondganger, Aron Dominique
- Date: 2017
- Subjects: Eskom (Firm) Industrial safety -- South Africa , Employee health promotion -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/47755 , vital:40368
- Description: Work-related injuries have a significant social and economic impact on organisations and countries. Safety climate has been found to be the leading indicator to predict employee safety behaviour in an effort to reduce incidents and injuries. The organisation selected has implemented a health and safety strategy that includes a safety management system that defines safety practices. There has been an improvement seen at an organisation level, however this improvement is not wide spread. The aim of this study is to understand the role of safety climate and its effect on safety behaviour within the Eastern Cape Operating Unit. The sample only consisted of employees from the organisation selected for this study. A stratified sampling method was chosen and three hundred (300) questionnaires were distributed to managers (10), supervisors (20) and field workers (270). A total of two hundred and seventy eight employees (92.7% response rate) participated in the study consisting of nine managers (90% response rate), seventeen supervisors (85% response rate) and two hundred and forty-nine field workers (92.2% response rate). The empirical results show that organisational-level safety climate has a significant influence on team-level safety climate. The overall safety climate within the organisation was not high and the safety climate perceptions of managers, supervisors and field workers were not related. Organisation-level and team-level safety climate was found to influence safety behaviour. The results also revealed that the compliance and participation safety behaviours reported by managers, supervisors and field workers are high. It was further discovered that the safety behaviours of these three groups are related. The implementation of the recommendations that were highlighted from these results would have a significant improvement in the organisation’s safety climate and this would lead to reduced unsafe acts and safety related incidents in the workplace.
- Full Text:
- Date Issued: 2017
Evaluation of medicine safety reporting systems in South Africa
- Thornborrow-Geswind, Kirsten
- Authors: Thornborrow-Geswind, Kirsten
- Date: 2017
- Subjects: Drugs -- Side effects -- Research -- South Africa Pharmacoepidemiology -- Research -- South Africa , Medicine -- South Africa -- Safety measures Public health -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/21439 , vital:29517
- Description: Pharmacovigilance is “the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem”. To date, no comprehensive study has been performed to evaluate the pharmacovigilance system in the public health sector in South Africa. The primary aim of this study was to evaluate the current status of pharmacovigilance systems within the public healthcare sector in South Africa, and the level of functioning of these systems, in order to provide relevant recommendations, where necessary, for improvement, using the Indicator-based Pharmacogivilance Assessment Tool (IPAT). National and provincial entities were deemed compulsory (n=14), while facilities were selected via random, stratified sampling to obtain a representation at each facility level (n=101). The IPAT was amended for relevance at each level of data collection. Indicators are classified as core and supplementary and compliance with core indicators shows the level of functioning National entities obtained an IPAT score of 36 out of a maximum of 72, achieving 50% compliance. Province D and Province G obtained overall IPAT scores of 29 and 12 respectively out of a maximum of 40, achieving an overall 72.5% and 30% compliance respectively Results at provincial and facility levels were not fully representative due to a limited response rate of 22.2% and 65.3% respectively. Regional/tertiary facilities and district facilities displayed increased awareness and implementation of pharmacovigilance activity than the lower levels of Community Health Centres (CHCs) and Primary Health Centres (PHCs). South Africa”s public healthcare system possesses the infrastructure for a well functioning pharmacovigilance system. However there are gaps in level of functioning at a national, provincial and facility level. Addressing these gaps would show a marked improvement in the system and go a long way towards the contribution of medicine safety information not only locally, but to aid other developing nations.
- Full Text:
- Date Issued: 2017
- Authors: Thornborrow-Geswind, Kirsten
- Date: 2017
- Subjects: Drugs -- Side effects -- Research -- South Africa Pharmacoepidemiology -- Research -- South Africa , Medicine -- South Africa -- Safety measures Public health -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/21439 , vital:29517
- Description: Pharmacovigilance is “the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem”. To date, no comprehensive study has been performed to evaluate the pharmacovigilance system in the public health sector in South Africa. The primary aim of this study was to evaluate the current status of pharmacovigilance systems within the public healthcare sector in South Africa, and the level of functioning of these systems, in order to provide relevant recommendations, where necessary, for improvement, using the Indicator-based Pharmacogivilance Assessment Tool (IPAT). National and provincial entities were deemed compulsory (n=14), while facilities were selected via random, stratified sampling to obtain a representation at each facility level (n=101). The IPAT was amended for relevance at each level of data collection. Indicators are classified as core and supplementary and compliance with core indicators shows the level of functioning National entities obtained an IPAT score of 36 out of a maximum of 72, achieving 50% compliance. Province D and Province G obtained overall IPAT scores of 29 and 12 respectively out of a maximum of 40, achieving an overall 72.5% and 30% compliance respectively Results at provincial and facility levels were not fully representative due to a limited response rate of 22.2% and 65.3% respectively. Regional/tertiary facilities and district facilities displayed increased awareness and implementation of pharmacovigilance activity than the lower levels of Community Health Centres (CHCs) and Primary Health Centres (PHCs). South Africa”s public healthcare system possesses the infrastructure for a well functioning pharmacovigilance system. However there are gaps in level of functioning at a national, provincial and facility level. Addressing these gaps would show a marked improvement in the system and go a long way towards the contribution of medicine safety information not only locally, but to aid other developing nations.
- Full Text:
- Date Issued: 2017
Experiences of analogue-trained radiographers utilising digital imaging in projection radiography
- Authors: Campbell, Sydney
- Date: 2017
- Subjects: Radiography, Medical -- Digital techniques Angiography , Image processing -- Digital techniques Radiography
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/14796 , vital:27851
- Description: The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
- Full Text:
- Date Issued: 2017
- Authors: Campbell, Sydney
- Date: 2017
- Subjects: Radiography, Medical -- Digital techniques Angiography , Image processing -- Digital techniques Radiography
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/14796 , vital:27851
- Description: The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
- Full Text:
- Date Issued: 2017
Experiences of health care professionals at Mdantsane sub-district primary health care clinics regarding the unavailability of medicines
- Authors: Mpengesi, Luvokazi
- Date: 2017
- Subjects: Physician and patient -- South Africa -- East London Primary care (Medicine) -- South Africa -- East London , Communication in medicine
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/19619 , vital:28907
- Description: Medicine unavailability, also known as stock-outs is a global problem. South Africa is not exempt from this problem which impacts negatively on the way in which healthcare services are rendered, more especially in the public sector. Communities are complaining about the unavailability of medicines at public health facilities particularly in primary health care clinics. In an effort to address this problem, the Minister of Health has declared medicine availability as one of the six priorities of the Department of Health. The aim of this study was to explore and describe the experiences and perceptions of healthcare professionals practicing at primary healthcare clinics in a peri-urban area of the Eastern Cape regarding the unavailability of medicines. Understanding the experiences and perceptions was expected to assist in addressing the problem at hand and help management in developing ways to address the problem and support the employees. Semi-structured interviews were conducted with healthcare professionals working at primary health care clinics in and around Mdantsane Township in the Eastern Cape. The main findings of the study can be divided into the following topics: perceived causes of medicine stock-outs, the implications of stock shortages, actions taken in the case of stock-outs and the role to play by in mitigating the impact of stock shortages. The limitations of the study include the research sample which was not truly representative of all healthcare professionals working at Mdantsane sub-district primary healthcare clinics. The study recommends various strategies that management should follow to assist in addressing medicine shortages. The researcher recommends further research to describe the experiences of healthcare professional regarding medicine unavailability.
- Full Text:
- Date Issued: 2017
- Authors: Mpengesi, Luvokazi
- Date: 2017
- Subjects: Physician and patient -- South Africa -- East London Primary care (Medicine) -- South Africa -- East London , Communication in medicine
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/19619 , vital:28907
- Description: Medicine unavailability, also known as stock-outs is a global problem. South Africa is not exempt from this problem which impacts negatively on the way in which healthcare services are rendered, more especially in the public sector. Communities are complaining about the unavailability of medicines at public health facilities particularly in primary health care clinics. In an effort to address this problem, the Minister of Health has declared medicine availability as one of the six priorities of the Department of Health. The aim of this study was to explore and describe the experiences and perceptions of healthcare professionals practicing at primary healthcare clinics in a peri-urban area of the Eastern Cape regarding the unavailability of medicines. Understanding the experiences and perceptions was expected to assist in addressing the problem at hand and help management in developing ways to address the problem and support the employees. Semi-structured interviews were conducted with healthcare professionals working at primary health care clinics in and around Mdantsane Township in the Eastern Cape. The main findings of the study can be divided into the following topics: perceived causes of medicine stock-outs, the implications of stock shortages, actions taken in the case of stock-outs and the role to play by in mitigating the impact of stock shortages. The limitations of the study include the research sample which was not truly representative of all healthcare professionals working at Mdantsane sub-district primary healthcare clinics. The study recommends various strategies that management should follow to assist in addressing medicine shortages. The researcher recommends further research to describe the experiences of healthcare professional regarding medicine unavailability.
- Full Text:
- Date Issued: 2017
Experiences of primary caregivers of children with Down syndrome in the Kwazakhele community
- Authors: Gobeni, Babalwa Cynthia
- Date: 2017
- Subjects: Children with mental disabilities -- Care -- South Africa -- Port Elizabeth , Caregivers -- South Africa -- Port Elizabeth , Down syndrome -- Care -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/15127 , vital:28142
- Description: The unique physical features of the child with Down syndrome (DS) may lead to stigmatization and social isolation of the child, as well as their entire families. A child with DS may require some help and constant attention from the primary caregiver and may even be permanently dependent, depending on the severity of DS. The researcher has explored and described the experiences of primary caregivers of children with DS in the Kwazakhele community while caring for these children. The research study employed a qualitative, exploratory, descriptive and contextual research design. The research population included primary caregivers of children with DS who were between ages of two years and older because a DS diagnosis can be delayed and only be discovered later in life. Purposive sampling was used to select the research participants. The data was collected using in-depth one-on-one interviews, and all interviews were recorded using a voice recorder. Thematic analysis as a version of content analysis was used, meaning the researcher used themes and sub-themes to analyze data with the help of an independent coder. A pilot study was conducted before undertaking the actual research using the same methods and designs as those of the main study. Strategies were implemented throughout the study to ensure trustworthiness and adherence to ethical principles. The study findings revealed that the participants experienced diverse emotions upon initially finding out that their child has DS. The participants indicated that they had to modify their lives including having to give up their personal lives just to ensure that their children got the best care and their full attention. It appeared that some participants got full support from their partners and families, while other participants had no support system. With further exploration, it emerged that the study participants shared some positive experiences with their children with DS. However, they indicated a need for relevant education facilities for their children as well as community support. Recommendations were made with regard to nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2017
- Authors: Gobeni, Babalwa Cynthia
- Date: 2017
- Subjects: Children with mental disabilities -- Care -- South Africa -- Port Elizabeth , Caregivers -- South Africa -- Port Elizabeth , Down syndrome -- Care -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/15127 , vital:28142
- Description: The unique physical features of the child with Down syndrome (DS) may lead to stigmatization and social isolation of the child, as well as their entire families. A child with DS may require some help and constant attention from the primary caregiver and may even be permanently dependent, depending on the severity of DS. The researcher has explored and described the experiences of primary caregivers of children with DS in the Kwazakhele community while caring for these children. The research study employed a qualitative, exploratory, descriptive and contextual research design. The research population included primary caregivers of children with DS who were between ages of two years and older because a DS diagnosis can be delayed and only be discovered later in life. Purposive sampling was used to select the research participants. The data was collected using in-depth one-on-one interviews, and all interviews were recorded using a voice recorder. Thematic analysis as a version of content analysis was used, meaning the researcher used themes and sub-themes to analyze data with the help of an independent coder. A pilot study was conducted before undertaking the actual research using the same methods and designs as those of the main study. Strategies were implemented throughout the study to ensure trustworthiness and adherence to ethical principles. The study findings revealed that the participants experienced diverse emotions upon initially finding out that their child has DS. The participants indicated that they had to modify their lives including having to give up their personal lives just to ensure that their children got the best care and their full attention. It appeared that some participants got full support from their partners and families, while other participants had no support system. With further exploration, it emerged that the study participants shared some positive experiences with their children with DS. However, they indicated a need for relevant education facilities for their children as well as community support. Recommendations were made with regard to nursing education, nursing practice and nursing research.
- Full Text:
- Date Issued: 2017
Experiences of professional nurses regarding the implementation of the re-engineering of the primary health care programme in the Nelson Mandela Bay Health District
- Authors: Reid, Nolita
- Date: 2017
- Subjects: Nurses -- South Africa -- Nelson Mandela Bay Municipality Primary health care -- South Africa -- Nelson Mandela Bay Municipality , Public health -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19927 , vital:29009
- Description: As a clinic supervisor overseeing a cluster of clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed a number of problems with the implementation of the re-engineering of the primary health care (RPHC) programme. The problems observed include inadequate supervision of RPHC staff, poor communication and conflict between clinic and RPHC staff, failure to filter RPHC statistics into clinic statistics and the incorrect management of patients by RPHC staff. Therefore, the purpose of this study is to explore and describe the experiences of professional nurses regarding the implementation of the RPHC programme in the NMBHD and to make recommendations the district manager could use to address the research findings. The study used a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who are implementing the RPHC programme in the NMBHD, and the sampling technique was a non-probability, purposive technique for the selection of the research sample. Semi-structured interviews were used to collect the data and Tesch’s model respectively. The researcher adhered to ethical considerations throughout the study and ensured trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. Three themes were identified; namely; the professional nurses expression of their concerns regarding poor working conditions; issues regarding the community health workers and their positive experiences associated with the RPHC programme. The study concludes with recommendations made to the District manager with regard to nursing practice, as well as recommendations to nursing education and research.
- Full Text:
- Date Issued: 2017
- Authors: Reid, Nolita
- Date: 2017
- Subjects: Nurses -- South Africa -- Nelson Mandela Bay Municipality Primary health care -- South Africa -- Nelson Mandela Bay Municipality , Public health -- South Africa -- Nelson Mandela Bay Municipality
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/19927 , vital:29009
- Description: As a clinic supervisor overseeing a cluster of clinics in the Nelson Mandela Bay Health District (NMBHD), the researcher observed a number of problems with the implementation of the re-engineering of the primary health care (RPHC) programme. The problems observed include inadequate supervision of RPHC staff, poor communication and conflict between clinic and RPHC staff, failure to filter RPHC statistics into clinic statistics and the incorrect management of patients by RPHC staff. Therefore, the purpose of this study is to explore and describe the experiences of professional nurses regarding the implementation of the RPHC programme in the NMBHD and to make recommendations the district manager could use to address the research findings. The study used a qualitative, exploratory, descriptive and contextual design. The research population consisted of professional nurses who are implementing the RPHC programme in the NMBHD, and the sampling technique was a non-probability, purposive technique for the selection of the research sample. Semi-structured interviews were used to collect the data and Tesch’s model respectively. The researcher adhered to ethical considerations throughout the study and ensured trustworthiness of the data by using the criteria of credibility, transferability, dependability and conformability. Three themes were identified; namely; the professional nurses expression of their concerns regarding poor working conditions; issues regarding the community health workers and their positive experiences associated with the RPHC programme. The study concludes with recommendations made to the District manager with regard to nursing practice, as well as recommendations to nursing education and research.
- Full Text:
- Date Issued: 2017
Experiences of professional nurses regarding the use of mobile technology for accessing information at the point of care clinical decision making
- Authors: Lindi, Ntombizodwa
- Date: 2017
- Subjects: Nursing -- South Africa -- Eastern Cape Mobile communication systems -- South Africa -- Eastern Cape , Rural health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45399 , vital:38613
- Description: The research has provided valuable insight into the experiences of professional nurses regarding use of mobile technology for accessing health information at the point of care in clinical decision making at rural primary health clinics. The ability to access health information enabled them to render accurate and safe patient care. Recommendations were made with regard to nursing practice, education and research. Innovative strategies such as the use of mobile technology have been employed in order to access health information at the point of care for clinical decision making in 2012 in the rural primary health care clinics by the Department of Health in the Eastern Cape Province. Retrieval of information from mobile technology is perceived as being useful for clinical decision making and could result in positive patient outcomes. In this study the researcher explored and described the professional nurses’ experiences of using smart for accessing information in clinical decision making at rural primary health care clinics.
- Full Text:
- Date Issued: 2017
- Authors: Lindi, Ntombizodwa
- Date: 2017
- Subjects: Nursing -- South Africa -- Eastern Cape Mobile communication systems -- South Africa -- Eastern Cape , Rural health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45399 , vital:38613
- Description: The research has provided valuable insight into the experiences of professional nurses regarding use of mobile technology for accessing health information at the point of care in clinical decision making at rural primary health clinics. The ability to access health information enabled them to render accurate and safe patient care. Recommendations were made with regard to nursing practice, education and research. Innovative strategies such as the use of mobile technology have been employed in order to access health information at the point of care for clinical decision making in 2012 in the rural primary health care clinics by the Department of Health in the Eastern Cape Province. Retrieval of information from mobile technology is perceived as being useful for clinical decision making and could result in positive patient outcomes. In this study the researcher explored and described the professional nurses’ experiences of using smart for accessing information in clinical decision making at rural primary health care clinics.
- Full Text:
- Date Issued: 2017
Experiential learning in an undergraduate BPHARM programme: impact of an intervention on academic achievement
- Authors: McCartney, Jane Alison
- Date: 2017
- Subjects: Pharmacy -- Study and teaching -- South Africa Experiential learning -- South Africa , Academic achievement -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/19037 , vital:28767
- Description: The extended role of today’s pharmacist with the emphasis on patient-focused care has highlighted the need for increased exposure of undergraduate pharmacy students to experiential learning in patient-centred environments, and additional skills development in therapeutics, problem solving and clinical decision making. At the Nelson Mandela Metropolitan University (NMMU), final year pharmacy students complete a university-coordinated, hospital-based, structured experiential learning programme (ELP) for the exit-level module, Pharmacology4. However, the students consistently experience difficulties in the application of pharmacological knowledge during the transition from lecture-based learning to the patient-focused clinical setting. The student population at the NMMU is diverse, with varied cultural, ethnic, language and secondary level education backgrounds, as well as different learning preferences and approaches. The extent to which these factors affect academic achievement in the experiential learning environment is unknown. Central research question The central research question for this study was therefore, “What would be the effect of an intervention aimed at supporting undergraduate pharmacy students during clinical placements, on academic achievement in, and student attitudes towards, experiential learning programmes (ELP)?” In order to explore the research question, several factors which may influence academic achievement in ELPs were investigated, namely: academic achievement (pre-university, in the BPharm programme and, in pharmacology); the admission route into the BPharm programme and the subsequent rate of academic progression; English reading comprehension ability; learning styles; problem solving ability; the extent to which students are prepared for application of knowledge in the ELP, in terms of assessment methods used prior to the final year and previous pharmacy work-based experience. In addition, the students’ lived experience of the ELP was explored, and the need for, and nature of, an intervention was determined. The research was based in a pragmatic paradigm, using an advanced mixed methods approach. An intervention-based, two-phase, quasi-experimental design was employed with an initial exploratory Preliminary Phase (in 2013) preceding the larger experimental framework (Phases One and Two, in 2014 and 2015 respectively). The research design was primarily quantitative, with pre- and post- testing conducted before and after the ELP. The ELP was completed by the comparator cohort in Phase One and the experimental cohort in Phase Two. Supplementary qualitative data was collected before, during and after the ELP. The intervention, in the form of supplementary academic support sessions, was developed from the qualitative data using an iterative approach, and implemented during the ELP in Phase Two. Attitudes and expectations of the students towards the hospital-based ELP were generally positive and realistic. Areas of concern included the difficulties experienced in the application and integration of pharmacological knowledge, both in the clinical setting and the clinical case study-based assessments; students feeling overwhelmed, inadequate and inferior in the clinical environment, compounded by an absence of clinical pharmacists as role models; and feeling unprepared for patient-focused care. The qualitative data strongly supported the need for supplementary academic support sessions. The intervention was developed and implemented in Phase Two, using patient case-based, active learning strategies. The majority of students (91.0%; n = 104) reported improved case analysis skills. A statistically significant (p = .030, Cohen’s d = 0.34) improvement was noted in the summative Pharmacology4 assessment marks obtained by the experimental cohort post-intervention, although of small practical significance. Predictors of academic achievement in the ELP were found to be language, specifically English reading comprehension skills, academic achievement in the BPharm programme and pharmacology, the university admission score, the rate of academic progression, and problem solving ability. Previous pharmacy-based work experience and assessment questions requiring application of knowledge were also found to influence achievement in the ELP. The need for an intervention in the form of supplementary academic support sessions was confirmed. The intervention was subsequently developed and successfully implemented, with student-reported self-perceived improvements in patient case analysis skills. These positive findings were supported by quantitative data which showed a statistically significant improvement in academic achievement in the ELP. Several predictors of academic achievement in the ELP were identified, and invaluable insight was gained into the nature of the difficulties experienced by pharmacy students in the transition from lecture-based learning to experiential learning in patient-focused environments.
- Full Text:
- Date Issued: 2017
- Authors: McCartney, Jane Alison
- Date: 2017
- Subjects: Pharmacy -- Study and teaching -- South Africa Experiential learning -- South Africa , Academic achievement -- South Africa
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/19037 , vital:28767
- Description: The extended role of today’s pharmacist with the emphasis on patient-focused care has highlighted the need for increased exposure of undergraduate pharmacy students to experiential learning in patient-centred environments, and additional skills development in therapeutics, problem solving and clinical decision making. At the Nelson Mandela Metropolitan University (NMMU), final year pharmacy students complete a university-coordinated, hospital-based, structured experiential learning programme (ELP) for the exit-level module, Pharmacology4. However, the students consistently experience difficulties in the application of pharmacological knowledge during the transition from lecture-based learning to the patient-focused clinical setting. The student population at the NMMU is diverse, with varied cultural, ethnic, language and secondary level education backgrounds, as well as different learning preferences and approaches. The extent to which these factors affect academic achievement in the experiential learning environment is unknown. Central research question The central research question for this study was therefore, “What would be the effect of an intervention aimed at supporting undergraduate pharmacy students during clinical placements, on academic achievement in, and student attitudes towards, experiential learning programmes (ELP)?” In order to explore the research question, several factors which may influence academic achievement in ELPs were investigated, namely: academic achievement (pre-university, in the BPharm programme and, in pharmacology); the admission route into the BPharm programme and the subsequent rate of academic progression; English reading comprehension ability; learning styles; problem solving ability; the extent to which students are prepared for application of knowledge in the ELP, in terms of assessment methods used prior to the final year and previous pharmacy work-based experience. In addition, the students’ lived experience of the ELP was explored, and the need for, and nature of, an intervention was determined. The research was based in a pragmatic paradigm, using an advanced mixed methods approach. An intervention-based, two-phase, quasi-experimental design was employed with an initial exploratory Preliminary Phase (in 2013) preceding the larger experimental framework (Phases One and Two, in 2014 and 2015 respectively). The research design was primarily quantitative, with pre- and post- testing conducted before and after the ELP. The ELP was completed by the comparator cohort in Phase One and the experimental cohort in Phase Two. Supplementary qualitative data was collected before, during and after the ELP. The intervention, in the form of supplementary academic support sessions, was developed from the qualitative data using an iterative approach, and implemented during the ELP in Phase Two. Attitudes and expectations of the students towards the hospital-based ELP were generally positive and realistic. Areas of concern included the difficulties experienced in the application and integration of pharmacological knowledge, both in the clinical setting and the clinical case study-based assessments; students feeling overwhelmed, inadequate and inferior in the clinical environment, compounded by an absence of clinical pharmacists as role models; and feeling unprepared for patient-focused care. The qualitative data strongly supported the need for supplementary academic support sessions. The intervention was developed and implemented in Phase Two, using patient case-based, active learning strategies. The majority of students (91.0%; n = 104) reported improved case analysis skills. A statistically significant (p = .030, Cohen’s d = 0.34) improvement was noted in the summative Pharmacology4 assessment marks obtained by the experimental cohort post-intervention, although of small practical significance. Predictors of academic achievement in the ELP were found to be language, specifically English reading comprehension skills, academic achievement in the BPharm programme and pharmacology, the university admission score, the rate of academic progression, and problem solving ability. Previous pharmacy-based work experience and assessment questions requiring application of knowledge were also found to influence achievement in the ELP. The need for an intervention in the form of supplementary academic support sessions was confirmed. The intervention was subsequently developed and successfully implemented, with student-reported self-perceived improvements in patient case analysis skills. These positive findings were supported by quantitative data which showed a statistically significant improvement in academic achievement in the ELP. Several predictors of academic achievement in the ELP were identified, and invaluable insight was gained into the nature of the difficulties experienced by pharmacy students in the transition from lecture-based learning to experiential learning in patient-focused environments.
- Full Text:
- Date Issued: 2017
Exploring acyl azides chemistry in continuous flow systems
- Authors: Sagandira, Cloudius Ray
- Date: 2017
- Subjects: Organic compounds -- Synthesis Flow chemistry
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12065 , vital:27028
- Description: Organic azides are important in the synthesis of many target molecules of great use in fine chemical and pharmaceutical production. The use of this class of compounds is however limited due to their hazardous nature and many safety concerns, as they are highly exothermic. Micro reactors can handle exotherms extremely well, due to the inherent high surface area to volume ratio, unlike the conventional batch process. This dissertation therefore aims to investigate the safe application of micro reactors in acyl azide chemistry.With this in mind, Chapter 1 provides a comprehensive background on organic azides, reaction calorimetric studies, flow chemistry technology (micro reactors) and their theoretical advantages. This chapter also discusses the preparation of organic azides in continuous flow systems and scaling up in continuous flow systems. Chapter 2 illustrates and discusses multivariate optimisation of benzoyl azide synthesis as a model reaction, synthesis of other acyl azides using the model reaction optimised conditions and multistep synthesis of carbamates, amides and amines in continuous flow systems via the Curtius rearrangement of benzoyl azide formed in situ from benzoyl chloride and sodium azide. The chapter also discusses process hazards analysis and evaluation of benzoyl azide synthesis and decomposition using calorimetric studies. It also investigates and discusses the effects of different mixing regimes and channel sizes on scale up. Chapter 3 has comprehensive experimental details for the whole dissertation with Chapter 4 providing the concluding remarks and future work recommendations.
- Full Text:
- Date Issued: 2017
- Authors: Sagandira, Cloudius Ray
- Date: 2017
- Subjects: Organic compounds -- Synthesis Flow chemistry
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12065 , vital:27028
- Description: Organic azides are important in the synthesis of many target molecules of great use in fine chemical and pharmaceutical production. The use of this class of compounds is however limited due to their hazardous nature and many safety concerns, as they are highly exothermic. Micro reactors can handle exotherms extremely well, due to the inherent high surface area to volume ratio, unlike the conventional batch process. This dissertation therefore aims to investigate the safe application of micro reactors in acyl azide chemistry.With this in mind, Chapter 1 provides a comprehensive background on organic azides, reaction calorimetric studies, flow chemistry technology (micro reactors) and their theoretical advantages. This chapter also discusses the preparation of organic azides in continuous flow systems and scaling up in continuous flow systems. Chapter 2 illustrates and discusses multivariate optimisation of benzoyl azide synthesis as a model reaction, synthesis of other acyl azides using the model reaction optimised conditions and multistep synthesis of carbamates, amides and amines in continuous flow systems via the Curtius rearrangement of benzoyl azide formed in situ from benzoyl chloride and sodium azide. The chapter also discusses process hazards analysis and evaluation of benzoyl azide synthesis and decomposition using calorimetric studies. It also investigates and discusses the effects of different mixing regimes and channel sizes on scale up. Chapter 3 has comprehensive experimental details for the whole dissertation with Chapter 4 providing the concluding remarks and future work recommendations.
- Full Text:
- Date Issued: 2017