Teenage pregnancy among high school girls in Mthatha, South Africa
- Meel, A
- Authors: Meel, A
- Date: 2011
- Subjects: Teenage pregnancy -- Prevention , Teenage pregnancy -- Social aspects , South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: vital:18428 , http://hdl.handle.net/11260/d1006969
- Description: Teenage pregnancy is an important health and social problem in South Africa. Despite declining trends of fertility rates in last two decades, the pregnancy among school girls remains steadily high in South Africa. Teenage pregnancy had negative impacts on various aspects of socio-economic well being of school girls. Aim: To determine the proportion of teenage pregnancy among high school girls and to identify the possible factors that influence teenage pregnancy in Mthatha region during the year 2009. Materials and Methods: This is an observational cross sectional, analytic study of teenage pregnancy conducted among high school teenage girls in the Mthatha region of South Africa. Result: A total of 1150 teenage girls from 15 to 19 years of ages responded from seven high schools in the Mthatha region of South Africa. In total 113 (10%) of teenage high school girls were currently mothers or had previously been pregnant. The proportions of those who had ever been pregnant increased significantly with age. The risk of falling pregnant among public high school teenage girls had two times higher compared to private high school teenage girls. Condoms were the most common method of contraception whereas the oral pills were the least common in practice. About half of teenage girls who had ever been pregnant had an abortion and of this one-third had had a backstreet/illegal abortion. The frequency of substance use was significantly higher among teenage girls who had ever been pregnant. A significant correlation was found between low socio-economic status, public schools and teenage pregnancy in this study. Conclusion: Teenage pregnancy is common among high school girls from 15 to 19 years of age in the Mthatha Region, South Africa. Poor socio-economic family conditions, lack of contraceptive use, early sexual maturation, risky behaviour, lack of knowledge about sexuality and reproductive health, multiple sexual partners and substance use were the common contributing factors of teenage pregnancy.
- Full Text:
- Date Issued: 2011
- Authors: Meel, A
- Date: 2011
- Subjects: Teenage pregnancy -- Prevention , Teenage pregnancy -- Social aspects , South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: vital:18428 , http://hdl.handle.net/11260/d1006969
- Description: Teenage pregnancy is an important health and social problem in South Africa. Despite declining trends of fertility rates in last two decades, the pregnancy among school girls remains steadily high in South Africa. Teenage pregnancy had negative impacts on various aspects of socio-economic well being of school girls. Aim: To determine the proportion of teenage pregnancy among high school girls and to identify the possible factors that influence teenage pregnancy in Mthatha region during the year 2009. Materials and Methods: This is an observational cross sectional, analytic study of teenage pregnancy conducted among high school teenage girls in the Mthatha region of South Africa. Result: A total of 1150 teenage girls from 15 to 19 years of ages responded from seven high schools in the Mthatha region of South Africa. In total 113 (10%) of teenage high school girls were currently mothers or had previously been pregnant. The proportions of those who had ever been pregnant increased significantly with age. The risk of falling pregnant among public high school teenage girls had two times higher compared to private high school teenage girls. Condoms were the most common method of contraception whereas the oral pills were the least common in practice. About half of teenage girls who had ever been pregnant had an abortion and of this one-third had had a backstreet/illegal abortion. The frequency of substance use was significantly higher among teenage girls who had ever been pregnant. A significant correlation was found between low socio-economic status, public schools and teenage pregnancy in this study. Conclusion: Teenage pregnancy is common among high school girls from 15 to 19 years of age in the Mthatha Region, South Africa. Poor socio-economic family conditions, lack of contraceptive use, early sexual maturation, risky behaviour, lack of knowledge about sexuality and reproductive health, multiple sexual partners and substance use were the common contributing factors of teenage pregnancy.
- Full Text:
- Date Issued: 2011
Black South African men’s adjustment to divorce: a divorce-stress-adjustment model
- Muchena, Kudakwashe Christopher
- Authors: Muchena, Kudakwashe Christopher
- Date: 2018
- Subjects: Divorce -- Psychological aspects , Social psychology Men -- Psychology
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/50121 , vital:42048
- Description: The decision to divorce marks a turning point for each individual involved. It can be viewed as more than just a legal process. From a psychological perspective, it does not matter who initiated the divorce, it always comes with emotional ramifications for all those involved. Statistically there is a high rate of divorce in South Africa and there have been significant shifts in trends over time. However, black South African men’s experience of, action in, and adjustment to divorce has been relatively neglected in the divorce research, yet it is important for understanding contemporary social arrangements and processes, as well as for broadening the understanding of black South African men’s lives. How black South African men describe their situations and respond to marital dissolution may point to their positions in the gender-structured community and to how they interpret the nature of social practice, marriages, divorce and their position in society. The present study aimed at exploring black South African men’s experience of, and adjustment to, divorce. More specifically, the study developed a divorce-stress-adjustment model for divorced black South African men. The theoretical framework underpinning this study was that of Symbolic Interactionism that was complemented and enhanced by Erikson’s Psychosocial Theory, focusing specifically on identity development in adulthood. This was a qualitative study using an Interpretative Phenomenological Analysis (IPA) as both the research design and data analytic theory and process. The eight participants were volunteers who were recruited purposively. In accordance with IPA guidelines, data for the study was collected using biographical questionnaires and semi-structured interviews. The emerging themes were grouped into four superordinate themes, that is, pre-divorce experiences, experiencing divorce, adjustment process and post-divorce experience. Each superordinate theme had corresponding subordinate themes and subthemes. The themes were then used to develop the divorce-stress adjustment model indicating that the experience of divorce is an interconnected process. Weed’s recommendations for interpretative synthesis of interview data were used.
- Full Text:
- Date Issued: 2018
- Authors: Muchena, Kudakwashe Christopher
- Date: 2018
- Subjects: Divorce -- Psychological aspects , Social psychology Men -- Psychology
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/50121 , vital:42048
- Description: The decision to divorce marks a turning point for each individual involved. It can be viewed as more than just a legal process. From a psychological perspective, it does not matter who initiated the divorce, it always comes with emotional ramifications for all those involved. Statistically there is a high rate of divorce in South Africa and there have been significant shifts in trends over time. However, black South African men’s experience of, action in, and adjustment to divorce has been relatively neglected in the divorce research, yet it is important for understanding contemporary social arrangements and processes, as well as for broadening the understanding of black South African men’s lives. How black South African men describe their situations and respond to marital dissolution may point to their positions in the gender-structured community and to how they interpret the nature of social practice, marriages, divorce and their position in society. The present study aimed at exploring black South African men’s experience of, and adjustment to, divorce. More specifically, the study developed a divorce-stress-adjustment model for divorced black South African men. The theoretical framework underpinning this study was that of Symbolic Interactionism that was complemented and enhanced by Erikson’s Psychosocial Theory, focusing specifically on identity development in adulthood. This was a qualitative study using an Interpretative Phenomenological Analysis (IPA) as both the research design and data analytic theory and process. The eight participants were volunteers who were recruited purposively. In accordance with IPA guidelines, data for the study was collected using biographical questionnaires and semi-structured interviews. The emerging themes were grouped into four superordinate themes, that is, pre-divorce experiences, experiencing divorce, adjustment process and post-divorce experience. Each superordinate theme had corresponding subordinate themes and subthemes. The themes were then used to develop the divorce-stress adjustment model indicating that the experience of divorce is an interconnected process. Weed’s recommendations for interpretative synthesis of interview data were used.
- Full Text:
- Date Issued: 2018
A longitudinal study of the occupational aspirations and perceptions of fifteen to sixteen year-old South African adolescents
- Authors: Marshall, Joanne
- Date: 2010
- Subjects: Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes , Personality and occupation -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9887 , http://hdl.handle.net/10948/1183 , Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes , Personality and occupation -- South Africa
- Description: While career development is viewed as a lifelong process, there are numerous limitations regarding existing career theories and research pertaining to the adolescent population. Further, insufficient longitudinal research represents one of the major obstacles for a more holistic understanding of career development across the lifespan. Thus, the present longitudinal project of which the current study forms a part was initiated to address the lack of research and theory concerning adolescent career development. The larger longitudinal project intended to make information available regarding the occupational aspirations and perceptions of a sample of South African children and adolescents, from early childhood into their adolescent years. The current study investigates the occupational aspiration development of 15 to 16 year old South African adolescents. It is argued that the South African knowledge base on career development behaviour still requires extensive development, especially with regards to adolescent career development. The current longitudinal study aimed to explore and describe possible developments and changes over a two year period in the interest typology, occupational status level and occupational gender stereotypes of the 43 adolescents. Additionally, the study aimed to explore and describe the adolescents' reflections on their own occupational aspiration development. The findings of this study will provide necessary baseline information on the development of South African adolescents' occupational aspirations and will offer valuable recommendations for the future development of adolescent career education programmes. Adolescent and career development theories were used to provide a context for the current study. Semi-structured interviews and biographical questionnaires were utilized to record verbal data which was transposed into nominal data for analysis. Thus, the current study was quantitative in nature. The semi-structured interview comprised four general aspects that included: the adolescents' occupational aspirations, the number of occupations they knew about, how much they knew about the expressed occupations, and the extent to which they held gender stereotypes concerning fourteen different occupations. The data gained was coded according to Holland's (1985) classification system of interest typologies. Also, the adolescents' occupational aspirations were coded according to their status levels. The coded data was subsequently analysed using both descriptive statistics in the form of frequency counts and percentages as well as inferential statistics in the form of chi-square analysis. Content analysis was also conducted on the adolescents' reflections on their own career development as a means to extract themes. The results indicated that adolescence was an important phase of career development and the findings supported adolescent and career development theories. The results of the study also indicated that the majority of adolescents aspired to Investigative type occupations across both years of the study and most adolescents consistently aspired to high status occupations. In addition, adolescents do not appear to gender stereotype in terms of occupations. Lastly, it was found that most adolescents could reflect on their career development, predominantly attributing changes in their occupational aspirations to changes in their interests. The present study has made available important information regarding the occupational aspiration development of a group of South African adolescents, which can be utilized in further research and as a foundation on which to develop career education programmes.
- Full Text:
- Date Issued: 2010
- Authors: Marshall, Joanne
- Date: 2010
- Subjects: Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes , Personality and occupation -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9887 , http://hdl.handle.net/10948/1183 , Vocational interests -- Research -- South Africa , Children -- South Africa -- Attitudes , Personality and occupation -- South Africa
- Description: While career development is viewed as a lifelong process, there are numerous limitations regarding existing career theories and research pertaining to the adolescent population. Further, insufficient longitudinal research represents one of the major obstacles for a more holistic understanding of career development across the lifespan. Thus, the present longitudinal project of which the current study forms a part was initiated to address the lack of research and theory concerning adolescent career development. The larger longitudinal project intended to make information available regarding the occupational aspirations and perceptions of a sample of South African children and adolescents, from early childhood into their adolescent years. The current study investigates the occupational aspiration development of 15 to 16 year old South African adolescents. It is argued that the South African knowledge base on career development behaviour still requires extensive development, especially with regards to adolescent career development. The current longitudinal study aimed to explore and describe possible developments and changes over a two year period in the interest typology, occupational status level and occupational gender stereotypes of the 43 adolescents. Additionally, the study aimed to explore and describe the adolescents' reflections on their own occupational aspiration development. The findings of this study will provide necessary baseline information on the development of South African adolescents' occupational aspirations and will offer valuable recommendations for the future development of adolescent career education programmes. Adolescent and career development theories were used to provide a context for the current study. Semi-structured interviews and biographical questionnaires were utilized to record verbal data which was transposed into nominal data for analysis. Thus, the current study was quantitative in nature. The semi-structured interview comprised four general aspects that included: the adolescents' occupational aspirations, the number of occupations they knew about, how much they knew about the expressed occupations, and the extent to which they held gender stereotypes concerning fourteen different occupations. The data gained was coded according to Holland's (1985) classification system of interest typologies. Also, the adolescents' occupational aspirations were coded according to their status levels. The coded data was subsequently analysed using both descriptive statistics in the form of frequency counts and percentages as well as inferential statistics in the form of chi-square analysis. Content analysis was also conducted on the adolescents' reflections on their own career development as a means to extract themes. The results indicated that adolescence was an important phase of career development and the findings supported adolescent and career development theories. The results of the study also indicated that the majority of adolescents aspired to Investigative type occupations across both years of the study and most adolescents consistently aspired to high status occupations. In addition, adolescents do not appear to gender stereotype in terms of occupations. Lastly, it was found that most adolescents could reflect on their career development, predominantly attributing changes in their occupational aspirations to changes in their interests. The present study has made available important information regarding the occupational aspiration development of a group of South African adolescents, which can be utilized in further research and as a foundation on which to develop career education programmes.
- Full Text:
- Date Issued: 2010
Experiences of health care professionals at Mdantsane sub-district primary health care clinics regarding the unavailability of medicines
- Authors: Mpengesi, Luvokazi
- Date: 2017
- Subjects: Physician and patient -- South Africa -- East London Primary care (Medicine) -- South Africa -- East London , Communication in medicine
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/19619 , vital:28907
- Description: Medicine unavailability, also known as stock-outs is a global problem. South Africa is not exempt from this problem which impacts negatively on the way in which healthcare services are rendered, more especially in the public sector. Communities are complaining about the unavailability of medicines at public health facilities particularly in primary health care clinics. In an effort to address this problem, the Minister of Health has declared medicine availability as one of the six priorities of the Department of Health. The aim of this study was to explore and describe the experiences and perceptions of healthcare professionals practicing at primary healthcare clinics in a peri-urban area of the Eastern Cape regarding the unavailability of medicines. Understanding the experiences and perceptions was expected to assist in addressing the problem at hand and help management in developing ways to address the problem and support the employees. Semi-structured interviews were conducted with healthcare professionals working at primary health care clinics in and around Mdantsane Township in the Eastern Cape. The main findings of the study can be divided into the following topics: perceived causes of medicine stock-outs, the implications of stock shortages, actions taken in the case of stock-outs and the role to play by in mitigating the impact of stock shortages. The limitations of the study include the research sample which was not truly representative of all healthcare professionals working at Mdantsane sub-district primary healthcare clinics. The study recommends various strategies that management should follow to assist in addressing medicine shortages. The researcher recommends further research to describe the experiences of healthcare professional regarding medicine unavailability.
- Full Text:
- Date Issued: 2017
- Authors: Mpengesi, Luvokazi
- Date: 2017
- Subjects: Physician and patient -- South Africa -- East London Primary care (Medicine) -- South Africa -- East London , Communication in medicine
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/19619 , vital:28907
- Description: Medicine unavailability, also known as stock-outs is a global problem. South Africa is not exempt from this problem which impacts negatively on the way in which healthcare services are rendered, more especially in the public sector. Communities are complaining about the unavailability of medicines at public health facilities particularly in primary health care clinics. In an effort to address this problem, the Minister of Health has declared medicine availability as one of the six priorities of the Department of Health. The aim of this study was to explore and describe the experiences and perceptions of healthcare professionals practicing at primary healthcare clinics in a peri-urban area of the Eastern Cape regarding the unavailability of medicines. Understanding the experiences and perceptions was expected to assist in addressing the problem at hand and help management in developing ways to address the problem and support the employees. Semi-structured interviews were conducted with healthcare professionals working at primary health care clinics in and around Mdantsane Township in the Eastern Cape. The main findings of the study can be divided into the following topics: perceived causes of medicine stock-outs, the implications of stock shortages, actions taken in the case of stock-outs and the role to play by in mitigating the impact of stock shortages. The limitations of the study include the research sample which was not truly representative of all healthcare professionals working at Mdantsane sub-district primary healthcare clinics. The study recommends various strategies that management should follow to assist in addressing medicine shortages. The researcher recommends further research to describe the experiences of healthcare professional regarding medicine unavailability.
- Full Text:
- Date Issued: 2017
Perceptions of mental illness among the residents of the Eastern Cape Province in South Africa: The influence of culture and religion on their coping strategies.: subtitle if needed. If no subtitle follow instructions in manual
- Authors: Sikrweqe, Odwa
- Date: 2023-04
- Subjects: Mental illness , Mental illness--Religious aspects , Mental illness-- Culture aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60445 , vital:65507
- Description: Mental illness has become a global concern, with consequences that may result in a mental health pandemic. Studies conducted on mental illness suggest that religious and cultural beliefs not only affect the expression of mental illness, but also the diagnosis and treatment of mental conditions. South Africa is a country imbued with cultural and religious diversity, which creates different groupings of people, holding diverse beliefs regarding mental illness. In many contexts, supernatural beliefs, traditional healing and indigenous medicines and treatments are considered in the treatment of the symptoms associated with mental illnesses, especially on contexts where there is a reliance on religio-cultural beliefs. Even though there has been a significant increase in the contribution to research focusing on mental health in diverse contexts, much of this research has focused on subjective experiences. Little to no information is available on population-based studies in South Africa regarding mental illness in diverse contexts, thus limiting the generalisation of findings related to cultural and religious influences on mental illness. This dearth of information further limits the development of psychological interventions. The study aimed to explore how mental illness is perceived by the participants and thereafter explored the influence of culture and religion in coping with mental illness by the residents of the Eastern Cape. The study was quantitative in nature and adopted an exploratory-descriptive design. The researcher made use of a questionnaire as a research tool and QuestionPro was utilized as a platform. A convenience sampling technique was utilised. In ensuring rigour of the study, the researcher ensured maximal validity (accurate representation of the data) and reliability (ability to repeat the research procedure). Ethical principles have been adhered to as per the principles on the Belmont Report, to ensure safety of the participants and this includes anonymity, confidentiality and the right to withdraw from participation in the study. Data has been analysed using descriptive and inferential statistics. A sample size of 101 participants from the general population of residents of the Eastern Cape completed the online survey. The results of the study revealed that the residents of the Eastern Cape have substantial knowledge pertaining the cause of mental illness and indicated both positive and negative attitudes towards the mentally ill and possess coping strategies to deal with a mental illness. In addition, the results show that there is a relation between religion/culture and coping with a mental illness by the participants of the study. The findings of this study emphasize the necessity of public education efforts that understand and respect people's cultural diversity, as well as teamwork among traditional and medical professionals. Future studies should focus on the use of discourse analysis to better investigate indigenous groups' conceptions of mental illness and their views about its aetiology and treatment. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Science, 2023
- Full Text:
- Date Issued: 2023-04
- Authors: Sikrweqe, Odwa
- Date: 2023-04
- Subjects: Mental illness , Mental illness--Religious aspects , Mental illness-- Culture aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60445 , vital:65507
- Description: Mental illness has become a global concern, with consequences that may result in a mental health pandemic. Studies conducted on mental illness suggest that religious and cultural beliefs not only affect the expression of mental illness, but also the diagnosis and treatment of mental conditions. South Africa is a country imbued with cultural and religious diversity, which creates different groupings of people, holding diverse beliefs regarding mental illness. In many contexts, supernatural beliefs, traditional healing and indigenous medicines and treatments are considered in the treatment of the symptoms associated with mental illnesses, especially on contexts where there is a reliance on religio-cultural beliefs. Even though there has been a significant increase in the contribution to research focusing on mental health in diverse contexts, much of this research has focused on subjective experiences. Little to no information is available on population-based studies in South Africa regarding mental illness in diverse contexts, thus limiting the generalisation of findings related to cultural and religious influences on mental illness. This dearth of information further limits the development of psychological interventions. The study aimed to explore how mental illness is perceived by the participants and thereafter explored the influence of culture and religion in coping with mental illness by the residents of the Eastern Cape. The study was quantitative in nature and adopted an exploratory-descriptive design. The researcher made use of a questionnaire as a research tool and QuestionPro was utilized as a platform. A convenience sampling technique was utilised. In ensuring rigour of the study, the researcher ensured maximal validity (accurate representation of the data) and reliability (ability to repeat the research procedure). Ethical principles have been adhered to as per the principles on the Belmont Report, to ensure safety of the participants and this includes anonymity, confidentiality and the right to withdraw from participation in the study. Data has been analysed using descriptive and inferential statistics. A sample size of 101 participants from the general population of residents of the Eastern Cape completed the online survey. The results of the study revealed that the residents of the Eastern Cape have substantial knowledge pertaining the cause of mental illness and indicated both positive and negative attitudes towards the mentally ill and possess coping strategies to deal with a mental illness. In addition, the results show that there is a relation between religion/culture and coping with a mental illness by the participants of the study. The findings of this study emphasize the necessity of public education efforts that understand and respect people's cultural diversity, as well as teamwork among traditional and medical professionals. Future studies should focus on the use of discourse analysis to better investigate indigenous groups' conceptions of mental illness and their views about its aetiology and treatment. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Science, 2023
- Full Text:
- Date Issued: 2023-04
Experiences of undergraduate diagnostic radiography students regarding assessor feedback during summative clinical assessments
- Authors: Hodgson, Hayley Dianne
- Date: 2019
- Subjects: Medical education , Teacher-student relationships Communication in education Mentoring in education Radiography, Medical -- Digital techniques
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/42296 , vital:36643
- Description: Assessment and feedback are closely interlinked terms. High quality feedback within education and assessment can have a profound influence on learning. Summative clinical assessments and feedback, conducted in clinical training sites, are vital steps in successfully preparing an undergraduate diagnostic radiography student for the desired outcome of a competent, skilled diagnostic radiographer. Feedback has the potential to close the gap between a student’s actual clinical performance and desired clinical performance. Despite the importance of feedback, students across the globe, particularly in the health professions, are dissatisfied with the current feedback systems. Failure to provide effective feedback within the clinical context can be detrimental to patient safety because students have a false impression of their clinical skills and competencies. The aim of the study was to explore and describe the experiences of undergraduate diagnostic radiography students regarding assessor feedback during summative clinical assessments. A qualitative, exploratory, descriptive, and contextual research design was used to gain in-depth knowledge of the experiences of undergraduate diagnostic radiography students regarding assessor feedback during summative clinical assessments. Data were gathered from students by means of semi-structured focus group interviews. Data were transcribed verbatim and coded using Tesch’s eight steps. Two principle themes emerged from the data analysis. Theme 1 unpacked whether an assessor is an ally or foe. Theme 2 focussed on key elements that influence the nature of the feedback process. There were various positive experiences regarding assessor feedback during the summative clinical assessments reported by the participants. However, they were dissatisfied with numerous aspects of assessor feedback during their summative clinical assessments and this subsequently impeded their learning experience. Measures to ensure trustworthiness and ethical research practices governed this research study. Based on the findings, the recommendations include that the higher education institution, clinical supervisors, and radiography students, should utilise feedback as a learning tool for skills development during summative clinical assesssments.
- Full Text:
- Date Issued: 2019
- Authors: Hodgson, Hayley Dianne
- Date: 2019
- Subjects: Medical education , Teacher-student relationships Communication in education Mentoring in education Radiography, Medical -- Digital techniques
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/42296 , vital:36643
- Description: Assessment and feedback are closely interlinked terms. High quality feedback within education and assessment can have a profound influence on learning. Summative clinical assessments and feedback, conducted in clinical training sites, are vital steps in successfully preparing an undergraduate diagnostic radiography student for the desired outcome of a competent, skilled diagnostic radiographer. Feedback has the potential to close the gap between a student’s actual clinical performance and desired clinical performance. Despite the importance of feedback, students across the globe, particularly in the health professions, are dissatisfied with the current feedback systems. Failure to provide effective feedback within the clinical context can be detrimental to patient safety because students have a false impression of their clinical skills and competencies. The aim of the study was to explore and describe the experiences of undergraduate diagnostic radiography students regarding assessor feedback during summative clinical assessments. A qualitative, exploratory, descriptive, and contextual research design was used to gain in-depth knowledge of the experiences of undergraduate diagnostic radiography students regarding assessor feedback during summative clinical assessments. Data were gathered from students by means of semi-structured focus group interviews. Data were transcribed verbatim and coded using Tesch’s eight steps. Two principle themes emerged from the data analysis. Theme 1 unpacked whether an assessor is an ally or foe. Theme 2 focussed on key elements that influence the nature of the feedback process. There were various positive experiences regarding assessor feedback during the summative clinical assessments reported by the participants. However, they were dissatisfied with numerous aspects of assessor feedback during their summative clinical assessments and this subsequently impeded their learning experience. Measures to ensure trustworthiness and ethical research practices governed this research study. Based on the findings, the recommendations include that the higher education institution, clinical supervisors, and radiography students, should utilise feedback as a learning tool for skills development during summative clinical assesssments.
- Full Text:
- Date Issued: 2019
Resilience in families where a member is living with schizophrenia
- Authors: Haddad, Jason
- Date: 2007
- Subjects: Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9928 , http://hdl.handle.net/10948/654 , Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Description: Schizophrenia cuts across all racial, gender, and socioeconomic lines. Schizophrenia affects 1 percent of the population in Ireland: 35000 people (Schultz & Andreason, 1999); and affects 1.4 - 4.6 percent per 1000 people in the USA: 2.8 million - 9.8 million people (Jabelensky, 2004). In South Africa the figure is approximately 1 percent of the population or 500 000 people (Nicholas, Malcolm, Krosigk & Pillay, 2003). The median age of onset is 21.4 years for men and 26.8 years for women (Daubenton & van Rensburg, 2001), with only 10-20 percent recovering fully after the first psychotic episode (Saddock & Saddock, 2003). The schizophrenic patient is often unable to continue life as before diagnosis, and may progressively need more care as the years pass. Deinstitutionalization over the course of a number of decades has resulted in responsibility for care of mentally-ill individuals shifting to the individual’s family. The struggles faced by such a family can be overwhelming as they struggle with this responsibilty due to lack of training, lack of knowledge and insufficient professional support (Winefield & Harvey, 1994). The stress on the caregivers is often magnified as their support structures around them may ‘shut down’ out of fear of the schizophrenic illness (Williams & Mfoafo-M’Carthy, 2006). The characteristic symptoms used to define schizophrenia include various forms of delusions, hallucinations, thought disorders and abnormalities in emotional expression, social interaction, attention, volition and drives. The functional decline of the schizophrenic individual leads not only to social difficulties, but also economic difficulties that may cripple a family (Fadden, Bebbington & Kuipers, 1987). When first diagnosed, some families may be so overwhelmed by the ‘label’ given to their family member, that they see little hope or way to move forward. One explanation is offered by an American psychiatrist whose own son was diagnosed with schizophrenia, “We experience this terrible feeling of loss and grief for the son we knew. There is also this terrible loss of expectations. We feel cheated out of watching him mature…it is a mourning without end because, of course, Gary is not dead at all. He is very much still with us, seeming eternally twelve years old, needing constant care and attention” (Willick, 1994, p.14). Providing such care is associated with high levels of distress. Accordingly, much attention has been given to understanding the pressures faced by family members, with the hope of understanding how coping resources may be strengthened to sustain these care-giving relationships (Harvey, Burns, Fahy, Manley & Tattan, 2001). However, despite gains in understanding the needs of a schizophrenic family member once out of the hospital environment, care-giving relationships can still break down. The individual with the illness is often left more vulnerable to relapse, recurrent hospitalizations, homelessness and other negative outcomes (Jewel & Stein, 2002). The stress of not only interacting with the afflicted family member, but also with the grief associated with the illness, places an incredible strain on the day-to-day functioning of that family (Pollio, North, Reid, Miletic & McClendon, 2006). From the brief review provided, it is evident that research has been conducted regarding the stressors, strains and difficulties of caregivers of schizophrenic family members. However, the strengths of these families are under-investigated, and the current study will attempt to start filling this void.
- Full Text:
- Date Issued: 2007
- Authors: Haddad, Jason
- Date: 2007
- Subjects: Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9928 , http://hdl.handle.net/10948/654 , Schizophrenia , Schizophrenia -- South Africa -- Family relationships , Resilience (Personality trait)
- Description: Schizophrenia cuts across all racial, gender, and socioeconomic lines. Schizophrenia affects 1 percent of the population in Ireland: 35000 people (Schultz & Andreason, 1999); and affects 1.4 - 4.6 percent per 1000 people in the USA: 2.8 million - 9.8 million people (Jabelensky, 2004). In South Africa the figure is approximately 1 percent of the population or 500 000 people (Nicholas, Malcolm, Krosigk & Pillay, 2003). The median age of onset is 21.4 years for men and 26.8 years for women (Daubenton & van Rensburg, 2001), with only 10-20 percent recovering fully after the first psychotic episode (Saddock & Saddock, 2003). The schizophrenic patient is often unable to continue life as before diagnosis, and may progressively need more care as the years pass. Deinstitutionalization over the course of a number of decades has resulted in responsibility for care of mentally-ill individuals shifting to the individual’s family. The struggles faced by such a family can be overwhelming as they struggle with this responsibilty due to lack of training, lack of knowledge and insufficient professional support (Winefield & Harvey, 1994). The stress on the caregivers is often magnified as their support structures around them may ‘shut down’ out of fear of the schizophrenic illness (Williams & Mfoafo-M’Carthy, 2006). The characteristic symptoms used to define schizophrenia include various forms of delusions, hallucinations, thought disorders and abnormalities in emotional expression, social interaction, attention, volition and drives. The functional decline of the schizophrenic individual leads not only to social difficulties, but also economic difficulties that may cripple a family (Fadden, Bebbington & Kuipers, 1987). When first diagnosed, some families may be so overwhelmed by the ‘label’ given to their family member, that they see little hope or way to move forward. One explanation is offered by an American psychiatrist whose own son was diagnosed with schizophrenia, “We experience this terrible feeling of loss and grief for the son we knew. There is also this terrible loss of expectations. We feel cheated out of watching him mature…it is a mourning without end because, of course, Gary is not dead at all. He is very much still with us, seeming eternally twelve years old, needing constant care and attention” (Willick, 1994, p.14). Providing such care is associated with high levels of distress. Accordingly, much attention has been given to understanding the pressures faced by family members, with the hope of understanding how coping resources may be strengthened to sustain these care-giving relationships (Harvey, Burns, Fahy, Manley & Tattan, 2001). However, despite gains in understanding the needs of a schizophrenic family member once out of the hospital environment, care-giving relationships can still break down. The individual with the illness is often left more vulnerable to relapse, recurrent hospitalizations, homelessness and other negative outcomes (Jewel & Stein, 2002). The stress of not only interacting with the afflicted family member, but also with the grief associated with the illness, places an incredible strain on the day-to-day functioning of that family (Pollio, North, Reid, Miletic & McClendon, 2006). From the brief review provided, it is evident that research has been conducted regarding the stressors, strains and difficulties of caregivers of schizophrenic family members. However, the strengths of these families are under-investigated, and the current study will attempt to start filling this void.
- Full Text:
- Date Issued: 2007
Perceptions of blended learning by academic staff in the Health Sciences Faculty at Nelson Mandela University
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit
- Authors: Pheiffer, Evette
- Date: 2015
- Subjects: Artificial respiration , Cardiotonic agents , Life support systems (Critical care)
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/3115 , vital:20400
- Description: Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which incorporate therapies such as artificial hydration, nutrition and haemodialysis. Life-support treatment is rendered to critically ill patients within the intensive care units. However, when treatment options are maximised, and the patient’s condition is unchanged, a decision is often made to withdraw treatment. Professional nurses are usually involved in the process of withdrawal of life-support treatment as they care for this population of patients. The study followed a qualitative, explorative, descriptive and contextual research paradigm in order to explore and describe the perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. Data was collected by means of interviews, which were transcribed according to Tesch’s method of analysis. Field notes were used to supplement the data findings. Based on the data collected, it is clear that professional nurses experience difficulties when performing withdrawal of life-support treatment. There are a number of communication concerns which need to be addressed and suggestions were also made by the interview participants regarding these concerns. The study makes recommendations to assist professional nurses with the process of withdrawing life-support treatment in a private intensive care unit. The findings of the study will be disseminated to the relevant hospital and unit managers. Ethical principles were maintained throughout the study by adhering to the principles of privacy, confidentiality, anonymity and beneficence.
- Full Text:
- Date Issued: 2015
- Authors: Pheiffer, Evette
- Date: 2015
- Subjects: Artificial respiration , Cardiotonic agents , Life support systems (Critical care)
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/3115 , vital:20400
- Description: Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which incorporate therapies such as artificial hydration, nutrition and haemodialysis. Life-support treatment is rendered to critically ill patients within the intensive care units. However, when treatment options are maximised, and the patient’s condition is unchanged, a decision is often made to withdraw treatment. Professional nurses are usually involved in the process of withdrawal of life-support treatment as they care for this population of patients. The study followed a qualitative, explorative, descriptive and contextual research paradigm in order to explore and describe the perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. Data was collected by means of interviews, which were transcribed according to Tesch’s method of analysis. Field notes were used to supplement the data findings. Based on the data collected, it is clear that professional nurses experience difficulties when performing withdrawal of life-support treatment. There are a number of communication concerns which need to be addressed and suggestions were also made by the interview participants regarding these concerns. The study makes recommendations to assist professional nurses with the process of withdrawing life-support treatment in a private intensive care unit. The findings of the study will be disseminated to the relevant hospital and unit managers. Ethical principles were maintained throughout the study by adhering to the principles of privacy, confidentiality, anonymity and beneficence.
- Full Text:
- Date Issued: 2015
Perceptions, knowledge and attitudes of women towards maternal deaths at Qaukeni Sub-district in OR Tambo Health District in Eastern Cape Province, South Africa
- Authors: Mayekiso, Nomahlubi Dorcas
- Date: 2018
- Subjects: Maternal health services--South Africa--Eastern Cape Mothers--Mortality
- Language: English
- Type: Thesis , Masters , Public Health
- Identifier: http://hdl.handle.net/10353/11194 , vital:37203
- Description: BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions.
- Full Text:
- Date Issued: 2018
- Authors: Mayekiso, Nomahlubi Dorcas
- Date: 2018
- Subjects: Maternal health services--South Africa--Eastern Cape Mothers--Mortality
- Language: English
- Type: Thesis , Masters , Public Health
- Identifier: http://hdl.handle.net/10353/11194 , vital:37203
- Description: BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions.
- Full Text:
- Date Issued: 2018
The social construction of a racial identity on social media sites: a narrative inquiry
- Authors: van Vught, Chandré
- Date: 2019
- Subjects: Construction of Racial Identity , Colored people (South Africa) -- Psychological aspects Internet users -- Psychology Cyberspace -- Psychological aspects Social psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/44169 , vital:37122
- Description: The present study aimed to enhance the understanding of the social construction of Coloured identity on social media sites from the perspective of individuals who identify themselves as Coloured. Furthermore, the study explored how the participants’ engagement on social media sites influenced the construction of their online identities. A qualitative research approach was utilised with narrative inquiry as the research design to explore the perceptions that the participants held about identity, and in particular about Coloured identity. The aim of the study was achieved as six participants were recruited through purposive and snowball sampling. The data collection method was individual semi-structured interviews, with the exception of one interview conducted with two participants. The findings were conceptualised according to credible literature sources and theories. Through the process of thematic analysis, the research yielded valuable findings. The study found that there was strong objection by one participant and ambivalence by other participants about the use of the term Coloured, and its association with identity due to the derogatory associations which stems from its origin. It was found that social media users who identify themselves as Coloured construct their online identities in such a way that it is consistent with their narration of their offline identities. Moreover, minimal importance was placed on racial identity online, as well as offline. However, the participants acknowledged that Coloured identity had predominantly been portrayed in accordance with negative stereotypes. The negative portrayals of Coloured identity were challenged, as these portrayals were not truthful to how the participants were socialised. Furthermore, there was a consensus among the participants that dominant narratives about Coloured identity must be de-constructed and re-constructed. As a social justice study, the present study challenged dominant constructs about Coloured identity in South Africa and is thus able to contribute towards heritage studies in vi South Africa. The significance of heritage studies in South Africa is paramount, as identity and heritage are interlinked. The study created meaning about the participants’ online identities, and thus created meaning of who they are on their social media platforms.
- Full Text:
- Date Issued: 2019
- Authors: van Vught, Chandré
- Date: 2019
- Subjects: Construction of Racial Identity , Colored people (South Africa) -- Psychological aspects Internet users -- Psychology Cyberspace -- Psychological aspects Social psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/44169 , vital:37122
- Description: The present study aimed to enhance the understanding of the social construction of Coloured identity on social media sites from the perspective of individuals who identify themselves as Coloured. Furthermore, the study explored how the participants’ engagement on social media sites influenced the construction of their online identities. A qualitative research approach was utilised with narrative inquiry as the research design to explore the perceptions that the participants held about identity, and in particular about Coloured identity. The aim of the study was achieved as six participants were recruited through purposive and snowball sampling. The data collection method was individual semi-structured interviews, with the exception of one interview conducted with two participants. The findings were conceptualised according to credible literature sources and theories. Through the process of thematic analysis, the research yielded valuable findings. The study found that there was strong objection by one participant and ambivalence by other participants about the use of the term Coloured, and its association with identity due to the derogatory associations which stems from its origin. It was found that social media users who identify themselves as Coloured construct their online identities in such a way that it is consistent with their narration of their offline identities. Moreover, minimal importance was placed on racial identity online, as well as offline. However, the participants acknowledged that Coloured identity had predominantly been portrayed in accordance with negative stereotypes. The negative portrayals of Coloured identity were challenged, as these portrayals were not truthful to how the participants were socialised. Furthermore, there was a consensus among the participants that dominant narratives about Coloured identity must be de-constructed and re-constructed. As a social justice study, the present study challenged dominant constructs about Coloured identity in South Africa and is thus able to contribute towards heritage studies in vi South Africa. The significance of heritage studies in South Africa is paramount, as identity and heritage are interlinked. The study created meaning about the participants’ online identities, and thus created meaning of who they are on their social media platforms.
- Full Text:
- Date Issued: 2019
The influence of an adapted knee angle, as determined by isokinetic assessment, on sprint starting performance
- Authors: Schultz, Adrian Brent
- Date: 2004
- Subjects: Sprinting -- South Africa -- Physiological aspects -- Testing , Muscle strength -- Testing , Runners (Sports) -- South Africa -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11029 , http://hdl.handle.net/10948/317 , Sprinting -- South Africa -- Physiological aspects -- Testing , Muscle strength -- Testing , Runners (Sports) -- South Africa -- Testing
- Description: Muscle strength has been identified as an important contributor to athletic performance. Little attention however, has been paid to the specific relationship between peak isokinetic muscle strength and sprint starting performance. The aim of this study was to determine the influence of an adapted front knee angle, as determined by isokinetic assessment (the angle of peak torque production), on starting performance. Sixteen track sprinters, of elite-national or competitive-regional standard, were asked to perform eight sprints over 50m using four separate starting techniques. Technique 1 featured the athlete’s usual starting preferences while Techniques 2, 3 and 4 featured a standardised set of starting preferences with experimental modifications of the front knee angle in the “set” position. Isokinetic muscle strength was measured at slow (60°/s) and fast (240°/s) test speeds in order to determine the angle of peak torque production for concentric knee extension of each subject’s lead leg. Using one-way analysis of variance (ANOVA) and Post Hoc analysis (LSD), no significant differences (p>0.05) were observed between the experimental techniques for: block time, force-time measures during block time, sprint times, sprint velocity and acceleratio n measures at intervals up to 50m. Significant differences (p<0.05) were however observed between reaction times for the experimental techniques. Slower reaction times are most likely due to increased upper body pretension, resulting from the increased hip elevation seen for these techniques. The results indicate that increased hip elevation may have delayed the initiation of the relevant motor response required to affect an optimal sprint start. Technique 1 resulted in the shortest reaction times, shortest block times, fastest sprint times and greatest sprint velocities for all four techniques. This result was possibly due to the athlete’s experience with, and repeated use of, this technique. The experimental techniques therefore provided no added advantage over the subject’s preferred starting technique and did not significantly optimise sprint starting performance. The results show that modification of the front knee angle had no significant influence on sprint starting performance and sprint running ve locity or acceleration patterns up to 50m. Using Pearson’s Correlation Coefficient to determine the strongest correlations between isokinetic knee strength and sprint starting performance, analysis revealed that the strongest relationships were found between sprint starting performance expressed as acceleration and isokinetic knee strength expressed as relative peak torque and absolute peak torque. For Technique 1 the strongest correlation was found between acceleration (30m - 40m) and relative peak torque as measured at a test speed of 240°/s (r = 0.62). For the remaining experimental techniques, the strongest correlation was found between acceleration (10m - 20m) and relative peak torque as measured at a test speed of 60°/s (r = 0.53) for Technique 2, between acceleration (40m - 50m) and peak torque measured at a test speed of 60°/s (r = 0.72) for Technique 3, and between acceleration (0m - 5m) and peak torque as measured at a test speed of 240°/s (r = 0.71) for Technique 4. These results suggest that isokinetic muscle strength does not correlate strongly with sprint starting performance and that additional factors, such as neuromuscular organisation and muscle fibre typing, possibly make a greater contribution to optimal sprint starting performance.
- Full Text:
- Date Issued: 2004
- Authors: Schultz, Adrian Brent
- Date: 2004
- Subjects: Sprinting -- South Africa -- Physiological aspects -- Testing , Muscle strength -- Testing , Runners (Sports) -- South Africa -- Testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:11029 , http://hdl.handle.net/10948/317 , Sprinting -- South Africa -- Physiological aspects -- Testing , Muscle strength -- Testing , Runners (Sports) -- South Africa -- Testing
- Description: Muscle strength has been identified as an important contributor to athletic performance. Little attention however, has been paid to the specific relationship between peak isokinetic muscle strength and sprint starting performance. The aim of this study was to determine the influence of an adapted front knee angle, as determined by isokinetic assessment (the angle of peak torque production), on starting performance. Sixteen track sprinters, of elite-national or competitive-regional standard, were asked to perform eight sprints over 50m using four separate starting techniques. Technique 1 featured the athlete’s usual starting preferences while Techniques 2, 3 and 4 featured a standardised set of starting preferences with experimental modifications of the front knee angle in the “set” position. Isokinetic muscle strength was measured at slow (60°/s) and fast (240°/s) test speeds in order to determine the angle of peak torque production for concentric knee extension of each subject’s lead leg. Using one-way analysis of variance (ANOVA) and Post Hoc analysis (LSD), no significant differences (p>0.05) were observed between the experimental techniques for: block time, force-time measures during block time, sprint times, sprint velocity and acceleratio n measures at intervals up to 50m. Significant differences (p<0.05) were however observed between reaction times for the experimental techniques. Slower reaction times are most likely due to increased upper body pretension, resulting from the increased hip elevation seen for these techniques. The results indicate that increased hip elevation may have delayed the initiation of the relevant motor response required to affect an optimal sprint start. Technique 1 resulted in the shortest reaction times, shortest block times, fastest sprint times and greatest sprint velocities for all four techniques. This result was possibly due to the athlete’s experience with, and repeated use of, this technique. The experimental techniques therefore provided no added advantage over the subject’s preferred starting technique and did not significantly optimise sprint starting performance. The results show that modification of the front knee angle had no significant influence on sprint starting performance and sprint running ve locity or acceleration patterns up to 50m. Using Pearson’s Correlation Coefficient to determine the strongest correlations between isokinetic knee strength and sprint starting performance, analysis revealed that the strongest relationships were found between sprint starting performance expressed as acceleration and isokinetic knee strength expressed as relative peak torque and absolute peak torque. For Technique 1 the strongest correlation was found between acceleration (30m - 40m) and relative peak torque as measured at a test speed of 240°/s (r = 0.62). For the remaining experimental techniques, the strongest correlation was found between acceleration (10m - 20m) and relative peak torque as measured at a test speed of 60°/s (r = 0.53) for Technique 2, between acceleration (40m - 50m) and peak torque measured at a test speed of 60°/s (r = 0.72) for Technique 3, and between acceleration (0m - 5m) and peak torque as measured at a test speed of 240°/s (r = 0.71) for Technique 4. These results suggest that isokinetic muscle strength does not correlate strongly with sprint starting performance and that additional factors, such as neuromuscular organisation and muscle fibre typing, possibly make a greater contribution to optimal sprint starting performance.
- Full Text:
- Date Issued: 2004
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
Perceptions of patients about poor attitudes and behaviours of midwives in the maternity sections in a public hospital of East London South Africa
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
- Full Text:
- Date Issued: 2019-11
Exploring self concept and social identities in the context of online intimate relationships
- Authors: Van Staden, Phillip
- Date: 2010
- Subjects: Self , Group identity , Online dating
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9881 , http://hdl.handle.net/10948/1276 , Self , Group identity , Online dating
- Description: Many South Africans are developing online relationships. Due to the anonymous and artificial context of the online environment it is possible that a person’s identity differs within the on- and offline environment. Sternberg’s (1986) Triangular Model of Love as well as Rogers’ Self Theory (1951) were utilized as a theoretical base for investigating online identity and intimacy. Using a qualitative, exploratory design, the study explored this phenomenon by analysing open ended questionnaires administered online to people in intimate online relationships. Participants were selected by means of non-probability snowball sampling. The findings indicated that Internet socialisers vary in their experience of their online identities. Individuals may have a multitude of genuine online selves, each one represented differently depending on the anonymity and level of intimacy in the relationship. Selfdisclosure and deception play an important role in identity representation and exploration and both are experienced as being affected by the online context.
- Full Text:
- Date Issued: 2010
- Authors: Van Staden, Phillip
- Date: 2010
- Subjects: Self , Group identity , Online dating
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9881 , http://hdl.handle.net/10948/1276 , Self , Group identity , Online dating
- Description: Many South Africans are developing online relationships. Due to the anonymous and artificial context of the online environment it is possible that a person’s identity differs within the on- and offline environment. Sternberg’s (1986) Triangular Model of Love as well as Rogers’ Self Theory (1951) were utilized as a theoretical base for investigating online identity and intimacy. Using a qualitative, exploratory design, the study explored this phenomenon by analysing open ended questionnaires administered online to people in intimate online relationships. Participants were selected by means of non-probability snowball sampling. The findings indicated that Internet socialisers vary in their experience of their online identities. Individuals may have a multitude of genuine online selves, each one represented differently depending on the anonymity and level of intimacy in the relationship. Selfdisclosure and deception play an important role in identity representation and exploration and both are experienced as being affected by the online context.
- Full Text:
- Date Issued: 2010
Community development workers' perceptions of wellness at an HIV / AIDS organisation in Nelson Mandela Bay
- Authors: Ndlela, Joshua Bongani
- Date: 2011
- Subjects: Community development -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , HIV infections -- Social aspects -- South Africa -- Eastern Cape , Organisational behavior , Health promotion -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9837 , http://hdl.handle.net/10948/1657 , Community development -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , HIV infections -- Social aspects -- South Africa -- Eastern Cape , Organisational behavior , Health promotion -- South Africa -- Eastern Cape
- Description: The general aim of the study was to explore and describe community development workers` perceptions of wellness at an HIV/AIDS organisation in Nelson Mandela Bay, South Africa. The population of 36 community development workers at the Nelson Mandela Bay office of this organisation participated in this study. The sampling technique employed can be described as a census as it involved sampling an entire finite population that included all community development workers in the organisation. These workers are predominantly Xhosa-speaking adults between the ages of 21 and 60 years, and include both males and females. Qualitative data were gathered by means of audio-recorded focus groups, utilising semi-structured interviews. Tesch`s method was used to analyse the data, while Guba`s guidelines were used to enhance the trustworthiness of the research. Focus group interviews with community development workers revealed seven common themes in the experience of working in the HIV/AIDS organisation: (a) participants’ understanding of wellness; (b) organisational factors that impact on wellness; (c) personal factors that impact on wellness; (d) family and community factors that impact on wellness; (e) participants’ wellness; (f) personal coping strategies; and (g) suggestions regarding organisational strategies to enhance employee wellness. It is envisaged that the research findings of this study will be used in future to direct interventions that will be beneficial for the short and long term planning for the wellness of the community development workers of the HIV/AIDS organisation and those around them. It was recommended that the organisation was to develop a workplace wellness programme, increase management support towards the staff wellness and to increase the staff capacity.
- Full Text:
- Date Issued: 2011
- Authors: Ndlela, Joshua Bongani
- Date: 2011
- Subjects: Community development -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , HIV infections -- Social aspects -- South Africa -- Eastern Cape , Organisational behavior , Health promotion -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9837 , http://hdl.handle.net/10948/1657 , Community development -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , HIV infections -- Social aspects -- South Africa -- Eastern Cape , Organisational behavior , Health promotion -- South Africa -- Eastern Cape
- Description: The general aim of the study was to explore and describe community development workers` perceptions of wellness at an HIV/AIDS organisation in Nelson Mandela Bay, South Africa. The population of 36 community development workers at the Nelson Mandela Bay office of this organisation participated in this study. The sampling technique employed can be described as a census as it involved sampling an entire finite population that included all community development workers in the organisation. These workers are predominantly Xhosa-speaking adults between the ages of 21 and 60 years, and include both males and females. Qualitative data were gathered by means of audio-recorded focus groups, utilising semi-structured interviews. Tesch`s method was used to analyse the data, while Guba`s guidelines were used to enhance the trustworthiness of the research. Focus group interviews with community development workers revealed seven common themes in the experience of working in the HIV/AIDS organisation: (a) participants’ understanding of wellness; (b) organisational factors that impact on wellness; (c) personal factors that impact on wellness; (d) family and community factors that impact on wellness; (e) participants’ wellness; (f) personal coping strategies; and (g) suggestions regarding organisational strategies to enhance employee wellness. It is envisaged that the research findings of this study will be used in future to direct interventions that will be beneficial for the short and long term planning for the wellness of the community development workers of the HIV/AIDS organisation and those around them. It was recommended that the organisation was to develop a workplace wellness programme, increase management support towards the staff wellness and to increase the staff capacity.
- Full Text:
- Date Issued: 2011
An exploration of collaborative group work with science students
- Authors: Adams, Aadiel
- Date: 2006
- Subjects: Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9840 , http://hdl.handle.net/10948/392 , Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Description: Part of the transformation of education in South Africa emphasises the need to address historical barriers that have been impeding access into institutions of learning, and the need for empowering stakeholders democratically. Improving institutional responsiveness and focusing on Science, Technology, and Engineering and increasing the number of university graduates are amongst the more prominent strategies for changing the educational, socioeconomic, and political landscape within a global context. This research, as the first cycle of an action research project, explores collaborative group work with a group of science students at a Vista University campus (that is now part of the Nelson Mandela Metropolitan University) as a contribution to institutional, professional, and personal responsiveness. The treatise traces my development as a novice researcher within an evolving action research context that became a terrain for facilitating a collaborative approach to learning. I describe my personal experience and the experiences of my co-researchers as collaborative partners, the systemic influences considered during the study, and the process of action research that encouraged movement from feelings of apprehension and inadequacy to feelings of anticipation and excitement regarding collaborative interactive learning and development opportunities. For the co-researchers and me an action research process in an interpretivist paradigm was not just suited to an exploration of collaboration, but also evolved into a vehicle for interactive teaching and learning, in a collaborative and student-centred way. Giving voice and being listened to, having perspectives validated, engaging in learning that could accompany academic and personal growth, and an acute sense of being empowered are ingredients that participants, and institutions of learning, can continue building on and building with along evolving spirals of life-long learning and meaning making.
- Full Text:
- Date Issued: 2006
- Authors: Adams, Aadiel
- Date: 2006
- Subjects: Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9840 , http://hdl.handle.net/10948/392 , Science -- Study and teaching (Higher) -- South Africa , Group work in education , Educational change -- South Africa
- Description: Part of the transformation of education in South Africa emphasises the need to address historical barriers that have been impeding access into institutions of learning, and the need for empowering stakeholders democratically. Improving institutional responsiveness and focusing on Science, Technology, and Engineering and increasing the number of university graduates are amongst the more prominent strategies for changing the educational, socioeconomic, and political landscape within a global context. This research, as the first cycle of an action research project, explores collaborative group work with a group of science students at a Vista University campus (that is now part of the Nelson Mandela Metropolitan University) as a contribution to institutional, professional, and personal responsiveness. The treatise traces my development as a novice researcher within an evolving action research context that became a terrain for facilitating a collaborative approach to learning. I describe my personal experience and the experiences of my co-researchers as collaborative partners, the systemic influences considered during the study, and the process of action research that encouraged movement from feelings of apprehension and inadequacy to feelings of anticipation and excitement regarding collaborative interactive learning and development opportunities. For the co-researchers and me an action research process in an interpretivist paradigm was not just suited to an exploration of collaboration, but also evolved into a vehicle for interactive teaching and learning, in a collaborative and student-centred way. Giving voice and being listened to, having perspectives validated, engaging in learning that could accompany academic and personal growth, and an acute sense of being empowered are ingredients that participants, and institutions of learning, can continue building on and building with along evolving spirals of life-long learning and meaning making.
- Full Text:
- Date Issued: 2006
Caregivers’ Knowledge, Attitude and Practices (KAP) of breastfeeding and prevention of mother-to-child transmission (pmtct) in Nelson Mandela Bay Health District: impact of a community dialogue intervention
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barnard, Marné
- Date: 2021-04
- Subjects: Breastfeeding -- Transmission -- South Africa -- Nelson Mandela Bay Municipality -- Prevention , Communicable diseases -- South Africa -- Nelson Mandela Bay Municipality -- Prevention
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50988 , vital:43196
- Description: Background: Globally, childhood mortality remains high with 5.3 million deaths occurring in children under the age of five years in 2018. Of these deaths, 43 000 were children from South Africa, with malnutrition being a significant risk factor contributing to disease and death. Breastfeeding has many benefits and reduces childhood mortality. Current primary health care strategies in South Africa are not having an adequate impact on breastfeeding rates, therefore appropriate messages need to be targeted at the community in order to improve breastfeeding rates. Participatory approaches have been identified as an effective tool to promote child health. Community dialogues led by skilled Early Childhood Development (ECD) mentors from the community might be key in order to improve caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and Prevention of Mother to Child Transmission of HIV (PMTCT). Aim : The aim of the study was to explore the potential effects of community dialogues, led by ECD mentors, on caregivers’ knowledge, attitudes and practices (KAP) in relation to breastfeeding and prevention of mother-to-child transmission of HIV (PMTCT). Methods: Quasi-experimental design was used to compare the KAP of caregivers in relation to breastfeeding and PMTCT. Convenience sampling was used to include 63 caregivers who participated in the umbrella project (mixed-methods) and 61 caregivers who did not participate in the project. Ethics approval was obtained from the Nelson Mandela University Faculty Postgraduate Studies Committee. Participants had to provide written informed consent. A skilled interviewer used a structured questionnaire to assess the KAP of all participants. Data were captured on an Excel spreadsheet and analysed in collaboration with a statistician, who analysed the data using Microsoft Excel. Descriptive statistics were applied to numerical data, while frequency distributions were applied to categorical data. Correlations were calculated to describe the degree of relationship between two variables. Inferential statistic tests, conducted at a significance level of 0,05, were used for hypothesis testing. The t-test and analysis of variance (ANOVA) were used in tests involving mean values. Scheffé’s test was used in ANOVA to determine between which of the groups a statistically significant difference was found. Results: In the intervention group more than double the number participants (35%; n=22) had a good knowledge of breastfeeding when compared to participants (15%; n=9) in the control group. Additionally, the intervention group participants displayed better attitudes towards the RtHB (p=0.02). However, control group participants showed better knowledge towards the HIV (p=0.01). Finally, results suggest that in the intervention group, participants (33%; n=21) were more likely to have a good total KAP score in relation to breastfeeding and PMTCT when compared to participants (11%; n=7) in the control group. In the intervention group, better knowledge correlated with good practices relating to the RtHB (r=0.27). However, in the control group, positive attitudes correlated with better practices relating to HIV (r=0.29). Younger intervention group participants displayed better breastfeeding related practices (p=0.011). Additionally, younger control group participants displayed better knowledge of breastfeeding (p=0.001). Intervention group participants whose choices were influenced by their husband/ partner (p =0.016) and/ or radio/ magazines/ newspapers (p=0.004) had positive attitudes towards HIV. Control group participants whose choices were influenced by their other family members (p=0.043) and/ or clinic staff (p=0.016) had good knowledge of sharing their knowledge. Conclusions and recommendations: The intervention group displayed a better knowledge of breastfeeding as well as more desirable attitudes towards the RtHB, when compared to the control group. However, the control group displayed better knowledge of HIV, which could be due to the control group having more younger participants when compared to the intervention group. The community dialogue intervention had a positive impact on caregivers KAP relating to breastfeeding and PMTCT, which included all the different categories combined. In order to improve the Sakha Esethu intervention programme, managers need to provide guidance to the mentors on how to initiate conversations regarding HIV and discuss the stigma associated with HIV and breastfeeding. Results showed that including grandmothers and husbands or partners in the target population will benefit the intervention. Additionally, the use of radio needs to be considered especially for discussions regarding HIV. Lastly, sustainability needs to be improved due to many participants not remembering certain detail regarding topics that was discussed. , Thesis (MSc) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Treatment and care of children and adolescents diagnosed with Attention deficit/Hyperactivity disorder
- Authors: Snyman, Sanmari
- Date: 2008
- Subjects: Attention-deficit disorder in adolescence , Hyperactive children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10144 , http://hdl.handle.net/10948/871 , Attention-deficit disorder in adolescence , Hyperactive children -- South Africa -- Port Elizabeth
- Description: Background: In recent years the incidence of Attention Deficit/Hyperactivity Disorder (ADHD) has increased. Objectives: The primary aim of the study was to determine the treatment of children and adolescents diagnosed with ADHD in South Africa and more specifically the Eastern Cape. Methods: The study consisted of two parts, a retrospective drug utilisation study and a questionnaire survey. The drug utilisation study was conducted on chronic medication records of a private sector medical scheme administrator and contained records from 1994 to 2006. A total of 42 250 records representing 8 274 patients and 4 001 families, were analysed. The questionnaire survey was conducted in the Eastern Cape. The questionnaires were distributed by responsible pharmacists to parents of children receiving medication for the treatment of ADHD from his/her pharmacy. Fifty one completed questionnaires were analysed. Results: The average age of patients in the drug utilisation study were 14.28 (SD = 5.50) years. Males represented 77.37 percent of patients. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product, followed by Ritalin® LA 20 mg. The two most frequently prescribed active ingredients apart from methylphenidate were fluticasone and budesonide. The two most common comorbid conditions were allergic rhinitis and asthma. The average age of patients in the questionnaire survey was 10.26 (SD = 2.51) years. Males represented 73.58 percent of patients. A third of patients had relatives previously diagnosed with ADHD. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product. Conclusion: ADHD is a complex life-long disorder. It does not only affect the child diagnosed with the disorder, but also has effects on the family, schooling system and peer relationship. Therefore, more studies regarding the incidence and treatment of ADHD need to be conducted in South Africa.
- Full Text:
- Date Issued: 2008
- Authors: Snyman, Sanmari
- Date: 2008
- Subjects: Attention-deficit disorder in adolescence , Hyperactive children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10144 , http://hdl.handle.net/10948/871 , Attention-deficit disorder in adolescence , Hyperactive children -- South Africa -- Port Elizabeth
- Description: Background: In recent years the incidence of Attention Deficit/Hyperactivity Disorder (ADHD) has increased. Objectives: The primary aim of the study was to determine the treatment of children and adolescents diagnosed with ADHD in South Africa and more specifically the Eastern Cape. Methods: The study consisted of two parts, a retrospective drug utilisation study and a questionnaire survey. The drug utilisation study was conducted on chronic medication records of a private sector medical scheme administrator and contained records from 1994 to 2006. A total of 42 250 records representing 8 274 patients and 4 001 families, were analysed. The questionnaire survey was conducted in the Eastern Cape. The questionnaires were distributed by responsible pharmacists to parents of children receiving medication for the treatment of ADHD from his/her pharmacy. Fifty one completed questionnaires were analysed. Results: The average age of patients in the drug utilisation study were 14.28 (SD = 5.50) years. Males represented 77.37 percent of patients. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product, followed by Ritalin® LA 20 mg. The two most frequently prescribed active ingredients apart from methylphenidate were fluticasone and budesonide. The two most common comorbid conditions were allergic rhinitis and asthma. The average age of patients in the questionnaire survey was 10.26 (SD = 2.51) years. Males represented 73.58 percent of patients. A third of patients had relatives previously diagnosed with ADHD. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product. Conclusion: ADHD is a complex life-long disorder. It does not only affect the child diagnosed with the disorder, but also has effects on the family, schooling system and peer relationship. Therefore, more studies regarding the incidence and treatment of ADHD need to be conducted in South Africa.
- Full Text:
- Date Issued: 2008
Nursing strategies to facilitate self-management in persons living with diabetes mellitus type 2
- Authors: O'Brien Coleen Ann
- Date: 2011
- Subjects: Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10019 , http://hdl.handle.net/10948/1627 , Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Description: The growing pandemic of diabetes mellitus (DM) is continuing to spread around the world with developing countries being most vulnerable. Diabetes mellitus is the direct cause of 5 percent of deaths worldwide at present, with an expected increase of 50percent in the next 10 years. Diabetes mellitus was virtually unknown in Africa at the start of the 20th century but the incidence is expected to increase by 80 percent by 2025. South African estimates indicate that at present there are up to four million people living with DM in South Africa, with an expected rise of 25 percent by 2020. If DM is not adequately controlled, life-threatening complications ensue, resulting in financial, physical and emotional costs both for people living with the condition and for their families. There is also a great financial burden on the state, both directly due to the cost of providing health care and indirectly due to loss of productivity and a reduced tax base. Global initiatives against DM include the Diabetes Strategy for Africa compiled by the International Diabetes Federation and World Health Organization. There are several forms of DM with Type 2 being the most common with an estimated 95% of cases. Optimal glycaemic control is essential for the management of DM, potentially allowing the course of the disease to be slowed or halted. The previous medical model of management of chronic disease has changed to an empowerment approach where the person living with the condition is a partner in the management process. This is particularly true of DM where all aspects of life are affected by the condition. During Phase One of this study, a qualitative, exploratory, descriptive, contextual approach was utilized to explore and describe the experiences of persons living with DM and of diabetes nurse educators who assist them in Nelson Mandela Bay. During Phase Two, a conceptual framework was created and utilized to develop strategies which professional nurses may use in facilitating self-management by persons living with DM. Persons living with DM experience a definite initial experience on diagnosis of DM but gradually gain an acceptance and acknowledgment of their condition. They have definite views on the concept of self-management and experience both positive and negative factors influencing self-management. They also have definite ideas on how professional nurses may assist them in achieving self-management. These findings were confirmed ii by the experiences of the diabetes nurse educators who formed the second group of participants in this study. The ACE approach to self-management of DM consists of an Action Strategy, a Coordination Strategy and an Education Strategy. The ACE approach makes use of grand and functional strategies implemented on the macro (national), meso (provincial) and micro (local) levels to enable the professional nurse to assist persons living with DM to achieve self-management of their condition. Grand strategies need to be implemented on a macro or meso level to enable the professional nurse to function effectively on a micro level. Assisting the patient has to go beyond merely improving knowledge about the condition but has to include individual goal setting as well as problem solving skills and coping strategies as part of a therapeutic relationship between the professional nurse and the person living with DM. The level of personal responsibility achieved by persons living with DM is affected by the memes which they hold regarding their level of health and their ability to address any barriers to self-management which they may experience. Making use of the process of the therapeutic relationship, the professional nurse is able to positively influence the memes held by persons living with DM and assist them in achieving a greater level of personal responsibility. The therapeutic relationship is potentially influenced by all three of the strategies described above. This study provides insight into the experiences of persons living with DM and of the diabetes nurse educators who assist them in Nelson Mandela Bay. Recommendations regarding the implementation of a National Diabetes Policy on a macro level are made, as well as recommendations for nursing practice, education and research. The strategies which were evaluated by an Expert Panel provide a tool for the professional nurse to use while assisting persons living with DM by facilitating the growth of personal responsibility leading to self-management.
- Full Text:
- Date Issued: 2011
- Authors: O'Brien Coleen Ann
- Date: 2011
- Subjects: Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10019 , http://hdl.handle.net/10948/1627 , Diabetes -- Treatment , Nurses -- South Africa , Diabetes -- Prevention Popular works
- Description: The growing pandemic of diabetes mellitus (DM) is continuing to spread around the world with developing countries being most vulnerable. Diabetes mellitus is the direct cause of 5 percent of deaths worldwide at present, with an expected increase of 50percent in the next 10 years. Diabetes mellitus was virtually unknown in Africa at the start of the 20th century but the incidence is expected to increase by 80 percent by 2025. South African estimates indicate that at present there are up to four million people living with DM in South Africa, with an expected rise of 25 percent by 2020. If DM is not adequately controlled, life-threatening complications ensue, resulting in financial, physical and emotional costs both for people living with the condition and for their families. There is also a great financial burden on the state, both directly due to the cost of providing health care and indirectly due to loss of productivity and a reduced tax base. Global initiatives against DM include the Diabetes Strategy for Africa compiled by the International Diabetes Federation and World Health Organization. There are several forms of DM with Type 2 being the most common with an estimated 95% of cases. Optimal glycaemic control is essential for the management of DM, potentially allowing the course of the disease to be slowed or halted. The previous medical model of management of chronic disease has changed to an empowerment approach where the person living with the condition is a partner in the management process. This is particularly true of DM where all aspects of life are affected by the condition. During Phase One of this study, a qualitative, exploratory, descriptive, contextual approach was utilized to explore and describe the experiences of persons living with DM and of diabetes nurse educators who assist them in Nelson Mandela Bay. During Phase Two, a conceptual framework was created and utilized to develop strategies which professional nurses may use in facilitating self-management by persons living with DM. Persons living with DM experience a definite initial experience on diagnosis of DM but gradually gain an acceptance and acknowledgment of their condition. They have definite views on the concept of self-management and experience both positive and negative factors influencing self-management. They also have definite ideas on how professional nurses may assist them in achieving self-management. These findings were confirmed ii by the experiences of the diabetes nurse educators who formed the second group of participants in this study. The ACE approach to self-management of DM consists of an Action Strategy, a Coordination Strategy and an Education Strategy. The ACE approach makes use of grand and functional strategies implemented on the macro (national), meso (provincial) and micro (local) levels to enable the professional nurse to assist persons living with DM to achieve self-management of their condition. Grand strategies need to be implemented on a macro or meso level to enable the professional nurse to function effectively on a micro level. Assisting the patient has to go beyond merely improving knowledge about the condition but has to include individual goal setting as well as problem solving skills and coping strategies as part of a therapeutic relationship between the professional nurse and the person living with DM. The level of personal responsibility achieved by persons living with DM is affected by the memes which they hold regarding their level of health and their ability to address any barriers to self-management which they may experience. Making use of the process of the therapeutic relationship, the professional nurse is able to positively influence the memes held by persons living with DM and assist them in achieving a greater level of personal responsibility. The therapeutic relationship is potentially influenced by all three of the strategies described above. This study provides insight into the experiences of persons living with DM and of the diabetes nurse educators who assist them in Nelson Mandela Bay. Recommendations regarding the implementation of a National Diabetes Policy on a macro level are made, as well as recommendations for nursing practice, education and research. The strategies which were evaluated by an Expert Panel provide a tool for the professional nurse to use while assisting persons living with DM by facilitating the growth of personal responsibility leading to self-management.
- Full Text:
- Date Issued: 2011