Adherence and non-adherence to antiretroviral treatment in HIV people in Port Elizabeth
- Masokoane, Kgomotso Quentinne
- Authors: Masokoane, Kgomotso Quentinne
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9886 , http://hdl.handle.net/10948/1185 , Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Description: The introduction of antiretroviral drugs (ARVs) in 1996 transformed the treatment of HIV and AIDS, improving the quality and greatly prolonging the lives of many infected people. HIV (Human Immunodeficiency Virus) is the virus that is believed to cause AIDS. AIDS (Acquired Immune Deficiency Syndrome) is the collection of illnesses or symptoms that ultimately results in death. Antiretroviral (ARVs) drugs or Highly Active Antiretroviral Therapy (HAART) is the treatment that has been applied to combat the HI virus in a bid to slow down the progression of AIDS and ultimately prolong the life of the infected individual. The study aimed to explore and describe the factors contributing to adherence and non-adherence to ARVs in individuals on treatment. A sample of 81 individuals who have been on ARV and HAART treatment for six months or more was used. The methodology used was exploratory-descriptive and the data obtained was quantitative in nature. A biographical questionnaire and questionnaire with questions aimed at ascertaining the possible factors that contribute to individuals either adhering to or defaulting on their treatment, such as side effects and cost of treatment, was administered. The data obtained was analysed by means of descriptive statistics and frequency counts. The results of the study showed that the sample had a fairly high level of adherence. The factors that could undermine adherence were identified as lack of support, as familial and health provider support acts as a motivator to adhere; substance abuse as it can lead to forgetting to take treatment; unemployment and poverty, as these can lead to an inability to return for follow up clinic visits or failure to have food to take with the pills; and the type of treatment regimen whereby the more complex the treatment is the more likely it is that adherence will be difficult to maintain. Suggestions were made as to future research involving antiretroviral therapy (ART). Finally the limitations as well as the value of the research were outlined.
- Full Text:
- Date Issued: 2009
- Authors: Masokoane, Kgomotso Quentinne
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9886 , http://hdl.handle.net/10948/1185 , Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Description: The introduction of antiretroviral drugs (ARVs) in 1996 transformed the treatment of HIV and AIDS, improving the quality and greatly prolonging the lives of many infected people. HIV (Human Immunodeficiency Virus) is the virus that is believed to cause AIDS. AIDS (Acquired Immune Deficiency Syndrome) is the collection of illnesses or symptoms that ultimately results in death. Antiretroviral (ARVs) drugs or Highly Active Antiretroviral Therapy (HAART) is the treatment that has been applied to combat the HI virus in a bid to slow down the progression of AIDS and ultimately prolong the life of the infected individual. The study aimed to explore and describe the factors contributing to adherence and non-adherence to ARVs in individuals on treatment. A sample of 81 individuals who have been on ARV and HAART treatment for six months or more was used. The methodology used was exploratory-descriptive and the data obtained was quantitative in nature. A biographical questionnaire and questionnaire with questions aimed at ascertaining the possible factors that contribute to individuals either adhering to or defaulting on their treatment, such as side effects and cost of treatment, was administered. The data obtained was analysed by means of descriptive statistics and frequency counts. The results of the study showed that the sample had a fairly high level of adherence. The factors that could undermine adherence were identified as lack of support, as familial and health provider support acts as a motivator to adhere; substance abuse as it can lead to forgetting to take treatment; unemployment and poverty, as these can lead to an inability to return for follow up clinic visits or failure to have food to take with the pills; and the type of treatment regimen whereby the more complex the treatment is the more likely it is that adherence will be difficult to maintain. Suggestions were made as to future research involving antiretroviral therapy (ART). Finally the limitations as well as the value of the research were outlined.
- Full Text:
- Date Issued: 2009
A psychobiographical study of Helen Keller
- Van Genechten, Désirée Martina
- Authors: Van Genechten, Désirée Martina
- Date: 2009
- Subjects: Keller, Helen, 1880-1968 , Developmental psychology , Life cycle, Human -- Psychological aspects , Deafblind people
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9897 , http://hdl.handle.net/10948/1101 , Keller, Helen, 1880-1968 , Developmental psychology , Life cycle, Human -- Psychological aspects , Deafblind people
- Description: This psychobiographical study of Helen Keller’s life is exploratory-descriptive in nature. The subject was chosen through purposive sampling. The choice was based on the researcher’s personal interest and the remarkable impact this profoundly handicapped woman had within her society. Helen Keller also meets the psychobiographical requirements. These include that she is historically well known, inspirational, and her life has been completed. The study uses a qualitative, single case, interpretive research design. The design is employed to study Helen Keller’s entire life span within a formal psychological theory. The theory used in this study is Daniel Levinson’s (1996) Life Structure theory of adult development. Data for this study were collected from a variety of primary and secondary sources which provided alternative perspectives on her life. In addition, the data have been corroborated by historical texts, and newspaper and journal articles. Levinson’s (1996) theory divides the lifespan into four developmental eras, each with its own biopsychosocial character. Each era in turn is divided into shorter periods of development, each with particular developmental tasks. Cross-era transitions separate the eras. By describing and exploring the data according to this theory, Helen Keller as a profoundly handicapped person is shown to display universal patterns of development as suggested by Levinson. At the same time, the Life Structure she developed, her life components, and Satisfactoriness illuminated her uniqueness. Through the application of the theory to Helen Keller’s life, this psychobiographical study facilitated an examination of the theory. This led to suggestions for potential development of the theory.
- Full Text:
- Date Issued: 2009
- Authors: Van Genechten, Désirée Martina
- Date: 2009
- Subjects: Keller, Helen, 1880-1968 , Developmental psychology , Life cycle, Human -- Psychological aspects , Deafblind people
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9897 , http://hdl.handle.net/10948/1101 , Keller, Helen, 1880-1968 , Developmental psychology , Life cycle, Human -- Psychological aspects , Deafblind people
- Description: This psychobiographical study of Helen Keller’s life is exploratory-descriptive in nature. The subject was chosen through purposive sampling. The choice was based on the researcher’s personal interest and the remarkable impact this profoundly handicapped woman had within her society. Helen Keller also meets the psychobiographical requirements. These include that she is historically well known, inspirational, and her life has been completed. The study uses a qualitative, single case, interpretive research design. The design is employed to study Helen Keller’s entire life span within a formal psychological theory. The theory used in this study is Daniel Levinson’s (1996) Life Structure theory of adult development. Data for this study were collected from a variety of primary and secondary sources which provided alternative perspectives on her life. In addition, the data have been corroborated by historical texts, and newspaper and journal articles. Levinson’s (1996) theory divides the lifespan into four developmental eras, each with its own biopsychosocial character. Each era in turn is divided into shorter periods of development, each with particular developmental tasks. Cross-era transitions separate the eras. By describing and exploring the data according to this theory, Helen Keller as a profoundly handicapped person is shown to display universal patterns of development as suggested by Levinson. At the same time, the Life Structure she developed, her life components, and Satisfactoriness illuminated her uniqueness. Through the application of the theory to Helen Keller’s life, this psychobiographical study facilitated an examination of the theory. This led to suggestions for potential development of the theory.
- Full Text:
- Date Issued: 2009
The art of addiction : a phenomenological study of the lived experiences of cocaine dependents
- Authors: Plumb, Sarah
- Date: 2009
- Subjects: Cocaine abuse , Cocaine -- Social aspects , Drugs -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9912 , http://hdl.handle.net/10948/902 , Cocaine abuse , Cocaine -- Social aspects , Drugs -- Physiological effect
- Description: Addiction is a complex social phenomenon resulting from psychological and physiological dependence. The aim of the study was to create a clinical impression of the lived experiences of cocaine dependents. A transcendental phenomenological approach was used to elicit the essence of addiction as experienced by the participants. Theoretical sampling ensured relevant participants were selected through haphazard sampling procedures. Data was collected through the use of biographical questionnaires and individual, semi-structured interviews with three cocaine dependents. Data was processed according to the four phenomenological principles epoche, phenomenological reduction, imaginative variation and synthesis using Tesch’s eight steps. The essence of cocaine dependency is contained in the psychological experiences of the drug which define and perpetuate that addiction. The psychological addiction develops prior to physical dependence resulting in an entrenched addiction before treatment is sought by the cocaine dependents.
- Full Text:
- Date Issued: 2009
- Authors: Plumb, Sarah
- Date: 2009
- Subjects: Cocaine abuse , Cocaine -- Social aspects , Drugs -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9912 , http://hdl.handle.net/10948/902 , Cocaine abuse , Cocaine -- Social aspects , Drugs -- Physiological effect
- Description: Addiction is a complex social phenomenon resulting from psychological and physiological dependence. The aim of the study was to create a clinical impression of the lived experiences of cocaine dependents. A transcendental phenomenological approach was used to elicit the essence of addiction as experienced by the participants. Theoretical sampling ensured relevant participants were selected through haphazard sampling procedures. Data was collected through the use of biographical questionnaires and individual, semi-structured interviews with three cocaine dependents. Data was processed according to the four phenomenological principles epoche, phenomenological reduction, imaginative variation and synthesis using Tesch’s eight steps. The essence of cocaine dependency is contained in the psychological experiences of the drug which define and perpetuate that addiction. The psychological addiction develops prior to physical dependence resulting in an entrenched addiction before treatment is sought by the cocaine dependents.
- Full Text:
- Date Issued: 2009
A psychobiographical study of Isie Smuts
- Authors: Smuts, Carisa
- Date: 2009
- Subjects: Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9913 , http://hdl.handle.net/10948/894 , Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Description: Psychobiographical research, with the use of psychological theory, allows us to uncover and unravel the life of an individual. This important area of research for the application of a psychological theory has, however, been under-utilized, especially in South Africa. The importance of psychobiographical case study research for the development and testing of theories of human development throughout the lifespan, has been supported by a number of academics in the field. The research subject was Sibella Margaretha (Isie) Krige. Isie (1870-1954) was married to General Jan Christiaan Smuts (1870-1950). He was a prominent South African and Commonwealth statesman, military leader, botanist and philosopher. Although much has been written on General Smuts, a psychobiography on the life of Isie had not been written yet. Isie was chosen as the research subject through purposive sampling. The study employed a qualitative psychobiographical research method, which aimed to explore and describe Isie’s psychological development in terms of Daniel Levinson’s (1996) theory of the Human Life Cycle. Collected data were analysed in accordance with Huberman and Miles’ (2000) approach. It integrated three sub-processes, namely data reduction, data display, as well as the drawing of conclusions and verification. The findings of the study indicate that Isie’s life was consistent with the pattern which Levinson (1996) identified. Isie was relatively successful in resolving the life tasks and transitional periods proposed by Levinson. The findings of the study also indicated that the development of Isie’s life structure was strongly influenced by a number of sociohistorical and global events. This research study has given a positive demonstration of the value of development theory. Furthermore, it emphasized the uniqueness of individuals in coping with the challenges of life. As a result it has opened up the possibility of perceiving people and their actions in a different way. Consequently, recommendations regarding the psychobiographical research design and methodology in future have been made.
- Full Text:
- Date Issued: 2009
- Authors: Smuts, Carisa
- Date: 2009
- Subjects: Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9913 , http://hdl.handle.net/10948/894 , Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Description: Psychobiographical research, with the use of psychological theory, allows us to uncover and unravel the life of an individual. This important area of research for the application of a psychological theory has, however, been under-utilized, especially in South Africa. The importance of psychobiographical case study research for the development and testing of theories of human development throughout the lifespan, has been supported by a number of academics in the field. The research subject was Sibella Margaretha (Isie) Krige. Isie (1870-1954) was married to General Jan Christiaan Smuts (1870-1950). He was a prominent South African and Commonwealth statesman, military leader, botanist and philosopher. Although much has been written on General Smuts, a psychobiography on the life of Isie had not been written yet. Isie was chosen as the research subject through purposive sampling. The study employed a qualitative psychobiographical research method, which aimed to explore and describe Isie’s psychological development in terms of Daniel Levinson’s (1996) theory of the Human Life Cycle. Collected data were analysed in accordance with Huberman and Miles’ (2000) approach. It integrated three sub-processes, namely data reduction, data display, as well as the drawing of conclusions and verification. The findings of the study indicate that Isie’s life was consistent with the pattern which Levinson (1996) identified. Isie was relatively successful in resolving the life tasks and transitional periods proposed by Levinson. The findings of the study also indicated that the development of Isie’s life structure was strongly influenced by a number of sociohistorical and global events. This research study has given a positive demonstration of the value of development theory. Furthermore, it emphasized the uniqueness of individuals in coping with the challenges of life. As a result it has opened up the possibility of perceiving people and their actions in a different way. Consequently, recommendations regarding the psychobiographical research design and methodology in future have been made.
- Full Text:
- Date Issued: 2009
Awareness, attitudes and referral practices of health care providers to psychological services in Botswana
- Authors: July, Emma
- Date: 2009
- Subjects: Medical care -- Botswana -- Psychological aspects , Public health -- Botswana -- Psychological aspects , Attitude (Psychology) -- Botswana , Medical personnel -- Botswana , Medical personnel -- Attitudes , Primary health care -- Botswana , Awareness
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9889 , http://hdl.handle.net/10948/1166 , Medical care -- Botswana -- Psychological aspects , Public health -- Botswana -- Psychological aspects , Attitude (Psychology) -- Botswana , Medical personnel -- Botswana , Medical personnel -- Attitudes , Primary health care -- Botswana , Awareness
- Description: The provision of psychological services is vital considering the complex nature of psychosocial issues facing people today. Nevertheless, the provision and utilization of psychological services has not been given due recognition in most African countries, including Botswana. Botswana is one of the countries faced by the challenges of the HIV/AIDS pandemic and other mental health problems, as well as poverty and unemployment. To date statistics on the magnitude of the HIV/AIDS epidemic in Botswana, published annually by the National AIDS Coordinating Agency (NACA) reflect an increased rate of mental illness and psychosocial problems. Considering the complex nature of issues that impact negatively on people in Botswana, there is a need for awareness and the provision of psychological services in the primary health care system. There is little research on the place of psychology and psychological services in Botswana. The availability of such information is crucial for the planning of effective community-based psychological services. The present study employed a quantitative research method to explore and describe awareness and attitudes towards psychological services and referral practices in relation to psychological problems, of health care providers in Botswana. The participants in the study were chosen, based on a non-probability, purposive sampling method. The sample consisted of ninety-six persons and constituted medical doctors, nurses, psychiatrists, psychiatric nurses and clinical social workers from governmental and non-governmental institutions from Gaborone and Francistown in Botswana. Data were analyzed by means of descriptive statistics in order to identify the mean, ranges and standard deviations. Frequency counts and percentages of the participants’ responses were computed. The results of the study revealed an awareness of available psychological services, positive attitudes towards psychology and psychological services and a reasonable percentage of referrals to psychological services. The results also revealed that available psychological services were limited and not easily accessible to patients. There was also an indication of a shortage of trained professionals to offer psychological services in health care centres, which resulted in psychological problems being referred to social workers.
- Full Text:
- Date Issued: 2009
- Authors: July, Emma
- Date: 2009
- Subjects: Medical care -- Botswana -- Psychological aspects , Public health -- Botswana -- Psychological aspects , Attitude (Psychology) -- Botswana , Medical personnel -- Botswana , Medical personnel -- Attitudes , Primary health care -- Botswana , Awareness
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9889 , http://hdl.handle.net/10948/1166 , Medical care -- Botswana -- Psychological aspects , Public health -- Botswana -- Psychological aspects , Attitude (Psychology) -- Botswana , Medical personnel -- Botswana , Medical personnel -- Attitudes , Primary health care -- Botswana , Awareness
- Description: The provision of psychological services is vital considering the complex nature of psychosocial issues facing people today. Nevertheless, the provision and utilization of psychological services has not been given due recognition in most African countries, including Botswana. Botswana is one of the countries faced by the challenges of the HIV/AIDS pandemic and other mental health problems, as well as poverty and unemployment. To date statistics on the magnitude of the HIV/AIDS epidemic in Botswana, published annually by the National AIDS Coordinating Agency (NACA) reflect an increased rate of mental illness and psychosocial problems. Considering the complex nature of issues that impact negatively on people in Botswana, there is a need for awareness and the provision of psychological services in the primary health care system. There is little research on the place of psychology and psychological services in Botswana. The availability of such information is crucial for the planning of effective community-based psychological services. The present study employed a quantitative research method to explore and describe awareness and attitudes towards psychological services and referral practices in relation to psychological problems, of health care providers in Botswana. The participants in the study were chosen, based on a non-probability, purposive sampling method. The sample consisted of ninety-six persons and constituted medical doctors, nurses, psychiatrists, psychiatric nurses and clinical social workers from governmental and non-governmental institutions from Gaborone and Francistown in Botswana. Data were analyzed by means of descriptive statistics in order to identify the mean, ranges and standard deviations. Frequency counts and percentages of the participants’ responses were computed. The results of the study revealed an awareness of available psychological services, positive attitudes towards psychology and psychological services and a reasonable percentage of referrals to psychological services. The results also revealed that available psychological services were limited and not easily accessible to patients. There was also an indication of a shortage of trained professionals to offer psychological services in health care centres, which resulted in psychological problems being referred to social workers.
- Full Text:
- Date Issued: 2009
Exploring relocation experiences of refugees and asylum seekers in Port Elizabeth
- Sibula, Nontutuzelo Rosemary
- Authors: Sibula, Nontutuzelo Rosemary
- Date: 2009
- Subjects: Refugees -- South Africa -- Port Elizabeth , Refugee camps -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9999 , http://hdl.handle.net/10948/1068 , Refugees -- South Africa -- Port Elizabeth , Refugee camps -- South Africa -- Port Elizabeth
- Description: Large numbers of migrants enter South Africa legally and illegally in search of a better life, personal safety and security (Pretorius, 2004:1). The research study explored and described experiences of refugees and asylum seekers in the host country, the challenges they encountered in the process of integration regarding families in their country of origin and their “new” families in the host country, the strategies they employed to get recognition even if it led to being involved in fraudulent activities. The research has also explored the impact of laws in the lives of refugees and asylum seekers for example the Refugee Act (Act 130 of 1998), the Immigration Act (Act 13 of 2002), the 1969 OAU Convention and the 1951 United Nations Convention. A qualitative research approach was used to frame the study, which employed an exploratory, descriptive and contextual research design so as to understand challenges experienced by refugees and asylum seekers. The sample for the study was a purposively selected sample recruited using the snowball sampling technique. As a means of collecting data semi-structured interviews were utilized. The eight steps as stipulated by Tesch (in Creswell, 1994) were used to analyse data. To ensure trustworthiness the four criteria as suggested by Guba (in Krefting, 1991) were applied, namely truth-value, applicability, consistency and neutrality. The findings and recommendations are made available by means of a research report The research findings were centered on the following themes: (1) Refugees and asylum seekers articulate a range of reasons behind the decision to leave their home country. (2) Refugees and asylum seekers express negative experiences regarding leaving their country of origin. (3) Refugees and asylum seekers experience a range of feelings as they enter the host country (4) Refugees and asylum seekers report that they and their families experience a number of challenges as a result of relocation (5) Refugees and asylum seekers employ negative and positive strategies to cope with challenges of relocation (6) Suggestions made by refugees and asylum seekers concerning the involvement of Social Workers (7) Suggestions made by refugees/asylum seekers to Home Affairs in terms of improving services to refugees and asylum seekers Substance findings: the results emerged from the data collected through the themes and sub-themes identified during data analysis. Conclusions and recommendations: Based on the findings conclusions were drawn and recommendations proposed from the findings.
- Full Text:
- Date Issued: 2009
- Authors: Sibula, Nontutuzelo Rosemary
- Date: 2009
- Subjects: Refugees -- South Africa -- Port Elizabeth , Refugee camps -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9999 , http://hdl.handle.net/10948/1068 , Refugees -- South Africa -- Port Elizabeth , Refugee camps -- South Africa -- Port Elizabeth
- Description: Large numbers of migrants enter South Africa legally and illegally in search of a better life, personal safety and security (Pretorius, 2004:1). The research study explored and described experiences of refugees and asylum seekers in the host country, the challenges they encountered in the process of integration regarding families in their country of origin and their “new” families in the host country, the strategies they employed to get recognition even if it led to being involved in fraudulent activities. The research has also explored the impact of laws in the lives of refugees and asylum seekers for example the Refugee Act (Act 130 of 1998), the Immigration Act (Act 13 of 2002), the 1969 OAU Convention and the 1951 United Nations Convention. A qualitative research approach was used to frame the study, which employed an exploratory, descriptive and contextual research design so as to understand challenges experienced by refugees and asylum seekers. The sample for the study was a purposively selected sample recruited using the snowball sampling technique. As a means of collecting data semi-structured interviews were utilized. The eight steps as stipulated by Tesch (in Creswell, 1994) were used to analyse data. To ensure trustworthiness the four criteria as suggested by Guba (in Krefting, 1991) were applied, namely truth-value, applicability, consistency and neutrality. The findings and recommendations are made available by means of a research report The research findings were centered on the following themes: (1) Refugees and asylum seekers articulate a range of reasons behind the decision to leave their home country. (2) Refugees and asylum seekers express negative experiences regarding leaving their country of origin. (3) Refugees and asylum seekers experience a range of feelings as they enter the host country (4) Refugees and asylum seekers report that they and their families experience a number of challenges as a result of relocation (5) Refugees and asylum seekers employ negative and positive strategies to cope with challenges of relocation (6) Suggestions made by refugees and asylum seekers concerning the involvement of Social Workers (7) Suggestions made by refugees/asylum seekers to Home Affairs in terms of improving services to refugees and asylum seekers Substance findings: the results emerged from the data collected through the themes and sub-themes identified during data analysis. Conclusions and recommendations: Based on the findings conclusions were drawn and recommendations proposed from the findings.
- Full Text:
- Date Issued: 2009
Registered nurses' knowledge of infection control and sterile technique principles in the operating room complex of private hospitals
- Authors: Malan, Kim
- Date: 2009
- Subjects: Infection -- Prevention and control , Infection -- Nursing , Hospitals buildings -- Disinfection
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10034 , http://hdl.handle.net/10948/1079 , Infection -- Prevention and control , Infection -- Nursing , Hospitals buildings -- Disinfection
- Description: Infections are a major source of morbidity and cause of mortality during the post-operative phase for patients. Wound infections are the second most commonly encountered type of nosocomial, hospital-acquired, infection in the United States (Nichols, 2007:8). Owing to the fact that wound infection may be induced, such as, by not applying infection control and sterile technique principles in the operating room complex, it is imperative to implement infection control principles and apply sterile technique principles. The researcher noticed that some of the sterile technique principles were not carried out in the operating room complex which lead to the necessity to assess the knowledge of registered nurses’ regarding the implementation of infection control and sterile technique principles. The main goal of the study was to explore and describe the knowledge of registered nurses’ in two private hospitals in the Nelson Mandela Metropole, related to infection control and sterile technique principles in the operating room complex. Following the analysis of the data, the researcher made recommendations for changes to be made to the existing infection control guidelines in the operating room complex. The research design was quantitative, explorative, descriptive and contextual in nature. The sample consisted of all the registered nurses known as scrub nurses, in the operating room complex. The unit managers were excluded from the study, because the researcher utilized their assistance with the handing out and collecting of the questionnaires because, not all scrub nurses were at work at the same time. Firstly a pilot study was conducted (in both private hospitals) to confirm the reliability of the data collection instrument. Data was collected by means of a questionnaire that was self-administered and consisted out of three sections: Section A – Biographical Data; Section B – Knowledge Base Related to Infection Control Principles and Section C – Knowledge Base Related to the Principles of Asepsis. The researcher consulted experts to ensure the reliability and validity of the questionnaires and to ensure that the iv questionnaires would measure what it is intended to measure and that it will remain consistent. The data obtained from the questionnaires was analyzed by means of statistical and inferential analysis and included descriptive statistics with the assistance of a statistician. Following the analysis of the data, recommendations for changes to be made to the existing infection control guidelines in the operating room complex was made. This was done with relevant literature and the guidelines were discussed with experts in the field. The researcher ensured that all the legal and ethical requirements, such as the participants’ right to privacy, were maintained throughout the study.
- Full Text:
- Date Issued: 2009
- Authors: Malan, Kim
- Date: 2009
- Subjects: Infection -- Prevention and control , Infection -- Nursing , Hospitals buildings -- Disinfection
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10034 , http://hdl.handle.net/10948/1079 , Infection -- Prevention and control , Infection -- Nursing , Hospitals buildings -- Disinfection
- Description: Infections are a major source of morbidity and cause of mortality during the post-operative phase for patients. Wound infections are the second most commonly encountered type of nosocomial, hospital-acquired, infection in the United States (Nichols, 2007:8). Owing to the fact that wound infection may be induced, such as, by not applying infection control and sterile technique principles in the operating room complex, it is imperative to implement infection control principles and apply sterile technique principles. The researcher noticed that some of the sterile technique principles were not carried out in the operating room complex which lead to the necessity to assess the knowledge of registered nurses’ regarding the implementation of infection control and sterile technique principles. The main goal of the study was to explore and describe the knowledge of registered nurses’ in two private hospitals in the Nelson Mandela Metropole, related to infection control and sterile technique principles in the operating room complex. Following the analysis of the data, the researcher made recommendations for changes to be made to the existing infection control guidelines in the operating room complex. The research design was quantitative, explorative, descriptive and contextual in nature. The sample consisted of all the registered nurses known as scrub nurses, in the operating room complex. The unit managers were excluded from the study, because the researcher utilized their assistance with the handing out and collecting of the questionnaires because, not all scrub nurses were at work at the same time. Firstly a pilot study was conducted (in both private hospitals) to confirm the reliability of the data collection instrument. Data was collected by means of a questionnaire that was self-administered and consisted out of three sections: Section A – Biographical Data; Section B – Knowledge Base Related to Infection Control Principles and Section C – Knowledge Base Related to the Principles of Asepsis. The researcher consulted experts to ensure the reliability and validity of the questionnaires and to ensure that the iv questionnaires would measure what it is intended to measure and that it will remain consistent. The data obtained from the questionnaires was analyzed by means of statistical and inferential analysis and included descriptive statistics with the assistance of a statistician. Following the analysis of the data, recommendations for changes to be made to the existing infection control guidelines in the operating room complex was made. This was done with relevant literature and the guidelines were discussed with experts in the field. The researcher ensured that all the legal and ethical requirements, such as the participants’ right to privacy, were maintained throughout the study.
- Full Text:
- Date Issued: 2009
The occupational stressors perceived by nurses working in wellness clinics in Nelson Mandela Bay
- Authors: Saleni, Nosicelo Betty
- Date: 2009
- Subjects: Nurses-- Job stress -- South Africa , AIDS (Disease) -- Nursing -- Psychological aspects , Nurses -- Mental health
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10049 , http://hdl.handle.net/10948/d1016156
- Description: The literature has indicated that nurses perceive more occupational stressors than do other professional groups. HIV is a new stressor which has impacted on society, in particular on people caring for HIV/AIDS patients. The availability of antiretroviral treatment (ART) which is accessible at wellness clinics has improved the quality of life of people with HIV and greatly prolonged the lives of many infected people. Wellness clinics are out-patient clinics where HIV positive patients receive their ART. This study has explored and described the occupational stressors perceived by nurses working in wellness clinics in Nelson Mandela Bay. The study was conducted using a qualitative research approach. Convenience sampling was used consisting of voluntary registered female nurses. The data were collected by means of semi-structured interviews. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using Tech’s method. The nurses who participated in this study reported their perceptions of occupational stressors in wellness clinics where they worked. The occupational stressors perceived by the nurses included the working environment, interpersonal relationships and the organizational structure. However, they also reported that they experienced satisfaction from their jobs despite the perceived stressors.
- Full Text:
- Date Issued: 2009
- Authors: Saleni, Nosicelo Betty
- Date: 2009
- Subjects: Nurses-- Job stress -- South Africa , AIDS (Disease) -- Nursing -- Psychological aspects , Nurses -- Mental health
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10049 , http://hdl.handle.net/10948/d1016156
- Description: The literature has indicated that nurses perceive more occupational stressors than do other professional groups. HIV is a new stressor which has impacted on society, in particular on people caring for HIV/AIDS patients. The availability of antiretroviral treatment (ART) which is accessible at wellness clinics has improved the quality of life of people with HIV and greatly prolonged the lives of many infected people. Wellness clinics are out-patient clinics where HIV positive patients receive their ART. This study has explored and described the occupational stressors perceived by nurses working in wellness clinics in Nelson Mandela Bay. The study was conducted using a qualitative research approach. Convenience sampling was used consisting of voluntary registered female nurses. The data were collected by means of semi-structured interviews. The interviews were audio-recorded and transcribed verbatim. The data were analyzed using Tech’s method. The nurses who participated in this study reported their perceptions of occupational stressors in wellness clinics where they worked. The occupational stressors perceived by the nurses included the working environment, interpersonal relationships and the organizational structure. However, they also reported that they experienced satisfaction from their jobs despite the perceived stressors.
- Full Text:
- Date Issued: 2009
The performance profile of children from a low socio-economic status on the Griffiths Mental Development Scales-Extended Revised
- Authors: Kheswa, Thembi Lucia
- Date: 2009
- Subjects: Psychological tests for children -- South Africa , Child development -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9900 , http://hdl.handle.net/10948/1072 , Psychological tests for children -- South Africa , Child development -- Testing
- Description: This study, focused on child mental development, has aimed to contribute and provide valuable information to a larger research project that is currently under way to create a set of norms for a South African population on the GMDS-ER. The primary aim of the study was to explore and describe the developmental profile of children from a low socio-economic status, aged between 3 and 8 years 4 months old, on the Griffiths Mental Development Scales- Extended Revised (GMDS-ER). The purpose of the study was to generate information on low socio-economic status and child mental development. A quantitative, exploratory-descriptive research design was employed. The participants were selected through a non-probability, purposive sampling procedure. Information was collated using clinical observations, biographical data, as well as the results of an assessment on the Griffiths Mental Development Scales Extended-Revised. The data were analysed using descriptive statistical tables[PJS1].
- Full Text:
- Date Issued: 2009
- Authors: Kheswa, Thembi Lucia
- Date: 2009
- Subjects: Psychological tests for children -- South Africa , Child development -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9900 , http://hdl.handle.net/10948/1072 , Psychological tests for children -- South Africa , Child development -- Testing
- Description: This study, focused on child mental development, has aimed to contribute and provide valuable information to a larger research project that is currently under way to create a set of norms for a South African population on the GMDS-ER. The primary aim of the study was to explore and describe the developmental profile of children from a low socio-economic status, aged between 3 and 8 years 4 months old, on the Griffiths Mental Development Scales- Extended Revised (GMDS-ER). The purpose of the study was to generate information on low socio-economic status and child mental development. A quantitative, exploratory-descriptive research design was employed. The participants were selected through a non-probability, purposive sampling procedure. Information was collated using clinical observations, biographical data, as well as the results of an assessment on the Griffiths Mental Development Scales Extended-Revised. The data were analysed using descriptive statistical tables[PJS1].
- Full Text:
- Date Issued: 2009
An investigation into the antimicrobial and anticancer activities of Geranium incanum, Artemisia afra and Artemisia absinthium
- Authors: Freidberg, Ryno
- Date: 2009
- Subjects: Medicinal plants -- South Africa , Cancer -- Alternative treatment -- South Africa , Anti-infective agents
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:10122 , http://hdl.handle.net/10948/1045 , Medicinal plants -- South Africa , Cancer -- Alternative treatment -- South Africa , Anti-infective agents
- Description: It has been estimated that between 3000 and 4000 plant species are used for their medicinal properties throughout South Africa, with approximately 27 million South Africans making use of traditional medicines. Of this 27 million, 3 million South Africans rely on traditional medicine as their primary source of health care. Of the 250 000 to 500 000 known plant species, very few have been investigated for their pharmacological qualities, and compounds of significant medicinal value may still remain undiscovered in many plant species. The aims of this study included investigating the antimicrobial properties of Geranium incanum and Artemisia afra, both plants traditionally used for their medicinal properties, and comparing the antimicrobial activity of the latter to that of Artemisia absinthium, as well as investigating the anticancer properties of G. incanum and A. afra, and comparing the anticancer activity of the latter to that of A. absinthium. Infusions, aqueous-, methanol- and acetone extracts of the three plants were prepared and used for anticancer and antimicrobial screening. Plant specimens used to prepare extracts for antimicrobial activity were collected and extracted over three seasons, while extracts used for anticancer screening were prepared from plants collected during the summer only. Considerable variation existed in the percentage crude extract yields obtained when different extractants were used, while the season in which the plants were harvested and extracted also appeared to play a significant role in the amount of extract obtained. The plant extracts were screened for antimicrobial activity against various strains of Candida albicans, Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecalis, Staphylococcus aureus and Bacillus cereus, using an agar dilution method. G. incanum and A. afra possessed activity for C. albicans, while all three plants showed activity for S. aureus and B. cereus. Activity was largely dependent on the extraction method used. iii The 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide (MTT) assay was used to screen for anticancer activity of the respective extracts, at varying concentrations, against MCF-7 (human breast adenocarcinoma) cells, HT-29 (human colonic adenocarcinoma) cells and HeLa (human cervical cancer) cells. All of the extracts showed cytotoxic activity in all three cell lines to varying extents, depending on the extract used and cell line screened. The acetone extract of A. afra proved to be the most effective inhibitor with the lowest IC50 (2.65 ± 1.05 μg/ml) having been shown in MCF-7 cells. A. afra and A. absinthium showed similar inhibitory patterns, with the methanol- and acetone extracts having been the most potent inhibitors of each of the respective cell lines in general. Fluorescence microscopy employing 4',6-diamidino-2-phenylindole dihydrochloride (DAPI) and propidium iodide (PI) staining indicated that the acetone extract of A. afra induces apoptosis in MCF-7 cells as apposed to necrosis, and the results were comparable to those obtained for cells exposed to cisplatin. Screening of the A. afra acetone extract for toxicity in normal human cells using the CellTiter-Blue® assay indicated the extract to be toxic to peripheral blood mononuclear cells (PBMC’s) at concentrations comparable to that for MCF-7 cells, while cell cycle analysis of MCF-7 cells exposed to the A. afra acetone extract indicated the extract’s ability to induce apoptosis comparable to that of cisplatin, with the extract exerting its activity at a point during or just prior to the S phase of the cell cycle.
- Full Text:
- Date Issued: 2009
- Authors: Freidberg, Ryno
- Date: 2009
- Subjects: Medicinal plants -- South Africa , Cancer -- Alternative treatment -- South Africa , Anti-infective agents
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:10122 , http://hdl.handle.net/10948/1045 , Medicinal plants -- South Africa , Cancer -- Alternative treatment -- South Africa , Anti-infective agents
- Description: It has been estimated that between 3000 and 4000 plant species are used for their medicinal properties throughout South Africa, with approximately 27 million South Africans making use of traditional medicines. Of this 27 million, 3 million South Africans rely on traditional medicine as their primary source of health care. Of the 250 000 to 500 000 known plant species, very few have been investigated for their pharmacological qualities, and compounds of significant medicinal value may still remain undiscovered in many plant species. The aims of this study included investigating the antimicrobial properties of Geranium incanum and Artemisia afra, both plants traditionally used for their medicinal properties, and comparing the antimicrobial activity of the latter to that of Artemisia absinthium, as well as investigating the anticancer properties of G. incanum and A. afra, and comparing the anticancer activity of the latter to that of A. absinthium. Infusions, aqueous-, methanol- and acetone extracts of the three plants were prepared and used for anticancer and antimicrobial screening. Plant specimens used to prepare extracts for antimicrobial activity were collected and extracted over three seasons, while extracts used for anticancer screening were prepared from plants collected during the summer only. Considerable variation existed in the percentage crude extract yields obtained when different extractants were used, while the season in which the plants were harvested and extracted also appeared to play a significant role in the amount of extract obtained. The plant extracts were screened for antimicrobial activity against various strains of Candida albicans, Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecalis, Staphylococcus aureus and Bacillus cereus, using an agar dilution method. G. incanum and A. afra possessed activity for C. albicans, while all three plants showed activity for S. aureus and B. cereus. Activity was largely dependent on the extraction method used. iii The 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide (MTT) assay was used to screen for anticancer activity of the respective extracts, at varying concentrations, against MCF-7 (human breast adenocarcinoma) cells, HT-29 (human colonic adenocarcinoma) cells and HeLa (human cervical cancer) cells. All of the extracts showed cytotoxic activity in all three cell lines to varying extents, depending on the extract used and cell line screened. The acetone extract of A. afra proved to be the most effective inhibitor with the lowest IC50 (2.65 ± 1.05 μg/ml) having been shown in MCF-7 cells. A. afra and A. absinthium showed similar inhibitory patterns, with the methanol- and acetone extracts having been the most potent inhibitors of each of the respective cell lines in general. Fluorescence microscopy employing 4',6-diamidino-2-phenylindole dihydrochloride (DAPI) and propidium iodide (PI) staining indicated that the acetone extract of A. afra induces apoptosis in MCF-7 cells as apposed to necrosis, and the results were comparable to those obtained for cells exposed to cisplatin. Screening of the A. afra acetone extract for toxicity in normal human cells using the CellTiter-Blue® assay indicated the extract to be toxic to peripheral blood mononuclear cells (PBMC’s) at concentrations comparable to that for MCF-7 cells, while cell cycle analysis of MCF-7 cells exposed to the A. afra acetone extract indicated the extract’s ability to induce apoptosis comparable to that of cisplatin, with the extract exerting its activity at a point during or just prior to the S phase of the cell cycle.
- Full Text:
- Date Issued: 2009
Usefulness of the neo PI-R personality profiles in the selection of psychology master's applicants
- Authors: Hurter, Kim
- Date: 2009
- Subjects: NEO Personality Inventory , Dregrees, Academic -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9907 , http://hdl.handle.net/10948/d1009640 , NEO Personality Inventory , Dregrees, Academic -- South Africa
- Description: Each year, psychology departments across South Africa are faced with the arduous task of selecting the most suitable candidates to fill their Clinical, Counselling, Educational, and Industrial Psychology master’s coursework programmes. Although various criteria are considered in this process, personality has long been considered an important variable in the screening and selection of master’s psychology applicants, and some sort of personality assessment is commonly utilized by selection committees as part of the screening and selection procedures. While there are many different theoretical perspectives on personality and various personality assessment measures available, the Five-Factor Model (FFM) of personality has gained considerable attention over the last decade as a comprehensive and universal conceptualization of a broad trait structure for human personality. Currently, the Revised NEO Personality Inventory (NEO PI-R) is considered to be one of the best commercially available measures of the personality traits proposed by this model. The NEO PI-R provides a comprehensive measure of adult personality, has been extensively researched, and has demonstrated its utility across many different cultures, languages, and contexts. The aim of this study was to explore and describe the personality profiles of short-listed master’s psychology applicants at a higher education institution in South Africa, using the NEO PI-R, in an effort to explore the use of NEO PI-R profiles in the selection of master’s psychology applicants. The study was exploratory descriptive in nature and employed a quantitative research method. The sample of 247 participants was selected according to non-probability convenience sampling and was sourced from an archival research database. As part of the application process at the higher education institution, applicants were required to complete various tests, tasks, and questionnaires. The questionnaires selected for this study included a biographical questionnaire, used to describe the biographical variables of the sample, and the NEO PI-R (Costa & McCrae, 1992), used as a measure of personality. The NEO PI-R has been found to have good validity and reliability, with reliability in particular having being established in the South African context. Descriptive and inferential statistics, including correlations, cluster xiv analysis, and multivariate analysis of variance (ANOVA), were utilized to analyze the data. Key findings revealed that overall, the group of short-listed master’s psychology applicants could be described as being emotionally well-adjusted and sociable, which is in line with previous national and international research. In addition, a cluster analysis revealed three significantly different personality subgroups within the total sample, thus highlighting the heterogeneous nature of this sample of applicants. Each of the three personality subgroups exhibited significantly different personality traits which were judged to be more or less suitable for potential psychologists-in-training. Clusters 1 and 2 exhibited the most desirable personality characteristics in relation to selection into a master’s psychology programme, while Cluster 3 exhibited the least desirable traits. Various classification functions were derived which classified applicants into “selected” and “not selected” groups as well as the three personality subgroups, which could aid selection committees in the future to screen out potentially unsuitable candidates earlier in the selection process. It was concluded that the use of NEO PI-R personality profiles could aid the screening and selection of short-listed master’s psychology applicants.
- Full Text:
- Date Issued: 2009
- Authors: Hurter, Kim
- Date: 2009
- Subjects: NEO Personality Inventory , Dregrees, Academic -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9907 , http://hdl.handle.net/10948/d1009640 , NEO Personality Inventory , Dregrees, Academic -- South Africa
- Description: Each year, psychology departments across South Africa are faced with the arduous task of selecting the most suitable candidates to fill their Clinical, Counselling, Educational, and Industrial Psychology master’s coursework programmes. Although various criteria are considered in this process, personality has long been considered an important variable in the screening and selection of master’s psychology applicants, and some sort of personality assessment is commonly utilized by selection committees as part of the screening and selection procedures. While there are many different theoretical perspectives on personality and various personality assessment measures available, the Five-Factor Model (FFM) of personality has gained considerable attention over the last decade as a comprehensive and universal conceptualization of a broad trait structure for human personality. Currently, the Revised NEO Personality Inventory (NEO PI-R) is considered to be one of the best commercially available measures of the personality traits proposed by this model. The NEO PI-R provides a comprehensive measure of adult personality, has been extensively researched, and has demonstrated its utility across many different cultures, languages, and contexts. The aim of this study was to explore and describe the personality profiles of short-listed master’s psychology applicants at a higher education institution in South Africa, using the NEO PI-R, in an effort to explore the use of NEO PI-R profiles in the selection of master’s psychology applicants. The study was exploratory descriptive in nature and employed a quantitative research method. The sample of 247 participants was selected according to non-probability convenience sampling and was sourced from an archival research database. As part of the application process at the higher education institution, applicants were required to complete various tests, tasks, and questionnaires. The questionnaires selected for this study included a biographical questionnaire, used to describe the biographical variables of the sample, and the NEO PI-R (Costa & McCrae, 1992), used as a measure of personality. The NEO PI-R has been found to have good validity and reliability, with reliability in particular having being established in the South African context. Descriptive and inferential statistics, including correlations, cluster xiv analysis, and multivariate analysis of variance (ANOVA), were utilized to analyze the data. Key findings revealed that overall, the group of short-listed master’s psychology applicants could be described as being emotionally well-adjusted and sociable, which is in line with previous national and international research. In addition, a cluster analysis revealed three significantly different personality subgroups within the total sample, thus highlighting the heterogeneous nature of this sample of applicants. Each of the three personality subgroups exhibited significantly different personality traits which were judged to be more or less suitable for potential psychologists-in-training. Clusters 1 and 2 exhibited the most desirable personality characteristics in relation to selection into a master’s psychology programme, while Cluster 3 exhibited the least desirable traits. Various classification functions were derived which classified applicants into “selected” and “not selected” groups as well as the three personality subgroups, which could aid selection committees in the future to screen out potentially unsuitable candidates earlier in the selection process. It was concluded that the use of NEO PI-R personality profiles could aid the screening and selection of short-listed master’s psychology applicants.
- Full Text:
- Date Issued: 2009
Vincent van Gogh : a psychobiographical study
- Authors: Muller, Heather Ruby
- Date: 2009
- Subjects: Psychology -- Biographical methods
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9880 , http://hdl.handle.net/10948/1293 , Psychology -- Biographical methods
- Description: The aim of this study is to create a psychobiography of Vincent Van Gogh who was born in 1853 and died 1890. To Van Gogh art was not merely a means for an income, he converted all his aspirations and anguish into his art works. In doing so his art became the first example of a truly personal art, to him art was a deeply lived means of spiritual salvation, which he used as a means to transform himself. It was well known that Van Gogh was unstable and felt misunderstood in life, often asking “What is the use?” . He had a method of fusing what he saw in the world, and what he personally felt, into works of art that were revelations of himself. Van Gogh lived a lonely life, although for the last seventeen years of his life he wrote to his brother, Theo, almost daily. These letters give much insight to the thoughts and inner world of a much misunderstood individual. Most of these letters have been preserved and much else has been written about Van Gogh’s life and art. In our modern day he is deemed one of the most famous artists, yet in his lifetime he only sold one painting. This psychobiography employs a qualitative psychobiographical research method, which aims to describe Van Gogh’s psychological development in terms of Erik Erikson’s psychosocial developmental stages. Van Gogh was chosen as the research subject because of personal interest, his value as a famous artist, and because of the unique way in which he saw and related to the world.
- Full Text:
- Date Issued: 2009
- Authors: Muller, Heather Ruby
- Date: 2009
- Subjects: Psychology -- Biographical methods
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9880 , http://hdl.handle.net/10948/1293 , Psychology -- Biographical methods
- Description: The aim of this study is to create a psychobiography of Vincent Van Gogh who was born in 1853 and died 1890. To Van Gogh art was not merely a means for an income, he converted all his aspirations and anguish into his art works. In doing so his art became the first example of a truly personal art, to him art was a deeply lived means of spiritual salvation, which he used as a means to transform himself. It was well known that Van Gogh was unstable and felt misunderstood in life, often asking “What is the use?” . He had a method of fusing what he saw in the world, and what he personally felt, into works of art that were revelations of himself. Van Gogh lived a lonely life, although for the last seventeen years of his life he wrote to his brother, Theo, almost daily. These letters give much insight to the thoughts and inner world of a much misunderstood individual. Most of these letters have been preserved and much else has been written about Van Gogh’s life and art. In our modern day he is deemed one of the most famous artists, yet in his lifetime he only sold one painting. This psychobiography employs a qualitative psychobiographical research method, which aims to describe Van Gogh’s psychological development in terms of Erik Erikson’s psychosocial developmental stages. Van Gogh was chosen as the research subject because of personal interest, his value as a famous artist, and because of the unique way in which he saw and related to the world.
- Full Text:
- Date Issued: 2009
An assessment of the computer literacy status of nurse managers in a private hospital group in the Nelson Mandela metropolitan area
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
The experiences of registered nurses' of their work environment in a critical care unit
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
Jeffrey Lionel Dahmer : a psychobiographical study
- Authors: Chéze, Eldon
- Date: 2009
- Subjects: Dahmer, Jeffrey , Personality development -- South Africa , Murderers -- South Africa -- Psychology , Adlerian psychology -- South Africa , Serial murder investigation -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9884 , http://hdl.handle.net/10948/1221 , Dahmer, Jeffrey , Personality development -- South Africa , Murderers -- South Africa -- Psychology , Adlerian psychology -- South Africa , Serial murder investigation -- South Africa -- Psychological aspects
- Description: Serial crime is an element of society that continues to disturb and fascinate scholars. There is thus a need to understand the uniqueness of serial murderers and their psychological development. The field of psychobiography is a qualitative approach to uncover the story of an individual life through greater understanding of psychological concepts. Psychobiographical research is invaluable in the application of theory to the finished lives of exemplary or enigmatic individuals to develop and test theories of human development. Jeffrey Lionel Dahmer (1960 – 1994), a cannibalistic serial killer who killed 17 young men, served as the single psychobiographical subject in this study. Dahmer was selected based on interest value, his uniqueness and the lack of a specifically academic and psychologically focused case study on his life. A qualitative psychobiographical research method was utilized in this study. The primary aim of the research was to explore and describe Jeffrey Dahmer’s personality development across his lifespan. This was achieved by applying Erikson’s (1950) psychosocial theory of staged developmental crises to the lifespan developmental process and Adler’s (1929) dynamic individual psychology to provide a more comprehensive idiographic interpretation of Dahmer as an individual. Jeffrey Dahmer’s life history was uncovered in this psychobiographical case study research through the systematic and consistent collection, analysis and interpretation of life history materials, which highlighted five significant historical periods: (a) Childhood of Fantasy, (b) The Quiet Loner, (c) Hiatus – or Build-up, (d) Seeking a Compliant Partner and (e) Arrest, Trial and Death. The two theoretical frameworks were used to discern, transform and reconstruct his life into a coherent and illuminating narrative of his psychological movement through life. Alexander’s (1988) model of identifying salient themes was used to analyze data for analytical generalization (Yin, 1994). A conceptual framework derived from the two theoretical perspectives was constructed to organize and integrate data and to guide the presentation and discussion of the findings of the study in an integrative and comprehensive manner. The findings suggested that both theoretical perspectives considered the biopsychosocial as well as cultural and historical influences of situations and experiences in Dahmer’s personality development throughout the lifespan. Adlerian theory indicated that Dahmer held a socially useless lifestyle whose movement was guided purposively towards a fictional goal xxii of godlikeness through creative, concrete expressions of personal superiority. Eriksonian theory held that Dahmer remained in role confusion, which was viewed as a functional, fragmented identity to survive in society and achieve a fantasy. Thus, both theories indicated, despite their different conceptualizations, that Dahmer’s personality development was ultimately not socially beneficial. The study of Dahmer’s personality development has provided a positive demonstration of the value of both Erikson (1950) and Adler’s (1929) theories to understand the processes of personality development in an individual life. It has further highlighted the uniqueness of individual responses to life tasks and consequently unlocked the possibility of perceiving people and their actions differently. Recommendations were made for future research undertakings that utilize a psychobiographical research design and methodology to uncover, illuminate and reconstruct the lives of enigmatic personalities.
- Full Text:
- Date Issued: 2009
- Authors: Chéze, Eldon
- Date: 2009
- Subjects: Dahmer, Jeffrey , Personality development -- South Africa , Murderers -- South Africa -- Psychology , Adlerian psychology -- South Africa , Serial murder investigation -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9884 , http://hdl.handle.net/10948/1221 , Dahmer, Jeffrey , Personality development -- South Africa , Murderers -- South Africa -- Psychology , Adlerian psychology -- South Africa , Serial murder investigation -- South Africa -- Psychological aspects
- Description: Serial crime is an element of society that continues to disturb and fascinate scholars. There is thus a need to understand the uniqueness of serial murderers and their psychological development. The field of psychobiography is a qualitative approach to uncover the story of an individual life through greater understanding of psychological concepts. Psychobiographical research is invaluable in the application of theory to the finished lives of exemplary or enigmatic individuals to develop and test theories of human development. Jeffrey Lionel Dahmer (1960 – 1994), a cannibalistic serial killer who killed 17 young men, served as the single psychobiographical subject in this study. Dahmer was selected based on interest value, his uniqueness and the lack of a specifically academic and psychologically focused case study on his life. A qualitative psychobiographical research method was utilized in this study. The primary aim of the research was to explore and describe Jeffrey Dahmer’s personality development across his lifespan. This was achieved by applying Erikson’s (1950) psychosocial theory of staged developmental crises to the lifespan developmental process and Adler’s (1929) dynamic individual psychology to provide a more comprehensive idiographic interpretation of Dahmer as an individual. Jeffrey Dahmer’s life history was uncovered in this psychobiographical case study research through the systematic and consistent collection, analysis and interpretation of life history materials, which highlighted five significant historical periods: (a) Childhood of Fantasy, (b) The Quiet Loner, (c) Hiatus – or Build-up, (d) Seeking a Compliant Partner and (e) Arrest, Trial and Death. The two theoretical frameworks were used to discern, transform and reconstruct his life into a coherent and illuminating narrative of his psychological movement through life. Alexander’s (1988) model of identifying salient themes was used to analyze data for analytical generalization (Yin, 1994). A conceptual framework derived from the two theoretical perspectives was constructed to organize and integrate data and to guide the presentation and discussion of the findings of the study in an integrative and comprehensive manner. The findings suggested that both theoretical perspectives considered the biopsychosocial as well as cultural and historical influences of situations and experiences in Dahmer’s personality development throughout the lifespan. Adlerian theory indicated that Dahmer held a socially useless lifestyle whose movement was guided purposively towards a fictional goal xxii of godlikeness through creative, concrete expressions of personal superiority. Eriksonian theory held that Dahmer remained in role confusion, which was viewed as a functional, fragmented identity to survive in society and achieve a fantasy. Thus, both theories indicated, despite their different conceptualizations, that Dahmer’s personality development was ultimately not socially beneficial. The study of Dahmer’s personality development has provided a positive demonstration of the value of both Erikson (1950) and Adler’s (1929) theories to understand the processes of personality development in an individual life. It has further highlighted the uniqueness of individual responses to life tasks and consequently unlocked the possibility of perceiving people and their actions differently. Recommendations were made for future research undertakings that utilize a psychobiographical research design and methodology to uncover, illuminate and reconstruct the lives of enigmatic personalities.
- Full Text:
- Date Issued: 2009
Guidelines for the management of patients with diabetes mellitus at health care clinics in the Cacadu region of the Eastern Cape Province of South Africa
- De Mendonça, Hester Magdalena
- Authors: De Mendonça, Hester Magdalena
- Date: 2009
- Subjects: Diabetics -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: vital:10011 , http://hdl.handle.net/10948/1017 , Diabetics -- Treatment -- South Africa -- Eastern Cape
- Description: Diabetes Mellitus (DM) is the new epidemic in the world with 246 million people suffering from the disease at the moment and a projected increase to 380 million in 2025 (IDF, 2007b:36). The developing countries are the most vulnerable. Statistics state that SA and Egypt have the most diabetics on the continent. Globally, each year 3,8 million deaths are attributable to DM (IDF, 2007a). The Department of Health (DOH) and the Cacadu District Municipality (Eastern Cape) are serving a population of 102 721 in the Kouga and Koukamma areas, which covers an area of 5 992 km², with health care. There are 22 clinics with 28 registered nurses for all the clinics and between 3 and 9 lay health workers (LHWs) per clinic. For the purpose of this research study, the persons suffering from DM (±3550) in this area were taken into consideration (Strydom, 2005). DM is a chronic disorder and therefore patients should be able to manage their disease pattern for the rest of their lives (Healthline, 2008, Mbanya, 2006:12). In order to achieve this, continuous and effective patient education by health care providers are necessary. This disease affects more and more people each passing day, because of the rapid westernisation of the South African population, leading to more people attending clinics in the public health sector (Bonnici, 2002:32). There are specific guidelines laid down by the Department of Health (DOH) pertaining to the control and management of DM. Guidelines include the early diagnosis, treatment and patient education regarding DM (Department of Health, 1997, [revised 2004]). Evidence from previous research studies showed that not all registered nurses are aware of these guidelines and most have not been educated regarding the utilisation of these guidelines (O’Brien, van Rooyen & Carlson, 2006:36-40). In the clinics, the health care givers are confronted with a number of difficulties, such as a lack of funds to enable them to order adequate equipment and medicine. Another problem is the migration of registered nurses out of the country thus; there is also a shortage of staff to operate these clinics (Mkhize, 2004). The organisational structure in the clinics does not function optimally and there is a lack of communication between provincial, district and clinic level. Due to the above-mentioned challenges there is also a lack of efficient auditing systems to ensure quality assurance. Furthermore, a knowledge deficit pertaining to DM and the management thereof in all the groups participating in this study, namely the registered nurses, the lay health workers (LHWs) and the diabetic patients was found. The empowerment process of the LHW is not explored fully and therefore not executed to its full potential. To be able to improve the management of DM in this region, it is important to know what the difficulties are that the health care givers as well as the patients experience in relation to this issue. This study therefore explored and described these difficulties. The research was based on a qualitative, quantitative, explorative, descriptive and contextual research design. Health care givers as well as diabetic patients attending clinics in the Cacadu region of the Eastern Cape have been requested to complete questionnaires pertaining to their knowledge of Diabetes Mellitus. The current organisational structure of the provincial department of health was explored and findings analysed using the activities of the management process (Muller, 2006:106). The SA Government is committed to combining the national human resource development strategy with the rapid upgrading of service delivery to all of the nation’s communities. Stemming from this undertaking, suitable members of the community are to be trained as LHWs. LHWs are to play an integral role in strengthening the abilities of the community to empower themselves to participate and take responsibility for their own health and wellness (Department of Health, 2001a:4). From the research, it was found that the above-mentioned national plan had been implemented, but is not functioning at optimum level due to several shortcomings/deficits. Proposed guidelines were therefore designed to address the shortcomings and fragmentation of the plan. As specific knowledge deficits in DM were identified during this research study, general educational guidelines were included for the registered nurses and the diabetic patients. The LHW was identified as an indispensable link in the chain of efficient health care and therefore, specific educational guidelines on DM were generated to prepare her for the role. With her knowledge, insight into DM and the management thereof and newly required skills in educating and supporting of the patient, she could be an asset in the road to optimum self-care for the diabetic patient.
- Full Text:
- Date Issued: 2009
- Authors: De Mendonça, Hester Magdalena
- Date: 2009
- Subjects: Diabetics -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: vital:10011 , http://hdl.handle.net/10948/1017 , Diabetics -- Treatment -- South Africa -- Eastern Cape
- Description: Diabetes Mellitus (DM) is the new epidemic in the world with 246 million people suffering from the disease at the moment and a projected increase to 380 million in 2025 (IDF, 2007b:36). The developing countries are the most vulnerable. Statistics state that SA and Egypt have the most diabetics on the continent. Globally, each year 3,8 million deaths are attributable to DM (IDF, 2007a). The Department of Health (DOH) and the Cacadu District Municipality (Eastern Cape) are serving a population of 102 721 in the Kouga and Koukamma areas, which covers an area of 5 992 km², with health care. There are 22 clinics with 28 registered nurses for all the clinics and between 3 and 9 lay health workers (LHWs) per clinic. For the purpose of this research study, the persons suffering from DM (±3550) in this area were taken into consideration (Strydom, 2005). DM is a chronic disorder and therefore patients should be able to manage their disease pattern for the rest of their lives (Healthline, 2008, Mbanya, 2006:12). In order to achieve this, continuous and effective patient education by health care providers are necessary. This disease affects more and more people each passing day, because of the rapid westernisation of the South African population, leading to more people attending clinics in the public health sector (Bonnici, 2002:32). There are specific guidelines laid down by the Department of Health (DOH) pertaining to the control and management of DM. Guidelines include the early diagnosis, treatment and patient education regarding DM (Department of Health, 1997, [revised 2004]). Evidence from previous research studies showed that not all registered nurses are aware of these guidelines and most have not been educated regarding the utilisation of these guidelines (O’Brien, van Rooyen & Carlson, 2006:36-40). In the clinics, the health care givers are confronted with a number of difficulties, such as a lack of funds to enable them to order adequate equipment and medicine. Another problem is the migration of registered nurses out of the country thus; there is also a shortage of staff to operate these clinics (Mkhize, 2004). The organisational structure in the clinics does not function optimally and there is a lack of communication between provincial, district and clinic level. Due to the above-mentioned challenges there is also a lack of efficient auditing systems to ensure quality assurance. Furthermore, a knowledge deficit pertaining to DM and the management thereof in all the groups participating in this study, namely the registered nurses, the lay health workers (LHWs) and the diabetic patients was found. The empowerment process of the LHW is not explored fully and therefore not executed to its full potential. To be able to improve the management of DM in this region, it is important to know what the difficulties are that the health care givers as well as the patients experience in relation to this issue. This study therefore explored and described these difficulties. The research was based on a qualitative, quantitative, explorative, descriptive and contextual research design. Health care givers as well as diabetic patients attending clinics in the Cacadu region of the Eastern Cape have been requested to complete questionnaires pertaining to their knowledge of Diabetes Mellitus. The current organisational structure of the provincial department of health was explored and findings analysed using the activities of the management process (Muller, 2006:106). The SA Government is committed to combining the national human resource development strategy with the rapid upgrading of service delivery to all of the nation’s communities. Stemming from this undertaking, suitable members of the community are to be trained as LHWs. LHWs are to play an integral role in strengthening the abilities of the community to empower themselves to participate and take responsibility for their own health and wellness (Department of Health, 2001a:4). From the research, it was found that the above-mentioned national plan had been implemented, but is not functioning at optimum level due to several shortcomings/deficits. Proposed guidelines were therefore designed to address the shortcomings and fragmentation of the plan. As specific knowledge deficits in DM were identified during this research study, general educational guidelines were included for the registered nurses and the diabetic patients. The LHW was identified as an indispensable link in the chain of efficient health care and therefore, specific educational guidelines on DM were generated to prepare her for the role. With her knowledge, insight into DM and the management thereof and newly required skills in educating and supporting of the patient, she could be an asset in the road to optimum self-care for the diabetic patient.
- Full Text:
- Date Issued: 2009
Strategies to facilitate collaboration between allopathic and traditional health practitioners
- Authors: Tembani, Nomazwi Maudline
- Date: 2009
- Subjects: Alternative medicine -- South Africa , Healers -- South Africa , Physicians -- South Africa
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: vital:10012 , http://hdl.handle.net/10948/1283 , Alternative medicine -- South Africa , Healers -- South Africa , Physicians -- South Africa
- Description: The formal recognition of traditional healing has been controversial for some time with traditional healers being labelled by those of conventional medical orientation as a medical hazard and purveyors of superstition. The support for the development of traditional medicine and establishment of co-operation between traditional healers and allopathic heath practitioners was first promoted in the international health arena by the World Health Organisation. Estimating that 80% of the population living in rural areas of many developing countries was using traditional medicine for the primary healthcare needs, this organisation advocated for the establishment of mechanisms that would facilitate strong cooperation between traditional healers, scientists and clinicians. The study was undertaken in the Amathole District Municipality, Province of the Eastern Cape based on Chapter 2, Section 6(2) (a) of the Traditional Health Practitioners Bill 2003, which required regulation and promotion of liaison between traditional health practitioners and other health professionals registered under any law. The purpose of the study was to develop and propose strategies to facilitate collaboration between traditional and allopathic health practitioners to optimise and complement healthcare delivery. The conceptual framework guiding the study was derived from Leininger’s theory of Cultural Care Diversity and Universality chosen because of its appropriateness. The terms used throughout the study were defined to facilitate the reader’s understanding. Ethical principles were adhered to throughout the research process. To ensure trustworthiness of the study, Guba’s model (in Krefting,1991:214-215) was used where the four aspects of trustworthiness namely, truth value, applicability, consistency and neutrality were considered. A qualitative, exploratory, descriptive and contextual research design was used which assisted in articulating the appropriate strategies to develop to facilitate v collaboration between allopathic and traditional health practitioners. The study was done in two phases. Phase one entailed data collection using unstructured interviews, a focus group interview, literature control and modified participant observation. In Phase two strategies to facilitate collaboration between allopathic and traditional health practitioners were developed. The population in this study comprised three groups of participants. Group 1 consisted of allopathic health practitioners, Group 2 comprised traditional healers and Group 3 was composed of participants who were trained as both traditional healers and allopathic health practitioners. All participants had to respond to three research questions which aimed at: exploring and describing the nature of the relationship between allopathic and traditional health practitioners before legalisation of traditional healing and their experience as role-players in the healthcare delivery landscape in the Amathole District Municipality. eliciting the viewpoints of allopathic and traditional health practitioners regarding the impact on their practices of legalisation of traditional healing and developing strategies to facilitate collaboration between allopathic and traditional health practitioners. Data obtained from each group was analysed using Tesch’s method as described by Creswell (2003:192). Themes emerging from data and the corresponding strategies to address the themes were identified for each group. The participants’ responses to the three research questions revealed areas of convergence and divergence. Of significance was the reflection by the participants on their negative attitude towards each other. They also highlighted that there was no formal interaction between traditional and allopathic health practitioners in the Amathole District Municipality. Their working relationship was characterised by a one-sided referral system with traditional healers referring patients to allopathic health practitioners but this seemed not to be reciprocated vi by the latter group. The exception was the case of traditional surgeons whose working relationship with allopathic health practitioners was formally outlined in the Application of Health Standards in the Traditional Circumcision Act, Act No.6 of 2001. Allopathic health practitioners attributed their negative attitude as emanating from the unscientific methods used by traditional healers in treating patients, interference of traditional healers with the efficacy of hospital treatments and delays by traditional healers in referring patients to the hospitals and clinics. Traditional healers stated that they were concerned about failure of allopathic health practitioners to refer patients who talked about “thikoloshe” and “mafufunyana” to the traditional healers. Consequently, these patients presented themselves to the traditional healers when the illness was at an advanced stage. A reciprocal referral system was perceived by the traditional healers as the core element or crux of collaboration. There were ambivalent views regarding the impact of legalisation of traditional healing on the practices of both traditional and allopathic health practitioners. Elimination of unscrupulous healers, economic benefits, and occupational protection were benefits anticipated by traditional healers from the implementation of the Act. The possibility of having to divulge information regarding their traditional medicines, monitoring of their practice resulting in arrests should errors occur were however, cited by traditional healers as threatening elements of the Act. A lack of understanding the activities of each group with an inherent element of mistrust became evident from the participants’ responses. Ways of fostering mutual understanding between them were suggested which included holding meetings together to discuss issues relating to healing of patients, exposing both groups of health practitioners to research, as well as training and development activities. The participants also highlighted areas of collaboration as sharing resources namely, budget, physical facilities, equipment and information and role clarification especially pertaining to disease management. The participants vii strongly suggested that there should be clarity on the type of diseases to be handled by each group. The need for capacity building of traditional and allopathic health practitioners in preparation for facilitating collaboration was advocated by all and the relevant activities to engage into were suggested. Analysis, synthesis and cross referencing of the themes that emerged from the data culminated in the identification of three strategies that were applicable to all groups of participants and which would assist in facilitating collaboration between allopathic and traditional health practitioners. The researcher coined the three strategies “Triple C” strategies abbreviated as the TRIC strategies. The first “C” of the three “Cs” stands for “change attitude”, the second “C” for “communication” and the third “C” for “capacity building.” Each of the proposed three strategies is discussed under the following headings:- Summary of findings informing the strategy Theory articulating the strategy Aim of the strategy Suggested implementation mechanism As the strategies had to be grounded in a theory which would serve as a reference point, the researcher used the Survey List by Dickoff, James and Wiedenbach (1968:423) as a conceptual framework on which to base the proposed three strategies. The results of this study and recommendations that have been made will be disseminated in professional journals, research conferences and seminars.
- Full Text:
- Date Issued: 2009
- Authors: Tembani, Nomazwi Maudline
- Date: 2009
- Subjects: Alternative medicine -- South Africa , Healers -- South Africa , Physicians -- South Africa
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: vital:10012 , http://hdl.handle.net/10948/1283 , Alternative medicine -- South Africa , Healers -- South Africa , Physicians -- South Africa
- Description: The formal recognition of traditional healing has been controversial for some time with traditional healers being labelled by those of conventional medical orientation as a medical hazard and purveyors of superstition. The support for the development of traditional medicine and establishment of co-operation between traditional healers and allopathic heath practitioners was first promoted in the international health arena by the World Health Organisation. Estimating that 80% of the population living in rural areas of many developing countries was using traditional medicine for the primary healthcare needs, this organisation advocated for the establishment of mechanisms that would facilitate strong cooperation between traditional healers, scientists and clinicians. The study was undertaken in the Amathole District Municipality, Province of the Eastern Cape based on Chapter 2, Section 6(2) (a) of the Traditional Health Practitioners Bill 2003, which required regulation and promotion of liaison between traditional health practitioners and other health professionals registered under any law. The purpose of the study was to develop and propose strategies to facilitate collaboration between traditional and allopathic health practitioners to optimise and complement healthcare delivery. The conceptual framework guiding the study was derived from Leininger’s theory of Cultural Care Diversity and Universality chosen because of its appropriateness. The terms used throughout the study were defined to facilitate the reader’s understanding. Ethical principles were adhered to throughout the research process. To ensure trustworthiness of the study, Guba’s model (in Krefting,1991:214-215) was used where the four aspects of trustworthiness namely, truth value, applicability, consistency and neutrality were considered. A qualitative, exploratory, descriptive and contextual research design was used which assisted in articulating the appropriate strategies to develop to facilitate v collaboration between allopathic and traditional health practitioners. The study was done in two phases. Phase one entailed data collection using unstructured interviews, a focus group interview, literature control and modified participant observation. In Phase two strategies to facilitate collaboration between allopathic and traditional health practitioners were developed. The population in this study comprised three groups of participants. Group 1 consisted of allopathic health practitioners, Group 2 comprised traditional healers and Group 3 was composed of participants who were trained as both traditional healers and allopathic health practitioners. All participants had to respond to three research questions which aimed at: exploring and describing the nature of the relationship between allopathic and traditional health practitioners before legalisation of traditional healing and their experience as role-players in the healthcare delivery landscape in the Amathole District Municipality. eliciting the viewpoints of allopathic and traditional health practitioners regarding the impact on their practices of legalisation of traditional healing and developing strategies to facilitate collaboration between allopathic and traditional health practitioners. Data obtained from each group was analysed using Tesch’s method as described by Creswell (2003:192). Themes emerging from data and the corresponding strategies to address the themes were identified for each group. The participants’ responses to the three research questions revealed areas of convergence and divergence. Of significance was the reflection by the participants on their negative attitude towards each other. They also highlighted that there was no formal interaction between traditional and allopathic health practitioners in the Amathole District Municipality. Their working relationship was characterised by a one-sided referral system with traditional healers referring patients to allopathic health practitioners but this seemed not to be reciprocated vi by the latter group. The exception was the case of traditional surgeons whose working relationship with allopathic health practitioners was formally outlined in the Application of Health Standards in the Traditional Circumcision Act, Act No.6 of 2001. Allopathic health practitioners attributed their negative attitude as emanating from the unscientific methods used by traditional healers in treating patients, interference of traditional healers with the efficacy of hospital treatments and delays by traditional healers in referring patients to the hospitals and clinics. Traditional healers stated that they were concerned about failure of allopathic health practitioners to refer patients who talked about “thikoloshe” and “mafufunyana” to the traditional healers. Consequently, these patients presented themselves to the traditional healers when the illness was at an advanced stage. A reciprocal referral system was perceived by the traditional healers as the core element or crux of collaboration. There were ambivalent views regarding the impact of legalisation of traditional healing on the practices of both traditional and allopathic health practitioners. Elimination of unscrupulous healers, economic benefits, and occupational protection were benefits anticipated by traditional healers from the implementation of the Act. The possibility of having to divulge information regarding their traditional medicines, monitoring of their practice resulting in arrests should errors occur were however, cited by traditional healers as threatening elements of the Act. A lack of understanding the activities of each group with an inherent element of mistrust became evident from the participants’ responses. Ways of fostering mutual understanding between them were suggested which included holding meetings together to discuss issues relating to healing of patients, exposing both groups of health practitioners to research, as well as training and development activities. The participants also highlighted areas of collaboration as sharing resources namely, budget, physical facilities, equipment and information and role clarification especially pertaining to disease management. The participants vii strongly suggested that there should be clarity on the type of diseases to be handled by each group. The need for capacity building of traditional and allopathic health practitioners in preparation for facilitating collaboration was advocated by all and the relevant activities to engage into were suggested. Analysis, synthesis and cross referencing of the themes that emerged from the data culminated in the identification of three strategies that were applicable to all groups of participants and which would assist in facilitating collaboration between allopathic and traditional health practitioners. The researcher coined the three strategies “Triple C” strategies abbreviated as the TRIC strategies. The first “C” of the three “Cs” stands for “change attitude”, the second “C” for “communication” and the third “C” for “capacity building.” Each of the proposed three strategies is discussed under the following headings:- Summary of findings informing the strategy Theory articulating the strategy Aim of the strategy Suggested implementation mechanism As the strategies had to be grounded in a theory which would serve as a reference point, the researcher used the Survey List by Dickoff, James and Wiedenbach (1968:423) as a conceptual framework on which to base the proposed three strategies. The results of this study and recommendations that have been made will be disseminated in professional journals, research conferences and seminars.
- Full Text:
- Date Issued: 2009
Factors affecting AIDS orphans' from accessing voluntary counselling and testing (VCT)
- Authors: Maama, Lineo Bernadette
- Date: 2009
- Subjects: Children of AIDS patients -- South Africa , HIV infections -- South Africa -- Testing , Orphans -- Services for
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10000 , http://hdl.handle.net/10948/1046 , Children of AIDS patients -- South Africa , HIV infections -- South Africa -- Testing , Orphans -- Services for
- Description: The study seeks to explore and identify factors that prevent AIDS orphans in presenting themselves for Voluntary Counselling and Testing (VCT). Socio-cultural factors, notably, stigma and the resultant discrimination by community members, have been presented by many researchers as the main aetiological factors that hinder the use of VCT by AIDS orphans. It is on the basis of this that this study was conducted to identify factors that hinder AIDS orphans from accessing VCT. The study used a qualitative approach following an explorative and descriptive, contextual research design and was conducted at Ubuntu Education Fund, Port Elizabeth. Purposive sampling was used to determine a sample of AIDS orphans. Participants of the study had to be orphaned as a result of AIDS, isiXhosa-speaking, between 12-17 years, living in the care of a primary care-giver and had not presented themselves for VCT. Data was collected by means of semi-structured interviews. Semi-structured interviews are suitable in cases where the researcher is interested in an issue that is complex or personal (De Vos, Strydom, Fouche and Deloport, 2005). Data was analyzed according to the framework provided by Tesch (1990) as described in Creswell (2003). The major findings of this study were that people are locked in a ‘poverty-of-the mind cycle’, in respect of HIV and AIDS, and this is exacerbated by educational impoverishment and general poverty. The recommendations that emanated from this study are made from policy and service delivery perspectives. It is recommended that in order for AIDS orphans to access VCT they should be developed and empowered through sustainable programmes that enhance their capacities to the outmost realization of their potential. It is also recommended that health and other professionals should encourage AIDS orphans and community members to present themselves for VCT and thus curb the spread of HIV and AIDS.
- Full Text:
- Date Issued: 2009
- Authors: Maama, Lineo Bernadette
- Date: 2009
- Subjects: Children of AIDS patients -- South Africa , HIV infections -- South Africa -- Testing , Orphans -- Services for
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10000 , http://hdl.handle.net/10948/1046 , Children of AIDS patients -- South Africa , HIV infections -- South Africa -- Testing , Orphans -- Services for
- Description: The study seeks to explore and identify factors that prevent AIDS orphans in presenting themselves for Voluntary Counselling and Testing (VCT). Socio-cultural factors, notably, stigma and the resultant discrimination by community members, have been presented by many researchers as the main aetiological factors that hinder the use of VCT by AIDS orphans. It is on the basis of this that this study was conducted to identify factors that hinder AIDS orphans from accessing VCT. The study used a qualitative approach following an explorative and descriptive, contextual research design and was conducted at Ubuntu Education Fund, Port Elizabeth. Purposive sampling was used to determine a sample of AIDS orphans. Participants of the study had to be orphaned as a result of AIDS, isiXhosa-speaking, between 12-17 years, living in the care of a primary care-giver and had not presented themselves for VCT. Data was collected by means of semi-structured interviews. Semi-structured interviews are suitable in cases where the researcher is interested in an issue that is complex or personal (De Vos, Strydom, Fouche and Deloport, 2005). Data was analyzed according to the framework provided by Tesch (1990) as described in Creswell (2003). The major findings of this study were that people are locked in a ‘poverty-of-the mind cycle’, in respect of HIV and AIDS, and this is exacerbated by educational impoverishment and general poverty. The recommendations that emanated from this study are made from policy and service delivery perspectives. It is recommended that in order for AIDS orphans to access VCT they should be developed and empowered through sustainable programmes that enhance their capacities to the outmost realization of their potential. It is also recommended that health and other professionals should encourage AIDS orphans and community members to present themselves for VCT and thus curb the spread of HIV and AIDS.
- Full Text:
- Date Issued: 2009
Establishing explicit perspectives of personality for a sample of Xhosa-speaking South Africans
- Authors: Nopote, Nomvuyiseko Minty
- Date: 2009
- Subjects: Personality assessment -- South Africa Cross-cultural studies , Psychological tests -- South Africa -- Cross-cultural studies , Language and languages -- Ability testing -- South Africa , Xhosa language -- South Africa -- Comparison
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9892 , http://hdl.handle.net/10948/1145 , Personality assessment -- South Africa Cross-cultural studies , Psychological tests -- South Africa -- Cross-cultural studies , Language and languages -- Ability testing -- South Africa , Xhosa language -- South Africa -- Comparison
- Description: Cross-cultural assessment in South Africa has become more prominent since the first democratic elections held in April 1994, as stronger demands for the cultural appropriateness of psychological tests have been made. The use of psychometric testing, including personality assessment in the workplace, is now strictly controlled by legislation, among others the Constitution of the Republic of South Africa (Act 108 of 1996), the Labour Relations Act (66 of 1995), and the Employment Equity Act (55 of 1998), and the Health Professions Act (56 of 1974). The present study forms part of the development process of the South African Personality Inventory (SAPI), which seeks to explore the indigenous personality structure of all the 11 official language groups found in South Africa and to then develop a personality inventory based on this. The present study aimed to explore and describe the personality facets and clusters that were found among a sample of 95 Xhosa-speaking South Africans. An exploratory descriptive research method was used and participants were selected by means of non-probability purposive sampling. Data were gathered by administering a biographical questionnaire and a tape-recorded 10- item interview questionnaire. Content analysis was used to analyse and reduce the data obtained from interviews into personality descriptors. Of the 1872 personality-descriptive words obtained from the interview questions, 164 facets of different personality characteristics were finally configured as a consequence of a data-reduction process. These facets were further categorised into a total of 37 personality sub-clusters and nine personality clusters which were labelled as Extraversion, Soft-heartedness, Conscientiousness, Emotional Stability, Intellect, Openness, Integrity, Relationship Harmony and Facilitating. These clusters and their sub-clusters resonate well with significant aspects and values of the Xhosa culture (e.g., Ubuntu). There also seems to be a moderate correspondence between the clusters and sub-clusters identified in the Xhosa-speaking sample and factors of the Five-Factor Model, especially with respect to the six clusters of Extraversion, Soft-heartedness, Conscientiousness, Emotional Stability, Intellect, and Openness. Nonetheless, differences in the composition of the clusters/facets were found, some of which are due to the more unique facets and sub-facets of personality identified in the Xhosa-speaking sample. The limitations of the study are identified and suggestions are made for further research.
- Full Text:
- Date Issued: 2009
- Authors: Nopote, Nomvuyiseko Minty
- Date: 2009
- Subjects: Personality assessment -- South Africa Cross-cultural studies , Psychological tests -- South Africa -- Cross-cultural studies , Language and languages -- Ability testing -- South Africa , Xhosa language -- South Africa -- Comparison
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9892 , http://hdl.handle.net/10948/1145 , Personality assessment -- South Africa Cross-cultural studies , Psychological tests -- South Africa -- Cross-cultural studies , Language and languages -- Ability testing -- South Africa , Xhosa language -- South Africa -- Comparison
- Description: Cross-cultural assessment in South Africa has become more prominent since the first democratic elections held in April 1994, as stronger demands for the cultural appropriateness of psychological tests have been made. The use of psychometric testing, including personality assessment in the workplace, is now strictly controlled by legislation, among others the Constitution of the Republic of South Africa (Act 108 of 1996), the Labour Relations Act (66 of 1995), and the Employment Equity Act (55 of 1998), and the Health Professions Act (56 of 1974). The present study forms part of the development process of the South African Personality Inventory (SAPI), which seeks to explore the indigenous personality structure of all the 11 official language groups found in South Africa and to then develop a personality inventory based on this. The present study aimed to explore and describe the personality facets and clusters that were found among a sample of 95 Xhosa-speaking South Africans. An exploratory descriptive research method was used and participants were selected by means of non-probability purposive sampling. Data were gathered by administering a biographical questionnaire and a tape-recorded 10- item interview questionnaire. Content analysis was used to analyse and reduce the data obtained from interviews into personality descriptors. Of the 1872 personality-descriptive words obtained from the interview questions, 164 facets of different personality characteristics were finally configured as a consequence of a data-reduction process. These facets were further categorised into a total of 37 personality sub-clusters and nine personality clusters which were labelled as Extraversion, Soft-heartedness, Conscientiousness, Emotional Stability, Intellect, Openness, Integrity, Relationship Harmony and Facilitating. These clusters and their sub-clusters resonate well with significant aspects and values of the Xhosa culture (e.g., Ubuntu). There also seems to be a moderate correspondence between the clusters and sub-clusters identified in the Xhosa-speaking sample and factors of the Five-Factor Model, especially with respect to the six clusters of Extraversion, Soft-heartedness, Conscientiousness, Emotional Stability, Intellect, and Openness. Nonetheless, differences in the composition of the clusters/facets were found, some of which are due to the more unique facets and sub-facets of personality identified in the Xhosa-speaking sample. The limitations of the study are identified and suggestions are made for further research.
- Full Text:
- Date Issued: 2009
The experiences of AIDS orphaned adolescents in Thaba-Bosiu, Maseru
- Authors: Motene, Khantse
- Date: 2009
- Subjects: AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10001 , http://hdl.handle.net/10948/1025 , AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Description: “We owe them fathers, and a family and loving homes they never knew because we know deep in our hearts that they are all our children too,” These are words from the musical Miss Saigon by Boubill and Schonberg as quoted by van Dyk (2005:278) which prompted the researcher’s interest in the study. According to a study by Kimane and Mturi (2000:8), a good number of AIDS orphaned adolescents have the responsibility of the care of siblings. Moreover, they are economically active, forced to earn income for their own survival or for their unemployed siblings or extended family household. They are the young people one sees in the streets of Lesotho’s principle cities, selling fruit or collecting fares in local taxis. For girls, the situation is particularly dire. While they too sell goods on the streets or some are employed as domestic workers, many find the lure of commercial sex work and the promise of cash irresistible (Kimane and Mturi, 2000:8). However, Fraser (2004:143) denotes that some children, when faced with stressful conditions, construct socially adverse situations as challenges and opportunities and access adequate amounts of available individual and environmental resources. This general frame of reference through which individuals appraise and react to events and situations in the environment is termed resiliency (Fraser, 2004:143). The aim of the study was to explore and describe the experiences of AIDS orphaned adolescents. A qualitative approach with an exploratory-descriptive research design was employed to meet the aims of the study. The research was conducted in Thaba-Bosiu, Maseru. Purposive sampling was used to access a research sample with the assistance of a service rendering organisation in Lesotho. Data was collected by means of semi-structured interviews with eight AIDS orphaned adolescents between the ages of 15 -18 years. Data was analysed according to the framework provided by Tesch (in Creswell, 1994:153) and Guba’s model (in Krefting, 1991:217) was employed for data verification. It was anticipated that the study would contribute to the recommendations towards the development of more effective programmes for the AIDS orphans in Lesotho. In addition, undertaking this research was viewed as critical as it would provide the much needed scientific basis on which the Social Work professional body would be able to reflect on its AIDS orphan support strategies.
- Full Text:
- Date Issued: 2009
- Authors: Motene, Khantse
- Date: 2009
- Subjects: AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10001 , http://hdl.handle.net/10948/1025 , AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Description: “We owe them fathers, and a family and loving homes they never knew because we know deep in our hearts that they are all our children too,” These are words from the musical Miss Saigon by Boubill and Schonberg as quoted by van Dyk (2005:278) which prompted the researcher’s interest in the study. According to a study by Kimane and Mturi (2000:8), a good number of AIDS orphaned adolescents have the responsibility of the care of siblings. Moreover, they are economically active, forced to earn income for their own survival or for their unemployed siblings or extended family household. They are the young people one sees in the streets of Lesotho’s principle cities, selling fruit or collecting fares in local taxis. For girls, the situation is particularly dire. While they too sell goods on the streets or some are employed as domestic workers, many find the lure of commercial sex work and the promise of cash irresistible (Kimane and Mturi, 2000:8). However, Fraser (2004:143) denotes that some children, when faced with stressful conditions, construct socially adverse situations as challenges and opportunities and access adequate amounts of available individual and environmental resources. This general frame of reference through which individuals appraise and react to events and situations in the environment is termed resiliency (Fraser, 2004:143). The aim of the study was to explore and describe the experiences of AIDS orphaned adolescents. A qualitative approach with an exploratory-descriptive research design was employed to meet the aims of the study. The research was conducted in Thaba-Bosiu, Maseru. Purposive sampling was used to access a research sample with the assistance of a service rendering organisation in Lesotho. Data was collected by means of semi-structured interviews with eight AIDS orphaned adolescents between the ages of 15 -18 years. Data was analysed according to the framework provided by Tesch (in Creswell, 1994:153) and Guba’s model (in Krefting, 1991:217) was employed for data verification. It was anticipated that the study would contribute to the recommendations towards the development of more effective programmes for the AIDS orphans in Lesotho. In addition, undertaking this research was viewed as critical as it would provide the much needed scientific basis on which the Social Work professional body would be able to reflect on its AIDS orphan support strategies.
- Full Text:
- Date Issued: 2009