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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
- Full Text:
- Date Issued: 2021-04
- 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
- Full Text:
- Date Issued: 2021-04
A case study of Jeffrey Dahmer
- Authors: Freeman, Chanté F
- Date: 2021-04
- Subjects: Serial murders -- Case studies , Personality development -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51032 , vital:43202
- Description: Jeffrey Lionel Dahmer is an infamous serial killer and cannibal. He was described as a normal, but shy little boy, yet developed into an adult who brutally murdered, engaged in necrophiliac acts, dismembered and ate parts of his victims. This study took the form of an intrinsic case study with the aim to explore and describe the personality development of Jeffrey Dahmer. This exploration examined Dahmer’s known childhood experiences through the theoretical perspective of Otto Kernberg’s (1974, 1975, 1976) Object Relations Theory, in order to understand how Dahmer’s personality was formed. Data was collected from multiple resources, including books, authoritative biographies, academic articles, and internet sources available in the public domain. It was analysed using Miles, Huberman, and Saldaña’s (2014) three-step process namely, data condensation, data display, and conclusion drawing and verification. This study’s findings confirmed the formation of pathological behavioural patterns supported by primitive defence mechanisms, associated with Kernberg’s lower level pathologies. It reflected Dahmer’s pathological formation of psychic structures seen in a diffuse identity and impaired formation of the superego, that supported these patterns. Additionally, the research was valuable in enhancing the researcher’s insight into personality development according to Kernberg’s Object Relations Theory. This study may also be beneficial to practising clinicians and professionals as an example of the early identification of personality pathology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Freeman, Chanté F
- Date: 2021-04
- Subjects: Serial murders -- Case studies , Personality development -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51032 , vital:43202
- Description: Jeffrey Lionel Dahmer is an infamous serial killer and cannibal. He was described as a normal, but shy little boy, yet developed into an adult who brutally murdered, engaged in necrophiliac acts, dismembered and ate parts of his victims. This study took the form of an intrinsic case study with the aim to explore and describe the personality development of Jeffrey Dahmer. This exploration examined Dahmer’s known childhood experiences through the theoretical perspective of Otto Kernberg’s (1974, 1975, 1976) Object Relations Theory, in order to understand how Dahmer’s personality was formed. Data was collected from multiple resources, including books, authoritative biographies, academic articles, and internet sources available in the public domain. It was analysed using Miles, Huberman, and Saldaña’s (2014) three-step process namely, data condensation, data display, and conclusion drawing and verification. This study’s findings confirmed the formation of pathological behavioural patterns supported by primitive defence mechanisms, associated with Kernberg’s lower level pathologies. It reflected Dahmer’s pathological formation of psychic structures seen in a diffuse identity and impaired formation of the superego, that supported these patterns. Additionally, the research was valuable in enhancing the researcher’s insight into personality development according to Kernberg’s Object Relations Theory. This study may also be beneficial to practising clinicians and professionals as an example of the early identification of personality pathology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A narrative biography of sexual trauma and subsequent substance abuse
- Authors: Jansen, Tazminne
- Date: 2021-04
- Subjects: Sexual abuse victims -- South Africa -- Biography , Substance abuse -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51231 , vital:43234
- Description: In South Africa, substance abuse and sexual assault and/or abuse are major concerns. Society has become desensitised to these topics because of its high prevalence rate. Substance abuse is often greeted with stereotypes and prejudices that view individuals as a problem to society. The proposed research employed a qualitative, exploratory, and descriptive strategy of inquiry, guided by narrative biographical research design. Social constructionism was employed as a theoretical framework to explore how an individual had constructed her life story, with a specific focus on her experience of sexual trauma and subsequent substance abuse. A non-probability purposive sampling method was used to recruit a research participant who was in the public domain as a motivational speaker in an attempt to guard against retraumatisation. Two data collection methods were employed, namely one-on-one semi-structured interviews and an invitation to the participant to journal about her experience, guided by specific stimulus questions. Thematic narrative analysis was employed as a method of data analysis. The outcome of the investigation had provided a narrative account of the research question at hand with the following themes coming to the forefront:- Early childhood experiences ( pre-sexual abuse), sexual trauma, recovery and meaning making. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Jansen, Tazminne
- Date: 2021-04
- Subjects: Sexual abuse victims -- South Africa -- Biography , Substance abuse -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51231 , vital:43234
- Description: In South Africa, substance abuse and sexual assault and/or abuse are major concerns. Society has become desensitised to these topics because of its high prevalence rate. Substance abuse is often greeted with stereotypes and prejudices that view individuals as a problem to society. The proposed research employed a qualitative, exploratory, and descriptive strategy of inquiry, guided by narrative biographical research design. Social constructionism was employed as a theoretical framework to explore how an individual had constructed her life story, with a specific focus on her experience of sexual trauma and subsequent substance abuse. A non-probability purposive sampling method was used to recruit a research participant who was in the public domain as a motivational speaker in an attempt to guard against retraumatisation. Two data collection methods were employed, namely one-on-one semi-structured interviews and an invitation to the participant to journal about her experience, guided by specific stimulus questions. Thematic narrative analysis was employed as a method of data analysis. The outcome of the investigation had provided a narrative account of the research question at hand with the following themes coming to the forefront:- Early childhood experiences ( pre-sexual abuse), sexual trauma, recovery and meaning making. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A Psychobiographical Study of Charles Manson
- Authors: Flatela, Sambesiwe
- Date: 2021-04
- Subjects: Psychology -- Biographical methods , Personality development -- Psychological aspects , Criminals -- United States -- Biography
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51021 , vital:43201
- Description: Charles Manson was notorious for his antisocial behaviour and influence; through his charisma, he formed a group of followers known as the Manson family. Manson and his followers became involved in various criminal activities which culminated in the murder of 7 people. These murders were not committed by Manson per say, but he planned them, and incited his followers to commit them; this resulted in a trial and Manson going to prison, being given a life sentence. He continued to influence people while he served his sentence in prison. Manson died of natural causes in November 2017. The research study explores and describes the life of Manson in the form of a psychobiography. The aim of the study was to gain insight into the personality development of Charles Manson. This was achieved by applying Otto Kernberg’s Object Relations Theory to Manson’s known life experiences. Various data was collected and triangulated, using primary and secondary sources. Miles, Huberman, and Saldana’s (2013) three step procedure was used to analyse the data. The findings highlight the influence of genetics and rejection as pivotal to the unfolding of Manson’s personality, and provide insight into how his antisocial patterns unfolded. They highlight, in particular, his use of control, dominance and devaluation to protect his positive experience of self. , Thesis (MA) -- Faculty of Health Sciences, Department of Psychology, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Flatela, Sambesiwe
- Date: 2021-04
- Subjects: Psychology -- Biographical methods , Personality development -- Psychological aspects , Criminals -- United States -- Biography
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51021 , vital:43201
- Description: Charles Manson was notorious for his antisocial behaviour and influence; through his charisma, he formed a group of followers known as the Manson family. Manson and his followers became involved in various criminal activities which culminated in the murder of 7 people. These murders were not committed by Manson per say, but he planned them, and incited his followers to commit them; this resulted in a trial and Manson going to prison, being given a life sentence. He continued to influence people while he served his sentence in prison. Manson died of natural causes in November 2017. The research study explores and describes the life of Manson in the form of a psychobiography. The aim of the study was to gain insight into the personality development of Charles Manson. This was achieved by applying Otto Kernberg’s Object Relations Theory to Manson’s known life experiences. Various data was collected and triangulated, using primary and secondary sources. Miles, Huberman, and Saldana’s (2013) three step procedure was used to analyse the data. The findings highlight the influence of genetics and rejection as pivotal to the unfolding of Manson’s personality, and provide insight into how his antisocial patterns unfolded. They highlight, in particular, his use of control, dominance and devaluation to protect his positive experience of self. , Thesis (MA) -- Faculty of Health Sciences, Department of Psychology, 2021
- Full Text:
- Date Issued: 2021-04
A psychobiographical study of Gavin Maxwell: a Kernberg object relations approach
- Authors: Walters, Jacqueline
- Date: 2021-04
- Subjects: Personality development -- Psychological aspects , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52363 , vital:43619
- Description: Gavin Maxwell was an author and naturalist. He published a memoir called A Ring of Bright Water, which shaped the way millions of readers viewed nature. Maxwell wrote simple prose which paints an idyllic and moving picture of his time spent in his “lost paradise”, alongside his beloved animals, most notably his otters. However, in reality Maxwell was a man in conflict, seen in volatile relationships, financial recklessness, and the preference for the company of animals over people. The aim of this study was to explore Maxwell’s life to gain insight into his personality development. This was achieved by applying Otto Kernberg’s Object Relations Theory to his life experiences. In doing so the author hoped to gain an understanding of the personality dynamics that led to Maxwell’s relational difficulties and eccentricities. Data was collected by triangulating multiple sources of information on his life. Miles and Huberman’s (1994) three step approach was used to analyse data collected. These steps are: data reduction, data display, and conclusion drawing and verification. The research study found that Maxwell’s personality development was likely arrested at the third stage of Kernberg’s model. Maxwell relied primarily on immature defence mechanisms based in splitting and possessed a fragile ego structure which he protected through grandiosity. The findings indicated that Maxwell’s personality falls in the borderline level of functioning with a strong likelihood of pathological narcissism. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Walters, Jacqueline
- Date: 2021-04
- Subjects: Personality development -- Psychological aspects , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52363 , vital:43619
- Description: Gavin Maxwell was an author and naturalist. He published a memoir called A Ring of Bright Water, which shaped the way millions of readers viewed nature. Maxwell wrote simple prose which paints an idyllic and moving picture of his time spent in his “lost paradise”, alongside his beloved animals, most notably his otters. However, in reality Maxwell was a man in conflict, seen in volatile relationships, financial recklessness, and the preference for the company of animals over people. The aim of this study was to explore Maxwell’s life to gain insight into his personality development. This was achieved by applying Otto Kernberg’s Object Relations Theory to his life experiences. In doing so the author hoped to gain an understanding of the personality dynamics that led to Maxwell’s relational difficulties and eccentricities. Data was collected by triangulating multiple sources of information on his life. Miles and Huberman’s (1994) three step approach was used to analyse data collected. These steps are: data reduction, data display, and conclusion drawing and verification. The research study found that Maxwell’s personality development was likely arrested at the third stage of Kernberg’s model. Maxwell relied primarily on immature defence mechanisms based in splitting and possessed a fragile ego structure which he protected through grandiosity. The findings indicated that Maxwell’s personality falls in the borderline level of functioning with a strong likelihood of pathological narcissism. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A psychobiographical study of Harvey Milk
- Authors: Pretorius, Neil Zietsman
- Date: 2021-04
- Subjects: Gay rights , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51600 , vital:43321
- Description: The aim of the study was to explore and describe Harvey Milk’s identity development and performance from the theoretical perspective of Narrative Therapy. Harvey (1930-1978), was an American Gay Rights activist who became one of the first openly gay political candidates to be elected to public office in the United States in 1977, before being assassinated in 1978. The study was conducted within a postmodern Social Constructionist epistemology which applied Michael White and David Epston’s (1990) Narrative Therapy as a particular theoretical lens to understand Harvey’s lived experiences. Harvey was chosen as the research subject based on his ability to construct his public identity as an openly gay politician and activist in defiance of the contemporarily dominant heteronormative discourse, despite the danger this posed to his personal safety. His selection was made through purposive sampling which facilitated a qualitative, single case psychobiographical study. Data on Harvey was obtained from both primary and secondary sources available in the public domain, and was analysed using Narrative Therapy concepts that describe individual identity. The study’s findings detail the narrative processes Harvey underwent and the discursive influences he experienced to move from being a closeted gay man, who hid his sexuality from public view, to an openly gay trailblazing Gay Rights activist, who fiercely challenged the norms and effects of heteronormativity on both his own life and that of his gay community. The study emphasises the value of psychobiography and Narrative Therapy to understand individual identity construction and performance. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Pretorius, Neil Zietsman
- Date: 2021-04
- Subjects: Gay rights , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51600 , vital:43321
- Description: The aim of the study was to explore and describe Harvey Milk’s identity development and performance from the theoretical perspective of Narrative Therapy. Harvey (1930-1978), was an American Gay Rights activist who became one of the first openly gay political candidates to be elected to public office in the United States in 1977, before being assassinated in 1978. The study was conducted within a postmodern Social Constructionist epistemology which applied Michael White and David Epston’s (1990) Narrative Therapy as a particular theoretical lens to understand Harvey’s lived experiences. Harvey was chosen as the research subject based on his ability to construct his public identity as an openly gay politician and activist in defiance of the contemporarily dominant heteronormative discourse, despite the danger this posed to his personal safety. His selection was made through purposive sampling which facilitated a qualitative, single case psychobiographical study. Data on Harvey was obtained from both primary and secondary sources available in the public domain, and was analysed using Narrative Therapy concepts that describe individual identity. The study’s findings detail the narrative processes Harvey underwent and the discursive influences he experienced to move from being a closeted gay man, who hid his sexuality from public view, to an openly gay trailblazing Gay Rights activist, who fiercely challenged the norms and effects of heteronormativity on both his own life and that of his gay community. The study emphasises the value of psychobiography and Narrative Therapy to understand individual identity construction and performance. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Abortion and the role of self-forgiveness
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An adolescent survivor’s experience following child sexual abuse: a case study
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An educational intervention on the prevention of catheter-related bloodstream infections in haemodialysis patients in Eswatini
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An exploration of attrition of sexual crime cases of child victims from the perspectives of the police officers, prosecutors and advocates in Kouga District, Eastern Cape (SA)
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An exploration of spirit possession and psychological praxis in South Africa: implications for a culturally competent psychological practice
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- 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
- Full Text:
- Date Issued: 2021-04
- 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
- Full Text:
- Date Issued: 2021-04
Caregivers’ Knowledge, Attitude and Practices (KAP) of breastfeeding and prevention of mother-to-child transmission (pmtct) in Nelson Mandela Bay Health District: impact of a community dialogue intervention
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- 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
- Full Text:
- Date Issued: 2021-04
- 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
- Full Text:
- Date Issued: 2021-04
Engaging the female voice in understanding gender and sexuality interaction: the school and social work as medium for empowerment
- Authors: Madikizela, B M
- Date: 2021-04
- Subjects: Sex (Psychology)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51298 , vital:43261
- Description: The lack of the female voice in relationships with men means that they cannot negotiate safe sex, friendships with both male and female peers, their freedom of movement within the parameters of their relationships, etc. As a result of this, HIV and teenage pregnancy rates remain unacceptably high. The public health sector in present-day South Africa finds itself increasingly strained due to high levels of new incidents of HIV in young women between the age of 18 and 24. Statistics show that pregnancies are on the rise due to early sexual interactions. These statistics stand in stark contrast with the fact that gender and sexuality are topics taught in the school system through subjects such as Life Orientation. The assumption is often that young people, and in the context of this study, young women, will translate the knowledge into skill sets and behaviours that would help them assert themselves more and have control of their bodies. The statistics, however, seem to tell a different story. The purpose of the study is to understand why, despite the fact that there are subjects in the school curriculum and programs offered by different organisations, HIV infection amongst young women as well as teenage pregnancies remain a problem, an indication that the female voice remains marginalised in intimate spaces. The theoretical frameworks for this study include a Humanising Pedagogy, interrogating education and training engagements for social change while also engaging with various works of Judith Butler as a lens to view the marginalisation of young women in a gendered society. This study is qualitative in nature as it uses a critical ethnographic research design. It aimed to uncover and understand the deeper meanings of the phenomena experienced by young women from their point of view. The study employed a non-probability, purposive sample technique, in addition to the ethnographic analysis. A sample of 15 young women between the ages of 18 and 24 in the Nelson Mandela Bay Metro engaged in the study. These young women were recruited from Rise out of School Programme, part of the Khethimpilo prevention program. Informed consent to participate in the study was secured before interviews were conducted and participants were not coerced into participation and were free to drop out at any point. All endeavours to protect participants from physical harm and mental stress were taken. Misconceptions and misunderstandings which arose in the piloting phase of the study were removed and complete confidentiality was maintained in the management of all information obtained about participants. Individual semi-structured interviews were conducted with the participants. Thematic analysis was used to analyse data. Guba’s model of ensuring trustworthiness of the data was applied. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Madikizela, B M
- Date: 2021-04
- Subjects: Sex (Psychology)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51298 , vital:43261
- Description: The lack of the female voice in relationships with men means that they cannot negotiate safe sex, friendships with both male and female peers, their freedom of movement within the parameters of their relationships, etc. As a result of this, HIV and teenage pregnancy rates remain unacceptably high. The public health sector in present-day South Africa finds itself increasingly strained due to high levels of new incidents of HIV in young women between the age of 18 and 24. Statistics show that pregnancies are on the rise due to early sexual interactions. These statistics stand in stark contrast with the fact that gender and sexuality are topics taught in the school system through subjects such as Life Orientation. The assumption is often that young people, and in the context of this study, young women, will translate the knowledge into skill sets and behaviours that would help them assert themselves more and have control of their bodies. The statistics, however, seem to tell a different story. The purpose of the study is to understand why, despite the fact that there are subjects in the school curriculum and programs offered by different organisations, HIV infection amongst young women as well as teenage pregnancies remain a problem, an indication that the female voice remains marginalised in intimate spaces. The theoretical frameworks for this study include a Humanising Pedagogy, interrogating education and training engagements for social change while also engaging with various works of Judith Butler as a lens to view the marginalisation of young women in a gendered society. This study is qualitative in nature as it uses a critical ethnographic research design. It aimed to uncover and understand the deeper meanings of the phenomena experienced by young women from their point of view. The study employed a non-probability, purposive sample technique, in addition to the ethnographic analysis. A sample of 15 young women between the ages of 18 and 24 in the Nelson Mandela Bay Metro engaged in the study. These young women were recruited from Rise out of School Programme, part of the Khethimpilo prevention program. Informed consent to participate in the study was secured before interviews were conducted and participants were not coerced into participation and were free to drop out at any point. All endeavours to protect participants from physical harm and mental stress were taken. Misconceptions and misunderstandings which arose in the piloting phase of the study were removed and complete confidentiality was maintained in the management of all information obtained about participants. Individual semi-structured interviews were conducted with the participants. Thematic analysis was used to analyse data. Guba’s model of ensuring trustworthiness of the data was applied. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Enriching the physical education pedagogical content knowledge of foundation phase teachers
- Kahts-Kramer, Samantha Andrea
- 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
- Full Text:
- Date Issued: 2021-04
- 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
- Full Text:
- Date Issued: 2021-04
Exploring the perceived wellbeing of adolescents participating in a mindfulness-based adolescent programme
- Authors: Munro, Belinda Patricia
- Date: 2021-04
- Subjects: Mindfulness (Psychology) -- South Africa -- Eastern Cape , Adolescent psychotherapy -- Evaluation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51361 , vital:43268
- Description: Mindfulness techniques can potentially facilitate increased self-awareness, improve impulse control, decrease emotional reactivity to challenging events, and improve one’s subjective experience of wellbeing. As yet, research within the child and adolescent population are in its early stages (Dellbridge, 2002. This study explores and describes the perceived wellbeing of adolescents participating in a Mindfulness-based adolescent programme. It uses a multiple case study format, within a qualitative paradigm. The sample of five adolescents are from the NGO, Masifunde, in the Eastern Cape, and were selected through a nonprobability purposive sampling. Participants were between the ages of 16 and 18 years. Data was collected using a pre-test post-test format, administering the Child and Adolescent Mindfulness Measure (CAMM), the Five Facet Mindfulness Questionnaire (FFMQ-15), and the Emotional Regulation Questionnaire for Children and Adolescents (ERQ-CA). After the Mindfulness-based Adolescent Programme (MBAP), individual semi-structured interviews were used to explore the adolescent’s perceived experience of the programme. Data was analysed using Braun and Clarke’s (2006) method of thematic analysis for qualitative data. The researchers reflective journaling was also used to expand on findings. Themes that emerged include the participants reflecting awareness of change in perceived experience of mindfulness, growing emotional awareness and regulation, development of attentional abilities, development of metacognition, reduction in physical discomfort, building and enhancing relationships, and experiencing body-based practices as most beneficial. The themes that came out most strongly were the reduction of physical discomfort, and positive experiences of body-based practices, which was understood by the researcher within the cultural heritage of participants. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Munro, Belinda Patricia
- Date: 2021-04
- Subjects: Mindfulness (Psychology) -- South Africa -- Eastern Cape , Adolescent psychotherapy -- Evaluation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51361 , vital:43268
- Description: Mindfulness techniques can potentially facilitate increased self-awareness, improve impulse control, decrease emotional reactivity to challenging events, and improve one’s subjective experience of wellbeing. As yet, research within the child and adolescent population are in its early stages (Dellbridge, 2002. This study explores and describes the perceived wellbeing of adolescents participating in a Mindfulness-based adolescent programme. It uses a multiple case study format, within a qualitative paradigm. The sample of five adolescents are from the NGO, Masifunde, in the Eastern Cape, and were selected through a nonprobability purposive sampling. Participants were between the ages of 16 and 18 years. Data was collected using a pre-test post-test format, administering the Child and Adolescent Mindfulness Measure (CAMM), the Five Facet Mindfulness Questionnaire (FFMQ-15), and the Emotional Regulation Questionnaire for Children and Adolescents (ERQ-CA). After the Mindfulness-based Adolescent Programme (MBAP), individual semi-structured interviews were used to explore the adolescent’s perceived experience of the programme. Data was analysed using Braun and Clarke’s (2006) method of thematic analysis for qualitative data. The researchers reflective journaling was also used to expand on findings. Themes that emerged include the participants reflecting awareness of change in perceived experience of mindfulness, growing emotional awareness and regulation, development of attentional abilities, development of metacognition, reduction in physical discomfort, building and enhancing relationships, and experiencing body-based practices as most beneficial. The themes that came out most strongly were the reduction of physical discomfort, and positive experiences of body-based practices, which was understood by the researcher within the cultural heritage of participants. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Exploring the Role of minority stress on South African Muslim Women’s Psychological Help-Seeking Behaviour
- Authors: Cheema, Rabia Afzaal
- Date: 2021-04
- Subjects: Muslim women -- Mental health , Muslim women -- Psychology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51043 , vital:43203
- Description: Minority identities of all types regularly experience poorer mental and physical health due to discrimination based on intersections of race, religion, ethnicity and gender. This process was coined by Meyer (2003) as minority stress and has come to represent the effects that discrimination, based on identity, has on an individual. Amongst the many minority identities that exist, Muslim women have in recent years experienced escalated rates of discriminatory treatment, due to political and social trends. The aim of this study was to explore the role of minority stress on South African Muslim women’s psychological help-seeking behaviour. The study employed a qualitative research design and made use of the purposive sampling method followed by the snowball sampling technique to identify participants. The data was analysed using thematic analysis and four themes were reported. These were: 1) descriptions of life as a Muslim woman 2) challenges faced by Muslim women in South Africa 3) psychological influences on mental health and 4) barriers to seeking psychological help. The researcher found that Muslim women do experience minority stress and it does influence help-seeking behaviour, however, it is not the only factor. Gender was found to be a greater stressor and contributed more to the minority stress experience. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
- Authors: Cheema, Rabia Afzaal
- Date: 2021-04
- Subjects: Muslim women -- Mental health , Muslim women -- Psychology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51043 , vital:43203
- Description: Minority identities of all types regularly experience poorer mental and physical health due to discrimination based on intersections of race, religion, ethnicity and gender. This process was coined by Meyer (2003) as minority stress and has come to represent the effects that discrimination, based on identity, has on an individual. Amongst the many minority identities that exist, Muslim women have in recent years experienced escalated rates of discriminatory treatment, due to political and social trends. The aim of this study was to explore the role of minority stress on South African Muslim women’s psychological help-seeking behaviour. The study employed a qualitative research design and made use of the purposive sampling method followed by the snowball sampling technique to identify participants. The data was analysed using thematic analysis and four themes were reported. These were: 1) descriptions of life as a Muslim woman 2) challenges faced by Muslim women in South Africa 3) psychological influences on mental health and 4) barriers to seeking psychological help. The researcher found that Muslim women do experience minority stress and it does influence help-seeking behaviour, however, it is not the only factor. Gender was found to be a greater stressor and contributed more to the minority stress experience. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
Impact of a manufacturing execution system on production lead-times at a pharmaceutical company
- Authors: Kemp, Lizet
- Date: 2021-04
- Subjects: Pharmaceutical industry , Computer integrated manufacturing systems
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51253 , vital:43238
- Description: Despite the development in computerised systems and in planning and manufacturing programmes since 1950, Pharma-X* still record their manufacturing processes manually, using a paper batch record, (Manufacturing Batch Records (MBR) or Batch Manufacturing Records (MBR)) and equipment logbooks. There can be up to five logbooks and an equipment control label for each type of equipment used at each process step, which must be completed manually before manufacturing can commence. This paper-based system is a laborious practice, as excessive time is spent completing manual entries into the MBRs and logbooks. Lean thinking, a popular manufacturing improvement philosophy, would describe any such activity as non-value adding and therefore waste (Melton, 2005). Pharma-X started implementing a manufacturing execution system (MES) in June 2018 to automate the manual entries of the manufacturing process. Once the MES is completely implemented, it will allow pharmacists the opportunity to review the manufacturing batch in real-time and to conduct investigations when an error occurs. MES will also allow the operators to complete logbooks with a single scan of equipment, as well as decrease manual entries into the MBR. This study was a quantitative research study comparing data of the past state (Pharma-X pre-MES) with data of a current state (Pharma-X post-MES implementation) to assess the impact of the implementation of a manufacturing execution system and lean manufacturing on a pharmaceutical company. A meaningful reduction in manufacturing lead time and reduction in time wastage were proven but further study and data documentation are recommended. , Thesis (M Pharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Kemp, Lizet
- Date: 2021-04
- Subjects: Pharmaceutical industry , Computer integrated manufacturing systems
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51253 , vital:43238
- Description: Despite the development in computerised systems and in planning and manufacturing programmes since 1950, Pharma-X* still record their manufacturing processes manually, using a paper batch record, (Manufacturing Batch Records (MBR) or Batch Manufacturing Records (MBR)) and equipment logbooks. There can be up to five logbooks and an equipment control label for each type of equipment used at each process step, which must be completed manually before manufacturing can commence. This paper-based system is a laborious practice, as excessive time is spent completing manual entries into the MBRs and logbooks. Lean thinking, a popular manufacturing improvement philosophy, would describe any such activity as non-value adding and therefore waste (Melton, 2005). Pharma-X started implementing a manufacturing execution system (MES) in June 2018 to automate the manual entries of the manufacturing process. Once the MES is completely implemented, it will allow pharmacists the opportunity to review the manufacturing batch in real-time and to conduct investigations when an error occurs. MES will also allow the operators to complete logbooks with a single scan of equipment, as well as decrease manual entries into the MBR. This study was a quantitative research study comparing data of the past state (Pharma-X pre-MES) with data of a current state (Pharma-X post-MES implementation) to assess the impact of the implementation of a manufacturing execution system and lean manufacturing on a pharmaceutical company. A meaningful reduction in manufacturing lead time and reduction in time wastage were proven but further study and data documentation are recommended. , Thesis (M Pharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Parents’ perceptions of the impact of social media use on adolescent identity formation and safety
- Authors: Rochér, Stefné Elana
- Date: 2021-04
- Subjects: Identity (Psychology) in adolescence , Parent and teenager -- Safety measures , Online social networks -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51883 , vital:43381
- Description: Traditionally, parents were able to protect, monitor, guide, and support adolescents within the microsystem. However, in a society where the technosystemic digital world has entered microsystemic parent-adolescent interactions and the developmental process of adolescents’ identity formation, it is crucial to understand how parents experience and perceive the role that social media plays in their adolescent children’s identity development and safety. The primary aim of this study is to understand parents’ perceptions and experiences of social media use in adolescent identity formation and safety. The researcher utilised a qualitative research approach with an exploratory descriptive design. A non-probability purposive sample was employed, and telephonic semi-structured interviews were conducted with 15 participants. All of the participants were parents of adolescents between the ages of 12 and 18. Interviews were conducted until data saturation was reached. The participants’ responses were analysed using thematic analysis. Four categories arose from the data analysis and demonstrate that social media was perceived to have both a helpful and unhelpful impact on adolescents’ identity formation and safety. The first category refers to the perceived role social media plays in adolescents’ development of physical, gender, sexual, and social identity. The permanence of social media, the role parent-adolescent relationships play in adolescents’ online identity experiences, and identity commitment and exploration maturity emerged as key themes. The second category of key findings associated with social media and adolescents’ safety include social media violations, the mental health of adolescents, emotional regulation, identity formation, and reality illusion as themes that emerged from the data. The third category encompasses the resources that parents perceive to be of assistance in maintaining and enhancing safe social media use among adolescents, namely parent-adolescent relationships, remaining educated, and adjusting monitoring in a developmentally appropriate manner. The fourth category refers to a network of resources that parents apply to maintain and increase safe social media use by their adolescent children. Limitations of the study, recommendations for future research studies, and recommendations to support parents are discussed and described. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Rochér, Stefné Elana
- Date: 2021-04
- Subjects: Identity (Psychology) in adolescence , Parent and teenager -- Safety measures , Online social networks -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51883 , vital:43381
- Description: Traditionally, parents were able to protect, monitor, guide, and support adolescents within the microsystem. However, in a society where the technosystemic digital world has entered microsystemic parent-adolescent interactions and the developmental process of adolescents’ identity formation, it is crucial to understand how parents experience and perceive the role that social media plays in their adolescent children’s identity development and safety. The primary aim of this study is to understand parents’ perceptions and experiences of social media use in adolescent identity formation and safety. The researcher utilised a qualitative research approach with an exploratory descriptive design. A non-probability purposive sample was employed, and telephonic semi-structured interviews were conducted with 15 participants. All of the participants were parents of adolescents between the ages of 12 and 18. Interviews were conducted until data saturation was reached. The participants’ responses were analysed using thematic analysis. Four categories arose from the data analysis and demonstrate that social media was perceived to have both a helpful and unhelpful impact on adolescents’ identity formation and safety. The first category refers to the perceived role social media plays in adolescents’ development of physical, gender, sexual, and social identity. The permanence of social media, the role parent-adolescent relationships play in adolescents’ online identity experiences, and identity commitment and exploration maturity emerged as key themes. The second category of key findings associated with social media and adolescents’ safety include social media violations, the mental health of adolescents, emotional regulation, identity formation, and reality illusion as themes that emerged from the data. The third category encompasses the resources that parents perceive to be of assistance in maintaining and enhancing safe social media use among adolescents, namely parent-adolescent relationships, remaining educated, and adjusting monitoring in a developmentally appropriate manner. The fourth category refers to a network of resources that parents apply to maintain and increase safe social media use by their adolescent children. Limitations of the study, recommendations for future research studies, and recommendations to support parents are discussed and described. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04