Knowledge and understanding of radiographers regarding supraspinatus outlet projection for shoulder impingement syndrome
- Authors: Willians, Razana
- Date: 2015
- Subjects: Radiography, Medical , Diagnosis, Radioscopic , Shoulder , Diagnostic imaging
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/4456 , vital:20602
- Description: The shoulder is a complex anatomical structure and imaging plays an important role in the diagnosis and management of shoulder conditions. The complexity of the shoulder’s anatomy has led to the development of multiple radiographic projections and techniques within plain film imaging with each projection intended to demonstrate specific aspects of the anatomy of the shoulder. However, reproducing the required projections can be difficult especially if radiographers are not familiar with the projections and their evaluation criteria. Literature has revealed the importance of a comprehensive knowledge and understanding of anatomy, patient positioning, beam direction and centring point, and evaluation criteria to ensure a quality projection for accurate diagnoses. The aim of the study was to determine the knowledge and understanding of radiographers with regard to the supraspinatus outlet projection (SOP) for shoulder impingement syndrome (SIS) and its evaluation criteria. The inferences derived from the research findings were used to develop guidelines for a structured in-service training programme for practising radiographers to optimise their knowledge and understanding of the supraspinatus outlet projection in shoulder impingement syndrome. The proposed study followed a quantitative approach. Furthermore, a descriptive, exploratory, contextual design was employed. The research population consisted of practising radiographers working in the public and private hospitals of the Nelson Mandela Bay Municipality. The data were collected by means of a structured self-administered questionnaire. The questionnaire comprised of three sections. The first section requested demographic information from the participants. The second section assessed their knowledge and understanding regarding the scapular ‘Y’ and the supraspinatus outlet projections and shoulder impingement syndrome. The third section assessed their knowledge and understanding of anatomy and image evaluation/critiquing. The reliability and validity of the data collection instrument was ensured by conducting a pilot study and comparing the results with those of the main study. In addition, the expertise and guidance of a radiographer experienced in the clinical training of radiographers, the supervisor (who has twenty years’ experience in the teaching of radiographers) and a statistician was obtained. Descriptive and inferential statistical analyses were performed by means of a statistical programme and with the guidance of a statistician. The researcher ensured that the study was conducted in an ethical manner by adhering to the ethical principles of beneficence, justice and respect for persons.
- Full Text:
- Date Issued: 2015
- Authors: Willians, Razana
- Date: 2015
- Subjects: Radiography, Medical , Diagnosis, Radioscopic , Shoulder , Diagnostic imaging
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/4456 , vital:20602
- Description: The shoulder is a complex anatomical structure and imaging plays an important role in the diagnosis and management of shoulder conditions. The complexity of the shoulder’s anatomy has led to the development of multiple radiographic projections and techniques within plain film imaging with each projection intended to demonstrate specific aspects of the anatomy of the shoulder. However, reproducing the required projections can be difficult especially if radiographers are not familiar with the projections and their evaluation criteria. Literature has revealed the importance of a comprehensive knowledge and understanding of anatomy, patient positioning, beam direction and centring point, and evaluation criteria to ensure a quality projection for accurate diagnoses. The aim of the study was to determine the knowledge and understanding of radiographers with regard to the supraspinatus outlet projection (SOP) for shoulder impingement syndrome (SIS) and its evaluation criteria. The inferences derived from the research findings were used to develop guidelines for a structured in-service training programme for practising radiographers to optimise their knowledge and understanding of the supraspinatus outlet projection in shoulder impingement syndrome. The proposed study followed a quantitative approach. Furthermore, a descriptive, exploratory, contextual design was employed. The research population consisted of practising radiographers working in the public and private hospitals of the Nelson Mandela Bay Municipality. The data were collected by means of a structured self-administered questionnaire. The questionnaire comprised of three sections. The first section requested demographic information from the participants. The second section assessed their knowledge and understanding regarding the scapular ‘Y’ and the supraspinatus outlet projections and shoulder impingement syndrome. The third section assessed their knowledge and understanding of anatomy and image evaluation/critiquing. The reliability and validity of the data collection instrument was ensured by conducting a pilot study and comparing the results with those of the main study. In addition, the expertise and guidance of a radiographer experienced in the clinical training of radiographers, the supervisor (who has twenty years’ experience in the teaching of radiographers) and a statistician was obtained. Descriptive and inferential statistical analyses were performed by means of a statistical programme and with the guidance of a statistician. The researcher ensured that the study was conducted in an ethical manner by adhering to the ethical principles of beneficence, justice and respect for persons.
- Full Text:
- Date Issued: 2015
The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit
- Authors: Pheiffer, Evette
- Date: 2015
- Subjects: Artificial respiration , Cardiotonic agents , Life support systems (Critical care)
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/3115 , vital:20400
- Description: Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which incorporate therapies such as artificial hydration, nutrition and haemodialysis. Life-support treatment is rendered to critically ill patients within the intensive care units. However, when treatment options are maximised, and the patient’s condition is unchanged, a decision is often made to withdraw treatment. Professional nurses are usually involved in the process of withdrawal of life-support treatment as they care for this population of patients. The study followed a qualitative, explorative, descriptive and contextual research paradigm in order to explore and describe the perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. Data was collected by means of interviews, which were transcribed according to Tesch’s method of analysis. Field notes were used to supplement the data findings. Based on the data collected, it is clear that professional nurses experience difficulties when performing withdrawal of life-support treatment. There are a number of communication concerns which need to be addressed and suggestions were also made by the interview participants regarding these concerns. The study makes recommendations to assist professional nurses with the process of withdrawing life-support treatment in a private intensive care unit. The findings of the study will be disseminated to the relevant hospital and unit managers. Ethical principles were maintained throughout the study by adhering to the principles of privacy, confidentiality, anonymity and beneficence.
- Full Text:
- Date Issued: 2015
- Authors: Pheiffer, Evette
- Date: 2015
- Subjects: Artificial respiration , Cardiotonic agents , Life support systems (Critical care)
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/3115 , vital:20400
- Description: Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which incorporate therapies such as artificial hydration, nutrition and haemodialysis. Life-support treatment is rendered to critically ill patients within the intensive care units. However, when treatment options are maximised, and the patient’s condition is unchanged, a decision is often made to withdraw treatment. Professional nurses are usually involved in the process of withdrawal of life-support treatment as they care for this population of patients. The study followed a qualitative, explorative, descriptive and contextual research paradigm in order to explore and describe the perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. Data was collected by means of interviews, which were transcribed according to Tesch’s method of analysis. Field notes were used to supplement the data findings. Based on the data collected, it is clear that professional nurses experience difficulties when performing withdrawal of life-support treatment. There are a number of communication concerns which need to be addressed and suggestions were also made by the interview participants regarding these concerns. The study makes recommendations to assist professional nurses with the process of withdrawing life-support treatment in a private intensive care unit. The findings of the study will be disseminated to the relevant hospital and unit managers. Ethical principles were maintained throughout the study by adhering to the principles of privacy, confidentiality, anonymity and beneficence.
- Full Text:
- Date Issued: 2015
The impact of a ward pharmacist in a surgical ward of a private hospital in the Eastern Cape
- Stone, Leanne Nicole, Burton, S F
- Authors: Stone, Leanne Nicole , Burton, S F
- Date: 2015
- Subjects: Hospital pharmacies , Pharmaceutical services -- South Africa -- Eastern Cape , Pharmacists -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/5916 , vital:21012
- Description: Medication errors are becoming problematic in both hospital and outpatient settings worldwide. Inappropriate use of medication can cause harm to the patient and maintaining high levels of quality patient care is essential to protect all patients. Clinical pharmacy practice contributes to improved patient care by optimising medication therapy; and promoting health, wellness and disease prevention. The involvement of a pharmacist at a ward level has been shown to improve patient care; reduce mortality and morbidity rates; decrease healthcare costs; minimise medication errors; and improve outcomes of drug therapy. However, clinical pharmacy is a fairly new practice in South Africa and there are limited studies available. This study aimed to evaluate the perceived benefits of a ward-based pharmacist on the provision of pharmaceutical care to patients in a hospital setting and to consequently implement a ward-based pharmacy service. The objectives of the study were: (1) to assess, via a questionnaire, the perceptions and attitudes of medical practitioners and nurses to ward-based pharmacy prior to and after implementation of a ward-based pharmacy service, (2) to implement a ward-based pharmacy service in a selected hospital ward; (3) to document and analyse the nature of the work and activities that a ward pharmacist undertakes, and (4) to document and analyse the frequency and nature of ward pharmacist interventions. The study was conducted in a surgical ward of a private hospital in the Eastern Cape. The study design was an intervention study, using a mixed-methods design, with a convergent approach. A convenience sample of 106 patients was obtained over the eight week study period. Participation was voluntary and confidentiality was maintained at all times. Four data collection tools were used during the study and a pilot study was conducted to ensure their validity and reliability. The quantitative data was analysed statistically while the qualitative questions were analysed through coding the various responses. The results of the study showed that medical practitioners and nurses of a surgical ward had a positive attitude towards ward pharmacy both prior to and after the implementation of a ward pharmacy service. There were ward pharmacist interventions made in 50% (n=106) of the patients who participated in the study. A large percentage (57%; 50; n=87) of the ward pharmacist interventions were pharmacist-initiated interventions to optimise patient care while prescribing errors (51%; 19; n=37) were the most commonly occurring medication error. The majority of the medication items involved in the interventions (34%; 34; n=101) were related to the anti-microbial medication class. Overall, there was a 73% (36; n=49) acceptance rate of the ward pharmacist interventions that were made to both the medical practitioners and nurses. There were a number of factors that had a significant relationship with a ward pharmacist intervention being required which included: (1) number of medication items (p=0.001; Chi² test; p<0.0005 Student’s t-test), (2) length of hospital stay (p<0.0005; Chi² test), (3) presence of one or more chronic disease states (p=0.003; Chi² test) and (4) presence of one or more allergies (p=0.028; Chi² test). The ward pharmacist interventions were shown to be of clinical significance and to have a positive impact on the patients concerned. It can be concluded that the ward pharmacy service was beneficial to the patients, medical practitioners and nursing staff.
- Full Text:
- Date Issued: 2015
- Authors: Stone, Leanne Nicole , Burton, S F
- Date: 2015
- Subjects: Hospital pharmacies , Pharmaceutical services -- South Africa -- Eastern Cape , Pharmacists -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/5916 , vital:21012
- Description: Medication errors are becoming problematic in both hospital and outpatient settings worldwide. Inappropriate use of medication can cause harm to the patient and maintaining high levels of quality patient care is essential to protect all patients. Clinical pharmacy practice contributes to improved patient care by optimising medication therapy; and promoting health, wellness and disease prevention. The involvement of a pharmacist at a ward level has been shown to improve patient care; reduce mortality and morbidity rates; decrease healthcare costs; minimise medication errors; and improve outcomes of drug therapy. However, clinical pharmacy is a fairly new practice in South Africa and there are limited studies available. This study aimed to evaluate the perceived benefits of a ward-based pharmacist on the provision of pharmaceutical care to patients in a hospital setting and to consequently implement a ward-based pharmacy service. The objectives of the study were: (1) to assess, via a questionnaire, the perceptions and attitudes of medical practitioners and nurses to ward-based pharmacy prior to and after implementation of a ward-based pharmacy service, (2) to implement a ward-based pharmacy service in a selected hospital ward; (3) to document and analyse the nature of the work and activities that a ward pharmacist undertakes, and (4) to document and analyse the frequency and nature of ward pharmacist interventions. The study was conducted in a surgical ward of a private hospital in the Eastern Cape. The study design was an intervention study, using a mixed-methods design, with a convergent approach. A convenience sample of 106 patients was obtained over the eight week study period. Participation was voluntary and confidentiality was maintained at all times. Four data collection tools were used during the study and a pilot study was conducted to ensure their validity and reliability. The quantitative data was analysed statistically while the qualitative questions were analysed through coding the various responses. The results of the study showed that medical practitioners and nurses of a surgical ward had a positive attitude towards ward pharmacy both prior to and after the implementation of a ward pharmacy service. There were ward pharmacist interventions made in 50% (n=106) of the patients who participated in the study. A large percentage (57%; 50; n=87) of the ward pharmacist interventions were pharmacist-initiated interventions to optimise patient care while prescribing errors (51%; 19; n=37) were the most commonly occurring medication error. The majority of the medication items involved in the interventions (34%; 34; n=101) were related to the anti-microbial medication class. Overall, there was a 73% (36; n=49) acceptance rate of the ward pharmacist interventions that were made to both the medical practitioners and nurses. There were a number of factors that had a significant relationship with a ward pharmacist intervention being required which included: (1) number of medication items (p=0.001; Chi² test; p<0.0005 Student’s t-test), (2) length of hospital stay (p<0.0005; Chi² test), (3) presence of one or more chronic disease states (p=0.003; Chi² test) and (4) presence of one or more allergies (p=0.028; Chi² test). The ward pharmacist interventions were shown to be of clinical significance and to have a positive impact on the patients concerned. It can be concluded that the ward pharmacy service was beneficial to the patients, medical practitioners and nursing staff.
- Full Text:
- Date Issued: 2015
Lived experiences of professional nurses caring for mechanically ventilated patients
- Authors: Else, Liana
- Date: 2015
- Subjects: Respiratory intensive care , Respiratory therapy , Respirators (Medical equipment) , Artificial respiration
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/8295 , vital:26320
- Description: Critical care nursing is a speciality that continues to evolve and transform. Critical care nurses of the 21st century routinely care for the complex, critically ill patient, integrating sophisticated technology with the accompanying psychosocial challenges and the ethical conflicts associated with critical illness – while, at the same time, addressing the needs and concerns of the family. Providing nursing care in such a dynamic and fast-track unit can pose various challenges for the critical care nurse. Professional nurses are the backbone of any health-care system. The quality of nursing directly affects the patients’ outcomes, and nursing care must therefore be rendered meticulously. Mechanical ventilator support is routinely needed for critically ill adults in these care units and is also a common therapy in sub-acute and long-term care settings. The care of the mechanically ventilated patient is the core of a professional nurse`s practice in the critical care unit. The mechanically ventilated patient presents many challenges for the professional nurse, while the critical care unit poses as a stressful environment for the professional nurse as well as the patient. The objectives of this study therefore were to explore and describe the lived experiences of professional nurses while caring for mechanically ventilated patients, and to develop recommendations to support professional nurses while caring for mechanically ventilated patients. A qualitative, explorative, descriptive and contextual research design was utilised. Data was collected by means of semi-structured interviews and analysed according to the framework provided by Tesch. Purposive sampling was used to select a sample of professional nurses working in a critical care environment. Guba’s model was utilised to verify data and to ensure trustworthiness of the study. Ethical principles were adhered to throughout this research study. With the analysed data, recommendations were to support professional nurses while caring for mechanically ventilated.
- Full Text:
- Date Issued: 2015
- Authors: Else, Liana
- Date: 2015
- Subjects: Respiratory intensive care , Respiratory therapy , Respirators (Medical equipment) , Artificial respiration
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/8295 , vital:26320
- Description: Critical care nursing is a speciality that continues to evolve and transform. Critical care nurses of the 21st century routinely care for the complex, critically ill patient, integrating sophisticated technology with the accompanying psychosocial challenges and the ethical conflicts associated with critical illness – while, at the same time, addressing the needs and concerns of the family. Providing nursing care in such a dynamic and fast-track unit can pose various challenges for the critical care nurse. Professional nurses are the backbone of any health-care system. The quality of nursing directly affects the patients’ outcomes, and nursing care must therefore be rendered meticulously. Mechanical ventilator support is routinely needed for critically ill adults in these care units and is also a common therapy in sub-acute and long-term care settings. The care of the mechanically ventilated patient is the core of a professional nurse`s practice in the critical care unit. The mechanically ventilated patient presents many challenges for the professional nurse, while the critical care unit poses as a stressful environment for the professional nurse as well as the patient. The objectives of this study therefore were to explore and describe the lived experiences of professional nurses while caring for mechanically ventilated patients, and to develop recommendations to support professional nurses while caring for mechanically ventilated patients. A qualitative, explorative, descriptive and contextual research design was utilised. Data was collected by means of semi-structured interviews and analysed according to the framework provided by Tesch. Purposive sampling was used to select a sample of professional nurses working in a critical care environment. Guba’s model was utilised to verify data and to ensure trustworthiness of the study. Ethical principles were adhered to throughout this research study. With the analysed data, recommendations were to support professional nurses while caring for mechanically ventilated.
- Full Text:
- Date Issued: 2015
Antibiotic stewardship: the role of clinical pharmacist
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
A positive clinical psychology approach to developing resilience among state employed nurses
- Authors: Plumb, Sarah
- Date: 2015
- Subjects: Nurses -- Job stress , Nursing -- Psychological aspects , Resilience (Personality trait)
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9955 , http://hdl.handle.net/10948/d1018879
- Description: Nurses are confronted with numerous work-related stressors that can result in burnout. This can contribute to absenteeism and high turn-over rates in the nursing profession. A review of the literature indicated that psycho-educational interventions to increase resilience could be an effective way of addressing this problem. The study aimed to develop a positive clinical-psychology approach to increasing resilience in State employed nurses. The study used a mixed-method approach to determine the current psychological functioning of a sample of 87 nurses. Quantitative data on personality traits, character strengths and levels of resilience were obtained, using the NEO PI-R, VIA – IS, and Resilience Scale. Qualitative data on the coping responses of nurses were obtained through the thematic analysis of focus groups. These data were integrated to create a positive clinical psychology conceptualisation of resilience and to develop therapeutic guidelines for a group psycho-educational intervention. The results of the study indicated a struggling psychological profile. This was defined as the ability to deal with work-related stressors – but with the potential risk of developing symptoms of burnout. The moderate levels of resilience were attributed to elevated character strengths in the sample. The distribution of personality traits indicated that the nurses in the sample were at risk of developing burnout; and this prevented them from flourishing. These data were synthesised to create therapeutic guidelines for developing resilience aimed: (1) increasing emotional stability and invulnerability; (2) increasing agreeableness; and (3) increasing conscientiousness. These guidelines were based on the personality traits that were deemed to negatively impact the resilience of the nurses. These personality traits were correlated with several character strengths that displayed strong relationships with resilience. This indicated that resilience could be developed through the cultivation of the following character strengths: perspective; perseverance; fairness; forgiveness; leadership; love; zest; hope; curiosity; and appreciation of beauty and excellence. These character strengths were identified to facilitate the positive adaptation of the personality traits identified in the therapeutic guidelines. A group psycho-educational intervention was developed, using the positive clinical psychology conceptualisation of resilience. The literature was reviewed to identify techniques to cultivate the ten character strengths specified in the therapeutic guidelines. These techniques were adapted to create experiential learning processes for the intervention. This psycho-educational programme can be applied as a secondary and tertiary intervention. It can be used to increase resilience to prevent burnout among nurses. It can also be used to psychologically empower nurses that have existing symptoms of burnout.
- Full Text:
- Date Issued: 2015
- Authors: Plumb, Sarah
- Date: 2015
- Subjects: Nurses -- Job stress , Nursing -- Psychological aspects , Resilience (Personality trait)
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9955 , http://hdl.handle.net/10948/d1018879
- Description: Nurses are confronted with numerous work-related stressors that can result in burnout. This can contribute to absenteeism and high turn-over rates in the nursing profession. A review of the literature indicated that psycho-educational interventions to increase resilience could be an effective way of addressing this problem. The study aimed to develop a positive clinical-psychology approach to increasing resilience in State employed nurses. The study used a mixed-method approach to determine the current psychological functioning of a sample of 87 nurses. Quantitative data on personality traits, character strengths and levels of resilience were obtained, using the NEO PI-R, VIA – IS, and Resilience Scale. Qualitative data on the coping responses of nurses were obtained through the thematic analysis of focus groups. These data were integrated to create a positive clinical psychology conceptualisation of resilience and to develop therapeutic guidelines for a group psycho-educational intervention. The results of the study indicated a struggling psychological profile. This was defined as the ability to deal with work-related stressors – but with the potential risk of developing symptoms of burnout. The moderate levels of resilience were attributed to elevated character strengths in the sample. The distribution of personality traits indicated that the nurses in the sample were at risk of developing burnout; and this prevented them from flourishing. These data were synthesised to create therapeutic guidelines for developing resilience aimed: (1) increasing emotional stability and invulnerability; (2) increasing agreeableness; and (3) increasing conscientiousness. These guidelines were based on the personality traits that were deemed to negatively impact the resilience of the nurses. These personality traits were correlated with several character strengths that displayed strong relationships with resilience. This indicated that resilience could be developed through the cultivation of the following character strengths: perspective; perseverance; fairness; forgiveness; leadership; love; zest; hope; curiosity; and appreciation of beauty and excellence. These character strengths were identified to facilitate the positive adaptation of the personality traits identified in the therapeutic guidelines. A group psycho-educational intervention was developed, using the positive clinical psychology conceptualisation of resilience. The literature was reviewed to identify techniques to cultivate the ten character strengths specified in the therapeutic guidelines. These techniques were adapted to create experiential learning processes for the intervention. This psycho-educational programme can be applied as a secondary and tertiary intervention. It can be used to increase resilience to prevent burnout among nurses. It can also be used to psychologically empower nurses that have existing symptoms of burnout.
- Full Text:
- Date Issued: 2015
Social workers' experiences of the utilisation of the child support grant by beneficiaries
- Authors: Nobadula, Luyanda David
- Date: 2015
- Subjects: Child support , Child welfare
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/6334 , vital:21074
- Description: The Child Support Grant was introduced to address poverty alleviation in the sense of supplementing the provision of basic needs of children. When the grant was initiated it catered for children under the age of seven, and is currently assisting children up until 18 years of age. Even though the children are supposed to be benefitting from the grants, reports from social workers and selected research findings question whether some children do indeed receive the benefits of the grant. Previous studies have predominantly focused on the experiences of caregivers/beneficiaries. The goal of this exploratory-descriptive study was to explore and describe selected social workers’ experiences regarding the utilization of the child support grant by beneficiaries. The population comprised of social workers who have two years of experience working with families receiving the Child Support Grant and who work for the Department of Social Development and Special Programmes, Afrikaanse Christelike Vroue VerenIging, and Child Welfare South Africa in Somerset East.
- Full Text:
- Date Issued: 2015
- Authors: Nobadula, Luyanda David
- Date: 2015
- Subjects: Child support , Child welfare
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/6334 , vital:21074
- Description: The Child Support Grant was introduced to address poverty alleviation in the sense of supplementing the provision of basic needs of children. When the grant was initiated it catered for children under the age of seven, and is currently assisting children up until 18 years of age. Even though the children are supposed to be benefitting from the grants, reports from social workers and selected research findings question whether some children do indeed receive the benefits of the grant. Previous studies have predominantly focused on the experiences of caregivers/beneficiaries. The goal of this exploratory-descriptive study was to explore and describe selected social workers’ experiences regarding the utilization of the child support grant by beneficiaries. The population comprised of social workers who have two years of experience working with families receiving the Child Support Grant and who work for the Department of Social Development and Special Programmes, Afrikaanse Christelike Vroue VerenIging, and Child Welfare South Africa in Somerset East.
- Full Text:
- Date Issued: 2015
The integration of previously hospital based Antiretroviral sites into Primary Health Care clinics in Lukhanji sub district of Chris Hani District Municipality
- Authors: Pakade, Nonkoliso
- Date: 2015
- Subjects: HIV/AIDS -- Antiretroviral(ARV) -- Eastern Cape -- South Africa Human Immune Virus(HIV) -- Antiretroviral therapy(ART) treatment
- Language: English
- Type: Thesis , Masters/Doctoral , MSc Nursing
- Identifier: http://hdl.handle.net/11260/1431 , vital:35585
- Description: The first country to take note of HIV/AIDS was United States of America in the report published by Atlanta based Centers for Disease Control (CDC) and Prevention (Barnett and Whiteside, 2006). In the past years ARV program was largely hospital-based where clients were assessed by doctors, discussed with multidisciplinary team which involved social workers, dieticians and pharmacists before initiated on treatment. The integration of ARV services into PHC was one of the strategies proposed to increase access to treatment for people living with HIV/AIDS (WHO, 2010). The study sought to describe the integration of previously hospital based ARV sites into PHC clinics in Lukhanji sub-district of Chris Hani Health District in Eastern Cape. A qualitative research design was followed and a phenomenological approach was used to examine the experiences of clients who previously took ARV treatment at Frontier hospital and were transferred to take treatment at Ezibeleni, Ilinge, Philani and Sada clinics. An interview guide was used for data collection. Participants were sampled through purposive sampling. The study was composed of four focus groups for clients with a total of forty (18 males and 22 females) and 10 professional nurses for semi structured individual interviews. In the analysis of data, the collected data from voice recordings were transcribed verbatim and translated from isiXhosa to English. The researcher immersed herself into the data, re read, and themes and sub-themes emerged. Related topics to each other were grouped together in order to reduce the number of categories and to create themes. The similar categories were grouped and analyzed. Findings indicated that integration of ART sites into PHC clinics was a strategy put in place to increase accessibility and availability of ARV treatment to all communities. Both participants stated that integration brought services nearer to people and caused much relief from spending more money for travelling long distances. Ambulance delays were reported by both participants as the major challenge in the referral system between clinics and the hospital. Other challenges facing integration of ART services into PHC clinics included long waiting times caused by shortage of staff in the clinics, lack of consulting rooms for nurses and waiting areas for clients. Also lack of other health care professionals including social workers, dieticians, and psychologists was mentioned. The recommendations made by the researcher on the conclusion of this study addressed all the challenges mentioned by participants. The aim was to increase accessibility and availability of ART services to all the communities.
- Full Text:
- Date Issued: 2015
- Authors: Pakade, Nonkoliso
- Date: 2015
- Subjects: HIV/AIDS -- Antiretroviral(ARV) -- Eastern Cape -- South Africa Human Immune Virus(HIV) -- Antiretroviral therapy(ART) treatment
- Language: English
- Type: Thesis , Masters/Doctoral , MSc Nursing
- Identifier: http://hdl.handle.net/11260/1431 , vital:35585
- Description: The first country to take note of HIV/AIDS was United States of America in the report published by Atlanta based Centers for Disease Control (CDC) and Prevention (Barnett and Whiteside, 2006). In the past years ARV program was largely hospital-based where clients were assessed by doctors, discussed with multidisciplinary team which involved social workers, dieticians and pharmacists before initiated on treatment. The integration of ARV services into PHC was one of the strategies proposed to increase access to treatment for people living with HIV/AIDS (WHO, 2010). The study sought to describe the integration of previously hospital based ARV sites into PHC clinics in Lukhanji sub-district of Chris Hani Health District in Eastern Cape. A qualitative research design was followed and a phenomenological approach was used to examine the experiences of clients who previously took ARV treatment at Frontier hospital and were transferred to take treatment at Ezibeleni, Ilinge, Philani and Sada clinics. An interview guide was used for data collection. Participants were sampled through purposive sampling. The study was composed of four focus groups for clients with a total of forty (18 males and 22 females) and 10 professional nurses for semi structured individual interviews. In the analysis of data, the collected data from voice recordings were transcribed verbatim and translated from isiXhosa to English. The researcher immersed herself into the data, re read, and themes and sub-themes emerged. Related topics to each other were grouped together in order to reduce the number of categories and to create themes. The similar categories were grouped and analyzed. Findings indicated that integration of ART sites into PHC clinics was a strategy put in place to increase accessibility and availability of ARV treatment to all communities. Both participants stated that integration brought services nearer to people and caused much relief from spending more money for travelling long distances. Ambulance delays were reported by both participants as the major challenge in the referral system between clinics and the hospital. Other challenges facing integration of ART services into PHC clinics included long waiting times caused by shortage of staff in the clinics, lack of consulting rooms for nurses and waiting areas for clients. Also lack of other health care professionals including social workers, dieticians, and psychologists was mentioned. The recommendations made by the researcher on the conclusion of this study addressed all the challenges mentioned by participants. The aim was to increase accessibility and availability of ART services to all the communities.
- Full Text:
- Date Issued: 2015
Validity and accuracy of self-reported drug allergies
- Authors: Grant, Elzaan
- Date: 2015
- Subjects: Drug allergy , Medical history taking
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/3295 , vital:20421
- Description: Purpose: Pharmacists must ensure the safe and effective use of medication, but often have only the documented patient history to guide assessment of therapy. There is a lack of information on the incidence of claimed drug allergies or the validity of these self-reported drug allergies in the South African population. Mislabelling of patients as being allergic to medication often deprives them of important therapeutic drugs and alternative agents may be more dangerous, less effective and more costly (Hung et al., 1994). The aim of the research was therefore to determine the incidence of drug allergies in patients admitted to a private hospital and to assess the validity of these self-reported drug allergies. Methods: A descriptive, non-experimental study design was used. Data was collected using a concurrent, cross-sectional approach and collected from patients admitted to hospital using Medical Chart Reviews and researcher-led, questionnaire based interviews. During the seven month sampling period, 693 patients were identified with one or more self-reported drug allergies. A subset of 99 patients (14.2%) consented to a researcher-led interview. The allergies were assigned to one of three groups based on the history: (i) High probability: signs and symptoms typical of an immunological reaction. (ii) Low probability: signs and symptoms of the reaction were predictable reactions or side effects of the drug. (iii) Unknown status: no information concerning the reaction history was available. Results: A total of 953 allergies were identified in the 693 patients, with a ratio of drug allergy to patient of 1.4:1. The majority of claimed allergies were to penicillin (39.2%), opioid analgesics (17.6%), other antimicrobials, including co-trimoxazole (13.5%), NSAIDs (9.9%) and unspecified “sulphur” allergy (8.7%). Descriptions of the “allergic” reactions were only recorded on 8.9% (62, n=693) of the reviewed charts. Only 56.5% (35, n=62) of the symptoms recorded as “allergy” were indicative of the event being allergic or immunological in nature. In total, 1.3% (9, n=693) of the patients with a self-reported allergy received the allergen while in hospital. In three cases this was the result of a pharmacist overlooking the recorded allergy, and dispensing the allergen to the patient. A total of 118 allergies were identified in the 99 interviewed patients, with a ratio of drug allergy to patient of 1.2:1. Inaccurate allergy history was found in 9.1% (9, n=99) of the interviewed patients. Overall, the majority of self-reported drug allergies (67.8%) had a “high probability” of being a true drug allergy. Allergies that were assigned into the high probability group were: penicillin (74.1%), co-trimoxazole (91.7%), NSAID‟s (55.6%) and 75.0% of opioids. Conclusion: In summary, the validity of self-reported drug allergies need to be determined before excluding medication from a patient‟s treatment options. Detailed descriptions can assist in the evaluation of self-reported allergies which would be advantageous to both prescribers and patients. Pharmacists need to play a bigger role in ensuring accurate documentation of drug allergy history, with detailed descriptions, in order to ensure safe and effective drug use within the hospital environment.
- Full Text:
- Date Issued: 2015
- Authors: Grant, Elzaan
- Date: 2015
- Subjects: Drug allergy , Medical history taking
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/3295 , vital:20421
- Description: Purpose: Pharmacists must ensure the safe and effective use of medication, but often have only the documented patient history to guide assessment of therapy. There is a lack of information on the incidence of claimed drug allergies or the validity of these self-reported drug allergies in the South African population. Mislabelling of patients as being allergic to medication often deprives them of important therapeutic drugs and alternative agents may be more dangerous, less effective and more costly (Hung et al., 1994). The aim of the research was therefore to determine the incidence of drug allergies in patients admitted to a private hospital and to assess the validity of these self-reported drug allergies. Methods: A descriptive, non-experimental study design was used. Data was collected using a concurrent, cross-sectional approach and collected from patients admitted to hospital using Medical Chart Reviews and researcher-led, questionnaire based interviews. During the seven month sampling period, 693 patients were identified with one or more self-reported drug allergies. A subset of 99 patients (14.2%) consented to a researcher-led interview. The allergies were assigned to one of three groups based on the history: (i) High probability: signs and symptoms typical of an immunological reaction. (ii) Low probability: signs and symptoms of the reaction were predictable reactions or side effects of the drug. (iii) Unknown status: no information concerning the reaction history was available. Results: A total of 953 allergies were identified in the 693 patients, with a ratio of drug allergy to patient of 1.4:1. The majority of claimed allergies were to penicillin (39.2%), opioid analgesics (17.6%), other antimicrobials, including co-trimoxazole (13.5%), NSAIDs (9.9%) and unspecified “sulphur” allergy (8.7%). Descriptions of the “allergic” reactions were only recorded on 8.9% (62, n=693) of the reviewed charts. Only 56.5% (35, n=62) of the symptoms recorded as “allergy” were indicative of the event being allergic or immunological in nature. In total, 1.3% (9, n=693) of the patients with a self-reported allergy received the allergen while in hospital. In three cases this was the result of a pharmacist overlooking the recorded allergy, and dispensing the allergen to the patient. A total of 118 allergies were identified in the 99 interviewed patients, with a ratio of drug allergy to patient of 1.2:1. Inaccurate allergy history was found in 9.1% (9, n=99) of the interviewed patients. Overall, the majority of self-reported drug allergies (67.8%) had a “high probability” of being a true drug allergy. Allergies that were assigned into the high probability group were: penicillin (74.1%), co-trimoxazole (91.7%), NSAID‟s (55.6%) and 75.0% of opioids. Conclusion: In summary, the validity of self-reported drug allergies need to be determined before excluding medication from a patient‟s treatment options. Detailed descriptions can assist in the evaluation of self-reported allergies which would be advantageous to both prescribers and patients. Pharmacists need to play a bigger role in ensuring accurate documentation of drug allergy history, with detailed descriptions, in order to ensure safe and effective drug use within the hospital environment.
- Full Text:
- Date Issued: 2015
The evaluation of continuous quality improvement amongst the Community Health Centers of Lukhanji sub-district, of Chris Hani District Municipality, Eastern Cape
- Authors: Qotoyi, Ntombesitatu
- Date: 2015
- Subjects: Health Standard Compliance Health Care -- Quality improvement Community health centrers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters/Doctoral , MSc Nursing
- Identifier: http://hdl.handle.net/11260/1465 , vital:35973
- Description: Continuous Quality Improvement is a system that seeks to improve the provision of services with an emphasis on future results (Tomey, 2009). It is a process that involves evaluation, actions and mindset to strive constantly for excellence (Sullivan, 2012). Evaluation of quality in health care has evolved into a dynamic and modern science which plays a significant role in patient safety, quality assurance (QA), benchmarking and continuous quality improvement (CQI). Improved quality has a positive impact on patient and staff satisfaction, improving the efficiency and effectiveness of healthcare provision in both the public and private sector, eventually leading to increased trust in the health system (Whittaker, Burns, Doyle and Fenney, 1998). The purpose of this study was to explore and describe the factors that influence continuous quality improvement amongst the Community Health Centers of Lukhanji sub district, of Chris Hani District Municipality, Eastern Cape. The standards of the community health centers were assessed against the National Core Standards of the South African National Department of Health. Donabedian‟s tripartite model (1988) which addresses three elements of quality assessment, namely structure, process and outcome, led this study. A quantitative, descriptive design was adapted, using National Core Standard checklists and assessment questionnaires to collect data from two community health centers. Respondents were sampled through simple random sample. Data were collected through staff and patient interviews, document reviews, patient record assessment and observations. The raw data were transferred to the District Health Information System (DHIS) Assessment Questionnaire CHC/CDC programme which generated the results into colour coded tables (dashboard view). According to DHIS software version: 1.4.1.12 data base version: 19 June 2013 each community health center is listed in the DHIS programme for each district to capture data. The researcher consolidated and interpreted the results according to the expected level of performance and compliance as per the South African Office of the Health Standard Compliance. The results highlighted a need for improvement in the six priority areas for the Community Health Centers (CHCs) to reach the acceptable performance of 80% and above. CHC A scored 85% in availability of medicines and supplies however CHC B obtained 68 %. For cleanliness both CHCs obtained 54% which need more than 20% effort to reach the acceptable performance of 80%. In patient safety CHC A obtained 48% whilst CHC B had a score of 36%. For infection prevention and control CHC A scored 61% and CHC B obtained 53%. In the assessment of positive and caring attitudes CHC A had a score of 77% whereas CHC B obtained 40% indicative of noncompliance. In waiting time measures CHC A was compliant with a score of 82% however CHC B had a score of 71%. The results of this study indicated that there is a need for the CHCs to put systems in place to strengthen PHC effectiveness and ensure patient safety. The results and recommendations would assist in service delivery and continuous quality improvement in the community health centers.
- Full Text:
- Date Issued: 2015
- Authors: Qotoyi, Ntombesitatu
- Date: 2015
- Subjects: Health Standard Compliance Health Care -- Quality improvement Community health centrers -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters/Doctoral , MSc Nursing
- Identifier: http://hdl.handle.net/11260/1465 , vital:35973
- Description: Continuous Quality Improvement is a system that seeks to improve the provision of services with an emphasis on future results (Tomey, 2009). It is a process that involves evaluation, actions and mindset to strive constantly for excellence (Sullivan, 2012). Evaluation of quality in health care has evolved into a dynamic and modern science which plays a significant role in patient safety, quality assurance (QA), benchmarking and continuous quality improvement (CQI). Improved quality has a positive impact on patient and staff satisfaction, improving the efficiency and effectiveness of healthcare provision in both the public and private sector, eventually leading to increased trust in the health system (Whittaker, Burns, Doyle and Fenney, 1998). The purpose of this study was to explore and describe the factors that influence continuous quality improvement amongst the Community Health Centers of Lukhanji sub district, of Chris Hani District Municipality, Eastern Cape. The standards of the community health centers were assessed against the National Core Standards of the South African National Department of Health. Donabedian‟s tripartite model (1988) which addresses three elements of quality assessment, namely structure, process and outcome, led this study. A quantitative, descriptive design was adapted, using National Core Standard checklists and assessment questionnaires to collect data from two community health centers. Respondents were sampled through simple random sample. Data were collected through staff and patient interviews, document reviews, patient record assessment and observations. The raw data were transferred to the District Health Information System (DHIS) Assessment Questionnaire CHC/CDC programme which generated the results into colour coded tables (dashboard view). According to DHIS software version: 1.4.1.12 data base version: 19 June 2013 each community health center is listed in the DHIS programme for each district to capture data. The researcher consolidated and interpreted the results according to the expected level of performance and compliance as per the South African Office of the Health Standard Compliance. The results highlighted a need for improvement in the six priority areas for the Community Health Centers (CHCs) to reach the acceptable performance of 80% and above. CHC A scored 85% in availability of medicines and supplies however CHC B obtained 68 %. For cleanliness both CHCs obtained 54% which need more than 20% effort to reach the acceptable performance of 80%. In patient safety CHC A obtained 48% whilst CHC B had a score of 36%. For infection prevention and control CHC A scored 61% and CHC B obtained 53%. In the assessment of positive and caring attitudes CHC A had a score of 77% whereas CHC B obtained 40% indicative of noncompliance. In waiting time measures CHC A was compliant with a score of 82% however CHC B had a score of 71%. The results of this study indicated that there is a need for the CHCs to put systems in place to strengthen PHC effectiveness and ensure patient safety. The results and recommendations would assist in service delivery and continuous quality improvement in the community health centers.
- Full Text:
- Date Issued: 2015
Optimising the teaching-learning environment of first-year nursing students at a public nursing college
- Matshotyana, Ntombiyakhe Victoria
- Authors: Matshotyana, Ntombiyakhe Victoria
- Date: 2015
- Subjects: College student development programs , Nursing students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10052 , http://hdl.handle.net/10948/d1018274
- Description: Transition from secondary to tertiary education presents unique challenges for first-year nursing students, similar to those experienced by other first-year students at any other tertiary education institution. Nursing students’ experiences are further complicated by the fact that nursing education incorporates almost equal amounts of time for class attendance and clinical practice placement. As a facilitator of learning for first-year nursing students, the researcher had observed how some new students were apprehensive and uncertain in their first year of study at the college. These and other observations, including those of the researcher’s colleagues, prompted the researcher to conduct a study to obtain information on how the first-year students at her college experience their first year of the nursing programme. This study, therefore, examined the experiences of first-year nursing students at a public college in the Eastern Cape Province enrolled in the four-year diploma programme that leads to registration as a nurse and midwife with the South African Nursing Council (SANC). Insights into these experiences were used to develop guidelines for nurse educators to optimise the teaching-learning environment of these students.Kotzé’s (1998) nursing accompaniment theory was used as a theoretical grounding for the study. The study followed a qualitative, explorative, descriptive and contextual design. Two of the college’s campuses were sampled for the study. One campus was in a more rural area and the other in a more urban area. Data was collected using purposive sampling of second-year students who were requested to think back to their first year of the nursing programme. Semi-structured, in-depth, face-to-face, individual interviews were conducted. Interview sessions were digitally recorded and then transcribed verbatim by the researcher. The researcher and an independent coder analysed the transcriptions using Tesch’s method of data analysis. The study’s trustworthiness was demonstrated through the criteria of credibility, transferability, dependability, confirmability and authenticity. The results indicated that students had positive and negative experiences in their first year of the nursing programme. Literature control placed the study’s findings within the existing body of knowledge with regard to students’ experiences of their first year. The students’ suggestions on how to enhance first-year nursing students’ experiences were incorporated into the guidelines that were developed for nurse educators to optimise the teaching-learning environment of first-year nursing students at this college.
- Full Text:
- Date Issued: 2015
- Authors: Matshotyana, Ntombiyakhe Victoria
- Date: 2015
- Subjects: College student development programs , Nursing students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10052 , http://hdl.handle.net/10948/d1018274
- Description: Transition from secondary to tertiary education presents unique challenges for first-year nursing students, similar to those experienced by other first-year students at any other tertiary education institution. Nursing students’ experiences are further complicated by the fact that nursing education incorporates almost equal amounts of time for class attendance and clinical practice placement. As a facilitator of learning for first-year nursing students, the researcher had observed how some new students were apprehensive and uncertain in their first year of study at the college. These and other observations, including those of the researcher’s colleagues, prompted the researcher to conduct a study to obtain information on how the first-year students at her college experience their first year of the nursing programme. This study, therefore, examined the experiences of first-year nursing students at a public college in the Eastern Cape Province enrolled in the four-year diploma programme that leads to registration as a nurse and midwife with the South African Nursing Council (SANC). Insights into these experiences were used to develop guidelines for nurse educators to optimise the teaching-learning environment of these students.Kotzé’s (1998) nursing accompaniment theory was used as a theoretical grounding for the study. The study followed a qualitative, explorative, descriptive and contextual design. Two of the college’s campuses were sampled for the study. One campus was in a more rural area and the other in a more urban area. Data was collected using purposive sampling of second-year students who were requested to think back to their first year of the nursing programme. Semi-structured, in-depth, face-to-face, individual interviews were conducted. Interview sessions were digitally recorded and then transcribed verbatim by the researcher. The researcher and an independent coder analysed the transcriptions using Tesch’s method of data analysis. The study’s trustworthiness was demonstrated through the criteria of credibility, transferability, dependability, confirmability and authenticity. The results indicated that students had positive and negative experiences in their first year of the nursing programme. Literature control placed the study’s findings within the existing body of knowledge with regard to students’ experiences of their first year. The students’ suggestions on how to enhance first-year nursing students’ experiences were incorporated into the guidelines that were developed for nurse educators to optimise the teaching-learning environment of first-year nursing students at this college.
- Full Text:
- Date Issued: 2015
Parents' perceptions of discipline with young children
- Authors: Van der Walt, Bianca Anne
- Date: 2015
- Subjects: Discipline of children , Child rearing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4023 , vital:20505
- Description: Little research is available in South Africa regarding discipline with young children in families. In order to understand the various influences acting upon discipline within a family, it is important to understand the influences acting upon the family system. The current research proposes to understand parents’ perceptions of disciplining children in the age range of 2 to 5 years, the methods they use and the factors they perceive as influencing their methods of discipline. The proposed study will make use of Bronfenbrenner’s Ecosystemic Theory of Human Development as the guiding theoretical framework in exploring and describing this research area. The study will use semi-structured interviews with parents to obtain qualitative data. The data obtained from the participants will be analysed by using content analysis.
- Full Text:
- Date Issued: 2015
- Authors: Van der Walt, Bianca Anne
- Date: 2015
- Subjects: Discipline of children , Child rearing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4023 , vital:20505
- Description: Little research is available in South Africa regarding discipline with young children in families. In order to understand the various influences acting upon discipline within a family, it is important to understand the influences acting upon the family system. The current research proposes to understand parents’ perceptions of disciplining children in the age range of 2 to 5 years, the methods they use and the factors they perceive as influencing their methods of discipline. The proposed study will make use of Bronfenbrenner’s Ecosystemic Theory of Human Development as the guiding theoretical framework in exploring and describing this research area. The study will use semi-structured interviews with parents to obtain qualitative data. The data obtained from the participants will be analysed by using content analysis.
- Full Text:
- Date Issued: 2015
The relationship between socio-demographic factors and psychometric screening performances of primary school children with barriers to learning
- Authors: Pretorius, Claudette
- Date: 2015
- Subjects: Psychological tests for children , Behavioral assessment of children , Child development -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/9044 , vital:26459
- Description: Inclusive education generally promotes a shift away from the use of psychometric assessment for the placement of learners in special education facilities. This study, however, examines the potential role of psychometric screening for inclusive education in South Africa. This was done by investigating the relationship between selected demographic factors of age, gender, parental levels of education, and caregiver employment status – and psychometric test performances in children identified as having barriers to learning. The participant sample consisted of 329 primary school children aged between 6 and 15 years from the Nelson Mandela Metropolitan area. Demographic data was collected by means of a questionnaire completed in collaboration with participants’ caregivers and their school authorities. Participants were psychometrically assessed by means of the Raven’s Coloured Progressive Matrices (CPM) and the Bender Gestalt Test (BGT), which are commonly used screening measures in the South African context. Results indicated a relationship between test scores and the demographic variables of age and gender on both the Raven’s CPM and the BGT. Paternal level of education was found to impact positively on the BGT scores when the father had achieved a Grade 10 level of education or higher. No statistically significant relationship was found between any of the other socio-demographic factors and the performance scores on the Raven’s CPM and the BGT. It was concluded that the measures appear to be free of undue influence or bias arising from demographic factors. They were found to be useful psychological measures which should be included in screening processes when identifying children with barriers to learning.
- Full Text:
- Date Issued: 2015
- Authors: Pretorius, Claudette
- Date: 2015
- Subjects: Psychological tests for children , Behavioral assessment of children , Child development -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/9044 , vital:26459
- Description: Inclusive education generally promotes a shift away from the use of psychometric assessment for the placement of learners in special education facilities. This study, however, examines the potential role of psychometric screening for inclusive education in South Africa. This was done by investigating the relationship between selected demographic factors of age, gender, parental levels of education, and caregiver employment status – and psychometric test performances in children identified as having barriers to learning. The participant sample consisted of 329 primary school children aged between 6 and 15 years from the Nelson Mandela Metropolitan area. Demographic data was collected by means of a questionnaire completed in collaboration with participants’ caregivers and their school authorities. Participants were psychometrically assessed by means of the Raven’s Coloured Progressive Matrices (CPM) and the Bender Gestalt Test (BGT), which are commonly used screening measures in the South African context. Results indicated a relationship between test scores and the demographic variables of age and gender on both the Raven’s CPM and the BGT. Paternal level of education was found to impact positively on the BGT scores when the father had achieved a Grade 10 level of education or higher. No statistically significant relationship was found between any of the other socio-demographic factors and the performance scores on the Raven’s CPM and the BGT. It was concluded that the measures appear to be free of undue influence or bias arising from demographic factors. They were found to be useful psychological measures which should be included in screening processes when identifying children with barriers to learning.
- Full Text:
- Date Issued: 2015
Exploring the communication skills of community pharmacists in the Nelson Mandela Metropole
- Authors: Knoesen, Brent Claud
- Date: 2015
- Subjects: Communication in pharmacy , Pharmacist and patient
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/7981 , vital:24333
- Description: Pharmacy is an information-driven profession that requires effective face-to-face pharmacist-client communication. With the addition of corporate community pharmacies to traditional independent community pharmacies in South Africa (SA), new challenges may hamper pharmacist-client interactions. This study aimed to identify, adapt and improve the communication skills pharmacists require for a changing community pharmacy environment. Specific objectives were to identify basic communication skills, to evaluate the use of these skills by community pharmacists in the Nelson Mandela Metropole (NMM), to identify communication barriers, and to identify any differences in pharmacist-client communication in the two community pharmacy sectors. A mixed methods research design was implemented. The empirical activities consisted of three client focus groups (17 citizens from the NMM), a client survey (220 clients visiting seven independent and seven corporate community pharmacies in the NMM), a pseudo-client study (the same 14 community pharmacies in NMM), and a Delphi study. Twenty-one pharmacists from the 14 community pharmacies participated in Phase one of the Delphi study; nine academic pharmacists from five pharmacy departments/schools/faculties in SA participated in Phase two. Various qualitative and quantitative techniques were used to analyse and interpret the results. Results indicated that clients consult on many occasions with community pharmacists. Community and academic pharmacists listed listening and nonverbal skills as most important communication skills to ensure effective pharmacist-client communication. Counselling privacy and language barriers were listed as major problems influencing the interaction. The results obtained allowed the researcher to propose a practical communication model to assist future community pharmacists in communication skills training
- Full Text:
- Date Issued: 2015
- Authors: Knoesen, Brent Claud
- Date: 2015
- Subjects: Communication in pharmacy , Pharmacist and patient
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/7981 , vital:24333
- Description: Pharmacy is an information-driven profession that requires effective face-to-face pharmacist-client communication. With the addition of corporate community pharmacies to traditional independent community pharmacies in South Africa (SA), new challenges may hamper pharmacist-client interactions. This study aimed to identify, adapt and improve the communication skills pharmacists require for a changing community pharmacy environment. Specific objectives were to identify basic communication skills, to evaluate the use of these skills by community pharmacists in the Nelson Mandela Metropole (NMM), to identify communication barriers, and to identify any differences in pharmacist-client communication in the two community pharmacy sectors. A mixed methods research design was implemented. The empirical activities consisted of three client focus groups (17 citizens from the NMM), a client survey (220 clients visiting seven independent and seven corporate community pharmacies in the NMM), a pseudo-client study (the same 14 community pharmacies in NMM), and a Delphi study. Twenty-one pharmacists from the 14 community pharmacies participated in Phase one of the Delphi study; nine academic pharmacists from five pharmacy departments/schools/faculties in SA participated in Phase two. Various qualitative and quantitative techniques were used to analyse and interpret the results. Results indicated that clients consult on many occasions with community pharmacists. Community and academic pharmacists listed listening and nonverbal skills as most important communication skills to ensure effective pharmacist-client communication. Counselling privacy and language barriers were listed as major problems influencing the interaction. The results obtained allowed the researcher to propose a practical communication model to assist future community pharmacists in communication skills training
- Full Text:
- Date Issued: 2015
Paediatric bipolar disorder and the lived experience of parents: a systematic review
- Authors: Stols, Gabriël Jacobus
- Date: 2015
- Subjects: Manic-depressive illness , Depression, Mental
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/6040 , vital:21033
- Description: Many international studies have been conducted on paediatric bipolar disorder, but few research studies have been conducted on parenting a child diagnosed with bipolar disorder, both on an international and national level. The researcher utilised Bronfenbrenner’s Ecological Systems Theory as the theoretical framework in exploring and describing this research field. The study has been conducted by means of a systematic review and all of the articles included in the review examined some aspect of parenting and paediatric bipolar disorder. The articles were systematically assessed, and six themes emerged which include: paediatric bipolar on the rise; the effects of paediatric bipolar disorder, post-paediatric bipolar disorder; managing paediatric bipolar disorder is a family responsibility; foundations for effective parenting; and supporting parents of a paediatric bipolar patient.
- Full Text:
- Date Issued: 2015
- Authors: Stols, Gabriël Jacobus
- Date: 2015
- Subjects: Manic-depressive illness , Depression, Mental
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/6040 , vital:21033
- Description: Many international studies have been conducted on paediatric bipolar disorder, but few research studies have been conducted on parenting a child diagnosed with bipolar disorder, both on an international and national level. The researcher utilised Bronfenbrenner’s Ecological Systems Theory as the theoretical framework in exploring and describing this research field. The study has been conducted by means of a systematic review and all of the articles included in the review examined some aspect of parenting and paediatric bipolar disorder. The articles were systematically assessed, and six themes emerged which include: paediatric bipolar on the rise; the effects of paediatric bipolar disorder, post-paediatric bipolar disorder; managing paediatric bipolar disorder is a family responsibility; foundations for effective parenting; and supporting parents of a paediatric bipolar patient.
- Full Text:
- Date Issued: 2015
Articulating the nature of clinical nurse specialist practice
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
Experiences of labouring women of unexpected neonatal resuscitation
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
- Authors: Senti, Nomphiwe Priscilla
- Date: 2015
- Subjects: Neonatal nursing Newborn infants -- Patients -- Hospital care , Pediatric nursing Neonatology
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/18486 , vital:28650
- Description: Experiences of women regarding unexpected neonatal resuscitation were studied in this research. The objective of the study was to explore and describe the experiences of labouring women whose babies required unexpected resuscitation at birth. Recommendations were made based on the findings of the study. Labour and birth do not always go as well as expected as deviations could happen at any of the four stages of labour. Midwives tend to focus on the neonate when resuscitation is needed and leave the mother unattended and wondering what is happening as they rush away with the neonate. The situation motivated the researcher to conduct the study. The focus was on the experience of during the time of resuscitation. The study is qualitative, and exploratory, descriptive, contextual and narrative research approaches were used to reach the objective. The research population included women who delivered in the identified site from six hours to six weeks post delivery period. Inclusion criteria were the following: Women must have attended antenatal care at least four times. Their pregnancies were categorized as low risk. The ages of the women were 18-35 years. Gestational age was 38-41 weeks. The neonate should have been resuscitated successfully and admitted for observation in the nursery. Non-probability, purposive sampling was used. Data was collected by conducting semi-structured one-on-one interviews using a tape recorder. The site for the study was a public hospital, and the managers and operational midwives were used as gatekeepers. Fifteen participants gave permission to participate in the study willingly and were interviewed individually and anonymously. The interviews were transcribed, and Creswell’s data analysis spiral image was used. The period for data collection was seven months in one academic year. An independent coder’s services were utilized to increase the trustworthiness of the findings. The trustworthiness of the study was also ensured by conforming to Lincoln and Guba’s model of trustworthiness. Strategies used to ensure trustworthiness were credibility, transferability, dependability and conformability. The researcher maintained the ethical standards for conducting research by adhering to ethical principles, such as human rights, beneficence and justice. Confidentiality was maintained by using numbers instead of names, and only the researcher knows the participants’ names. Only the researcher, supervisor and the independent coder have access to the information. The data is kept in a locked cabinet and will be kept for the next five years following the publication of results. Two main themes emerged from the data analysis with each having two sub-themes Mothers verbalized varying emotions regarding their neonates’ inability to breathe properly. Mothers verbalized the importance of receiving support and information from midwives. To optimise the discussion of research findings, direct quotes were used from the raw data of interviews to support the description of experiences. Recommendations for midwives were to prepare the pregnant women during antenatal care for unexpected emergencies during labour and to reinforce this information on admission when labour commences. Managers are to update the guidelines on maternity care and the health education checklist. Nursing schools should train student midwives in debriefing and counselling skills. Both study objectives were successfully met.
- Full Text:
- Date Issued: 2015
Violence: an exploratory study of the lived experiences of violent re-offending youth
- Authors: O'Connell, Tracy
- Date: 2015
- Subjects: Criminal psychology -- South Africa -- Eastern Cape , Violent crimes -- South Africa -- Eastern Cape , Ecological Systems Theory -- South Africa -- Eastern Cape , Violent offenders -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/5236 , vital:20823
- Description: Although much research has been conducted on violence, its effects, and which circumstances put an individual at risk of becoming a potential victim, there is a paucity of studies that focus on the perpetrators of violence. Much of the literature available on this subject is dated, providing information which is already dated and, frequently no longer relevant. This research has sought to explore and understand violent crimes from the psychological and emotional standpoint of the individual who perpetrated them. One objective of the study was to facilitate the development of a profile of youths who chronically commit crime, and more specifically crimes of violence. This study utilised the qualitative research design of Phenomenology, which allows for the exploration of the phenomena from the perspective of the participants. The sample for this study consisted of five male individuals who are currently incarcerated in a correctional institution situated in the Eastern Cape. The sample was chosen according to the non-probability purposive-sampling technique, based on their relevance to the study. The selected male offenders from the correctional institution ages ranged between 18 and 31. Specific criteria were identified against which participants were measured in order to be selected to participate in the research. Data was obtained from the participants via a questionnaire, a journal, and semi-structured interviews conducted by the researcher. Other data for the study was obtained from official documents. The study was embedded in the ecological theory of Bronfenbrenner, which provided the psychological framework in which to explain and understand the results of the study and the development of violence. The major findings of this study include; growing up violently, the reasons for violence, justificationa and perseptions of violence, society and the culture of 10 violence, and the environmental impact. These findings will contribute to the development of treatment programmes, which better facilitate the reformation and rehabilitation of criminals.
- Full Text:
- Date Issued: 2015
- Authors: O'Connell, Tracy
- Date: 2015
- Subjects: Criminal psychology -- South Africa -- Eastern Cape , Violent crimes -- South Africa -- Eastern Cape , Ecological Systems Theory -- South Africa -- Eastern Cape , Violent offenders -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/5236 , vital:20823
- Description: Although much research has been conducted on violence, its effects, and which circumstances put an individual at risk of becoming a potential victim, there is a paucity of studies that focus on the perpetrators of violence. Much of the literature available on this subject is dated, providing information which is already dated and, frequently no longer relevant. This research has sought to explore and understand violent crimes from the psychological and emotional standpoint of the individual who perpetrated them. One objective of the study was to facilitate the development of a profile of youths who chronically commit crime, and more specifically crimes of violence. This study utilised the qualitative research design of Phenomenology, which allows for the exploration of the phenomena from the perspective of the participants. The sample for this study consisted of five male individuals who are currently incarcerated in a correctional institution situated in the Eastern Cape. The sample was chosen according to the non-probability purposive-sampling technique, based on their relevance to the study. The selected male offenders from the correctional institution ages ranged between 18 and 31. Specific criteria were identified against which participants were measured in order to be selected to participate in the research. Data was obtained from the participants via a questionnaire, a journal, and semi-structured interviews conducted by the researcher. Other data for the study was obtained from official documents. The study was embedded in the ecological theory of Bronfenbrenner, which provided the psychological framework in which to explain and understand the results of the study and the development of violence. The major findings of this study include; growing up violently, the reasons for violence, justificationa and perseptions of violence, society and the culture of 10 violence, and the environmental impact. These findings will contribute to the development of treatment programmes, which better facilitate the reformation and rehabilitation of criminals.
- Full Text:
- Date Issued: 2015
Experiences of first year NMMU students from previously disadvantaged communities regarding academic resilience in high school education
- Hokonya, Nozipho Rungano Emma-Jean
- Authors: Hokonya, Nozipho Rungano Emma-Jean
- Date: 2015
- Subjects: Resilience (Personality trait) -- South Africa , Motivation in education , Academic achievement -- South Africa , College students -- South Africa -- Attitudes , Self-perception in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4067 , vital:20509
- Description: The current landscape of South Africa’s education system is one riddled with many challenges. Young people studying in this unfavourable climate have become disillusioned by the failing system and this has resulted in negative attitudes towards schooling. A shortage of teaching personnel and a lack of resources further exacerbate the situation. In recent years however, it has been found that a significant number of young people seem to have “beaten the odds”, in spite of these unfavourable conditions as they have seen themselves being granted entry into tertiary institutions. The dearth of information on academic resilience and the increased number of “educational success stories” led the researcher to embark on this qualitative study. The aim of this exploratory, descriptive and contextual research study was: to enhance understanding of the academic resilience and subsequent academic success at school, as experienced by first year NMMU students from disadvantaged communities, by exploring their constructions of academic resilience. Bronfenbrenner’s Ecological Systems Theory as well as Resilience Theory was used to examine the phenomenon of academic resilience. Purposive sampling techniques was utilised to draw participants within the NMMU’s School of Behavioural Sciences and data was collected by means of narrative accounts by participants. The two phases of narrative analysis were applied to analyse the data collected and Guba’s model for trustworthiness was used to verify the data. The findings of the study indicated that both intrinsic and extrinsic factors contribute to the fostering of resilience.
- Full Text:
- Date Issued: 2015
- Authors: Hokonya, Nozipho Rungano Emma-Jean
- Date: 2015
- Subjects: Resilience (Personality trait) -- South Africa , Motivation in education , Academic achievement -- South Africa , College students -- South Africa -- Attitudes , Self-perception in children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4067 , vital:20509
- Description: The current landscape of South Africa’s education system is one riddled with many challenges. Young people studying in this unfavourable climate have become disillusioned by the failing system and this has resulted in negative attitudes towards schooling. A shortage of teaching personnel and a lack of resources further exacerbate the situation. In recent years however, it has been found that a significant number of young people seem to have “beaten the odds”, in spite of these unfavourable conditions as they have seen themselves being granted entry into tertiary institutions. The dearth of information on academic resilience and the increased number of “educational success stories” led the researcher to embark on this qualitative study. The aim of this exploratory, descriptive and contextual research study was: to enhance understanding of the academic resilience and subsequent academic success at school, as experienced by first year NMMU students from disadvantaged communities, by exploring their constructions of academic resilience. Bronfenbrenner’s Ecological Systems Theory as well as Resilience Theory was used to examine the phenomenon of academic resilience. Purposive sampling techniques was utilised to draw participants within the NMMU’s School of Behavioural Sciences and data was collected by means of narrative accounts by participants. The two phases of narrative analysis were applied to analyse the data collected and Guba’s model for trustworthiness was used to verify the data. The findings of the study indicated that both intrinsic and extrinsic factors contribute to the fostering of resilience.
- Full Text:
- Date Issued: 2015
Co-mapping the maze: a complex systems view of human trafficking in the Eastern Cape
- Authors: Van der Westhuizen, Amanda
- Date: 2015
- Subjects: Human trafficking -- South Africa -- Eastern Cape Forced labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/23305 , vital:30523
- Description: Researchers have described human trafficking as a complex, multi-layered crime. South Africa, including the Eastern Cape Province, is a source, transit, and destination country for trafficked people. However, a dearth of research on human trafficking exists in the province. Furthermore, traditional, modernist research using reductionist methods to investigate complex phenomena has proven unable to capture the complex interrelationships between the myriad of interrelated elements inherent in complex phenomena. In this qualitative study, I explore and describe the human trafficking system in the Eastern Cape via participants’ perspectives through a complex systems approach that consists of two complementary theories, namely Bronfenbrenner’s bioecological theory of human development and complexity theory. The participants, who were knowledgeable about human trafficking in the province, were obtained through purposive and snowball sampling. Data collection took place through open-ended interviews with individual participants. I analysed the data according to Miles and Huberman’s data analysis process and Braun and Clarke’s thematic data analysis process. The findings demonstrate that the complex systems approach successfully facilitated the mapping and conceptualisation of an in-depth, multi-level picture of the complex interrelationships within and between multiple system components in the human trafficking system and its environment in relation to the Eastern Cape Province. Participants’ perspectives revealed two main themes, namely, the prominence of the nonlinear interactions between traffickers and trafficked persons in the holistic human trafficking system and the major obstacle regarding the lack of witness credibility for human trafficking prosecutions to be successful. Utilising complex systems theory to conduct further human trafficking research could assist counter-trafficking stakeholders with an alternative approach to generating effective planning and executing counter human trafficking strategies in a rapidly changing and increasing complex interconnected world.
- Full Text:
- Date Issued: 2015
- Authors: Van der Westhuizen, Amanda
- Date: 2015
- Subjects: Human trafficking -- South Africa -- Eastern Cape Forced labor -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/23305 , vital:30523
- Description: Researchers have described human trafficking as a complex, multi-layered crime. South Africa, including the Eastern Cape Province, is a source, transit, and destination country for trafficked people. However, a dearth of research on human trafficking exists in the province. Furthermore, traditional, modernist research using reductionist methods to investigate complex phenomena has proven unable to capture the complex interrelationships between the myriad of interrelated elements inherent in complex phenomena. In this qualitative study, I explore and describe the human trafficking system in the Eastern Cape via participants’ perspectives through a complex systems approach that consists of two complementary theories, namely Bronfenbrenner’s bioecological theory of human development and complexity theory. The participants, who were knowledgeable about human trafficking in the province, were obtained through purposive and snowball sampling. Data collection took place through open-ended interviews with individual participants. I analysed the data according to Miles and Huberman’s data analysis process and Braun and Clarke’s thematic data analysis process. The findings demonstrate that the complex systems approach successfully facilitated the mapping and conceptualisation of an in-depth, multi-level picture of the complex interrelationships within and between multiple system components in the human trafficking system and its environment in relation to the Eastern Cape Province. Participants’ perspectives revealed two main themes, namely, the prominence of the nonlinear interactions between traffickers and trafficked persons in the holistic human trafficking system and the major obstacle regarding the lack of witness credibility for human trafficking prosecutions to be successful. Utilising complex systems theory to conduct further human trafficking research could assist counter-trafficking stakeholders with an alternative approach to generating effective planning and executing counter human trafficking strategies in a rapidly changing and increasing complex interconnected world.
- Full Text:
- Date Issued: 2015