A best practice guideline for the management of the quality of objective structured clinical examinations at a multi-campus public college of nursing
- Authors: Nyangeni, Thandolwakhe
- Date: 2021-04
- Subjects: Nursing assessment-- Management , Clinical Competence -- Management
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51466 , vital:43281
- Description: An Objective Structured Clinical Examination (OSCE) is a robust method of clinical assessment which, when properly planned and executed, results in a high quality and credible student assessment. However, concerns regarding its uniformity, fairness, objectivity and accuracy have been raised. Concerns regarding the management of the quality of OSCEs at a public College of Nursing in the Eastern Cape were raised by the College’s stakeholders. No best practice guideline had been developed regarding the management of the quality of OSCEs for this College. The aim of this study was therefore to develop a best practice guideline for the management of the quality of OSCEs at a public College of Nursing. The Transformative Pedagogy Theory proposed by Khedkar and Nair was used as a philosophical underpinning for this study. The Joanna Briggs Institute (JBI) model for evidence-based healthcare was used as a theoretical basis for this study. In Phase One, a qualitative, explorative, descriptive and contextual design was used to explore and describe the experiences of nurse educators regarding the management of the quality of OSCEs at a multi-campus public College of Nursing. Semi-structured individual interviews were used to collect data from fourteen (n=14) nurse educators. Thereafter, a qualitative document analysis of fifteen (n=15) external moderators’ reports was conducted to explore the information external moderators shared regarding the management of the quality of OSCEs at a multi-campus public College of Nursing. A document analysis checklist designed by the researcher was used to extract the data from external moderators’ reports. Tesch’s method of data analysis was utilised to analyse the data from the interviews while the data analysis process proposed by Dalglish, Khalid and McMahon was used to analyse the data from the external moderator’s reports. In Phase Two, an integrative literature review was conducted to search, select, extract, appraise and synthesise best practices regarding the management of the quality of OSCEs in health sciences education. The adapted integrative literature review steps, as proposed by de Souza, da Silva and de Carvalho, were utilised to guide this phase. Data of a total of thirteen (n=13) articles were extracted and synthesised. In Phase Three, the findings of Phase One and Phase Two were synthesised, as a basis for informing the development of a best practice guideline for the management of the quality of OSCEs. The National Institute for Health and Care (NICE) and the Appraisal of Guidelines for Research and Evaluation II (AGREE II) frameworks were used as a basis for developing the best practice guideline for the management of the quality of OSCEs at a multi-campus public College of Nursing. The draft best practice guideline was reviewed by eight (n=8) expert reviewers who were experienced in conducting OSCE’s and best practice guideline development. Lincoln and Guba’s principles—namely credibility, transferability, dependability and confirmability were applied to ensure the trustworthiness of the interview data. Wesley’s criteria- namely triangulation, thick description and audit trail were used to ensure the trustworthiness of the document analysis. The principles as stipulated in the Belmont Report were applied in order to ensure the ethical soundness of this study. Findings of the interviews and the document analysis in Phase One revealed that, while there are measures currently in place to facilitate quality in the management of OSCEs in this College of Nursing, there are gaps such as uncertainty in the assessment practices being used and resource constraints that hinder the overall quality of OSCEs. The participants indicated the need for the development of a best practice guideline for the management of the quality of OSCEs at this College. Findings from the integrative literature review in Phase Two revealed three themes, namely: apply quality measures in the preparation and planning phase of OSCEs; apply quality measures in the implementation phase of OSCEs; and apply quality measures in the evaluation phase of OSCEs. For Phase Three, the developed best practice guideline included three recommendations regarding the quality measures that should be applied in each of the three phases of OSCEs. It is recommended for the developed best practice guideline to be further refined, piloted and implemented to be used by nurse educators and other relevant stakeholders Once implemented, the guideline is expected to enhance the management of the quality of OSCEs at the multi-campus College of Nursing and, ultimately, nursing and patient outcomes through quality nursing education and assessment. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04
Best practice psychosocial–cultural care guideline for primary caregivers of couples in the Talensi and Nabdam districts of Ghana experiencing infertility
- Authors: Kuug, Anthony Kolsabilik
- Date: 2021-04
- Subjects: Caregivers -- Infertility -- Ghana , Couples -- Infertility -- Ghana
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51264 , vital:43258
- Description: Infertility remains a major clinical and social problem, affecting approximately one in every ten couples. The implications of infertility range from physical abuse to denial of family property, divorce, psychological problems, such as withdrawal, anxiety and depression to social isolation, scorn, rejection and stigmatisation. The health of infertile couples needs holistic attention because, while their medical and surgical needs are addressed to correct physical and physiological barriers of infertility, their psychological and emotive needs, which constitute the psychosocial aspects of infertility, need to be addressed as well. The current study explored and described the experiences of couples with infertility and primary caregivers who rendered care to couples. The study aimed to develop a best practice psychosocial-cultural care guideline for primary caregivers to enhance the management of couples experiencing infertility in Talensi and Nabdam districts of the Upper East Region in Ghana. The study followed a qualitative design while making use of explorative, descriptive contextual and interpretive ethnographic approaches. The research populations comprised couples experiencing infertility and the primary caregivers who cared for them, consisting of public health nurses and midwives. The research study comprised three phases. In Phase 1, semi-structured interviews, narrative sketching and storytelling were used to collect data on experiences of couples with infertility while semi-structured interviews were used to explore and describe the experiences of primary caregivers who cared for them. The interviews were transcribed and analysed using Tesch’s eight steps of data analysis to make sense of the data collected. The researcher ensured the validity of the study by conforming to the Lincoln and Guba’s approach to trustworthiness by using an independent coder to validate the researcher’s coding. In Phase 2, an integrative literature review was conducted to identify previous guidelines and systematic reviews regarding psychosocial–cultural care of infertility. Relevant guidelines and reviews were selected and critically appraised. Data were extracted and synthesised for the development of a best practice guideline for psychosocial–cultural care of couples experiencing infertility. An independent appraiser critically appraised relevant guidelines to ensure trustworthiness. In phase 3, the findings of Phases 1 and 2 were integrated to formulate a draft best practice guideline for psychosocial–cultural care of couples experiencing infertility. The guideline was reviewed by a six-member expert panel and modified based on their recommendations, suggestions and comments leading to the finalisation of the best practice psychosocial–cultural care guideline for primary caregivers of couples experiencing infertility in the Talensi and Nabdam districts in Ghana. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04
Co-generating a people-centred approach to addressing student hunger at a South African university
- Authors: Mansvelt, Natalie
- Date: 2021-04
- Subjects: Food security -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51309 , vital:43262
- Description: While considerable progress has been made regarding access to higher education in South Africa for previously excluded and disadvantaged students, great challenges are experienced in terms of student well-being. One of the key factors contributing to students’ ability to complete their studies successfully is food-related challenges. Various programmes have been introduced at institutions of higher education to assist and support students who lack funds for food. However, these programmes are characteristic of the welfarist model, as it is often based on needs, short-term by nature, and dependent on external resources. Furthermore, it reduces students to the role of passive beneficiaries. This research answers the question of how student hunger can be addressed through co-generating a people-centred approach at one higher education institution in South Africa. The study was underpinned by Sen’s capabilities approach to enable a theoretical understanding of the issue of student hunger. Additionally, Korten’s people-centred development provided the value base of the study to place students at the centre of the problem-solving process. An approach to student hunger that would be participative, student-centred, and enhancing nutritional capabilities was invited. Situated within the critical paradigm, I employed the participatory action research design to facilitate a process whereby students critically questioned the issue of hunger and took action to address the issue. Eight students from various study fields volunteered to co-research the issue of student hunger. Over the period of one year, we generated data using different methods (including photovoice, community self-survey, workshops, purposeful group discussions, focus group discussions, and my reflective notes). We applied cyclical processes to plan, implement, and reflect on actions intended to address student hunger. Through a combination of collaborative and individual processes of data analysis, we responded to four subquestions through four phases, which culminated in the co-construction of a people-centred approach to student hunger. Students’ conceptualisations of student hunger revealed two types: hunger of the stomach and hunger of the mind. The cyclical relationship between the two types infers that nutritional well-being is not achieved adequately when students have the means to acquire food. Choices regarding the utilisation of the available means also need consideration. The findings revealed that students apply the conscientisation framework in the ways that they plan to address student hunger. Applying value-driven processes, actions entailed physical dialogues with groups of people. The approach developed in this study offers strategies for the stakeholders who attend to student hunger, to collaborate and make contributions towards comprehensively resolving the complex issue. It primarily could be useful to institutions of higher education as the suggested coordinators of a collaborative structure. A second part of the developed approach puts forward a strategy to address the financial capabilities of students. The study contributes a consideration to constraints that stem from students’ mindsets and adoption of a prevailing culture that maintains student hunger. This demonstrates that resolutions to addressing student hunger might be more effective and sustainable if the context, views and participation of people experiencing the hunger are considered. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04
Enriching the physical education pedagogical content knowledge of foundation phase teachers
- Authors: Kahts-Kramer, Samantha Andrea
- Date: 2021-04
- Subjects: Physical education and training , Early childhood education -- Curricula
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51242 , vital:43236
- Description: Physical Education (PE) is vital for the holistic development of Foundation Phase learners. Foundation Phase teachers working in low resource contexts, however, being generalists rather than specialists, struggle to teach PE effectively, even when supplied with programmes by external experts. I was interested in finding out why, and what could be done to help them integrate Fundamental Movement Skills (FMS) into their teaching, to benefit their learners. I proceeded from the hypothesis that teachers should play an active part in their own development, otherwise any Continual Professional Teacher Development (CPTD) would not bring about the change desired. I argued that if CPTD training and support is embedded within their context and based on teaching philosophies that foster teacher transformation, empowerment, and advocacy, then teachers might be more likely to commit to teaching PE. My aim in this study was thus to develop a collaborative process of CPTD with Foundation Phase teachers in low resource schools to enrich their pedagogical content knowledge (PCK) of PE and FMS within their contexts of social disadvantage. I initially adopted a qualitative design, but during this study, I realised that a more participatory approach was needed. I therefore present my study in two phases In Phase One, I answered the question: What are Foundation Phase teachers’ experiences of implementing PE in low resource schools? I did so to inform the design of an appropriately suited CPTD model for Phase Two of this study. I used a qualitative research design situated within the interpretive paradigm. I purposively sampled 24 Foundation Phase teachers to partake in semi-structured interviews. Thematic analysis revealed three broad themes, namely, personal, and systemic barriers to PE, as well as positive responses to challenges. The overlap between themes was significant, highlighting the complexity of teachers’ experiences and perceptions of PE. Teachers’ positive responses emphasised that they possess the creativity and advocacy to overcome challenges posed and necessitated that I adopt a participatory design to work with teachers to develop a collaborative form of CPTD. Phase Two of this study was guided by the questions set by the participating teachers. Ten Foundation Phase teachers from two schools volunteered to be part of the study. In Cycle One they asked: What do we need to learn to be able to effectively implement PE? The findings of Cycle One led them to ask the following question in Cycle Two: How can we improve our confidence to teach PE within our school contexts? Participants did so through collaboratively creating PE lessons which they then implemented and evaluated. The findings of Phase Two highlighted how Foundation Phase teachers can be guided to empower themselves to overcome the barriers to teaching PE that they face in their low resource schools. Based on teachers’ CPTD experiences, I then addressed the third question of this study: What CPTD guidelines can be generated to enable Foundation Phase teachers to improve on and to implement their PCK of PE and FMS at low resource schools? Five CPTD guidelines aimed at collaborative and transformative PE-based CPTD focused on whole school transformation were identified. I provide a graphic depiction of the CPTD guidelines that explains how it can be operationalised. These CPTD guidelines and process model provide valuable knowledge to inform CPTD policy and practice of PE in the Foundation Phase in low resource schools. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04
Strategies to facilitate the utilisation of child healthcare services in the Nkwanta South Municipality, Ghana
- Authors: Nyande, Felix Kwasi
- Date: 2021-04
- Subjects: Child health services -- Ghana
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51439 , vital:43277
- Description: Child health outcomes in Ghana and Sub-Saharan Africa have remained poor compared to other regions of the world. More than half of the global deaths among children under five years of age occur in sub-Saharan Africa. Neonatal and under five child death rates continue to remain high in Ghana, mainly because of the high death rates recorded in the rural areas. Adequate and prompt utilisation of child healthcare services contributes to improved child health outcomes. Despite all the efforts to improve child health, the utilisation of child healthcare services in rural areas in Ghana such as the Nkwanta South Municipality has remained poor. The purpose of this study was therefore to develop strategies that could facilitate the utilisation of child healthcare services by caregivers for their children in need in the Nkwanta South Municipality, Ghana. A qualitative approach, using an exploratory, descriptive and contextual design was implemented for this study. The research comprised the following three phases. Phase One comprised the empirical phase which explored and described the experiences of three groups of participants namely, nurses who rendered child healthcare services in both hospitals and clinics; caregivers of children under five years of age who utilised the available child healthcare services and caregivers of child under five years of age who did not utilise the available child healthcare services. Data was collected through semi-structured interviews conducted with these participants and analysed qualitatively according to the six steps outlined in Creswell (2014:197). Four main themes and 10 sub-themes emerged from the data analysis and were presented and discussed. Phase Two consisted of the compilation of the conceptual framework using the survey list by Dickoff, James and Wiendenbach (1968:423). The conceptual framework was compiled based on the findings of the empirical phase and the WHO Health for All model which was the theoretical framework that underpinned this study. The conceptual framework was also later used as the lens for the development and description of the strategies to facilitate the utilisation of child healthcare services by caregivers for their children in need in Phase Three. Phase Three of the study was the final phase of the research and it involved the development and description of the strategies that could be used by nurses to facilitate the use of child healthcare services by caregivers for their children in need in Nkwanta South Municipality, Ghana. Five strategies were developed and described in this phase. The five strategies were: training and deployment of nurses; capacity building for nurses to support quality child healthcare delivery; resourcing healthcare facilities; community engagement and participation and stakeholder collaboration. The evaluation criteria of Chinn and Kramer (2011:197) were used by six experts to evaluate the strategies. The strategies were evaluated and found to be understandable, clear, simple, applicable and significant to nursing practice. It can thus be concluded that the purpose of the study was achieved since strategies were developed to facilitate the utilisation of child healthcare services by caregivers for their children in need in the Nkwanta South Municipality, Ghana. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04
The use of psychology in roman catholic seminary admissions in Southern Africa
- Authors: Mitchell, Gregory Paul
- Date: 2021-04
- Subjects: Catholic Church -- Africa, Southern -- Psychological aspects -- Congresses
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/51344 , vital:43266
- Description: Psychological assessment forms part of Roman Catholic seminary admissions in Southern Africa. The present study sought to explore and describe the perceptions and experiences of the role, purpose, and nature of the use of psychology in Roman Catholic seminary admissions in the territory of the Southern African Catholic Bishops’ Conference. A qualitative research design was selected, which utilised the grounded theory method. Church authorities and clinicians, recruited by means of purposive snowball sampling, were interviewed in individual semi-structured interviews. The findings were interpreted in relation to the narrative of a vocation to the Roman Catholic priesthood, international practice guidelines, as well as literature regarding the context of the Southern African Roman Catholic Church. Proposed guidelines for this process in Southern Africa were generated based on the experiences of the participants and this iterative process of thematic analysis. Potential guidelines, grounded in the research data, emerged in the following focus areas: the vocation to the priesthood, contextual and systemic factors, the clinician, the assessment process, factors to be assessed, the psychological report, the decision to admit to seminary, feedback, and psychology in formation. These are recommended to the Southern African Catholic Bishops’ Conference in draft form to be implemented in a participatory manner. , Thesis (PhD) -- Faculty of Health Sciences, 2021
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- Date Issued: 2021-04