The effect of using a computer-based exploration tool on children's career development learning
- Authors: Crause, Ewald
- Date: 2013
- Subjects: Vocational guidance -- Computer network resources , Career development -- Computer network resources
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9947 , http://hdl.handle.net/10948/d1015020
- Description: Historically the process of career development was thought of as occurring in adolescence and adulthood; however, the renewed emphasis on lifelong career development has led to a greater focus on the career developmental stage of childhood. The present research focused on the development and trialling of a research-based computerised career exploration tool, Growing-up: Children Building Careers™ (GCBC™) that can be used for early intervention in children‘s career development. The integration of developmental considerations within a career developmental context is of paramount importance, considering that child and career developmental theories share certain basic foundational principles such as the dual recognition of identifiable life stages and the resolution or accomplishment of associated tasks. The focus of the research is to provide access to a research-based tool that can assist learners with developing age appropriate career developmental skills. As the overview of education policy and existing programs will show, there are challenges in providing access to and improving the nature, level, and quality of career development services. Gaps in access to career development learning are particularly evident at the elementary education level. Furthermore it is clear that learners need to be at the centre of a radical rethink of careers services within a lifelong learning framework in order to ensure access to navigational tools throughout a lifetime of work and study transitions. Digital environments, such as the GCBC™, are tools that broaden and extend learning possibilities for children and appropriately designed digital environments can provide a vehicle that can take children further than they might travel unassisted. The research is divided into five phases and includes eight to ten year old children as participants. Phase one focused on the program design and pilot study (ensuring content validity and age-appropriate language use), while phases two to five focused on the fieldwork (i.e., pre –test, program exposure, post-test, and focus group discussions). The researcher made use of a mixed research design that combines both quantitative and qualitative research methods. The total sample consisted of 146 children between the ages of eight to ten years old. The control group had 72 children and the experimental group 74 children with a mean age of 8.74 years (SD = 0.63) for the total sample. The quantitative data collection entailed a pre-and post-test design with learners‘ career development measured with the Childhood Career Development Scale (CCDS) and their career awareness with the Revised Career Awareness Survey (RCAS). Qualitative data was collected in the form of two focus group discussions, which included a small sample of children from the experimental group, as well as insights gained from educators following the GCBC™ fieldwork. The quantitative statistical analysis included descriptive and inferential statistics which allowed the researcher to not only describe the research findings, but to confirm the effectiveness of the GCBC™ as an intentional career development learning program. Furthermore, the responses of the children and educators who participated in or witnessed the facilitation of the GCBC™ provided support for the GCBC™ as a meaningful career learning experience which can be successfully implemented in educational settings.
- Full Text:
- Date Issued: 2013
- Authors: Crause, Ewald
- Date: 2013
- Subjects: Vocational guidance -- Computer network resources , Career development -- Computer network resources
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9947 , http://hdl.handle.net/10948/d1015020
- Description: Historically the process of career development was thought of as occurring in adolescence and adulthood; however, the renewed emphasis on lifelong career development has led to a greater focus on the career developmental stage of childhood. The present research focused on the development and trialling of a research-based computerised career exploration tool, Growing-up: Children Building Careers™ (GCBC™) that can be used for early intervention in children‘s career development. The integration of developmental considerations within a career developmental context is of paramount importance, considering that child and career developmental theories share certain basic foundational principles such as the dual recognition of identifiable life stages and the resolution or accomplishment of associated tasks. The focus of the research is to provide access to a research-based tool that can assist learners with developing age appropriate career developmental skills. As the overview of education policy and existing programs will show, there are challenges in providing access to and improving the nature, level, and quality of career development services. Gaps in access to career development learning are particularly evident at the elementary education level. Furthermore it is clear that learners need to be at the centre of a radical rethink of careers services within a lifelong learning framework in order to ensure access to navigational tools throughout a lifetime of work and study transitions. Digital environments, such as the GCBC™, are tools that broaden and extend learning possibilities for children and appropriately designed digital environments can provide a vehicle that can take children further than they might travel unassisted. The research is divided into five phases and includes eight to ten year old children as participants. Phase one focused on the program design and pilot study (ensuring content validity and age-appropriate language use), while phases two to five focused on the fieldwork (i.e., pre –test, program exposure, post-test, and focus group discussions). The researcher made use of a mixed research design that combines both quantitative and qualitative research methods. The total sample consisted of 146 children between the ages of eight to ten years old. The control group had 72 children and the experimental group 74 children with a mean age of 8.74 years (SD = 0.63) for the total sample. The quantitative data collection entailed a pre-and post-test design with learners‘ career development measured with the Childhood Career Development Scale (CCDS) and their career awareness with the Revised Career Awareness Survey (RCAS). Qualitative data was collected in the form of two focus group discussions, which included a small sample of children from the experimental group, as well as insights gained from educators following the GCBC™ fieldwork. The quantitative statistical analysis included descriptive and inferential statistics which allowed the researcher to not only describe the research findings, but to confirm the effectiveness of the GCBC™ as an intentional career development learning program. Furthermore, the responses of the children and educators who participated in or witnessed the facilitation of the GCBC™ provided support for the GCBC™ as a meaningful career learning experience which can be successfully implemented in educational settings.
- Full Text:
- Date Issued: 2013
A longitudinal study of the occupational aspirations and perceptions of nine to twelve year-old South African children
- Authors: Crause, Ewald
- Date: 2006
- Subjects: Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9843 , http://hdl.handle.net/10948/404 , Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes
- Description: Despite the acknowledgement of the developmental nature of careers, little attention has been focused on identifying shaping influences during childhood. This noticeable deficiency in the literature marked the start of the current longitudinal study which was designed to provide information on the career development of nine to twelve-year old South African children. In South Africa research focusing on preadolescent career development is limited with existing research indicating the need to further explore how children’s career choice process initially develops. The study aimed to explore and describe the changes that occur, if any, over a four-year period in terms of occupational interest typology, occupational status levels, occupational gender stereotypes and occupational gender traditionality. Both developmental and career developmental theories were used to provide a context for exploring this process of preadolescent career development. It was decided that quantitative research methods would provide the necessary structure needed to conduct the research. Although semistructured interviews and biographical questionnaires were used to record the verbal data, the data obtained was transposed into nominal data for analysis. Participants responded to questions within a semi-structured interview that focused on four broad areas of questioning. These questions explored participants’ occupational aspirations, how many occupations they knew about, how much they knew about the identified occupation, and the extent to which they held gender-role stereotypes about certain occupations. After the data was iv Key words: career development, children, longitudinal research, occupational aspirations captured it was coded according to Holland's (1985) classification system of occupational interest types. The occupational aspirations expressed by the participants were also coded in terms of their status levels. The coded data was then further analysed using descriptive statistics in the form of frequency counts and percentages. Results from the study support both child and career development theory which view childhood as a time of rapid growth with critical development in various competency areas (including occupational aspirations and perceptions). Although the current study found that most children aspired to Social occupations, the popularity of this typology decreased with increasing age as more children aspired to Investigative, Artistic, and to a lesser extent, Realistic typologies at age twelve. Furthermore, it appears that children, like adults, are aware of status differentials among occupations and that this awareness subsequently influences occupational aspirations. Lastly, the findings broadly provide support for both national and international research in that it was established that an increase in age reflects a decrease in gender-stereotypical perceptions of occupations. The present study gained valuable insight into how the process of career development occurs in preadolescent children. It is clear that there exists a need for the implementation of credible and sustainable career education programs in schools across South Africa in order to encourage and facilitate career exploration during the developmental stage of childhood.
- Full Text:
- Date Issued: 2006
- Authors: Crause, Ewald
- Date: 2006
- Subjects: Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9843 , http://hdl.handle.net/10948/404 , Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes
- Description: Despite the acknowledgement of the developmental nature of careers, little attention has been focused on identifying shaping influences during childhood. This noticeable deficiency in the literature marked the start of the current longitudinal study which was designed to provide information on the career development of nine to twelve-year old South African children. In South Africa research focusing on preadolescent career development is limited with existing research indicating the need to further explore how children’s career choice process initially develops. The study aimed to explore and describe the changes that occur, if any, over a four-year period in terms of occupational interest typology, occupational status levels, occupational gender stereotypes and occupational gender traditionality. Both developmental and career developmental theories were used to provide a context for exploring this process of preadolescent career development. It was decided that quantitative research methods would provide the necessary structure needed to conduct the research. Although semistructured interviews and biographical questionnaires were used to record the verbal data, the data obtained was transposed into nominal data for analysis. Participants responded to questions within a semi-structured interview that focused on four broad areas of questioning. These questions explored participants’ occupational aspirations, how many occupations they knew about, how much they knew about the identified occupation, and the extent to which they held gender-role stereotypes about certain occupations. After the data was iv Key words: career development, children, longitudinal research, occupational aspirations captured it was coded according to Holland's (1985) classification system of occupational interest types. The occupational aspirations expressed by the participants were also coded in terms of their status levels. The coded data was then further analysed using descriptive statistics in the form of frequency counts and percentages. Results from the study support both child and career development theory which view childhood as a time of rapid growth with critical development in various competency areas (including occupational aspirations and perceptions). Although the current study found that most children aspired to Social occupations, the popularity of this typology decreased with increasing age as more children aspired to Investigative, Artistic, and to a lesser extent, Realistic typologies at age twelve. Furthermore, it appears that children, like adults, are aware of status differentials among occupations and that this awareness subsequently influences occupational aspirations. Lastly, the findings broadly provide support for both national and international research in that it was established that an increase in age reflects a decrease in gender-stereotypical perceptions of occupations. The present study gained valuable insight into how the process of career development occurs in preadolescent children. It is clear that there exists a need for the implementation of credible and sustainable career education programs in schools across South Africa in order to encourage and facilitate career exploration during the developmental stage of childhood.
- Full Text:
- Date Issued: 2006
The development of a set of guidelines for the revision of psychological tests and the use of revised psychological tests
- Authors: Cronje, Johan Herman
- Date: 2020
- Subjects: Psychological tests
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46350 , vital:39567
- Description: The psychological testindustry has produced a wide variety of psychological tests that are used by professionals to facilitate measurement and decision-making. Tests are updated and revised periodically in order to remain current, valid and reliable in what is a competitive psychometric industry. Despite the prevalence of test revisions, especially in recent years, a number of authors have commented on the lack of comprehensive guidelines for test revision. Guidelines shouldcover aspects such as what the different types of revision are, when to embark on a revision, whatprocessto followand how test users should use revised tests. Test revision differs from test construction in a number of ways. There are external factors that affect the regularity with which a test should be revised. Test revision also involves more role players than test construction, including the opinions of those test users who may be resistant to any change in the previous test edition. Finally, revised tests sometimes have to contend with requirements from the test publisher who purchased the test or distribution rights from the developer. Test revision is expensive and time consuming, which leaves little scope for experimentation or trial-and-error. The availability of expertise, as well as the human and financial resources required to complete test revisionscan make such projects unaffordable, especiallyforprofessionals indeveloping countries, such as South Africa.It may be more feasible for such professionalsto collaborate with international revision projects. By doing so they cangain experience in test revision, contribute indigenous information that could shapethe revision ofan international test, increase opportunities to engage with international users, and potentially source international funding for research in their own country. The current studydevelopeda comprehensive and practical set of 30 guidelines to assist those involved in test revision. These guidelines were peer-reviewed and refined. Finally, the guidelines were field-tested using a case study of a recently revised ivdevelopmentaltest, the Griffiths III. Professionals from South Africa, including the present researcher,formed part of the international team for the extensive revision of the Griffiths III, which makes this test an ideal case study from both the perspectives of the developed test revision guidelines as well as collaboration of professionals from a developing country in an international test revision. The knowledge gainedfrom the development of guidelines and international collaboration in test revision is reflected on.
- Full Text:
- Date Issued: 2020
- Authors: Cronje, Johan Herman
- Date: 2020
- Subjects: Psychological tests
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46350 , vital:39567
- Description: The psychological testindustry has produced a wide variety of psychological tests that are used by professionals to facilitate measurement and decision-making. Tests are updated and revised periodically in order to remain current, valid and reliable in what is a competitive psychometric industry. Despite the prevalence of test revisions, especially in recent years, a number of authors have commented on the lack of comprehensive guidelines for test revision. Guidelines shouldcover aspects such as what the different types of revision are, when to embark on a revision, whatprocessto followand how test users should use revised tests. Test revision differs from test construction in a number of ways. There are external factors that affect the regularity with which a test should be revised. Test revision also involves more role players than test construction, including the opinions of those test users who may be resistant to any change in the previous test edition. Finally, revised tests sometimes have to contend with requirements from the test publisher who purchased the test or distribution rights from the developer. Test revision is expensive and time consuming, which leaves little scope for experimentation or trial-and-error. The availability of expertise, as well as the human and financial resources required to complete test revisionscan make such projects unaffordable, especiallyforprofessionals indeveloping countries, such as South Africa.It may be more feasible for such professionalsto collaborate with international revision projects. By doing so they cangain experience in test revision, contribute indigenous information that could shapethe revision ofan international test, increase opportunities to engage with international users, and potentially source international funding for research in their own country. The current studydevelopeda comprehensive and practical set of 30 guidelines to assist those involved in test revision. These guidelines were peer-reviewed and refined. Finally, the guidelines were field-tested using a case study of a recently revised ivdevelopmentaltest, the Griffiths III. Professionals from South Africa, including the present researcher,formed part of the international team for the extensive revision of the Griffiths III, which makes this test an ideal case study from both the perspectives of the developed test revision guidelines as well as collaboration of professionals from a developing country in an international test revision. The knowledge gainedfrom the development of guidelines and international collaboration in test revision is reflected on.
- Full Text:
- Date Issued: 2020
A system review of higher education admissions testing practices in Israel: implications for South Africa
- Authors: Cronje, Johan Herman
- Date: 2009
- Subjects: Universities and colleges -- South Africa -- Admissions , Universities and colleges -- Israel -- Admissions , Universities and colleges -- Entrance requirements , Educational tests and measurements -- South Africa -- Validity , Education, Higher -- South Africa , Education, Higher -- Israel
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9910 , http://hdl.handle.net/10948/937 , Universities and colleges -- South Africa -- Admissions , Universities and colleges -- Israel -- Admissions , Universities and colleges -- Entrance requirements , Educational tests and measurements -- South Africa -- Validity , Education, Higher -- South Africa , Education, Higher -- Israel
- Description: Internationally, the practice of admissions entry testing in Higher Education (HE) has gained momentum over the past few decades, sparking ongoing research on its effectiveness. On a national level, three factors have signalled a timeous evaluation of admissions practices at HE institutions. Firstly, changes in the school curriculum and the new format of the National Senior Certificate (NSC) have impacted on the admissions criteria of HE institutions. Secondly, with the merging of HE institutions an alignment in admissions practices between the institutions involved were necessitated. Thirdly, South Africa has embarked on the development of National Benchmark Tests (NBTs). The primary aim of this research study was to develop a set of recommendations to guide admissions testing practices in the South African HE context. These recommendations had to place special emphasis on the multicultural and multilingual context of this country. To achieve this aim a systematic review was conducted on HE admissions testing in Israel, as it was identified as a multicultural and multilingual country that had successfully implemented national HE admissions testing. More specifically, a retrospective systematic review was performed on research regarding the national HE admissions test, the Psychometric Entrance Test (PET), used in Israel. The systematic review also contained a narrative overview on the educational landscape in Israel and the specifications of the PET, from which themes were also extracted. Eight broad themes emerged through the systematic review and narrative overview as being of critical importance to an effective national HE admissions test. These were the components of the test, the implementation of the testing programme, the method in which the test results are used to make HE admission decisions, the reliability xi of the test, the validity of the test, bias inherent in the test, other psychometric aspects related to the admissions test, and the effect of coaching or specialized preparation on test results. These themes, together with their sub-components, were used to develop eight recommendations that can guide the development and implementation of the National Benchmark Test (NBTs) in South Africa. Both the themes that emerged during the systematic review and narrative overview as well as the recommendations that were made to guide the development and implementation of a national admission test, represent an important contribution to the field of admission testing and decision-making in South Africa.
- Full Text:
- Date Issued: 2009
- Authors: Cronje, Johan Herman
- Date: 2009
- Subjects: Universities and colleges -- South Africa -- Admissions , Universities and colleges -- Israel -- Admissions , Universities and colleges -- Entrance requirements , Educational tests and measurements -- South Africa -- Validity , Education, Higher -- South Africa , Education, Higher -- Israel
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9910 , http://hdl.handle.net/10948/937 , Universities and colleges -- South Africa -- Admissions , Universities and colleges -- Israel -- Admissions , Universities and colleges -- Entrance requirements , Educational tests and measurements -- South Africa -- Validity , Education, Higher -- South Africa , Education, Higher -- Israel
- Description: Internationally, the practice of admissions entry testing in Higher Education (HE) has gained momentum over the past few decades, sparking ongoing research on its effectiveness. On a national level, three factors have signalled a timeous evaluation of admissions practices at HE institutions. Firstly, changes in the school curriculum and the new format of the National Senior Certificate (NSC) have impacted on the admissions criteria of HE institutions. Secondly, with the merging of HE institutions an alignment in admissions practices between the institutions involved were necessitated. Thirdly, South Africa has embarked on the development of National Benchmark Tests (NBTs). The primary aim of this research study was to develop a set of recommendations to guide admissions testing practices in the South African HE context. These recommendations had to place special emphasis on the multicultural and multilingual context of this country. To achieve this aim a systematic review was conducted on HE admissions testing in Israel, as it was identified as a multicultural and multilingual country that had successfully implemented national HE admissions testing. More specifically, a retrospective systematic review was performed on research regarding the national HE admissions test, the Psychometric Entrance Test (PET), used in Israel. The systematic review also contained a narrative overview on the educational landscape in Israel and the specifications of the PET, from which themes were also extracted. Eight broad themes emerged through the systematic review and narrative overview as being of critical importance to an effective national HE admissions test. These were the components of the test, the implementation of the testing programme, the method in which the test results are used to make HE admission decisions, the reliability xi of the test, the validity of the test, bias inherent in the test, other psychometric aspects related to the admissions test, and the effect of coaching or specialized preparation on test results. These themes, together with their sub-components, were used to develop eight recommendations that can guide the development and implementation of the National Benchmark Test (NBTs) in South Africa. Both the themes that emerged during the systematic review and narrative overview as well as the recommendations that were made to guide the development and implementation of a national admission test, represent an important contribution to the field of admission testing and decision-making in South Africa.
- Full Text:
- Date Issued: 2009
Medication errors in a private hospital closed intensive care unit: a retrospective analysis of process change
- Authors: Cruickshank, Deborah Claire
- Date: 2017
- Subjects: Medication errors
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/15501 , vital:28259
- Description: Healthcare professionals should be concerned about the safety of the patients in their care and the references to patient safety go back as far as the Hippocratic Oath. Study of literature however shows that medical errors are still of concern and the majority of medical errors are medication errors. The aim of the study was to determine whether process changes introduced reduced both the medication prescribing and medication administration errors in the intensive care unit, thereby contributing to an increase in overall patient safety in the intensive care unit. This study retrospectively analysed the effect of the process changes on medication prescribing and administration errors. The research objectives were to: Identify the number and type of prescribing medication errors prior to the implementation of process changes; Identify the number and type of administration medication errors prior to the implementation of process changes; Identify the process changes implemented; o Determine number and type of prescribing medication errors post the implementation of process changes; Determine number and type of administration medication errors post the implementation of process changes; Assess whether the process changes affected the number and type of prescribing medication errors; and o Assess whether the process changes affected the number and type of administration medication errors. In the Phase One (1 November 2013 to 31 January 2014) 534 patient prescription charts for 172 patients were examined. Medication error rates of 57.6% (n=99) of individual patients reviewed and 18.4% of total patient prescription charts reviewed were found. A total of 69 medication prescribing errors were found in Phase One. This equates to an error percentage of 12.9% per patient chart reviewed and 40.1% per patient reviewed. Thirty medication administration errors were identified in Phase One of the study representing 17.4% of patients reviewed and 5.6% of patient prescription charts reviewed. Medication administration errors included both errors of commission, incorrect doses administered, (n=19) and omission, dose missed, (n=11). Process changes were then introduced and the results of these changes analysed in Phase Two (1 April 2014 to 31 December 2014) show an overall reduction in total medication errors with relation to number of patients reviewed from 57.6% in Phase One to 40.5% in Phase Two. In relation to number of prescription charts reviewed the medication error rate in Phase One was 18.4% and in Phase Two 14.4%. Prescribing errors in relation to number of patients reviewed reduced from 40.1% in Phase One to 26.19% in Phase Two. Overall reductions in percentage of errors were seen in all categories of prescribing errors except duplication of therapy which showed a slight increase. Based on the number of patients reviewed a reduction of prescribing errors was seen in the following categories: transcription errors (13.3% to 7.6%), anticoagulant not prescribed when indicated (3.5% to 2.4%), medication safety (5.2% to 2.9%), dose errors (9.3% to 6.6%) and duration of therapy (6.3% to 3.6%). An increase in the duplication of therapy error rate was seen (2.3% to 3.1%). There was also a reduction in administration errors in relation to number of patients reviewed with a total number of errors of 17.4% in Phase One and 15.8% in Phase Two. The number of prescribing errors per medication chart in Phase Two showed a statistically significant reduction (p=.002). A statistically significant reduction was also seen when the number of errors per patient was reviewed (p=.008). The total number of medication administration errors per medication chart showed a significant reduction (p=.042) as did the number of administration errors per patient (p=.003). When combining the total number of medication errors (both prescriobing and administration) a significant reduction was seen for both the number of charts reviewed (p=.001) and the number of patients reviewed (p=.002). These results indicate that the desired goal of increasing patient safety with regard to medication errors has been achieved but ongoing study is required to ensure the sustainability of the process changes.
- Full Text:
- Date Issued: 2017
- Authors: Cruickshank, Deborah Claire
- Date: 2017
- Subjects: Medication errors
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/15501 , vital:28259
- Description: Healthcare professionals should be concerned about the safety of the patients in their care and the references to patient safety go back as far as the Hippocratic Oath. Study of literature however shows that medical errors are still of concern and the majority of medical errors are medication errors. The aim of the study was to determine whether process changes introduced reduced both the medication prescribing and medication administration errors in the intensive care unit, thereby contributing to an increase in overall patient safety in the intensive care unit. This study retrospectively analysed the effect of the process changes on medication prescribing and administration errors. The research objectives were to: Identify the number and type of prescribing medication errors prior to the implementation of process changes; Identify the number and type of administration medication errors prior to the implementation of process changes; Identify the process changes implemented; o Determine number and type of prescribing medication errors post the implementation of process changes; Determine number and type of administration medication errors post the implementation of process changes; Assess whether the process changes affected the number and type of prescribing medication errors; and o Assess whether the process changes affected the number and type of administration medication errors. In the Phase One (1 November 2013 to 31 January 2014) 534 patient prescription charts for 172 patients were examined. Medication error rates of 57.6% (n=99) of individual patients reviewed and 18.4% of total patient prescription charts reviewed were found. A total of 69 medication prescribing errors were found in Phase One. This equates to an error percentage of 12.9% per patient chart reviewed and 40.1% per patient reviewed. Thirty medication administration errors were identified in Phase One of the study representing 17.4% of patients reviewed and 5.6% of patient prescription charts reviewed. Medication administration errors included both errors of commission, incorrect doses administered, (n=19) and omission, dose missed, (n=11). Process changes were then introduced and the results of these changes analysed in Phase Two (1 April 2014 to 31 December 2014) show an overall reduction in total medication errors with relation to number of patients reviewed from 57.6% in Phase One to 40.5% in Phase Two. In relation to number of prescription charts reviewed the medication error rate in Phase One was 18.4% and in Phase Two 14.4%. Prescribing errors in relation to number of patients reviewed reduced from 40.1% in Phase One to 26.19% in Phase Two. Overall reductions in percentage of errors were seen in all categories of prescribing errors except duplication of therapy which showed a slight increase. Based on the number of patients reviewed a reduction of prescribing errors was seen in the following categories: transcription errors (13.3% to 7.6%), anticoagulant not prescribed when indicated (3.5% to 2.4%), medication safety (5.2% to 2.9%), dose errors (9.3% to 6.6%) and duration of therapy (6.3% to 3.6%). An increase in the duplication of therapy error rate was seen (2.3% to 3.1%). There was also a reduction in administration errors in relation to number of patients reviewed with a total number of errors of 17.4% in Phase One and 15.8% in Phase Two. The number of prescribing errors per medication chart in Phase Two showed a statistically significant reduction (p=.002). A statistically significant reduction was also seen when the number of errors per patient was reviewed (p=.008). The total number of medication administration errors per medication chart showed a significant reduction (p=.042) as did the number of administration errors per patient (p=.003). When combining the total number of medication errors (both prescriobing and administration) a significant reduction was seen for both the number of charts reviewed (p=.001) and the number of patients reviewed (p=.002). These results indicate that the desired goal of increasing patient safety with regard to medication errors has been achieved but ongoing study is required to ensure the sustainability of the process changes.
- Full Text:
- Date Issued: 2017
Pharmacists’ perceptions of the effects of the Consumer Protection Act of 2008 on the pharmacy profession in South Africa: an exploratory study
- Authors: Cumberlege, Karin
- Date: 2019
- Subjects: South Africa -- Consumer Protection Act, 2008 , Consumer protection -- Law and legislation -- South Africa Pharmacists -- Legal status, laws, etc. -- South Africa Pharmacy -- Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/38057 , vital:34312
- Description: The pharmacy profession is highly regulated through a number of statutes and codes all of which are devised in the public interest. The Consumer Protection Act, No 68 of 2008 (CPA) is a relatively recent addition to these regulatory measures and purports to protect consumers in their relations with suppliers, which includes the pharmacist-patient relationship. Heightened consumer awareness is increasing litigious consumer behaviour, making it important for pharmacists to be aware of their legal duties as providers of pharmaceutical care to consumers and therefore, to appreciate the potential implications of the CPA. This study aimed to determine South African pharmacists’ perceptions of the potential effect of the CPA on the pharmacy profession. Specific objectives included establishing the extent to which pharmacy law and ethics are incorporated into pharmacy curricula at various tertiary pharmacy institutions. The literature review identified the pharmacy categories providing pharmaceutical care services, whilst investigating medico-legal aspects of such services. Selected consumer rights in the CPA were considered in the context of pharmacists’ ethical obligations to consumers, thereby identifying potential areas of liability for pharmacists. Content and curriculum development pertaining to pharmacy education and training, focusing on pharmacy law and ethics, were assessed. A mixed methods research design was used to achieve the aim of the study. This included focus groups, telephone interviews, and a questionnaire survey amongst registered pharmacists. The themes identified in the focus groups were included in the telephone interviews. Likewise, themes identified from both the focus groups and telephone interviews, were incorporated in the questionnaire survey. The results identified a disparity in pharmacists’ education and training received from the respective tertiary pharmacy institutions. The results showed that pharmacists do not necessarily appreciate the potential implications of the CPA for pharmacists, portending an increased likelihood of liability. This finding also has implications for the training of pharmacists.
- Full Text:
- Date Issued: 2019
- Authors: Cumberlege, Karin
- Date: 2019
- Subjects: South Africa -- Consumer Protection Act, 2008 , Consumer protection -- Law and legislation -- South Africa Pharmacists -- Legal status, laws, etc. -- South Africa Pharmacy -- Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/38057 , vital:34312
- Description: The pharmacy profession is highly regulated through a number of statutes and codes all of which are devised in the public interest. The Consumer Protection Act, No 68 of 2008 (CPA) is a relatively recent addition to these regulatory measures and purports to protect consumers in their relations with suppliers, which includes the pharmacist-patient relationship. Heightened consumer awareness is increasing litigious consumer behaviour, making it important for pharmacists to be aware of their legal duties as providers of pharmaceutical care to consumers and therefore, to appreciate the potential implications of the CPA. This study aimed to determine South African pharmacists’ perceptions of the potential effect of the CPA on the pharmacy profession. Specific objectives included establishing the extent to which pharmacy law and ethics are incorporated into pharmacy curricula at various tertiary pharmacy institutions. The literature review identified the pharmacy categories providing pharmaceutical care services, whilst investigating medico-legal aspects of such services. Selected consumer rights in the CPA were considered in the context of pharmacists’ ethical obligations to consumers, thereby identifying potential areas of liability for pharmacists. Content and curriculum development pertaining to pharmacy education and training, focusing on pharmacy law and ethics, were assessed. A mixed methods research design was used to achieve the aim of the study. This included focus groups, telephone interviews, and a questionnaire survey amongst registered pharmacists. The themes identified in the focus groups were included in the telephone interviews. Likewise, themes identified from both the focus groups and telephone interviews, were incorporated in the questionnaire survey. The results identified a disparity in pharmacists’ education and training received from the respective tertiary pharmacy institutions. The results showed that pharmacists do not necessarily appreciate the potential implications of the CPA for pharmacists, portending an increased likelihood of liability. This finding also has implications for the training of pharmacists.
- Full Text:
- Date Issued: 2019
Employee Assistance Program (EAP) as a context for social work practice placement
- Authors: Cummings, Nicki
- Date: 2017
- Subjects: Social service -- Fieldwork -- South Africa Social work education -- South Africa , Employee assistance programs -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15314 , vital:28218
- Description: The Bachelor of Social Work degree is a four year course consisting of classroom and field practicum training. In 2013, the Automotive Information and Development Centre (AIDC) and Nelson Mandela Metropolitan University agreed upon placing fourth year social work students within the Employee Assistance Programs affiliated with the AIDC. The research goal of this study is to enhance an understanding of Employee Assistance Programs (EAP) as a context for practicum training for (4th) fourth year social work students by exploring and describing the perceptions and experiences of students, campus supervisors and EAP company representatives. In this respect, the study seeks to determine whether EAP provides the opportunity to meet the Exit Level Outcomes for the Bachelor of Social Work degree. This study is focussed on the practical application of social work knowledge and skills; it is framed within the principles of the Outcomes Based Educational Approach to Education. It was thus considered relevant to introduce a literature review on this particular approach with the focus on the achievement of outcomes. In order to understand whether EAP is an effective learning context the researcher needed to understand how students apply the experience and bridge the gap between theory and practice to gain meaning and understanding and, essentially, learn from the practicum training experience thus further enhancing the framework. The experiential learning cycle presented by Kolb (1984) extended the framework to provide an appropriate model for facilitating learning by linking practice to theory and knowledge. Kolb’s experiential learning cycle was thus explored. The study utilised an exploratory, descriptive, qualitative approach, which is contextual in nature. Non-probability, purposive sampling was utilised to select fourth year social work students, supervisors and company representatives who were involved with EAPs and fourth year social work students at their company. Data collection incorporated semi-structured interviews. Data analysis resulted in themes, sub-themes, categories and sub-categories emerging. Upon analysis of these themes, it was clear that with the appropriate support and creativity, students were able to meet the required Exit Level Outcomes of the Bachelor of Social Work degree. The study concludes that the overall the experience of fourth year social work students placed at EAP companies has been a positive one, with students meeting the Exit Level Outcomes for the Bachelor of Social Work degree. Although this was a positive experience, greater preparation is required and communication between the relevant parties needs to be improved.
- Full Text:
- Date Issued: 2017
- Authors: Cummings, Nicki
- Date: 2017
- Subjects: Social service -- Fieldwork -- South Africa Social work education -- South Africa , Employee assistance programs -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15314 , vital:28218
- Description: The Bachelor of Social Work degree is a four year course consisting of classroom and field practicum training. In 2013, the Automotive Information and Development Centre (AIDC) and Nelson Mandela Metropolitan University agreed upon placing fourth year social work students within the Employee Assistance Programs affiliated with the AIDC. The research goal of this study is to enhance an understanding of Employee Assistance Programs (EAP) as a context for practicum training for (4th) fourth year social work students by exploring and describing the perceptions and experiences of students, campus supervisors and EAP company representatives. In this respect, the study seeks to determine whether EAP provides the opportunity to meet the Exit Level Outcomes for the Bachelor of Social Work degree. This study is focussed on the practical application of social work knowledge and skills; it is framed within the principles of the Outcomes Based Educational Approach to Education. It was thus considered relevant to introduce a literature review on this particular approach with the focus on the achievement of outcomes. In order to understand whether EAP is an effective learning context the researcher needed to understand how students apply the experience and bridge the gap between theory and practice to gain meaning and understanding and, essentially, learn from the practicum training experience thus further enhancing the framework. The experiential learning cycle presented by Kolb (1984) extended the framework to provide an appropriate model for facilitating learning by linking practice to theory and knowledge. Kolb’s experiential learning cycle was thus explored. The study utilised an exploratory, descriptive, qualitative approach, which is contextual in nature. Non-probability, purposive sampling was utilised to select fourth year social work students, supervisors and company representatives who were involved with EAPs and fourth year social work students at their company. Data collection incorporated semi-structured interviews. Data analysis resulted in themes, sub-themes, categories and sub-categories emerging. Upon analysis of these themes, it was clear that with the appropriate support and creativity, students were able to meet the required Exit Level Outcomes of the Bachelor of Social Work degree. The study concludes that the overall the experience of fourth year social work students placed at EAP companies has been a positive one, with students meeting the Exit Level Outcomes for the Bachelor of Social Work degree. Although this was a positive experience, greater preparation is required and communication between the relevant parties needs to be improved.
- Full Text:
- Date Issued: 2017
Degradation of Paracetamol and other constituents in Perfalgan®: subtitle if needed. If no subtitle follow instructions in manual
- Authors: Curran,Catherine
- Date: 2014
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3165 , vital:43181
- Description: Abstract text. 5.1 Background Paracetamol (acetaminophen) is useful for the treatment of mild to moderate pain as well as being opiate–sparing. In recent years the problem of poor solubility of paracetamol in water has been overcome and an intravenous formulation of paracetamol developed. In South Africa this is marketed by Bristol-Myers Squibb as Perfalgan®. Each 500 mg or 1g ampoule of Perfalgan® is recommended for single use only and is to be discarded once opened (Medicines.org, n.d.). This is most likely due to concerns about degradation of paracetamol or other ingredients in the solution once exposed to air and sterility issues. However in South Africa where this drug is expensive, some centers use one ampoule for multiple cases over the course of 12-24 hours. No obvious clinical adverse effects have been reported. 5.2 Objective of study The aim of this study was to examine the practice of using a single vial of Perfalgan® in divided doses over the course of a day for different patients by way of assessing the stability of Perfalgan® on exposure to air. The study has three components, namely: 1. In vitro assessment of paracetamol levels on exposure to air and stressors over time. 2. In vitro assessment of levels of the excipients, namely mannitol and cysteine on exposure to air and stressors over time. 3. Assessment of the lipid permeability of paracetamol in Perfalgan® on exposure to air and stressors over time. C Curran 2014 Degradation of paracetamol and other constituents in Perfalgan® 8 5.3 Methodology High performance liquid chromatography (HPCL-UV) was used to determine the concentration of paracetamol and the presence of degradation products in samples taken at set time periods following exposure of Perfalgan® to air and stressors. Initial work was done using pure paracetamol to determine optimal measurement conditions prior to analysing Perfalgan®. The concentrations of the additives and their degradation products were measured using nuclear magnetic resonance (1 H NMR). Appreciable changes in these could indicate a safety hazard or decreased bioavailability. Finally ultraviolet spectroscopy was performed to assess samples at a wider spectrum of wavelengths, instead of the single wavelength used in HPLC. This was used to assess for degradation products which absorb at different wavelengths and therefore may be missed if HPLC was used alone. Ultraviolet spectroscopy was also used to test bioavailability of the drug via the octanol:water partition coefficient under stressed and unstressed conditions. 5.4 Results The paracetamol in Perfalgan® did not degrade on exposure to air over 24 hours. Neither did it degrade on exposure to acid, alkali, oxidative or heat stress. The HPLC retention time was constantly between 3.17-3.29 minutes. 1 H NMR revealed no change in the formulation of Perfalgan® except for the conversion of the oxygen scavenger cysteine to cystine. The octanol:water partition coefficient likewise stayed constant and was in agreement with the value of 0.46-0.49 quoted in the literature (International Programme on Chemical Safety, 2008; McNeil Consumer Healthcare, 2010). 5.5 Conclusion The paracetamol in Perfalgan® did not degrade on exposure to air and other stressors over 24 hours. The formulation as Perfalgan® was likewise found to be stable. The drug retained its lipid permeability over this period. , Thesis (MMED) -- Faculty of Health Sciences, 2014
- Full Text:
- Date Issued: 2014
- Authors: Curran,Catherine
- Date: 2014
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3165 , vital:43181
- Description: Abstract text. 5.1 Background Paracetamol (acetaminophen) is useful for the treatment of mild to moderate pain as well as being opiate–sparing. In recent years the problem of poor solubility of paracetamol in water has been overcome and an intravenous formulation of paracetamol developed. In South Africa this is marketed by Bristol-Myers Squibb as Perfalgan®. Each 500 mg or 1g ampoule of Perfalgan® is recommended for single use only and is to be discarded once opened (Medicines.org, n.d.). This is most likely due to concerns about degradation of paracetamol or other ingredients in the solution once exposed to air and sterility issues. However in South Africa where this drug is expensive, some centers use one ampoule for multiple cases over the course of 12-24 hours. No obvious clinical adverse effects have been reported. 5.2 Objective of study The aim of this study was to examine the practice of using a single vial of Perfalgan® in divided doses over the course of a day for different patients by way of assessing the stability of Perfalgan® on exposure to air. The study has three components, namely: 1. In vitro assessment of paracetamol levels on exposure to air and stressors over time. 2. In vitro assessment of levels of the excipients, namely mannitol and cysteine on exposure to air and stressors over time. 3. Assessment of the lipid permeability of paracetamol in Perfalgan® on exposure to air and stressors over time. C Curran 2014 Degradation of paracetamol and other constituents in Perfalgan® 8 5.3 Methodology High performance liquid chromatography (HPCL-UV) was used to determine the concentration of paracetamol and the presence of degradation products in samples taken at set time periods following exposure of Perfalgan® to air and stressors. Initial work was done using pure paracetamol to determine optimal measurement conditions prior to analysing Perfalgan®. The concentrations of the additives and their degradation products were measured using nuclear magnetic resonance (1 H NMR). Appreciable changes in these could indicate a safety hazard or decreased bioavailability. Finally ultraviolet spectroscopy was performed to assess samples at a wider spectrum of wavelengths, instead of the single wavelength used in HPLC. This was used to assess for degradation products which absorb at different wavelengths and therefore may be missed if HPLC was used alone. Ultraviolet spectroscopy was also used to test bioavailability of the drug via the octanol:water partition coefficient under stressed and unstressed conditions. 5.4 Results The paracetamol in Perfalgan® did not degrade on exposure to air over 24 hours. Neither did it degrade on exposure to acid, alkali, oxidative or heat stress. The HPLC retention time was constantly between 3.17-3.29 minutes. 1 H NMR revealed no change in the formulation of Perfalgan® except for the conversion of the oxygen scavenger cysteine to cystine. The octanol:water partition coefficient likewise stayed constant and was in agreement with the value of 0.46-0.49 quoted in the literature (International Programme on Chemical Safety, 2008; McNeil Consumer Healthcare, 2010). 5.5 Conclusion The paracetamol in Perfalgan® did not degrade on exposure to air and other stressors over 24 hours. The formulation as Perfalgan® was likewise found to be stable. The drug retained its lipid permeability over this period. , Thesis (MMED) -- Faculty of Health Sciences, 2014
- Full Text:
- Date Issued: 2014
A journey with an abused child : a non-directive play therapy perspective
- Authors: Currin, Lisa Natalie
- Date: 2006
- Subjects: Play therapy -- South Africa , Child sexual abuse -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9847 , http://hdl.handle.net/10948/434 , Play therapy -- South Africa , Child sexual abuse -- South Africa -- Psychological aspects
- Description: The extensive amount of research conducted in the field of family violence internationally indicates that child abuse has a detrimental effect on both the physical and emotional development of children as well as having a profound effect on an individual’s psychological development and functioning in adult life. The aim of this research study was to describe the therapeutic process that unfolded with a seven year old allegedly abused female client within the framework of non-directive play therapy. The case was further contextualised utilising Erik Erikson’s theory of psychosocial development. This study served to broaden the body of psychotherapeutic knowledge by means of meaningful qualitative enquiry. The client was referred for therapy because of severe emotional and behavioural problems following the alleged sexual abuse. The client was seen over a period of eight months and this included 11 sessions of non-directive play therapy, three parent interviews and psychometric assessments conducted by a colleague. The case study method was utilised in this study. To achieve the aim of the research, the methodology of choice was the descriptive dialogic case study. A purposive sampling technique was used in the selection of the research subject for this study. The data collection and analysis were conducted according to Yin’s (1994) analytical generalisation, which consists of two main strategies: (a) using a theoretical framework as a guide to determine what data is relevant; and (b) developing a matrix as a descriptive framework for organising and integrating the data. Furthermore, the process of data analysis was aided by the use of guidelines proposed by Irving Alexander (1988) with Axline’s non-directive play therapy and Erikson’s theory of psychosocial development as the theoretical frameworks. The findings of this study suggest that plotting the play therapy sessions according to the framework of the four stages of play therapy was a particularly useful tool to monitor Michelle’s progression through the therapeutic process. This can be seen as a valuable application of a tool which can be used within the non-directive play therapy approach. Contextualising Michelle’s development according to the stages of Erikson’s theory of psychosocial development was also found to be a valuable endeavour. According to her chronological age, Michelle should have been in the fourth stage of industry versus inferiority, but in reality Michelle was still struggling to strike a healthy balance between the terms of conflict of trust versus mistrust issues of the first stage. From a therapeutic point, this was an important exercise as it helped to inform the therapist and consequently, the therapeutic process. This research undertaking can be recognised as a positive demonstration of the value of non-directive play therapy (Virginia Axline) and Erik Erikson’s theory of psychosocial development in the therapeutic process. In addition, this study has served to facilitate a more holistic understanding of the case study approach to research. Recommendations regarding future research undertakings that utilise the case study approach and methodology have been made. Key concepts: child abuse; family violence; non-directive play therapy; Erik Erikson’s theory of psychosocial development; analytical generalisation; case study research.
- Full Text:
- Date Issued: 2006
- Authors: Currin, Lisa Natalie
- Date: 2006
- Subjects: Play therapy -- South Africa , Child sexual abuse -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9847 , http://hdl.handle.net/10948/434 , Play therapy -- South Africa , Child sexual abuse -- South Africa -- Psychological aspects
- Description: The extensive amount of research conducted in the field of family violence internationally indicates that child abuse has a detrimental effect on both the physical and emotional development of children as well as having a profound effect on an individual’s psychological development and functioning in adult life. The aim of this research study was to describe the therapeutic process that unfolded with a seven year old allegedly abused female client within the framework of non-directive play therapy. The case was further contextualised utilising Erik Erikson’s theory of psychosocial development. This study served to broaden the body of psychotherapeutic knowledge by means of meaningful qualitative enquiry. The client was referred for therapy because of severe emotional and behavioural problems following the alleged sexual abuse. The client was seen over a period of eight months and this included 11 sessions of non-directive play therapy, three parent interviews and psychometric assessments conducted by a colleague. The case study method was utilised in this study. To achieve the aim of the research, the methodology of choice was the descriptive dialogic case study. A purposive sampling technique was used in the selection of the research subject for this study. The data collection and analysis were conducted according to Yin’s (1994) analytical generalisation, which consists of two main strategies: (a) using a theoretical framework as a guide to determine what data is relevant; and (b) developing a matrix as a descriptive framework for organising and integrating the data. Furthermore, the process of data analysis was aided by the use of guidelines proposed by Irving Alexander (1988) with Axline’s non-directive play therapy and Erikson’s theory of psychosocial development as the theoretical frameworks. The findings of this study suggest that plotting the play therapy sessions according to the framework of the four stages of play therapy was a particularly useful tool to monitor Michelle’s progression through the therapeutic process. This can be seen as a valuable application of a tool which can be used within the non-directive play therapy approach. Contextualising Michelle’s development according to the stages of Erikson’s theory of psychosocial development was also found to be a valuable endeavour. According to her chronological age, Michelle should have been in the fourth stage of industry versus inferiority, but in reality Michelle was still struggling to strike a healthy balance between the terms of conflict of trust versus mistrust issues of the first stage. From a therapeutic point, this was an important exercise as it helped to inform the therapist and consequently, the therapeutic process. This research undertaking can be recognised as a positive demonstration of the value of non-directive play therapy (Virginia Axline) and Erik Erikson’s theory of psychosocial development in the therapeutic process. In addition, this study has served to facilitate a more holistic understanding of the case study approach to research. Recommendations regarding future research undertakings that utilise the case study approach and methodology have been made. Key concepts: child abuse; family violence; non-directive play therapy; Erik Erikson’s theory of psychosocial development; analytical generalisation; case study research.
- Full Text:
- Date Issued: 2006
Adult circumcision practices of traditional surgeons and nurses in relation to the initiates’ health outcomes/morbidity in the Eastern Cape
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
Developing a protocol for campus health service professional nurses to manage students with mental distress
- Authors: Dalton, Linda Louise
- Date: 2010
- Subjects: College students -- Mental health , College students -- Mental health services , Nurses -- Mental health , Distress (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10030 , http://hdl.handle.net/10948/1303 , College students -- Mental health , College students -- Mental health services , Nurses -- Mental health , Distress (Psychology)
- Description: Professional nurses working at a campus health service have to cope with challenges such as staff shortages and budgetary constraints associated with working in a complex environment providing primary health care. The aim of primary health care includes promoting health, preventing disease and the early detection and treatment of illness. Mental health services form an integral part of the integrated primary health care package as implemented in the campus health service. Students attend the Campus Health Service for help related to their health. Health care is provided by professional nurses and counsellors through a comprehensive primary health care service which serves students as well as staff. Some students may state that they experience feelings of being stressed or depressed. Other students may complain of physical symptoms such as headache or upper backache. Upon further investigation emotional problems may be identified as the cause of the psychosomatic symptoms. The professional nurses working in the campus health service verbalised that it is sometimes difficult to identify a mental illness or mental distress as there is no effective assessment tool that they can use. Management of conditions is also problematic as there are no protocols indicating the therapeutic interventions that can be taken. The research question in this study was therefore: What information should be included in a protocol to assess and manage a student experiencing mental distress that can be used by professional nurses working in a Campus Health Service? The aim of this study is to develop a mental health care protocol for campus health service professional nurses to assess and manage university students who are experiencing mental distress. The research design of this study was qualitative, explorative, descriptive, explanatory and contextual. In this study the Delphi research technique was used to create an instrument to standardise mental health care in a campus health service. The Delphi technique is a series of sequential questionnaires or “rounds” interspersed with controlled feedback that seeks to gain the most reliable consensus of opinion of a group of experts. A questionnaire was developed based on an extensive literature review. The research population of this study consisted of two groups: professional nurses with knowledge of student health care needs and expert psychiatric nurses. The study was conducted at the Campus Health Service at a university in the Eastern Cape. The data collection and analysis was done utilising the Delphi technique. Trustworthiness was ensured by using the Lincoln and Guba Model utilising the criteria of credibility, applicability, dependability and conformability. In this study the ethical principles of beneficence, non-maleficence, justice and self determination were applied to ensure that participants are treated with respect and consideration and ensured high ethical standards. Informed consent was obtained from the participants in this study. The findings of this research were utilised to assist the researcher in developing a protocol for mental health care of students in campus health service settings.
- Full Text:
- Date Issued: 2010
- Authors: Dalton, Linda Louise
- Date: 2010
- Subjects: College students -- Mental health , College students -- Mental health services , Nurses -- Mental health , Distress (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10030 , http://hdl.handle.net/10948/1303 , College students -- Mental health , College students -- Mental health services , Nurses -- Mental health , Distress (Psychology)
- Description: Professional nurses working at a campus health service have to cope with challenges such as staff shortages and budgetary constraints associated with working in a complex environment providing primary health care. The aim of primary health care includes promoting health, preventing disease and the early detection and treatment of illness. Mental health services form an integral part of the integrated primary health care package as implemented in the campus health service. Students attend the Campus Health Service for help related to their health. Health care is provided by professional nurses and counsellors through a comprehensive primary health care service which serves students as well as staff. Some students may state that they experience feelings of being stressed or depressed. Other students may complain of physical symptoms such as headache or upper backache. Upon further investigation emotional problems may be identified as the cause of the psychosomatic symptoms. The professional nurses working in the campus health service verbalised that it is sometimes difficult to identify a mental illness or mental distress as there is no effective assessment tool that they can use. Management of conditions is also problematic as there are no protocols indicating the therapeutic interventions that can be taken. The research question in this study was therefore: What information should be included in a protocol to assess and manage a student experiencing mental distress that can be used by professional nurses working in a Campus Health Service? The aim of this study is to develop a mental health care protocol for campus health service professional nurses to assess and manage university students who are experiencing mental distress. The research design of this study was qualitative, explorative, descriptive, explanatory and contextual. In this study the Delphi research technique was used to create an instrument to standardise mental health care in a campus health service. The Delphi technique is a series of sequential questionnaires or “rounds” interspersed with controlled feedback that seeks to gain the most reliable consensus of opinion of a group of experts. A questionnaire was developed based on an extensive literature review. The research population of this study consisted of two groups: professional nurses with knowledge of student health care needs and expert psychiatric nurses. The study was conducted at the Campus Health Service at a university in the Eastern Cape. The data collection and analysis was done utilising the Delphi technique. Trustworthiness was ensured by using the Lincoln and Guba Model utilising the criteria of credibility, applicability, dependability and conformability. In this study the ethical principles of beneficence, non-maleficence, justice and self determination were applied to ensure that participants are treated with respect and consideration and ensured high ethical standards. Informed consent was obtained from the participants in this study. The findings of this research were utilised to assist the researcher in developing a protocol for mental health care of students in campus health service settings.
- Full Text:
- Date Issued: 2010
Registered nurses' experiences of working with patients diagnosed with substance-induced psychosis in a tertiary psychiatric hospital
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
- Authors: Damane, Brenda
- Date: 2019
- Subjects: Psychiatric nursing , Psychiatry Psychoses -- Treatment Substance abuse -- Treatment -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/39457 , vital:35250
- Description: Illicit drug use is common among patients with mental health difficulties. Illicit drug use is common among patients with mental health difficulties. Psychiatric inpatient services often must provide care for people with mental health difficulties who use prohibited drugs. Admissions to an acute care hospital in the Eastern Cape are done daily, with as many as eight admissions per day. Statistics show that a significant percentage of these admissions are of patients with substance-induced psychosis. These patients are acutely mentally ill and may present with symptoms such as hearing voices, delusions, verbal, or physical aggression where they attack staff and other patients and being restless. Patients with a diagnosis of substance-induced psychosis are difficult to take care of due to their behaviour associated with the above symptoms. These patients are also young and because they are psychotic, they make the acute wards unruly, making it difficult to nurse them. The following research question arises from the above-mentioned problem: What are the experiences of registered nurses working in a tertiary psychiatric hospital with patients admitted with a diagnosis of substance-induced psychosis? The goal of this study is to explore and describe the experiences of registered nurses working in a tertiary psychiatric hospital when caring for patients admitted with substance-induced psychosis. The researcher used a qualitative, exploratory, descriptive, and contextual design. The research population consisted of registered nurses working at a tertiary psychiatric hospital. Purposive sampling was used to identify participants. Data was collected by means of one-to-one interviews and field notes. Data was analysed using Tesch’s model of content analysis to reduce the information to themes or categories. The researcher used Guba’s model of trustworthiness to evaluate the study’s rigour. The researcher also used the three fundamental ethical principles which include: the principle of respect for persons, the principle of beneficence and non-maleficence, and the principle of justice to guide the researcher during the research process. Four main themes with subthemes emerged from the study. The study showed that registered nurses working in a psychiatric hospital found it difficult to nurse patients with substance-induced psychosis. These difficulties included the characteristics these patients presented with, the ward not being conducive to nursing substanceinduced psychotic patients, which resulted in registered nurses feeling emotionally drained when nursing these patients. Recommendations were made as an effort to help registered nurses cope better in caring for substance-induced psychotic patients and prevent staff from experiencing burnout.
- Full Text:
- Date Issued: 2019
The experience and aftermath of chronic bullying on individuals' socio-emotional development
- Authors: Darney, Christine Kyle
- Date: 2009
- Subjects: Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9885 , http://hdl.handle.net/10948/1214 , Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Description: Bullying behaviour is fast becoming a common feature in schools around the world. It is a practice that provokes concern, as it infringes upon the child’s right to human dignity, privacy, freedom and security. The physical, emotional and educational consequences of bullying behaviour can never be underestimated (Oyaziwo, 2008). Limited research has been conducted in South Africa regarding the prevalence and possible long-term effects of chronic bullying at school. This study intended to explore and describe the prevalence of bullying behaviour among a sample of grade 8 learners and the prevalence of previous chronic bullying at school among a sample of young adults in the Nelson Mandela Metropole. In addition, the study aimed to explore and describe the relationship between chronic bullying at school and self-esteem and attachment styles. Finally, the contextual factors which may influence the outcomes of chronic bullying for victims were explored and described. The study was exploratory descriptive in nature and employed a mixed method research design. Participants were selected by means of non-probability sampling. The sample consisted of 225 grade 8 learners at a secondary school in the Nelson Mandela Metropole and 101 young adult participants who had completed their school education in the Nelson Mandela Metropole within the past sixteen years. Data on the demographics of the sample was gathered through the administration of a biographical questionnaire. Furthermore, the Olweus (1996) Bully/Victim Questionnaire was utilized in order to obtain information about the prevalence of bullying behaviours among the participants. James Battle’s (1981) Culture-Free Self-Esteem Inventories were used to measure the construct of self-esteem, and Bartholomew and Horowitz’ (1991) Relationship Questionnaire was employed in order to identify the participants’ current attachment styles. Individual semi-structured interviews were later conducted among a sub-set of young adult participants, who had experienced chronic bullying at school, in order to identify the contextual factors which may have influenced the xiii outcomes of their experiences of victimization. Descriptive and inferential statistics, including correlations and multivariate analysis of variance (ANOVA), were utilized in order to analyze the quantitative data. Key findings revealed that eighty-five percent of the grade 8 participants had been involved in bullying behaviours at school this year and ninety-one percent of the young adult participants had been involved in bullying behaviours during some stage of their school careers. No significant relationship was found to exist between bullying and self-esteem in the grade 8 sample. Self-esteem scores did however vary significantly among the victims, bully-victims and bystanders in the young adult sample. Correlational coefficients confirmed that there was a significant relationship between previous chronic bullying at school and the total self-esteem scores of participants in the young adult sample. Findings also showed that there was no significant relationship between bullying and attachment in either of the samples in this study. Finally, qualitative results revealed that a number of contextual factors influenced the outcomes of chronic bullying at school for the sub-set of young adult victims. These factors included: The nature, frequency and duration of the bullying behaviour, the victims’ social support at the time as well as the victims’ personal characteristics.
- Full Text:
- Date Issued: 2009
- Authors: Darney, Christine Kyle
- Date: 2009
- Subjects: Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9885 , http://hdl.handle.net/10948/1214 , Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Description: Bullying behaviour is fast becoming a common feature in schools around the world. It is a practice that provokes concern, as it infringes upon the child’s right to human dignity, privacy, freedom and security. The physical, emotional and educational consequences of bullying behaviour can never be underestimated (Oyaziwo, 2008). Limited research has been conducted in South Africa regarding the prevalence and possible long-term effects of chronic bullying at school. This study intended to explore and describe the prevalence of bullying behaviour among a sample of grade 8 learners and the prevalence of previous chronic bullying at school among a sample of young adults in the Nelson Mandela Metropole. In addition, the study aimed to explore and describe the relationship between chronic bullying at school and self-esteem and attachment styles. Finally, the contextual factors which may influence the outcomes of chronic bullying for victims were explored and described. The study was exploratory descriptive in nature and employed a mixed method research design. Participants were selected by means of non-probability sampling. The sample consisted of 225 grade 8 learners at a secondary school in the Nelson Mandela Metropole and 101 young adult participants who had completed their school education in the Nelson Mandela Metropole within the past sixteen years. Data on the demographics of the sample was gathered through the administration of a biographical questionnaire. Furthermore, the Olweus (1996) Bully/Victim Questionnaire was utilized in order to obtain information about the prevalence of bullying behaviours among the participants. James Battle’s (1981) Culture-Free Self-Esteem Inventories were used to measure the construct of self-esteem, and Bartholomew and Horowitz’ (1991) Relationship Questionnaire was employed in order to identify the participants’ current attachment styles. Individual semi-structured interviews were later conducted among a sub-set of young adult participants, who had experienced chronic bullying at school, in order to identify the contextual factors which may have influenced the xiii outcomes of their experiences of victimization. Descriptive and inferential statistics, including correlations and multivariate analysis of variance (ANOVA), were utilized in order to analyze the quantitative data. Key findings revealed that eighty-five percent of the grade 8 participants had been involved in bullying behaviours at school this year and ninety-one percent of the young adult participants had been involved in bullying behaviours during some stage of their school careers. No significant relationship was found to exist between bullying and self-esteem in the grade 8 sample. Self-esteem scores did however vary significantly among the victims, bully-victims and bystanders in the young adult sample. Correlational coefficients confirmed that there was a significant relationship between previous chronic bullying at school and the total self-esteem scores of participants in the young adult sample. Findings also showed that there was no significant relationship between bullying and attachment in either of the samples in this study. Finally, qualitative results revealed that a number of contextual factors influenced the outcomes of chronic bullying at school for the sub-set of young adult victims. These factors included: The nature, frequency and duration of the bullying behaviour, the victims’ social support at the time as well as the victims’ personal characteristics.
- Full Text:
- Date Issued: 2009
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
Experiences of midwives caring for mothers who have lost their babies at birth
- Authors: Dasi, Peggy
- Date: 2016
- Subjects: Obstetrics , Midwives , Perinatal death -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/9000 , vital:26454
- Description: Midwives working in labour wards usually have the pleasure of delivering a live baby and rejoicing with the mother. However, the delivery could become tragic for the mothers and midwives when the baby dies at birth due to pregnancy related complications. The result is that midwives have to render care and support to mothers who have lost their babies at birth. The objectives of this study were to explore and describe the experiences of midwives caring for mothers who have lost their babies at birth. A qualitative explorative, descriptive and contextual design was used to conduct this research study to gain an understanding of how the midwives experienced caring for mothers who have lost their babies at birth. A purposive criterion based non-probability sampling method was used. Ten semi-structured face-to-face interviews were conducted to collect data. Ethical considerations were observed throughout the research study. Measures of trustworthiness were ensured by using credibility, transferability, dependability and conformability. Data analysis was done using Tesch’s method to make sense out of text and data. Four themes were identified, namely, Midwives shared their diverse experiences relating to caring for mothers who have lost their babies at birth; Midwives expressed how their personal values and beliefs influenced the ways they dealt with babies dying at birth; Midwives described the organizational values and beliefs related to death and dying and how this influences their own experiences and lastly Midwives provided suggestions regarding how they can be assisted in caring for mothers who have lost their babies at birth. Two main guidelines were developed based on the research findings and literature. The study concludes with recommendations made with regard to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2016
- Authors: Dasi, Peggy
- Date: 2016
- Subjects: Obstetrics , Midwives , Perinatal death -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/9000 , vital:26454
- Description: Midwives working in labour wards usually have the pleasure of delivering a live baby and rejoicing with the mother. However, the delivery could become tragic for the mothers and midwives when the baby dies at birth due to pregnancy related complications. The result is that midwives have to render care and support to mothers who have lost their babies at birth. The objectives of this study were to explore and describe the experiences of midwives caring for mothers who have lost their babies at birth. A qualitative explorative, descriptive and contextual design was used to conduct this research study to gain an understanding of how the midwives experienced caring for mothers who have lost their babies at birth. A purposive criterion based non-probability sampling method was used. Ten semi-structured face-to-face interviews were conducted to collect data. Ethical considerations were observed throughout the research study. Measures of trustworthiness were ensured by using credibility, transferability, dependability and conformability. Data analysis was done using Tesch’s method to make sense out of text and data. Four themes were identified, namely, Midwives shared their diverse experiences relating to caring for mothers who have lost their babies at birth; Midwives expressed how their personal values and beliefs influenced the ways they dealt with babies dying at birth; Midwives described the organizational values and beliefs related to death and dying and how this influences their own experiences and lastly Midwives provided suggestions regarding how they can be assisted in caring for mothers who have lost their babies at birth. Two main guidelines were developed based on the research findings and literature. The study concludes with recommendations made with regard to areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2016
A psychobiographical study of William Wilberforce
- Authors: Daubermann, Bettina Pamela
- Date: 2013
- Subjects: Personality development
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9966 , http://hdl.handle.net/10948/d1020857 , http://hdl.handle.net/10948/d1021085
- Description: The proposed study is of a psychobiographical nature and employs a qualitative research approach. The individual that forms the subject of this study is William Wilberforce. A social activist most of his life, Wilberforce is best known for his voice and works behind the abolition of the slave trade in 1807 and the abolition of slavery in 1833. His ambitious nature, social eloquence and verbal intellect resulted in him being elected as a member of parliament in the House of Commons in England during the period 1780 to 1825. Transformed by the Christian faith in 1885, Wilberforce came to the realization he had received a calling from God to speak up for those who could not with a specific task set out before him which was to abolish slavery. It was the purpose of the present research to explore and describe Wilberforce’s psychological development across his life-span according to Carl Rogers’ (1961) personality theory of optimal development. Salient aspects of Wilberforce’s life were related and compared to components of the theory so as to explore and describe the degree of optimal development that Wilberforce reached at different points in his life and whether he could be described as a fully functioning person. According to Rogers’ theory William Wilberforce was chosen as the research subject for his historical contribution to mankind by his devotion to the moral enhancement of his country.
- Full Text:
- Date Issued: 2013
- Authors: Daubermann, Bettina Pamela
- Date: 2013
- Subjects: Personality development
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9966 , http://hdl.handle.net/10948/d1020857 , http://hdl.handle.net/10948/d1021085
- Description: The proposed study is of a psychobiographical nature and employs a qualitative research approach. The individual that forms the subject of this study is William Wilberforce. A social activist most of his life, Wilberforce is best known for his voice and works behind the abolition of the slave trade in 1807 and the abolition of slavery in 1833. His ambitious nature, social eloquence and verbal intellect resulted in him being elected as a member of parliament in the House of Commons in England during the period 1780 to 1825. Transformed by the Christian faith in 1885, Wilberforce came to the realization he had received a calling from God to speak up for those who could not with a specific task set out before him which was to abolish slavery. It was the purpose of the present research to explore and describe Wilberforce’s psychological development across his life-span according to Carl Rogers’ (1961) personality theory of optimal development. Salient aspects of Wilberforce’s life were related and compared to components of the theory so as to explore and describe the degree of optimal development that Wilberforce reached at different points in his life and whether he could be described as a fully functioning person. According to Rogers’ theory William Wilberforce was chosen as the research subject for his historical contribution to mankind by his devotion to the moral enhancement of his country.
- Full Text:
- Date Issued: 2013
Experience-based lessons from males in the northern areas of Port Elizabeth on factors that has protected them from becoming involved in gangsterism
- Authors: Davids, Desira Julie-Anne
- Date: 2018
- Subjects: Gang prevention -- South Africa -- Port Elizabeth , Youth -- South Africa -- Port Elizabeth -- Social conditions , Social work with youth -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/21994 , vital:29810
- Description: Limited research exists, both internationally and in the South African context, on factors protecting community members from becoming involved in gangsterism. This phenomenon has been found to be more prevalent in so-called ‘coloured’ communities and predominantly amongst males. Existing research on gangsterism mainly focus on the history and origin of gangsterism, risk factors that cause certain youth to be more vulnerable in becoming involved in gangs, and specific interventions aimed at curbing the phenomenon. The proposed study therefore aimed to explore and describe the experience-based lessons from selected males on factors that have protected them from becoming involved in gangsterism. The study employed a qualitative research approach that was explorative, descriptive and contextual in design. Participants were chosen through a purposive sampling technique and data was collected using semi-structured interviews. The trustworthiness of the research process and the findings was enhanced by employing a variety of data verification strategies. The study utilised the Ecological Systems and Resilience models as theoretical lenses. The study found that the benefits of family support, influence of faith or religion, positive role models and opportunities for furthering one’s education could be cited amongst the factors that protected participants from becoming involved in gangsterism. Amongst the recommendations of the study was lobbying for tertiary education specifically for young boys from previously disadvantaged communities plagued by social ills such as gangsterism, the restoration of disintegrated family units through the assistance of professionals, as well as the restoration and strengthening of the role of spiritual leaders in their involvement in the moral regeneration of communities. It is anticipated that findings of this study will be helpful in understanding the factors that protected males from becoming involved in gangsterism and make recommendations on how these protective factors could be strengthened so as to prevent more males from becoming involved in gangsterism.
- Full Text:
- Date Issued: 2018
- Authors: Davids, Desira Julie-Anne
- Date: 2018
- Subjects: Gang prevention -- South Africa -- Port Elizabeth , Youth -- South Africa -- Port Elizabeth -- Social conditions , Social work with youth -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/21994 , vital:29810
- Description: Limited research exists, both internationally and in the South African context, on factors protecting community members from becoming involved in gangsterism. This phenomenon has been found to be more prevalent in so-called ‘coloured’ communities and predominantly amongst males. Existing research on gangsterism mainly focus on the history and origin of gangsterism, risk factors that cause certain youth to be more vulnerable in becoming involved in gangs, and specific interventions aimed at curbing the phenomenon. The proposed study therefore aimed to explore and describe the experience-based lessons from selected males on factors that have protected them from becoming involved in gangsterism. The study employed a qualitative research approach that was explorative, descriptive and contextual in design. Participants were chosen through a purposive sampling technique and data was collected using semi-structured interviews. The trustworthiness of the research process and the findings was enhanced by employing a variety of data verification strategies. The study utilised the Ecological Systems and Resilience models as theoretical lenses. The study found that the benefits of family support, influence of faith or religion, positive role models and opportunities for furthering one’s education could be cited amongst the factors that protected participants from becoming involved in gangsterism. Amongst the recommendations of the study was lobbying for tertiary education specifically for young boys from previously disadvantaged communities plagued by social ills such as gangsterism, the restoration of disintegrated family units through the assistance of professionals, as well as the restoration and strengthening of the role of spiritual leaders in their involvement in the moral regeneration of communities. It is anticipated that findings of this study will be helpful in understanding the factors that protected males from becoming involved in gangsterism and make recommendations on how these protective factors could be strengthened so as to prevent more males from becoming involved in gangsterism.
- Full Text:
- Date Issued: 2018
First and second born twins: a comparative study utilizing the Graffiths mental development scales - extended revised
- Authors: Davidson, Gabrielle
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9921 , http://hdl.handle.net/10948/669 , Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Description: Despite the concept of twins and twinning being a highly explored area of research for many years, limited research has been conducted on the comparison of first and second born twin development. The nature of twins leads people to believe that twins will present with similar characteristics, however, this study explores the possibility that due to their ordinal position they could in fact present with differing characteristics and could differ developmentally. The early holistic development of a child influences the rest of their lives. Concerning twins, the development of individuality and self-knowledge is especially important. Theorists, such as Piaget (1950), propose that child development takes place in stages and that although the order in which children proceed through these stages is the same, the pace at which this takes place can vary. The necessity of monitoring the child’s journey through these stages highlights the value of child developmental assessment. This form of assessment needs to be holistic, needs to involve a multidisciplinary team of professionals and needs to utilize assessment measures that are valid, reliable, culture-fair and standardized. The Griffiths Mental Development Scales-Extended Revised (GMDS-ER) is one such measure. This study, focusing on twin development, aimed to contribute and provide valuable information to a larger research project that is currently under way aiming to increase the applicability of the Griffiths Mental Development Scales-Extended Revised (GMDS-ER) in the South African context. The primary aim of the study, however, was to explore and compare the performance of normal first born and second born twins, aged between 2 and 8 years 4 months old, on the GMDS-ER. The purpose of the study was to generate information on the relationship between first born twins’ general development and second born twins’ general development. An exploratory, descriptive quantitative design was used. Participants were selected through a combination of non-probability purposive, convenience and snowball sampling. Data was analysed using descriptive statistics and dependent sample t-tests were employed to compare the General Quotients (GQ’s) of the first and second born twins in the sample. Results showed that no significant differences were found between the first and second born twins’ general development. Information generated from this study contributed to 1) child development research; 2) twin developmental research within a South African context; and 3) a greater group of studies on the GMDS-ER, currently underway in the United Kingdom and South Africa, aiming to contribute to the international credibility of this measure
- Full Text:
- Date Issued: 2008
- Authors: Davidson, Gabrielle
- Date: 2008
- Subjects: Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9921 , http://hdl.handle.net/10948/669 , Griffiths Scales of Mental Development , Twins -- Intelligence testing -- South Africa , Preschool children -- Intelligence testing -- South Africa , Mental development -- Testing , Psychological tests for children
- Description: Despite the concept of twins and twinning being a highly explored area of research for many years, limited research has been conducted on the comparison of first and second born twin development. The nature of twins leads people to believe that twins will present with similar characteristics, however, this study explores the possibility that due to their ordinal position they could in fact present with differing characteristics and could differ developmentally. The early holistic development of a child influences the rest of their lives. Concerning twins, the development of individuality and self-knowledge is especially important. Theorists, such as Piaget (1950), propose that child development takes place in stages and that although the order in which children proceed through these stages is the same, the pace at which this takes place can vary. The necessity of monitoring the child’s journey through these stages highlights the value of child developmental assessment. This form of assessment needs to be holistic, needs to involve a multidisciplinary team of professionals and needs to utilize assessment measures that are valid, reliable, culture-fair and standardized. The Griffiths Mental Development Scales-Extended Revised (GMDS-ER) is one such measure. This study, focusing on twin development, aimed to contribute and provide valuable information to a larger research project that is currently under way aiming to increase the applicability of the Griffiths Mental Development Scales-Extended Revised (GMDS-ER) in the South African context. The primary aim of the study, however, was to explore and compare the performance of normal first born and second born twins, aged between 2 and 8 years 4 months old, on the GMDS-ER. The purpose of the study was to generate information on the relationship between first born twins’ general development and second born twins’ general development. An exploratory, descriptive quantitative design was used. Participants were selected through a combination of non-probability purposive, convenience and snowball sampling. Data was analysed using descriptive statistics and dependent sample t-tests were employed to compare the General Quotients (GQ’s) of the first and second born twins in the sample. Results showed that no significant differences were found between the first and second born twins’ general development. Information generated from this study contributed to 1) child development research; 2) twin developmental research within a South African context; and 3) a greater group of studies on the GMDS-ER, currently underway in the United Kingdom and South Africa, aiming to contribute to the international credibility of this measure
- Full Text:
- Date Issued: 2008
The nature and incidence of fast bowling injuries at an elite, junior level and the associated risk factors
- Authors: Davies, Roxanne
- Date: 2008
- Subjects: Cricket injuries , Cricket -- Bowling , Cricket injuries -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10098 , http://hdl.handle.net/10948/660 , Cricket injuries , Cricket -- Bowling , Cricket injuries -- Prevention
- Description: Fast bowlers are especially prone to injury as they perform their bowling techniques repetitively at very high intensities. The fast bowling action in the past has been described as a highly explosive activity that produces high levels of stress and strain on the body. The aim of this study was to compile an injury profile of 46 fast bowlers aged 11 to 18, and to identify the associated risk factors for injury during an academy cricket season. A descriptive correlational research design was utilised. Subjects were selected according to age and fast bowling ability. These subjects were observed for one academy cricket season (March to November). Three testing sessions occurred during this time (T1, T2 and T3). Each subject completed two questionnaires: i) bowler history (at T1) and ii) injury history (at T1, T2, and T3). These assisted in grouping the subjects according to their responses into one of three injury classifications (uninjured = S1; injured but able to play = S2; injured and unable to play = S3). Anthropometric and postural data for the entire group of fast bowlers were also collected pre-season (T1). Physical fitness screenings were also conducted during each of the three testing sessions to establish any relationship between the fitness of each fast bowler and the occurrence of injuries. Additional factors assessed during the season were bowling techniques and bowling workload. Statistical significance was indicated by p-values less than .05 (p< .05), while practical significance was indicated by either Cohen’s d-values of 0.2 or better (d>0.2) for tests based on sample means or Cramer’s V for tests based on sample frequencies, the values of which depend on the applicable degrees of freedom. All fitness scores as well as bowling workload figures for each testing session were converted to standard T-scores and these in turn were summated to derive overall fitness and workload T-scores. ‘TT’ indicated the overall average score for the entire season. Changes in performances, bowling workload and injury status were analysed using ANOVA and ANCOVA. A regression analysis was also conducted to analyse the relationship between bowling workload and weeks incapacitated. This study found that hyperextension in the knees had the highest incidence of postural deviation injury (43 percent) followed by winged scapula (39 percent). Only 15 percent of the fast bowlers remained injury-free for the duration of the season, while 35 percent of the subjects were at some stage injured to such an extent that they were unable to play. The incidence of serious injury (S3) showed a statistical and moderate practical (V=0.23, d.f. ≥2) significant increase throughout the data collection period (4 percent at T1 to 30 percent at T3). The most common injury was to the knee (41 percent) followed by those to the lower back (37 percent). These injuries occurred mostly during test periods T2 and T3. The nature of injuries were predominantly strains and "other" which accounted for 39 percent of the injuries overall (TT) and had the highest reported incidence during the period T1 to T3. Sprains followed with an overall incidence of 14 percent. Less frequently reported injuries were tears, fractures, bruises and dislocations. The degree of severity of injuries was defined in terms of the number of weeks a player reported being incapacitated as a result of injury during the academy session. During midand end-season bowlers were on average incapacitated approximately one week out of every five due to injury. The statistics for the duration of the study translate to approximately one week incapacitated out of every seven weeks of play. When comparing the S1/S2 bowlers with the S3 group, the S1/S2 bowlers performed consistently better than the S3 bowlers in all the fitness variables tested. However no significant differences (p>.05) in either flexibility or muscle strength were observed. Of the risk factors analysed, bowling workload presented a statistically significant (p<.0005) increased risk for injury. A strong significant positive relationship (p<.0005, R²=.619) was found between weeks incapacitated and bowling workload, supporting the finding that increased bowling workloads show a linear relationship with the increase in the number of weeks incapacitated from normal play. This study concluded that inadequate fitness, high bowling workload and bowling technique all have a multi-factorial role in predisposing a bowler to increased risk for injury. These variables did not act alone, but have all contributed to recurring injuries. The bowling action alone would not have been detrimental if the workloads were not in excess of the recommended guidelines. Furthermore the workload would not have been as detrimental if the bowlers were well conditioned and uninjured. Management of minor injuries and adequate recovery time, coupled with adequate and relevant fitness preparation would better prepare fast bowlers for the demands of the game.
- Full Text:
- Date Issued: 2008
- Authors: Davies, Roxanne
- Date: 2008
- Subjects: Cricket injuries , Cricket -- Bowling , Cricket injuries -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10098 , http://hdl.handle.net/10948/660 , Cricket injuries , Cricket -- Bowling , Cricket injuries -- Prevention
- Description: Fast bowlers are especially prone to injury as they perform their bowling techniques repetitively at very high intensities. The fast bowling action in the past has been described as a highly explosive activity that produces high levels of stress and strain on the body. The aim of this study was to compile an injury profile of 46 fast bowlers aged 11 to 18, and to identify the associated risk factors for injury during an academy cricket season. A descriptive correlational research design was utilised. Subjects were selected according to age and fast bowling ability. These subjects were observed for one academy cricket season (March to November). Three testing sessions occurred during this time (T1, T2 and T3). Each subject completed two questionnaires: i) bowler history (at T1) and ii) injury history (at T1, T2, and T3). These assisted in grouping the subjects according to their responses into one of three injury classifications (uninjured = S1; injured but able to play = S2; injured and unable to play = S3). Anthropometric and postural data for the entire group of fast bowlers were also collected pre-season (T1). Physical fitness screenings were also conducted during each of the three testing sessions to establish any relationship between the fitness of each fast bowler and the occurrence of injuries. Additional factors assessed during the season were bowling techniques and bowling workload. Statistical significance was indicated by p-values less than .05 (p< .05), while practical significance was indicated by either Cohen’s d-values of 0.2 or better (d>0.2) for tests based on sample means or Cramer’s V for tests based on sample frequencies, the values of which depend on the applicable degrees of freedom. All fitness scores as well as bowling workload figures for each testing session were converted to standard T-scores and these in turn were summated to derive overall fitness and workload T-scores. ‘TT’ indicated the overall average score for the entire season. Changes in performances, bowling workload and injury status were analysed using ANOVA and ANCOVA. A regression analysis was also conducted to analyse the relationship between bowling workload and weeks incapacitated. This study found that hyperextension in the knees had the highest incidence of postural deviation injury (43 percent) followed by winged scapula (39 percent). Only 15 percent of the fast bowlers remained injury-free for the duration of the season, while 35 percent of the subjects were at some stage injured to such an extent that they were unable to play. The incidence of serious injury (S3) showed a statistical and moderate practical (V=0.23, d.f. ≥2) significant increase throughout the data collection period (4 percent at T1 to 30 percent at T3). The most common injury was to the knee (41 percent) followed by those to the lower back (37 percent). These injuries occurred mostly during test periods T2 and T3. The nature of injuries were predominantly strains and "other" which accounted for 39 percent of the injuries overall (TT) and had the highest reported incidence during the period T1 to T3. Sprains followed with an overall incidence of 14 percent. Less frequently reported injuries were tears, fractures, bruises and dislocations. The degree of severity of injuries was defined in terms of the number of weeks a player reported being incapacitated as a result of injury during the academy session. During midand end-season bowlers were on average incapacitated approximately one week out of every five due to injury. The statistics for the duration of the study translate to approximately one week incapacitated out of every seven weeks of play. When comparing the S1/S2 bowlers with the S3 group, the S1/S2 bowlers performed consistently better than the S3 bowlers in all the fitness variables tested. However no significant differences (p>.05) in either flexibility or muscle strength were observed. Of the risk factors analysed, bowling workload presented a statistically significant (p<.0005) increased risk for injury. A strong significant positive relationship (p<.0005, R²=.619) was found between weeks incapacitated and bowling workload, supporting the finding that increased bowling workloads show a linear relationship with the increase in the number of weeks incapacitated from normal play. This study concluded that inadequate fitness, high bowling workload and bowling technique all have a multi-factorial role in predisposing a bowler to increased risk for injury. These variables did not act alone, but have all contributed to recurring injuries. The bowling action alone would not have been detrimental if the workloads were not in excess of the recommended guidelines. Furthermore the workload would not have been as detrimental if the bowlers were well conditioned and uninjured. Management of minor injuries and adequate recovery time, coupled with adequate and relevant fitness preparation would better prepare fast bowlers for the demands of the game.
- Full Text:
- Date Issued: 2008
Exploring the relationship between intergroup contact and anti-gay prejudice amongst heterosexual South African students
- Authors: De Beer, Hannari
- Date: 2018
- Subjects: Intergroup relations -- South Africa -- Students , Prejudices -- South Africa -- Psychological aspects -- Students Stereotypes (Social psychology) -- South Africa -- Students Homosexuality -- South Africa -- Psychological aspects -- Students Interpersonal relations -- South Africa -- Students
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/21972 , vital:29808
- Description: Throughout history gay men have experienced oppression in the form of harassment, violence and discrimination and in South Africa it is no different (Brouard et al., 2016; OUT, 2016). According to the contact hypothesis, intergroup contact has shown to be one of the most successful ways to reduce prejudice and improve attitudes towards an outgroup (i.e. a group that you do not identify yourself with; Allport, 1954; Pettigrew & Tropp, 2006). Therefore, this study investigated whether positive intergroup contact plays a role in improving attitudes, and lessening prejudice towards gay men in South Africa by exploring the relationship between intergroup contact with gay men amongst heterosexual South African students and anti-gay prejudice. Furthermore, this study aimed to get a better understanding of how this process operates by exploring whether two affective mediators, namely intergroup anxiety and empathy, mediates the contact-prejudice relationship. A quantitative, cross-sectional research design was used where participants completed an online questionnaire (N = 125). The findings from the present study indicate that contact with gay men amongst heterosexual students at a South African University positively and significantly predicted more positive attitudes towards gay men in general. Moreover, the results show that decreased intergroup anxiety and increased intergroup empathy fully mediates the relationship between intergroup contact and anti-gay prejudice. This research contributes to the body of contact literature in South Africa and could offer practical means for interventions that aim to reduce prejudice and improve attitudes towards gay men.
- Full Text:
- Date Issued: 2018
- Authors: De Beer, Hannari
- Date: 2018
- Subjects: Intergroup relations -- South Africa -- Students , Prejudices -- South Africa -- Psychological aspects -- Students Stereotypes (Social psychology) -- South Africa -- Students Homosexuality -- South Africa -- Psychological aspects -- Students Interpersonal relations -- South Africa -- Students
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/21972 , vital:29808
- Description: Throughout history gay men have experienced oppression in the form of harassment, violence and discrimination and in South Africa it is no different (Brouard et al., 2016; OUT, 2016). According to the contact hypothesis, intergroup contact has shown to be one of the most successful ways to reduce prejudice and improve attitudes towards an outgroup (i.e. a group that you do not identify yourself with; Allport, 1954; Pettigrew & Tropp, 2006). Therefore, this study investigated whether positive intergroup contact plays a role in improving attitudes, and lessening prejudice towards gay men in South Africa by exploring the relationship between intergroup contact with gay men amongst heterosexual South African students and anti-gay prejudice. Furthermore, this study aimed to get a better understanding of how this process operates by exploring whether two affective mediators, namely intergroup anxiety and empathy, mediates the contact-prejudice relationship. A quantitative, cross-sectional research design was used where participants completed an online questionnaire (N = 125). The findings from the present study indicate that contact with gay men amongst heterosexual students at a South African University positively and significantly predicted more positive attitudes towards gay men in general. Moreover, the results show that decreased intergroup anxiety and increased intergroup empathy fully mediates the relationship between intergroup contact and anti-gay prejudice. This research contributes to the body of contact literature in South Africa and could offer practical means for interventions that aim to reduce prejudice and improve attitudes towards gay men.
- Full Text:
- Date Issued: 2018