An intervention for high-risk type 2 diabetic clients during preconception and internatal in re-engineering of primary health care
- Authors: Ngoma, Siphokazi Amanda
- Date: 2018
- Subjects: Diabetes Diabetes Mellitus, Type 2
- Language: English
- Type: Thesis , Masters , (MCur) Nursing
- Identifier: http://hdl.handle.net/10353/10199 , vital:35375
- Description: The South African disease profile has changed significantly and has increasing prevalence of overweight and obesity in relation to body mass index. Type 2 diabetes mellitus is greatly associated with increased body mass index and poses a great health concern for women of childbearing age. Complications of type 2 diabetes mellitus in pregnancy has life-threatening for the mother and baby. South African women have a tendency of avoiding and neglecting routine screening before pregnancy, that is part of preconception care or internatal care. The aim of the study sought to identify women of childbearing age with predisposing factors of type 2 diabetes, in order to intervene, using a lifestyle modification to delay and prevent the occurrence of type 2 diabetes. A quantitative intervention study using parallel group randomized control trials was used. One hundred and forty-six women of childbearing age (18-45 years) were recruited and assigned to either control (n=73 + 9) or experimental group (n=73 +9). using a computer software randomizer application to avoid bias in selection of participants by the researcher. Both groups received health education from the researcher and the dietician from hospital. The control group had no intervention done, whereas the experimental group attended physical activity sessions which were administered by a hired lay coach. The findings showed that both groups are at risk of developing type 2 diabetes although they both groups lose weight. The weight loss of the control group was owed to education during recruitment. Vegetable consumption was minimal to the younger age group than the older age groups. Waist circumference above 105cm consumed less vegetables, a higher waist circumference is associated with insulin resistance. There was also minimal exercises and knowledge about the preconception care. Diabetes prevention is vital for the women of childbearing age as it affects both mother and child. The study recommends lifestyle modification (exercise and healthy diet) to prevent and delay of type 2 diabetes and gestational diabetes mellitus. The study also recommends Preconception care and Re- engineering of Primary health care uses community health care workers for screening high risk women during home visits.
- Full Text:
- Date Issued: 2018
- Authors: Ngoma, Siphokazi Amanda
- Date: 2018
- Subjects: Diabetes Diabetes Mellitus, Type 2
- Language: English
- Type: Thesis , Masters , (MCur) Nursing
- Identifier: http://hdl.handle.net/10353/10199 , vital:35375
- Description: The South African disease profile has changed significantly and has increasing prevalence of overweight and obesity in relation to body mass index. Type 2 diabetes mellitus is greatly associated with increased body mass index and poses a great health concern for women of childbearing age. Complications of type 2 diabetes mellitus in pregnancy has life-threatening for the mother and baby. South African women have a tendency of avoiding and neglecting routine screening before pregnancy, that is part of preconception care or internatal care. The aim of the study sought to identify women of childbearing age with predisposing factors of type 2 diabetes, in order to intervene, using a lifestyle modification to delay and prevent the occurrence of type 2 diabetes. A quantitative intervention study using parallel group randomized control trials was used. One hundred and forty-six women of childbearing age (18-45 years) were recruited and assigned to either control (n=73 + 9) or experimental group (n=73 +9). using a computer software randomizer application to avoid bias in selection of participants by the researcher. Both groups received health education from the researcher and the dietician from hospital. The control group had no intervention done, whereas the experimental group attended physical activity sessions which were administered by a hired lay coach. The findings showed that both groups are at risk of developing type 2 diabetes although they both groups lose weight. The weight loss of the control group was owed to education during recruitment. Vegetable consumption was minimal to the younger age group than the older age groups. Waist circumference above 105cm consumed less vegetables, a higher waist circumference is associated with insulin resistance. There was also minimal exercises and knowledge about the preconception care. Diabetes prevention is vital for the women of childbearing age as it affects both mother and child. The study recommends lifestyle modification (exercise and healthy diet) to prevent and delay of type 2 diabetes and gestational diabetes mellitus. The study also recommends Preconception care and Re- engineering of Primary health care uses community health care workers for screening high risk women during home visits.
- Full Text:
- Date Issued: 2018
Factors contributing to non-adherence in HIV positive patients on antiretroviral treatment in primary health care facilities, East London, Eastern Cape
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa Patient compliance HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur.
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa Patient compliance HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur.
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
Association between maternal health status and birth outcomes in the Nelson Mandela Bay Health District
- Authors: Hawkins, Althea Anita
- Date: 2018
- Subjects: Birth weight, Low -- Nelson Mandela Bay Municipality , Birth weight Premature infants
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30039 , vital:30812
- Description: In 2011, the South African low birth weight rates varied between 9% and 15.5%, according to different sources. This means that about one out of every ten babies born alive weighed less than 2500g. Furthermore, six of South Africa’s nine provinces, including the Eastern Cape, reported low birth weight rates equal or higher than the national average. These figures raise serious concerns about the health status of infants, their chances of survival and their quality of life, particularly in provinces with a high incidence of low birth weight. Literature has linked the maternal health status to adverse birth outcomes. Statistics from the district office of the Nelson Mandela Bay Health District (NMBHD) indicates that for the fourth quarter of 2015, between 16.65 and 20.9% low birth weight infants were born. However, limited information is available regarding the causes and maternal health status of the mothers of the infants born with adverse birth outcomes in the Nelson Mandela Bay Health District (NMBHD). The objective of the research study is to investigate the associations between maternal health status and birth outcomes in order to identify the major drivers of adverse birth outcomes in NMBHD. The study used a quantitative research approach. In order to enhance the design, the researcher used an explorative, descriptive, cross-sectional, contextual and survey research design. The study was conducted at the regional hospital in Nelson Mandela Bay Health District (NMBHD) and Midwifery Obstetric Units (MOU). The participants were selected using a convenient and purposive sampling technique. A structured, self-administered questionnaire was used as the data collection tool. A statistician assisted with the data analysis. Descriptive and inferential statistics were used. The researcher ensured that ethical considerations were maintained throughout the study to protect the participants. Reliability and validity were also ensured throughout the study. The total sample of the study was 207 and the mean age of the participants was 26,9 years. Hypertension and HIV were the conditions most diagnosed prior to, and during, pregnancy. Most of the delivered infants were females. The findings of the study revealed a significant association between maternal diabetes, maternal hypertension and the infants’ birth weight. Additional findings iv revealed that independent of gestational age, mothers with hypertension are likely to deliver low birth weight (LBW) infants. Antenatal care is of the utmost importance during pregnancy and special attention should be given to the management of hypertension. The researcher developed recommendations for primary health care (PHC) nurses in antenatal clinics (ANC) to address the management of the major maternal drivers of LBW infants in order to decrease and prevent adverse birth outcomes.
- Full Text:
- Date Issued: 2018
- Authors: Hawkins, Althea Anita
- Date: 2018
- Subjects: Birth weight, Low -- Nelson Mandela Bay Municipality , Birth weight Premature infants
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/30039 , vital:30812
- Description: In 2011, the South African low birth weight rates varied between 9% and 15.5%, according to different sources. This means that about one out of every ten babies born alive weighed less than 2500g. Furthermore, six of South Africa’s nine provinces, including the Eastern Cape, reported low birth weight rates equal or higher than the national average. These figures raise serious concerns about the health status of infants, their chances of survival and their quality of life, particularly in provinces with a high incidence of low birth weight. Literature has linked the maternal health status to adverse birth outcomes. Statistics from the district office of the Nelson Mandela Bay Health District (NMBHD) indicates that for the fourth quarter of 2015, between 16.65 and 20.9% low birth weight infants were born. However, limited information is available regarding the causes and maternal health status of the mothers of the infants born with adverse birth outcomes in the Nelson Mandela Bay Health District (NMBHD). The objective of the research study is to investigate the associations between maternal health status and birth outcomes in order to identify the major drivers of adverse birth outcomes in NMBHD. The study used a quantitative research approach. In order to enhance the design, the researcher used an explorative, descriptive, cross-sectional, contextual and survey research design. The study was conducted at the regional hospital in Nelson Mandela Bay Health District (NMBHD) and Midwifery Obstetric Units (MOU). The participants were selected using a convenient and purposive sampling technique. A structured, self-administered questionnaire was used as the data collection tool. A statistician assisted with the data analysis. Descriptive and inferential statistics were used. The researcher ensured that ethical considerations were maintained throughout the study to protect the participants. Reliability and validity were also ensured throughout the study. The total sample of the study was 207 and the mean age of the participants was 26,9 years. Hypertension and HIV were the conditions most diagnosed prior to, and during, pregnancy. Most of the delivered infants were females. The findings of the study revealed a significant association between maternal diabetes, maternal hypertension and the infants’ birth weight. Additional findings iv revealed that independent of gestational age, mothers with hypertension are likely to deliver low birth weight (LBW) infants. Antenatal care is of the utmost importance during pregnancy and special attention should be given to the management of hypertension. The researcher developed recommendations for primary health care (PHC) nurses in antenatal clinics (ANC) to address the management of the major maternal drivers of LBW infants in order to decrease and prevent adverse birth outcomes.
- Full Text:
- Date Issued: 2018
Black South African men’s adjustment to divorce: a divorce-stress-adjustment model
- Muchena, Kudakwashe Christopher
- Authors: Muchena, Kudakwashe Christopher
- Date: 2018
- Subjects: Divorce -- Psychological aspects , Social psychology Men -- Psychology
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/50121 , vital:42048
- Description: The decision to divorce marks a turning point for each individual involved. It can be viewed as more than just a legal process. From a psychological perspective, it does not matter who initiated the divorce, it always comes with emotional ramifications for all those involved. Statistically there is a high rate of divorce in South Africa and there have been significant shifts in trends over time. However, black South African men’s experience of, action in, and adjustment to divorce has been relatively neglected in the divorce research, yet it is important for understanding contemporary social arrangements and processes, as well as for broadening the understanding of black South African men’s lives. How black South African men describe their situations and respond to marital dissolution may point to their positions in the gender-structured community and to how they interpret the nature of social practice, marriages, divorce and their position in society. The present study aimed at exploring black South African men’s experience of, and adjustment to, divorce. More specifically, the study developed a divorce-stress-adjustment model for divorced black South African men. The theoretical framework underpinning this study was that of Symbolic Interactionism that was complemented and enhanced by Erikson’s Psychosocial Theory, focusing specifically on identity development in adulthood. This was a qualitative study using an Interpretative Phenomenological Analysis (IPA) as both the research design and data analytic theory and process. The eight participants were volunteers who were recruited purposively. In accordance with IPA guidelines, data for the study was collected using biographical questionnaires and semi-structured interviews. The emerging themes were grouped into four superordinate themes, that is, pre-divorce experiences, experiencing divorce, adjustment process and post-divorce experience. Each superordinate theme had corresponding subordinate themes and subthemes. The themes were then used to develop the divorce-stress adjustment model indicating that the experience of divorce is an interconnected process. Weed’s recommendations for interpretative synthesis of interview data were used.
- Full Text:
- Date Issued: 2018
- Authors: Muchena, Kudakwashe Christopher
- Date: 2018
- Subjects: Divorce -- Psychological aspects , Social psychology Men -- Psychology
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/50121 , vital:42048
- Description: The decision to divorce marks a turning point for each individual involved. It can be viewed as more than just a legal process. From a psychological perspective, it does not matter who initiated the divorce, it always comes with emotional ramifications for all those involved. Statistically there is a high rate of divorce in South Africa and there have been significant shifts in trends over time. However, black South African men’s experience of, action in, and adjustment to divorce has been relatively neglected in the divorce research, yet it is important for understanding contemporary social arrangements and processes, as well as for broadening the understanding of black South African men’s lives. How black South African men describe their situations and respond to marital dissolution may point to their positions in the gender-structured community and to how they interpret the nature of social practice, marriages, divorce and their position in society. The present study aimed at exploring black South African men’s experience of, and adjustment to, divorce. More specifically, the study developed a divorce-stress-adjustment model for divorced black South African men. The theoretical framework underpinning this study was that of Symbolic Interactionism that was complemented and enhanced by Erikson’s Psychosocial Theory, focusing specifically on identity development in adulthood. This was a qualitative study using an Interpretative Phenomenological Analysis (IPA) as both the research design and data analytic theory and process. The eight participants were volunteers who were recruited purposively. In accordance with IPA guidelines, data for the study was collected using biographical questionnaires and semi-structured interviews. The emerging themes were grouped into four superordinate themes, that is, pre-divorce experiences, experiencing divorce, adjustment process and post-divorce experience. Each superordinate theme had corresponding subordinate themes and subthemes. The themes were then used to develop the divorce-stress adjustment model indicating that the experience of divorce is an interconnected process. Weed’s recommendations for interpretative synthesis of interview data were used.
- Full Text:
- Date Issued: 2018
Perceptions, knowledge and attitudes of women towards maternal deaths at Qaukeni Sub-district in OR Tambo Health District in Eastern Cape Province, South Africa
- Authors: Mayekiso, Nomahlubi Dorcas
- Date: 2018
- Subjects: Maternal health services--South Africa--Eastern Cape Mothers--Mortality
- Language: English
- Type: Thesis , Masters , Public Health
- Identifier: http://hdl.handle.net/10353/11194 , vital:37203
- Description: BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions.
- Full Text:
- Date Issued: 2018
- Authors: Mayekiso, Nomahlubi Dorcas
- Date: 2018
- Subjects: Maternal health services--South Africa--Eastern Cape Mothers--Mortality
- Language: English
- Type: Thesis , Masters , Public Health
- Identifier: http://hdl.handle.net/10353/11194 , vital:37203
- Description: BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions.
- Full Text:
- Date Issued: 2018
The role of empathy in emotionally intelligent leadership: an integrative review
- Greyling, Candice, De Jager, Marina
- Authors: Greyling, Candice , De Jager, Marina
- Date: 2018
- Subjects: Emotional intelligence -- Leadership
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22123 , vital:29842
- Description: Empathy is regarded as a fundamental interpersonal skill. Interpersonal skills are the life skills that we make use of every day to communicate and interact with other people, both individually and in groups. In this study, empathy is given prominence as a component of emotional intelligence. The concept emotional intelligence has enjoyed great popularity in recent years. In this study leadership denotes any person in a leadership position within an organisation. Extensive research has been done on the impact of emotional intelligence on organisations and leadership. Therefore, the aim of this study is to critically analyse the available evidence and to provide a clear review and synthesis of the role that empathy plays in emotionally intelligent leadership. The methodology used in this study will be that of an integrative review. An integrative review summarises the best-quality empirical evidence of the benefits and limitations of a specific practice to provide recommendations for future research. Data to be reviewed include articles in scholarly journals, books, theses and computerised databases. International and national literature involving both quantitative and qualitative research studies will be reviewed. As both qualitative and quantitative research studies will be of focus in this integrative review, rigour in both research methods was considered. The reviewer also considered four ethical considerations, namely: quality, transparency, honesty and plagiarism.
- Full Text:
- Date Issued: 2018
- Authors: Greyling, Candice , De Jager, Marina
- Date: 2018
- Subjects: Emotional intelligence -- Leadership
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22123 , vital:29842
- Description: Empathy is regarded as a fundamental interpersonal skill. Interpersonal skills are the life skills that we make use of every day to communicate and interact with other people, both individually and in groups. In this study, empathy is given prominence as a component of emotional intelligence. The concept emotional intelligence has enjoyed great popularity in recent years. In this study leadership denotes any person in a leadership position within an organisation. Extensive research has been done on the impact of emotional intelligence on organisations and leadership. Therefore, the aim of this study is to critically analyse the available evidence and to provide a clear review and synthesis of the role that empathy plays in emotionally intelligent leadership. The methodology used in this study will be that of an integrative review. An integrative review summarises the best-quality empirical evidence of the benefits and limitations of a specific practice to provide recommendations for future research. Data to be reviewed include articles in scholarly journals, books, theses and computerised databases. International and national literature involving both quantitative and qualitative research studies will be reviewed. As both qualitative and quantitative research studies will be of focus in this integrative review, rigour in both research methods was considered. The reviewer also considered four ethical considerations, namely: quality, transparency, honesty and plagiarism.
- Full Text:
- Date Issued: 2018
A model of support for divorced professional nurses in the Eastern Cape, South Africa
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
- Full Text:
- Date Issued: 2018
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
- Full Text:
- Date Issued: 2018
Effects of an integrated movement programme on motor proficiency, visual motor integration and scholastic achievement in grade one learners of quintile five primary schools in Port Elizabeth
- Authors: Lister, Cassandra
- Date: 2018
- Subjects: Perceptual-motor learning , Motor ability in children -- South Africa -- Port Elizabeth Self-perception in children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22442 , vital:29970
- Description: Globally, the association between physical fitness, motor proficiency and scholastic achievement has been well researched. However, information concerning the effectiveness of integrated movement programmes in children from various socio-economic disparities, is less well studied. A lack of studies exists on the relationship between perceptual-motor development and scholastic performance in literacy and numeracy in children from low-middle income countries such as in sub-Saharan Africa. Thus, the need exists for educational movement programme implementation in developing countries based on studies of good methodological design, to allow early prevention, identification and rectification of apparent motor deficits in young children. Purpose (Aim): To investigate effects of an integrated movement programme in the classroom setting on motor proficiency, visual-motor integration and scholastic achievement of grade one learners between the ages of six- to nine-years-old in quintile five primary schools in Port Elizabeth. A quasi-experimental research design was used to evaluate the selected dependent variables at baseline assessment on 45 grade one learners from an experimental-and control group in quintile five schools in Port Elizabeth. There were two intervention periods that consisted of a pre-existing classroom-based integrated movement programme (NeuroNet) administered by an internationally accredited teacher to the experimental group. Each intervention period coincided with school terms three and four in 2017 and were a minimum of four weeks long. Pre-test and post-test assessments for all three dependent variables were done at the beginning and end of each term respectively. The learners participated in the integrated movement programme five days per week for 20-minute duration in the classroom. The main two standardised, reliable and valid test batteries used to measure motor proficiency and visual-motor integration were the Bruininks-Oseretsky Test of Motor Proficiency Brief Form (BOT-2 Brief Form) and the Beery-Buktenica Developmental Test of Visual-Motor Integration Full Form sixth edition (Beery VMI). The Beery VMI contained two sub-tests the Beery VMI Visual Perception Test (VMI-VP), and the Beery VMI Motor Coordination Test (VMI-MC), which measured the participants’ visual perception and motor coordination. Scholastic achievement was measured using four domains of the participants’ school reports: numeracy, reading, writing and total scholastic achievement scores. Purposive sampling was used to obtain participants from quintile five primary schools whose principals voluntarily provided consent to undertake the study. Data was collected by trained research assistants and the sole researcher. The Statistica for Windows (StatSoft Incorporated; 2014) software package was used for data analysis. Descriptive data analysis included the means (M) and standard deviations (SD) as measures of central tendency and distribution. Independent t-tests determined between-group differences and the level of significance was set at p<0.05. The magnitude (effect size) of pre-post-intervention differences for both groups was calculated for all variables as Cohen’s d statistic. Subsequent interpretation categories were d<0.20 (insignificant effect), 0.20≤d<0.50 (small effect), 0.50≤d<0.80 (medium effect) and d≥0.80 (large effect) (Gravetter & Wallnau, 2009). The experimental group had statistically significant (p<0.05) higher initial mean values for motor proficiency, visual perception, the reading, writing and total scholastic achievement domains. Motor proficiency showed a mean increase of 10.62±13.97 (24% improvement) in the experimental group compared to a mean increase of 9.63±13.26 (8% improvement) in the control group. A significant final mean between-group difference in motor proficiency was found post-intervention (Diff=16.70, t(43)=3.70, p=0.001; Cohen’s d=1.11: large effect size). Visual-motor integration showed a mean decrease of 5.38±14.34 in the experimental group and a decrease of 8.88±15.39 in the control group. No apparent between-group significant difference occurred for visual-motor integration. Visual perception scores indicated a mean increase of 11.82±18.81 in the experimental group and a mean increase of 15.71±30.03 in the control group. A statistically significant mean between-group difference in visual perception post-intervention was seen (Diff=26.40, t(43) =3.95, p<0.0005; Cohen’s d=1.18: large effect size). Motor coordination showed a mean increase of 20.00±18.45 in the experimental group and decrease of 1.50±23.74 in the control group over the intervention period (Diff=21.50, t(43)=3.36, p=0.002; Cohen’s d=1.00: large effect size). There was a significant between-group mean motor coordination difference post intervention (Diff=19.59, t(43)=2.96, p=0.005; Cohen’s d=0.88: large effect size). The experimental group showed significantly higher mean reading scores pre- 5.67±0.80 and post-intervention 5.43±0.93 compared to the control group pre- 4.13±0.74 and post-intervention 4.63±0.88. Significant between-group differences in reading scores pre- (Diff=1.54, t(43)=6.73, p<0.0005; Cohen’s d=2.01: large effect size) and post-intervention (Diff=0.80, t(43)=2.99, p=0.005; Cohen’s d=0.89: large effect size) were also evident. The experimental group also showed significantly higher mean writing scores pre- 5.62±0.74 and post-intervention 5.05±0.86 compared to the control group pre- 3.83±0.96 and post-intervention 4.21±1.28. A significant between-group difference in writing scores pre- intervention (Diff=1.79, t(43)=6.90, p<0.0005; Cohen’s d=2.06: large effect size) was evident. Total scholastic achievement scores showed an initial significant difference between the experimental- and control group (Diff=1.26, t(43)=6.42, p<0.0005; Cohen’s d=1.92: large effect size). Positive practical significance |r|≥0.300 at (p<0.05) was found between visual-motor integration and reading |r|=0.350; visual perception and writing |r|=0.336; motor coordination and writing |r|=0.318; visual-motor integration and total scholastic achievement |r|=0.330 in the experimental group. In the control group negative practical significance |r|≥0.300 at (p<0.05) was found between visual perception and reading |r|=-0.304, whereas positive practical significance was found between visual perception and writing |r|=0.319; motor coordination and writing |r|=0.340; motor coordination and numeracy |r|=0.378; and motor coordination and total scholastic achievement |r|=0.378 at (p<0.05). The integrated movement programme had significantly positive effects on motor proficiency, visual perception and motor coordination. Motor proficiency had no significant correlation to scholastic achievement domains post-intervention, whereas visual-motor integration significantly correlated to reading and total scholastic achievement; visual perception correlated significantly to writing and negatively to reading; and motor coordination correlated significantly to writing, numeracy and total scholastic achievement. Future longitudinal research incorporating a larger range and scope is needed to fully evaluate the effectiveness of integrated movement programmes on motor proficiency, visual-motor integration and scholastic achievement.
- Full Text:
- Date Issued: 2018
- Authors: Lister, Cassandra
- Date: 2018
- Subjects: Perceptual-motor learning , Motor ability in children -- South Africa -- Port Elizabeth Self-perception in children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22442 , vital:29970
- Description: Globally, the association between physical fitness, motor proficiency and scholastic achievement has been well researched. However, information concerning the effectiveness of integrated movement programmes in children from various socio-economic disparities, is less well studied. A lack of studies exists on the relationship between perceptual-motor development and scholastic performance in literacy and numeracy in children from low-middle income countries such as in sub-Saharan Africa. Thus, the need exists for educational movement programme implementation in developing countries based on studies of good methodological design, to allow early prevention, identification and rectification of apparent motor deficits in young children. Purpose (Aim): To investigate effects of an integrated movement programme in the classroom setting on motor proficiency, visual-motor integration and scholastic achievement of grade one learners between the ages of six- to nine-years-old in quintile five primary schools in Port Elizabeth. A quasi-experimental research design was used to evaluate the selected dependent variables at baseline assessment on 45 grade one learners from an experimental-and control group in quintile five schools in Port Elizabeth. There were two intervention periods that consisted of a pre-existing classroom-based integrated movement programme (NeuroNet) administered by an internationally accredited teacher to the experimental group. Each intervention period coincided with school terms three and four in 2017 and were a minimum of four weeks long. Pre-test and post-test assessments for all three dependent variables were done at the beginning and end of each term respectively. The learners participated in the integrated movement programme five days per week for 20-minute duration in the classroom. The main two standardised, reliable and valid test batteries used to measure motor proficiency and visual-motor integration were the Bruininks-Oseretsky Test of Motor Proficiency Brief Form (BOT-2 Brief Form) and the Beery-Buktenica Developmental Test of Visual-Motor Integration Full Form sixth edition (Beery VMI). The Beery VMI contained two sub-tests the Beery VMI Visual Perception Test (VMI-VP), and the Beery VMI Motor Coordination Test (VMI-MC), which measured the participants’ visual perception and motor coordination. Scholastic achievement was measured using four domains of the participants’ school reports: numeracy, reading, writing and total scholastic achievement scores. Purposive sampling was used to obtain participants from quintile five primary schools whose principals voluntarily provided consent to undertake the study. Data was collected by trained research assistants and the sole researcher. The Statistica for Windows (StatSoft Incorporated; 2014) software package was used for data analysis. Descriptive data analysis included the means (M) and standard deviations (SD) as measures of central tendency and distribution. Independent t-tests determined between-group differences and the level of significance was set at p<0.05. The magnitude (effect size) of pre-post-intervention differences for both groups was calculated for all variables as Cohen’s d statistic. Subsequent interpretation categories were d<0.20 (insignificant effect), 0.20≤d<0.50 (small effect), 0.50≤d<0.80 (medium effect) and d≥0.80 (large effect) (Gravetter & Wallnau, 2009). The experimental group had statistically significant (p<0.05) higher initial mean values for motor proficiency, visual perception, the reading, writing and total scholastic achievement domains. Motor proficiency showed a mean increase of 10.62±13.97 (24% improvement) in the experimental group compared to a mean increase of 9.63±13.26 (8% improvement) in the control group. A significant final mean between-group difference in motor proficiency was found post-intervention (Diff=16.70, t(43)=3.70, p=0.001; Cohen’s d=1.11: large effect size). Visual-motor integration showed a mean decrease of 5.38±14.34 in the experimental group and a decrease of 8.88±15.39 in the control group. No apparent between-group significant difference occurred for visual-motor integration. Visual perception scores indicated a mean increase of 11.82±18.81 in the experimental group and a mean increase of 15.71±30.03 in the control group. A statistically significant mean between-group difference in visual perception post-intervention was seen (Diff=26.40, t(43) =3.95, p<0.0005; Cohen’s d=1.18: large effect size). Motor coordination showed a mean increase of 20.00±18.45 in the experimental group and decrease of 1.50±23.74 in the control group over the intervention period (Diff=21.50, t(43)=3.36, p=0.002; Cohen’s d=1.00: large effect size). There was a significant between-group mean motor coordination difference post intervention (Diff=19.59, t(43)=2.96, p=0.005; Cohen’s d=0.88: large effect size). The experimental group showed significantly higher mean reading scores pre- 5.67±0.80 and post-intervention 5.43±0.93 compared to the control group pre- 4.13±0.74 and post-intervention 4.63±0.88. Significant between-group differences in reading scores pre- (Diff=1.54, t(43)=6.73, p<0.0005; Cohen’s d=2.01: large effect size) and post-intervention (Diff=0.80, t(43)=2.99, p=0.005; Cohen’s d=0.89: large effect size) were also evident. The experimental group also showed significantly higher mean writing scores pre- 5.62±0.74 and post-intervention 5.05±0.86 compared to the control group pre- 3.83±0.96 and post-intervention 4.21±1.28. A significant between-group difference in writing scores pre- intervention (Diff=1.79, t(43)=6.90, p<0.0005; Cohen’s d=2.06: large effect size) was evident. Total scholastic achievement scores showed an initial significant difference between the experimental- and control group (Diff=1.26, t(43)=6.42, p<0.0005; Cohen’s d=1.92: large effect size). Positive practical significance |r|≥0.300 at (p<0.05) was found between visual-motor integration and reading |r|=0.350; visual perception and writing |r|=0.336; motor coordination and writing |r|=0.318; visual-motor integration and total scholastic achievement |r|=0.330 in the experimental group. In the control group negative practical significance |r|≥0.300 at (p<0.05) was found between visual perception and reading |r|=-0.304, whereas positive practical significance was found between visual perception and writing |r|=0.319; motor coordination and writing |r|=0.340; motor coordination and numeracy |r|=0.378; and motor coordination and total scholastic achievement |r|=0.378 at (p<0.05). The integrated movement programme had significantly positive effects on motor proficiency, visual perception and motor coordination. Motor proficiency had no significant correlation to scholastic achievement domains post-intervention, whereas visual-motor integration significantly correlated to reading and total scholastic achievement; visual perception correlated significantly to writing and negatively to reading; and motor coordination correlated significantly to writing, numeracy and total scholastic achievement. Future longitudinal research incorporating a larger range and scope is needed to fully evaluate the effectiveness of integrated movement programmes on motor proficiency, visual-motor integration and scholastic achievement.
- Full Text:
- Date Issued: 2018
A budget and expenditure review of public hospital facilities in the Eastern Cape in transition towards National Health Insurance
- Authors: Ndlovu, Garfield OG
- Date: 2018
- Subjects: Health services administration--South Africa--Eastern Cape Government spending policy--South Africa--Eastern Cape Health services administration
- Language: English
- Type: Thesis , Masters , Public Health Leadership
- Identifier: http://hdl.handle.net/10353/11139 , vital:37174
- Description: The quest to ameliorate and enhance the equitable allocation of resources in the Health Industry remains a global challenge, in particular the distribution of funding resources in public sector health facilities. The need to analyse and understand the appropriation of budget and utilisation of funds by hospital facilities is important in the in the Eastern Cape. The focus of the study seeks to explore recommendations that can be employed in the provincial budgeting process of Hospital Facilities, in a bid to optimise efficiency and improve the funding process as part of the provincial readiness activities towards the realisation of the NHI System and funding approach, wherein the NHI Fund will be a public entity that is not in business to make profit (NHI Booklet 2012: 05). This fund will introduce new systems of paying hospitals and professionals for the services they provide, aiming to be fair to them but to put a stop to unreasonable profits (NHI Booklet 2012: 05). The research has employed the use of descriptive quantitative techniques in order to undertake an expenditure review of existing financial data with respect to the Eastern Cape public Hospitals. The study followed a quantitative descriptive research design, the purpose of this study is that, quantitative research deals in numbers, logic, and an objective stance (Babbie: 2010). The Quantitative aspect of the study found that the data provided, allowed the researcher to organise, synthesise, prioritise and assign value to specific key performance indicators that would be used for the appraisal of hospital facilities in relation to the expenditure patterns based which would present a glimpse into how the Eastern Cape department of health utilises funding resources.
- Full Text:
- Date Issued: 2018
- Authors: Ndlovu, Garfield OG
- Date: 2018
- Subjects: Health services administration--South Africa--Eastern Cape Government spending policy--South Africa--Eastern Cape Health services administration
- Language: English
- Type: Thesis , Masters , Public Health Leadership
- Identifier: http://hdl.handle.net/10353/11139 , vital:37174
- Description: The quest to ameliorate and enhance the equitable allocation of resources in the Health Industry remains a global challenge, in particular the distribution of funding resources in public sector health facilities. The need to analyse and understand the appropriation of budget and utilisation of funds by hospital facilities is important in the in the Eastern Cape. The focus of the study seeks to explore recommendations that can be employed in the provincial budgeting process of Hospital Facilities, in a bid to optimise efficiency and improve the funding process as part of the provincial readiness activities towards the realisation of the NHI System and funding approach, wherein the NHI Fund will be a public entity that is not in business to make profit (NHI Booklet 2012: 05). This fund will introduce new systems of paying hospitals and professionals for the services they provide, aiming to be fair to them but to put a stop to unreasonable profits (NHI Booklet 2012: 05). The research has employed the use of descriptive quantitative techniques in order to undertake an expenditure review of existing financial data with respect to the Eastern Cape public Hospitals. The study followed a quantitative descriptive research design, the purpose of this study is that, quantitative research deals in numbers, logic, and an objective stance (Babbie: 2010). The Quantitative aspect of the study found that the data provided, allowed the researcher to organise, synthesise, prioritise and assign value to specific key performance indicators that would be used for the appraisal of hospital facilities in relation to the expenditure patterns based which would present a glimpse into how the Eastern Cape department of health utilises funding resources.
- Full Text:
- Date Issued: 2018
Comparison of contraceptive discontinuation in users of a copper intrauterine device against depot medroxyprogesterone acetate injectable
- Authors: Dekile-Yonto, Nolusindiso
- Date: 2018
- Subjects: Contraceptives Birth control Women's health services
- Language: English
- Type: Thesis , Masters , Magister of Curationis
- Identifier: http://hdl.handle.net/10353/15520 , vital:40422
- Description: The dynamics of continued contraceptive use, switches to alternatives, or the outright failure of contraception is strong indicators of the effectiveness of health care programmes for women or couples (Ali, Cleland & Shah, 2012:6). Furthermore, unplanned pregnancies often lead to undesirable health, economic, social, and psychological consequences for women (Sedgh, Singh & Hussain., 2014). There is a need to better understand the reasons for discontinuation of contraception to enable health care workers to address the gaps in the provision of family planning services. For this reason, the researcher embarked on a follow-up study of a randomised, controlled trial, which compared the effects on depression and sexual functioning of women after childbirth of a Copper Intrauterine Contraceptive Device (Cu-IUD) with Depot Medroxyprogesterone Acetate (DMPA), (Singata-Madliki, 2014:5). The objectives of the follow-up study was to do a once-off follow-up of the original participants, three years after randomisation.
- Full Text:
- Date Issued: 2018
- Authors: Dekile-Yonto, Nolusindiso
- Date: 2018
- Subjects: Contraceptives Birth control Women's health services
- Language: English
- Type: Thesis , Masters , Magister of Curationis
- Identifier: http://hdl.handle.net/10353/15520 , vital:40422
- Description: The dynamics of continued contraceptive use, switches to alternatives, or the outright failure of contraception is strong indicators of the effectiveness of health care programmes for women or couples (Ali, Cleland & Shah, 2012:6). Furthermore, unplanned pregnancies often lead to undesirable health, economic, social, and psychological consequences for women (Sedgh, Singh & Hussain., 2014). There is a need to better understand the reasons for discontinuation of contraception to enable health care workers to address the gaps in the provision of family planning services. For this reason, the researcher embarked on a follow-up study of a randomised, controlled trial, which compared the effects on depression and sexual functioning of women after childbirth of a Copper Intrauterine Contraceptive Device (Cu-IUD) with Depot Medroxyprogesterone Acetate (DMPA), (Singata-Madliki, 2014:5). The objectives of the follow-up study was to do a once-off follow-up of the original participants, three years after randomisation.
- Full Text:
- Date Issued: 2018
A programme of academic support for students at the public nursing college of the Eastern Cape Province in South Africa
- Senti, Nomandithini Innocent
- Authors: Senti, Nomandithini Innocent
- Date: 2018
- Subjects: Nursing -- Study and teaching Nursing -- Study and teaching -- Simulation methods
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10353/10997 , vital:36128
- Description: A comprehensive academic support at the public nursing college is important. Despite this, there is no such support in public nursing colleges in the Eastern Cape Province of South Africa. The aim of the study was to develop an academic support programme for students in order to improve their success in Higher Education. The study endeavoured to answer the following questions: What are the academic support needs of students at the public nursing college in the Eastern Cape of South Africa? What conceptual framework can be developed for the academic support programme of students? What academic support programme can be developed for students at the public nursing college? What guidelines can be developed for implementation of academic support programme of students? The objectives were: to describe academic support needs of students at the public nursing college in the eastern Cape Province of South Africa; to develop a conceptual framework for the academic support programme for students at the public nursing college in the Eastern Cape of South Africa; to develop an academic support programme for students at the public nursing college in the Eastern Cape in south Africa and lastly to describe guidelines for implementation and evaluation of the academic support programme. The research design used in this study was quantitative, qualitative, descriptive, evaluative, and theory generation. The study was conducted according to four phases. Phase one focussed on academic supports needs of the student. Phase two focussed on development of conceptual framework for the students at the public nursing college in Eastern Cape Province. Phase three focussed on the development of the academic support programme for the students, whereas phase four focussed on description of guidelines for implementation and evaluation of the academic support programme. The population of the study consisted of students undergoing training in a four-year programme at the Public Nursing College. The target population was the students in the same programme from level one to level four of training. The sampling technique used was a probability sampling with multi-stage and cluster sampling techniques being utilized. The total sample was n=333 participants. A quantitative self-developed questionnaire was used to collect empirical data. The questionnaire consisted of eight sections. Descriptive data was analysed using Statistic Package of Social Sciences (SPSS) version 24. Exploratory factor analysis was conducted on the descriptive data collected in phase one. Concept analysis and identification were done through the utilisation of exploratory factor analysis. The conceptual framework for the academic support programme was identified through the analysed factors. Fifteen factors were derived from the descriptive data. The conceptual framework of the academic support programme discussed in Chapter 5 was used also in the development of the academic support programme. It is in this chapter that assumptions, context, stakeholders, process, outcome, dynamics and, lastly, the recipient were discussed, along with a description of the programme. The programme was evaluated in accordance with the criteria for programme evaluation. The recommendations brought forward for the academic support programme were: The guidelines have to be tested for the implementation of the programme; benchmarking should be done to compare with other institutions of higher learning regarding their academic support programmes; an academic brochure regarding academic support must be available in the college and should be given to students on arrival as part of a package; and neutral researcher should conduct the same research in the same college.
- Full Text:
- Date Issued: 2018
- Authors: Senti, Nomandithini Innocent
- Date: 2018
- Subjects: Nursing -- Study and teaching Nursing -- Study and teaching -- Simulation methods
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10353/10997 , vital:36128
- Description: A comprehensive academic support at the public nursing college is important. Despite this, there is no such support in public nursing colleges in the Eastern Cape Province of South Africa. The aim of the study was to develop an academic support programme for students in order to improve their success in Higher Education. The study endeavoured to answer the following questions: What are the academic support needs of students at the public nursing college in the Eastern Cape of South Africa? What conceptual framework can be developed for the academic support programme of students? What academic support programme can be developed for students at the public nursing college? What guidelines can be developed for implementation of academic support programme of students? The objectives were: to describe academic support needs of students at the public nursing college in the eastern Cape Province of South Africa; to develop a conceptual framework for the academic support programme for students at the public nursing college in the Eastern Cape of South Africa; to develop an academic support programme for students at the public nursing college in the Eastern Cape in south Africa and lastly to describe guidelines for implementation and evaluation of the academic support programme. The research design used in this study was quantitative, qualitative, descriptive, evaluative, and theory generation. The study was conducted according to four phases. Phase one focussed on academic supports needs of the student. Phase two focussed on development of conceptual framework for the students at the public nursing college in Eastern Cape Province. Phase three focussed on the development of the academic support programme for the students, whereas phase four focussed on description of guidelines for implementation and evaluation of the academic support programme. The population of the study consisted of students undergoing training in a four-year programme at the Public Nursing College. The target population was the students in the same programme from level one to level four of training. The sampling technique used was a probability sampling with multi-stage and cluster sampling techniques being utilized. The total sample was n=333 participants. A quantitative self-developed questionnaire was used to collect empirical data. The questionnaire consisted of eight sections. Descriptive data was analysed using Statistic Package of Social Sciences (SPSS) version 24. Exploratory factor analysis was conducted on the descriptive data collected in phase one. Concept analysis and identification were done through the utilisation of exploratory factor analysis. The conceptual framework for the academic support programme was identified through the analysed factors. Fifteen factors were derived from the descriptive data. The conceptual framework of the academic support programme discussed in Chapter 5 was used also in the development of the academic support programme. It is in this chapter that assumptions, context, stakeholders, process, outcome, dynamics and, lastly, the recipient were discussed, along with a description of the programme. The programme was evaluated in accordance with the criteria for programme evaluation. The recommendations brought forward for the academic support programme were: The guidelines have to be tested for the implementation of the programme; benchmarking should be done to compare with other institutions of higher learning regarding their academic support programmes; an academic brochure regarding academic support must be available in the college and should be given to students on arrival as part of a package; and neutral researcher should conduct the same research in the same college.
- Full Text:
- Date Issued: 2018
Barriers to picking and packing in pharmaceutical warehousing and distribution in South Africa
- Authors: Kemp, Nicholas
- Date: 2018
- Subjects: Pharmaceutical industry -- Materials management , Warehouses -- Management Pharmaceutical industry -- South Africa Physical distribution of goods -- Management
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/30627 , vital:30994
- Description: Barriers within the supply chain play an evident role in decreasing its efficiency. The supply chain system is not well documented in the pharmaceutical sector. The aim of this study was to identify any barriers to the movement of picking and packing operators within 6 distribution facilities throughout South Africa using a time and motion analysis. A pilot study was initially conducted to choose the stopwatch application for Android® devices and to ensure reliability of the tools utilised. The motions during the processes of fulfilling an order were identified during the case picking, bulk picking and packing processes by direct observation of operators. The direct observation was performed using a stopwatch application for Android® devices and a tool on Microsoft Excel®. The data was analysed using Microsoft Excel®, using a student’s T-test and an analysis of variance (ANOVA) approach to identify similarities and differences between the facilities. The data was further analysed using a descriptive statistics approach to identify the common barriers amongst the distribution centres. Thereafter, the data was analysed by identifying a value-quotient. The value-quotient was used to identify how much time was spent on value-adding activities with each facility. The observation of the operators was done randomly at each facility to avoid subjectivity and bias. Results: The pilot study identified which stopwatch application was to be utilised. The pilot study aided to improve upon the design of the data collection tool used for the transcribing of the timing operation. The student’s T-test and ANOVA revealed that there were statistically significant differences in case picking amongst facilities, namely using the radio frequency identification devices (RFID), picking and transfer of stock. In the bulk picking process, there was a statistically significant difference amongst the facilities, namely using the RFID, pick and transfer of stock. In the packing process there was a statistically significant difference amongst the facilities in the packing process. The analysis of barriers within the distribution centres revealed that the 16 common barriers amongst the picking processes at the facilities included raising the platform, waiting for colleagues to depart an aisle, RFID malfunctions and answering their phones. No common barriers during the packing process was identified. The value-quotient revealed that most of the facilities spent more than 50 percent of their time on value-adding activities during the case picking, bulk picking and packing processes. A time and motion analysis proved to be an effective method to identify similarities and barriers between the six facilities. It was recommended to investigate a few of the basic operations to improve upon, as well as the possibility of implementing a barcoded system to the stock.
- Full Text:
- Date Issued: 2018
- Authors: Kemp, Nicholas
- Date: 2018
- Subjects: Pharmaceutical industry -- Materials management , Warehouses -- Management Pharmaceutical industry -- South Africa Physical distribution of goods -- Management
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/30627 , vital:30994
- Description: Barriers within the supply chain play an evident role in decreasing its efficiency. The supply chain system is not well documented in the pharmaceutical sector. The aim of this study was to identify any barriers to the movement of picking and packing operators within 6 distribution facilities throughout South Africa using a time and motion analysis. A pilot study was initially conducted to choose the stopwatch application for Android® devices and to ensure reliability of the tools utilised. The motions during the processes of fulfilling an order were identified during the case picking, bulk picking and packing processes by direct observation of operators. The direct observation was performed using a stopwatch application for Android® devices and a tool on Microsoft Excel®. The data was analysed using Microsoft Excel®, using a student’s T-test and an analysis of variance (ANOVA) approach to identify similarities and differences between the facilities. The data was further analysed using a descriptive statistics approach to identify the common barriers amongst the distribution centres. Thereafter, the data was analysed by identifying a value-quotient. The value-quotient was used to identify how much time was spent on value-adding activities with each facility. The observation of the operators was done randomly at each facility to avoid subjectivity and bias. Results: The pilot study identified which stopwatch application was to be utilised. The pilot study aided to improve upon the design of the data collection tool used for the transcribing of the timing operation. The student’s T-test and ANOVA revealed that there were statistically significant differences in case picking amongst facilities, namely using the radio frequency identification devices (RFID), picking and transfer of stock. In the bulk picking process, there was a statistically significant difference amongst the facilities, namely using the RFID, pick and transfer of stock. In the packing process there was a statistically significant difference amongst the facilities in the packing process. The analysis of barriers within the distribution centres revealed that the 16 common barriers amongst the picking processes at the facilities included raising the platform, waiting for colleagues to depart an aisle, RFID malfunctions and answering their phones. No common barriers during the packing process was identified. The value-quotient revealed that most of the facilities spent more than 50 percent of their time on value-adding activities during the case picking, bulk picking and packing processes. A time and motion analysis proved to be an effective method to identify similarities and barriers between the six facilities. It was recommended to investigate a few of the basic operations to improve upon, as well as the possibility of implementing a barcoded system to the stock.
- Full Text:
- Date Issued: 2018
A strategy to enhance the role of the church as a social service delivery agent in fighting poverty in contemporary South Africa
- Lujabe, Busisiwe Tando Tabiso
- Authors: Lujabe, Busisiwe Tando Tabiso
- Date: 2018
- Subjects: Community-based social services Community development
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/17876 , vital:28477
- Description: The possible role and involvement of the Church in social development has reemerged as an important focus of contemporary academic and religious development discourse in South Africa. There are strong voices arguing for churches and other Faith-Based Organisations to be regarded as strategic in contributing to addressing the challenge of poverty as agents of social development. Yet, as church congregations multiply throughout South Africa, they appear to be less responsive to the challenge of poverty facing South African communities, contrary to the rich history of churches in the past. The need for churches to be involved in sustainable community-driven development initiatives to fight poverty in their local communities cannot be denied nor be met with just rhetoric and scholarly dissertations by theologians and academics. The vicious cycle of poverty in our communities must be eradicated as it represents a social injustice in terms of South Africa‘s Constitution and speaks to deep structural inequalities inherent in our society. Whilst researchers have made several proposals for churches to move from social welfare and relief, there appears to be little research with a clear practical strategy which congregations can implement to enhance their social service delivery role from social relief to sustainable community development. This has left a considerable gap which the current research sought to address. This study thus responds to the call by previous research for churches to implement strategies other than mere relief. Hence, this study contributes to the religious development discourse in South Africa, by developing a strategy to enhance Church-based social service delivery initiatives from social relief efforts which are not sustainable, to community development efforts which are sustainable and which will be consistent with the current social development policy context and contextually relevant to the socio-economic challenges of poverty and its consequences in South Africa. The study was conducted in two phases. During phase one, the main purpose was to gain a deeper understanding of the historical and current involvement of the Church in providing social services which address poverty in communities, to enhance understanding of the factors which influence the provision of social services by churches, as well as to understand participants views of how church-based social service delivery can be improved in order to fight poverty. For phase two, the goal was to develop a strategy to enhance church-based social service delivery from being social relief to being community development oriented. The following objectives guided the research process: To review selected and applicable literature to gain a deeper understanding of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the perceptions of church leaders and congregation members of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the factors which influence Church-based social service delivery in fighting poverty; To explore the views of church leaders and congregation members on how church-based social service delivery can be improved in their churches to inform the development of a strategy to enhance church-based social service delivery in fighting poverty. This study employed a qualitative research approach grounded in the interpretivist social science paradigm. The qualitative research approach necessitated an exploratory, descriptive and contextual method of inquiry. A descriptive case study method was also used, with the Methodist Church of Southern Africa selected as the main case of focus. The target population in this research comprised of Christian churches with a historical involvement in social service delivery in pre-apartheid South Africa. Purposeful sampling of 5 churches was undertaken, namely; Roman Catholic Church (RCC), Anglican Church (AC), Dutch Reformed Church (DRC), KwaSizabantu Mission (KSB) and Methodist Church of Southern Africa (MCSA). Data collection was conducted in two phases. Phase one comprised a literature review; Phase two comprised gathering empirical evidence by conducting face to face semi-structured interviews with clergy and from conducting one focus group interview with congregants. The information obtained from participants was transcribed, coded and analysed using content analysis and by a computer-assisted qualitative data analysis software (CAQDAS), namely ATLAS.ti. Findings revealed a marked difference between the historical and current churchbased social service delivery suggestive of decline, accompanied by the lack of empowerment opportunities for current church leaders and congregation members in community development facilitation. Further evidence suggest the lack of cooperation between church leaders and congregation members; as well as the lack of sustainability of interventions owing to an absence of resources and the lack of capacity to create sustainable economic opportunities. Findings also revealed that church congregations are rich with people with various assets - skills, strengths, capabilities, passions, gifts, talents in various fields, which they can share with one another as congregations and communities. The discussion of findings reflected that historically, Church-based social service provision involved holistic intervention mechanisms, empowerment, collaborations and sustainability of interventions suggestive of second generation strategies of community development, while currently, Church-based social service provision involves mostly social relief and social welfare efforts suggestive of first generation strategies. The findings suggest a holistic strategy for ―reawakening the co-operativeness‖ of congregations to facilitate sustainable Church-based social service delivery towards fighting poverty in local communities. The strategy which was then developed and described with its sub-strategies, namely: Establishment of collaborative relationships Creation of empowerment opportunities Facilitation of holistic interventions The goal of the strategy is to guide church leaders and congregation members in facilitating sustainable Church-based social service programmes to fight poverty.
- Full Text:
- Date Issued: 2018
- Authors: Lujabe, Busisiwe Tando Tabiso
- Date: 2018
- Subjects: Community-based social services Community development
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/17876 , vital:28477
- Description: The possible role and involvement of the Church in social development has reemerged as an important focus of contemporary academic and religious development discourse in South Africa. There are strong voices arguing for churches and other Faith-Based Organisations to be regarded as strategic in contributing to addressing the challenge of poverty as agents of social development. Yet, as church congregations multiply throughout South Africa, they appear to be less responsive to the challenge of poverty facing South African communities, contrary to the rich history of churches in the past. The need for churches to be involved in sustainable community-driven development initiatives to fight poverty in their local communities cannot be denied nor be met with just rhetoric and scholarly dissertations by theologians and academics. The vicious cycle of poverty in our communities must be eradicated as it represents a social injustice in terms of South Africa‘s Constitution and speaks to deep structural inequalities inherent in our society. Whilst researchers have made several proposals for churches to move from social welfare and relief, there appears to be little research with a clear practical strategy which congregations can implement to enhance their social service delivery role from social relief to sustainable community development. This has left a considerable gap which the current research sought to address. This study thus responds to the call by previous research for churches to implement strategies other than mere relief. Hence, this study contributes to the religious development discourse in South Africa, by developing a strategy to enhance Church-based social service delivery initiatives from social relief efforts which are not sustainable, to community development efforts which are sustainable and which will be consistent with the current social development policy context and contextually relevant to the socio-economic challenges of poverty and its consequences in South Africa. The study was conducted in two phases. During phase one, the main purpose was to gain a deeper understanding of the historical and current involvement of the Church in providing social services which address poverty in communities, to enhance understanding of the factors which influence the provision of social services by churches, as well as to understand participants views of how church-based social service delivery can be improved in order to fight poverty. For phase two, the goal was to develop a strategy to enhance church-based social service delivery from being social relief to being community development oriented. The following objectives guided the research process: To review selected and applicable literature to gain a deeper understanding of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the perceptions of church leaders and congregation members of the historical and current involvement of the Church in the delivery of social services in order to fight poverty; To explore and describe the factors which influence Church-based social service delivery in fighting poverty; To explore the views of church leaders and congregation members on how church-based social service delivery can be improved in their churches to inform the development of a strategy to enhance church-based social service delivery in fighting poverty. This study employed a qualitative research approach grounded in the interpretivist social science paradigm. The qualitative research approach necessitated an exploratory, descriptive and contextual method of inquiry. A descriptive case study method was also used, with the Methodist Church of Southern Africa selected as the main case of focus. The target population in this research comprised of Christian churches with a historical involvement in social service delivery in pre-apartheid South Africa. Purposeful sampling of 5 churches was undertaken, namely; Roman Catholic Church (RCC), Anglican Church (AC), Dutch Reformed Church (DRC), KwaSizabantu Mission (KSB) and Methodist Church of Southern Africa (MCSA). Data collection was conducted in two phases. Phase one comprised a literature review; Phase two comprised gathering empirical evidence by conducting face to face semi-structured interviews with clergy and from conducting one focus group interview with congregants. The information obtained from participants was transcribed, coded and analysed using content analysis and by a computer-assisted qualitative data analysis software (CAQDAS), namely ATLAS.ti. Findings revealed a marked difference between the historical and current churchbased social service delivery suggestive of decline, accompanied by the lack of empowerment opportunities for current church leaders and congregation members in community development facilitation. Further evidence suggest the lack of cooperation between church leaders and congregation members; as well as the lack of sustainability of interventions owing to an absence of resources and the lack of capacity to create sustainable economic opportunities. Findings also revealed that church congregations are rich with people with various assets - skills, strengths, capabilities, passions, gifts, talents in various fields, which they can share with one another as congregations and communities. The discussion of findings reflected that historically, Church-based social service provision involved holistic intervention mechanisms, empowerment, collaborations and sustainability of interventions suggestive of second generation strategies of community development, while currently, Church-based social service provision involves mostly social relief and social welfare efforts suggestive of first generation strategies. The findings suggest a holistic strategy for ―reawakening the co-operativeness‖ of congregations to facilitate sustainable Church-based social service delivery towards fighting poverty in local communities. The strategy which was then developed and described with its sub-strategies, namely: Establishment of collaborative relationships Creation of empowerment opportunities Facilitation of holistic interventions The goal of the strategy is to guide church leaders and congregation members in facilitating sustainable Church-based social service programmes to fight poverty.
- Full Text:
- Date Issued: 2018
The Q bell: experiences of patients with disabilities utilising a new call bell system
- Authors: Sithole, Siphiwo
- Date: 2018
- Subjects: Self-help devices for people with disabilities , People with disabilities -- Means of communication -- Technological innovations Communication devices for people with disabilities People with disabilities -- Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/35543 , vital:33755
- Description: The Q-bell is a newly developed call bell system that aims to simplify the lives of people living with disabilities by providing a means for them to easily summon assistance from caregivers when needed. The product is designed to be hands free so that a patient only must exert minimal pressure on the device with any part of the body such as the cheek to call for attention. The aim of this study was to explore and describe the experiences of disabled participants regarding the functionality of the Q-bell systems during their stay in a care facility. To achieve this aim, an exploratory, descriptive, contextual, qualitative design was decided upon. There was a paucity of similar studies and this method was deemed the most effective method to fully grasp, contextualize and interpret the experiences of the research participants following the use of the Q-bell. The research population included all people with disabilities who were in care facilities. A purposive sampling method was used to identify a small number of disabled participants in care facilities to use the Q-bell. The researcher approached selected facilities and the residents in their care who had limited to no function of their hands and arms to test the Q-bell. The participants were given the Q-bell to use for 2-3 days, after which semi-structured interviews with participating individuals were conducted. Due to difficulties the researcher had with the infrastructure at the facilities eight participants were approached and interviewed in this study. All the interviews were conducted in private, but face to face, at the bedside of each participant, in the facilities of care. Digital voice recordings of these interviews were made after informed consent being sought from the participants. Verbatim transcripts of the recordings were made and a thematic analysis using Tesch’s method, was performed by the researcher followed by a consensus meeting with the independent coder. Ethical considerations such as beneficence, justice, autonomy, informed consent was adhered to by the researcher. Trustworthiness was achieved by following Guba’s principles of credibility, applicability, consistency and neutrality. Three themes emerged from the data analysis. Theme one highlighted the participants’ experiences whilst using the Q-bell. Theme two reflected the positive characteristics of the Q-bell when compared to other call devices the participants might have used while theme three posed possible recommendations the participants had to possibly improve on the design of the Q-bell. The research report concludes with the research limitations and recommendations.
- Full Text:
- Date Issued: 2018
- Authors: Sithole, Siphiwo
- Date: 2018
- Subjects: Self-help devices for people with disabilities , People with disabilities -- Means of communication -- Technological innovations Communication devices for people with disabilities People with disabilities -- Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/35543 , vital:33755
- Description: The Q-bell is a newly developed call bell system that aims to simplify the lives of people living with disabilities by providing a means for them to easily summon assistance from caregivers when needed. The product is designed to be hands free so that a patient only must exert minimal pressure on the device with any part of the body such as the cheek to call for attention. The aim of this study was to explore and describe the experiences of disabled participants regarding the functionality of the Q-bell systems during their stay in a care facility. To achieve this aim, an exploratory, descriptive, contextual, qualitative design was decided upon. There was a paucity of similar studies and this method was deemed the most effective method to fully grasp, contextualize and interpret the experiences of the research participants following the use of the Q-bell. The research population included all people with disabilities who were in care facilities. A purposive sampling method was used to identify a small number of disabled participants in care facilities to use the Q-bell. The researcher approached selected facilities and the residents in their care who had limited to no function of their hands and arms to test the Q-bell. The participants were given the Q-bell to use for 2-3 days, after which semi-structured interviews with participating individuals were conducted. Due to difficulties the researcher had with the infrastructure at the facilities eight participants were approached and interviewed in this study. All the interviews were conducted in private, but face to face, at the bedside of each participant, in the facilities of care. Digital voice recordings of these interviews were made after informed consent being sought from the participants. Verbatim transcripts of the recordings were made and a thematic analysis using Tesch’s method, was performed by the researcher followed by a consensus meeting with the independent coder. Ethical considerations such as beneficence, justice, autonomy, informed consent was adhered to by the researcher. Trustworthiness was achieved by following Guba’s principles of credibility, applicability, consistency and neutrality. Three themes emerged from the data analysis. Theme one highlighted the participants’ experiences whilst using the Q-bell. Theme two reflected the positive characteristics of the Q-bell when compared to other call devices the participants might have used while theme three posed possible recommendations the participants had to possibly improve on the design of the Q-bell. The research report concludes with the research limitations and recommendations.
- Full Text:
- Date Issued: 2018
Information needs of undergraduate nursing students at the point of care for clinical decision making
- Authors: Williams, Marie Rosalina
- Date: 2018
- Subjects: Nursing students -- South Africa , Nursing -- Study and teaching -- South Africa Clinical competence -- South Africa Information services -- South Africa -- Students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23315 , vital:30527
- Description: A need was identified to assess the perceptions of fourth year nursing students regarding the information required by undergraduate nursing students at the point of care for clinical decision making. A qualitative, exploratory, descriptive and contextual design was used to conduct this study. The research population comprised of all fourth year nursing students who have been subjected to experiential learning in the various clinical areas during their four years of training. Data was collected by means of in-depth interviews from a purposively selected sample and then analysed using the steps of qualitative data analysis described by Tesch (1990). A pilot study was conducted prior to the main study to determine whether the sampling and interviewing techniques of the researcher as well as the research question, were adequate for data collection. Trustworthiness was ensured by utilising Guba and Lincoln’s (1985) strategies of credibility, dependability, transferability and conformability. Strategies to ensure respect for persons, beneficence and justice were implemented throughout the study. The findings of the study was categorised into two main themes. Theme one; Participants shared their various experiences regarding information needed at the point of care. This theme had five sub-themes which were discussed in detail in chapter three. The second theme was; Participants offered suggestions to address their information needs at the point of care. This theme had four sub-themes and was discussed further in chapter three. The study concludes with recommendations made to the Department of Nursing Science at the Institution where the study was conducted to address clinical practice, education and future research.
- Full Text:
- Date Issued: 2018
- Authors: Williams, Marie Rosalina
- Date: 2018
- Subjects: Nursing students -- South Africa , Nursing -- Study and teaching -- South Africa Clinical competence -- South Africa Information services -- South Africa -- Students
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/23315 , vital:30527
- Description: A need was identified to assess the perceptions of fourth year nursing students regarding the information required by undergraduate nursing students at the point of care for clinical decision making. A qualitative, exploratory, descriptive and contextual design was used to conduct this study. The research population comprised of all fourth year nursing students who have been subjected to experiential learning in the various clinical areas during their four years of training. Data was collected by means of in-depth interviews from a purposively selected sample and then analysed using the steps of qualitative data analysis described by Tesch (1990). A pilot study was conducted prior to the main study to determine whether the sampling and interviewing techniques of the researcher as well as the research question, were adequate for data collection. Trustworthiness was ensured by utilising Guba and Lincoln’s (1985) strategies of credibility, dependability, transferability and conformability. Strategies to ensure respect for persons, beneficence and justice were implemented throughout the study. The findings of the study was categorised into two main themes. Theme one; Participants shared their various experiences regarding information needed at the point of care. This theme had five sub-themes which were discussed in detail in chapter three. The second theme was; Participants offered suggestions to address their information needs at the point of care. This theme had four sub-themes and was discussed further in chapter three. The study concludes with recommendations made to the Department of Nursing Science at the Institution where the study was conducted to address clinical practice, education and future research.
- Full Text:
- Date Issued: 2018
Effect of femininity on sexual health decision making of young females
- Authors: De Wet, Elna
- Date: 2018
- Subjects: Female students -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/23705 , vital:30603
- Description: South Africa is characterised by high levels of HIV infections and unwanted pregnancies, despite the vast amount of interventions aimed at combatting this issue. It becomes important to explore why these interventions are not actively achieving what they aim to. A major cause for concern is the increase in risky sexual behaviour in the adolescence and young adult (15-24 year) age group. In various cultures, women’s socialization has a direct impact on their ability to prioritize their sexual health. Steeped in patriarchal ideology, many South African cultures prioritise the power of masculinity over and above the femxle experience. Improved partner communication leads to decreased risky sexual behaviour, but it becomes tricky when the relationship is characterized by a gender power imbalance. This study is aimed at understanding South African femxle sexual health by focussing on 1) the extent to which the overarching traditional beliefs about femininity is related to their sexual self-efficacy. Furthermore, it is aimed at 2) the extent to which they engage in sexual activity and behaviour that would protect them from STIs and unwanted pregnancies. Research design is quantitative and include an online survey for femxle students between the ages of 18 and 24, enrolled at the Nelson Mandela University, South Africa. The data was analysed statistically, where after the research findings will be interpreted from the perspective of Feminist Psychological Theory.
- Full Text:
- Date Issued: 2018
- Authors: De Wet, Elna
- Date: 2018
- Subjects: Female students -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/23705 , vital:30603
- Description: South Africa is characterised by high levels of HIV infections and unwanted pregnancies, despite the vast amount of interventions aimed at combatting this issue. It becomes important to explore why these interventions are not actively achieving what they aim to. A major cause for concern is the increase in risky sexual behaviour in the adolescence and young adult (15-24 year) age group. In various cultures, women’s socialization has a direct impact on their ability to prioritize their sexual health. Steeped in patriarchal ideology, many South African cultures prioritise the power of masculinity over and above the femxle experience. Improved partner communication leads to decreased risky sexual behaviour, but it becomes tricky when the relationship is characterized by a gender power imbalance. This study is aimed at understanding South African femxle sexual health by focussing on 1) the extent to which the overarching traditional beliefs about femininity is related to their sexual self-efficacy. Furthermore, it is aimed at 2) the extent to which they engage in sexual activity and behaviour that would protect them from STIs and unwanted pregnancies. Research design is quantitative and include an online survey for femxle students between the ages of 18 and 24, enrolled at the Nelson Mandela University, South Africa. The data was analysed statistically, where after the research findings will be interpreted from the perspective of Feminist Psychological Theory.
- Full Text:
- Date Issued: 2018
An exploration of the romantic experiences of young female adults raised by single mothers
- Authors: Masinyane, Anita
- Date: 2018
- Subjects: Single-parent families , Single mothers -- South Africa Intimacy (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22343 , vital:29945
- Description: Family units have seen significant changes over the last decades, from more traditional to non-traditional family structure. South African literature has since seen a rise in single-parent family studies, however, has been geared towards the outcome of paternal absence on the male child. The paternal absence on young women and their romantic experiences remains largely unexplored. Historically, young women without fathers have been found to experience damaging effects on their well-being. Specifically, adversities pertaining to their identity, academic performance, relationships with and attitudes towards men and career and future prospects are evident in literature. This study was conducted with young female adults from the Nelson Mandela Bay Metropolitan, raised by single mothers to explore their perceptions and experiences of romantic relationships growing up without the paternal figure. This study utilizes a feminist psychology and social learning theoretical framework to conceptualise these experiences. The study uses a qualitative methodology and phenomenological design approach. The sample was identified through non-probability purposive sampling, and the data collected through semi-structured interviews. The data is analysed using a thematic analysis framework. The eight young women who participated in this study, collectively constructed themselves to be resilient to the experiences of fatherlessness, they portrayed themselves as self-sufficient, empowered in their identities, driven in their academic performance and career development and future aspirations.
- Full Text:
- Date Issued: 2018
- Authors: Masinyane, Anita
- Date: 2018
- Subjects: Single-parent families , Single mothers -- South Africa Intimacy (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22343 , vital:29945
- Description: Family units have seen significant changes over the last decades, from more traditional to non-traditional family structure. South African literature has since seen a rise in single-parent family studies, however, has been geared towards the outcome of paternal absence on the male child. The paternal absence on young women and their romantic experiences remains largely unexplored. Historically, young women without fathers have been found to experience damaging effects on their well-being. Specifically, adversities pertaining to their identity, academic performance, relationships with and attitudes towards men and career and future prospects are evident in literature. This study was conducted with young female adults from the Nelson Mandela Bay Metropolitan, raised by single mothers to explore their perceptions and experiences of romantic relationships growing up without the paternal figure. This study utilizes a feminist psychology and social learning theoretical framework to conceptualise these experiences. The study uses a qualitative methodology and phenomenological design approach. The sample was identified through non-probability purposive sampling, and the data collected through semi-structured interviews. The data is analysed using a thematic analysis framework. The eight young women who participated in this study, collectively constructed themselves to be resilient to the experiences of fatherlessness, they portrayed themselves as self-sufficient, empowered in their identities, driven in their academic performance and career development and future aspirations.
- Full Text:
- Date Issued: 2018
Perpetrators’ perspective of the psychological factors contributing to racially-motivated hate crimes in South Africa
- Authors: Heyneke, Wilmie
- Date: 2018
- Subjects: Hate crimes -- South Africa , Racism -- South Africa Violence -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/30072 , vital:30817
- Description: This study set out to explore and understand racially-motivated hate crimes from the psychological and emotional standpoint of the individual who perpetrated them. The focus on the perpetrator was essential given that most research conducted on hate crimes have honed in on the elements concerning the victims. By virtue of its focus, the study offered a perpetrator’s perspective, providing a more holistic understanding of hate crimes in South Africa. Such information could be used to develop violence interventions in order to help prevent future hate crimes. A qualitative research design was used and constructionist grounded theory employed as the research tool. The sample consisted of five individuals currently imprisoned in the Eastern Cape. Data was obtained through semi-structured interviews and journal entries. Supportive data was obtained from official prison documents. The findings from this study guided the formulation of the frustration deconstruction theory (FDT), the theory generated in this study. FDT indicates that the link between historically and socially constructed negative racial cognition and emotion may find expression through violence, which can be labelled as hate crimes. Interventions aimed at deconstructing the motives that underpin hate can result in positive behaviour. The findings of this study contribute to an understanding of the nuances that define and characterise the perpetrators of racially-motivated hate crimes in the South African context. The research is a valuable contribution to the field of hate crimes as it provides evidence of the psychological and emotional underpinning of hate crimes.
- Full Text:
- Date Issued: 2018
- Authors: Heyneke, Wilmie
- Date: 2018
- Subjects: Hate crimes -- South Africa , Racism -- South Africa Violence -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/30072 , vital:30817
- Description: This study set out to explore and understand racially-motivated hate crimes from the psychological and emotional standpoint of the individual who perpetrated them. The focus on the perpetrator was essential given that most research conducted on hate crimes have honed in on the elements concerning the victims. By virtue of its focus, the study offered a perpetrator’s perspective, providing a more holistic understanding of hate crimes in South Africa. Such information could be used to develop violence interventions in order to help prevent future hate crimes. A qualitative research design was used and constructionist grounded theory employed as the research tool. The sample consisted of five individuals currently imprisoned in the Eastern Cape. Data was obtained through semi-structured interviews and journal entries. Supportive data was obtained from official prison documents. The findings from this study guided the formulation of the frustration deconstruction theory (FDT), the theory generated in this study. FDT indicates that the link between historically and socially constructed negative racial cognition and emotion may find expression through violence, which can be labelled as hate crimes. Interventions aimed at deconstructing the motives that underpin hate can result in positive behaviour. The findings of this study contribute to an understanding of the nuances that define and characterise the perpetrators of racially-motivated hate crimes in the South African context. The research is a valuable contribution to the field of hate crimes as it provides evidence of the psychological and emotional underpinning of hate crimes.
- Full Text:
- Date Issued: 2018
Experiences of police officers interacting with mentally ill persons in a rural town in the Eastern Cape Province
- Authors: Mjali, Ntombekhaya Mildred
- Date: 2018
- Subjects: Mentally ill -- Care , Mentally ill offenders -- South Africa -- Eastern Cape Offenses against the person -- South Africa -- Eastern Cape Mentally ill -- Commitment and detention -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/32120 , vital:31964
- Description: The researcher worked as a psychiatric nurse in a psychiatric hospitalin Chris Hani District Municipality and observed when police officers brought mentally ill persons for admission. The mentally ill persons were dealt with harshly and in a degrading manner which raised concerns. It would seem as if police officers did not take into consideration that they were dealing with innocent individuals who were mentally ill. Therefore the researcher sought to explore how police officers experienced interacting with mentally ill persons during their everyday duties. The aim of the study was to explore and describe the experiences of police officers interacting with mentally ill persons in a rural town in the Chris Hani District Municipality. The study utilised a qualitative, explorative, descriptive and contextual design. The research population consisted of police officers working in a Community Service Centre in a rural town who regularly came into contact with mentally ill persons in the course of their duties. Purposive sampling was utilised to select participants.Data was collected by doing in-depth, semi-structured interviews with an interview guide until data saturation was reached. Data analysis was done using Tesch’s method of content analysis. Three themes with subthemes were identified and described. A literature control was done to compare the findings with current literature. Trustworthiness was ensured using Guba’s Model of trustworthiness. A high ethical standard was ensured throughout the research process. Police officers had regular contact with the mentally ill, usually when they were called out to a community venue where they had to intervene between an aggressive mentally ill person and the community. This gave them a skewed view of mental illness which they always associated with aggression. Police officers found it difficult to communicate with both the mentally ill person and his/her family. They stated that they did not know how to manage aggressive individuals who were not criminals. Police officers also related that they themselves felt vulnerable, they became very angry with the families and the mentally ill persons and feared that they will be harmed. They also expressed empathy with mentally ill persons. Recommendations were made that police officers should be trained on what their responsibilities were related to the mentally ill person they encounter. To equip them better to deal with the mentally ill, they should also receive training in effective communication and the management of aggression.
- Full Text:
- Date Issued: 2018
- Authors: Mjali, Ntombekhaya Mildred
- Date: 2018
- Subjects: Mentally ill -- Care , Mentally ill offenders -- South Africa -- Eastern Cape Offenses against the person -- South Africa -- Eastern Cape Mentally ill -- Commitment and detention -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/32120 , vital:31964
- Description: The researcher worked as a psychiatric nurse in a psychiatric hospitalin Chris Hani District Municipality and observed when police officers brought mentally ill persons for admission. The mentally ill persons were dealt with harshly and in a degrading manner which raised concerns. It would seem as if police officers did not take into consideration that they were dealing with innocent individuals who were mentally ill. Therefore the researcher sought to explore how police officers experienced interacting with mentally ill persons during their everyday duties. The aim of the study was to explore and describe the experiences of police officers interacting with mentally ill persons in a rural town in the Chris Hani District Municipality. The study utilised a qualitative, explorative, descriptive and contextual design. The research population consisted of police officers working in a Community Service Centre in a rural town who regularly came into contact with mentally ill persons in the course of their duties. Purposive sampling was utilised to select participants.Data was collected by doing in-depth, semi-structured interviews with an interview guide until data saturation was reached. Data analysis was done using Tesch’s method of content analysis. Three themes with subthemes were identified and described. A literature control was done to compare the findings with current literature. Trustworthiness was ensured using Guba’s Model of trustworthiness. A high ethical standard was ensured throughout the research process. Police officers had regular contact with the mentally ill, usually when they were called out to a community venue where they had to intervene between an aggressive mentally ill person and the community. This gave them a skewed view of mental illness which they always associated with aggression. Police officers found it difficult to communicate with both the mentally ill person and his/her family. They stated that they did not know how to manage aggressive individuals who were not criminals. Police officers also related that they themselves felt vulnerable, they became very angry with the families and the mentally ill persons and feared that they will be harmed. They also expressed empathy with mentally ill persons. Recommendations were made that police officers should be trained on what their responsibilities were related to the mentally ill person they encounter. To equip them better to deal with the mentally ill, they should also receive training in effective communication and the management of aggression.
- Full Text:
- Date Issued: 2018
Patients and healthcare professionals’ experiences of medicine unavailability at a primary healthcare centre in the Nelson Mandela Bay Metropole
- Authors: Ndzamela, Sisipo
- Date: 2018
- Subjects: Primary care (Medicine) -- South Africa -- Nelson Mandela Bay Municipality , Pharmacy -- Practice -- South Africa -- Nelson Mandela Bay Municipality Medical economics
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/22431 , vital:29969
- Description: Medicine stock-outs and shortages are being increasingly reported throughout South Africa. Primary healthcare centres are largely affected as many of them don’t have pharmacists and pharmacist support personnel to manage medicine stock levels. With the efforts to improve medicine availability and accessibility healthcare professionals have adopted informal networks through a borrowing system of medicines with other facilities The aim of this study was to explore and describe the experiences of patients and healthcare professionals of the unavailability of medicines at a primary healthcare (PHC) centre in the Nelson Mandela Bay Metropole. Using a qualitative approach, indepth interviews were conducted with 8 patients and 12 healthcare professionals including doctors, a pharmacist, pharmacy support personnel and nurses at a primary healthcare centre. These interviews were digitally recorded, transcribed and thematically analysed using Atlas.ti® network. The following major themes were identified; types of medicines that are unavailable, causes of stock-outs, psychological influence on both patients and healthcare professionals, compensatory measures and the central chronic dispensing and distribution program. Patient experiences included dissatisfaction and loss of confidence in the healthcare service delivery. Dissatisfied patients expressed emotions of anger and frustration. Also, unavailability of medicines resulted in stressed and burnt out healthcare professionals who have endured violence and verbal abuse from patients because of medicine stock-outs. Participants suggested that medicine stock-outs and shortages are most often due to delays in the delivery of stock by the depot. To counteract these effects healthcare professionals have adopted a borrowing system with other clinics. Furthermore, it was evident that the Central Chronic Medicine Dispensing and Distribution program (CCMDD) implemented by the Department of Health to improve availability and accessibility of medicines was perceived to be ineffective. Therefore, the issue of medicine stock-outs negatively affects service delivery, and those involved experience psychological harm which then affects inter-professional relationships. Overcoming this issue would promote a better healthcare system within the country.
- Full Text:
- Date Issued: 2018
- Authors: Ndzamela, Sisipo
- Date: 2018
- Subjects: Primary care (Medicine) -- South Africa -- Nelson Mandela Bay Municipality , Pharmacy -- Practice -- South Africa -- Nelson Mandela Bay Municipality Medical economics
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/22431 , vital:29969
- Description: Medicine stock-outs and shortages are being increasingly reported throughout South Africa. Primary healthcare centres are largely affected as many of them don’t have pharmacists and pharmacist support personnel to manage medicine stock levels. With the efforts to improve medicine availability and accessibility healthcare professionals have adopted informal networks through a borrowing system of medicines with other facilities The aim of this study was to explore and describe the experiences of patients and healthcare professionals of the unavailability of medicines at a primary healthcare (PHC) centre in the Nelson Mandela Bay Metropole. Using a qualitative approach, indepth interviews were conducted with 8 patients and 12 healthcare professionals including doctors, a pharmacist, pharmacy support personnel and nurses at a primary healthcare centre. These interviews were digitally recorded, transcribed and thematically analysed using Atlas.ti® network. The following major themes were identified; types of medicines that are unavailable, causes of stock-outs, psychological influence on both patients and healthcare professionals, compensatory measures and the central chronic dispensing and distribution program. Patient experiences included dissatisfaction and loss of confidence in the healthcare service delivery. Dissatisfied patients expressed emotions of anger and frustration. Also, unavailability of medicines resulted in stressed and burnt out healthcare professionals who have endured violence and verbal abuse from patients because of medicine stock-outs. Participants suggested that medicine stock-outs and shortages are most often due to delays in the delivery of stock by the depot. To counteract these effects healthcare professionals have adopted a borrowing system with other clinics. Furthermore, it was evident that the Central Chronic Medicine Dispensing and Distribution program (CCMDD) implemented by the Department of Health to improve availability and accessibility of medicines was perceived to be ineffective. Therefore, the issue of medicine stock-outs negatively affects service delivery, and those involved experience psychological harm which then affects inter-professional relationships. Overcoming this issue would promote a better healthcare system within the country.
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- Date Issued: 2018