A comparative normative survey of the isokinetic neck strength of senior elite South African rugby players and schoolboy rugby forwards
- Authors: Olivier, Pierre Emile
- Date: 2003
- Subjects: Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11026 , http://hdl.handle.net/10948/308 , Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Description: The aim of this study was to generate useful isokinetic normative data for various cervical musculature strength, range of motion and ratio variables based on different positional categories in a sample of senior elite South African rugby players. Normative data was generated for the following variables: peak torque, power generated at 0.2 of a second, active and passive range of motion, the ratio of peak torque flexion to peak torque extension (PTF/PTE), the ratio of peak torque lateral flexion left to peak torque lateral flexion right (PTL/PTR), the ratios of peak torque to body weight (PT/BW) and the ratios of peak torque to lean body mass (PT/LBM). Furthermore, the data gathered from the senior elite players was compared to similar data obtained from a sample of schoolboy rugby forwards to detect statistically significant differences (p < .05). A normative survey design was used in which 189 subjects from eight provincial unions participated in a one off evaluation session. The evaluation session comprised of various anthropometrical measurements and an isokinetic cervical musculature assessment. The normative data, displayed in Stanine tables, was generated for four positional categories: the front row (# 1-3), the second row (# 4-5), the back row (# 6-8) and the backline (# 9 -15). The second row positional category performed the best on the peak flexion torque variable (44.04 Nm). The front row positional category achieved the largest average peak extension torque (65.6 Nm). The second row positional category achieved the largest average peak lateral flexion right torque (69.42 Nm). A similar result was observed with the measurement of peak lateral flexion left torque, with the second row positional category achieving the largest average peak lateral flexion left torque (66.31 Nm). The backline positional category achieved the lowest averages on all the abovementioned peak torque variables. The front row positional category performed the best on the flexion power generated at 0.2 of a second variable (160.92 W). The front row positional category again achieved the largest extension power generated at 0.2 of a second average (237.02 W). The second row positional category achieved the largest lateral flexion right power generated at 0.2 of a second average (269.81 W). Similar results were observed with the measurement of lateral flexion left power generated at 0.2 of a second. The second row positional category achieved the largest lateral flexion left power generated at 0.2 of a second average (259.62 W). Again the backline players achieved the smallest power generated at 0.2 of a second averages for all the above-mentioned power variables. The measurement of passive (PROMFE) and active (AROMFE) range of motion for flexion to extension revealed that the second row had the largest average PROMFE (125.44°). The measurement of AROMFE revealed a similar result. The second row again had the largest average AROMFE (108.45°). The measurement of passive (PROMLF) and active (PROMFE) range of motion for lateral flexion left to right revealed smaller and different results to those found for PROMFE and AROMFE. For the variable of PROMLF the backline players had the largest average PROMLF (119.44°). Conversely, the second row had the largest average AROMLF (106.96°). The calculation of the various ratios revealed great variation between the positional categories. This can be attributed to the functional requirements the players have to adhere to, to be successful in their position. Various other statistical calculations were performed to draw the average force distance graphs for the positional categories for the peak torque variables. Furthermore the force distance graphs were assessed to determine the players’ ability to maintain 80% of peak torque. All the senior elite positional categories proved to be significantly (p < .05) older and heavier than the schoolboy forwards. The senior elite forward positional categories were also significantly (p < .05) taller than the schoolboy forward. There however proved to be no significant difference (p > .05) in stature between the backline and schoolboy forwards. All the positional categories proved to have significantly thicker (p < .05) necks, but significantly shorter (p < .05) cervical spines than the schoolboy forwards. The forward positional categories demonstrated to be significantly stronger (p < .05), on all peak torque measures, than the schoolboy forwards. The same was observed between the backline and schoolboy forwards, however no statistically significant difference (p > .05) was observed between the respective sample groups for the measure of peak lateral flexion left torque. For all the measures of power generated at 0.2 of a second, the senior forward positional categories proved to be significantly more powerful (p < .05) than the schoolboy forwards. The senior backline, although significantly more powerful (p < .05) in the flexion movement pattern, proved to be significantly less powerful (p < .05) than the schoolboy forwards in the lateral flexion right movement pattern. No statistically significant differences (p < .05) were found to exist between the senior backline and schoolboy forwards for the extension and lateral flexion left power generated at 0.2 of a second variables. All positional categories proved to have significantly smaller (p < .05) active and passive ranges of motion compared to the schoolboy forwards. Conversely, the senior elite players had significantly larger (p < .05) ratios (PTF/PTE, PTL/PTR, PT/BW and PT/LBM) than the schoolboy forwards. Literature has identified schoolboy rugby as having a much higher incidence of cervical spinal injuries than senior rugby. It can thus be inferred from the above information that the variables of peak torque and power generated at 0.2 of a second play a important role in safeguarding a player from injury on the field of play. Furthermore, calculated ratios show that senior players, especially the forwards, have undergone adaptive changes in cervical musculature strength to meet the requirements of the position they play in, thereby safeguarding themselves from cervical spinal injury. Proper cervical musculature conditioning has been cited in the literature as being an effective but neglected method of preventing cervical spinal injuries. The generation of normative data, concerning cervical musculature performance, can thus be used to prevent the occurrence of cervical injuries and re-injury of the cervical spine by providing a standard of musculature strength for safe participation in rugby, and possibly other collision type sports, and a quantified guide for successful patient rehabilitation respectively.
- Full Text:
- Date Issued: 2003
- Authors: Olivier, Pierre Emile
- Date: 2003
- Subjects: Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11026 , http://hdl.handle.net/10948/308 , Rugby football -- South Africa -- Physiological aspects , Neck -- Muscles , Muscle strength , Rugby football players -- South Africa
- Description: The aim of this study was to generate useful isokinetic normative data for various cervical musculature strength, range of motion and ratio variables based on different positional categories in a sample of senior elite South African rugby players. Normative data was generated for the following variables: peak torque, power generated at 0.2 of a second, active and passive range of motion, the ratio of peak torque flexion to peak torque extension (PTF/PTE), the ratio of peak torque lateral flexion left to peak torque lateral flexion right (PTL/PTR), the ratios of peak torque to body weight (PT/BW) and the ratios of peak torque to lean body mass (PT/LBM). Furthermore, the data gathered from the senior elite players was compared to similar data obtained from a sample of schoolboy rugby forwards to detect statistically significant differences (p < .05). A normative survey design was used in which 189 subjects from eight provincial unions participated in a one off evaluation session. The evaluation session comprised of various anthropometrical measurements and an isokinetic cervical musculature assessment. The normative data, displayed in Stanine tables, was generated for four positional categories: the front row (# 1-3), the second row (# 4-5), the back row (# 6-8) and the backline (# 9 -15). The second row positional category performed the best on the peak flexion torque variable (44.04 Nm). The front row positional category achieved the largest average peak extension torque (65.6 Nm). The second row positional category achieved the largest average peak lateral flexion right torque (69.42 Nm). A similar result was observed with the measurement of peak lateral flexion left torque, with the second row positional category achieving the largest average peak lateral flexion left torque (66.31 Nm). The backline positional category achieved the lowest averages on all the abovementioned peak torque variables. The front row positional category performed the best on the flexion power generated at 0.2 of a second variable (160.92 W). The front row positional category again achieved the largest extension power generated at 0.2 of a second average (237.02 W). The second row positional category achieved the largest lateral flexion right power generated at 0.2 of a second average (269.81 W). Similar results were observed with the measurement of lateral flexion left power generated at 0.2 of a second. The second row positional category achieved the largest lateral flexion left power generated at 0.2 of a second average (259.62 W). Again the backline players achieved the smallest power generated at 0.2 of a second averages for all the above-mentioned power variables. The measurement of passive (PROMFE) and active (AROMFE) range of motion for flexion to extension revealed that the second row had the largest average PROMFE (125.44°). The measurement of AROMFE revealed a similar result. The second row again had the largest average AROMFE (108.45°). The measurement of passive (PROMLF) and active (PROMFE) range of motion for lateral flexion left to right revealed smaller and different results to those found for PROMFE and AROMFE. For the variable of PROMLF the backline players had the largest average PROMLF (119.44°). Conversely, the second row had the largest average AROMLF (106.96°). The calculation of the various ratios revealed great variation between the positional categories. This can be attributed to the functional requirements the players have to adhere to, to be successful in their position. Various other statistical calculations were performed to draw the average force distance graphs for the positional categories for the peak torque variables. Furthermore the force distance graphs were assessed to determine the players’ ability to maintain 80% of peak torque. All the senior elite positional categories proved to be significantly (p < .05) older and heavier than the schoolboy forwards. The senior elite forward positional categories were also significantly (p < .05) taller than the schoolboy forward. There however proved to be no significant difference (p > .05) in stature between the backline and schoolboy forwards. All the positional categories proved to have significantly thicker (p < .05) necks, but significantly shorter (p < .05) cervical spines than the schoolboy forwards. The forward positional categories demonstrated to be significantly stronger (p < .05), on all peak torque measures, than the schoolboy forwards. The same was observed between the backline and schoolboy forwards, however no statistically significant difference (p > .05) was observed between the respective sample groups for the measure of peak lateral flexion left torque. For all the measures of power generated at 0.2 of a second, the senior forward positional categories proved to be significantly more powerful (p < .05) than the schoolboy forwards. The senior backline, although significantly more powerful (p < .05) in the flexion movement pattern, proved to be significantly less powerful (p < .05) than the schoolboy forwards in the lateral flexion right movement pattern. No statistically significant differences (p < .05) were found to exist between the senior backline and schoolboy forwards for the extension and lateral flexion left power generated at 0.2 of a second variables. All positional categories proved to have significantly smaller (p < .05) active and passive ranges of motion compared to the schoolboy forwards. Conversely, the senior elite players had significantly larger (p < .05) ratios (PTF/PTE, PTL/PTR, PT/BW and PT/LBM) than the schoolboy forwards. Literature has identified schoolboy rugby as having a much higher incidence of cervical spinal injuries than senior rugby. It can thus be inferred from the above information that the variables of peak torque and power generated at 0.2 of a second play a important role in safeguarding a player from injury on the field of play. Furthermore, calculated ratios show that senior players, especially the forwards, have undergone adaptive changes in cervical musculature strength to meet the requirements of the position they play in, thereby safeguarding themselves from cervical spinal injury. Proper cervical musculature conditioning has been cited in the literature as being an effective but neglected method of preventing cervical spinal injuries. The generation of normative data, concerning cervical musculature performance, can thus be used to prevent the occurrence of cervical injuries and re-injury of the cervical spine by providing a standard of musculature strength for safe participation in rugby, and possibly other collision type sports, and a quantified guide for successful patient rehabilitation respectively.
- Full Text:
- Date Issued: 2003
An epidemiological study of childhood asthma care by general practitioners in the Nelson Mandela Metropole
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
Food choices of tactile defensive children
- Authors: Smith, Anna Magdalena
- Date: 2003
- Subjects: Children -- Nutrition -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:11034 , http://hdl.handle.net/10948/d1020371
- Description: This research explores a different view of the picky or fussy eater. Although occupational therapists and speech therapists are aware that children with sensory defensiveness and specific tactile defensiveness have different eating habits, this has not been described before.
- Full Text:
- Date Issued: 2003
- Authors: Smith, Anna Magdalena
- Date: 2003
- Subjects: Children -- Nutrition -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:11034 , http://hdl.handle.net/10948/d1020371
- Description: This research explores a different view of the picky or fussy eater. Although occupational therapists and speech therapists are aware that children with sensory defensiveness and specific tactile defensiveness have different eating habits, this has not been described before.
- Full Text:
- Date Issued: 2003
Personality traits of patients participating in a group programme at a private psychiatric day clinic
- Authors: Oakes, Elizabeth Jean
- Date: 2003
- Subjects: Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11028 , http://hdl.handle.net/10948/331 , Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Description: The current trend in psychiatric health care is towards comprehensive primary healthcare for all South Africans. This has been has been achieved by the restructuring of the National Health System (NHS) into national, provincial, district, and community levels, which provide outpatient and inpatient care at primary, secondary, and tertiary care levels. Assessment and treatment in the form of physical and psychosocial interventions form an integral part of psychiatric care. The value of personality assessment and, in particular, the potential for matching patient personality types with effective treatment options, may play a role in facilitating effective health care in the future. An overview of the literature indicates that little research has been done regarding the area of personality traits of psychiatric patients in South Africa. This study aims to explore and describe the personality traits or profile of individuals attending a private psychiatric day care facility in The Nelson Mandela Metropole (i.e., Parkwood Day Clinic). The sample consisted of 196 participants (104 male and 92 female) who attended a group programme from April 2000 to April 2001. As part of the programme, patients were required to com plete a series of pencil-and-paper measures. The questionnaires selected for this study included a biographical questionnaire, which was used to describe the biographical variables of the sample with regard to gender, age and marital status, and The Revised NEO Personality Inventory (NEO PI-R) (Costa & McCrae, 1992a), which was used as a measure of personality. The NEO PI-R is considered a concise measure of the five major domains of personality and some of the more important traits that define each domain. Together, the five domains Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A) and Conscientiousness (C), and the six facets within each domain, allow for a comprehensive assessment of adult personality. xiv An exploratory, descriptive method was used in the study, and the data was analysed using descriptive and inferential statistics, including correlations, cluster analysis, and multivariate analysis of variance. Key findings include the following: Results from the NEO PI-R domains showed a personality profile of very high scores for N, and average scores for E, O, A, and C. Within the sample, cluster analysis revealed five distinct personality profile clusters. For the biographical variable gender, significant differences were found between males and females on N, with the majority of males scoring in the category of Very High and High, and the majority of females scoring in the Average category. For the variable age, the results indicated significant differences on A, with participants in the young adulthood group scoring significantly lower on A than participants in the middle adulthood group. For marital status, on the domain of O, significant differences were found between the divorced or widowed and the married, with the married scoring in the Low category and the divorced or widowed in the Average category. On the domain of C, significant differences were noted between the singles group and the currently or previously married groups, with the single group tending to score lower on C than both other groups. These findings reveal a need for further research into personality traits and psychiatric samples, as consideration of personality traits based on the profile established, may be useful in matching patients’ characteristics with optimal treatment options.
- Full Text:
- Date Issued: 2003
- Authors: Oakes, Elizabeth Jean
- Date: 2003
- Subjects: Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11028 , http://hdl.handle.net/10948/331 , Personality assessment -- South Africa -- Port Elizabeth , NEO Personality Inventory -- South Africa -- Port Elizabeth , Psychotherapy -- Outcome assessment -- South Africa -- Port Elizabeth
- Description: The current trend in psychiatric health care is towards comprehensive primary healthcare for all South Africans. This has been has been achieved by the restructuring of the National Health System (NHS) into national, provincial, district, and community levels, which provide outpatient and inpatient care at primary, secondary, and tertiary care levels. Assessment and treatment in the form of physical and psychosocial interventions form an integral part of psychiatric care. The value of personality assessment and, in particular, the potential for matching patient personality types with effective treatment options, may play a role in facilitating effective health care in the future. An overview of the literature indicates that little research has been done regarding the area of personality traits of psychiatric patients in South Africa. This study aims to explore and describe the personality traits or profile of individuals attending a private psychiatric day care facility in The Nelson Mandela Metropole (i.e., Parkwood Day Clinic). The sample consisted of 196 participants (104 male and 92 female) who attended a group programme from April 2000 to April 2001. As part of the programme, patients were required to com plete a series of pencil-and-paper measures. The questionnaires selected for this study included a biographical questionnaire, which was used to describe the biographical variables of the sample with regard to gender, age and marital status, and The Revised NEO Personality Inventory (NEO PI-R) (Costa & McCrae, 1992a), which was used as a measure of personality. The NEO PI-R is considered a concise measure of the five major domains of personality and some of the more important traits that define each domain. Together, the five domains Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A) and Conscientiousness (C), and the six facets within each domain, allow for a comprehensive assessment of adult personality. xiv An exploratory, descriptive method was used in the study, and the data was analysed using descriptive and inferential statistics, including correlations, cluster analysis, and multivariate analysis of variance. Key findings include the following: Results from the NEO PI-R domains showed a personality profile of very high scores for N, and average scores for E, O, A, and C. Within the sample, cluster analysis revealed five distinct personality profile clusters. For the biographical variable gender, significant differences were found between males and females on N, with the majority of males scoring in the category of Very High and High, and the majority of females scoring in the Average category. For the variable age, the results indicated significant differences on A, with participants in the young adulthood group scoring significantly lower on A than participants in the middle adulthood group. For marital status, on the domain of O, significant differences were found between the divorced or widowed and the married, with the married scoring in the Low category and the divorced or widowed in the Average category. On the domain of C, significant differences were noted between the singles group and the currently or previously married groups, with the single group tending to score lower on C than both other groups. These findings reveal a need for further research into personality traits and psychiatric samples, as consideration of personality traits based on the profile established, may be useful in matching patients’ characteristics with optimal treatment options.
- Full Text:
- Date Issued: 2003
The subjective well-being and experience of life roles of white employed married mothers: a multiple case study
- Authors: Evans, Amelia
- Date: 2003
- Subjects: Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11019 , http://hdl.handle.net/10948/290 , Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Description: The number of women who choose to combine careers and traditional roles as mothers has been increasing steadily over the last number of years. As a result, the subjective wellbeing of these women has been the focus of many research projects over the last number of years. Subjective well-being has been defined in various ways by different authors. One definition describes subjective well-being as people's evaluations of their lives, which includes happiness, pleasant emotions, life satisfaction, and a relative absence of unpleasant moods and emotions. The current study, which took the form of a multiple case study, attempted to explore and describe White employed married mothers’ subjective experience of their well-being. The study also explored these women's experiences of combining the roles of employee and motherhood. The sample was obtained through the snowballing technique, and both qualitative (in-depth interviews) and quantitative techniques (two questionnaires - the Satisfaction with Life Scale and the Beck Depression Inventory) were utilized. The analysis of the data that was gathered was done by means of thematic and content analyses.
- Full Text:
- Date Issued: 2003
- Authors: Evans, Amelia
- Date: 2003
- Subjects: Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11019 , http://hdl.handle.net/10948/290 , Married women -- Employment -- South Africa -- Psychological aspects , Working mothers -- South Africa -- Psychological aspects , Self-Actualization (Psychology)
- Description: The number of women who choose to combine careers and traditional roles as mothers has been increasing steadily over the last number of years. As a result, the subjective wellbeing of these women has been the focus of many research projects over the last number of years. Subjective well-being has been defined in various ways by different authors. One definition describes subjective well-being as people's evaluations of their lives, which includes happiness, pleasant emotions, life satisfaction, and a relative absence of unpleasant moods and emotions. The current study, which took the form of a multiple case study, attempted to explore and describe White employed married mothers’ subjective experience of their well-being. The study also explored these women's experiences of combining the roles of employee and motherhood. The sample was obtained through the snowballing technique, and both qualitative (in-depth interviews) and quantitative techniques (two questionnaires - the Satisfaction with Life Scale and the Beck Depression Inventory) were utilized. The analysis of the data that was gathered was done by means of thematic and content analyses.
- Full Text:
- Date Issued: 2003
A preliminary investigation into the patterns of performance on a computerized adaptive test battery implications for admissions and placement
- Authors: Vorster, Marlene
- Date: 2002
- Subjects: Universities and colleges -- Admission , Advanced placement programs (Education) , Computer adaptive testing , Universities and colleges -- Entrance requirements
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11030 , http://hdl.handle.net/10948/285 , Universities and colleges -- Admission , Advanced placement programs (Education) , Computer adaptive testing , Universities and colleges -- Entrance requirements
- Description: The fallibility of human judgment in the making of decisions requires the use of tests to enhance decision-making processes. Although testing is surrounded with issues of bias and fairness, it remains the best means of facilitating decisions over more subjective alternatives. As a country in transition, all facets of South African society are being transformed. The changes taking place within the tertiary education system to redress the legacy of Apartheid, coincide with an international trend of transforming higher education. One important area that is being transformed relates to university entrance requirements and admissions procedures. In South Africa, these were traditionally based on matriculation performance, which has been found to be a more variable predictor of academic success for historically disadvantaged students. Alternative or revised admissions procedures have been implemented at universities throughout the country, in conjunction with academic development programmes. However, it is argued in this dissertation that a paradigm shift is necessary to conceptualise admissions and placement assessment in a developmentally oriented way. Furthermore, it is motivated that it is important to keep abreast of advances in theory, such as item response theory (IRT) and technology, such as computerized adaptive testing (CAT), in test development to enhance the effectiveness of selecting and placing learners in tertiary programmes. This study focuses on investigating the use of the Accuplacer Computerized Placement Tests (CPTs), an adaptive test battery that was developed in the USA, to facilitate unbiased and fair admissions, placement and development decisions in the transforming South African context. The battery has been implemented at a university in the Eastern Cape and its usefulness was investigated for 193 participants, divided into two groups of degree programmes, depending on whether or not admission to the degree required mathematics as a matriculation subject. Mathematics based degree programme learners (n = 125) wrote three and non-mathematics based degree programme learners (n = 68) wrote two tests of the Accuplacer test battery. Correlations were computed between the Accuplacer scores and matriculation performance, and between the Accuplacer scores, matriculation performance and academic results. All yielded significant positive relationships excepting for the one subtest of the Accuplacer with academic performance for the non-mathematics based degree group. Multiple correlations for both groups indicated that the Accuplacer scores and matriculation results contribute unique information about academic performance. Cluster analysis for both groups yielded three underlying patterns of performance in the data sets. An attempt was made to validate the cluster groups internally through a MANOVA and single-factor ANOVAs. It was found that Accuplacer subtests and matriculation results do discriminate to an extent among clusters of learners in both groups of degree programmes investigated. Clusters were described in terms of demographic information and it was determined that the factors of culture and home language and how they relate to cluster group membership need further investigation. The main suggestion flowing from these findings is that an attempt be made to confirm the results with a larger sample size and for different cultural and language groups.
- Full Text:
- Date Issued: 2002
- Authors: Vorster, Marlene
- Date: 2002
- Subjects: Universities and colleges -- Admission , Advanced placement programs (Education) , Computer adaptive testing , Universities and colleges -- Entrance requirements
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11030 , http://hdl.handle.net/10948/285 , Universities and colleges -- Admission , Advanced placement programs (Education) , Computer adaptive testing , Universities and colleges -- Entrance requirements
- Description: The fallibility of human judgment in the making of decisions requires the use of tests to enhance decision-making processes. Although testing is surrounded with issues of bias and fairness, it remains the best means of facilitating decisions over more subjective alternatives. As a country in transition, all facets of South African society are being transformed. The changes taking place within the tertiary education system to redress the legacy of Apartheid, coincide with an international trend of transforming higher education. One important area that is being transformed relates to university entrance requirements and admissions procedures. In South Africa, these were traditionally based on matriculation performance, which has been found to be a more variable predictor of academic success for historically disadvantaged students. Alternative or revised admissions procedures have been implemented at universities throughout the country, in conjunction with academic development programmes. However, it is argued in this dissertation that a paradigm shift is necessary to conceptualise admissions and placement assessment in a developmentally oriented way. Furthermore, it is motivated that it is important to keep abreast of advances in theory, such as item response theory (IRT) and technology, such as computerized adaptive testing (CAT), in test development to enhance the effectiveness of selecting and placing learners in tertiary programmes. This study focuses on investigating the use of the Accuplacer Computerized Placement Tests (CPTs), an adaptive test battery that was developed in the USA, to facilitate unbiased and fair admissions, placement and development decisions in the transforming South African context. The battery has been implemented at a university in the Eastern Cape and its usefulness was investigated for 193 participants, divided into two groups of degree programmes, depending on whether or not admission to the degree required mathematics as a matriculation subject. Mathematics based degree programme learners (n = 125) wrote three and non-mathematics based degree programme learners (n = 68) wrote two tests of the Accuplacer test battery. Correlations were computed between the Accuplacer scores and matriculation performance, and between the Accuplacer scores, matriculation performance and academic results. All yielded significant positive relationships excepting for the one subtest of the Accuplacer with academic performance for the non-mathematics based degree group. Multiple correlations for both groups indicated that the Accuplacer scores and matriculation results contribute unique information about academic performance. Cluster analysis for both groups yielded three underlying patterns of performance in the data sets. An attempt was made to validate the cluster groups internally through a MANOVA and single-factor ANOVAs. It was found that Accuplacer subtests and matriculation results do discriminate to an extent among clusters of learners in both groups of degree programmes investigated. Clusters were described in terms of demographic information and it was determined that the factors of culture and home language and how they relate to cluster group membership need further investigation. The main suggestion flowing from these findings is that an attempt be made to confirm the results with a larger sample size and for different cultural and language groups.
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- Date Issued: 2002
Clinical psychologists' perceived barriers to the provision of psychological services for people with first-episode schizophrenia in urban public health care settings
- Barnwell, Garret Christopher
- Authors: Barnwell, Garret Christopher
- Subjects: Clinical psychologists -- South Africa -- Nelson Mandela Bay Municipality , Schizophrenia -- Treatment -- South Africa -- Nelson Mandela Bay Municipality , Urban health -- South Africa -- Nelson Mandela Bay Municipality , Health facilities -- South Africa -- Nelson Mandela Bay Municipality -- Administration
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10083 , http://hdl.handle.net/10948/d1020304
- Description: This study explored and described the perception of clinical psychologists regarding thebarriers to the provision of psychological services in urban public health settings for people with first-episode schizophrenia. The qualitative research study utilised an explorative, descriptive interpretive research design. Purposive sampling was utilised to gain access to clinical psychologists, who had at least two years of public health experience working with people recently diagnosed with schizophrenia. Data was gathered from 11 participants from the Nelson Mandela Bay Health District of the Eastern Cape by means of in-depth interviews that were conducted in English by the researcher until data saturation had occurred. A computer-assisted qualitative thematic analysis of the collected data was conducted using NVIVO software. The findings have been categorised according to three broad domains: 1)contextual barriers 2)health care system-related barriers and 3)first-episode schizophrenia syndrome-related barriers. Several specific sub-themes were identified for each of these main domains allowing for recommendations and suggestions to be provided for attending to and overcoming these perceived barriers.
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- Authors: Barnwell, Garret Christopher
- Subjects: Clinical psychologists -- South Africa -- Nelson Mandela Bay Municipality , Schizophrenia -- Treatment -- South Africa -- Nelson Mandela Bay Municipality , Urban health -- South Africa -- Nelson Mandela Bay Municipality , Health facilities -- South Africa -- Nelson Mandela Bay Municipality -- Administration
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10083 , http://hdl.handle.net/10948/d1020304
- Description: This study explored and described the perception of clinical psychologists regarding thebarriers to the provision of psychological services in urban public health settings for people with first-episode schizophrenia. The qualitative research study utilised an explorative, descriptive interpretive research design. Purposive sampling was utilised to gain access to clinical psychologists, who had at least two years of public health experience working with people recently diagnosed with schizophrenia. Data was gathered from 11 participants from the Nelson Mandela Bay Health District of the Eastern Cape by means of in-depth interviews that were conducted in English by the researcher until data saturation had occurred. A computer-assisted qualitative thematic analysis of the collected data was conducted using NVIVO software. The findings have been categorised according to three broad domains: 1)contextual barriers 2)health care system-related barriers and 3)first-episode schizophrenia syndrome-related barriers. Several specific sub-themes were identified for each of these main domains allowing for recommendations and suggestions to be provided for attending to and overcoming these perceived barriers.
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Factors contributing to occupational stress in student support staff in a Further Education and Training (FET) College in the Southern Cape
- Authors: De Klerk, Ulricha
- Subjects: Work -- Psychological aspects , Job stress -- South Africa -- Western Cape , College students -- South Africa -- Western Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10085 , http://hdl.handle.net/10948/d1020806
- Description: The main purpose of this study is to explore the factors that contribute to occupational stress as experienced by the Student Support staff in a Further Education and Training (FET) College in the Southern Cape. The Student Support staff has displayed many symptoms of stress over the past few years. This in turn has led to absenteeism, change in staff temperament, their feelings towards the College, motivation levels and a significant change in the staff’s day to day operations. Although the Head of Department for Student Support Services has engaged with the staff on numerous occasions to discuss the reasons for their experience of stress, no substantial reasons could be established in order to make the necessary changes in the department. No interventions that have been implemented to date have relieved the staff’s experience of stress. The researcher chose to use a qualitative, exploratory, descriptive and contextual research design to gain insight into the situation or phenomenon in order to identify the factors contributing to occupational stress and to identify measures that can be implemented to reduce occupational stress in the Student Support staff. The participants in this research included at least 10 Student Support staff within the Student Support Services Department at a Further Education and Training College in the Southern Cape. Purposive sampling was used in this research study. Interviews will continue until data saturation is achieved. The staff members must have been employed for at least one year in the Student Support Services Department. The researcher will make use of semi-structured interviews, observations and field notes. The data will be systematically collected and meanings, themes and general descriptions of the experience analysed within the specific context (de Vos, Strydom, Fouche & Delport, 2005). The researcher will make use of Tesch’s method of analysis, and use Guba’s strategies for ensuring Trustworthiness. The researcher will apply the ethical considerations of confidentiality, informed consent, ethical approval from relevant institutions, avoidance of harm to participants, truthfulness and the debriefing of participants when conducting this study. The findings were reported as three major themes and subthemes. The three major themes were; Student support staff identified several factors that contributed to occupational stress, Student support staff identified the effect that occupational stress has on them, Student support staff offered suggestions that the college could implement to reduce occupational stress. These themes were discussed and analysed in-depth.
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- Authors: De Klerk, Ulricha
- Subjects: Work -- Psychological aspects , Job stress -- South Africa -- Western Cape , College students -- South Africa -- Western Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10085 , http://hdl.handle.net/10948/d1020806
- Description: The main purpose of this study is to explore the factors that contribute to occupational stress as experienced by the Student Support staff in a Further Education and Training (FET) College in the Southern Cape. The Student Support staff has displayed many symptoms of stress over the past few years. This in turn has led to absenteeism, change in staff temperament, their feelings towards the College, motivation levels and a significant change in the staff’s day to day operations. Although the Head of Department for Student Support Services has engaged with the staff on numerous occasions to discuss the reasons for their experience of stress, no substantial reasons could be established in order to make the necessary changes in the department. No interventions that have been implemented to date have relieved the staff’s experience of stress. The researcher chose to use a qualitative, exploratory, descriptive and contextual research design to gain insight into the situation or phenomenon in order to identify the factors contributing to occupational stress and to identify measures that can be implemented to reduce occupational stress in the Student Support staff. The participants in this research included at least 10 Student Support staff within the Student Support Services Department at a Further Education and Training College in the Southern Cape. Purposive sampling was used in this research study. Interviews will continue until data saturation is achieved. The staff members must have been employed for at least one year in the Student Support Services Department. The researcher will make use of semi-structured interviews, observations and field notes. The data will be systematically collected and meanings, themes and general descriptions of the experience analysed within the specific context (de Vos, Strydom, Fouche & Delport, 2005). The researcher will make use of Tesch’s method of analysis, and use Guba’s strategies for ensuring Trustworthiness. The researcher will apply the ethical considerations of confidentiality, informed consent, ethical approval from relevant institutions, avoidance of harm to participants, truthfulness and the debriefing of participants when conducting this study. The findings were reported as three major themes and subthemes. The three major themes were; Student support staff identified several factors that contributed to occupational stress, Student support staff identified the effect that occupational stress has on them, Student support staff offered suggestions that the college could implement to reduce occupational stress. These themes were discussed and analysed in-depth.
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Job satisfaction amongst middle managers of Department of Health
- Authors: Mawonga, Mzukisi Edward
- Subjects: Job satisfaction -- South Africa -- Eastern Cape , Job stress -- South Africa -- Eastern Cape. , Middle managers -- Job satisfaction , Public health administration -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10082 , http://hdl.handle.net/10948/d1020197
- Description: Job satisfaction studies are an essential element for ensuring improvement in service delivery. The researcher was committed to assist top management with important information that can make them aware of the causes and consequences of job satisfaction (Nel, Van Dyk, Haasbroek, Schultz, Sono and Werner, 2006:52). Job satisfaction is not only concerned with feeling good at work, it also encompasses job content, the work environment and interaction with all people. The study was conducted at the Department of Health in the Province of the Eastern Cape. This study aimed to describe the level of job satisfaction amongst middle managers of the Department of Health (DoH) at the Head Office, in terms of remuneration, interpersonal relationships, development, support, recognition, extent of supervision, their attitude to the work itself and working conditions.
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- Authors: Mawonga, Mzukisi Edward
- Subjects: Job satisfaction -- South Africa -- Eastern Cape , Job stress -- South Africa -- Eastern Cape. , Middle managers -- Job satisfaction , Public health administration -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10082 , http://hdl.handle.net/10948/d1020197
- Description: Job satisfaction studies are an essential element for ensuring improvement in service delivery. The researcher was committed to assist top management with important information that can make them aware of the causes and consequences of job satisfaction (Nel, Van Dyk, Haasbroek, Schultz, Sono and Werner, 2006:52). Job satisfaction is not only concerned with feeling good at work, it also encompasses job content, the work environment and interaction with all people. The study was conducted at the Department of Health in the Province of the Eastern Cape. This study aimed to describe the level of job satisfaction amongst middle managers of the Department of Health (DoH) at the Head Office, in terms of remuneration, interpersonal relationships, development, support, recognition, extent of supervision, their attitude to the work itself and working conditions.
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Nurse managers' perceptions of the Eastern Cape department of health employee assistance programme
- Authors: Stenge, Nyameka
- Subjects: Employee assistance programs -- South Africa -- Eastern Cape , Nurse administrators -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10088 , http://hdl.handle.net/10948/d1021203
- Description: Organizations assist employees to deal effectively with demanding work and the work environment, including their personal problems, through an Employee Assistance Programme (EAP). The essence of the EAP is the application of knowledge about behaviour and behavioural health to make accurate assessments, followed by appropriate action to improve the productivity and healthy functioning of the employees. According to the report from the Employee Wellness Directorate of the Eastern Cape, the Employee Assistance Programme Practitioners saw 576 employees in 2010. These statistics only represent a few districts in the Eastern Cape as some districts do not have Employee Assistance Practitioners offering employee assistance, hence this number could be higher. In some instances employees do self-referral, which may increase the number without the managers knowing who is utilizing the EAP. This makes it difficult for the managers to monitor such employees and the effectiveness of the intervention rendered. Managers refer employees but do not have control over whether employees made use of the EAP and on the progress in sessions as they do not always receive the feedback. The Employee Assistance counsellor may receive a written referral from the nursing manager and then consults the referred employee in private. The employee gives consent and then the EAP counsellor addresses the problem at hand. If it is a complex case needing expert intervention arrangements are made. If the intervention requires follow up sessions, the EAP counsellor makes the necessary arrangements through the referring manager until the problem is resolved. The EAP counsellor monitors the employee and asks the manager to support the employee without divulging details of the problem that was being addressed. However, the Nursing Managers do not know how effective the programme is and whether the employees benefit from the use. The above-mentioned problem led the researcher to ask the following questions: • What are the perceptions that Nurse Managers in the Department of Health in the Eastern Cape Province have of the effectiveness of the Employee Assistance Programme? • How can Nurse Managers optimize employees’ use of the EAP? The goal of this study was to identify the perceptions of Nurse Managers of the Employee Assistance Programme in order to determine how the programme’s use can be optimized. The researcher used a qualitative, explorative, descriptive and contextual design. The research population was selected purposively and included the Nursing Managers in the Department of Health in the Chris Hani District, Eastern Cape, who have referred employees to the Employee Assistance Programme. Semi-structured interviews were used during the data gathering process. Interviews were conducted at a venue convenient to the participants. Open-ended questions were asked to enable participants to express their perceptions on the topic. The researcher also used observation and field-notes to ensure that the data gathering provided rich information. The data was analysed using Tesch’s method of data analysis. Trustworthiness was ensured by using Guba’s model of trustworthiness. The ethical strategies of informed consent, confidentiality and anonymity, avoidance of harm and voluntary participation were ensured. Two themes emerged from the data analysis. Theme one showed that the participants had contrasting perceptions regarding the effectiveness of the current Employee Assistance Programme. Some felt that they have benefitted from the programme while others felt differently. Theme two described the participants’ views elated to improving the utilization of the EAP. Positive and negative factors that impacted on the implementation of EAP have been identified. Results show that both the employer and the employees could benefit if EAP is well implemented. Decentralization of EAP could be very cost effective and could save the employer thousands of rands because resources would be utilized better.
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- Authors: Stenge, Nyameka
- Subjects: Employee assistance programs -- South Africa -- Eastern Cape , Nurse administrators -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10088 , http://hdl.handle.net/10948/d1021203
- Description: Organizations assist employees to deal effectively with demanding work and the work environment, including their personal problems, through an Employee Assistance Programme (EAP). The essence of the EAP is the application of knowledge about behaviour and behavioural health to make accurate assessments, followed by appropriate action to improve the productivity and healthy functioning of the employees. According to the report from the Employee Wellness Directorate of the Eastern Cape, the Employee Assistance Programme Practitioners saw 576 employees in 2010. These statistics only represent a few districts in the Eastern Cape as some districts do not have Employee Assistance Practitioners offering employee assistance, hence this number could be higher. In some instances employees do self-referral, which may increase the number without the managers knowing who is utilizing the EAP. This makes it difficult for the managers to monitor such employees and the effectiveness of the intervention rendered. Managers refer employees but do not have control over whether employees made use of the EAP and on the progress in sessions as they do not always receive the feedback. The Employee Assistance counsellor may receive a written referral from the nursing manager and then consults the referred employee in private. The employee gives consent and then the EAP counsellor addresses the problem at hand. If it is a complex case needing expert intervention arrangements are made. If the intervention requires follow up sessions, the EAP counsellor makes the necessary arrangements through the referring manager until the problem is resolved. The EAP counsellor monitors the employee and asks the manager to support the employee without divulging details of the problem that was being addressed. However, the Nursing Managers do not know how effective the programme is and whether the employees benefit from the use. The above-mentioned problem led the researcher to ask the following questions: • What are the perceptions that Nurse Managers in the Department of Health in the Eastern Cape Province have of the effectiveness of the Employee Assistance Programme? • How can Nurse Managers optimize employees’ use of the EAP? The goal of this study was to identify the perceptions of Nurse Managers of the Employee Assistance Programme in order to determine how the programme’s use can be optimized. The researcher used a qualitative, explorative, descriptive and contextual design. The research population was selected purposively and included the Nursing Managers in the Department of Health in the Chris Hani District, Eastern Cape, who have referred employees to the Employee Assistance Programme. Semi-structured interviews were used during the data gathering process. Interviews were conducted at a venue convenient to the participants. Open-ended questions were asked to enable participants to express their perceptions on the topic. The researcher also used observation and field-notes to ensure that the data gathering provided rich information. The data was analysed using Tesch’s method of data analysis. Trustworthiness was ensured by using Guba’s model of trustworthiness. The ethical strategies of informed consent, confidentiality and anonymity, avoidance of harm and voluntary participation were ensured. Two themes emerged from the data analysis. Theme one showed that the participants had contrasting perceptions regarding the effectiveness of the current Employee Assistance Programme. Some felt that they have benefitted from the programme while others felt differently. Theme two described the participants’ views elated to improving the utilization of the EAP. Positive and negative factors that impacted on the implementation of EAP have been identified. Results show that both the employer and the employees could benefit if EAP is well implemented. Decentralization of EAP could be very cost effective and could save the employer thousands of rands because resources would be utilized better.
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Perceptions of health care professionals regarding facilitation of resilience in the workplace
- Smith, G
- Authors: Smith, G
- Subjects: Nurses -- Job stress , Resilience (Personality trait) , Nursing -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10086 , http://hdl.handle.net/10948/d1020948
- Description: A person’s career takes up a large portion of his or her life for a minimum of 8 hours per day. A large portion of their time is spent performing their duties which are often accompanied by various demands or pressure that can result in an employee experiencing stress. Over time this build-up of stress due to job demands affects their ability to perform at work. This study aimed to identify, explore and describe the factors that facilitate the resilience of healthcare professionals working at a Campus Health Service at a Higher Education Institution. An exploratory descriptive study consisting of a qualitative nature was employed. Data was obtained from semi-structured interviews. The questions that were posed to participants read as follows: (1) “Tell me about the demands placed on you in your current work situation”, (2) “How do you cope with the demands placed on you?”, (3) “What can be done to assist you to cope better at work?”, and lastly (4) “Any additional questions/comments?”. The fourth question was added by the researcher in order for participants to have the opportunity to add to what they have said previously. Data was gathered until data saturation was reached. Tesch’s model of content analysis as well as Guba’s model of trustworthiness was employed, in order to analyse the data. An independent coder was subsequently employed to ensure the trustworthiness of the data. The findings revealed that all participants found workplace demands to be stressful, in terms of physical, emotional and time-related demands placed on them. Participants identified strategies that could help them cope with their demands such as open air activities, debriefing with colleagues or making use of a wellness line, maintaining a positive attitude, support from management and colleagues, the ability to practice initiative and autonomous decision-making, and lastly, religious practices. In addition, participants made recommendations on how employers can help relieve their stress. The recommendations included developing an in-house wellness programme, providing sufficient staff of the correct categories, providing adequate facilities and equipment to improve efficiency, providing developmental opportunities, scheduling training programmes for less busy times of the year, and lastly, introducing elements of structured flexi-time for employees.
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- Authors: Smith, G
- Subjects: Nurses -- Job stress , Resilience (Personality trait) , Nursing -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10086 , http://hdl.handle.net/10948/d1020948
- Description: A person’s career takes up a large portion of his or her life for a minimum of 8 hours per day. A large portion of their time is spent performing their duties which are often accompanied by various demands or pressure that can result in an employee experiencing stress. Over time this build-up of stress due to job demands affects their ability to perform at work. This study aimed to identify, explore and describe the factors that facilitate the resilience of healthcare professionals working at a Campus Health Service at a Higher Education Institution. An exploratory descriptive study consisting of a qualitative nature was employed. Data was obtained from semi-structured interviews. The questions that were posed to participants read as follows: (1) “Tell me about the demands placed on you in your current work situation”, (2) “How do you cope with the demands placed on you?”, (3) “What can be done to assist you to cope better at work?”, and lastly (4) “Any additional questions/comments?”. The fourth question was added by the researcher in order for participants to have the opportunity to add to what they have said previously. Data was gathered until data saturation was reached. Tesch’s model of content analysis as well as Guba’s model of trustworthiness was employed, in order to analyse the data. An independent coder was subsequently employed to ensure the trustworthiness of the data. The findings revealed that all participants found workplace demands to be stressful, in terms of physical, emotional and time-related demands placed on them. Participants identified strategies that could help them cope with their demands such as open air activities, debriefing with colleagues or making use of a wellness line, maintaining a positive attitude, support from management and colleagues, the ability to practice initiative and autonomous decision-making, and lastly, religious practices. In addition, participants made recommendations on how employers can help relieve their stress. The recommendations included developing an in-house wellness programme, providing sufficient staff of the correct categories, providing adequate facilities and equipment to improve efficiency, providing developmental opportunities, scheduling training programmes for less busy times of the year, and lastly, introducing elements of structured flexi-time for employees.
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Rehabilitation of children with severe acute malnutrition with ready-to-use therapeutic food compared to F100 at Clairwood Hospital, KwaZulu-Natal
- Authors: Nomvete, Anele Yoliswa
- Subjects: Malnutrition in children -- South Africa -- KwaZulu-Natal , Dietary supplements -- South Africa -- KwaZulu-Natal , Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10087 , http://hdl.handle.net/10948/d1020982
- Description: Background: The World Health Organisation (WHO) initially recommended F100 formula in the treatment of severe malnutrition. F100 is made with full cream milk powder, sugar, oil and water with added minerals and vitamins. Ready to-use therapeutic food (RUTF) is a highly nutrient dense food enriched with minerals and vitamins, with a similar nutrient profile but greater energy and nutrient density than F100. RUTF has shown to be effective in the treatment of severe and moderate wasting and is associated with an increased recovery rate. In South Africa no studies are available on the recovery rate of children with severe acute malnutrition treated with RUTFs. Aim: To compare the recovery of clinically stable severe acute malnourished children, between the age of 12 and 60 months, treated with either F100 or RUTF as nutrition supplement. Methods: A randomised clinically controlled trial was performed. All children referred to Clairwood hospital with severe acute malnutrition (SAM), defined as a weight for height measurement of <70 percent of the median and/or < -3 SD below the mean WHO reference values or the presence of bilateral oedema were included in this study. Children were stratified according to age and gender and subsequently randomly assigned with randomisation tables to either the RUTF or F100 group. A total of 35 children were included in this study and data from 34 were analysed with 17 in each group. Results: Most children included in this study were between 12 and 18 months with boys in the majority. Both groups had a large percentage of HIV-infected children (70 percent in the RUTF group and 76 percent in the F100 group), with Tuberculosis (TB) co-infection in some of the children. One child died due to HIV related complications. The rate of weight gain was 7.77g/kg/day in the RUTF group and 6.11g/kg/day in the F100 group. There was no statistical significant difference established between groups (p = 0.46). The majority of children recovered within 21 days on the RUTF while the majority of children in the F100 group recovered after 6 weeks. There were no changes in height during the rehabilitation of these children. MUAC changes were observed with 92 percent having a mid-upper arm circumference (MUAC) of > 11.5cm after a 6 week intervention with RUTF and F100. Conclusion: RUTF resulted in better rates of recovery and can be used efficiently in rehabilitating children with SAM in a supervised facility setting. These preliminary results also point towards significant potential savings regarding hospitalisation costs since faster recovery has been demonstrated by children in the RUTF group.
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- Authors: Nomvete, Anele Yoliswa
- Subjects: Malnutrition in children -- South Africa -- KwaZulu-Natal , Dietary supplements -- South Africa -- KwaZulu-Natal , Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10087 , http://hdl.handle.net/10948/d1020982
- Description: Background: The World Health Organisation (WHO) initially recommended F100 formula in the treatment of severe malnutrition. F100 is made with full cream milk powder, sugar, oil and water with added minerals and vitamins. Ready to-use therapeutic food (RUTF) is a highly nutrient dense food enriched with minerals and vitamins, with a similar nutrient profile but greater energy and nutrient density than F100. RUTF has shown to be effective in the treatment of severe and moderate wasting and is associated with an increased recovery rate. In South Africa no studies are available on the recovery rate of children with severe acute malnutrition treated with RUTFs. Aim: To compare the recovery of clinically stable severe acute malnourished children, between the age of 12 and 60 months, treated with either F100 or RUTF as nutrition supplement. Methods: A randomised clinically controlled trial was performed. All children referred to Clairwood hospital with severe acute malnutrition (SAM), defined as a weight for height measurement of <70 percent of the median and/or < -3 SD below the mean WHO reference values or the presence of bilateral oedema were included in this study. Children were stratified according to age and gender and subsequently randomly assigned with randomisation tables to either the RUTF or F100 group. A total of 35 children were included in this study and data from 34 were analysed with 17 in each group. Results: Most children included in this study were between 12 and 18 months with boys in the majority. Both groups had a large percentage of HIV-infected children (70 percent in the RUTF group and 76 percent in the F100 group), with Tuberculosis (TB) co-infection in some of the children. One child died due to HIV related complications. The rate of weight gain was 7.77g/kg/day in the RUTF group and 6.11g/kg/day in the F100 group. There was no statistical significant difference established between groups (p = 0.46). The majority of children recovered within 21 days on the RUTF while the majority of children in the F100 group recovered after 6 weeks. There were no changes in height during the rehabilitation of these children. MUAC changes were observed with 92 percent having a mid-upper arm circumference (MUAC) of > 11.5cm after a 6 week intervention with RUTF and F100. Conclusion: RUTF resulted in better rates of recovery and can be used efficiently in rehabilitating children with SAM in a supervised facility setting. These preliminary results also point towards significant potential savings regarding hospitalisation costs since faster recovery has been demonstrated by children in the RUTF group.
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