The views of amakrwala on the meaning of umqombothi and commercial alcohol use during the initiation ceremonies
- Authors: Mavimbela, Mzoli
- Date: 2021
- Subjects: Youth -- Alcohol use , Alcoholism -- South Africa , Alcoholism -- Psychological aspects , Initiation rites -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , Degree
- Identifier: http://hdl.handle.net/10948/60862 , vital:68801
- Description: Ulwaluko or initiation ceremony is one of the most important ceremonies practiced by the amaXhosa ethnic group to mark male adolescents’ transition from boyhood to manhood. Every young Xhosa male is anticipated to undergo this ceremony in order to be respected and be viewed as a true man by the society. There is a dearth of literature on amakrwala’s views regarding the meaning of traditional beer (umqombothi) and commercial alcohol (brandy or beer) use during the initiation ceremony. Thus, this study addresses this gap, as it adds to the existing spectrum of knowledge on the meaning of alcohol use during the amaXhosa initiation process. The socio-cultural theory was selected as the theoretical framework for the study. This study took a qualitative nature which was exploratory-descriptive and contextual in design employing a non-probability purposive-criterion based technique to sample 16 identified amaXhosa adult males between the ages of 18 to 24 years who recently went through the initiation ceremony. Sixteen individual semi-structured telephonic interviews were conducted. Data collected was analysed using thematic data analysis. Various data verification strategies were employed to ensure trustworthiness. Research ethics applicable to this study were guided by the principles contained in the Belmont report (1979). The findings showed that during the amaXhosa initiation ceremony both commercial alcohol and umqombothi played significant but different roles during each stage of the ceremony. The majority of amakrwala viewed umqombothi as a significant beer for ancestors to divinely bless isiko while brandy and beer were viewed as sweets or beers for fun which accompanied umqombothi. Brandy and beer were viewed as beers required by abafana teaching amakrwala manhood in the lighthouses. Thus, negative behaviours portrayed by abafana during imigidi after drinking alcohol were viewed as a great concern by amakrwala. 7 Alcohol use in ulwaluko was viewed as good by the amakrwala but they emphasized that there should be guidelines that monitor responsible drinking.
- Full Text:
- Date Issued: 2021
- Authors: Mavimbela, Mzoli
- Date: 2021
- Subjects: Youth -- Alcohol use , Alcoholism -- South Africa , Alcoholism -- Psychological aspects , Initiation rites -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , Degree
- Identifier: http://hdl.handle.net/10948/60862 , vital:68801
- Description: Ulwaluko or initiation ceremony is one of the most important ceremonies practiced by the amaXhosa ethnic group to mark male adolescents’ transition from boyhood to manhood. Every young Xhosa male is anticipated to undergo this ceremony in order to be respected and be viewed as a true man by the society. There is a dearth of literature on amakrwala’s views regarding the meaning of traditional beer (umqombothi) and commercial alcohol (brandy or beer) use during the initiation ceremony. Thus, this study addresses this gap, as it adds to the existing spectrum of knowledge on the meaning of alcohol use during the amaXhosa initiation process. The socio-cultural theory was selected as the theoretical framework for the study. This study took a qualitative nature which was exploratory-descriptive and contextual in design employing a non-probability purposive-criterion based technique to sample 16 identified amaXhosa adult males between the ages of 18 to 24 years who recently went through the initiation ceremony. Sixteen individual semi-structured telephonic interviews were conducted. Data collected was analysed using thematic data analysis. Various data verification strategies were employed to ensure trustworthiness. Research ethics applicable to this study were guided by the principles contained in the Belmont report (1979). The findings showed that during the amaXhosa initiation ceremony both commercial alcohol and umqombothi played significant but different roles during each stage of the ceremony. The majority of amakrwala viewed umqombothi as a significant beer for ancestors to divinely bless isiko while brandy and beer were viewed as sweets or beers for fun which accompanied umqombothi. Brandy and beer were viewed as beers required by abafana teaching amakrwala manhood in the lighthouses. Thus, negative behaviours portrayed by abafana during imigidi after drinking alcohol were viewed as a great concern by amakrwala. 7 Alcohol use in ulwaluko was viewed as good by the amakrwala but they emphasized that there should be guidelines that monitor responsible drinking.
- Full Text:
- Date Issued: 2021
A psychobiographical study of Maya Angelo
- Authors: De Waal, Leandra
- Date: 2020
- Subjects: Angelou, Maya
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46341 , vital:39569
- Description: Psychobiographies aim to gain a deeper understanding into the lives of notable or notorious individuals through the lens of a psychological theory. Thisstudy aimedto gain insight into the personality development of Maya Angelou through the useof Erikson’s Theory of PsychosocialDevelopment. The study exploresand describesher life experiences in terms of this theory, and understandsher life within her socio-historical context. Angelou is a renowned literary figure. Herjourney to becoming a writer was an arduous one, marked by great hardships from an early age. Despite early parental abandonment, childhood rape, exposure to racism, and difficulties in romantic relationships, she developed into a healthy adult who achieved much literary success and inspired individuals worldwide.Nonprobability purposive sampling was used to selectAngelou as the subjectand was madeon the basis of the researcher’s interest in Angelou’s life history.Datawas collected by triangulating multiple sources of informationand analysed using the approach developed by Miles and Huberman, which involves threesteps: data reduction, data display, and conclusion drawing and verification.The main findings suggest that Angelou progressed through Erikson’s eight stages successfully, despite some delays in negotiations of crises.
- Full Text:
- Date Issued: 2020
- Authors: De Waal, Leandra
- Date: 2020
- Subjects: Angelou, Maya
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46341 , vital:39569
- Description: Psychobiographies aim to gain a deeper understanding into the lives of notable or notorious individuals through the lens of a psychological theory. Thisstudy aimedto gain insight into the personality development of Maya Angelou through the useof Erikson’s Theory of PsychosocialDevelopment. The study exploresand describesher life experiences in terms of this theory, and understandsher life within her socio-historical context. Angelou is a renowned literary figure. Herjourney to becoming a writer was an arduous one, marked by great hardships from an early age. Despite early parental abandonment, childhood rape, exposure to racism, and difficulties in romantic relationships, she developed into a healthy adult who achieved much literary success and inspired individuals worldwide.Nonprobability purposive sampling was used to selectAngelou as the subjectand was madeon the basis of the researcher’s interest in Angelou’s life history.Datawas collected by triangulating multiple sources of informationand analysed using the approach developed by Miles and Huberman, which involves threesteps: data reduction, data display, and conclusion drawing and verification.The main findings suggest that Angelou progressed through Erikson’s eight stages successfully, despite some delays in negotiations of crises.
- Full Text:
- Date Issued: 2020
A stunting profile of children under the age of five visiting Bhisho hospital clinic, part of the umbrella project: a profile of stunting in children under the age of five in food insecure villages in Mqanduli, Ngqushwa and Bhisho hospital, Eastern Cape, South Africa
- Authors: Beyleveld, Janine
- Date: 2020
- Subjects: Children -- growth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/50201 , vital:42066
- Description: Introduction and Background: Stunting is the most prevalent form of childhood malnutrition where about 149 million children under the age of five can be classified as stunted globally. South Africa has one of the highest stunting rates in the world at 27%, causing devastating effects on economic productivity as well as on an individual’s nutritional status. The presence of stunted growth in children is a strong indicator of chronic undernutrition and highlights injustices experienced within communities. Aims and Objectives: The aim of this study is to develop a stunning profile of children under the age of five, visiting BhishoHospital’s gateway clinic in the Eastern Cape, South Africa. The objectives were to determine the prevalence of stunting of the children visiting Bhisho Hospital’s clinic and to identify the drivers of stunting in the area. Methodology: A quantitative study with a descriptive, cross-sectional design was used. The study population included all children under the age of five visiting Bhisho Hospital’s clinic. Data was collected by means of an interview-administered questionnaire. Results: The prevalence of stunting in the area was 47.5%. A significant association was found between the participants' main form of sanitation and stunting category in the group of infants younger than six months (p = 0.007) and the group older than six months(p = 0.040). Discussion: The prevalence of stunting in the area was far higher than the national average of 27%, although the majority of the sample had a normal weight. The use of non-flush toilets was found to be a risk factor for childhood stunting. Recommendation: Financial and political investment in child health needs to be placed as a top priority in South Africa to reduce stunting rates.
- Full Text:
- Date Issued: 2020
- Authors: Beyleveld, Janine
- Date: 2020
- Subjects: Children -- growth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/50201 , vital:42066
- Description: Introduction and Background: Stunting is the most prevalent form of childhood malnutrition where about 149 million children under the age of five can be classified as stunted globally. South Africa has one of the highest stunting rates in the world at 27%, causing devastating effects on economic productivity as well as on an individual’s nutritional status. The presence of stunted growth in children is a strong indicator of chronic undernutrition and highlights injustices experienced within communities. Aims and Objectives: The aim of this study is to develop a stunning profile of children under the age of five, visiting BhishoHospital’s gateway clinic in the Eastern Cape, South Africa. The objectives were to determine the prevalence of stunting of the children visiting Bhisho Hospital’s clinic and to identify the drivers of stunting in the area. Methodology: A quantitative study with a descriptive, cross-sectional design was used. The study population included all children under the age of five visiting Bhisho Hospital’s clinic. Data was collected by means of an interview-administered questionnaire. Results: The prevalence of stunting in the area was 47.5%. A significant association was found between the participants' main form of sanitation and stunting category in the group of infants younger than six months (p = 0.007) and the group older than six months(p = 0.040). Discussion: The prevalence of stunting in the area was far higher than the national average of 27%, although the majority of the sample had a normal weight. The use of non-flush toilets was found to be a risk factor for childhood stunting. Recommendation: Financial and political investment in child health needs to be placed as a top priority in South Africa to reduce stunting rates.
- Full Text:
- Date Issued: 2020
An educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in the operating theatres
- Authors: Alayemi, Joshua
- Date: 2020
- Subjects: Surgical wound infections -- Prevention , Surgical nursing Operating room nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/47937 , vital:40454
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. Phase 1 consisted of the administration of the pre-test questionnaire relating to Objective One: “To explore and describe the practices of professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 2 consisted of the contextualization and implementation of the educational intervention, which related to Objective Two: “To contextualize and implement an educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 3 consisted of the administration of the posttest questionnaire, which related to Objective Three: “To evaluate whether an educational intervention regarding the use of surgical attire in the prevention of surgical site infections in operating theatres enhanced professional nurses’ practices”. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. The data collection instrument was also reviewed by a statistician. Ethical clearance and permission was obtained from the relevant institutions. The following ethical principles were adhered to during the study: justice, respect and beneficence. The overall score of pre-test and post-test questionnaires for the control group revealed means of 3.96 and 4.01, with a standard deviation of 0.40 and 0.38, with a difference of -0.06 and a degree of freedom of 59. The overall score of the pre-test and post-test of the intervention group revealed means of 3.68 and 4.22, a standard deviation of 0.47 and 0.36, with a difference of -0.53, degree of freedom of 61 and a large significance difference of Cohen’s d= 1.26. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. Recommendations for education, practice as well as future research were provided.
- Full Text:
- Date Issued: 2020
- Authors: Alayemi, Joshua
- Date: 2020
- Subjects: Surgical wound infections -- Prevention , Surgical nursing Operating room nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/47937 , vital:40454
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. Phase 1 consisted of the administration of the pre-test questionnaire relating to Objective One: “To explore and describe the practices of professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 2 consisted of the contextualization and implementation of the educational intervention, which related to Objective Two: “To contextualize and implement an educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 3 consisted of the administration of the posttest questionnaire, which related to Objective Three: “To evaluate whether an educational intervention regarding the use of surgical attire in the prevention of surgical site infections in operating theatres enhanced professional nurses’ practices”. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. The data collection instrument was also reviewed by a statistician. Ethical clearance and permission was obtained from the relevant institutions. The following ethical principles were adhered to during the study: justice, respect and beneficence. The overall score of pre-test and post-test questionnaires for the control group revealed means of 3.96 and 4.01, with a standard deviation of 0.40 and 0.38, with a difference of -0.06 and a degree of freedom of 59. The overall score of the pre-test and post-test of the intervention group revealed means of 3.68 and 4.22, a standard deviation of 0.47 and 0.36, with a difference of -0.53, degree of freedom of 61 and a large significance difference of Cohen’s d= 1.26. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. Recommendations for education, practice as well as future research were provided.
- Full Text:
- Date Issued: 2020
Associations between family history of diseases of lifestyle, lifestyle behaviour and anthropometric nutritional status of pre-school children in ECD centres in the Nelson Mandela Bay Municipality
- Authors: Wilson, Teresa Margaret
- Date: 2020
- Subjects: Nutrition--Evaluation
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46344 , vital:39602
- Description: Introduction: Childhood overweight and obesity is an escalating global health issue. In Africa, overweight and obesity prevalence in children has nearly doubled since 2000(World Health Organisation, 2018).TheSANHANES-1 study (2013) identified that overweight and obesity in were most prevalent in urban informal areas of South Africa, with approximately a quarter of the children classified as overweight or obese (Shisana et al., 2013).In the Nelson Mandela Bay Municipality(NMBM), a double burden of disease was identified in the lower socio-economic population (Phekana et al., 2016). This study and others recommended further study into the contributing factors and behaviours which play a role in the development of overweight and obesity in children. These include household dietary intake, family history of lifestyle diseases, as well as the children’s and parental physical activity and sedentary time (Zhang et al.,2016).Aim: The aim of the study was to determine the associations between family history of diseases of lifestyle, lifestyle behaviour and anthropometric nutritional status of pre-school children in NMBM to describe underlying causes of childhood overweight and obesity.Methods: A cross-sectional design, using a quantitative approach, was used for this study(Ethics approval: H18-HEA-DIET-004). The study population included adult parents and/or caregivers of children from urban areas of Nelson Mandela Bay Municipality attending crèches and schools in these areas, in the age group from birth to 96 months (8 years). Randomised cluster sampling of crèches and schools from an existing database of anthropometrical data of children attending these crèches and schools in the area was done and a final sample of n=155obtained. With the assistance of a trained fieldworker, respondents completed a questionnaire detailing the family history of lifestyle diseases, physical activity levels and sedentary screen time behaviours, and a graphical adjusted version of a household dietary diversity questionnaire. Data about children’s activity levels in the preschool/creche environment was collected by the fieldworker by assessing the ECD centres’daily activity schedules. The anthropometric data of the children of the respondents was accessed from an existing database of these measurements. The data was described using means and standard deviations. Inferential statistics determined any existing associations between these underlying influences of childhood obesity.Results: Only 2% (n=3) of the children were underweight and 12% (n=9) were at risk of becoming underweight as classified by WAZ. HAZ scores identified26% (n=40) of the children at risk of becoming stunted, and 6% (n=9) of the children were already stunted. WHZ classified5% (n=8)of the children as overweight and 5% (n=8)as obese. A further 22% (n=34) of the children were at risk of becoming overweight.BMI/age classificationidentified25% (n=38) of the children as overweight and a further 12% (n=19) as obese. Out of the sample, 12%(n=17) of mothers and 8% (n=7) of fathers were categorised as overweight-to-obese according to the SA specific waist circumference(WC)cut-offs. Out of the children, 15% (n=22) have at least one parent who was overweight-to-obese. Traditional WC categories were classified48% (n=67) of the mothers as overweight-to-obese and at high risk for metabolic syndrome. Of all the lifestyle diseases, hypertension was the most prevalent with 29% (n=41) of households having at least one parent with hypertension. Parental physical activity was grossly overestimated, and the results found to be invalid. The Diet Variety and Frequency score resulted in a mean of 65.00 (n=154, SD=27.37) out of a possible 100 for the households in this sample, and junk food was consumed on three to four occasions per day in 32% (n=49) of households. There were no significant associations found between the parents’ variables and underweight children. Statistically small to medium effect associations were found between parental weight (both SA specific and traditional categories) and overweight children (classified by WHZ and BMI/age). Conclusions and recommendations: The prevalence of overweight and obesity among children in the NMBM was high. The only possible underlying cause of childhood overweight and obesity in pre-school children in the NMBM that could be determined by this study was parents’ weight classified by WC. However, it must be reiterated that due to the cross-sectional nature of the study, an association does not immediately mean causation, and the results are not adequate to rule out other underlying factors influencing childhood obesity. It is recommended that the results of the study are used to incentivise the final implementation of all the intervention targets laid out in the Strategic Plan for the Prevention and Control of Obesity in South Africa 2015-2020 in NMB, and for the development of the future obesity strategy after 2020. The results have shown the necessity for future health interventions to be targeted at the family as a unit.
- Full Text:
- Date Issued: 2020
- Authors: Wilson, Teresa Margaret
- Date: 2020
- Subjects: Nutrition--Evaluation
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46344 , vital:39602
- Description: Introduction: Childhood overweight and obesity is an escalating global health issue. In Africa, overweight and obesity prevalence in children has nearly doubled since 2000(World Health Organisation, 2018).TheSANHANES-1 study (2013) identified that overweight and obesity in were most prevalent in urban informal areas of South Africa, with approximately a quarter of the children classified as overweight or obese (Shisana et al., 2013).In the Nelson Mandela Bay Municipality(NMBM), a double burden of disease was identified in the lower socio-economic population (Phekana et al., 2016). This study and others recommended further study into the contributing factors and behaviours which play a role in the development of overweight and obesity in children. These include household dietary intake, family history of lifestyle diseases, as well as the children’s and parental physical activity and sedentary time (Zhang et al.,2016).Aim: The aim of the study was to determine the associations between family history of diseases of lifestyle, lifestyle behaviour and anthropometric nutritional status of pre-school children in NMBM to describe underlying causes of childhood overweight and obesity.Methods: A cross-sectional design, using a quantitative approach, was used for this study(Ethics approval: H18-HEA-DIET-004). The study population included adult parents and/or caregivers of children from urban areas of Nelson Mandela Bay Municipality attending crèches and schools in these areas, in the age group from birth to 96 months (8 years). Randomised cluster sampling of crèches and schools from an existing database of anthropometrical data of children attending these crèches and schools in the area was done and a final sample of n=155obtained. With the assistance of a trained fieldworker, respondents completed a questionnaire detailing the family history of lifestyle diseases, physical activity levels and sedentary screen time behaviours, and a graphical adjusted version of a household dietary diversity questionnaire. Data about children’s activity levels in the preschool/creche environment was collected by the fieldworker by assessing the ECD centres’daily activity schedules. The anthropometric data of the children of the respondents was accessed from an existing database of these measurements. The data was described using means and standard deviations. Inferential statistics determined any existing associations between these underlying influences of childhood obesity.Results: Only 2% (n=3) of the children were underweight and 12% (n=9) were at risk of becoming underweight as classified by WAZ. HAZ scores identified26% (n=40) of the children at risk of becoming stunted, and 6% (n=9) of the children were already stunted. WHZ classified5% (n=8)of the children as overweight and 5% (n=8)as obese. A further 22% (n=34) of the children were at risk of becoming overweight.BMI/age classificationidentified25% (n=38) of the children as overweight and a further 12% (n=19) as obese. Out of the sample, 12%(n=17) of mothers and 8% (n=7) of fathers were categorised as overweight-to-obese according to the SA specific waist circumference(WC)cut-offs. Out of the children, 15% (n=22) have at least one parent who was overweight-to-obese. Traditional WC categories were classified48% (n=67) of the mothers as overweight-to-obese and at high risk for metabolic syndrome. Of all the lifestyle diseases, hypertension was the most prevalent with 29% (n=41) of households having at least one parent with hypertension. Parental physical activity was grossly overestimated, and the results found to be invalid. The Diet Variety and Frequency score resulted in a mean of 65.00 (n=154, SD=27.37) out of a possible 100 for the households in this sample, and junk food was consumed on three to four occasions per day in 32% (n=49) of households. There were no significant associations found between the parents’ variables and underweight children. Statistically small to medium effect associations were found between parental weight (both SA specific and traditional categories) and overweight children (classified by WHZ and BMI/age). Conclusions and recommendations: The prevalence of overweight and obesity among children in the NMBM was high. The only possible underlying cause of childhood overweight and obesity in pre-school children in the NMBM that could be determined by this study was parents’ weight classified by WC. However, it must be reiterated that due to the cross-sectional nature of the study, an association does not immediately mean causation, and the results are not adequate to rule out other underlying factors influencing childhood obesity. It is recommended that the results of the study are used to incentivise the final implementation of all the intervention targets laid out in the Strategic Plan for the Prevention and Control of Obesity in South Africa 2015-2020 in NMB, and for the development of the future obesity strategy after 2020. The results have shown the necessity for future health interventions to be targeted at the family as a unit.
- Full Text:
- Date Issued: 2020
Audit of intravenous antifungal therapy used for Candida infections at a South African private hospital
- Authors: Van Dyk, Jacklyn Kate
- Date: 2020
- Subjects: Candidiasis
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46380 , vital:39600
- Description: The epidemiological landscape of the candida species has changed with the emergence of MDR strains globally and in South Africa. The aim of this study was to critically evaluate the compliance to guidelines in the use of intravenous antifungal therapy when treating invasive Candidainfections in a South African private hospital.Objective One was to determine the prevalence of Candida auris(C.auris) in the sample. Objective Two examined the relationship between high-risk patients and positive microbiological cultures. Objective Three studied the prescribing utilisation of the intravenous antifungalsin the form of a clinical audit. Objective Four compared these prescribing patternsto current guidelines by evaluating whether the antifungal course was non-compliant, of suboptimal compliance or compliant. Objective Five was to design a protocol for ward pharmacists to use when assessing antifungal treatment for candidiasis. The research design consisted of a retrospective, non-experimental, cross-sectional analysis of intravenous antifungal use in the management of systemic Candida infections in a private sector hospital in the Gauteng province, South Africa.A positive research paradigm with a quantitative clinical audit was used in this study. The most prevalent species cultured was C.auris with 31 of the 77 positive cultures. Risk stratifying patients was validated with 70% of high risk patients (Candida Score >2.5 and positive β-D-glucan) having a corresponding positive culture. Echinocandins were the most frequently utilised antifungal class, with caspofungin being the most used antifungal in the sample. The average duration of therapy for the echinocandins ranged between 11 and 16 days. Compliance to guidelines was evaluated accordingto: reason for initiation; drug choice and drug dose. Three levels of compliance were determined: non-compliant, sub-optimal compliance and compliant. xivThe overall compliance,according to recommended treatment guidelines,was found to be suboptimal, with anidentified need foranintervention which targets thedosing of the antifungals used. In conclusion, the research findings highlight the importance of reviewing antifungal prescribing habits and the need for antifungal stewardship programmes.
- Full Text:
- Date Issued: 2020
- Authors: Van Dyk, Jacklyn Kate
- Date: 2020
- Subjects: Candidiasis
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46380 , vital:39600
- Description: The epidemiological landscape of the candida species has changed with the emergence of MDR strains globally and in South Africa. The aim of this study was to critically evaluate the compliance to guidelines in the use of intravenous antifungal therapy when treating invasive Candidainfections in a South African private hospital.Objective One was to determine the prevalence of Candida auris(C.auris) in the sample. Objective Two examined the relationship between high-risk patients and positive microbiological cultures. Objective Three studied the prescribing utilisation of the intravenous antifungalsin the form of a clinical audit. Objective Four compared these prescribing patternsto current guidelines by evaluating whether the antifungal course was non-compliant, of suboptimal compliance or compliant. Objective Five was to design a protocol for ward pharmacists to use when assessing antifungal treatment for candidiasis. The research design consisted of a retrospective, non-experimental, cross-sectional analysis of intravenous antifungal use in the management of systemic Candida infections in a private sector hospital in the Gauteng province, South Africa.A positive research paradigm with a quantitative clinical audit was used in this study. The most prevalent species cultured was C.auris with 31 of the 77 positive cultures. Risk stratifying patients was validated with 70% of high risk patients (Candida Score >2.5 and positive β-D-glucan) having a corresponding positive culture. Echinocandins were the most frequently utilised antifungal class, with caspofungin being the most used antifungal in the sample. The average duration of therapy for the echinocandins ranged between 11 and 16 days. Compliance to guidelines was evaluated accordingto: reason for initiation; drug choice and drug dose. Three levels of compliance were determined: non-compliant, sub-optimal compliance and compliant. xivThe overall compliance,according to recommended treatment guidelines,was found to be suboptimal, with anidentified need foranintervention which targets thedosing of the antifungals used. In conclusion, the research findings highlight the importance of reviewing antifungal prescribing habits and the need for antifungal stewardship programmes.
- Full Text:
- Date Issued: 2020
Awareness, knowledge and practices with regards to alcohol use of pregnant women in the Missionvale area
- Authors: Du Preez, Mingon
- Date: 2020
- Subjects: Pregnant women -- Alcohol use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46404 , vital:39572
- Description: South African statistics, when compared to global statistics, has an above-average occurrence of Fetal Alcohol Spectrum Disorder(FASD). Alcohol use during pregnancy is on the rise globally and has far-reaching consequences. FASD is an umbrella term that describes the range of effects that can occur in an individual whose mother consumed alcohol during pregnancy.FASDnot only has an abiological, social and emotional negative impact on the individual, but also creates an added burden on the family caring for such an individual. When this condition occurs in a third world country, like South Africa, there is an economic impact as this country has limited physical and human resources to deal with the multitude of repercussions associated with this condition. This study was conducted in the Missionvale Community, an impoverished area of Port Elizabeth in the Eastern Cape. Participants were selected from this community, as clients attending the psychology clinic in the area frequently present with diagnosed FASD and co-concurring conditions, such as scholastic underachievement and behavioural conditions. These factors perpetuate an individuals inability to rise above their current circumstances as they are frequently unable to complete their schooling and are consequently unable to find unemployment. Prevention of FASD is a social, public and personal health issue that requires a multifaceted approach to intervention. The present study aimed to determine participants’ awareness, knowledge levels and practices with regard to alcohol use during pregnancy. Previous studies conducted in the Eastern Cape have primarily focused on the outcomes of prenatal alcohol exposure rather than the contributing factors, thus making this study the first of its kind to be conducted in the Eastern Cape. The study was quantitative in nature and participants were obtained through purposive sampling. A questionnaire, comprising of four different sections was used to obtain the necessary information. The sections in the questionnaire tapped information about the following concepts: Demographics, awareness, knowledge, and practices of alcohol use by pregnant women. The statistical results and additional comments by the participants assisted the researcher to gain a better understanding of the awareness levels, knowledge, and practices with regard to alcohol use of pregnant women residing in the Missionvale area. The results from the study indicate that participants have a general awareness that alcohol use during pregnancy could be harmful to an unborn baby but lack in-depth specific knowledge of the adverse effects of prenatal alcohol exposure.
- Full Text:
- Date Issued: 2020
- Authors: Du Preez, Mingon
- Date: 2020
- Subjects: Pregnant women -- Alcohol use
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46404 , vital:39572
- Description: South African statistics, when compared to global statistics, has an above-average occurrence of Fetal Alcohol Spectrum Disorder(FASD). Alcohol use during pregnancy is on the rise globally and has far-reaching consequences. FASD is an umbrella term that describes the range of effects that can occur in an individual whose mother consumed alcohol during pregnancy.FASDnot only has an abiological, social and emotional negative impact on the individual, but also creates an added burden on the family caring for such an individual. When this condition occurs in a third world country, like South Africa, there is an economic impact as this country has limited physical and human resources to deal with the multitude of repercussions associated with this condition. This study was conducted in the Missionvale Community, an impoverished area of Port Elizabeth in the Eastern Cape. Participants were selected from this community, as clients attending the psychology clinic in the area frequently present with diagnosed FASD and co-concurring conditions, such as scholastic underachievement and behavioural conditions. These factors perpetuate an individuals inability to rise above their current circumstances as they are frequently unable to complete their schooling and are consequently unable to find unemployment. Prevention of FASD is a social, public and personal health issue that requires a multifaceted approach to intervention. The present study aimed to determine participants’ awareness, knowledge levels and practices with regard to alcohol use during pregnancy. Previous studies conducted in the Eastern Cape have primarily focused on the outcomes of prenatal alcohol exposure rather than the contributing factors, thus making this study the first of its kind to be conducted in the Eastern Cape. The study was quantitative in nature and participants were obtained through purposive sampling. A questionnaire, comprising of four different sections was used to obtain the necessary information. The sections in the questionnaire tapped information about the following concepts: Demographics, awareness, knowledge, and practices of alcohol use by pregnant women. The statistical results and additional comments by the participants assisted the researcher to gain a better understanding of the awareness levels, knowledge, and practices with regard to alcohol use of pregnant women residing in the Missionvale area. The results from the study indicate that participants have a general awareness that alcohol use during pregnancy could be harmful to an unborn baby but lack in-depth specific knowledge of the adverse effects of prenatal alcohol exposure.
- Full Text:
- Date Issued: 2020
Change of perspectives and behaviour regarding lifestyle, with emphasis on dietary habits, in a rural community
- Authors: Barnard, Mariska
- Date: 2020
- Subjects: Food habits
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46384 , vital:39565
- Description: Background: The steady increase in deaths due to non-communicable diseases (NCDs) in South Africa is raising concern, as 63% of all deaths worldwide are attributed to NCDs and these diseases cause 36 million deaths each year, with 80 % of incidences occurring in low-and middle-income countries. In rural communities where income is increasing, the prevalence of NCDs are increasing as well. Due to the lack of NCD prevention and treatment in rural communities, it is expected that, if health promotion strategies are not implemented and socio-economic development in South Africa continues, there will soon be an uncontrollable NCD epidemic. It has been found that dietary risks affected people’s healthirrespective of their age, gender or residential sociodemographic development and that dietary improvement might prevent one in every five deaths worldwide.Aim:The aim of this study was to determine the factors that influence the perceptions and behaviour in a rural community with a low socio-economic status regarding dietary habits and to use the knowledge to formulate an effective dietary modification strategy.Designand methodology:For this study,action research with a quantitative and qualitative component was followed.The quantitative component focuses on measureable aspects, and the qualitative component focuses on meaning. Data was collected following the standard operating procedure for anthropometry, blood pressure and blood glucose. Further methods used were questionnaires, 24-hour dietary recalls and focus group discussions. Data were analysed using Microsoft Excel, FoodFinder3 and other calculations.Sample and setting:A convenience sample (n = 16) wasused and this study was undertaken on request of the non-governmental organization, Karoo Angels and included all participants who earn an income and who do not work for themselves, that were willing to participate and living in Rietbron and Vondeling, in the Sarah BaartmanDistrict in the Eastern Cape. Results:Weight changes took place, both the crafters in the mild thinness category gained weight, one gained 3.9 kg and the other 0.5 kg. The three crafters in the normal category did not have to gain or lose weight, but all three ofthem gained an average of 3.6 kg. For the group who had to lose weight, no statistically significant weight change took place from before the intervention (76.08 ±17.67 kg) to after the intervention (75.81 ± 17.81 kg, t(10) = 0.692, p = 0.505). The maximum weight lost ivwas 3.1 kg and the maximum weight gained was 3.2 kg. Changes took place regarding BMI, waist circumference, waist-to-hip ratio and neck circumference. Some positively changed their BMI status.After the implementation of the intervention, there was a slight decrease in frequency of alcohol consumption, but smoking and physical activity remained mostly the same. Hypertension was the most prevalent NCD and is linked to smoking and alcohol consumption which is prevalent in this study. Fruit and vegetable consumption is low, and a slight increase in consumption was evident. A maximum dietary diversityscore of seven and minimum of two, where the mean was 3.81was found. The crafters’ diet did not meet the DASH diet recommendation,the mean energy distribution is of all macronutrients differ with ±4% and none of the participants’ mean micronutrients intake met the recommendations of the DASH diet or RDA. Factors that prevent them from reaching their goals included low income, low availability of fruit, vegetables and transport and no storage for food.Conclusion:It is important to consider the individuals’ living conditions, resources, knowledge, motivation and social group. The environment and resources available have a significant impact on the lifestyle of the individuals. Directing efforts of behaviour change to increase dietary diversity as the main objective, might be a more efficient way to change behaviour.Recommendations:Future studies should consider doing this study over a longer time period. The involvement of a psychologist would also be beneficial to assist the process of behaviour change.
- Full Text:
- Date Issued: 2020
- Authors: Barnard, Mariska
- Date: 2020
- Subjects: Food habits
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46384 , vital:39565
- Description: Background: The steady increase in deaths due to non-communicable diseases (NCDs) in South Africa is raising concern, as 63% of all deaths worldwide are attributed to NCDs and these diseases cause 36 million deaths each year, with 80 % of incidences occurring in low-and middle-income countries. In rural communities where income is increasing, the prevalence of NCDs are increasing as well. Due to the lack of NCD prevention and treatment in rural communities, it is expected that, if health promotion strategies are not implemented and socio-economic development in South Africa continues, there will soon be an uncontrollable NCD epidemic. It has been found that dietary risks affected people’s healthirrespective of their age, gender or residential sociodemographic development and that dietary improvement might prevent one in every five deaths worldwide.Aim:The aim of this study was to determine the factors that influence the perceptions and behaviour in a rural community with a low socio-economic status regarding dietary habits and to use the knowledge to formulate an effective dietary modification strategy.Designand methodology:For this study,action research with a quantitative and qualitative component was followed.The quantitative component focuses on measureable aspects, and the qualitative component focuses on meaning. Data was collected following the standard operating procedure for anthropometry, blood pressure and blood glucose. Further methods used were questionnaires, 24-hour dietary recalls and focus group discussions. Data were analysed using Microsoft Excel, FoodFinder3 and other calculations.Sample and setting:A convenience sample (n = 16) wasused and this study was undertaken on request of the non-governmental organization, Karoo Angels and included all participants who earn an income and who do not work for themselves, that were willing to participate and living in Rietbron and Vondeling, in the Sarah BaartmanDistrict in the Eastern Cape. Results:Weight changes took place, both the crafters in the mild thinness category gained weight, one gained 3.9 kg and the other 0.5 kg. The three crafters in the normal category did not have to gain or lose weight, but all three ofthem gained an average of 3.6 kg. For the group who had to lose weight, no statistically significant weight change took place from before the intervention (76.08 ±17.67 kg) to after the intervention (75.81 ± 17.81 kg, t(10) = 0.692, p = 0.505). The maximum weight lost ivwas 3.1 kg and the maximum weight gained was 3.2 kg. Changes took place regarding BMI, waist circumference, waist-to-hip ratio and neck circumference. Some positively changed their BMI status.After the implementation of the intervention, there was a slight decrease in frequency of alcohol consumption, but smoking and physical activity remained mostly the same. Hypertension was the most prevalent NCD and is linked to smoking and alcohol consumption which is prevalent in this study. Fruit and vegetable consumption is low, and a slight increase in consumption was evident. A maximum dietary diversityscore of seven and minimum of two, where the mean was 3.81was found. The crafters’ diet did not meet the DASH diet recommendation,the mean energy distribution is of all macronutrients differ with ±4% and none of the participants’ mean micronutrients intake met the recommendations of the DASH diet or RDA. Factors that prevent them from reaching their goals included low income, low availability of fruit, vegetables and transport and no storage for food.Conclusion:It is important to consider the individuals’ living conditions, resources, knowledge, motivation and social group. The environment and resources available have a significant impact on the lifestyle of the individuals. Directing efforts of behaviour change to increase dietary diversity as the main objective, might be a more efficient way to change behaviour.Recommendations:Future studies should consider doing this study over a longer time period. The involvement of a psychologist would also be beneficial to assist the process of behaviour change.
- Full Text:
- Date Issued: 2020
Compliance with good distribution practice guidelines for cold chain products among pharmaceutical wholesalers in South Africa
- Authors: Masebe, Zandisile
- Date: 2020
- Subjects: Pharmaceutical industry
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46390 , vital:39581
- Description: Background: The South African pharmaceutical cold chain distribution industry is highly regulated. Cold chain pharmaceutical products require storage in a cold room, in a temperature-controlled environment between (2°C-8°C) and the cold chain must be maintained at all times throughout the distribution process. The incorrect handling, storage, transport and distribution of cold chain products may reduce the potency and therapeutic effectiveness of the product which in turn may result in treatment failure. The research was aimed at determining the level of compliance to current Good Distribution Practice guidelines for cold chain products among pharmaceutical wholesalers and distributors in South Africa. Methodology: The study made use of quantitative research techniques. A purpose designed online questionnaire was used as a data collection tool from the study participants. The judgmental sampling technique was used in this study as it was found to be the most appropriate method for the research question. Phase one of the study was to conduct a pilot study at two Port Elizabeth pharmaceutical wholesalers. The data was analysed using Microsoft Excel®, chi-square test for goodness of fit and content analysis. The data was further analysed using a descriptive and inferential statistics approach to determine the level of compliance to regulatory guidelines for cold chain products.Results:The results obtained from the empirical study revealed that less than 50% of the study respondents indicated compliance to the factors listed in the regulatory guidelines for cold chain products distribution.These factors include cold chain monitoring, alternative power sources, validation of cold chain boxes and route transport validation.Conclusion:The wholesale pharmaceutical industry is experiencing challenges to comply with factors necessary to ensure compliance with GDP guidelines for cold chain products. Through the study it was proven that there is evidence of commitment by the industry to implement the GWP and GPP amendment guidelines, despite less than 50% of the respondents reporting compliance to the guidelines. Recommendations were provided to improve the level of compliance to guidelines for cold chain products by pharmaceutical wholesalers in South Africa.
- Full Text:
- Date Issued: 2020
- Authors: Masebe, Zandisile
- Date: 2020
- Subjects: Pharmaceutical industry
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46390 , vital:39581
- Description: Background: The South African pharmaceutical cold chain distribution industry is highly regulated. Cold chain pharmaceutical products require storage in a cold room, in a temperature-controlled environment between (2°C-8°C) and the cold chain must be maintained at all times throughout the distribution process. The incorrect handling, storage, transport and distribution of cold chain products may reduce the potency and therapeutic effectiveness of the product which in turn may result in treatment failure. The research was aimed at determining the level of compliance to current Good Distribution Practice guidelines for cold chain products among pharmaceutical wholesalers and distributors in South Africa. Methodology: The study made use of quantitative research techniques. A purpose designed online questionnaire was used as a data collection tool from the study participants. The judgmental sampling technique was used in this study as it was found to be the most appropriate method for the research question. Phase one of the study was to conduct a pilot study at two Port Elizabeth pharmaceutical wholesalers. The data was analysed using Microsoft Excel®, chi-square test for goodness of fit and content analysis. The data was further analysed using a descriptive and inferential statistics approach to determine the level of compliance to regulatory guidelines for cold chain products.Results:The results obtained from the empirical study revealed that less than 50% of the study respondents indicated compliance to the factors listed in the regulatory guidelines for cold chain products distribution.These factors include cold chain monitoring, alternative power sources, validation of cold chain boxes and route transport validation.Conclusion:The wholesale pharmaceutical industry is experiencing challenges to comply with factors necessary to ensure compliance with GDP guidelines for cold chain products. Through the study it was proven that there is evidence of commitment by the industry to implement the GWP and GPP amendment guidelines, despite less than 50% of the respondents reporting compliance to the guidelines. Recommendations were provided to improve the level of compliance to guidelines for cold chain products by pharmaceutical wholesalers in South Africa.
- Full Text:
- Date Issued: 2020
Continuous professional development for medical sales representatives: a needs assessment
- Authors: Heleta, Jade Lana
- Date: 2020
- Subjects: Career development -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46366 , vital:39576
- Description: Employees in any industry need to continuously update their skills in order to be knowledgeable and competitive. Conducting a needs assessment plays an instrumental role in ensuring that continuous professional development (CPD) training is relevant to the target audience. In many organisations, however, CPD training programmes are often planned and delivered without a comprehensive needs assessment first being undertaken. This was a quantitative study that used a descriptive survey design and an online survey tool for data collection and analysis. Using an all-inclusive sample, the purpose of this study was to explore and describe CPD needs of medical sales representatives at an international medical devices company that operates in South Africa. Descriptive and inferential statistics were used to analyse the data. Research findings are depicted in frequencies, percentages, tables and figures. The findings of the study reveal specific training needs of the respondents and the shortcomings of the existing CPD offerings. The findings show that the CPD training offered by the company under study is mostly product specific and about sales. The respondents have highlighted that they would like to see more practical training to be incorporated into the CPD training programmes. It was also noted that the respondents would like to provide more input into the training programmes that are being offered by the company under study. The study has also identified areas where the company can improve in order to make these CPD training opportunities a more satisfying, educational and developmental experience for the employees. While the study focuses on one company, findings are relevant for other similar companies, as well as companies in other industries, since CPD at the workplace is a necessity in any competitive business environment or industry in order to increase productivity, sales, staff retention and customer satisfaction.
- Full Text:
- Date Issued: 2020
- Authors: Heleta, Jade Lana
- Date: 2020
- Subjects: Career development -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46366 , vital:39576
- Description: Employees in any industry need to continuously update their skills in order to be knowledgeable and competitive. Conducting a needs assessment plays an instrumental role in ensuring that continuous professional development (CPD) training is relevant to the target audience. In many organisations, however, CPD training programmes are often planned and delivered without a comprehensive needs assessment first being undertaken. This was a quantitative study that used a descriptive survey design and an online survey tool for data collection and analysis. Using an all-inclusive sample, the purpose of this study was to explore and describe CPD needs of medical sales representatives at an international medical devices company that operates in South Africa. Descriptive and inferential statistics were used to analyse the data. Research findings are depicted in frequencies, percentages, tables and figures. The findings of the study reveal specific training needs of the respondents and the shortcomings of the existing CPD offerings. The findings show that the CPD training offered by the company under study is mostly product specific and about sales. The respondents have highlighted that they would like to see more practical training to be incorporated into the CPD training programmes. It was also noted that the respondents would like to provide more input into the training programmes that are being offered by the company under study. The study has also identified areas where the company can improve in order to make these CPD training opportunities a more satisfying, educational and developmental experience for the employees. While the study focuses on one company, findings are relevant for other similar companies, as well as companies in other industries, since CPD at the workplace is a necessity in any competitive business environment or industry in order to increase productivity, sales, staff retention and customer satisfaction.
- Full Text:
- Date Issued: 2020
Coping and support needs of midwives caring for women with perinatal loss in the Nelson Mandela Bay health district
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
- Authors: Kave, Yekiswa Victoria
- Date: 2020
- Subjects: Perinatal death
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46365 , vital:39573
- Description: Midwives are part of the multidisciplinary team in maternal units and have the bulk of the obstetrical and midwifery responsibilities. The responsibilities being referred to include provision of perinatal care and support to grieving women who have lost their babies at birth and to their families. The care referred to in this study is focused mainly on the grieving women and not on the midwife. By virtue of midwives being present in the event of perinatal loss or caring for a woman who experienced perinatal loss, midwives are compelled to be involved and are bound to experience deep emotions. Furthermore, there is little formal support available for midwives caring for women with perinatal loss in Nelson Mandela Bay Health District (NMBHD) and South Africa at large. The purpose of this study was to obtain a deeper understanding of coping and support needs of midwives caring for women with perinatal loss in the NMBHD. The objectives developed for this study were: explore and describe the facilitating conditions that will enable midwives to care for women with perinatal loss in the in NMBHD; explore and describe the inhibitory conditions that prevent midwives from caring for women with perinatal loss in the NMBHD; identify and describe support needs for midwives caring for women with perinatal loss in the NMBHD and develop coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD. After permission had been granted by the Nelson Mandela university and approval from other relevant authorities had been received data collection was conducted between November 2018 and January 2019, using qualitative research design and interviews. The research population included all midwives working in Midwife Obstetric units (MOUs) and referral hospitals in NMBHD. Purposive sampling was used, and the data collection method was semi-structured and audio-taped in one-on-one interviews with midwives. Sample size was determined by data saturation. The number of participants was thirteen and two of these participants formed part of the pilot study. The collected data was analysed using the seven steps of Framework Analysis from which three themes emerged namely: Midwives rely on their own coping mechanisms vi to deal with perinatal loss; Midwives expressed how management influenced the way they coped with perinatal loss events; Midwives expressed the need for psychological and emotional support. Trustworthiness was maintained by observing Lincoln and Guba’s principles of credibility, transferability, dependability and confirmability. The researcher ensured that the Belmont Report ethical principles were maintained throughout the study. Three main coping and support recommendations for midwives caring for women with perinatal loss in the NMBHD were developed using an adapted version of the AGREE II Tool. The recommendations were: Recommendation 1: Facilitate various forms of peer assistance to prepare and support midwives caring for women with perinatal loss; Recommendation 2: Provide formal support systems in the labour unit to assist midwives to care for women with perinatal loss; and Recommendation 3: Strengthen existing EAPs and provide unit-based psychological and emotional support in order to accommodate the needs of midwives caring for women with perinatal loss.
- Full Text:
- Date Issued: 2020
Coping mechanisms of unemployed registered counsellors in the South African context
- Authors: Mogatosi, Ntsako Emmah
- Date: 2020
- Subjects: Counselors--Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46375 , vital:39585
- Description: ivABSTRACTThe Registered Counsellorcategory has been a developing profession since its inception in 2003. There havebeen few studies done on the coping mechanisms of unemployed Registered Counsellors in the South African context. This field of study is particularly important as Registered Counsellors are the primarymentalhealth care professionals;therefore,their role in psychology is of utmost importance. This study focused on exploring the coping mechanisms of unemployed Registered Counsellors. A qualitative research approach was followed in order to gaina comprehensive understanding regardingthe perceived coping strategies. A combination of purposive,non-probability and snowball sampling techniques was employedto select participants and semi-structured interviews were conducted with them to explore and describe their coping mechanisms. Lazarus and Folkman’stheorywas utilised to provide a theoretical understanding of the coping mechanisms. Unemployment is perceived to cause stress and may lead to maladaptive coping strategies. It was perceived to have an impact on the professional’s goalsand increased financial strain in their lives. However, communication, social and family support, positive attitudes, availability to opportunities and advocacy for the profession were identified as effective coping mechanisms. The majority of the participants perceived good communication about the situation and supportive relationships to be the most effective strategies to be utilised in their lives.
- Full Text:
- Date Issued: 2020
- Authors: Mogatosi, Ntsako Emmah
- Date: 2020
- Subjects: Counselors--Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46375 , vital:39585
- Description: ivABSTRACTThe Registered Counsellorcategory has been a developing profession since its inception in 2003. There havebeen few studies done on the coping mechanisms of unemployed Registered Counsellors in the South African context. This field of study is particularly important as Registered Counsellors are the primarymentalhealth care professionals;therefore,their role in psychology is of utmost importance. This study focused on exploring the coping mechanisms of unemployed Registered Counsellors. A qualitative research approach was followed in order to gaina comprehensive understanding regardingthe perceived coping strategies. A combination of purposive,non-probability and snowball sampling techniques was employedto select participants and semi-structured interviews were conducted with them to explore and describe their coping mechanisms. Lazarus and Folkman’stheorywas utilised to provide a theoretical understanding of the coping mechanisms. Unemployment is perceived to cause stress and may lead to maladaptive coping strategies. It was perceived to have an impact on the professional’s goalsand increased financial strain in their lives. However, communication, social and family support, positive attitudes, availability to opportunities and advocacy for the profession were identified as effective coping mechanisms. The majority of the participants perceived good communication about the situation and supportive relationships to be the most effective strategies to be utilised in their lives.
- Full Text:
- Date Issued: 2020
Cultural position and the development of posttraumatic stress disorder
- Authors: Dorfling, Inge-Louise
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46371 , vital:39564
- Description: Trauma exposure and PTSD are widespread health concerns in South Africa. This country is also extremely culturally diverse. The effects of cultural position on PTSD development are unknown. The objective was to explore these possibilities in detail. Individuals eighteen years or older with a stable pre-existing PTSD diagnosis participated in semi-structured voice recorded interviews. Both participants displayed clear conscious changes in cultural position following trauma exposure, some of which are believed to be due to a failure of support and acknowledgement from their collective. This would have contributed to PTSD development. Main themes identified were reactions of others and a paradigm shift. Further, more detailed research is required in this field.
- Full Text:
- Date Issued: 2020
- Authors: Dorfling, Inge-Louise
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46371 , vital:39564
- Description: Trauma exposure and PTSD are widespread health concerns in South Africa. This country is also extremely culturally diverse. The effects of cultural position on PTSD development are unknown. The objective was to explore these possibilities in detail. Individuals eighteen years or older with a stable pre-existing PTSD diagnosis participated in semi-structured voice recorded interviews. Both participants displayed clear conscious changes in cultural position following trauma exposure, some of which are believed to be due to a failure of support and acknowledgement from their collective. This would have contributed to PTSD development. Main themes identified were reactions of others and a paradigm shift. Further, more detailed research is required in this field.
- Full Text:
- Date Issued: 2020
Differences in swimming stroke mechanics and kinematics derived from tri-axial accelerometers during a 200-IM event in South African national swimmers
- Authors: Musson, Courtney Ruth
- Date: 2020
- Subjects: Swimming
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46337 , vital:39588
- Description: Context: Swimming is a highly competitive sport, with elite swimmers and coaches constantly looking for ways to improve and challenge themselves to meet new performance goals. The implementation of technology in swimming has proven to be a vital tool in athlete monitoring and in providing coaches with additional information on the swimmer’s performance. Example of this technology is the use of inertial sensory devices such as tri-axial accelerometers. The accelerometers can be used to provide kinematic information with regards to the swimmer’s stroke rate, stroke length and stroke mechanics. In a typical training session, coaches would have to manually time and count their swimmer’s strokes to be able to gain the kinematic information they require. Hence, the use ofinertial sensory technology, such as accelerometers, would provide the necessary information coaches require, allowing them to concentrate on other performance aspects such as theirswimmer’s technique.Aim and objectives: The aim of this study was to determine the kinematic parameters and swimming stroke mechanics that could be derived from tri-axial accelerometers, during a 200-m individual medley (IM) event in South African national level swimmers. Three objectives were set to meet the aim of the study. The first was to identify and differentiate each of the stroking styles using tri-axial accelerometers. The second was to identify and differentiate the kinematic parametersand stroke mechanicsfor all four strokes using tri-axial accelerometers. The third objective was to implement machine learning to automate the identification and interpretation of the accelerometer data. Method:A quantitative, non-experimental descriptive one group post-test only design was used, in which 15 national level swimmers, of which seven male and eight female (mean ±SD: age: 20.9 ± 2.90 years; height: 173.28 ± 10.61 cm; weight: 67.81 ± 8.09 kg; arm span: 178.21 ± 12.15 cm) were tested. Three anthropometric measures were taken (height, weight and arm span) prior to testing, with two tri-axial accelerometers and Polar V800watch and heart rate belt attached to the swimmers left wrist, upper-back and chest, respectively. All swimmerswere required to perform three main swimming sets: 50-m IM, 100-m variation and 200-mIM. Variousdescriptivestatisticsincluding mean, standard deviation and confidence intervals (95%)were used to describe the data. with further inferential statistics including paired t-test, intra-class correlation and Bland Altman analysis wereused to describe the relationship ivbetween the accelerometer and the manually estimated parameters. Additionally, arepeated measures one-way ANOVA (with post-hoc Tukey HSD test) werealso used in an inter-comparison of the stroke parameters between each of the stroking styles. A confusion matrix wasused to measure the classification accuracy of the machine learning model implemented on the accelerometer data.Results:The accelerometers proved successful in identifyingand discerningthe stroke mechanics for each of the four stroking styles, with the use of video footage to validatethe findings. In the stroke kinematic differentiation, theBland Altman analysisresultsshowed an agreement between themanual method and accelerometer-derived estimates, although a discrepancy was evident for several of the kinematic parameters, with a significant difference found with the estimated lap time, average swimming velocity and stroke rate (paired t-test: p <0.001 for all swim sets). The inter-comparison between the stroke parameters per stroking style showed a significant difference with average swimming velocity (repeated one-way ANOVA: F = 1789.37, p <0.001), averages stroke rate (repeated one-way ANOVA: F = 671.70, p <0.001) and average stroke length (repeated one-way ANOVA: F = 346.46, p<0.001) for the population group tested. Furtheranalysis with post-hoc Tukey HSD test showed no significant difference wereevident for the average swimming velocity(Tukey: p > 0.05for all strokes)andbetween freestyle and backstroke for the average stroke rate and stroke length (Tukey:p = 0.0968 andp = 0.997, respectively).Lastly, the machine learning model found a classification accuracy of 96.6% in identifyingand labelling the stroking styles fromthe accelerometer data.Conclusion: It was shown that the tri-axial accelerometers were successful in the identification and differentiation of all the stroking styles, stroke mechanics and kinematics, although a discrepancy was found with the average swimming velocity, stroke rate and lap time estimations. The machine learning model implemented proved the benefits of using artificial intelligence to ease the data process and interpretation by automatically labelling the accelerometer data. Therefore, the use of tri-axial accelerometers as a coaching aid has major potential in the swimming community. However, further research is required to eliminate the time-consuming data processingand to increasetheaccuracy of the accelerometer in the measurement of all the stroke kinematics.
- Full Text:
- Date Issued: 2020
- Authors: Musson, Courtney Ruth
- Date: 2020
- Subjects: Swimming
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46337 , vital:39588
- Description: Context: Swimming is a highly competitive sport, with elite swimmers and coaches constantly looking for ways to improve and challenge themselves to meet new performance goals. The implementation of technology in swimming has proven to be a vital tool in athlete monitoring and in providing coaches with additional information on the swimmer’s performance. Example of this technology is the use of inertial sensory devices such as tri-axial accelerometers. The accelerometers can be used to provide kinematic information with regards to the swimmer’s stroke rate, stroke length and stroke mechanics. In a typical training session, coaches would have to manually time and count their swimmer’s strokes to be able to gain the kinematic information they require. Hence, the use ofinertial sensory technology, such as accelerometers, would provide the necessary information coaches require, allowing them to concentrate on other performance aspects such as theirswimmer’s technique.Aim and objectives: The aim of this study was to determine the kinematic parameters and swimming stroke mechanics that could be derived from tri-axial accelerometers, during a 200-m individual medley (IM) event in South African national level swimmers. Three objectives were set to meet the aim of the study. The first was to identify and differentiate each of the stroking styles using tri-axial accelerometers. The second was to identify and differentiate the kinematic parametersand stroke mechanicsfor all four strokes using tri-axial accelerometers. The third objective was to implement machine learning to automate the identification and interpretation of the accelerometer data. Method:A quantitative, non-experimental descriptive one group post-test only design was used, in which 15 national level swimmers, of which seven male and eight female (mean ±SD: age: 20.9 ± 2.90 years; height: 173.28 ± 10.61 cm; weight: 67.81 ± 8.09 kg; arm span: 178.21 ± 12.15 cm) were tested. Three anthropometric measures were taken (height, weight and arm span) prior to testing, with two tri-axial accelerometers and Polar V800watch and heart rate belt attached to the swimmers left wrist, upper-back and chest, respectively. All swimmerswere required to perform three main swimming sets: 50-m IM, 100-m variation and 200-mIM. Variousdescriptivestatisticsincluding mean, standard deviation and confidence intervals (95%)were used to describe the data. with further inferential statistics including paired t-test, intra-class correlation and Bland Altman analysis wereused to describe the relationship ivbetween the accelerometer and the manually estimated parameters. Additionally, arepeated measures one-way ANOVA (with post-hoc Tukey HSD test) werealso used in an inter-comparison of the stroke parameters between each of the stroking styles. A confusion matrix wasused to measure the classification accuracy of the machine learning model implemented on the accelerometer data.Results:The accelerometers proved successful in identifyingand discerningthe stroke mechanics for each of the four stroking styles, with the use of video footage to validatethe findings. In the stroke kinematic differentiation, theBland Altman analysisresultsshowed an agreement between themanual method and accelerometer-derived estimates, although a discrepancy was evident for several of the kinematic parameters, with a significant difference found with the estimated lap time, average swimming velocity and stroke rate (paired t-test: p <0.001 for all swim sets). The inter-comparison between the stroke parameters per stroking style showed a significant difference with average swimming velocity (repeated one-way ANOVA: F = 1789.37, p <0.001), averages stroke rate (repeated one-way ANOVA: F = 671.70, p <0.001) and average stroke length (repeated one-way ANOVA: F = 346.46, p<0.001) for the population group tested. Furtheranalysis with post-hoc Tukey HSD test showed no significant difference wereevident for the average swimming velocity(Tukey: p > 0.05for all strokes)andbetween freestyle and backstroke for the average stroke rate and stroke length (Tukey:p = 0.0968 andp = 0.997, respectively).Lastly, the machine learning model found a classification accuracy of 96.6% in identifyingand labelling the stroking styles fromthe accelerometer data.Conclusion: It was shown that the tri-axial accelerometers were successful in the identification and differentiation of all the stroking styles, stroke mechanics and kinematics, although a discrepancy was found with the average swimming velocity, stroke rate and lap time estimations. The machine learning model implemented proved the benefits of using artificial intelligence to ease the data process and interpretation by automatically labelling the accelerometer data. Therefore, the use of tri-axial accelerometers as a coaching aid has major potential in the swimming community. However, further research is required to eliminate the time-consuming data processingand to increasetheaccuracy of the accelerometer in the measurement of all the stroke kinematics.
- Full Text:
- Date Issued: 2020
Effects of high-intensity speed training on the speed reserve of university middle-distance and field sport athletes
- Authors: Thomas, Emma Jayne
- Date: 2020
- Subjects: Athletes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46346 , vital:39599
- Description: Context: Despite the multiple differences between athletic events and sports, they all share the sporadic bouts of moderate to extreme intensities and all require some contribution from an integrated bioenergetic system to allow for optimal performance. Although D’ is often considered as an ‘anaerobic work capacity’, such a definition is over-simplistic and its precise composition is nebulous, especially given the mixed findings of the experimental evidence. Clearly, further research is needed to provide a more complete understanding of the D’ parameter, as well as the speed reserve(range of speeds exceeding critical speed) especially within high-intensity exercise. Purpose (Aim): The aim of this study is to determine whether a short term high-intensity speed training intervention within the severe intensity domain effects speed reserve in athletic and non-athletic individuals considered moderately trained.Methods: A quantitative research design was used. Participantscompletedbaseline testing (pre-test), after which they were assigned into two groups. Both groups received a HIIT training program, with group 1 (G140%) receiving a program based on intensity prescription (work bouts performed at 140% of CS)and group 2 (G90-s) receiving a program based on time intervals (work bouts performed for 90-s). HIIT sessions were performed twice-weekly for a total of 6-weeks. A post-test assessment was then conducted by both groups to determine whether any changes have accrued in any of the physiological variables in question. Participants of the study met a specific criterion(18 –30 years of age, residing in Nelson Mandela Bay, and met the minimum fitness requirements). Results: No significant between-group differences were evident prior to and following cessation of the HIIT intervention. Findings that can be highlighted holistically include improvements in CS(G140%: M = 0.62 m.s-1; G90-s: M = 0.46 m.s-1)and 𝑉̇𝑂2𝑚𝑎𝑥 (G140%: +3.81 ml.kg-1.min-1; G90-s: +5.19 ml.kg-1.min-1)and a decrease in fatigue index (G140%: M = -6.75%; G90-s: M = -4.38%) and D’(G140%: M = -56.34 m; G90-s: M = -18.36 m).Normative data were generated for athletic and non-athletic participants using the standard nine (Stanine) categorization to facilitate interpretation and recommendations of key parameters for coaches and clinicians. Moreover, a deterministic model was also generated which revealed novel interactions and the strength of the relationship between variables-potentially opening new and innovative areas of future research. Conclusions: The interval durations and speeds utilised in the present study were insufficient to stimulate an increase in D’. To elicit an increase of D’, one would have to decrease the duration of the intervals performed(i.e. < 90-sec), while increasing speed at which the intervals performed at some speed greater than 140% of CS, but below MSS. Further research is needed to understand the physiological underpinning of the D’ parameter both in isolation and in conjunction with CS. It is clear that D’ is influenced by parameters such as MSS, 𝜏d and FI%; therefore, these sub-parameters should be explored further as potentiators for moderating the D’ parameter.
- Full Text:
- Date Issued: 2020
- Authors: Thomas, Emma Jayne
- Date: 2020
- Subjects: Athletes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46346 , vital:39599
- Description: Context: Despite the multiple differences between athletic events and sports, they all share the sporadic bouts of moderate to extreme intensities and all require some contribution from an integrated bioenergetic system to allow for optimal performance. Although D’ is often considered as an ‘anaerobic work capacity’, such a definition is over-simplistic and its precise composition is nebulous, especially given the mixed findings of the experimental evidence. Clearly, further research is needed to provide a more complete understanding of the D’ parameter, as well as the speed reserve(range of speeds exceeding critical speed) especially within high-intensity exercise. Purpose (Aim): The aim of this study is to determine whether a short term high-intensity speed training intervention within the severe intensity domain effects speed reserve in athletic and non-athletic individuals considered moderately trained.Methods: A quantitative research design was used. Participantscompletedbaseline testing (pre-test), after which they were assigned into two groups. Both groups received a HIIT training program, with group 1 (G140%) receiving a program based on intensity prescription (work bouts performed at 140% of CS)and group 2 (G90-s) receiving a program based on time intervals (work bouts performed for 90-s). HIIT sessions were performed twice-weekly for a total of 6-weeks. A post-test assessment was then conducted by both groups to determine whether any changes have accrued in any of the physiological variables in question. Participants of the study met a specific criterion(18 –30 years of age, residing in Nelson Mandela Bay, and met the minimum fitness requirements). Results: No significant between-group differences were evident prior to and following cessation of the HIIT intervention. Findings that can be highlighted holistically include improvements in CS(G140%: M = 0.62 m.s-1; G90-s: M = 0.46 m.s-1)and 𝑉̇𝑂2𝑚𝑎𝑥 (G140%: +3.81 ml.kg-1.min-1; G90-s: +5.19 ml.kg-1.min-1)and a decrease in fatigue index (G140%: M = -6.75%; G90-s: M = -4.38%) and D’(G140%: M = -56.34 m; G90-s: M = -18.36 m).Normative data were generated for athletic and non-athletic participants using the standard nine (Stanine) categorization to facilitate interpretation and recommendations of key parameters for coaches and clinicians. Moreover, a deterministic model was also generated which revealed novel interactions and the strength of the relationship between variables-potentially opening new and innovative areas of future research. Conclusions: The interval durations and speeds utilised in the present study were insufficient to stimulate an increase in D’. To elicit an increase of D’, one would have to decrease the duration of the intervals performed(i.e. < 90-sec), while increasing speed at which the intervals performed at some speed greater than 140% of CS, but below MSS. Further research is needed to understand the physiological underpinning of the D’ parameter both in isolation and in conjunction with CS. It is clear that D’ is influenced by parameters such as MSS, 𝜏d and FI%; therefore, these sub-parameters should be explored further as potentiators for moderating the D’ parameter.
- Full Text:
- Date Issued: 2020
Evaluation of product x pre and post cpv implementation
- Authors: Killian, Christopher Grant
- Date: 2020
- Subjects: Pharmaceutical industry
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46447 , vital:39577
- Description: Purpose: Stage 3 of the pharmaceutical process validation lifecycle, is called continued process verification (CPV). CPV is the final stage of lifecycle management and is intended to provide ongoing assurance that during routine production that a process remains in a state of control. Since CPV is a relatively new focus area for regulators, many legacy products will not have undergone Stage 3 process validation. Therefore, an opportunity existed to review the impact and challenges of implementing CPV on a legacy product. Methodology: This study employed quantitative analysis to evaluate the impact of CPV on process stability and end product quality for Product X, a legacy product manufactured at a generics manufacturing facility. Initial Stage 3a CPV was used to review historical process data and identify special cause variation. Corrective and preventative actions were taken to address these statistical outliers and the impact of these process changes were evaluated in Stage 3b. Results: CPV implementation appeared to have an effect on process control, stability and capability for Product X. In Stage 3b, an increase in statistical outliers along with significant changes to process mean and standard deviation were seen for the critical process parameters, average mass and hardness. An improvement in process capability for the critical quality attributes, assay and dissolution, was also seen. Conclusion: The largest benefit of CPV implementation, especially for a legacy product, is the process knowledge gained. This provided opportunities for process improvement and ultimately benefited patient safety.
- Full Text:
- Date Issued: 2020
- Authors: Killian, Christopher Grant
- Date: 2020
- Subjects: Pharmaceutical industry
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/46447 , vital:39577
- Description: Purpose: Stage 3 of the pharmaceutical process validation lifecycle, is called continued process verification (CPV). CPV is the final stage of lifecycle management and is intended to provide ongoing assurance that during routine production that a process remains in a state of control. Since CPV is a relatively new focus area for regulators, many legacy products will not have undergone Stage 3 process validation. Therefore, an opportunity existed to review the impact and challenges of implementing CPV on a legacy product. Methodology: This study employed quantitative analysis to evaluate the impact of CPV on process stability and end product quality for Product X, a legacy product manufactured at a generics manufacturing facility. Initial Stage 3a CPV was used to review historical process data and identify special cause variation. Corrective and preventative actions were taken to address these statistical outliers and the impact of these process changes were evaluated in Stage 3b. Results: CPV implementation appeared to have an effect on process control, stability and capability for Product X. In Stage 3b, an increase in statistical outliers along with significant changes to process mean and standard deviation were seen for the critical process parameters, average mass and hardness. An improvement in process capability for the critical quality attributes, assay and dissolution, was also seen. Conclusion: The largest benefit of CPV implementation, especially for a legacy product, is the process knowledge gained. This provided opportunities for process improvement and ultimately benefited patient safety.
- Full Text:
- Date Issued: 2020
Experiences and coping strategies of probation officers in fulfilling their role within the multi-stakeholder child justice system
- Authors: Ndwammbi, Thomani Freddy
- Date: 2020
- Subjects: Probation officers
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10948/46437 , vital:39591
- Description: Probation officers, as social workers, play a central role in the child justice system. They are expected to collaborate with various stakeholders within the multi-stakeholder child justice system. They have to meet the various expectations of these stakeholdersthatincludepolice, prosecutors, lawyers and magistrates while ensuring the best interest of the children involved in the child justice system. Despite the important rolethat isplayed by probation officers in the system, there is a gap in literature on the experiences and coping strategies of probation officers in fulfilling their roles within a multi-stakeholder context. This was a qualitative study that was exploratory-descriptive and contextual in design. A non-probability purposive sampling technique was employed to identify probation officers who are working in Vhembe district, Limpopo and who have a minimum of two years working experience as probation officers. Individual semi-structured interviews were conducted with the selected probation officers, and the data collected was analysed using thematic data analysis. The trustworthiness of the research process and the findings was enhanced by employing a variety of data verification strategies. This research contributes to a greater understanding of probation officers’ experiences and coping strategies in fulfilling their role within the multi-stakeholder child justice system. Thestudy revealed that most probation officers experienced difficulties in fulfilling their role within the multi-stakeholder child justice system. They needed resources, supervisors who understand probation services and full support from the department and other child justice stakeholders. The study revealed various coping strategies that probation officers employed in order to cope with fulfilling their role. Probation Officers use personal resources as a coping strategy, draw support from their colleagues andregard job satisfaction as a coping strategy.
- Full Text:
- Date Issued: 2020
- Authors: Ndwammbi, Thomani Freddy
- Date: 2020
- Subjects: Probation officers
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10948/46437 , vital:39591
- Description: Probation officers, as social workers, play a central role in the child justice system. They are expected to collaborate with various stakeholders within the multi-stakeholder child justice system. They have to meet the various expectations of these stakeholdersthatincludepolice, prosecutors, lawyers and magistrates while ensuring the best interest of the children involved in the child justice system. Despite the important rolethat isplayed by probation officers in the system, there is a gap in literature on the experiences and coping strategies of probation officers in fulfilling their roles within a multi-stakeholder context. This was a qualitative study that was exploratory-descriptive and contextual in design. A non-probability purposive sampling technique was employed to identify probation officers who are working in Vhembe district, Limpopo and who have a minimum of two years working experience as probation officers. Individual semi-structured interviews were conducted with the selected probation officers, and the data collected was analysed using thematic data analysis. The trustworthiness of the research process and the findings was enhanced by employing a variety of data verification strategies. This research contributes to a greater understanding of probation officers’ experiences and coping strategies in fulfilling their role within the multi-stakeholder child justice system. Thestudy revealed that most probation officers experienced difficulties in fulfilling their role within the multi-stakeholder child justice system. They needed resources, supervisors who understand probation services and full support from the department and other child justice stakeholders. The study revealed various coping strategies that probation officers employed in order to cope with fulfilling their role. Probation Officers use personal resources as a coping strategy, draw support from their colleagues andregard job satisfaction as a coping strategy.
- Full Text:
- Date Issued: 2020
Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay
- Authors: Zambodla, Ayanda
- Date: 2020
- Subjects: Primary health care -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46456 , vital:39604
- Description: Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to work alone and require supervision Theobjectiveofthisstudywastoexploreanddescribetheexperiencesofcommunity service nurses with regards to the supervision and support they received from professional nurses at primary healthcare clinics inNelsonMandelaBay.The researcher utilised a qualitative research approach, with an explorative, descriptive and contextual research design inorder to achieve the objectives of this study. The research population comprised community service nurses who had completed their one-year community serviceduringthe2016-2017cycleinaprimary healthcarefacilityinNelsonMandelaBay.Purposivesamplingwasusedtoselectthe research sample. Data collection was done by conducting 10semi-structured interviews. Descriptive field notes supplemented the data. Tesch’smethod of qualitative data analysis was employed to analyse the data. Ethical considerations were applied throughout the study. Trustworthiness of the study was maintained by applyingGuba’s criteria of credibility, transferability, dependability and confirmability. Two main themes emerged from the study. Theme1 focused on the participant's experiences regarding the diverse needs related to the community service placement at primary healthcare clinics. Theme2 related to the participants expressed experiences with regard to social interaction during community service at primary healthcare clinics. The findings of the study enabled recommendations to be made for nursing practice, education and research.
- Full Text:
- Date Issued: 2020
- Authors: Zambodla, Ayanda
- Date: 2020
- Subjects: Primary health care -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/46456 , vital:39604
- Description: Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to work alone and require supervision Theobjectiveofthisstudywastoexploreanddescribetheexperiencesofcommunity service nurses with regards to the supervision and support they received from professional nurses at primary healthcare clinics inNelsonMandelaBay.The researcher utilised a qualitative research approach, with an explorative, descriptive and contextual research design inorder to achieve the objectives of this study. The research population comprised community service nurses who had completed their one-year community serviceduringthe2016-2017cycleinaprimary healthcarefacilityinNelsonMandelaBay.Purposivesamplingwasusedtoselectthe research sample. Data collection was done by conducting 10semi-structured interviews. Descriptive field notes supplemented the data. Tesch’smethod of qualitative data analysis was employed to analyse the data. Ethical considerations were applied throughout the study. Trustworthiness of the study was maintained by applyingGuba’s criteria of credibility, transferability, dependability and confirmability. Two main themes emerged from the study. Theme1 focused on the participant's experiences regarding the diverse needs related to the community service placement at primary healthcare clinics. Theme2 related to the participants expressed experiences with regard to social interaction during community service at primary healthcare clinics. The findings of the study enabled recommendations to be made for nursing practice, education and research.
- Full Text:
- Date Issued: 2020
Factors in the school context that enhance resilience in high school learners from socio-economically challenged backgrounds
- Authors: Mzini, Yondela
- Date: 2020
- Subjects: Education, Secondary
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10948/46428 , vital:39586
- Description: School is a rich source of information about the world, history, nature and its phenomena. Learning is an important part in young people lives and it begins at school. A young person can learn various subjects and facts in schools that would be life-long remembered. Schools can thus be regarded as an important instrument contributing to the positive development of young people.These young people are born into families and in addition to the school the family is regarded as the basic source of strength, nurturance and support for its individual members as well as ensuring stability and generational continuity. Families also play a key role in the development of young people. However, many families struggle with socio-economic issues like poverty, substance abuse and conflict amongst parents and caregivers. The focus of this study is on factors within the school environment that enhance the resilience of high school learnerswhere their experiences of the family’s less than ideal socio-economic situation and challenges create barriers to learning. Literature shows that the school is a place where learners spend the largest portion of their time per day. When learners leave homeforschool, they become the responsibility of the teacher. Teachers in high schools are thus challenged to facilitatereal support to vast number of learners who facedifficult issues in their personal lives. The researcher was interested to know what these young people regard as the factors in school that enhance their resilience despite difficult family circumstances. This study employed a qualitative research approach, embedded in an explorative anddescriptive research design.The sample of the study was drawn from young people who have successfully completed high school. A non-probability, volunteer sampling technique wasemployed to recruit ten young people. They were interviewed using semi-structured interviews. The research ethics such as voluntary participation, informed consent, confidentiality and principle of no harm to participants were adhered to. To ensure the trustworthiness of the data, the researcher observed aspects of credibility, transferability, dependability and conformability. The findings of the study couldcontribute to local knowledge and an increased understanding of aspects of the school that supportresilience-building for young people from challenging circumstances. Young people interviewed in the study came from backgrounds where they experienced various socio-economic challenges, they were able to reflect on strengths in their family systems, personal strengths and how it influences their choices. They also spoke about the positive role the school played in building their resilience and made valuable contributions about how the school can be responsive to students with varying strength-sets.
- Full Text:
- Date Issued: 2020
- Authors: Mzini, Yondela
- Date: 2020
- Subjects: Education, Secondary
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10948/46428 , vital:39586
- Description: School is a rich source of information about the world, history, nature and its phenomena. Learning is an important part in young people lives and it begins at school. A young person can learn various subjects and facts in schools that would be life-long remembered. Schools can thus be regarded as an important instrument contributing to the positive development of young people.These young people are born into families and in addition to the school the family is regarded as the basic source of strength, nurturance and support for its individual members as well as ensuring stability and generational continuity. Families also play a key role in the development of young people. However, many families struggle with socio-economic issues like poverty, substance abuse and conflict amongst parents and caregivers. The focus of this study is on factors within the school environment that enhance the resilience of high school learnerswhere their experiences of the family’s less than ideal socio-economic situation and challenges create barriers to learning. Literature shows that the school is a place where learners spend the largest portion of their time per day. When learners leave homeforschool, they become the responsibility of the teacher. Teachers in high schools are thus challenged to facilitatereal support to vast number of learners who facedifficult issues in their personal lives. The researcher was interested to know what these young people regard as the factors in school that enhance their resilience despite difficult family circumstances. This study employed a qualitative research approach, embedded in an explorative anddescriptive research design.The sample of the study was drawn from young people who have successfully completed high school. A non-probability, volunteer sampling technique wasemployed to recruit ten young people. They were interviewed using semi-structured interviews. The research ethics such as voluntary participation, informed consent, confidentiality and principle of no harm to participants were adhered to. To ensure the trustworthiness of the data, the researcher observed aspects of credibility, transferability, dependability and conformability. The findings of the study couldcontribute to local knowledge and an increased understanding of aspects of the school that supportresilience-building for young people from challenging circumstances. Young people interviewed in the study came from backgrounds where they experienced various socio-economic challenges, they were able to reflect on strengths in their family systems, personal strengths and how it influences their choices. They also spoke about the positive role the school played in building their resilience and made valuable contributions about how the school can be responsive to students with varying strength-sets.
- Full Text:
- Date Issued: 2020
Grandmothers’ perceptions regarding breastfeeding following training for breastfeeding support in Nelson Mandela Bay Health District: a qualitative study
- Authors: Manyange, Rumbidzai Lynda
- Date: 2020
- Subjects: Breastfeeding promotion
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46441 , vital:39583
- Description: Rationale: Although there has been active promotion of breastfeeding for the past decades in South Africa, there has been inadequate support from multiple role players. Strategies that do not engage important family members, such as grandmothers in supporting breastfeeding are likely to fail. In many African countries, grandmothers often make critical decisions about early child feeding practices, particularly for first-time mothers. Despite the influence grandmothers have, limited studies have been done in South Africa to assess whether it is possible to change breastfeeding outcomes by empowering grandmothers as well as including them in intervention programmes. Nelson Mandela University, in collaboration with the United Nations Children Education Fund (UNICEF) and a local Non-Governmental Organisation (NGO), recently launched a breastfeeding support programme, Sakha Esethu. The aim was to capacitate both primary and secondary caregivers to enable them to provide optimal breastfeeding support for mothers in various communities. However, it was important to explore the perceptions of grandmothers regarding breastfeeding to assess whether improved breastfeeding knowledge will translate into changed perceptions and therefore improved support for exclusive breastfeeding in communities in Nelson Mandela Bay. Aim: The study aimed to describe and explore the perceptions of grandmothers regarding breastfeeding after participating in a breastfeeding support programme in Nelson Mandela Bay health district (NMBHD). Methodology: The study followed a descriptive-exploratory, contextual study design with a qualitative approach. The four ethical principles that guided the study were: autonomy, non-maleficence, beneficence and justice. The researcher conducted five focus group discussions (FGD) at ECD centres in NMBHD, where 34 grandmothers participated in the study. Participants were chosen using a purposively sampling technique and data was collected using FGD interviews. Verbatim transcription was done after every FGD and data was analysed using the eight steps of Tesch’s analysis technique. An independent coder with experience in qualitative data analysis assisted to verify the codes generated. vi Results: Four major themes and eleven subthemes emerged through data analysis. The identified themes were: (1)Participant knowledge regarding breastfeeding. Participants reflected on poor knowledge on the perceived maternal benefits of breastfeeding, variance on the optimal duration of breastfeeding and recognised myths and cultural taboos related to breastfeeding, such as the use of traditional mixes, “dirty” breastmilk and perceived milk insufficiency; (2) Views on complementary feeding. The subthemes that emerged included: Participants shared their views on the age of introduction for complementary foods and feeding practices for infants; (3) Challenges related to breastfeeding. The challenges identified included: challenges for working mothers and those attending school, lack of family support and societal support for EBF, lack of support from healthcare professionals relating to initiation and continuation of breastfeeding and difficulties coping with breast health. (4) Participants enthused about the impact of being supported to optimise breastfeeding.Participants were able to share on the camaraderie benefits experienced from the Sakha Esethu group as well as on the support grandmothers can provide. Conclusion and Recommendations: This study confirmed that participation of grandmothers in the Sakha Esethu programme had an impact on changes in grandmothers’ perceptions regarding breastfeeding. However, the programme can be further improved by placing more emphasis on aspects i.e. maternal benefits of breastfeeding, during mentor training. Furthermore, there is a need to strengthen healthcare worker support and training, especially with regards to adapting counselling strategies to include breastfeeding challenges and cultural beliefs.
- Full Text:
- Date Issued: 2020
- Authors: Manyange, Rumbidzai Lynda
- Date: 2020
- Subjects: Breastfeeding promotion
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46441 , vital:39583
- Description: Rationale: Although there has been active promotion of breastfeeding for the past decades in South Africa, there has been inadequate support from multiple role players. Strategies that do not engage important family members, such as grandmothers in supporting breastfeeding are likely to fail. In many African countries, grandmothers often make critical decisions about early child feeding practices, particularly for first-time mothers. Despite the influence grandmothers have, limited studies have been done in South Africa to assess whether it is possible to change breastfeeding outcomes by empowering grandmothers as well as including them in intervention programmes. Nelson Mandela University, in collaboration with the United Nations Children Education Fund (UNICEF) and a local Non-Governmental Organisation (NGO), recently launched a breastfeeding support programme, Sakha Esethu. The aim was to capacitate both primary and secondary caregivers to enable them to provide optimal breastfeeding support for mothers in various communities. However, it was important to explore the perceptions of grandmothers regarding breastfeeding to assess whether improved breastfeeding knowledge will translate into changed perceptions and therefore improved support for exclusive breastfeeding in communities in Nelson Mandela Bay. Aim: The study aimed to describe and explore the perceptions of grandmothers regarding breastfeeding after participating in a breastfeeding support programme in Nelson Mandela Bay health district (NMBHD). Methodology: The study followed a descriptive-exploratory, contextual study design with a qualitative approach. The four ethical principles that guided the study were: autonomy, non-maleficence, beneficence and justice. The researcher conducted five focus group discussions (FGD) at ECD centres in NMBHD, where 34 grandmothers participated in the study. Participants were chosen using a purposively sampling technique and data was collected using FGD interviews. Verbatim transcription was done after every FGD and data was analysed using the eight steps of Tesch’s analysis technique. An independent coder with experience in qualitative data analysis assisted to verify the codes generated. vi Results: Four major themes and eleven subthemes emerged through data analysis. The identified themes were: (1)Participant knowledge regarding breastfeeding. Participants reflected on poor knowledge on the perceived maternal benefits of breastfeeding, variance on the optimal duration of breastfeeding and recognised myths and cultural taboos related to breastfeeding, such as the use of traditional mixes, “dirty” breastmilk and perceived milk insufficiency; (2) Views on complementary feeding. The subthemes that emerged included: Participants shared their views on the age of introduction for complementary foods and feeding practices for infants; (3) Challenges related to breastfeeding. The challenges identified included: challenges for working mothers and those attending school, lack of family support and societal support for EBF, lack of support from healthcare professionals relating to initiation and continuation of breastfeeding and difficulties coping with breast health. (4) Participants enthused about the impact of being supported to optimise breastfeeding.Participants were able to share on the camaraderie benefits experienced from the Sakha Esethu group as well as on the support grandmothers can provide. Conclusion and Recommendations: This study confirmed that participation of grandmothers in the Sakha Esethu programme had an impact on changes in grandmothers’ perceptions regarding breastfeeding. However, the programme can be further improved by placing more emphasis on aspects i.e. maternal benefits of breastfeeding, during mentor training. Furthermore, there is a need to strengthen healthcare worker support and training, especially with regards to adapting counselling strategies to include breastfeeding challenges and cultural beliefs.
- Full Text:
- Date Issued: 2020