Factors enhancing readmission of mental health care users to a mental health unit in East London as described by their caregivers
- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
- Full Text:
- Date Issued: 2015
- Authors: Mahashe, Nozizwe Patricia
- Date: 2015
- Language: English
- Type: Thesis , Masters , MSc (Psychiatric Nursing Science)
- Identifier: vital:11925 , http://hdl.handle.net/10353/d1021067
- Description: Readmission of mental healthcare users is a global challenge and concern which is associated with high costs. Readmission has negative effects as it is believed to promote dependency, demoralize patients and cause workload for staff. Re-admissions also bring a burden to caregivers and affect the caregiver’s health. In the light of this background, the aim of the study was to explore and describe factors enhancing readmission of mental health care users (MHCUs) to a mental health unit in East London as described by their caregivers. The objectives of the study were to: explore factors enhancing readmission of mental health care users in a mental health unit in East London as described by their caregivers and to document recommendations elicited from the findings of the study. A qualitative approach was used to collect and analyze data. The study used a descriptive and explorative design. Sampling was done using the purposive non-probability method. Unstructured face- to- face interviews were conducted using an interview guide. Fifteen (15) caregivers of MHCUs who had been readmitted to a mental health unit in East London were interviewed .The interviews were recorded and transcribed verbatim. The findings of this study suggest that non adherence to treatment, refusing to take treatment, defaulting treatment, denial, indulging in substance abuse, stigma, effects of disease, violence and aggressive behavior are the factors enhancing readmission of MCHUs to a mental health unit in East London. A better understanding of readmission of MHCUs can lead to early intervention and early planning of care. It is envisaged that psycho education, home visits and collaboration of clinic staff with hospital staff may decrease readmission of mental health care users in this unit.
- Full Text:
- Date Issued: 2015
Impact of oil price on tourism in South Africa: an error correction model (ECM) analysis
- Authors: Gqozo, Pamela
- Date: 2013
- Language: English
- Type: Thesis , Masters , M Com
- Identifier: vital:11486 , http://hdl.handle.net/10353/d1017941
- Description: The study focuses on the impact of oil price on tourism in South Africa. Quarterly time series data for the period 1990 to 2012 was used in this study. Error correction model is the research instrument that was used to determine the impact of oil price on tourism in South Africa. The explanatory variables in this study are oil price, real exchange rates, gross domestic product, consumer price index and transport infrastructure investment. The results of the study revealed that oil price, consumer price index and real exchange rate have a negative long run relationship on tourism, while gross domestic product and transport infrastructure investment had a positive long run relationship on tourism. It was also shown that oil price is statistically significant relationship on tourism.
- Full Text:
- Date Issued: 2013
- Authors: Gqozo, Pamela
- Date: 2013
- Language: English
- Type: Thesis , Masters , M Com
- Identifier: vital:11486 , http://hdl.handle.net/10353/d1017941
- Description: The study focuses on the impact of oil price on tourism in South Africa. Quarterly time series data for the period 1990 to 2012 was used in this study. Error correction model is the research instrument that was used to determine the impact of oil price on tourism in South Africa. The explanatory variables in this study are oil price, real exchange rates, gross domestic product, consumer price index and transport infrastructure investment. The results of the study revealed that oil price, consumer price index and real exchange rate have a negative long run relationship on tourism, while gross domestic product and transport infrastructure investment had a positive long run relationship on tourism. It was also shown that oil price is statistically significant relationship on tourism.
- Full Text:
- Date Issued: 2013
Phytochemical analyses and Brine shrimp (Artemia Salina) lethality studies on Syzygium cordatum
- Authors: Chiguvare, Herbert
- Date: 2013
- Subjects: Artemia , Crustacea , Chromatographic analysis , Medicinal plants , Essences and essential oils , Traditional medicine
- Language: English
- Type: Thesis , Masters , MSc (Chemistry)
- Identifier: vital:11336 , http://hdl.handle.net/10353/d1004352 , Artemia , Crustacea , Chromatographic analysis , Medicinal plants , Essences and essential oils , Traditional medicine
- Description: Syzygium cordatum Hoscht ex. C Krauss, also known as water berry, is normally used by the people of South Africa for respiratory ailments including tuberculosis, stomach complaints, treatment of wounds and as emetics. An extract of the leaves can be used as a purgative for diarrhoea treatment. The leaves of Syzygium cordatum Myrtaceae were obtained from the Eastern Cape Province of South Africa, air dried and sequential solvent extraction was done to obtain various non volatile crude extracts. The volatile extract, that is the essential oil was extracted from the leaves using hydrodistillation and analysis of compounds was done by GC/MS for composition. 32 compounds were obtained from the fresh leaves and 18 compounds were obtained from the dry leaves. The fresh oil contains caryophyllene (11.8 percent) and caryophyllene oxide (11.1 percent) as the main sesquiterpene component. α-Pinene(5.0 percent) was the only monoterpene compound identified in the fresh oil in substantial amount. The dry leaves oil had copanene (17.0 percent), β-Caryophellene (26.0 percent), cubenol (6.5 percent) and caryophellene oxide (14.2 percent) as the dominant constituent of the oil. Summary of the classes of compounds in the oil revealed that the chemical profile of both oils were dominated by sesquiterpenoid compounds. This is the first time that terpenoids compounds are being identified in both the fresh and dry leaf oil of S. cordatum. Hexane leaf extract was selected due to the interest in the terpenoid compounds. Column chromatography of the hexane crude gave five (5) of which two are fully reported. The isolates were fully elucidated using spectroscopic methods to be β-Sitosterol (HC3) and Friedela-3-one (HC1A/HC1D). Cytotoxicity analysis was carried out on the crude using the Brine shrimps assay. Isolates 1C and1D showed significant lethality using the brine shrimps assay with lethality values (LC50) of 4.105mg/ml for HC1C and 4.11mg/ml for 1D/1A respectively.
- Full Text:
- Date Issued: 2013
- Authors: Chiguvare, Herbert
- Date: 2013
- Subjects: Artemia , Crustacea , Chromatographic analysis , Medicinal plants , Essences and essential oils , Traditional medicine
- Language: English
- Type: Thesis , Masters , MSc (Chemistry)
- Identifier: vital:11336 , http://hdl.handle.net/10353/d1004352 , Artemia , Crustacea , Chromatographic analysis , Medicinal plants , Essences and essential oils , Traditional medicine
- Description: Syzygium cordatum Hoscht ex. C Krauss, also known as water berry, is normally used by the people of South Africa for respiratory ailments including tuberculosis, stomach complaints, treatment of wounds and as emetics. An extract of the leaves can be used as a purgative for diarrhoea treatment. The leaves of Syzygium cordatum Myrtaceae were obtained from the Eastern Cape Province of South Africa, air dried and sequential solvent extraction was done to obtain various non volatile crude extracts. The volatile extract, that is the essential oil was extracted from the leaves using hydrodistillation and analysis of compounds was done by GC/MS for composition. 32 compounds were obtained from the fresh leaves and 18 compounds were obtained from the dry leaves. The fresh oil contains caryophyllene (11.8 percent) and caryophyllene oxide (11.1 percent) as the main sesquiterpene component. α-Pinene(5.0 percent) was the only monoterpene compound identified in the fresh oil in substantial amount. The dry leaves oil had copanene (17.0 percent), β-Caryophellene (26.0 percent), cubenol (6.5 percent) and caryophellene oxide (14.2 percent) as the dominant constituent of the oil. Summary of the classes of compounds in the oil revealed that the chemical profile of both oils were dominated by sesquiterpenoid compounds. This is the first time that terpenoids compounds are being identified in both the fresh and dry leaf oil of S. cordatum. Hexane leaf extract was selected due to the interest in the terpenoid compounds. Column chromatography of the hexane crude gave five (5) of which two are fully reported. The isolates were fully elucidated using spectroscopic methods to be β-Sitosterol (HC3) and Friedela-3-one (HC1A/HC1D). Cytotoxicity analysis was carried out on the crude using the Brine shrimps assay. Isolates 1C and1D showed significant lethality using the brine shrimps assay with lethality values (LC50) of 4.105mg/ml for HC1C and 4.11mg/ml for 1D/1A respectively.
- Full Text:
- Date Issued: 2013
Investigation into the implementation of the childrens act no 38 of 2005 in mainstream schools in the Fort Beaufort education district
- Authors: Mankazana, Sobantu Vincent
- Date: 2012
- Subjects: South Africa -- Childrens Act 2005 , Children -- Law and legislation -- South Africa , Children -- Legal status laws etc -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Children -- Human rights
- Language: English
- Type: Thesis , Masters , MA (Human Rights)
- Identifier: vital:11102 , http://hdl.handle.net/10353/502 , South Africa -- Childrens Act 2005 , Children -- Law and legislation -- South Africa , Children -- Legal status laws etc -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Children -- Human rights
- Description: In this study the focus is on the implementation of the Children’s Act in mainstream schools. The Children’s Act mandates that all children who are in need of care both in school and out of school should be taken care of and be protected. However, they are often not afforded the full opportunity to enjoy the benefits of this Act. This is due to various factors that hinder the process of its implementation in mainstream schools. The main emphasis of this study is on the factors that hinder the implementation of the Children’s Act. The aim of the Children’s Act is to look after and provide services and support to children in need of care and protection. In order to provide such services and support to children, one needs to first identify such learners in need of care and their needs. Having done this, the support needed can be assessed and provided. This process is not easily achieved in mainstream schools. This study seeks to determine the factors that discourage the implementation process of the Children’s Act in mainstream schools. Data collection for this study included face to face interviews with teachers who are principals of schools and Life Orientation teachers, a social workers and school nurse. The data was used to analyze and interpret the challenges that hinder the implementation of the Children’s Act in mainstream schools. Among others, the study found that there is a lack of collaboration among stakeholders and coordination of service delivery. Poor parental involvement and commitment to parent involvement programmes was also evident. However, to a limited degree, there is interaction between the schools and relevant government departments. The study recommends that multidisciplinary teams should be formed whereby scarce resources can be shared. Various professionals should have the opportunity to come together toshare ideas and information. In order to encourage identification of learners in need of care, it is recommended that, the peer groups or peer educators be established and awareness campaign be conducted in schools. The study also recommends that developmental assessment programmes be conducted. Developmental assessment programmes will help gather information directly from learners or from an appropriate adult in the child’s life. They provide frameworks which can be used as guides for eliciting and analysing information.
- Full Text:
- Date Issued: 2012
- Authors: Mankazana, Sobantu Vincent
- Date: 2012
- Subjects: South Africa -- Childrens Act 2005 , Children -- Law and legislation -- South Africa , Children -- Legal status laws etc -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Children -- Human rights
- Language: English
- Type: Thesis , Masters , MA (Human Rights)
- Identifier: vital:11102 , http://hdl.handle.net/10353/502 , South Africa -- Childrens Act 2005 , Children -- Law and legislation -- South Africa , Children -- Legal status laws etc -- South Africa -- Eastern Cape , Mainstreaming in education -- South Africa -- Eastern Cape , Children -- Human rights
- Description: In this study the focus is on the implementation of the Children’s Act in mainstream schools. The Children’s Act mandates that all children who are in need of care both in school and out of school should be taken care of and be protected. However, they are often not afforded the full opportunity to enjoy the benefits of this Act. This is due to various factors that hinder the process of its implementation in mainstream schools. The main emphasis of this study is on the factors that hinder the implementation of the Children’s Act. The aim of the Children’s Act is to look after and provide services and support to children in need of care and protection. In order to provide such services and support to children, one needs to first identify such learners in need of care and their needs. Having done this, the support needed can be assessed and provided. This process is not easily achieved in mainstream schools. This study seeks to determine the factors that discourage the implementation process of the Children’s Act in mainstream schools. Data collection for this study included face to face interviews with teachers who are principals of schools and Life Orientation teachers, a social workers and school nurse. The data was used to analyze and interpret the challenges that hinder the implementation of the Children’s Act in mainstream schools. Among others, the study found that there is a lack of collaboration among stakeholders and coordination of service delivery. Poor parental involvement and commitment to parent involvement programmes was also evident. However, to a limited degree, there is interaction between the schools and relevant government departments. The study recommends that multidisciplinary teams should be formed whereby scarce resources can be shared. Various professionals should have the opportunity to come together toshare ideas and information. In order to encourage identification of learners in need of care, it is recommended that, the peer groups or peer educators be established and awareness campaign be conducted in schools. The study also recommends that developmental assessment programmes be conducted. Developmental assessment programmes will help gather information directly from learners or from an appropriate adult in the child’s life. They provide frameworks which can be used as guides for eliciting and analysing information.
- Full Text:
- Date Issued: 2012
An assessment of local participation within the decentralised framework: a case of Lilongwe District Council
- Authors: Sado, Davis Greg
- Date: 2010
- Subjects: Local governmen -- Malawi -- Citizen participation , Decentralization in government -- Malawi , Municipal services -- Malawi
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: vital:11621 , http://hdl.handle.net/10353/375 , Local governmen -- Malawi -- Citizen participation , Decentralization in government -- Malawi , Municipal services -- Malawi
- Description: The research analyses local participation as it is implemented within the Lilongwe District Council. The study explores decentralisation in the council by examining important facets that contribute to good local governance with a special interest in local participation. The study finds that while local participation is a recognized feature in the decentralisation policy, lack of proper involvement and integration has limited the efficacy of local participation. The neglect of government in conducting local government elections to have ward councillors in place is brought to the fore as a major setback to the implementation of decentralisation reforms. The study therefore notes that decentralisation must not be seen as just a policy goal, with the aim of shifting development to the communities, but as a policy instrument which aims to improve local democracy, efficiency and effectiveness in the provision of social services. In order to achieve this, the study proposes five key recommendations and a proposed model for the attainment of good governance in the Council.
- Full Text:
- Date Issued: 2010
- Authors: Sado, Davis Greg
- Date: 2010
- Subjects: Local governmen -- Malawi -- Citizen participation , Decentralization in government -- Malawi , Municipal services -- Malawi
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: vital:11621 , http://hdl.handle.net/10353/375 , Local governmen -- Malawi -- Citizen participation , Decentralization in government -- Malawi , Municipal services -- Malawi
- Description: The research analyses local participation as it is implemented within the Lilongwe District Council. The study explores decentralisation in the council by examining important facets that contribute to good local governance with a special interest in local participation. The study finds that while local participation is a recognized feature in the decentralisation policy, lack of proper involvement and integration has limited the efficacy of local participation. The neglect of government in conducting local government elections to have ward councillors in place is brought to the fore as a major setback to the implementation of decentralisation reforms. The study therefore notes that decentralisation must not be seen as just a policy goal, with the aim of shifting development to the communities, but as a policy instrument which aims to improve local democracy, efficiency and effectiveness in the provision of social services. In order to achieve this, the study proposes five key recommendations and a proposed model for the attainment of good governance in the Council.
- Full Text:
- Date Issued: 2010
Assessment of the impact of Mdantsane Urban Renewal Programme 2002-2007
- Authors: Peter, Ntombentle Cordelia
- Date: 2008
- Subjects: Urban renewal -- South Africa -- Eastern Cape , City planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: vital:11623 , http://hdl.handle.net/10353/190 , Urban renewal -- South Africa -- Eastern Cape , City planning -- South Africa -- Eastern Cape
- Description: The study sought to assess the impact of the Mdantsane Urban Renewal Programme (MURP) in Buffalo City Municipality from an analytical perspective of policy making, policy implementation, strategies and results of the programme. The aim was to analyse and evaluate the policy and implementation framework underpinning the MURP within the auspices of the national Urban Renewal Programme (URP). During the course of the study, literature was reviewed with the aim of contextualizing the study, especially given the ‘controversies’ associated with urban renewal interventions globally. As far as implementation is concerned, the institutional mechanisms, the cooperative government imperatives and the community perspectives are highlighted and reported on. Lastly, the study also proposed different policy and implementation options, as well as an implementation model. This model is advocated as an option for local government consideration with the aim of resolving the urban renewal problematique.
- Full Text:
- Date Issued: 2008
- Authors: Peter, Ntombentle Cordelia
- Date: 2008
- Subjects: Urban renewal -- South Africa -- Eastern Cape , City planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: vital:11623 , http://hdl.handle.net/10353/190 , Urban renewal -- South Africa -- Eastern Cape , City planning -- South Africa -- Eastern Cape
- Description: The study sought to assess the impact of the Mdantsane Urban Renewal Programme (MURP) in Buffalo City Municipality from an analytical perspective of policy making, policy implementation, strategies and results of the programme. The aim was to analyse and evaluate the policy and implementation framework underpinning the MURP within the auspices of the national Urban Renewal Programme (URP). During the course of the study, literature was reviewed with the aim of contextualizing the study, especially given the ‘controversies’ associated with urban renewal interventions globally. As far as implementation is concerned, the institutional mechanisms, the cooperative government imperatives and the community perspectives are highlighted and reported on. Lastly, the study also proposed different policy and implementation options, as well as an implementation model. This model is advocated as an option for local government consideration with the aim of resolving the urban renewal problematique.
- Full Text:
- Date Issued: 2008
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