A case study of Jeffrey Dahmer
- Authors: Freeman, Chanté F
- Date: 2021-04
- Subjects: Serial murders -- Case studies , Personality development -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51032 , vital:43202
- Description: Jeffrey Lionel Dahmer is an infamous serial killer and cannibal. He was described as a normal, but shy little boy, yet developed into an adult who brutally murdered, engaged in necrophiliac acts, dismembered and ate parts of his victims. This study took the form of an intrinsic case study with the aim to explore and describe the personality development of Jeffrey Dahmer. This exploration examined Dahmer’s known childhood experiences through the theoretical perspective of Otto Kernberg’s (1974, 1975, 1976) Object Relations Theory, in order to understand how Dahmer’s personality was formed. Data was collected from multiple resources, including books, authoritative biographies, academic articles, and internet sources available in the public domain. It was analysed using Miles, Huberman, and Saldaña’s (2014) three-step process namely, data condensation, data display, and conclusion drawing and verification. This study’s findings confirmed the formation of pathological behavioural patterns supported by primitive defence mechanisms, associated with Kernberg’s lower level pathologies. It reflected Dahmer’s pathological formation of psychic structures seen in a diffuse identity and impaired formation of the superego, that supported these patterns. Additionally, the research was valuable in enhancing the researcher’s insight into personality development according to Kernberg’s Object Relations Theory. This study may also be beneficial to practising clinicians and professionals as an example of the early identification of personality pathology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Freeman, Chanté F
- Date: 2021-04
- Subjects: Serial murders -- Case studies , Personality development -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51032 , vital:43202
- Description: Jeffrey Lionel Dahmer is an infamous serial killer and cannibal. He was described as a normal, but shy little boy, yet developed into an adult who brutally murdered, engaged in necrophiliac acts, dismembered and ate parts of his victims. This study took the form of an intrinsic case study with the aim to explore and describe the personality development of Jeffrey Dahmer. This exploration examined Dahmer’s known childhood experiences through the theoretical perspective of Otto Kernberg’s (1974, 1975, 1976) Object Relations Theory, in order to understand how Dahmer’s personality was formed. Data was collected from multiple resources, including books, authoritative biographies, academic articles, and internet sources available in the public domain. It was analysed using Miles, Huberman, and Saldaña’s (2014) three-step process namely, data condensation, data display, and conclusion drawing and verification. This study’s findings confirmed the formation of pathological behavioural patterns supported by primitive defence mechanisms, associated with Kernberg’s lower level pathologies. It reflected Dahmer’s pathological formation of psychic structures seen in a diffuse identity and impaired formation of the superego, that supported these patterns. Additionally, the research was valuable in enhancing the researcher’s insight into personality development according to Kernberg’s Object Relations Theory. This study may also be beneficial to practising clinicians and professionals as an example of the early identification of personality pathology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A comparative study of occupational hazards amongst public hospital healthcare workers in urban and rural areas of KwaZulu Natal, South Africa
- Authors: Ngobe, Sinoneliso Avuyisiwe
- Date: 2021-04
- Subjects: Community health services , Health risk assessment -- South Africa , Hazardous materials-- KwaZulu Natal
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/56081 , vital:55291
- Description: The role of healthcare workers (HCWs) is to render services to the sick. While executing their duties, these HCWs can fall ill due to various occupational exposures. HCWs are exposed to a range of hazards including physical, biological, chemical and ergonomic hazards. These hazards can cause physical injuries, diseases, mental strain and other adverse health effects.: The aim of this study was to assess the prevalence of occupational hazards amongst HCWs in urban and rural areas of the KwaZulu-Natal province, South Africa: A descriptive cross-sectional research design was utilised on the estimated sample size of 270 respondents, from ten public hospitals. The sampling method used to identify participants was convenience sampling and data was collected through a self-administered, semi-structured questionnaire. The analysed data was presented in descriptive and inferential summary statistics. The data was analysed using graphical and numerical descriptive statistics as well as inferential statistical techniques. The statistical significance was set at P0.05. The results revealed that both urban and rural HCWs were exposed to physical, biological, chemical and ergonomic hazards. Overall, physical hazards were the most frequently reported form of hazard exposure at 98,6%, followed by biological hazards (96,7%), ergonomic hazards (94,4%) and chemical hazards (23,7%). The duration of exposure to hazards varied from 12 months to 5 years. In a period of 12 months, radiation, cold, heat, slips and trips were the most common sources of physical hazard exposure while direct contact with patient bodily fluids was the most common source of biological hazard exposure and mercury was the most common source of chemical hazard exposure. More than a quarter of the HCWs had experienced some form of assault by a patient in the preceding 12 months. Over a three-year period, both urban and rural area HCWs reported the use of post-exposure prophylaxis and experienced symptoms of chemical exposure at work. Less than 6% of the HCWs had developed an occupational disease in the previous five years. There were no statistically significant differences in total exposure to hazards between urban and rural area HCW. , Thesis (Mtech) --Faculty of Health Sciences, School of Behavioural Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Ngobe, Sinoneliso Avuyisiwe
- Date: 2021-04
- Subjects: Community health services , Health risk assessment -- South Africa , Hazardous materials-- KwaZulu Natal
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/56081 , vital:55291
- Description: The role of healthcare workers (HCWs) is to render services to the sick. While executing their duties, these HCWs can fall ill due to various occupational exposures. HCWs are exposed to a range of hazards including physical, biological, chemical and ergonomic hazards. These hazards can cause physical injuries, diseases, mental strain and other adverse health effects.: The aim of this study was to assess the prevalence of occupational hazards amongst HCWs in urban and rural areas of the KwaZulu-Natal province, South Africa: A descriptive cross-sectional research design was utilised on the estimated sample size of 270 respondents, from ten public hospitals. The sampling method used to identify participants was convenience sampling and data was collected through a self-administered, semi-structured questionnaire. The analysed data was presented in descriptive and inferential summary statistics. The data was analysed using graphical and numerical descriptive statistics as well as inferential statistical techniques. The statistical significance was set at P0.05. The results revealed that both urban and rural HCWs were exposed to physical, biological, chemical and ergonomic hazards. Overall, physical hazards were the most frequently reported form of hazard exposure at 98,6%, followed by biological hazards (96,7%), ergonomic hazards (94,4%) and chemical hazards (23,7%). The duration of exposure to hazards varied from 12 months to 5 years. In a period of 12 months, radiation, cold, heat, slips and trips were the most common sources of physical hazard exposure while direct contact with patient bodily fluids was the most common source of biological hazard exposure and mercury was the most common source of chemical hazard exposure. More than a quarter of the HCWs had experienced some form of assault by a patient in the preceding 12 months. Over a three-year period, both urban and rural area HCWs reported the use of post-exposure prophylaxis and experienced symptoms of chemical exposure at work. Less than 6% of the HCWs had developed an occupational disease in the previous five years. There were no statistically significant differences in total exposure to hazards between urban and rural area HCW. , Thesis (Mtech) --Faculty of Health Sciences, School of Behavioural Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A narrative biography of sexual trauma and subsequent substance abuse
- Authors: Jansen, Tazminne
- Date: 2021-04
- Subjects: Sexual abuse victims -- South Africa -- Biography , Substance abuse -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51231 , vital:43234
- Description: In South Africa, substance abuse and sexual assault and/or abuse are major concerns. Society has become desensitised to these topics because of its high prevalence rate. Substance abuse is often greeted with stereotypes and prejudices that view individuals as a problem to society. The proposed research employed a qualitative, exploratory, and descriptive strategy of inquiry, guided by narrative biographical research design. Social constructionism was employed as a theoretical framework to explore how an individual had constructed her life story, with a specific focus on her experience of sexual trauma and subsequent substance abuse. A non-probability purposive sampling method was used to recruit a research participant who was in the public domain as a motivational speaker in an attempt to guard against retraumatisation. Two data collection methods were employed, namely one-on-one semi-structured interviews and an invitation to the participant to journal about her experience, guided by specific stimulus questions. Thematic narrative analysis was employed as a method of data analysis. The outcome of the investigation had provided a narrative account of the research question at hand with the following themes coming to the forefront:- Early childhood experiences ( pre-sexual abuse), sexual trauma, recovery and meaning making. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Jansen, Tazminne
- Date: 2021-04
- Subjects: Sexual abuse victims -- South Africa -- Biography , Substance abuse -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51231 , vital:43234
- Description: In South Africa, substance abuse and sexual assault and/or abuse are major concerns. Society has become desensitised to these topics because of its high prevalence rate. Substance abuse is often greeted with stereotypes and prejudices that view individuals as a problem to society. The proposed research employed a qualitative, exploratory, and descriptive strategy of inquiry, guided by narrative biographical research design. Social constructionism was employed as a theoretical framework to explore how an individual had constructed her life story, with a specific focus on her experience of sexual trauma and subsequent substance abuse. A non-probability purposive sampling method was used to recruit a research participant who was in the public domain as a motivational speaker in an attempt to guard against retraumatisation. Two data collection methods were employed, namely one-on-one semi-structured interviews and an invitation to the participant to journal about her experience, guided by specific stimulus questions. Thematic narrative analysis was employed as a method of data analysis. The outcome of the investigation had provided a narrative account of the research question at hand with the following themes coming to the forefront:- Early childhood experiences ( pre-sexual abuse), sexual trauma, recovery and meaning making. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A Psychobiographical Study of Charles Manson
- Authors: Flatela, Sambesiwe
- Date: 2021-04
- Subjects: Psychology -- Biographical methods , Personality development -- Psychological aspects , Criminals -- United States -- Biography
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51021 , vital:43201
- Description: Charles Manson was notorious for his antisocial behaviour and influence; through his charisma, he formed a group of followers known as the Manson family. Manson and his followers became involved in various criminal activities which culminated in the murder of 7 people. These murders were not committed by Manson per say, but he planned them, and incited his followers to commit them; this resulted in a trial and Manson going to prison, being given a life sentence. He continued to influence people while he served his sentence in prison. Manson died of natural causes in November 2017. The research study explores and describes the life of Manson in the form of a psychobiography. The aim of the study was to gain insight into the personality development of Charles Manson. This was achieved by applying Otto Kernberg’s Object Relations Theory to Manson’s known life experiences. Various data was collected and triangulated, using primary and secondary sources. Miles, Huberman, and Saldana’s (2013) three step procedure was used to analyse the data. The findings highlight the influence of genetics and rejection as pivotal to the unfolding of Manson’s personality, and provide insight into how his antisocial patterns unfolded. They highlight, in particular, his use of control, dominance and devaluation to protect his positive experience of self. , Thesis (MA) -- Faculty of Health Sciences, Department of Psychology, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Flatela, Sambesiwe
- Date: 2021-04
- Subjects: Psychology -- Biographical methods , Personality development -- Psychological aspects , Criminals -- United States -- Biography
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51021 , vital:43201
- Description: Charles Manson was notorious for his antisocial behaviour and influence; through his charisma, he formed a group of followers known as the Manson family. Manson and his followers became involved in various criminal activities which culminated in the murder of 7 people. These murders were not committed by Manson per say, but he planned them, and incited his followers to commit them; this resulted in a trial and Manson going to prison, being given a life sentence. He continued to influence people while he served his sentence in prison. Manson died of natural causes in November 2017. The research study explores and describes the life of Manson in the form of a psychobiography. The aim of the study was to gain insight into the personality development of Charles Manson. This was achieved by applying Otto Kernberg’s Object Relations Theory to Manson’s known life experiences. Various data was collected and triangulated, using primary and secondary sources. Miles, Huberman, and Saldana’s (2013) three step procedure was used to analyse the data. The findings highlight the influence of genetics and rejection as pivotal to the unfolding of Manson’s personality, and provide insight into how his antisocial patterns unfolded. They highlight, in particular, his use of control, dominance and devaluation to protect his positive experience of self. , Thesis (MA) -- Faculty of Health Sciences, Department of Psychology, 2021
- Full Text:
- Date Issued: 2021-04
A psychobiographical study of Gavin Maxwell: a Kernberg object relations approach
- Authors: Walters, Jacqueline
- Date: 2021-04
- Subjects: Personality development -- Psychological aspects , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52363 , vital:43619
- Description: Gavin Maxwell was an author and naturalist. He published a memoir called A Ring of Bright Water, which shaped the way millions of readers viewed nature. Maxwell wrote simple prose which paints an idyllic and moving picture of his time spent in his “lost paradise”, alongside his beloved animals, most notably his otters. However, in reality Maxwell was a man in conflict, seen in volatile relationships, financial recklessness, and the preference for the company of animals over people. The aim of this study was to explore Maxwell’s life to gain insight into his personality development. This was achieved by applying Otto Kernberg’s Object Relations Theory to his life experiences. In doing so the author hoped to gain an understanding of the personality dynamics that led to Maxwell’s relational difficulties and eccentricities. Data was collected by triangulating multiple sources of information on his life. Miles and Huberman’s (1994) three step approach was used to analyse data collected. These steps are: data reduction, data display, and conclusion drawing and verification. The research study found that Maxwell’s personality development was likely arrested at the third stage of Kernberg’s model. Maxwell relied primarily on immature defence mechanisms based in splitting and possessed a fragile ego structure which he protected through grandiosity. The findings indicated that Maxwell’s personality falls in the borderline level of functioning with a strong likelihood of pathological narcissism. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Walters, Jacqueline
- Date: 2021-04
- Subjects: Personality development -- Psychological aspects , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52363 , vital:43619
- Description: Gavin Maxwell was an author and naturalist. He published a memoir called A Ring of Bright Water, which shaped the way millions of readers viewed nature. Maxwell wrote simple prose which paints an idyllic and moving picture of his time spent in his “lost paradise”, alongside his beloved animals, most notably his otters. However, in reality Maxwell was a man in conflict, seen in volatile relationships, financial recklessness, and the preference for the company of animals over people. The aim of this study was to explore Maxwell’s life to gain insight into his personality development. This was achieved by applying Otto Kernberg’s Object Relations Theory to his life experiences. In doing so the author hoped to gain an understanding of the personality dynamics that led to Maxwell’s relational difficulties and eccentricities. Data was collected by triangulating multiple sources of information on his life. Miles and Huberman’s (1994) three step approach was used to analyse data collected. These steps are: data reduction, data display, and conclusion drawing and verification. The research study found that Maxwell’s personality development was likely arrested at the third stage of Kernberg’s model. Maxwell relied primarily on immature defence mechanisms based in splitting and possessed a fragile ego structure which he protected through grandiosity. The findings indicated that Maxwell’s personality falls in the borderline level of functioning with a strong likelihood of pathological narcissism. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A psychobiographical study of Harvey Milk
- Authors: Pretorius, Neil Zietsman
- Date: 2021-04
- Subjects: Gay rights , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51600 , vital:43321
- Description: The aim of the study was to explore and describe Harvey Milk’s identity development and performance from the theoretical perspective of Narrative Therapy. Harvey (1930-1978), was an American Gay Rights activist who became one of the first openly gay political candidates to be elected to public office in the United States in 1977, before being assassinated in 1978. The study was conducted within a postmodern Social Constructionist epistemology which applied Michael White and David Epston’s (1990) Narrative Therapy as a particular theoretical lens to understand Harvey’s lived experiences. Harvey was chosen as the research subject based on his ability to construct his public identity as an openly gay politician and activist in defiance of the contemporarily dominant heteronormative discourse, despite the danger this posed to his personal safety. His selection was made through purposive sampling which facilitated a qualitative, single case psychobiographical study. Data on Harvey was obtained from both primary and secondary sources available in the public domain, and was analysed using Narrative Therapy concepts that describe individual identity. The study’s findings detail the narrative processes Harvey underwent and the discursive influences he experienced to move from being a closeted gay man, who hid his sexuality from public view, to an openly gay trailblazing Gay Rights activist, who fiercely challenged the norms and effects of heteronormativity on both his own life and that of his gay community. The study emphasises the value of psychobiography and Narrative Therapy to understand individual identity construction and performance. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Pretorius, Neil Zietsman
- Date: 2021-04
- Subjects: Gay rights , Psychology -- Biographical methods
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51600 , vital:43321
- Description: The aim of the study was to explore and describe Harvey Milk’s identity development and performance from the theoretical perspective of Narrative Therapy. Harvey (1930-1978), was an American Gay Rights activist who became one of the first openly gay political candidates to be elected to public office in the United States in 1977, before being assassinated in 1978. The study was conducted within a postmodern Social Constructionist epistemology which applied Michael White and David Epston’s (1990) Narrative Therapy as a particular theoretical lens to understand Harvey’s lived experiences. Harvey was chosen as the research subject based on his ability to construct his public identity as an openly gay politician and activist in defiance of the contemporarily dominant heteronormative discourse, despite the danger this posed to his personal safety. His selection was made through purposive sampling which facilitated a qualitative, single case psychobiographical study. Data on Harvey was obtained from both primary and secondary sources available in the public domain, and was analysed using Narrative Therapy concepts that describe individual identity. The study’s findings detail the narrative processes Harvey underwent and the discursive influences he experienced to move from being a closeted gay man, who hid his sexuality from public view, to an openly gay trailblazing Gay Rights activist, who fiercely challenged the norms and effects of heteronormativity on both his own life and that of his gay community. The study emphasises the value of psychobiography and Narrative Therapy to understand individual identity construction and performance. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A survey of food safety practices and microbial risk related to ready-to-eat chicken food outlets from a university campus in South Africa
- Authors: Michau, Willem P
- Date: 2022-04
- Subjects: Microbial exopolysaccharides -- South Africa , Food -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58925 , vital:60248
- Description: A survey of food safety practices and microbial risk related to ready-to-eat chicken in food outlets from a university campus in South Africa was investigated. The objective of the study was to determine the food safety practices and hygiene knowledge of food handlers in food outlets at a South African university campus. Six food outlets out of the thirteen university food outlets that were similar in type were selected for the study. These six food outlets were selected based on establish criteria but did not comply with HACCP principles. To assess the possible contamination risk related to hygiene practices and processing of ready-to-eat chicken, Total Viable Count, Escherichia coli, Salmonella and Staphylococcus aureus counts were determined using standard methods. A validated questionnaire was used to assess the educational levels of each of the 27 participating food handlers; as well as the determination of the food handlers’ personal and general hygiene. Microbial levels of each food handler hand, aprons, as well as the microbial contamination levels of direct food contact surfaces, and ready-to-eat chicken at each facility were evaluated using standard methods. Several risky non-conforming personal and general hygiene practices were detected during the study. Appropriate corrective actions such as an intensive food hygiene training programme accompanied by a food management system should be implemented in all food facilities. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
- Authors: Michau, Willem P
- Date: 2022-04
- Subjects: Microbial exopolysaccharides -- South Africa , Food -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58925 , vital:60248
- Description: A survey of food safety practices and microbial risk related to ready-to-eat chicken in food outlets from a university campus in South Africa was investigated. The objective of the study was to determine the food safety practices and hygiene knowledge of food handlers in food outlets at a South African university campus. Six food outlets out of the thirteen university food outlets that were similar in type were selected for the study. These six food outlets were selected based on establish criteria but did not comply with HACCP principles. To assess the possible contamination risk related to hygiene practices and processing of ready-to-eat chicken, Total Viable Count, Escherichia coli, Salmonella and Staphylococcus aureus counts were determined using standard methods. A validated questionnaire was used to assess the educational levels of each of the 27 participating food handlers; as well as the determination of the food handlers’ personal and general hygiene. Microbial levels of each food handler hand, aprons, as well as the microbial contamination levels of direct food contact surfaces, and ready-to-eat chicken at each facility were evaluated using standard methods. Several risky non-conforming personal and general hygiene practices were detected during the study. Appropriate corrective actions such as an intensive food hygiene training programme accompanied by a food management system should be implemented in all food facilities. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
A systematic review on the use of methylphenidate as a performance-enhancing substance in tertiary institutions
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
Abortion and the role of self-forgiveness
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
African narratives of customary marriage, marital stressors, strengths and the value of indigenous marital counselling
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
An adolescent survivor’s experience following child sexual abuse: a case study
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An appraisal of strategies to mitigate related to non-communicable diseases of the eye: a case study of Michael Mapongwane Health Clinic in Khayelitsha, Western Cape Metro District
- Authors: Ngcebetsha, Avela Ayanda
- Date: 2022-03
- Subjects: Chronically ill--Care , Ophthalmic nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22908 , vital:53186
- Description: Preventive and curative eye-care services are a critical component of care for patients diagnosed with chronic diseases. The South African constitution guarantees health as a fundamental human right of all citizens. While most chronically ill patients are managed at the primary health care centers, eye care services are currently contracted to private service providers. The extent to which people, especially the chronically ill patients, have access to eye-care service under the current structure is less understood. The study aims to establish the effectiveness and sustainability of the eye-care service delivery model at the Michael Mapongwane CHC, with specific reference to access to eye-care services. Specifically, the study examined the rate and determinants of eye-care service utilisation, assess user’s satisfaction and perspectives of primary health workers and private service providers regarding the current structure of eye-care services. The study adopted a descriptive and explanatory design, which involved a survey and semi-structured interviews. The survey was conducted among 423 patients attending the two primary health centers selected for this study. Patients with chronic illness were recruited over a period of one month. Overall, 365 patients with chronic illness and 58 patients without chronic illness took part in the study. Descriptive and inferential statistics were used to analyse the quantitative date. Purposive sampling was used to select nine health workers and 10 private eye-care service providers for the semi-structured interviews. The data obtained were transcribed and coded. Thematic content analysis was performed on the qualitative data. The results show that less than half of the respondents (n=168) had ever had an eye test, and an even lower proportion (n=115) had had an eye test in the past two years. Age, female sex, formal rural dwelling, marital status, and income were significantly associated with ever having an eye test done. The results reveal a gross inequality in access to eye care test. Only 19.2% of patients diagnosed with hypertension had had their eyes examined. Even fewer proportions of the patients (8.5%) had had their eyes examined during or after diagnosis for hypertension. Likewise, only one in three patients diagnosed with diabetes has had their eyes examined before or after they were diagnosed with diabetes. The majority of patients who had used the services affirmed that it was easy to access eye care services. While most respondents agreed that waiting time to make an appointment was not too long, over half of them affirmed that waiting to see an eye doctor was too long. Most users were reasonably satisfied with the eye care services received. Primary health care providers highlighted challenges such as work overload, poor infrastructure, and patient’s forgetfulness of the appointment dates as factors affecting access to eye care services in their clinic. The primary challenges the private eye-care service providers experienced were small rooms or inappropriate clinic rooms, language barrier and inadequate support from the clinics. In conclusion, this study has shown that access to preventive and curative health care services was among patients attending primary health care centres, and especially those with chronic illness. The current structure of eye care services makes it difficult for patients to access care and for providers to provide quality care. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Ngcebetsha, Avela Ayanda
- Date: 2022-03
- Subjects: Chronically ill--Care , Ophthalmic nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22908 , vital:53186
- Description: Preventive and curative eye-care services are a critical component of care for patients diagnosed with chronic diseases. The South African constitution guarantees health as a fundamental human right of all citizens. While most chronically ill patients are managed at the primary health care centers, eye care services are currently contracted to private service providers. The extent to which people, especially the chronically ill patients, have access to eye-care service under the current structure is less understood. The study aims to establish the effectiveness and sustainability of the eye-care service delivery model at the Michael Mapongwane CHC, with specific reference to access to eye-care services. Specifically, the study examined the rate and determinants of eye-care service utilisation, assess user’s satisfaction and perspectives of primary health workers and private service providers regarding the current structure of eye-care services. The study adopted a descriptive and explanatory design, which involved a survey and semi-structured interviews. The survey was conducted among 423 patients attending the two primary health centers selected for this study. Patients with chronic illness were recruited over a period of one month. Overall, 365 patients with chronic illness and 58 patients without chronic illness took part in the study. Descriptive and inferential statistics were used to analyse the quantitative date. Purposive sampling was used to select nine health workers and 10 private eye-care service providers for the semi-structured interviews. The data obtained were transcribed and coded. Thematic content analysis was performed on the qualitative data. The results show that less than half of the respondents (n=168) had ever had an eye test, and an even lower proportion (n=115) had had an eye test in the past two years. Age, female sex, formal rural dwelling, marital status, and income were significantly associated with ever having an eye test done. The results reveal a gross inequality in access to eye care test. Only 19.2% of patients diagnosed with hypertension had had their eyes examined. Even fewer proportions of the patients (8.5%) had had their eyes examined during or after diagnosis for hypertension. Likewise, only one in three patients diagnosed with diabetes has had their eyes examined before or after they were diagnosed with diabetes. The majority of patients who had used the services affirmed that it was easy to access eye care services. While most respondents agreed that waiting time to make an appointment was not too long, over half of them affirmed that waiting to see an eye doctor was too long. Most users were reasonably satisfied with the eye care services received. Primary health care providers highlighted challenges such as work overload, poor infrastructure, and patient’s forgetfulness of the appointment dates as factors affecting access to eye care services in their clinic. The primary challenges the private eye-care service providers experienced were small rooms or inappropriate clinic rooms, language barrier and inadequate support from the clinics. In conclusion, this study has shown that access to preventive and curative health care services was among patients attending primary health care centres, and especially those with chronic illness. The current structure of eye care services makes it difficult for patients to access care and for providers to provide quality care. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
An educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in the operating theatres
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
An educational intervention on the prevention of catheter-related bloodstream infections in haemodialysis patients in Eswatini
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Simelane, Delisile
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Catheterization -- Complications -- Eswatini , Infection Control
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51906 , vital:43383
- Description: Nurses are health care professionals whose duty it is to protect patients from acquiring infections while hospitalised in a health care setup. By maintaining an infection-free environment, it is expected that the patient's recovery will be promoted, and high-quality nursing care will be delivered. This also applies to the prevention of catheter-related bloodstream infections (CRBSIs) in haemodialysis patients. As nurses spend most of their nursing time with patients, they should have a good level of understanding of infection prevention and control in health care setups. In Eswatini, central venous catheters (CVCs) are commonly used for vascular access in patients who require haemodialysis. From the latest data available in the country's three largest regional hospitals, the proportion of haemodialysis patients with CVCs hospitalised for CRBSIs was 27% (64/239) January to December 2020. Further, it is unclear whether professional nurses have knowledge on the prevention of CRBSIs. This study aimed to investigate the effect of an educational intervention, based on the Centre for Disease Control (CDC) Guidelines, on professional nurses' knowledge regarding the prevention of CRBSIs in haemodialysis patients in hospitals in Eswatini (previously known as Swaziland). The study used a convenience sample including all professional nurses and nurse managers (N=99) employed at the renal and intensive care units (ICUs) at the five hospitals (Hospitals A-E) in Eswatini where haemolysis is conducted. The study is underpinned by Florence Nightingale's Theory and the Knowledge-to-Action Framework. The research study followed a positivistic, quantitative research paradigm, using a quasi-experimental, one-group, pre-post-test design with an interventional research approach, to be conducted in three phases. The first phase was the distribution of a pre-test questionnaire to all professional nurses and nurse managers working in renal units and those in ICUs that are also managing CVCs in order to assess their knowledge regarding the prevention of CRBSIs in haemodialysis patients. The second phase included the educational intervention, which was developed, reviewed and presented by the researcher to professional nurses. The third phase included the distribution of a post-test questionnaire to the professional nurses to assess the effect of the educational intervention on their knowledge.The pre-and post-test questionnaires were developed by the researcher, in line with the educational intervention (and informed based on the pre-test findings), reviewed by six experts and pilot tested to ascertain its validity and reliability. The researcher captured the data using Microsoft Excel and, with the assistance of a statistician, who performed statistical analyses using Cronbach's alpha, One-sample t-tests, Cohen's Kappa, Cohen's D, and Chi-square test. Ethical principles, according to the Belmont Report, including autonomy, beneficence and justice, and appropriate standards of rigour were maintained throughout the research study. In this study the overall knowledge was good with a mean score of 75.05 ±8.74 for the pre-test and 77.75±9.55 for the post-test. The knowledge scores for the factor infection prevention was higher (pre-test: 83.33±9.28 versus post-test: 85.14±8.28) compared to the factor catheter care (pre-test: 66.76±13.13 versus post-test: 70.38±14.27). The factor catheter care and age was significantly related in the pre-test with a p-value of .043 between groups. The factor infection prevention and how long practising in the unit were significantly related in the pre-test, with a p-value of .029 between groups. The factor infection prevention in the pre-test had a medium significant difference between >1 year and >5 years practicing in the unit (Scheffé p .048 and Cohen's d 0.77). The study is the first in the field of nursing in Eswatini. The educational intervention can be used by nurses in renal units and ICUs to close knowledge-practice gaps that can put patients at higher risk for CRBSIs, but requires further development and testing. , Thesis (MN) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An exploration of attrition of sexual crime cases of child victims from the perspectives of the police officers, prosecutors and advocates in Kouga District, Eastern Cape (SA)
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Calitz, Karen
- Date: 2021-04
- Subjects: Sex crimes -- Investigation -- South Africa -- Eastern Cape , Criminal justice, Administration of -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51010 , vital:43200
- Description: The successful prosecution of a sex crime case is dependent on the testimony of the victim. Due to the concealed nature of a sexual crime, it is notoriously difficult to prosecute effectively. With child victims, a number of additional obstacles present themselves when it comes to children giving evidence. Attrition is the rate at which cases do not proceed to court. Statistics in South Africa has revealed that rape has one of the lowest conviction rates of all serious crimes. This study is aimed at analysing the factors that cause attrition during the investigation stage in cases where children were victims of any form of sexual crime. In order to obtain the unscripted view of the investigation process, the qualitative study comprises of interviews with investigating officers who investigate these cases and the prosecutors who present these cases to court. The multi-disciplinary team-approach during investigation and its varying limits and challenges, were the main focus. A purposive non-probability sampling technique was utilised, focusing on the Kouga district municipality of the Eastern Cape. Through this study, the factors causing attrition were analysed and presented in such a manner so that change can be conceptualised in order to strive for the rights of children to receive justice for crimes committed against them. Key findings of the study yielded three significant factors which plague the progress of these cases. A significant finding illuminated the lack of required capacity professionals have in working and understanding children throughout the criminal justice process. A further vital finding is the complexities of inter-departmental functioning on implementation level, indicating challenges in collaboration. An integral finding is the measure of time taken to investigate cases of child victims, which the criminal process flow is delayed to its own detriment in aiming for convictions. In general it was found that services to child victims are neglected. Collaborative approaches which are already in place are to be strengthened through capacity building and collaborative knowledge integration in all sectors of professionals. Victim services legislation must include specialized services for the child victim. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An exploration of burnout among health Professions academics employed in Health sciences faculties at a south African university
- Authors: Burger, Jeanine
- Date: 2022-04
- Subjects: Health care personnel -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58665 , vital:59979
- Description: The label of ‘stress factories’ is becoming a way to collectively refer to higher education institutions due to the changing academic landscape. Academics within health professions face key stressors related to excessive workloads, and insufficient resources resulting in burnout. Some of the most pertinent consequences of burnout include deterioration in physical and mental health, incline in absenteeism and a negative impact on the well-being and performance of students, patients, and organisations. There is a lack of research conducted on health professions academics in South Africa. The overall aim of this study was, therefore, to explore burnout among health professions academic staff who worked within the Community and Health Sciences (CHS) and Dentistry faculties (collectively referred to as Health sciences faculties) at a historically disadvantaged university. The study adopted an online survey design. Participants were selected using simple random sampling. Frequency tables were used to summarise and describe the participants, while correlation analysis was used to test associative relationships. ANOVA was used to test group differences and Scheffé tests were used for posthoc analysis. Ethics clearance was obtained from the Bio-Medical Research Ethics Committee of UWC. Permission to conduct the study was given by the Registrar of UWC. Informed consent was sought from participants for their voluntary participation. Their identities were kept anonymous and responses confidential. Overall findings from the current study indicated that this sample of Health Professional Academics (HPAs) experienced moderate to high levels of burnout, as measured by the Oldenburg Burnout Inventory. No demographic factors were found to correlate with the total score of burnout. Two variables were significantly related to exhaustion, namely the level of qualification and whether participants were studying at the time of completing the survey. Furthermore, nurses and participants currently studying towards a PhD reported significantly higher levels of burnout than the rest of the sample of HPAs. The impact of this study shows HPAs’ experience of moderate to high levels of burnout require interventions to decrease job demands and increase job resources. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
- Authors: Burger, Jeanine
- Date: 2022-04
- Subjects: Health care personnel -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/58665 , vital:59979
- Description: The label of ‘stress factories’ is becoming a way to collectively refer to higher education institutions due to the changing academic landscape. Academics within health professions face key stressors related to excessive workloads, and insufficient resources resulting in burnout. Some of the most pertinent consequences of burnout include deterioration in physical and mental health, incline in absenteeism and a negative impact on the well-being and performance of students, patients, and organisations. There is a lack of research conducted on health professions academics in South Africa. The overall aim of this study was, therefore, to explore burnout among health professions academic staff who worked within the Community and Health Sciences (CHS) and Dentistry faculties (collectively referred to as Health sciences faculties) at a historically disadvantaged university. The study adopted an online survey design. Participants were selected using simple random sampling. Frequency tables were used to summarise and describe the participants, while correlation analysis was used to test associative relationships. ANOVA was used to test group differences and Scheffé tests were used for posthoc analysis. Ethics clearance was obtained from the Bio-Medical Research Ethics Committee of UWC. Permission to conduct the study was given by the Registrar of UWC. Informed consent was sought from participants for their voluntary participation. Their identities were kept anonymous and responses confidential. Overall findings from the current study indicated that this sample of Health Professional Academics (HPAs) experienced moderate to high levels of burnout, as measured by the Oldenburg Burnout Inventory. No demographic factors were found to correlate with the total score of burnout. Two variables were significantly related to exhaustion, namely the level of qualification and whether participants were studying at the time of completing the survey. Furthermore, nurses and participants currently studying towards a PhD reported significantly higher levels of burnout than the rest of the sample of HPAs. The impact of this study shows HPAs’ experience of moderate to high levels of burnout require interventions to decrease job demands and increase job resources. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-04
An exploration of spirit possession and psychological praxis in South Africa: implications for a culturally competent psychological practice
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
- Authors: Yew-Siong, Lauren Cindy
- Date: 2021-04
- Subjects: Spirit possession -- South Africa -- Psychological aspects , Cultural competence -- South Africa -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52394 , vital:43635
- Description: Spirit possession has been documented in human history and evidence of it, still exists globally. In South Africa, spirit possession experiences are not uncommon; in some instances, culturally, they can be expressed as ‘amafufunyana’, while religiously, the term demonic/spirit possession holds true. The symptoms of a spirit possession state, should be of interest to psychology, given the similarity of its symptoms with those that are often typical of a psychological diagnosis, such as dissociation, hallucinations and delusions. While much attention has been given to patient experiences of spirit possession, little attention has been focused on the cultural competence required in working with patients with diverse worldviews. This study explores psychologists perceived cultural competence in working with patients who present with the experience of being possessed by a spirit. This exploration becomes more interesting, given that little to no attention in the literature has focused on the role and influence of psychologists religious and cultural belief systems and how these may influence (if at all), the understanding, diagnosis and treatment of a patient who believes that they are possessed. The researcher employed a qualitative method and design. Participants were recruited through use of a purposive sampling technique. Twelve psychologists agreed to participate in the study and thematic analysis was used to analyze the data, by following a data analysis method by Braun and Clarke (2006). Four themes were identified namely, 1) Psychologists’ understanding and treatment of dissociative disorders/states, 2) Psychologists’ understanding of spirit possession; 3) Spirit possession experiences versus psychological disturbances; and 4) Cultural acknowledgement versus cultural considerations-implications for cultural competence. Findings from the study suggest that it is not only cultural considerations that is Running Head: An Exploration of Spirit Possession and Psychological Praxis in South Africa: Implications for a Culturally Competent Psychological Practice. xv needed within psychological practice, but that a sense of cultural acknowledgement is needed in order to bring about potential holistic healing, and more specifically, aid cultural competence within psychological practice. This, according to the findings of the study, can be done through collaboration between various professionals or practitioners- furthermore creating a platform for the inclusion of pluralism within mental healthcare services. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text: false
- Date Issued: 2021-04
An exploration of teachers’ views and experiences on the effects of community Violence on learners at Lusikisiki
- Authors: Gwarubana, Nolufefe
- Date: 2022-12
- Subjects: Kerr-Soltis model -- Lusikisiki , Posttraumatic Stress Disorder -- Lusikisiki
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60144 , vital:63206
- Description: A significant number of children in the South African context are exposed to community violence and become traumatised. In South Africa, many learners bring trauma histories into the classroom. To attend to this problem, it is important to understand how Exposure to Community Violence (ECV) affects learners, how this exposure is manifested in the classroom, and how teachers and schools can best support and mitigate adverse outcomes for trauma-impacted learners. The study aimed to understand teachers’ views and experiences on the effects of community violence on learners and the nature of the support that they offer to learners with trauma related to community violence. An exploratory design was used within which qualitative data was collected using semi-structured interviews. Data was gathered from Mkhankomo Full Service School, which is located in Lusikisiki. A maximum number of 10 teachers participated in the study and interviews were audio-recorded. Results of this study provide insight into the effects of community violence on the learners who were victims either directly or as witnesses. Based on thematic analysis, the results clearly showed that the effects of community violence were found to be mainly emotional, behavioural and psychological. All these effects were seen to affect the learners’ performance at school in the long run. In addition, the findings point to the teachers showing a willingness to support learners exposed to community violence, however, they felt ill-equipped to do so given that they had never worked with learners exposed to trauma. Also, in their attempts to support learners, teachers implemented support systems such as offering individual lessons to learners and additionally assuming supportive roles such as that of mentor and mother. Moreover, the findings indicated that teachers were not provided with any v training to help them work with learners exposed to trauma and their expectations for the Department of Basic Education to assist were not met. Consequently, the study provides an understanding of the effects of community violence on learners from the perspectives of teachers in the school. It also assists with information regarding teachers’ preparedness and ability to respond to learners’ chronic exposure to community violence. Furthermore, this study gives an understanding of teachers’ approach to supporting learners experiencing traumatic stress in the classroom. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Gwarubana, Nolufefe
- Date: 2022-12
- Subjects: Kerr-Soltis model -- Lusikisiki , Posttraumatic Stress Disorder -- Lusikisiki
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60144 , vital:63206
- Description: A significant number of children in the South African context are exposed to community violence and become traumatised. In South Africa, many learners bring trauma histories into the classroom. To attend to this problem, it is important to understand how Exposure to Community Violence (ECV) affects learners, how this exposure is manifested in the classroom, and how teachers and schools can best support and mitigate adverse outcomes for trauma-impacted learners. The study aimed to understand teachers’ views and experiences on the effects of community violence on learners and the nature of the support that they offer to learners with trauma related to community violence. An exploratory design was used within which qualitative data was collected using semi-structured interviews. Data was gathered from Mkhankomo Full Service School, which is located in Lusikisiki. A maximum number of 10 teachers participated in the study and interviews were audio-recorded. Results of this study provide insight into the effects of community violence on the learners who were victims either directly or as witnesses. Based on thematic analysis, the results clearly showed that the effects of community violence were found to be mainly emotional, behavioural and psychological. All these effects were seen to affect the learners’ performance at school in the long run. In addition, the findings point to the teachers showing a willingness to support learners exposed to community violence, however, they felt ill-equipped to do so given that they had never worked with learners exposed to trauma. Also, in their attempts to support learners, teachers implemented support systems such as offering individual lessons to learners and additionally assuming supportive roles such as that of mentor and mother. Moreover, the findings indicated that teachers were not provided with any v training to help them work with learners exposed to trauma and their expectations for the Department of Basic Education to assist were not met. Consequently, the study provides an understanding of the effects of community violence on learners from the perspectives of teachers in the school. It also assists with information regarding teachers’ preparedness and ability to respond to learners’ chronic exposure to community violence. Furthermore, this study gives an understanding of teachers’ approach to supporting learners experiencing traumatic stress in the classroom. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
An investigation into factors influencing lack of improvement towards achieving compliance with the quality national core standards in KSD clinics, O.R. Tambo District
- Authors: Mnyamana, Tozama Nobom
- Date: 2018
- Subjects: Health facilities--Standards , Health facilities--South Africa , Medical care--South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19498 , vital:43133
- Description: The purpose of this study was to explore factors associated with lack of improvement in the health care provided towards achieving compliance with the National Core Standards (NCS) in King Sabata Dalindyebo (KSD) sub-district clinics, in OR Tambo District in the Eastern Cape. A quantitative design was seen as the most suitable for this study. This method was chosen as the one that would best assist the researcher to meet the objectives of the study. A purposive sampling method was chosen, according to which the researcher selected five sites; all clinics that had been previously inspected for quality standards by the Office of Health Standards Compliance at least once. Participants for the study were all employees of those clinics and one representative of the governing structure of each. Twenty-eight participants in total formed part of the study as two did not return their responses. For collecting data from the participants, self-administered questionnaires were used. Throughout the data collection process, ethical standards of nursing research regarding anonymity, confidentiality and privacy were adhered to. Collected data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of results is presented in tables and bar graphs. The results of the study reveal that a quality-oriented culture is lacking in our clinics with poor participation of clinics teams in quality improvement processes. Leadership and management at clinic level need strengthening. It was also found that there is insufficient capacitation of departmental strategic shift innovations, revealed in the complete absence of information sharing and feedback regarding previous assessments. In addition, there is a shortage of resources including basic equipment in clinics. , Thesis (MPH) -- University of Fort Hare, 2018
- Full Text:
- Date Issued: 2018
- Authors: Mnyamana, Tozama Nobom
- Date: 2018
- Subjects: Health facilities--Standards , Health facilities--South Africa , Medical care--South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19498 , vital:43133
- Description: The purpose of this study was to explore factors associated with lack of improvement in the health care provided towards achieving compliance with the National Core Standards (NCS) in King Sabata Dalindyebo (KSD) sub-district clinics, in OR Tambo District in the Eastern Cape. A quantitative design was seen as the most suitable for this study. This method was chosen as the one that would best assist the researcher to meet the objectives of the study. A purposive sampling method was chosen, according to which the researcher selected five sites; all clinics that had been previously inspected for quality standards by the Office of Health Standards Compliance at least once. Participants for the study were all employees of those clinics and one representative of the governing structure of each. Twenty-eight participants in total formed part of the study as two did not return their responses. For collecting data from the participants, self-administered questionnaires were used. Throughout the data collection process, ethical standards of nursing research regarding anonymity, confidentiality and privacy were adhered to. Collected data were analysed using the Statistical Package for the Social Sciences (SPSS) computer software. The distribution of results is presented in tables and bar graphs. The results of the study reveal that a quality-oriented culture is lacking in our clinics with poor participation of clinics teams in quality improvement processes. Leadership and management at clinic level need strengthening. It was also found that there is insufficient capacitation of departmental strategic shift innovations, revealed in the complete absence of information sharing and feedback regarding previous assessments. In addition, there is a shortage of resources including basic equipment in clinics. , Thesis (MPH) -- University of Fort Hare, 2018
- Full Text:
- Date Issued: 2018
An investigation into the psychological impact of unemployment and coping mechanisms amongst graduates in Pietermaritzburg
- Authors: Nkasa, Nonjabulo Fortunate
- Date: 2022-12
- Subjects: Unemployment -- Social aspects , Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60209 , vital:63539
- Description: Graduates expect to find employment after completing their tertiary qualifications, but they often face various challenges in finding employment. These challenges may be due to a variety of factors such as the type of qualification, structural changes in the economy, lack of experience, or the lack of relevant social networks. This has the potential to affect a graduate’s psychological well-being. The current study explored the psychological impact of unemployment in 100 unemployed graduates between 21 and 35 years of age in Pietermaritzburg. The study was quantitative and used two questionnaires, the GHQ-12 and a self-designed questionnaire, to collect data. Purposive sampling was used to obtain research participants. The Excel spreadsheet and a statistical software package called JASP (2020, version 0.12) was used to analyse data. The findings revealed that unemployment had a negative impact on the participants’ psychological well-being. Participants experienced feelings of high anxiety and depression, and felt stigmatised. Participants also felt shame and experienced lower self-esteem. Unemployment had a financial impact on participants, including financial dependency on family and friends. Some participants blamed themselves, the government system, and the education system for their unemployment. Participants reported to have a positive attitude towards employment, including remaining optimistic about their chances of finding employment. Participants used adaptive coping mechanisms, such as keeping a positive attitude, and maladaptive coping mechanisms, such as hiding their feelings. Further research needs to focus on psychological services that could assist unemployed graduates to find employment through building and maintaining their self-esteem and confidence which are key factors when initially seeking and obtaining work. Unemployment and its impact on psychological well-being has been shown to be to be a complex subject that requires intervention from different parties such as employers and health-care workers, as well as the education system. Keywords: Coping, graduates, psychological impact and unemployment , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Nkasa, Nonjabulo Fortunate
- Date: 2022-12
- Subjects: Unemployment -- Social aspects , Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60209 , vital:63539
- Description: Graduates expect to find employment after completing their tertiary qualifications, but they often face various challenges in finding employment. These challenges may be due to a variety of factors such as the type of qualification, structural changes in the economy, lack of experience, or the lack of relevant social networks. This has the potential to affect a graduate’s psychological well-being. The current study explored the psychological impact of unemployment in 100 unemployed graduates between 21 and 35 years of age in Pietermaritzburg. The study was quantitative and used two questionnaires, the GHQ-12 and a self-designed questionnaire, to collect data. Purposive sampling was used to obtain research participants. The Excel spreadsheet and a statistical software package called JASP (2020, version 0.12) was used to analyse data. The findings revealed that unemployment had a negative impact on the participants’ psychological well-being. Participants experienced feelings of high anxiety and depression, and felt stigmatised. Participants also felt shame and experienced lower self-esteem. Unemployment had a financial impact on participants, including financial dependency on family and friends. Some participants blamed themselves, the government system, and the education system for their unemployment. Participants reported to have a positive attitude towards employment, including remaining optimistic about their chances of finding employment. Participants used adaptive coping mechanisms, such as keeping a positive attitude, and maladaptive coping mechanisms, such as hiding their feelings. Further research needs to focus on psychological services that could assist unemployed graduates to find employment through building and maintaining their self-esteem and confidence which are key factors when initially seeking and obtaining work. Unemployment and its impact on psychological well-being has been shown to be to be a complex subject that requires intervention from different parties such as employers and health-care workers, as well as the education system. Keywords: Coping, graduates, psychological impact and unemployment , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12