Coping and support needs of midwives caring for women with perinatal loss in the Nelson Mandela Bay health district
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
Culturally informed conceptions of traumatic experience and coping strategies among the mole-dagbon of Ghana
- Authors: Thompson, Sandra
- Date: 2017
- Subjects: Cultural psychiatry -- Ghana , Post-traumatic stress disorder -- Ghana , Dagbani (African people)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/9327 , vital:26578
- Description: Culture is important to an individual’s understanding of traumatic events and the symptoms that ensue after such events. Cultural understandings also inform how individuals cope with the traumatic stress symptoms they experience. A great deal is known about the understanding of traumatic experiences and effective coping mechanisms used in Western cultures, but non-Western cultures are generally understudied. Valuable lessons are learnt from conducting studies with understudied non-Western cultures. The research sought to explore and describe the culturally informed conceptions of traumatic experience and coping strategies in one such understudied population - the Mole-Dagbon of Ghana. The research used a qualitative exploratory descriptive interpretive methodology. Purposive nonprobability sampling was used to gain access to individuals who could comment on the knowledge objectives of the study. Data was collected using focus group discussions with cultural leaders, and semi-structured interviews with traumatized individuals. All interviews were audio-recorded, transcribed, translated and analyzed using interpretive phenomenological analysis. The findings indicated that traumatic experiences and the coping strategies are influenced by a number of cultural factors. Participants’ understanding of traumatic experiences and symptoms relied heavily on normative traditional African cultural understandings, but explanations also utilized monotheistic (from Islam and Christianity) worldviews. It was also evident that not all explanations were purely spiritual and events and symptoms were also explained using a natural/scientific framework. Some aspects of this system indicated parallels with the Western cognitive understanding of traumatic stress symptoms. The Mole-Dagbon did not focus naturally on explaining the events and symptoms and in the current sample such explanations were often deferred to authoritative individuals in the society (especially the soothsayers from the Traditional African Religion). However, there was an easy focus on coping with the symptoms after a traumatic event and in this last aspect there was a great degree of agreement between participants. A clear hierarchy of coping emerged with community and family social support being considered the most important aspect. Irrespective of religious affiliation, individuals also considered a visit to the soothsayer and completing prescribed rituals as important in the process. Even where an individual did not wish to include this practice from African Traditional Religion because of religious affiliation, they acknowledged the existence and effectiveness of these practices. Finally, it was thought important that a traumatized individual consult a religious leader for counselling (again irrespective of the actual religion). While there were elements of cognitive understanding and a recognition of counselling by religious leaders, Western based treatment modalities were not mentioned as options for the treatment of the symptoms of PTSD. Practitioners that come into contact with the Mole-Dagbon may need to use collaborative treatment strategies that respects and utilizes cultural treatment strategies for PTSD. One interesting element that needs further exploration is whether the cognitive understandings of the Mole-Dagbon can be used in a cognitive therapeutic paradigm. Even though these cognitive appraisals are present in explaining symptoms, there are no direct cultural remedies that rely on them.
- Full Text:
- Date Issued: 2017
- Authors: Thompson, Sandra
- Date: 2017
- Subjects: Cultural psychiatry -- Ghana , Post-traumatic stress disorder -- Ghana , Dagbani (African people)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/9327 , vital:26578
- Description: Culture is important to an individual’s understanding of traumatic events and the symptoms that ensue after such events. Cultural understandings also inform how individuals cope with the traumatic stress symptoms they experience. A great deal is known about the understanding of traumatic experiences and effective coping mechanisms used in Western cultures, but non-Western cultures are generally understudied. Valuable lessons are learnt from conducting studies with understudied non-Western cultures. The research sought to explore and describe the culturally informed conceptions of traumatic experience and coping strategies in one such understudied population - the Mole-Dagbon of Ghana. The research used a qualitative exploratory descriptive interpretive methodology. Purposive nonprobability sampling was used to gain access to individuals who could comment on the knowledge objectives of the study. Data was collected using focus group discussions with cultural leaders, and semi-structured interviews with traumatized individuals. All interviews were audio-recorded, transcribed, translated and analyzed using interpretive phenomenological analysis. The findings indicated that traumatic experiences and the coping strategies are influenced by a number of cultural factors. Participants’ understanding of traumatic experiences and symptoms relied heavily on normative traditional African cultural understandings, but explanations also utilized monotheistic (from Islam and Christianity) worldviews. It was also evident that not all explanations were purely spiritual and events and symptoms were also explained using a natural/scientific framework. Some aspects of this system indicated parallels with the Western cognitive understanding of traumatic stress symptoms. The Mole-Dagbon did not focus naturally on explaining the events and symptoms and in the current sample such explanations were often deferred to authoritative individuals in the society (especially the soothsayers from the Traditional African Religion). However, there was an easy focus on coping with the symptoms after a traumatic event and in this last aspect there was a great degree of agreement between participants. A clear hierarchy of coping emerged with community and family social support being considered the most important aspect. Irrespective of religious affiliation, individuals also considered a visit to the soothsayer and completing prescribed rituals as important in the process. Even where an individual did not wish to include this practice from African Traditional Religion because of religious affiliation, they acknowledged the existence and effectiveness of these practices. Finally, it was thought important that a traumatized individual consult a religious leader for counselling (again irrespective of the actual religion). While there were elements of cognitive understanding and a recognition of counselling by religious leaders, Western based treatment modalities were not mentioned as options for the treatment of the symptoms of PTSD. Practitioners that come into contact with the Mole-Dagbon may need to use collaborative treatment strategies that respects and utilizes cultural treatment strategies for PTSD. One interesting element that needs further exploration is whether the cognitive understandings of the Mole-Dagbon can be used in a cognitive therapeutic paradigm. Even though these cognitive appraisals are present in explaining symptoms, there are no direct cultural remedies that rely on them.
- Full Text:
- Date Issued: 2017
Customer profiling using a service-orientated architecture
- Authors: Ntawanga, Felix
- Date: 2010
- Subjects: Consumer profiling -- South Africa , Consumer behavior -- South Africa , Service-oriented architecture (Computer science) , Electronic commerce -- South Africa -- Computer programs
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10464 , http://hdl.handle.net/10948/1146 , Consumer profiling -- South Africa , Consumer behavior -- South Africa , Service-oriented architecture (Computer science) , Electronic commerce -- South Africa -- Computer programs
- Description: Customer profiling has recently gained much recognition in the e-commerce domain because of the benefits it is capable of bringing to online business. Customer profiling has been implemented in various systems development approaches such as in a client-server environment. Recently there has been an increase in the number of organisations adopting and implementing e-commerce systems using service-oriented architecture (SOA) principles. This research set out to determine how a customer profile can be implemented using open source SOA implementation tools, and how SOA-based customer profiles can be utilised to provide appropriate personalisation in an SOA environment. The research further endeavoured to complete a comparative study on customer profile implementation in two different architectures, namely SOA and client-server. An extensive literature review was conducted on SOA, customer profiling and e-commerce systems development. SOA enabling technologies, such as, web services, enterprise service bus (ESB) and open source Sun Java SOA implementation tools, for example, Open ESB, GlassFish application server and Netbeans IDE were analysed. A Java web services-based customer profiling system was prototyped following SOA design principles. An end-user evaluation survey was conducted using eye tracking with a sample of 30 participants. The evaluation was done on two e-commerce systems with the same interface but running on two different customer profile back-ends, SOA and client-server. The results show that participants did not experience significant difference between the two systems, however, eye tracking results showed a significant difference between the two systems. The research concluded that customer profiling using SOA offers more benefits than implementations using other architectures such as client-server. SOA component-based development proved to be easier to manage, develop, integrate and improves interoperability between different technologies. The research brought together necessary techniques and technologies that organisations can use to implement SOA. Using SOA, organisations can integrate and utilise different technologies seamlessly to achieve business goals.
- Full Text:
- Date Issued: 2010
- Authors: Ntawanga, Felix
- Date: 2010
- Subjects: Consumer profiling -- South Africa , Consumer behavior -- South Africa , Service-oriented architecture (Computer science) , Electronic commerce -- South Africa -- Computer programs
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10464 , http://hdl.handle.net/10948/1146 , Consumer profiling -- South Africa , Consumer behavior -- South Africa , Service-oriented architecture (Computer science) , Electronic commerce -- South Africa -- Computer programs
- Description: Customer profiling has recently gained much recognition in the e-commerce domain because of the benefits it is capable of bringing to online business. Customer profiling has been implemented in various systems development approaches such as in a client-server environment. Recently there has been an increase in the number of organisations adopting and implementing e-commerce systems using service-oriented architecture (SOA) principles. This research set out to determine how a customer profile can be implemented using open source SOA implementation tools, and how SOA-based customer profiles can be utilised to provide appropriate personalisation in an SOA environment. The research further endeavoured to complete a comparative study on customer profile implementation in two different architectures, namely SOA and client-server. An extensive literature review was conducted on SOA, customer profiling and e-commerce systems development. SOA enabling technologies, such as, web services, enterprise service bus (ESB) and open source Sun Java SOA implementation tools, for example, Open ESB, GlassFish application server and Netbeans IDE were analysed. A Java web services-based customer profiling system was prototyped following SOA design principles. An end-user evaluation survey was conducted using eye tracking with a sample of 30 participants. The evaluation was done on two e-commerce systems with the same interface but running on two different customer profile back-ends, SOA and client-server. The results show that participants did not experience significant difference between the two systems, however, eye tracking results showed a significant difference between the two systems. The research concluded that customer profiling using SOA offers more benefits than implementations using other architectures such as client-server. SOA component-based development proved to be easier to manage, develop, integrate and improves interoperability between different technologies. The research brought together necessary techniques and technologies that organisations can use to implement SOA. Using SOA, organisations can integrate and utilise different technologies seamlessly to achieve business goals.
- Full Text:
- Date Issued: 2010
A living theory to facilitate the improvement of teacher morale
- Hendricks, Charlotte Augusta
- Authors: Hendricks, Charlotte Augusta
- Date: 2009
- Subjects: Teacher morale -- South Africa -- Eastern Cape , Teachers -- Job stress , Teachers -- Workload -- South Africa , Teachers -- Job satisfaction , Teachers -- Self-rating of -- South Africa -- Eastern Cape Province , Teachers -- Attitudes
- Language: English
- Type: Thesis , Masters , MEd
- Identifier: vital:9569 , http://hdl.handle.net/10948/d1016152
- Description: This dissertation is a narrative account of a self-study undertaken with the primary aim of positively influencing the morale of colleagues in my school department. It addresses an area of personal and professional concern where my values were being denied in my practice. As a Head of Department, I was worried that the low morale of my colleagues would negatively impact on the quality of teaching and learning at school, and on their own mental health. Situated within self-efficacy theory, my study reflects the values I attach to human dignity, respect, fairness, honesty perseverance and caring. These values were applied as the living standard by which I judged the quality of my leadership practice. I describe how I used an Action Research methodology as a living transformational process to reflect on my own leadership in terms of how I could influence the development of positive morale in the department. My findings offer new conceptualisations about how teachers can take action to improve the emotional climate of the school. I am claiming that the significance of my research is grounded in my ability to facilitate an improvement in the low morale of myself and my colleagues in order for us to ultimately contribute to self and school improvement.
- Full Text:
- Date Issued: 2009
- Authors: Hendricks, Charlotte Augusta
- Date: 2009
- Subjects: Teacher morale -- South Africa -- Eastern Cape , Teachers -- Job stress , Teachers -- Workload -- South Africa , Teachers -- Job satisfaction , Teachers -- Self-rating of -- South Africa -- Eastern Cape Province , Teachers -- Attitudes
- Language: English
- Type: Thesis , Masters , MEd
- Identifier: vital:9569 , http://hdl.handle.net/10948/d1016152
- Description: This dissertation is a narrative account of a self-study undertaken with the primary aim of positively influencing the morale of colleagues in my school department. It addresses an area of personal and professional concern where my values were being denied in my practice. As a Head of Department, I was worried that the low morale of my colleagues would negatively impact on the quality of teaching and learning at school, and on their own mental health. Situated within self-efficacy theory, my study reflects the values I attach to human dignity, respect, fairness, honesty perseverance and caring. These values were applied as the living standard by which I judged the quality of my leadership practice. I describe how I used an Action Research methodology as a living transformational process to reflect on my own leadership in terms of how I could influence the development of positive morale in the department. My findings offer new conceptualisations about how teachers can take action to improve the emotional climate of the school. I am claiming that the significance of my research is grounded in my ability to facilitate an improvement in the low morale of myself and my colleagues in order for us to ultimately contribute to self and school improvement.
- Full Text:
- Date Issued: 2009
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