An assessment of the computer literacy status of nurse managers in a private hospital group in the Nelson Mandela metropolitan area
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
An assessment of the motivational value of rewards among health professionals in Malawi's Ministry of Health
- Chanza, Alfred Witness Dzanja
- Authors: Chanza, Alfred Witness Dzanja
- Date: 2012
- Subjects: Employee motivation -- Malawi , Medical personnel -- Salaries, etc. -- Malawi , Medical personnel -- Job satisfaction -- Malawi , Public health -- Malawi
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9963 , http://hdl.handle.net/10948/d1020330
- Description: The assessment of the motivational value of rewards in the world of work is interesting but difficult to understand. Variations in research reports and inadequate comprehension of the efficiency and motivational value of rewards have brought about confusions, controversies and contradictions among authors, researchers, consultants and practitioners in the field of Industrial and Organisational Psychology (Mangham, 2007; Muula, 2006; Muula & Maseko, 2005; Palmer, 2006; World Bank, 2004). As a consequence, organisations are applying theories and models of motivation selectively depending on their beliefs, ideological framework of values and assumptions (Dzimbiri, 2009). The study was therefore carried out as a positive contribution to the existing knowledge and debate on the motivational value of rewards for health professionals in the public health sectors of the developing countries. Through a systematic sampling method, 571 health professionals were sampled for the study. Data were collected through the use of a self-administered questionnaire which was composed based on the data collected from desk research/literature review, focus group discussions and interviews. The findings of the study revealed that the Malawi‟s Ministry of Health (MoH) is failing to attract, motivate and retain health professionals; there is perception of inequity of the rewards among the health professionals; health professionals develop coping strategies to supplement their monthly financial rewards; health professionals engage in corrupt practices to supplement their monthly financial rewards; and there is erosion of industrial democracy in the Malawi‟s Public Health Sector. While the statistical testing of the hypothesized model proved a lack of fit between the variables, the statistical testing of the re-specified model suggests that there is a positive relationship between financial rewards and reward-related problems being faced by health professionals in the Malawi‟s MoH. Through the Structural Equation Modeling (SEM) exercise, an inverse (negative) relationship between financial and non-financial rewards was deduced, and scientifically and graphically demonstrated. Both the re-specified and graphical models symbolize a pragmatic departure from the theoretical model whose authors (Franco, Bennett, Kanfer & Stubblebine, 2004) are largely inclined to the use of non-financial rewards and suggest that financial rewards should be used with caution. These findings also reject the Herzberg‟s two factor theory (Herzberg, 1960) which claims that financial rewards (salaries) are not a motivator. The major recommendations of the study are that the Franco et al.‟s (2004) model should be adopted and adapted in the Malawi‟s MoH with the view that the value of both financial and non-financial rewards (as motivators) varies from individual to individual due to individual differences and prevailing factors/forces in both the work environment and wider society in which the MoH operates; a hybrid reward system combining the strengths of time-based, performance-based and competence-based reward systems should be developed and implemented; the results of scientifically testing the re-specified model and the inverse (causal) relationship established between financial and non-financial rewards (as demonstrated in a graphic model) should be re-tested with other samples in the public health sectors of the developing countries; and the motivational value of non-financial rewards should be scientifically established and compared with the motivational value of financial rewards used independent of each other in business organisations to make an objective conclusion on the rewards-motivation debate.
- Full Text:
- Date Issued: 2012
- Authors: Chanza, Alfred Witness Dzanja
- Date: 2012
- Subjects: Employee motivation -- Malawi , Medical personnel -- Salaries, etc. -- Malawi , Medical personnel -- Job satisfaction -- Malawi , Public health -- Malawi
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9963 , http://hdl.handle.net/10948/d1020330
- Description: The assessment of the motivational value of rewards in the world of work is interesting but difficult to understand. Variations in research reports and inadequate comprehension of the efficiency and motivational value of rewards have brought about confusions, controversies and contradictions among authors, researchers, consultants and practitioners in the field of Industrial and Organisational Psychology (Mangham, 2007; Muula, 2006; Muula & Maseko, 2005; Palmer, 2006; World Bank, 2004). As a consequence, organisations are applying theories and models of motivation selectively depending on their beliefs, ideological framework of values and assumptions (Dzimbiri, 2009). The study was therefore carried out as a positive contribution to the existing knowledge and debate on the motivational value of rewards for health professionals in the public health sectors of the developing countries. Through a systematic sampling method, 571 health professionals were sampled for the study. Data were collected through the use of a self-administered questionnaire which was composed based on the data collected from desk research/literature review, focus group discussions and interviews. The findings of the study revealed that the Malawi‟s Ministry of Health (MoH) is failing to attract, motivate and retain health professionals; there is perception of inequity of the rewards among the health professionals; health professionals develop coping strategies to supplement their monthly financial rewards; health professionals engage in corrupt practices to supplement their monthly financial rewards; and there is erosion of industrial democracy in the Malawi‟s Public Health Sector. While the statistical testing of the hypothesized model proved a lack of fit between the variables, the statistical testing of the re-specified model suggests that there is a positive relationship between financial rewards and reward-related problems being faced by health professionals in the Malawi‟s MoH. Through the Structural Equation Modeling (SEM) exercise, an inverse (negative) relationship between financial and non-financial rewards was deduced, and scientifically and graphically demonstrated. Both the re-specified and graphical models symbolize a pragmatic departure from the theoretical model whose authors (Franco, Bennett, Kanfer & Stubblebine, 2004) are largely inclined to the use of non-financial rewards and suggest that financial rewards should be used with caution. These findings also reject the Herzberg‟s two factor theory (Herzberg, 1960) which claims that financial rewards (salaries) are not a motivator. The major recommendations of the study are that the Franco et al.‟s (2004) model should be adopted and adapted in the Malawi‟s MoH with the view that the value of both financial and non-financial rewards (as motivators) varies from individual to individual due to individual differences and prevailing factors/forces in both the work environment and wider society in which the MoH operates; a hybrid reward system combining the strengths of time-based, performance-based and competence-based reward systems should be developed and implemented; the results of scientifically testing the re-specified model and the inverse (causal) relationship established between financial and non-financial rewards (as demonstrated in a graphic model) should be re-tested with other samples in the public health sectors of the developing countries; and the motivational value of non-financial rewards should be scientifically established and compared with the motivational value of financial rewards used independent of each other in business organisations to make an objective conclusion on the rewards-motivation debate.
- Full Text:
- Date Issued: 2012
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: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- 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. 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 iv 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. 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. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- 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. 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 iv 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. 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. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
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
An educational intervention on sepsis related to mechanical ventilation in adult public critical care units in the Eastern Cape
- Hlungwane, Emmanuel Zamokwakhe
- Authors: Hlungwane, Emmanuel Zamokwakhe
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units Septicemia -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/40139 , vital:35759
- Description: Sepsis is a leading cause of mortality and morbidity worldwide, and local adult public critical care units continue to experience incidences of sepsis. Professional nurses (PNs) need to base their nursing care on sepsis guidelines in order to properly manage sepsis on a mechanically ventilated adult patient in the critical care units. Adequate knowledge on sepsis guidelines remains crucially indicative to PNs as they endeavour to maintain asepsis on a critically ill patient. The aim was to develop, review and implement an educational intervention and investigate the effect of this intervention on the professional nurses’ knowledge and practices of sepsis in mechanically ventilated patients in adult public critical care units in the Eastern Cape Province. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental pre-post-test design, with an intervention research approach conducted in three phases. A pre-test questionnaire was administered to explore and describe the knowledge and practices of professional nurses related to sepsis in the mechanically ventilated patients in the adult public critical care units (Phase One). An educational intervention was developed, reviewed, and used to implement the sepsis guideline (Phase Two). The effect of the guideline on the knowledge and practices of the professional nurses in public adult critical care units were assessed through a post-test questionnaire (Phase Three). The questionnaires (pre-and post-) were developed by the researcher to collect the relevant data and were pilot tested to ascertain validity and reliability. The educational intervention to be implemented was developed based on the Surviving Sepsis Campaign Guidelines, reviewed by experts, implemented, and evaluated based on the sepsis guideline. A non-probability purposive sampling method was implemented. The intervention was implemented amongst three groups of PNs, namely experimental group one (EG1) (Powerpoint, Surviving Sepsis Campaign Guidelines and two monitoring visits), experimental group two (EG2) (Powerpoint and Surviving Sepsis Campaign Guidelines) and the control group (CG) (no exposure to intervention). Data was collected by means of a structured questionnaire. The target population was professional nurses working in selected adult public CCUs in the Eastern Cape. Descriptive statistics, such as mean, mode and median and inferential data analysis such as ANOVA and Chi square, have been conducted with the assistance of a statistician. The pre- and post-test questionnaire results on the knowledge related to SSC guidelines revealed a means of 57.72 and 54.61, as well as standard deviations of 13.99 and 12.15 with a difference of 3.11 for EG1. For EG2, the results revealed means of 53.28 and 62.18, standard deviations of 14.39 and 13.60 with a difference of -8.89 indicating a medium difference around 0.63 standard deviation. EG2 indicated more difference of above 0.5 standard deviation as compared to EG1. The control group on the other hand had produce large effect of mean difference above 0.8 standard deviation. Although there was no statistical significance found between the knowledge score between the three groups (EG1, EG2, CG), implementing the SSC guidelines (full intervention) in EG1 had medium effect on the knowledge of PNs on MV adult patient in the CCU. For EG2, there were positive relationships between the knowledge related to SCC Guidelines and practices related to SSC Guidelines. Ethical principles such as respect for person/informed consent, beneficence, privacy, and confidentiality, as well as rigour were maintained throughout the research study.
- Full Text:
- Date Issued: 2019
- Authors: Hlungwane, Emmanuel Zamokwakhe
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units Septicemia -- Treatment
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/40139 , vital:35759
- Description: Sepsis is a leading cause of mortality and morbidity worldwide, and local adult public critical care units continue to experience incidences of sepsis. Professional nurses (PNs) need to base their nursing care on sepsis guidelines in order to properly manage sepsis on a mechanically ventilated adult patient in the critical care units. Adequate knowledge on sepsis guidelines remains crucially indicative to PNs as they endeavour to maintain asepsis on a critically ill patient. The aim was to develop, review and implement an educational intervention and investigate the effect of this intervention on the professional nurses’ knowledge and practices of sepsis in mechanically ventilated patients in adult public critical care units in the Eastern Cape Province. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental pre-post-test design, with an intervention research approach conducted in three phases. A pre-test questionnaire was administered to explore and describe the knowledge and practices of professional nurses related to sepsis in the mechanically ventilated patients in the adult public critical care units (Phase One). An educational intervention was developed, reviewed, and used to implement the sepsis guideline (Phase Two). The effect of the guideline on the knowledge and practices of the professional nurses in public adult critical care units were assessed through a post-test questionnaire (Phase Three). The questionnaires (pre-and post-) were developed by the researcher to collect the relevant data and were pilot tested to ascertain validity and reliability. The educational intervention to be implemented was developed based on the Surviving Sepsis Campaign Guidelines, reviewed by experts, implemented, and evaluated based on the sepsis guideline. A non-probability purposive sampling method was implemented. The intervention was implemented amongst three groups of PNs, namely experimental group one (EG1) (Powerpoint, Surviving Sepsis Campaign Guidelines and two monitoring visits), experimental group two (EG2) (Powerpoint and Surviving Sepsis Campaign Guidelines) and the control group (CG) (no exposure to intervention). Data was collected by means of a structured questionnaire. The target population was professional nurses working in selected adult public CCUs in the Eastern Cape. Descriptive statistics, such as mean, mode and median and inferential data analysis such as ANOVA and Chi square, have been conducted with the assistance of a statistician. The pre- and post-test questionnaire results on the knowledge related to SSC guidelines revealed a means of 57.72 and 54.61, as well as standard deviations of 13.99 and 12.15 with a difference of 3.11 for EG1. For EG2, the results revealed means of 53.28 and 62.18, standard deviations of 14.39 and 13.60 with a difference of -8.89 indicating a medium difference around 0.63 standard deviation. EG2 indicated more difference of above 0.5 standard deviation as compared to EG1. The control group on the other hand had produce large effect of mean difference above 0.8 standard deviation. Although there was no statistical significance found between the knowledge score between the three groups (EG1, EG2, CG), implementing the SSC guidelines (full intervention) in EG1 had medium effect on the knowledge of PNs on MV adult patient in the CCU. For EG2, there were positive relationships between the knowledge related to SCC Guidelines and practices related to SSC Guidelines. Ethical principles such as respect for person/informed consent, beneficence, privacy, and confidentiality, as well as rigour were maintained throughout the research study.
- Full Text:
- Date Issued: 2019
An educational intervention on the liberation of ventilated adult patients in public critical care units
- Oamen, Benedict Raphael, ten Ham-Baloyi, Wilma
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
- Authors: Oamen, Benedict Raphael , ten Ham-Baloyi, Wilma
- Date: 2019
- Subjects: Intensive care nursing -- South Africa -- Eastern Cape , Intensive care units -- South Africa -- Eastern Cape Nursing -- Study and teaching -- South Africa -- Eastern Cape Nurse and patient
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/42968 , vital:36715
- Description: Professional nurses perform liberation of ventilated patients in the critical care units to ensure that ventilated patients can breathe on their own to maintain adequate oxygenation after the removal of an artificial airway and prevent liberation failure. The study aimed to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in public critical care units. The research study described how an educational intervention increased the knowledge of professional nurses working in five public adult critical care units with a total of 54 beds for medical and surgical adult patients who are mechanically ventilated across the Eastern Cape Province. The objectives were first; to investigate the knowledge of professional nurses, concerning the liberation of ventilated adult patients. Secondly, to implement the evidence-based guidelines on liberation using an educational intervention. Thirdly, to describe the effect of an educational intervention on professional nurses’ knowledge concerning the liberation of ventilated adult patients in five public critical care units across the Eastern Cape Province. The researcher conducted an intervention research study using a quantitative, quasi-experimental pre-test/post-test with a control group design. The researcher recruited 150 participants who were professional nurses working in the five adult critical care units in academic hospitals. The five public adult critical care units were purposively divided into three sample groups, which consisted of two experimental groups and a control group. While considering the geographical location and proximity of the academic hospitals the groups were divided into Experimental Group 1 (comprised of 57 professional nurses from two critical care units) and Experimental Group 2 (comprised of 59 professional nurses from two critical care units), plus a Control Group (comprised of 34 professional nurses from one critical care unit). To achieve a large sample, all the professional nurses working in the five academic hospitals across the Eastern Cape Province were included in this study. The research study was conducted in three phases. In Phase One of the study, a pre-test questionnaire was administered to the professional nurses to investigate their current knowledge of the liberation of ventilated adult patients. Subsequently, in Phase Two, an educational intervention that was based on the liberation of ventilated adult patients used a PowerPoint in-service presentation in the form of a formal lecture, printed copies of the evidence-based guidelines on liberation and colour printed posters attached to the notice boards and strategic places such as the tea room and corridor of the critical care units in Experimental Group 1. Equally, Experimental Group 2 received only printed copies of the evidence-based guidelines. In the Control Group, the researcher did not implement the evidence-based guidelines. Three months after the implementation of the evidence-based guidelines, Phase Three was conducted, and a post-test questionnaire was administered to describe the effect of the educational intervention on the professional nurses’ knowledge. With the assistance of the statistician, data were analysed through descriptive analysis using the measure of frequency, central tendency, dispersion/variation and position. In addition to that, an inferential analysis used Analysis of Variance, Chi-square test, t-statistic (t-test), Cohen’s d, Cramér’s V, and Scheffe’s post-hoc test. Since there was no existing questionnaire, the researcher developed the questionnaires that were used in this study. The researcher ensured reliability and validity throughout the study. The ethical clearance reference number, H17-HEA-NUR-019 was obtained for the study from the Nelson Mandela University. A letter of permission was granted by the Provincial’s Department of Health, Bhisho, the Eastern Cape Province, with reference number, EC_201712_017. Other ethical principles were taking into consideration. The implementation of evidence-based guidelines on liberation using an educational intervention in the form of PowerPoint presentation, complemented with printed copies of the evidence-based guidelines and coloured posters as reminders showed an increase (Mean = 65,22; S.D = 12,08) in the mean knowledge score of professional nurses in Experimental Group 1. Contrary, the use of printed copies of the evidence-based guidelines on liberation showed a significant decrease (Mean = 53,41; S.D = 15,44; p = 0.033; Cohen's d = 0.49 small effect) in the mean knowledge score of professional nurses in Experimental Group 2. A single educational intervention method did not affect knowledge increase compared to a combined educational intervention method. Imparting knowledge in the public critical care units across the Eastern Cape Province is still very important. Further recommendations for practice, research and education were provided.
- Full Text:
- Date Issued: 2019
An educational intervention on the prevention of catheter-related bloodstream infections in haemodialysis patients in Eswatini
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An epidemiological study of childhood asthma care by general practitioners in the Nelson Mandela Metropole
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
An Eriksonian psychobiography of Martin Luther King Junior
- Authors: Pietersen, Sheri-Ann
- Date: 2014
- Subjects: African Americans -- Biography , Civil rights workers -- United States -- Biography
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9972 , http://hdl.handle.net/10948/d1021037
- Description: The aim of the current study was to conduct a psychobiography of the life of Martin Luther King Junior, who was born in 1929 and died in 1968. He was an American clergyman, husband, father, activist, and prominent leader in the African-American civil rights movement. King fought for civil rights for all people. His “I Have a Dream” speech raised public consciousness of the civil rights movement and established him as one of the greatest orators in the United States of America. His main legacy was to secure access to civil rights for all Americans, thereby empowering people of all racial and religious backgrounds, and promoting equality in the American nation. This is a psychobiographical research study which aimed to explore and describe the life of Martin Luther King junior’s psychological development according to Erik Erikson’s Psychosocial Developmental Theory. King was selected through purposive sampling on the basis of interest, value, and uniqueness to the researcher. Alexander’s model of identifying salient themes was used to analyse the data which were then compared to Erikson’s theory through a process of analytical generalisation. Limitations of the current study were identified and certain recommendations for future research in this field are offered.
- Full Text:
- Date Issued: 2014
- Authors: Pietersen, Sheri-Ann
- Date: 2014
- Subjects: African Americans -- Biography , Civil rights workers -- United States -- Biography
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9972 , http://hdl.handle.net/10948/d1021037
- Description: The aim of the current study was to conduct a psychobiography of the life of Martin Luther King Junior, who was born in 1929 and died in 1968. He was an American clergyman, husband, father, activist, and prominent leader in the African-American civil rights movement. King fought for civil rights for all people. His “I Have a Dream” speech raised public consciousness of the civil rights movement and established him as one of the greatest orators in the United States of America. His main legacy was to secure access to civil rights for all Americans, thereby empowering people of all racial and religious backgrounds, and promoting equality in the American nation. This is a psychobiographical research study which aimed to explore and describe the life of Martin Luther King junior’s psychological development according to Erik Erikson’s Psychosocial Developmental Theory. King was selected through purposive sampling on the basis of interest, value, and uniqueness to the researcher. Alexander’s model of identifying salient themes was used to analyse the data which were then compared to Erikson’s theory through a process of analytical generalisation. Limitations of the current study were identified and certain recommendations for future research in this field are offered.
- Full Text:
- Date Issued: 2014
An exploration of affirming family communication in families with adolescent children
- Authors: Jordaan, Cabriere
- Date: 2013
- Subjects: Communication in families , Families -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9958 , http://hdl.handle.net/10948/d1020054
- Description: Affirming or positive family communication is important to equip families and individuals to meet life challenges. The aim of this study was to determine the relationship between affirming family communication and family functioning, as well as the relationship between family functioning and the quality of communication between the adolescent and the father and mother respectively. Following this, affirming family communication was explored qualitatively from the perspective of the adolescent. A cross-sectional, quantitative survey research design was combined with an exploratory, qualitative design. The quantitative data was collected by asking participants to complete self-report questionnaires. The qualitative component consisted of focus groups discussing the topic of affirming family communication. One hundred first-year Psychology students of Stellenbosch University in South Africa completed the questionnaires. Fourteen of these students also participated in the focus groups. The quantitative results revealed a significant positive correlation between affirming family communication and family functioning. Furthermore, a significant positive correlation was found between family functioning and openness in communication between the adolescent and the mother and father respectively. Three core categories (with sub- categories) emerged from the content analysis of the focus group discussions. These core categories were verbal affirming communication, non-verbal affirming communication and functional affirming communication. The findings of this study highlight the importance of affirming family communication, especially in families with adolescent children, while also providing a description of affirming family communication from the adolescent’s perspective.
- Full Text:
- Date Issued: 2013
- Authors: Jordaan, Cabriere
- Date: 2013
- Subjects: Communication in families , Families -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9958 , http://hdl.handle.net/10948/d1020054
- Description: Affirming or positive family communication is important to equip families and individuals to meet life challenges. The aim of this study was to determine the relationship between affirming family communication and family functioning, as well as the relationship between family functioning and the quality of communication between the adolescent and the father and mother respectively. Following this, affirming family communication was explored qualitatively from the perspective of the adolescent. A cross-sectional, quantitative survey research design was combined with an exploratory, qualitative design. The quantitative data was collected by asking participants to complete self-report questionnaires. The qualitative component consisted of focus groups discussing the topic of affirming family communication. One hundred first-year Psychology students of Stellenbosch University in South Africa completed the questionnaires. Fourteen of these students also participated in the focus groups. The quantitative results revealed a significant positive correlation between affirming family communication and family functioning. Furthermore, a significant positive correlation was found between family functioning and openness in communication between the adolescent and the mother and father respectively. Three core categories (with sub- categories) emerged from the content analysis of the focus group discussions. These core categories were verbal affirming communication, non-verbal affirming communication and functional affirming communication. The findings of this study highlight the importance of affirming family communication, especially in families with adolescent children, while also providing a description of affirming family communication from the adolescent’s perspective.
- Full Text:
- Date Issued: 2013
An exploration of attrition of sexual crime cases of child victims from the perspectives of the police officers, prosecutors and advocates in Kouga District, Eastern Cape (SA)
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An exploration of burnout among health Professions academics employed in Health sciences faculties at a south African university
- Authors: Burger, Jeanine
- Date: 2022-04
- Subjects: Health care personnel -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58665 , vital:59979
- Description: The label of ‘stress factories’ is becoming a way to collectively refer to higher education institutions due to the changing academic landscape. Academics within health professions face key stressors related to excessive workloads, and insufficient resources resulting in burnout. Some of the most pertinent consequences of burnout include deterioration in physical and mental health, incline in absenteeism and a negative impact on the well-being and performance of students, patients, and organisations. There is a lack of research conducted on health professions academics in South Africa. The overall aim of this study was, therefore, to explore burnout among health professions academic staff who worked within the Community and Health Sciences (CHS) and Dentistry faculties (collectively referred to as Health sciences faculties) at a historically disadvantaged university. The study adopted an online survey design. Participants were selected using simple random sampling. Frequency tables were used to summarise and describe the participants, while correlation analysis was used to test associative relationships. ANOVA was used to test group differences and Scheffé tests were used for posthoc analysis. Ethics clearance was obtained from the Bio-Medical Research Ethics Committee of UWC. Permission to conduct the study was given by the Registrar of UWC. Informed consent was sought from participants for their voluntary participation. Their identities were kept anonymous and responses confidential. Overall findings from the current study indicated that this sample of Health Professional Academics (HPAs) experienced moderate to high levels of burnout, as measured by the Oldenburg Burnout Inventory. No demographic factors were found to correlate with the total score of burnout. Two variables were significantly related to exhaustion, namely the level of qualification and whether participants were studying at the time of completing the survey. Furthermore, nurses and participants currently studying towards a PhD reported significantly higher levels of burnout than the rest of the sample of HPAs. The impact of this study shows HPAs’ experience of moderate to high levels of burnout require interventions to decrease job demands and increase job resources. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
- Authors: Burger, Jeanine
- Date: 2022-04
- Subjects: Health care personnel -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58665 , vital:59979
- Description: The label of ‘stress factories’ is becoming a way to collectively refer to higher education institutions due to the changing academic landscape. Academics within health professions face key stressors related to excessive workloads, and insufficient resources resulting in burnout. Some of the most pertinent consequences of burnout include deterioration in physical and mental health, incline in absenteeism and a negative impact on the well-being and performance of students, patients, and organisations. There is a lack of research conducted on health professions academics in South Africa. The overall aim of this study was, therefore, to explore burnout among health professions academic staff who worked within the Community and Health Sciences (CHS) and Dentistry faculties (collectively referred to as Health sciences faculties) at a historically disadvantaged university. The study adopted an online survey design. Participants were selected using simple random sampling. Frequency tables were used to summarise and describe the participants, while correlation analysis was used to test associative relationships. ANOVA was used to test group differences and Scheffé tests were used for posthoc analysis. Ethics clearance was obtained from the Bio-Medical Research Ethics Committee of UWC. Permission to conduct the study was given by the Registrar of UWC. Informed consent was sought from participants for their voluntary participation. Their identities were kept anonymous and responses confidential. Overall findings from the current study indicated that this sample of Health Professional Academics (HPAs) experienced moderate to high levels of burnout, as measured by the Oldenburg Burnout Inventory. No demographic factors were found to correlate with the total score of burnout. Two variables were significantly related to exhaustion, namely the level of qualification and whether participants were studying at the time of completing the survey. Furthermore, nurses and participants currently studying towards a PhD reported significantly higher levels of burnout than the rest of the sample of HPAs. The impact of this study shows HPAs’ experience of moderate to high levels of burnout require interventions to decrease job demands and increase job resources. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
An exploration of collaborative group work with science students
- Authors: Adams, Aadiel
- Date: 2006
- Subjects: Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9840 , http://hdl.handle.net/10948/392 , Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Description: Part of the transformation of education in South Africa emphasises the need to address historical barriers that have been impeding access into institutions of learning, and the need for empowering stakeholders democratically. Improving institutional responsiveness and focusing on Science, Technology, and Engineering and increasing the number of university graduates are amongst the more prominent strategies for changing the educational, socioeconomic, and political landscape within a global context. This research, as the first cycle of an action research project, explores collaborative group work with a group of science students at a Vista University campus (that is now part of the Nelson Mandela Metropolitan University) as a contribution to institutional, professional, and personal responsiveness. The treatise traces my development as a novice researcher within an evolving action research context that became a terrain for facilitating a collaborative approach to learning. I describe my personal experience and the experiences of my co-researchers as collaborative partners, the systemic influences considered during the study, and the process of action research that encouraged movement from feelings of apprehension and inadequacy to feelings of anticipation and excitement regarding collaborative interactive learning and development opportunities. For the co-researchers and me an action research process in an interpretivist paradigm was not just suited to an exploration of collaboration, but also evolved into a vehicle for interactive teaching and learning, in a collaborative and student-centred way. Giving voice and being listened to, having perspectives validated, engaging in learning that could accompany academic and personal growth, and an acute sense of being empowered are ingredients that participants, and institutions of learning, can continue building on and building with along evolving spirals of life-long learning and meaning making.
- Full Text:
- Date Issued: 2006
- Authors: Adams, Aadiel
- Date: 2006
- Subjects: Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9840 , http://hdl.handle.net/10948/392 , Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Description: Part of the transformation of education in South Africa emphasises the need to address historical barriers that have been impeding access into institutions of learning, and the need for empowering stakeholders democratically. Improving institutional responsiveness and focusing on Science, Technology, and Engineering and increasing the number of university graduates are amongst the more prominent strategies for changing the educational, socioeconomic, and political landscape within a global context. This research, as the first cycle of an action research project, explores collaborative group work with a group of science students at a Vista University campus (that is now part of the Nelson Mandela Metropolitan University) as a contribution to institutional, professional, and personal responsiveness. The treatise traces my development as a novice researcher within an evolving action research context that became a terrain for facilitating a collaborative approach to learning. I describe my personal experience and the experiences of my co-researchers as collaborative partners, the systemic influences considered during the study, and the process of action research that encouraged movement from feelings of apprehension and inadequacy to feelings of anticipation and excitement regarding collaborative interactive learning and development opportunities. For the co-researchers and me an action research process in an interpretivist paradigm was not just suited to an exploration of collaboration, but also evolved into a vehicle for interactive teaching and learning, in a collaborative and student-centred way. Giving voice and being listened to, having perspectives validated, engaging in learning that could accompany academic and personal growth, and an acute sense of being empowered are ingredients that participants, and institutions of learning, can continue building on and building with along evolving spirals of life-long learning and meaning making.
- Full Text:
- Date Issued: 2006
An exploration of father-child relationships, current attachment styles and self-esteem amongst adults
- Authors: Williams, Clare Marianne
- Date: 2006
- Subjects: Attachment behavior -- South Africa , Attachment behavior in children -- South Africa , Father and child -- South Africa , Self-esteem in men -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9855 , http://hdl.handle.net/10948/398 , Attachment behavior -- South Africa , Attachment behavior in children -- South Africa , Father and child -- South Africa , Self-esteem in men -- South Africa
- Description: This study explored and described the relationship between early attachment to the father figure and self-esteem and current adult attachment style. Specifically, the present study explored and described the impact of the internal working model of early paternal attachment upon adult attachment styles and levels of self-esteem. The data for this study was obtained by utilizing the following four questionnaires: The Inventory of Parent and Peer Attachment (IPPA) Part 2 as a retrospective measure, the Relationship Questionnaire (RQ), Relationship Scales Questionnaire (RSQ) and Battle’s Culture Free Self-Esteem Inventory (CFSEI). An exploratory descriptive design using a non-probability, convenience sampling method was employed for the present study. A sample of 105 adult participants from a religious institution within Port Elizabeth was selected. Participants, including both males and females, representative of all cultures and socio-economic status, were interviewed using the above self-report measures. The data for this study was analyzed using descriptive and correlational and inferential statistics. The findings indicated that the majority of the sample had a preoccupied attachment style, with Intermediate self-esteem levels.
- Full Text:
- Date Issued: 2006
- Authors: Williams, Clare Marianne
- Date: 2006
- Subjects: Attachment behavior -- South Africa , Attachment behavior in children -- South Africa , Father and child -- South Africa , Self-esteem in men -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9855 , http://hdl.handle.net/10948/398 , Attachment behavior -- South Africa , Attachment behavior in children -- South Africa , Father and child -- South Africa , Self-esteem in men -- South Africa
- Description: This study explored and described the relationship between early attachment to the father figure and self-esteem and current adult attachment style. Specifically, the present study explored and described the impact of the internal working model of early paternal attachment upon adult attachment styles and levels of self-esteem. The data for this study was obtained by utilizing the following four questionnaires: The Inventory of Parent and Peer Attachment (IPPA) Part 2 as a retrospective measure, the Relationship Questionnaire (RQ), Relationship Scales Questionnaire (RSQ) and Battle’s Culture Free Self-Esteem Inventory (CFSEI). An exploratory descriptive design using a non-probability, convenience sampling method was employed for the present study. A sample of 105 adult participants from a religious institution within Port Elizabeth was selected. Participants, including both males and females, representative of all cultures and socio-economic status, were interviewed using the above self-report measures. The data for this study was analyzed using descriptive and correlational and inferential statistics. The findings indicated that the majority of the sample had a preoccupied attachment style, with Intermediate self-esteem levels.
- Full Text:
- Date Issued: 2006
An exploration of first-time mothers' experiences of exclusive breastfeeding and support in the Buffalo City Metropolitan, South Africa
- Authors: Dasheka, Zukiswa Theodorah
- Date: 2018
- Subjects: Breastfeeding--South Africa Breastfeeding
- Language: English
- Type: Thesis , Masters , Nursing Science
- Identifier: http://hdl.handle.net/10353/11096 , vital:37130
- Description: There are inadequate child feeding practices worldwide, and this varies amongst the regions. Suboptimal exclusive breastfeeding remains the key contributor to the leading causes of child mortalities, namely, diarrhoea and acute respiratory infections. An infant who is not exclusively breastfed for the first six months of life has fourteen times likelihood of dying of all causes, especially, diarrhoea and pneumonia compared to an exclusively breastfed infant. Worldwide, only 40 percent infants are exclusively breastfed for the first six months of their lives. South Africa, on the other hand, has an alarming figure of only 8 percent infants that are exclusively breastfed for six months. A qualitative approach, with an exploratory, descriptive and contextual research design was chosen to seek deeper understanding and meaning of first-time mothers’ experiences regarding exclusive breastfeeding practices and support’s influence on maintenance of exclusive breastfeeding within their natural environment. First-time mothers were the population for this study while the target population were first-time mothers who had given birth to a live, full term and healthy infant, regardless of the delivery mode in one of the Community Health Centres or hospitals within Buffalo City Metropolitan, South Africa. A non-probability, purposive sample of 10 participants was used. Ethical approval was granted by the University of Fort Hare Research Ethics Committee. The Eastern Cape Department of Health issued the clearance certificate. Informed consent was obtained from participants before data collection. Emotional risk protection was managed by the researcher through stopping of the interviews when the participant seemed emotional affected by the interviews. The relevant ethical considerations were accommodated. Trustworthiness was ensured through observing the principles of transferability, credibility, confirmability and dependability. Data were collected through individual face-to-face interviews using a semi-structured interview guide and conducted at the participant’s home or at the local clinic per participants’ choice. Two audio-recorders were used to capture the data. Data were then analysed according to Creswell’s steps and Tesch’s eight coding steps. Codes, categories, sub-categories and themes were formulated. Findings The key findings were challenges, empowerment, support and resilience during initiation of breastfeeding and diverse support and resilience during maintenance of exclusive breastfeeding. Conclusion All participants agreed on the benefits of breastfeeding, receiving information about exclusive breastfeeding during antenatal care and making a decision to exclusively breastfeed upon delivery. It is evident that the information received by first-time mothers is not congruent with the challenges they faced during initiation. There is a need, therefore, for nurses to find a way of sharing breastfeeding practice with the community members in order to avoid mixed messages which end up confusing to the first-time mother. Furthermore, the education given to the first-time mothers needs to be individualised to focus on individual needs of these mothers. Given the current staffing structure in the delivery centres, nurses are not always enough to give full focus and practical assistance to first-time mothers. It is therefore recommended that peer supporters be available to play this role, post-delivery, before the first-time mother is discharged. The formulation of compulsory supportive group among the first-time mothers was suggested.
- Full Text:
- Date Issued: 2018
- Authors: Dasheka, Zukiswa Theodorah
- Date: 2018
- Subjects: Breastfeeding--South Africa Breastfeeding
- Language: English
- Type: Thesis , Masters , Nursing Science
- Identifier: http://hdl.handle.net/10353/11096 , vital:37130
- Description: There are inadequate child feeding practices worldwide, and this varies amongst the regions. Suboptimal exclusive breastfeeding remains the key contributor to the leading causes of child mortalities, namely, diarrhoea and acute respiratory infections. An infant who is not exclusively breastfed for the first six months of life has fourteen times likelihood of dying of all causes, especially, diarrhoea and pneumonia compared to an exclusively breastfed infant. Worldwide, only 40 percent infants are exclusively breastfed for the first six months of their lives. South Africa, on the other hand, has an alarming figure of only 8 percent infants that are exclusively breastfed for six months. A qualitative approach, with an exploratory, descriptive and contextual research design was chosen to seek deeper understanding and meaning of first-time mothers’ experiences regarding exclusive breastfeeding practices and support’s influence on maintenance of exclusive breastfeeding within their natural environment. First-time mothers were the population for this study while the target population were first-time mothers who had given birth to a live, full term and healthy infant, regardless of the delivery mode in one of the Community Health Centres or hospitals within Buffalo City Metropolitan, South Africa. A non-probability, purposive sample of 10 participants was used. Ethical approval was granted by the University of Fort Hare Research Ethics Committee. The Eastern Cape Department of Health issued the clearance certificate. Informed consent was obtained from participants before data collection. Emotional risk protection was managed by the researcher through stopping of the interviews when the participant seemed emotional affected by the interviews. The relevant ethical considerations were accommodated. Trustworthiness was ensured through observing the principles of transferability, credibility, confirmability and dependability. Data were collected through individual face-to-face interviews using a semi-structured interview guide and conducted at the participant’s home or at the local clinic per participants’ choice. Two audio-recorders were used to capture the data. Data were then analysed according to Creswell’s steps and Tesch’s eight coding steps. Codes, categories, sub-categories and themes were formulated. Findings The key findings were challenges, empowerment, support and resilience during initiation of breastfeeding and diverse support and resilience during maintenance of exclusive breastfeeding. Conclusion All participants agreed on the benefits of breastfeeding, receiving information about exclusive breastfeeding during antenatal care and making a decision to exclusively breastfeed upon delivery. It is evident that the information received by first-time mothers is not congruent with the challenges they faced during initiation. There is a need, therefore, for nurses to find a way of sharing breastfeeding practice with the community members in order to avoid mixed messages which end up confusing to the first-time mother. Furthermore, the education given to the first-time mothers needs to be individualised to focus on individual needs of these mothers. Given the current staffing structure in the delivery centres, nurses are not always enough to give full focus and practical assistance to first-time mothers. It is therefore recommended that peer supporters be available to play this role, post-delivery, before the first-time mother is discharged. The formulation of compulsory supportive group among the first-time mothers was suggested.
- Full Text:
- Date Issued: 2018
An exploration of HIV and aids disclosure among HIV-serodiscordant married couples in the Eastern Cape Province, South Africa
- Authors: Ndlela, Joshua Bongani
- Date: 2019
- Subjects: HIV infections -- Psychological aspects -- South Africa -- Eastern Cape , Stigma (Social psychology) , AIDS (Disease) -- Psychological aspects , HIV-positive persons -- Mental health , Disclosure of information , AIDS (Disease) -- Patients -- Family relationships
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/41774 , vital:36580
- Description: Sub-Saharan Africa has the highest prevalence and incidence of HIV infection worldwide, mostly attributed to heterosexual transmission. Transmission in HIV-serodiscordant couples who have received joint voluntary counselling and testing ranges from 3% to 7% per year and only about 20% know that they are living in a discordant relationship. Disclosure is seen as a cornerstone for the prevention of HIV transmission between in HIV-serodiscordant married partners. It is argued that numbers of HIV-serodiscordant couples are most likely increasing; however, limited or no support is given to these couples as most because counselling interventions in South Africa do not provide for married heterosexual HIV-serodiscordant couples. The aim of the study was to identify the impact of disclosure of HIV and AIDS status on partners in HIV-serodiscordant married relationships. The second aim was to synthesize the findings to guide the development of contextualized counselling guidelines for married couples in HIV-serodiscordant relationships. Five HIV-serodiscordant married couples and 6 HIV and AIDS counsellors from a variety of settings in Nelson Mandela Bay, participated in this study. In this interpretive qualitative study, non-probability criteria, purposive sampling was used. Both participant groups are isiXhosa-speaking adults between the ages of 21 and 65 years and include both males and females. Qualitative data were gathered by means of audio-recorded semi structured interviews. Thematic analysis was used to analyse the data, while Guba’s guidelines were used to enhance the trustworthiness of the research. Semi-structured interviews with HIV-serodiscordant married couples revealed 5 common themes and were: (a) confused environment of couples in HIV disclosure, (b) inconsistent delivery of healthcare information to HIV-serodiscordant couples, (c) relationship predicaments post disclosure, (d) partner support on sexual intimacy for married couples and (e) reactions of family, children and friends towards the HIV disclosure. The HIV and AIDS counsellors 3 common themes and were: (a) basic HIV and AIDS counselling skills, (b) organisational resources support of HIV counsellors and (c) suggestions to support HIV counsellors.. This study supports the view that further research be done in other related areas (gay, lesbians, bi-sexual relationships) and demystify this unknown or misunderstood notion needs to take place at a larger scale and probably incorporate quantitative surveys to supplement the current qualitative research. Implications for practise and avenues for research are considered in this study.
- Full Text:
- Date Issued: 2019
- Authors: Ndlela, Joshua Bongani
- Date: 2019
- Subjects: HIV infections -- Psychological aspects -- South Africa -- Eastern Cape , Stigma (Social psychology) , AIDS (Disease) -- Psychological aspects , HIV-positive persons -- Mental health , Disclosure of information , AIDS (Disease) -- Patients -- Family relationships
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/41774 , vital:36580
- Description: Sub-Saharan Africa has the highest prevalence and incidence of HIV infection worldwide, mostly attributed to heterosexual transmission. Transmission in HIV-serodiscordant couples who have received joint voluntary counselling and testing ranges from 3% to 7% per year and only about 20% know that they are living in a discordant relationship. Disclosure is seen as a cornerstone for the prevention of HIV transmission between in HIV-serodiscordant married partners. It is argued that numbers of HIV-serodiscordant couples are most likely increasing; however, limited or no support is given to these couples as most because counselling interventions in South Africa do not provide for married heterosexual HIV-serodiscordant couples. The aim of the study was to identify the impact of disclosure of HIV and AIDS status on partners in HIV-serodiscordant married relationships. The second aim was to synthesize the findings to guide the development of contextualized counselling guidelines for married couples in HIV-serodiscordant relationships. Five HIV-serodiscordant married couples and 6 HIV and AIDS counsellors from a variety of settings in Nelson Mandela Bay, participated in this study. In this interpretive qualitative study, non-probability criteria, purposive sampling was used. Both participant groups are isiXhosa-speaking adults between the ages of 21 and 65 years and include both males and females. Qualitative data were gathered by means of audio-recorded semi structured interviews. Thematic analysis was used to analyse the data, while Guba’s guidelines were used to enhance the trustworthiness of the research. Semi-structured interviews with HIV-serodiscordant married couples revealed 5 common themes and were: (a) confused environment of couples in HIV disclosure, (b) inconsistent delivery of healthcare information to HIV-serodiscordant couples, (c) relationship predicaments post disclosure, (d) partner support on sexual intimacy for married couples and (e) reactions of family, children and friends towards the HIV disclosure. The HIV and AIDS counsellors 3 common themes and were: (a) basic HIV and AIDS counselling skills, (b) organisational resources support of HIV counsellors and (c) suggestions to support HIV counsellors.. This study supports the view that further research be done in other related areas (gay, lesbians, bi-sexual relationships) and demystify this unknown or misunderstood notion needs to take place at a larger scale and probably incorporate quantitative surveys to supplement the current qualitative research. Implications for practise and avenues for research are considered in this study.
- Full Text:
- Date Issued: 2019
An exploration of spirit possession and psychological praxis in South Africa: implications for a culturally competent psychological practice
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
An exploration of teachers’ views and experiences on the effects of community Violence on learners at Lusikisiki
- Authors: Gwarubana, Nolufefe
- Date: 2022-12
- Subjects: Kerr-Soltis model -- Lusikisiki , Posttraumatic Stress Disorder -- Lusikisiki
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60144 , vital:63206
- Description: A significant number of children in the South African context are exposed to community violence and become traumatised. In South Africa, many learners bring trauma histories into the classroom. To attend to this problem, it is important to understand how Exposure to Community Violence (ECV) affects learners, how this exposure is manifested in the classroom, and how teachers and schools can best support and mitigate adverse outcomes for trauma-impacted learners. The study aimed to understand teachers’ views and experiences on the effects of community violence on learners and the nature of the support that they offer to learners with trauma related to community violence. An exploratory design was used within which qualitative data was collected using semi-structured interviews. Data was gathered from Mkhankomo Full Service School, which is located in Lusikisiki. A maximum number of 10 teachers participated in the study and interviews were audio-recorded. Results of this study provide insight into the effects of community violence on the learners who were victims either directly or as witnesses. Based on thematic analysis, the results clearly showed that the effects of community violence were found to be mainly emotional, behavioural and psychological. All these effects were seen to affect the learners’ performance at school in the long run. In addition, the findings point to the teachers showing a willingness to support learners exposed to community violence, however, they felt ill-equipped to do so given that they had never worked with learners exposed to trauma. Also, in their attempts to support learners, teachers implemented support systems such as offering individual lessons to learners and additionally assuming supportive roles such as that of mentor and mother. Moreover, the findings indicated that teachers were not provided with any v training to help them work with learners exposed to trauma and their expectations for the Department of Basic Education to assist were not met. Consequently, the study provides an understanding of the effects of community violence on learners from the perspectives of teachers in the school. It also assists with information regarding teachers’ preparedness and ability to respond to learners’ chronic exposure to community violence. Furthermore, this study gives an understanding of teachers’ approach to supporting learners experiencing traumatic stress in the classroom. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Gwarubana, Nolufefe
- Date: 2022-12
- Subjects: Kerr-Soltis model -- Lusikisiki , Posttraumatic Stress Disorder -- Lusikisiki
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60144 , vital:63206
- Description: A significant number of children in the South African context are exposed to community violence and become traumatised. In South Africa, many learners bring trauma histories into the classroom. To attend to this problem, it is important to understand how Exposure to Community Violence (ECV) affects learners, how this exposure is manifested in the classroom, and how teachers and schools can best support and mitigate adverse outcomes for trauma-impacted learners. The study aimed to understand teachers’ views and experiences on the effects of community violence on learners and the nature of the support that they offer to learners with trauma related to community violence. An exploratory design was used within which qualitative data was collected using semi-structured interviews. Data was gathered from Mkhankomo Full Service School, which is located in Lusikisiki. A maximum number of 10 teachers participated in the study and interviews were audio-recorded. Results of this study provide insight into the effects of community violence on the learners who were victims either directly or as witnesses. Based on thematic analysis, the results clearly showed that the effects of community violence were found to be mainly emotional, behavioural and psychological. All these effects were seen to affect the learners’ performance at school in the long run. In addition, the findings point to the teachers showing a willingness to support learners exposed to community violence, however, they felt ill-equipped to do so given that they had never worked with learners exposed to trauma. Also, in their attempts to support learners, teachers implemented support systems such as offering individual lessons to learners and additionally assuming supportive roles such as that of mentor and mother. Moreover, the findings indicated that teachers were not provided with any v training to help them work with learners exposed to trauma and their expectations for the Department of Basic Education to assist were not met. Consequently, the study provides an understanding of the effects of community violence on learners from the perspectives of teachers in the school. It also assists with information regarding teachers’ preparedness and ability to respond to learners’ chronic exposure to community violence. Furthermore, this study gives an understanding of teachers’ approach to supporting learners experiencing traumatic stress in the classroom. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
An exploration of the adolescent maltreatment experience and its perceived impact on young adult survivors in the Eastern Cape Pondoland areas
- Authors: Jinoyi, Nomava Siyasamkela
- Date: 2019
- Subjects: Adolescent psychiatry , Child abuse -- Treatment , Abused children -- South Africa -- Eastern Cape , Child psychiatry
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/42262 , vital:36640
- Description: Recognition of adolescent maltreatment as a specialised problem area within the context of child maltreatment did not occur until the late 1970s. Since its occurrence, studies have been consistent in finding that adolescent maltreatment has not received much attention in the research literature. This ignited the researcher’s interest to explore the survivor’s experience of the adolescent maltreatment phenomenon and to understand its perceived impact on the survivor’s functioning in adulthood. The researcher conducted a qualitative study, following a social constructivism paradigm. Data collection and analysis followed a narrative design, with Bronfenbrenner’s Bioecological Model of Human Development as the theoretical framework that guided the study. Five women participated in the study. In order to participate, the participants had to be between the ages of 23 and 35 with a history of the adolescent maltreatment, experienced between the ages of 12 and 19 years. This study found that adolescent maltreatment was experienced as an emotive experience. It entailed sense-making of the experience through finding answers to a question ‘why did it happen to me?’ It found that the experience involves a transition from the maltreating situation and fosters adjustment to a new life after the experience. It also emerged that the experience leaves enduring negative effects on its survivors. Despite the negative effects, the survivors perceived their experience as a non-defining factor for their future directions. This study concluded, therefore, that adolescent maltreatment is a complex phenomenon that requires continued research for its in-depth understanding through qualitative studies.
- Full Text:
- Date Issued: 2019
- Authors: Jinoyi, Nomava Siyasamkela
- Date: 2019
- Subjects: Adolescent psychiatry , Child abuse -- Treatment , Abused children -- South Africa -- Eastern Cape , Child psychiatry
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/42262 , vital:36640
- Description: Recognition of adolescent maltreatment as a specialised problem area within the context of child maltreatment did not occur until the late 1970s. Since its occurrence, studies have been consistent in finding that adolescent maltreatment has not received much attention in the research literature. This ignited the researcher’s interest to explore the survivor’s experience of the adolescent maltreatment phenomenon and to understand its perceived impact on the survivor’s functioning in adulthood. The researcher conducted a qualitative study, following a social constructivism paradigm. Data collection and analysis followed a narrative design, with Bronfenbrenner’s Bioecological Model of Human Development as the theoretical framework that guided the study. Five women participated in the study. In order to participate, the participants had to be between the ages of 23 and 35 with a history of the adolescent maltreatment, experienced between the ages of 12 and 19 years. This study found that adolescent maltreatment was experienced as an emotive experience. It entailed sense-making of the experience through finding answers to a question ‘why did it happen to me?’ It found that the experience involves a transition from the maltreating situation and fosters adjustment to a new life after the experience. It also emerged that the experience leaves enduring negative effects on its survivors. Despite the negative effects, the survivors perceived their experience as a non-defining factor for their future directions. This study concluded, therefore, that adolescent maltreatment is a complex phenomenon that requires continued research for its in-depth understanding through qualitative studies.
- Full Text:
- Date Issued: 2019
An exploration of the personality preferences of post graduate psychology students utilising the Myers-Briggs Type Indicator
- Authors: Smit, René
- Date: 2010
- Subjects: Personality assessment , Students -- South Africa -- Psychology , Personality and academic achievement -- South Africa , Myers-Briggs Type Indicator
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9898 , http://hdl.handle.net/10948/1096 , Personality assessment , Students -- South Africa -- Psychology , Personality and academic achievement -- South Africa , Myers-Briggs Type Indicator
- Description: In order to continue their contribution to the profession of psychology in South Africa the selection committees of psychology departments of higher education institutions are faced with the difficult task of selecting the most suitable candidates to fill their Clinical, Counselling, Educational and Industrial Psychology masters coursework programmes. Selection committees have traditionally made use of several admission criteria and procedures ranging from academic performance to personality assessment to a combination of methods. Admission criteria vary greatly across Higher Education Institutions. The selection committee at the selected participating institution of higher education takes into account the prospective students' academic performance, relevant work or practical experience, research experience, active participation in the classroom, active involvement outside of the classroom (participation in and engagement with community activities), and personality. Currently the institution of higher education that provided the sample for the current study employs the NEO PI-R as well as the MMPI-2 to assess masters applicants’ personality traits. A study by Britz (1994) recommended that the MBTI® be included in the assessment battery for psychology masters students. The primary aim of the proposed study is to identify, explore and describe the personality preferences of a group of prospective psychology masters applicants and a group of successfully selected psychology masters students at a South African Higher Education Institution utilising the Myers-Briggs Type Indicator® (MBTI®). The study was exploratory descriptive in nature and was based on the quantitative research approach. Non-probability convenience sampling and the survey method was utilised to identify and approach prospective participants. Participants were requested to complete the MBTI® questionnaire. The MBTI® protocols were hand-scored and the findings analysed utilising frequency distributions and inferential statistics, that is, means and standard deviations. The MBTI® was found to be valid and reliable in a variety of populations and contexts. xi Results indicated that the ISTJ (15 percent), INTP (15 percent) and ESFJ (15 percent) personality types were the three most common personality types amongst participants from the group of prospective psychology masters applicants. The ENFP (13 percent), INTP (13 percent) and ISFJ (13 percent) personality types were the three most common personality types amongst participants from the group of successfully selected masters students. The majority (14 percent) of participants from the total sample displayed a preference for the INTP personality type. An examination of the dichotomous personality types of the participants revealed that the majority of participants preferred the Extraversion attitude, Sensing and Thinking functions, and Judgement attitude.
- Full Text:
- Date Issued: 2010
- Authors: Smit, René
- Date: 2010
- Subjects: Personality assessment , Students -- South Africa -- Psychology , Personality and academic achievement -- South Africa , Myers-Briggs Type Indicator
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9898 , http://hdl.handle.net/10948/1096 , Personality assessment , Students -- South Africa -- Psychology , Personality and academic achievement -- South Africa , Myers-Briggs Type Indicator
- Description: In order to continue their contribution to the profession of psychology in South Africa the selection committees of psychology departments of higher education institutions are faced with the difficult task of selecting the most suitable candidates to fill their Clinical, Counselling, Educational and Industrial Psychology masters coursework programmes. Selection committees have traditionally made use of several admission criteria and procedures ranging from academic performance to personality assessment to a combination of methods. Admission criteria vary greatly across Higher Education Institutions. The selection committee at the selected participating institution of higher education takes into account the prospective students' academic performance, relevant work or practical experience, research experience, active participation in the classroom, active involvement outside of the classroom (participation in and engagement with community activities), and personality. Currently the institution of higher education that provided the sample for the current study employs the NEO PI-R as well as the MMPI-2 to assess masters applicants’ personality traits. A study by Britz (1994) recommended that the MBTI® be included in the assessment battery for psychology masters students. The primary aim of the proposed study is to identify, explore and describe the personality preferences of a group of prospective psychology masters applicants and a group of successfully selected psychology masters students at a South African Higher Education Institution utilising the Myers-Briggs Type Indicator® (MBTI®). The study was exploratory descriptive in nature and was based on the quantitative research approach. Non-probability convenience sampling and the survey method was utilised to identify and approach prospective participants. Participants were requested to complete the MBTI® questionnaire. The MBTI® protocols were hand-scored and the findings analysed utilising frequency distributions and inferential statistics, that is, means and standard deviations. The MBTI® was found to be valid and reliable in a variety of populations and contexts. xi Results indicated that the ISTJ (15 percent), INTP (15 percent) and ESFJ (15 percent) personality types were the three most common personality types amongst participants from the group of prospective psychology masters applicants. The ENFP (13 percent), INTP (13 percent) and ISFJ (13 percent) personality types were the three most common personality types amongst participants from the group of successfully selected masters students. The majority (14 percent) of participants from the total sample displayed a preference for the INTP personality type. An examination of the dichotomous personality types of the participants revealed that the majority of participants preferred the Extraversion attitude, Sensing and Thinking functions, and Judgement attitude.
- Full Text:
- Date Issued: 2010