The experience and aftermath of chronic bullying on individuals' socio-emotional development
- Authors: Darney, Christine Kyle
- Date: 2009
- Subjects: Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9885 , http://hdl.handle.net/10948/1214 , Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Description: Bullying behaviour is fast becoming a common feature in schools around the world. It is a practice that provokes concern, as it infringes upon the child’s right to human dignity, privacy, freedom and security. The physical, emotional and educational consequences of bullying behaviour can never be underestimated (Oyaziwo, 2008). Limited research has been conducted in South Africa regarding the prevalence and possible long-term effects of chronic bullying at school. This study intended to explore and describe the prevalence of bullying behaviour among a sample of grade 8 learners and the prevalence of previous chronic bullying at school among a sample of young adults in the Nelson Mandela Metropole. In addition, the study aimed to explore and describe the relationship between chronic bullying at school and self-esteem and attachment styles. Finally, the contextual factors which may influence the outcomes of chronic bullying for victims were explored and described. The study was exploratory descriptive in nature and employed a mixed method research design. Participants were selected by means of non-probability sampling. The sample consisted of 225 grade 8 learners at a secondary school in the Nelson Mandela Metropole and 101 young adult participants who had completed their school education in the Nelson Mandela Metropole within the past sixteen years. Data on the demographics of the sample was gathered through the administration of a biographical questionnaire. Furthermore, the Olweus (1996) Bully/Victim Questionnaire was utilized in order to obtain information about the prevalence of bullying behaviours among the participants. James Battle’s (1981) Culture-Free Self-Esteem Inventories were used to measure the construct of self-esteem, and Bartholomew and Horowitz’ (1991) Relationship Questionnaire was employed in order to identify the participants’ current attachment styles. Individual semi-structured interviews were later conducted among a sub-set of young adult participants, who had experienced chronic bullying at school, in order to identify the contextual factors which may have influenced the xiii outcomes of their experiences of victimization. Descriptive and inferential statistics, including correlations and multivariate analysis of variance (ANOVA), were utilized in order to analyze the quantitative data. Key findings revealed that eighty-five percent of the grade 8 participants had been involved in bullying behaviours at school this year and ninety-one percent of the young adult participants had been involved in bullying behaviours during some stage of their school careers. No significant relationship was found to exist between bullying and self-esteem in the grade 8 sample. Self-esteem scores did however vary significantly among the victims, bully-victims and bystanders in the young adult sample. Correlational coefficients confirmed that there was a significant relationship between previous chronic bullying at school and the total self-esteem scores of participants in the young adult sample. Findings also showed that there was no significant relationship between bullying and attachment in either of the samples in this study. Finally, qualitative results revealed that a number of contextual factors influenced the outcomes of chronic bullying at school for the sub-set of young adult victims. These factors included: The nature, frequency and duration of the bullying behaviour, the victims’ social support at the time as well as the victims’ personal characteristics.
- Full Text:
- Date Issued: 2009
- Authors: Darney, Christine Kyle
- Date: 2009
- Subjects: Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9885 , http://hdl.handle.net/10948/1214 , Bullying -- South Africa -- Psychological aspects , Bullying in schools -- South Africa -- Prevention
- Description: Bullying behaviour is fast becoming a common feature in schools around the world. It is a practice that provokes concern, as it infringes upon the child’s right to human dignity, privacy, freedom and security. The physical, emotional and educational consequences of bullying behaviour can never be underestimated (Oyaziwo, 2008). Limited research has been conducted in South Africa regarding the prevalence and possible long-term effects of chronic bullying at school. This study intended to explore and describe the prevalence of bullying behaviour among a sample of grade 8 learners and the prevalence of previous chronic bullying at school among a sample of young adults in the Nelson Mandela Metropole. In addition, the study aimed to explore and describe the relationship between chronic bullying at school and self-esteem and attachment styles. Finally, the contextual factors which may influence the outcomes of chronic bullying for victims were explored and described. The study was exploratory descriptive in nature and employed a mixed method research design. Participants were selected by means of non-probability sampling. The sample consisted of 225 grade 8 learners at a secondary school in the Nelson Mandela Metropole and 101 young adult participants who had completed their school education in the Nelson Mandela Metropole within the past sixteen years. Data on the demographics of the sample was gathered through the administration of a biographical questionnaire. Furthermore, the Olweus (1996) Bully/Victim Questionnaire was utilized in order to obtain information about the prevalence of bullying behaviours among the participants. James Battle’s (1981) Culture-Free Self-Esteem Inventories were used to measure the construct of self-esteem, and Bartholomew and Horowitz’ (1991) Relationship Questionnaire was employed in order to identify the participants’ current attachment styles. Individual semi-structured interviews were later conducted among a sub-set of young adult participants, who had experienced chronic bullying at school, in order to identify the contextual factors which may have influenced the xiii outcomes of their experiences of victimization. Descriptive and inferential statistics, including correlations and multivariate analysis of variance (ANOVA), were utilized in order to analyze the quantitative data. Key findings revealed that eighty-five percent of the grade 8 participants had been involved in bullying behaviours at school this year and ninety-one percent of the young adult participants had been involved in bullying behaviours during some stage of their school careers. No significant relationship was found to exist between bullying and self-esteem in the grade 8 sample. Self-esteem scores did however vary significantly among the victims, bully-victims and bystanders in the young adult sample. Correlational coefficients confirmed that there was a significant relationship between previous chronic bullying at school and the total self-esteem scores of participants in the young adult sample. Findings also showed that there was no significant relationship between bullying and attachment in either of the samples in this study. Finally, qualitative results revealed that a number of contextual factors influenced the outcomes of chronic bullying at school for the sub-set of young adult victims. These factors included: The nature, frequency and duration of the bullying behaviour, the victims’ social support at the time as well as the victims’ personal characteristics.
- Full Text:
- Date Issued: 2009
The experience of adolescense girls regarding verbal bullying in secondary school
- Authors: Jacobs, Ruwayda
- Date: 2006
- Subjects: Teenage girls -- Mental health -- South Africa , Bullying in schools -- South Africa , Psychiatric nursing -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10045 , http://hdl.handle.net/10948/449 , Teenage girls -- Mental health -- South Africa , Bullying in schools -- South Africa , Psychiatric nursing -- South Africa
- Description: The experience of verbal bullying at school may cause a female adolescent much distress. This distress can result in the adolescent experiencing life as traumatic and may influence her sense of well being negatively. Verbal bullying usually takes the form of name-calling, put-downs and insults. This can be very traumatic for adolescents and can lower their self-esteem, which may eventually lead to mental illness. The parents of adolescent learners often have the misconception that bullying is a normal part of a teenager’s life and are unaware of the distress it may cause the adolescent. The victimized adolescent should, therefore, be provided with support in order to avert the occurrence of mental illness. The goals of this study were to: • Explore and describe the experiences of adolescent girls regarding verbal bullying in secondary school settings. • Develop guidelines to assist mental health nursing specialists in helping adolescent girls to cope with bullying in secondary schools. The researcher used a qualitative, explorative, descriptive and contextual design with a phenomenological approach. The research population consisted of female learners in a secondary school setting. Purposive sampling was used in this study to identify participants. Data was collected by means of naïve sketches, one-to-one-interviews and field notes based on observations. Data was analyzed using Tesch’s method (in Creswell, 1994:190) of descriptive analysis. The identified themes were compared to available literature. The data collected from this study was used to develop guidelines to aid mental health nursing specialists to help adolescents to cope with verbal bullying.
- Full Text:
- Date Issued: 2006
- Authors: Jacobs, Ruwayda
- Date: 2006
- Subjects: Teenage girls -- Mental health -- South Africa , Bullying in schools -- South Africa , Psychiatric nursing -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10045 , http://hdl.handle.net/10948/449 , Teenage girls -- Mental health -- South Africa , Bullying in schools -- South Africa , Psychiatric nursing -- South Africa
- Description: The experience of verbal bullying at school may cause a female adolescent much distress. This distress can result in the adolescent experiencing life as traumatic and may influence her sense of well being negatively. Verbal bullying usually takes the form of name-calling, put-downs and insults. This can be very traumatic for adolescents and can lower their self-esteem, which may eventually lead to mental illness. The parents of adolescent learners often have the misconception that bullying is a normal part of a teenager’s life and are unaware of the distress it may cause the adolescent. The victimized adolescent should, therefore, be provided with support in order to avert the occurrence of mental illness. The goals of this study were to: • Explore and describe the experiences of adolescent girls regarding verbal bullying in secondary school settings. • Develop guidelines to assist mental health nursing specialists in helping adolescent girls to cope with bullying in secondary schools. The researcher used a qualitative, explorative, descriptive and contextual design with a phenomenological approach. The research population consisted of female learners in a secondary school setting. Purposive sampling was used in this study to identify participants. Data was collected by means of naïve sketches, one-to-one-interviews and field notes based on observations. Data was analyzed using Tesch’s method (in Creswell, 1994:190) of descriptive analysis. The identified themes were compared to available literature. The data collected from this study was used to develop guidelines to aid mental health nursing specialists to help adolescents to cope with verbal bullying.
- Full Text:
- Date Issued: 2006
The experience of AIDS orphans living in a township
- Authors: Frood, Sharron
- Date: 2007
- Subjects: Orphans -- South Africa , Children of AIDS patients -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10078 , http://hdl.handle.net/10948/505 , Orphans -- South Africa , Children of AIDS patients -- South Africa
- Description: One of the challenges facing health care professionals today is the phenomenon of rendering care to children who have been orphaned in the AIDS pandemic. The number of AIDS orphans in South Africa has risen out of all proportion and is causing existing health and social structures to become stretched in providing care to this vulnerable population of children. The objectives of this study are to explore and to describe the lived experience of children living in a township who have become AIDS orphans and to develop broad guidelines for Primary Health Care Nurses (PHCN’s), related professionals and partners involved in the care of AIDS orphans living in a township. The theoretical grounding of this study is found in Kotze’s Theory on Nursing Accompaniment (Kotzé, 1998:3). The proposed research design was based upon a qualitative study using an explorative, descriptive, contextual and phenomenological strategy of inquiry. Data was collected by means of in-depth interviews from a purposively selected sample and then analysed using the steps of qualitative data analysis proposed by Tesch (in Creswell, 1994). Guba’s model was used to assess the trustworthiness of the qualitative data. Based upon the findings, guidelines were developed to assist PHCN’s related professionals and partners involved in the care of AIDS orphans living in a township. Through this study the goal of the researcher was to give a voice to AIDS orphans living in a township and to represent accurately their lived experience.
- Full Text:
- Date Issued: 2007
- Authors: Frood, Sharron
- Date: 2007
- Subjects: Orphans -- South Africa , Children of AIDS patients -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10078 , http://hdl.handle.net/10948/505 , Orphans -- South Africa , Children of AIDS patients -- South Africa
- Description: One of the challenges facing health care professionals today is the phenomenon of rendering care to children who have been orphaned in the AIDS pandemic. The number of AIDS orphans in South Africa has risen out of all proportion and is causing existing health and social structures to become stretched in providing care to this vulnerable population of children. The objectives of this study are to explore and to describe the lived experience of children living in a township who have become AIDS orphans and to develop broad guidelines for Primary Health Care Nurses (PHCN’s), related professionals and partners involved in the care of AIDS orphans living in a township. The theoretical grounding of this study is found in Kotze’s Theory on Nursing Accompaniment (Kotzé, 1998:3). The proposed research design was based upon a qualitative study using an explorative, descriptive, contextual and phenomenological strategy of inquiry. Data was collected by means of in-depth interviews from a purposively selected sample and then analysed using the steps of qualitative data analysis proposed by Tesch (in Creswell, 1994). Guba’s model was used to assess the trustworthiness of the qualitative data. Based upon the findings, guidelines were developed to assist PHCN’s related professionals and partners involved in the care of AIDS orphans living in a township. Through this study the goal of the researcher was to give a voice to AIDS orphans living in a township and to represent accurately their lived experience.
- Full Text:
- Date Issued: 2007
The experience of psychologists and psychiatrists providing services to adults living with attention deficit hyperactivity disorder
- Authors: Gowar, Rozanne Petal
- Date: 2017
- Subjects: Psychoanalysts , Attention-deficit hyperactivity disorder , Attention-deficit disorder in adults
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15879 , vital:28281
- Description: There is widespread international interest in Attention Deficit Hyperactivity Disorder (ADHD). ADHD was considered to be a childhood onset neurodevelopmental disorder with few presenting symptoms in adulthood. Current research disputes this belief and there are a significant number of adults that meet the diagnostic criteria for ADHD in adulthood. This study explored the experience of selected Psychiatrists and Psychologists providing mental health services to adults living with ADHD. The awareness and presenting patterns of ADHD among adults as well as the intervention strategies used by these practitioners was explored. Furthermore, an exploration of the differential diagnoses associated with ADHD was undertaken, as well as whether the disorder was considered to be the primary or a co-morbid diagnosis in the treatment process. An explorative, descriptive- research design, utilizing a semi-structured interview format and a short survey of participants to provide descriptive statistics was used. Non-probability purposive snowballing sampling was used to gain access to psychiatrists and psychologists in both public or hospital service and independent private practice who met the inclusion criteria and who were willing to participate in the study. Interviews were conducted in English by the researcher. The major findings of the present study were categorized in three over-arching themes namely (1) views regarding the diagnosis of adults with ADHD, (2) experiences regarding the effects of impairment related to ADHD in adults, and (3) treatment and current care options for Adult ADHD. Sub-Themes were used to further explore the results. This study provides for a more in-depth understanding of Adult ADHD.
- Full Text:
- Date Issued: 2017
- Authors: Gowar, Rozanne Petal
- Date: 2017
- Subjects: Psychoanalysts , Attention-deficit hyperactivity disorder , Attention-deficit disorder in adults
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15879 , vital:28281
- Description: There is widespread international interest in Attention Deficit Hyperactivity Disorder (ADHD). ADHD was considered to be a childhood onset neurodevelopmental disorder with few presenting symptoms in adulthood. Current research disputes this belief and there are a significant number of adults that meet the diagnostic criteria for ADHD in adulthood. This study explored the experience of selected Psychiatrists and Psychologists providing mental health services to adults living with ADHD. The awareness and presenting patterns of ADHD among adults as well as the intervention strategies used by these practitioners was explored. Furthermore, an exploration of the differential diagnoses associated with ADHD was undertaken, as well as whether the disorder was considered to be the primary or a co-morbid diagnosis in the treatment process. An explorative, descriptive- research design, utilizing a semi-structured interview format and a short survey of participants to provide descriptive statistics was used. Non-probability purposive snowballing sampling was used to gain access to psychiatrists and psychologists in both public or hospital service and independent private practice who met the inclusion criteria and who were willing to participate in the study. Interviews were conducted in English by the researcher. The major findings of the present study were categorized in three over-arching themes namely (1) views regarding the diagnosis of adults with ADHD, (2) experiences regarding the effects of impairment related to ADHD in adults, and (3) treatment and current care options for Adult ADHD. Sub-Themes were used to further explore the results. This study provides for a more in-depth understanding of Adult ADHD.
- Full Text:
- Date Issued: 2017
The experiences and perceptions of midwives at Provincial Hospitals in the Nelson Mandela Metropolitan Municipality regarding exclusive breastfeeding by HIV positive first-time mothers
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
The experiences of African men who have sex with men and women (MSMW): of navigating sexual identities within the presence of homophobia in KwaZulu-Natal
- Authors: Msweli, Sakhile
- Date: 2019
- Subjects: Gender identity -- Cross-cultural studies -- South Africa -- KwaZulu-Natal , Gender identity -- South Africa -- KwaZulu-Natal Bisexuality|xPsychological aspects Homophobia -- South Africa -- KwaZulu-Natal Homosexuality -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/41930 , vital:36610
- Description: Research on sexual minority experiences has traditionally documented harrowing accounts of homophobia, harassment, and discrimination. While sexual minority’s experiences are typically imbued with physical, mental and emotional consequences, men who have sex with men and women or, MSMW may be subject to a unique homophobic experience due to their sexual identity Hence, research shows that these men may have to devise strategies to insulate themselves from discrimination and possible physical harm. This study explored how MSMW navigate their sexual identities in the presence of homophobia. The study adopted a social constructionist perspective as a theoretical lens to study these sexual navigations. A qualitative research methodology was utilised. Six male participants from KwaZulu-Natal were sampled using a combination of convenience and purposive sampling techniques. Data were transcribed verbatim and analysed using thematic analysis. The findings of this study suggest that MSMW experience forms of homophobic attitudes across different spheres of their lives. As a result, these men may draw from normative gender performances present within their communities, conceal their sexual identity by presenting themselves in heteronormative ways, and limiting disclosure of their sexuality to those closest to them, regardless of the emotional burden they may consequently carry. The findings of the study further point out that more research is needed to further understand sexual minorities’ navigation of their sexual identities in contexts that are not accepting and the social and psychological implications that this has on them.
- Full Text:
- Date Issued: 2019
- Authors: Msweli, Sakhile
- Date: 2019
- Subjects: Gender identity -- Cross-cultural studies -- South Africa -- KwaZulu-Natal , Gender identity -- South Africa -- KwaZulu-Natal Bisexuality|xPsychological aspects Homophobia -- South Africa -- KwaZulu-Natal Homosexuality -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/41930 , vital:36610
- Description: Research on sexual minority experiences has traditionally documented harrowing accounts of homophobia, harassment, and discrimination. While sexual minority’s experiences are typically imbued with physical, mental and emotional consequences, men who have sex with men and women or, MSMW may be subject to a unique homophobic experience due to their sexual identity Hence, research shows that these men may have to devise strategies to insulate themselves from discrimination and possible physical harm. This study explored how MSMW navigate their sexual identities in the presence of homophobia. The study adopted a social constructionist perspective as a theoretical lens to study these sexual navigations. A qualitative research methodology was utilised. Six male participants from KwaZulu-Natal were sampled using a combination of convenience and purposive sampling techniques. Data were transcribed verbatim and analysed using thematic analysis. The findings of this study suggest that MSMW experience forms of homophobic attitudes across different spheres of their lives. As a result, these men may draw from normative gender performances present within their communities, conceal their sexual identity by presenting themselves in heteronormative ways, and limiting disclosure of their sexuality to those closest to them, regardless of the emotional burden they may consequently carry. The findings of the study further point out that more research is needed to further understand sexual minorities’ navigation of their sexual identities in contexts that are not accepting and the social and psychological implications that this has on them.
- Full Text:
- Date Issued: 2019
The experiences of AIDS orphaned adolescents in Thaba-Bosiu, Maseru
- Authors: Motene, Khantse
- Date: 2009
- Subjects: AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10001 , http://hdl.handle.net/10948/1025 , AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Description: “We owe them fathers, and a family and loving homes they never knew because we know deep in our hearts that they are all our children too,” These are words from the musical Miss Saigon by Boubill and Schonberg as quoted by van Dyk (2005:278) which prompted the researcher’s interest in the study. According to a study by Kimane and Mturi (2000:8), a good number of AIDS orphaned adolescents have the responsibility of the care of siblings. Moreover, they are economically active, forced to earn income for their own survival or for their unemployed siblings or extended family household. They are the young people one sees in the streets of Lesotho’s principle cities, selling fruit or collecting fares in local taxis. For girls, the situation is particularly dire. While they too sell goods on the streets or some are employed as domestic workers, many find the lure of commercial sex work and the promise of cash irresistible (Kimane and Mturi, 2000:8). However, Fraser (2004:143) denotes that some children, when faced with stressful conditions, construct socially adverse situations as challenges and opportunities and access adequate amounts of available individual and environmental resources. This general frame of reference through which individuals appraise and react to events and situations in the environment is termed resiliency (Fraser, 2004:143). The aim of the study was to explore and describe the experiences of AIDS orphaned adolescents. A qualitative approach with an exploratory-descriptive research design was employed to meet the aims of the study. The research was conducted in Thaba-Bosiu, Maseru. Purposive sampling was used to access a research sample with the assistance of a service rendering organisation in Lesotho. Data was collected by means of semi-structured interviews with eight AIDS orphaned adolescents between the ages of 15 -18 years. Data was analysed according to the framework provided by Tesch (in Creswell, 1994:153) and Guba’s model (in Krefting, 1991:217) was employed for data verification. It was anticipated that the study would contribute to the recommendations towards the development of more effective programmes for the AIDS orphans in Lesotho. In addition, undertaking this research was viewed as critical as it would provide the much needed scientific basis on which the Social Work professional body would be able to reflect on its AIDS orphan support strategies.
- Full Text:
- Date Issued: 2009
- Authors: Motene, Khantse
- Date: 2009
- Subjects: AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10001 , http://hdl.handle.net/10948/1025 , AIDS (Disease) in adolescence , AIDS (Disease) in children -- Social aspects , Orphans -- Africa
- Description: “We owe them fathers, and a family and loving homes they never knew because we know deep in our hearts that they are all our children too,” These are words from the musical Miss Saigon by Boubill and Schonberg as quoted by van Dyk (2005:278) which prompted the researcher’s interest in the study. According to a study by Kimane and Mturi (2000:8), a good number of AIDS orphaned adolescents have the responsibility of the care of siblings. Moreover, they are economically active, forced to earn income for their own survival or for their unemployed siblings or extended family household. They are the young people one sees in the streets of Lesotho’s principle cities, selling fruit or collecting fares in local taxis. For girls, the situation is particularly dire. While they too sell goods on the streets or some are employed as domestic workers, many find the lure of commercial sex work and the promise of cash irresistible (Kimane and Mturi, 2000:8). However, Fraser (2004:143) denotes that some children, when faced with stressful conditions, construct socially adverse situations as challenges and opportunities and access adequate amounts of available individual and environmental resources. This general frame of reference through which individuals appraise and react to events and situations in the environment is termed resiliency (Fraser, 2004:143). The aim of the study was to explore and describe the experiences of AIDS orphaned adolescents. A qualitative approach with an exploratory-descriptive research design was employed to meet the aims of the study. The research was conducted in Thaba-Bosiu, Maseru. Purposive sampling was used to access a research sample with the assistance of a service rendering organisation in Lesotho. Data was collected by means of semi-structured interviews with eight AIDS orphaned adolescents between the ages of 15 -18 years. Data was analysed according to the framework provided by Tesch (in Creswell, 1994:153) and Guba’s model (in Krefting, 1991:217) was employed for data verification. It was anticipated that the study would contribute to the recommendations towards the development of more effective programmes for the AIDS orphans in Lesotho. In addition, undertaking this research was viewed as critical as it would provide the much needed scientific basis on which the Social Work professional body would be able to reflect on its AIDS orphan support strategies.
- Full Text:
- Date Issued: 2009
The experiences of being trans-racially adopted: the voice of the adoptee
- Authors: Bowen, Carrie
- Date: 2017
- Subjects: Interracial adoption -- South Africa Interethnic adoption -- South Africa , Adoption -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/14719 , vital:27831
- Description: rans-racial adoption was first legalised in South Africa in 1991, and remains a contentious issue within a society in which the ramifications of apartheid are still felt. The study was borne of recognition of the need for clear understanding of the phenomenon of trans-racial adoption in the unique South African context, from the perspective of the adoptees themselves. The phenomenological approach was employed in this qualitative study, in order to gain an understanding of the meaning and sense that trans-racial adoptees ascribe to their lived experiences. The population for the study was trans-racially adopted individuals within South Africa, aged 18 years or older, who have been legally adopted during infancy or early childhood, after 1991. Snowball sampling was determined to be the most appropriate sampling method for the study. Individual, in-depth interviews were conducted with six trans-racial adoptees. These interviews were led by the question "Tell me the story of your experience of growing up as a trans-racially adopted child, and the meaning that this has for you?" The data collected through the interview process was analysed using thematic data analysis. The trustworthiness of the research process and findings was achieved through employing theoretically prescribed data verification strategies. The rich accounts offered by the participants provided insight into their experiences. The most significant study findings revealed that the participants experienced emotional security within their adoptive families, but encountered racism and discrimination within society. The findings further indicated that ambivalence developed during the process of identity formation. In making sense of their experiences, the participants reflected on their uniqueness and individuality, and highlighted gains related to their upbringing. It was evident that quality parental care and the participants’ own resilience contributed to their success in navigating these challenges. Based on the research findings, the study concluded with recommendations for enhancing outcomes in trans-racial adoption.
- Full Text:
- Date Issued: 2017
- Authors: Bowen, Carrie
- Date: 2017
- Subjects: Interracial adoption -- South Africa Interethnic adoption -- South Africa , Adoption -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/14719 , vital:27831
- Description: rans-racial adoption was first legalised in South Africa in 1991, and remains a contentious issue within a society in which the ramifications of apartheid are still felt. The study was borne of recognition of the need for clear understanding of the phenomenon of trans-racial adoption in the unique South African context, from the perspective of the adoptees themselves. The phenomenological approach was employed in this qualitative study, in order to gain an understanding of the meaning and sense that trans-racial adoptees ascribe to their lived experiences. The population for the study was trans-racially adopted individuals within South Africa, aged 18 years or older, who have been legally adopted during infancy or early childhood, after 1991. Snowball sampling was determined to be the most appropriate sampling method for the study. Individual, in-depth interviews were conducted with six trans-racial adoptees. These interviews were led by the question "Tell me the story of your experience of growing up as a trans-racially adopted child, and the meaning that this has for you?" The data collected through the interview process was analysed using thematic data analysis. The trustworthiness of the research process and findings was achieved through employing theoretically prescribed data verification strategies. The rich accounts offered by the participants provided insight into their experiences. The most significant study findings revealed that the participants experienced emotional security within their adoptive families, but encountered racism and discrimination within society. The findings further indicated that ambivalence developed during the process of identity formation. In making sense of their experiences, the participants reflected on their uniqueness and individuality, and highlighted gains related to their upbringing. It was evident that quality parental care and the participants’ own resilience contributed to their success in navigating these challenges. Based on the research findings, the study concluded with recommendations for enhancing outcomes in trans-racial adoption.
- Full Text:
- Date Issued: 2017
The experiences of caregivers in formal institutions caring for terminal AIDS patients
- Authors: Williams, Margaret
- Date: 2007
- Subjects: AIDS (Disease) -- Nursing -- Psychological aspects , HIV-positive persons -- Care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10033 , http://hdl.handle.net/10948/644 , AIDS (Disease) -- Nursing -- Psychological aspects , HIV-positive persons -- Care -- South Africa -- Eastern Cape
- Description: One of the greatest challenges facing sub-Saharan Africa, which incorporates South Africa, is the AIDS pandemic. The devastation wrought by this disease is unsurpassed in recent times. The health and social development structures, already overburdened, are totally overwhelmed by the needs of povertystricken households and communities affected by AIDS. Caregivers attempting to support those affected and infected are also facing unique challenges and demands, particularly relating to dealing with the large numbers of deaths due to this disease. Experiences for these caregivers are likely to be varied, ranging on a continuum from positive to negative, for instance, the recovery of patients versus the death of patients. The objectives of this study are to explore and describe the lived experiences of caregivers working with AIDS patients, particularly patients who die from this disease whilst resident in a formal institution. The research is based on a qualitative, explorative, descriptive and contextual research design. The study is grounded in a phenomenological approach to inquiry. Caregivers working fulltime in a formal institution caring for patients who are dying from AIDS were interviewed in an in-depth, unstructured manner in order to gather spontaneous, rich descriptions of their experiences. Through this study the researcher wants their voices to be heard, the potential richness of their reflections acknowledged and the generated data to be applied to the benefit of the field of HIV/AIDS – both for staff and patients. Thirteen in-depth, unstructured interviews provided saturated data, which was then transcribed and coded to yield the central and sub-themes that were identified in this study. One central theme identified the fact that in their daily duties (at their place of work), caregivers experience various challenges as a result of having to deal with the death and dying of their patients suffering from AIDS. These caregivers face the death of their patients daily, from a disease that causes untold suffering to the patient, family members and to the caregivers themselves, who wish they could prevent the anguish, the pain and the inability of the medical profession to do more than they are at present towards curing this disease. ii By describing the lived experiences of these caregivers by means of the research interviews, the researcher gained a clear picture of the AIDS environment. The information shared by the participants formed the foundation of the broad guidelines that were formulated. These are intended to provide support for the caregivers centering around the equipping of mentors of the caregivers, to enable them to support the caregivers in their daily task of caring for patients dying from AIDS. These caregivers, thus supported, will then be in a position to provide optimal care for these dying patients. These broad guidelines are intended to provide support by focusing firstly on the physical environment in which these caregivers work; secondly in providing education for the caregivers to enable them to fulfill their duties, and thirdly to provide adequate counselling to ensure that they do not succumb to caregiver fatigue/burnout, a constant threat in this type of environment. The study concludes with recommendations regarding the areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2007
- Authors: Williams, Margaret
- Date: 2007
- Subjects: AIDS (Disease) -- Nursing -- Psychological aspects , HIV-positive persons -- Care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10033 , http://hdl.handle.net/10948/644 , AIDS (Disease) -- Nursing -- Psychological aspects , HIV-positive persons -- Care -- South Africa -- Eastern Cape
- Description: One of the greatest challenges facing sub-Saharan Africa, which incorporates South Africa, is the AIDS pandemic. The devastation wrought by this disease is unsurpassed in recent times. The health and social development structures, already overburdened, are totally overwhelmed by the needs of povertystricken households and communities affected by AIDS. Caregivers attempting to support those affected and infected are also facing unique challenges and demands, particularly relating to dealing with the large numbers of deaths due to this disease. Experiences for these caregivers are likely to be varied, ranging on a continuum from positive to negative, for instance, the recovery of patients versus the death of patients. The objectives of this study are to explore and describe the lived experiences of caregivers working with AIDS patients, particularly patients who die from this disease whilst resident in a formal institution. The research is based on a qualitative, explorative, descriptive and contextual research design. The study is grounded in a phenomenological approach to inquiry. Caregivers working fulltime in a formal institution caring for patients who are dying from AIDS were interviewed in an in-depth, unstructured manner in order to gather spontaneous, rich descriptions of their experiences. Through this study the researcher wants their voices to be heard, the potential richness of their reflections acknowledged and the generated data to be applied to the benefit of the field of HIV/AIDS – both for staff and patients. Thirteen in-depth, unstructured interviews provided saturated data, which was then transcribed and coded to yield the central and sub-themes that were identified in this study. One central theme identified the fact that in their daily duties (at their place of work), caregivers experience various challenges as a result of having to deal with the death and dying of their patients suffering from AIDS. These caregivers face the death of their patients daily, from a disease that causes untold suffering to the patient, family members and to the caregivers themselves, who wish they could prevent the anguish, the pain and the inability of the medical profession to do more than they are at present towards curing this disease. ii By describing the lived experiences of these caregivers by means of the research interviews, the researcher gained a clear picture of the AIDS environment. The information shared by the participants formed the foundation of the broad guidelines that were formulated. These are intended to provide support for the caregivers centering around the equipping of mentors of the caregivers, to enable them to support the caregivers in their daily task of caring for patients dying from AIDS. These caregivers, thus supported, will then be in a position to provide optimal care for these dying patients. These broad guidelines are intended to provide support by focusing firstly on the physical environment in which these caregivers work; secondly in providing education for the caregivers to enable them to fulfill their duties, and thirdly to provide adequate counselling to ensure that they do not succumb to caregiver fatigue/burnout, a constant threat in this type of environment. The study concludes with recommendations regarding the areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2007
The experiences of employees utilizing an employee assistance programme in a psychiatric hospital
- Authors: Zonke, Phindiwe Princess
- Date: 2013
- Subjects: Employee assistance programs -- South Africa , Health services administration , Job stress
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10054 , http://hdl.handle.net/10948/d1018571
- Description: Employer’s assistance to employees experiencing personal problems originated in the 19th century. The term Employee Assistance Programme (EAP) was however formulated in the 1970’s in the United States and, initially, only focused on alcohol dependence rehabilitation. EAPs have since seen a paradigm shift in their focus as they now deal with the full range of problems experienced by employees such as family life or relationship issues, work related stresses, financial pressures, depression or anxiety, alcohol and drug abuse. The researcher observed that some employees in the psychiatric institution, where they are employed as both professionals and non-professionals, were experiencing personal problems and very little if anything was done to provide assistance to them. It also seemed as if very few of them made use of the voluntary EAP service made available by the institution. The fact that a number of employees have problems can have serious negative consequences in that it causes a high rate of absenteeism and the institution’s core business, which is to provide care to its users, is compromised. The researcher undertook this study because EAP services fall within the realm of institutional development. This study could therefore make an invaluable contribution to the transformation discourse which has been taking place in the South African health systems in general and psychiatric institutions in particular. The purpose of this research is to determine employees’ experience of utilizing an EAP in a psychiatric hospital. The researcher is personally interested in employees’ experiences of utilizing the EAP in order to provide recommendations that will assist and strengthen the policy/guidelines for the Eastern Cape Department of Health on the use of EAPs. The workplace has an obligation to provide EAP services to employees so as to help them meet their contractual obligations in a holistic and healthy manner. The research goals are to explore the experiences of employees who have utilized an EAP. The findings will be used to make recommendations regarding the utilization of the EAP policy/guidelines that are currently used to assist the employees. The research methodology will be qualitative, descriptive, exploratory and contextual. The research population and sampling for this study will consist of the employees who have made use of an EAP. Participants will be selected using a purposive sampling approach. Data gathering will be done using semi-structured interviews, at a venue convenient to the participants. Open-ended questions will be asked to enable participants to express their perceptions on the topic. The data will be analyzed using Tesch’s method of data analysis. The identified themes will be used to describe employees’ experience of utilizing an EAP. Trustworthiness will be ensured by using Guba’s model of trustworthiness. The ethical principles of beneficence, self-determination and justice will be ensured by asking for each participant’s consent, by not coercing individuals to participate in the study and by ensuring permission from the Department of Health and from the University’s research committee to conduct the study.
- Full Text:
- Date Issued: 2013
- Authors: Zonke, Phindiwe Princess
- Date: 2013
- Subjects: Employee assistance programs -- South Africa , Health services administration , Job stress
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10054 , http://hdl.handle.net/10948/d1018571
- Description: Employer’s assistance to employees experiencing personal problems originated in the 19th century. The term Employee Assistance Programme (EAP) was however formulated in the 1970’s in the United States and, initially, only focused on alcohol dependence rehabilitation. EAPs have since seen a paradigm shift in their focus as they now deal with the full range of problems experienced by employees such as family life or relationship issues, work related stresses, financial pressures, depression or anxiety, alcohol and drug abuse. The researcher observed that some employees in the psychiatric institution, where they are employed as both professionals and non-professionals, were experiencing personal problems and very little if anything was done to provide assistance to them. It also seemed as if very few of them made use of the voluntary EAP service made available by the institution. The fact that a number of employees have problems can have serious negative consequences in that it causes a high rate of absenteeism and the institution’s core business, which is to provide care to its users, is compromised. The researcher undertook this study because EAP services fall within the realm of institutional development. This study could therefore make an invaluable contribution to the transformation discourse which has been taking place in the South African health systems in general and psychiatric institutions in particular. The purpose of this research is to determine employees’ experience of utilizing an EAP in a psychiatric hospital. The researcher is personally interested in employees’ experiences of utilizing the EAP in order to provide recommendations that will assist and strengthen the policy/guidelines for the Eastern Cape Department of Health on the use of EAPs. The workplace has an obligation to provide EAP services to employees so as to help them meet their contractual obligations in a holistic and healthy manner. The research goals are to explore the experiences of employees who have utilized an EAP. The findings will be used to make recommendations regarding the utilization of the EAP policy/guidelines that are currently used to assist the employees. The research methodology will be qualitative, descriptive, exploratory and contextual. The research population and sampling for this study will consist of the employees who have made use of an EAP. Participants will be selected using a purposive sampling approach. Data gathering will be done using semi-structured interviews, at a venue convenient to the participants. Open-ended questions will be asked to enable participants to express their perceptions on the topic. The data will be analyzed using Tesch’s method of data analysis. The identified themes will be used to describe employees’ experience of utilizing an EAP. Trustworthiness will be ensured by using Guba’s model of trustworthiness. The ethical principles of beneficence, self-determination and justice will be ensured by asking for each participant’s consent, by not coercing individuals to participate in the study and by ensuring permission from the Department of Health and from the University’s research committee to conduct the study.
- Full Text:
- Date Issued: 2013
The experiences of men who have sex with men (MSM) in accessing public primary health care services in the Eastern Cape province, South Africa
- Authors: Kose, Zamakayise Zukisa
- Date: 2016
- Subjects: Primary health care -- South Africa -- Eastern Cape , Gay men -- South Africa -- Eastern Cape , Discrimination -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4698 , vital:20652
- Description: Background: Research has shown that men who have sex with men (MSM) experience stigma, discrimination, negative and judgmental attitudes and homophobia when accessing health care services. This has resulted in limited uptake of existing HIV and AIDS services. Further, the experiences serve as barriers to seeking and accessing public primary health care services. Negative psychological outcomes and in unique cases, adverse mental health outcomes have resulted from these experiences. Aim: The study aimed to explore and describe the experiences of a sample of MSM when accessing public health care services in Nelson Mandela Bay Municipality (NMBM). Method: A purposive sample of twenty-one MSM aged 22 to 30+ years, mainly black who lived in NMBM participated in semi-structured in-depth interviews. The study used the exploratory-descriptive qualitative design and thematic analysis was used to summarize findings. Findings: Findings from the study showed that MSM experience internalized stigma, perceived stigma, experienced stigma and HIV related stigma, resulting in minority stress. Experiences with health care services included long waiting time, lack of supplies, being attended to by different health care providers, health care provider insensitivity, comfort with health care provider and a need for integrating health services for MSM with general health services. Effects of stigma expressed by the men were non-disclosure of sexual orientation, reluctance to use public health facilities, negative mental health outcome and conformity to society. Conclusion: The study suggests that MSM public health services need to be improved and barriers to health access among MSM need to be addressed. Lastly, there is a need to address the health, psychological and social effects of stigma suffered by MSM.
- Full Text:
- Date Issued: 2016
- Authors: Kose, Zamakayise Zukisa
- Date: 2016
- Subjects: Primary health care -- South Africa -- Eastern Cape , Gay men -- South Africa -- Eastern Cape , Discrimination -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4698 , vital:20652
- Description: Background: Research has shown that men who have sex with men (MSM) experience stigma, discrimination, negative and judgmental attitudes and homophobia when accessing health care services. This has resulted in limited uptake of existing HIV and AIDS services. Further, the experiences serve as barriers to seeking and accessing public primary health care services. Negative psychological outcomes and in unique cases, adverse mental health outcomes have resulted from these experiences. Aim: The study aimed to explore and describe the experiences of a sample of MSM when accessing public health care services in Nelson Mandela Bay Municipality (NMBM). Method: A purposive sample of twenty-one MSM aged 22 to 30+ years, mainly black who lived in NMBM participated in semi-structured in-depth interviews. The study used the exploratory-descriptive qualitative design and thematic analysis was used to summarize findings. Findings: Findings from the study showed that MSM experience internalized stigma, perceived stigma, experienced stigma and HIV related stigma, resulting in minority stress. Experiences with health care services included long waiting time, lack of supplies, being attended to by different health care providers, health care provider insensitivity, comfort with health care provider and a need for integrating health services for MSM with general health services. Effects of stigma expressed by the men were non-disclosure of sexual orientation, reluctance to use public health facilities, negative mental health outcome and conformity to society. Conclusion: The study suggests that MSM public health services need to be improved and barriers to health access among MSM need to be addressed. Lastly, there is a need to address the health, psychological and social effects of stigma suffered by MSM.
- Full Text:
- Date Issued: 2016
The experiences of non-psychiatric trained nurses caring for mental health care users on 72 hour observations in a listed Hospital in the O R Tambo District
- Authors: Dubo, Siyabonga
- Date: 2016
- Subjects: Mental Health care -- Hospital
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/11260/688 , vital:27769
- Description: Nurses are an integral part of the health care system and their job encompasses a wide range of responsibilities including the promotion of health, prevention of illness and care for physically, mentally ill and disabled people. Nurses have a mandate to be responsible and accountable to the public they serve. For these reasons, it is crucial that nurses possess attitudes that allow them to provide optimal care in a supportive manner for patients. Despite the fact that considerable research on the experiences of nurses caring for the mentally ill in general hospitals has been done globally, none has been conducted in the Eastern Cape, South Africa. Additionally, no studies could be obtained from anywhere in the world on the experiences of non-psychiatric trained nurses caring for mental health care users on 72 hour observations. Studies indicated that nurses have different experiences when caring for mental health care users. It was therefore considered necessary to find out how non-psychiatric trained nurses perceive the caring of mental health care users during the 72 hour observations. The research design used to explore and describe their experiences was qualitative, descriptive, explorative, phenomenological and contextual in character. Semi-structured interviews were conducted with eight (8) participants who were purposively selected. This was done after necessary permission from the Department of Health and informed consent from the research participants. Steps were taken throughout the course of the study to ensure trustworthiness. Data were analysed using Tesch’s methods and the services of an independent coder were used. The results indicate that there are different experiences with regard to the caring for mental health care users during the 72 hour observations. The major themes identified are: feelings experienced by these nurses, lack of knowledge, challenges and strategies used for coping with a violent user, need for support from security staff and lack of policies. v Guidelines as a supportive action are suggested. From the results of the study recommendations are made in the areas of nursing education, nursing practice and nursing research. It is concluded that for non-psychiatric trained nurses to provide optimal care to mental health care users, the nurses need knowledge and skills in order to facilitate the promotion, maintenance and restoration of mental health of these patients as an integral part of health.
- Full Text:
- Date Issued: 2016
- Authors: Dubo, Siyabonga
- Date: 2016
- Subjects: Mental Health care -- Hospital
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/11260/688 , vital:27769
- Description: Nurses are an integral part of the health care system and their job encompasses a wide range of responsibilities including the promotion of health, prevention of illness and care for physically, mentally ill and disabled people. Nurses have a mandate to be responsible and accountable to the public they serve. For these reasons, it is crucial that nurses possess attitudes that allow them to provide optimal care in a supportive manner for patients. Despite the fact that considerable research on the experiences of nurses caring for the mentally ill in general hospitals has been done globally, none has been conducted in the Eastern Cape, South Africa. Additionally, no studies could be obtained from anywhere in the world on the experiences of non-psychiatric trained nurses caring for mental health care users on 72 hour observations. Studies indicated that nurses have different experiences when caring for mental health care users. It was therefore considered necessary to find out how non-psychiatric trained nurses perceive the caring of mental health care users during the 72 hour observations. The research design used to explore and describe their experiences was qualitative, descriptive, explorative, phenomenological and contextual in character. Semi-structured interviews were conducted with eight (8) participants who were purposively selected. This was done after necessary permission from the Department of Health and informed consent from the research participants. Steps were taken throughout the course of the study to ensure trustworthiness. Data were analysed using Tesch’s methods and the services of an independent coder were used. The results indicate that there are different experiences with regard to the caring for mental health care users during the 72 hour observations. The major themes identified are: feelings experienced by these nurses, lack of knowledge, challenges and strategies used for coping with a violent user, need for support from security staff and lack of policies. v Guidelines as a supportive action are suggested. From the results of the study recommendations are made in the areas of nursing education, nursing practice and nursing research. It is concluded that for non-psychiatric trained nurses to provide optimal care to mental health care users, the nurses need knowledge and skills in order to facilitate the promotion, maintenance and restoration of mental health of these patients as an integral part of health.
- Full Text:
- Date Issued: 2016
The experiences of older persons and their adult children on maintaining positive parent-child relationships
- Authors: Boshoff, Marcelle Dianne
- Date: 2016
- Subjects: Parent and adult child , Fammilies -- Psychological aspects , Adult children -- Psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4631 , vital:20624
- Description: The incidence of increased life span as well as a lack of care for older persons, gave rise to the South African Older persons Act (Act No 13 of 2006), which guides society in how our older persons should be treated. This Act also provides a clear indication of the expectations of caring for older persons within communities and families. Many older persons people rely on the relationships they have with their children in their golden years, to be fulfilling and loving. This study therefore aimed to explore the experiences of older persons and their adult children on maintaining positive relationships in order for the relationship to be most beneficial for both older persons and their adult children. The quality of relationships between adult children and older persons according to Newby (2010) can ease participation of adult children in the lives of older persons. This study was conducted from a qualitative research perspective that is exploratory, descriptive and contextual in nature. The exploratory-descriptive design allowed the researcher to understand the topic by using a narrative strategy of inquiry. A non-probability purposive sampling method was applied to identify five older persons as well as the adult children of these older persons who are retirees of an automotive company in South Africa. Individual, semi-structured face to face interviews were conducted with older persons as well as with at least one of their adult children who did not reside with them. Thematic data analysis technique was used to analyse the data collected. The study is viewed as significant in enhancing the understanding of satisfying and caring relationships between older persons and their adult children in order to add to the body of existing knowledge in social gerontology and to improve direct social work practice with older persons.
- Full Text:
- Date Issued: 2016
- Authors: Boshoff, Marcelle Dianne
- Date: 2016
- Subjects: Parent and adult child , Fammilies -- Psychological aspects , Adult children -- Psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4631 , vital:20624
- Description: The incidence of increased life span as well as a lack of care for older persons, gave rise to the South African Older persons Act (Act No 13 of 2006), which guides society in how our older persons should be treated. This Act also provides a clear indication of the expectations of caring for older persons within communities and families. Many older persons people rely on the relationships they have with their children in their golden years, to be fulfilling and loving. This study therefore aimed to explore the experiences of older persons and their adult children on maintaining positive relationships in order for the relationship to be most beneficial for both older persons and their adult children. The quality of relationships between adult children and older persons according to Newby (2010) can ease participation of adult children in the lives of older persons. This study was conducted from a qualitative research perspective that is exploratory, descriptive and contextual in nature. The exploratory-descriptive design allowed the researcher to understand the topic by using a narrative strategy of inquiry. A non-probability purposive sampling method was applied to identify five older persons as well as the adult children of these older persons who are retirees of an automotive company in South Africa. Individual, semi-structured face to face interviews were conducted with older persons as well as with at least one of their adult children who did not reside with them. Thematic data analysis technique was used to analyse the data collected. The study is viewed as significant in enhancing the understanding of satisfying and caring relationships between older persons and their adult children in order to add to the body of existing knowledge in social gerontology and to improve direct social work practice with older persons.
- Full Text:
- Date Issued: 2016
The experiences of patients who absconded from psychiatric hospitals in the Eastern Cape
- Authors: Steyn, Laetitia
- Date: 2019
- Subjects: Psychiatric patients -- Absconding
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44736 , vital:38149
- Description: When patients abscond from the hospital, it is a taxing experience for everybody involved. The risk of harm to the patient is high. A small risk to the community also exits. This research aimed to explore and describe the experiences of psychiatric patients absconding from psychiatric institutions in the Eastern Cape. Data was collected making use of semi-structured interviews conducted with psychiatric patients that absconded. Data collected were analysed using Tech’s method of data analysis. The experiences and reasons for absconding identified were grouped into three main themes, namely biological factors, psychological factors and social factors. Fourteen sub-themes were identified. The fourteen sub-themes identified were correlated with Maslow’s hierarchy of needs. The participants expressed a number of unmet needs as motivation for their behaviour and the reason for absconding. A description of the profile of a psychiatric patient prone to absconding in the Eastern Cape was developed according to the demographic detail of the participants in this research. The research limitations are discussed. Recommendations were made from the findings to reduce absconding events in psychiatric institutions. Possible education and clinical practice recommendations were made, as well as recommendations provided for future related research. To ensure the quality of the study, the researcher made use of Guba’s four criteria to ensure trustworthiness. The researcher took special care to adhere to high ethical standards and protect the participants from exploitation.
- Full Text:
- Date Issued: 2019
- Authors: Steyn, Laetitia
- Date: 2019
- Subjects: Psychiatric patients -- Absconding
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/44736 , vital:38149
- Description: When patients abscond from the hospital, it is a taxing experience for everybody involved. The risk of harm to the patient is high. A small risk to the community also exits. This research aimed to explore and describe the experiences of psychiatric patients absconding from psychiatric institutions in the Eastern Cape. Data was collected making use of semi-structured interviews conducted with psychiatric patients that absconded. Data collected were analysed using Tech’s method of data analysis. The experiences and reasons for absconding identified were grouped into three main themes, namely biological factors, psychological factors and social factors. Fourteen sub-themes were identified. The fourteen sub-themes identified were correlated with Maslow’s hierarchy of needs. The participants expressed a number of unmet needs as motivation for their behaviour and the reason for absconding. A description of the profile of a psychiatric patient prone to absconding in the Eastern Cape was developed according to the demographic detail of the participants in this research. The research limitations are discussed. Recommendations were made from the findings to reduce absconding events in psychiatric institutions. Possible education and clinical practice recommendations were made, as well as recommendations provided for future related research. To ensure the quality of the study, the researcher made use of Guba’s four criteria to ensure trustworthiness. The researcher took special care to adhere to high ethical standards and protect the participants from exploitation.
- Full Text:
- Date Issued: 2019
The experiences of patients who absconded from psychiatric hospitals in the Eastern Cape
- Authors: Steyn, Laetitia
- Date: 2019
- Subjects: Psychotherapy patients -- South Africa -- Eastern Cape , Psychiatric hospital care Psychiatric nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45150 , vital:38258
- Description: When patients abscond from the hospital, it is a taxing experience for everybody involved. The risk of harm to the patient is high. A small risk to the community also exits. This research aimed to explore and describe the experiences of psychiatric patients absconding from psychiatric institutions in the Eastern Cape. Data was collected making use of semi-structured interviews conducted with psychiatric patients that absconded. Data collected were analysed using Tech’s method of data analysis. The experiences and reasons for absconding identified were grouped into three main themes, namely biological factors, psychological factors and social factors. Fourteen sub-themes were identified. The fourteen sub-themes identified were correlated with Maslow’s hierarchy of needs. The participants expressed a number of unmet needs as motivation for their behaviour and the reason for absconding. A description of the profile of a psychiatric patient prone to absconding in the Eastern Cape was developed according to the demographic detail of the participants in this research. The research limitations are discussed. Recommendations were made from the findings to reduce absconding events in psychiatric institutions. Possible education and clinical practice recommendations were made, as well as recommendations provided for future related research. To ensure the quality of the study, the researcher made use of Guba’s four criteria to ensure trustworthiness. The researcher took special care to adhere to high ethical standards and protect the participants from exploitation.
- Full Text:
- Date Issued: 2019
- Authors: Steyn, Laetitia
- Date: 2019
- Subjects: Psychotherapy patients -- South Africa -- Eastern Cape , Psychiatric hospital care Psychiatric nursing
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/45150 , vital:38258
- Description: When patients abscond from the hospital, it is a taxing experience for everybody involved. The risk of harm to the patient is high. A small risk to the community also exits. This research aimed to explore and describe the experiences of psychiatric patients absconding from psychiatric institutions in the Eastern Cape. Data was collected making use of semi-structured interviews conducted with psychiatric patients that absconded. Data collected were analysed using Tech’s method of data analysis. The experiences and reasons for absconding identified were grouped into three main themes, namely biological factors, psychological factors and social factors. Fourteen sub-themes were identified. The fourteen sub-themes identified were correlated with Maslow’s hierarchy of needs. The participants expressed a number of unmet needs as motivation for their behaviour and the reason for absconding. A description of the profile of a psychiatric patient prone to absconding in the Eastern Cape was developed according to the demographic detail of the participants in this research. The research limitations are discussed. Recommendations were made from the findings to reduce absconding events in psychiatric institutions. Possible education and clinical practice recommendations were made, as well as recommendations provided for future related research. To ensure the quality of the study, the researcher made use of Guba’s four criteria to ensure trustworthiness. The researcher took special care to adhere to high ethical standards and protect the participants from exploitation.
- Full Text:
- Date Issued: 2019
The experiences of people living with HIV-AIDS with regard to the comprehensive antiretroviral therapy management received from registered nurses at selected public primary heathcare clinics in Nelson Mandela Bay
- Authors: Jackson, Dawne Shirley
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa , Stigma (Social psychology) , Nurses -- South Africa -- Attitudes , HIV-positive persons -- Counseling of -- South Africa , AIDS (Disease) -- Treatment -- South Africa , HIV infections -- Treatment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10032 , http://hdl.handle.net/10948/1253 , Antiretroviral agents -- South Africa , Stigma (Social psychology) , Nurses -- South Africa -- Attitudes , HIV-positive persons -- Counseling of -- South Africa , AIDS (Disease) -- Treatment -- South Africa , HIV infections -- Treatment -- South Africa
- Description: Currently South Africa has the highest number of persons living with HIV-AIDS (PLWAs) in the world. Focus-group discussions conducted by Moon (2005:3) in the Eastern Cape indicated that people may not want to get tested for HIV or to access antiretroviral therapy (ART) for fear of disclosure of their HIV-positive status and of stigmatization. These findings prompted the researcher to conduct a study in this field. The objectives of this study are to explore and describe the experiences of PLWAs with regard to the comprehensive ART management received from registered nurses at selected public primary healthcare clinics in Nelson Mandela Bay; and to develop guidelines for registered nurses that could facilitate them in rendering appropriate comprehensive ART management. The research study is based on a qualitative, explorative, descriptive, phenomenological and contextual research design. The research population comprised of HIV-positive patients who received treatment at the selected public primary healthcare clinics. Criterion-based, purposive sampling was used to select participants for the interviews. Ten in-depth unstructured interviews were conducted. Data was then transcribed and coded. One central theme identified the fact that PLWAs experienced both positive and negative experiences at the clinics. The main findings of this research included evidence of various forms of stigma experienced by the PLWAs; distrust of the lay health counselors; but also that PLWAs were generally well-treated and satisfied with the service they had received. Broad guidelines for registered nurses was formulated that could facilitate them in rendering appropriate comprehensive ART management. The study concludes with recommendations made with regards to the areas of nursing practice, education and research. Throughout the study the researcher abided by the ethical considerations. The aspects of trustworthiness implemented in this study, included dependability, credibility, transferability and confirmability (Holloway & Wheeler, 2002:354).
- Full Text:
- Date Issued: 2009
- Authors: Jackson, Dawne Shirley
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa , Stigma (Social psychology) , Nurses -- South Africa -- Attitudes , HIV-positive persons -- Counseling of -- South Africa , AIDS (Disease) -- Treatment -- South Africa , HIV infections -- Treatment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10032 , http://hdl.handle.net/10948/1253 , Antiretroviral agents -- South Africa , Stigma (Social psychology) , Nurses -- South Africa -- Attitudes , HIV-positive persons -- Counseling of -- South Africa , AIDS (Disease) -- Treatment -- South Africa , HIV infections -- Treatment -- South Africa
- Description: Currently South Africa has the highest number of persons living with HIV-AIDS (PLWAs) in the world. Focus-group discussions conducted by Moon (2005:3) in the Eastern Cape indicated that people may not want to get tested for HIV or to access antiretroviral therapy (ART) for fear of disclosure of their HIV-positive status and of stigmatization. These findings prompted the researcher to conduct a study in this field. The objectives of this study are to explore and describe the experiences of PLWAs with regard to the comprehensive ART management received from registered nurses at selected public primary healthcare clinics in Nelson Mandela Bay; and to develop guidelines for registered nurses that could facilitate them in rendering appropriate comprehensive ART management. The research study is based on a qualitative, explorative, descriptive, phenomenological and contextual research design. The research population comprised of HIV-positive patients who received treatment at the selected public primary healthcare clinics. Criterion-based, purposive sampling was used to select participants for the interviews. Ten in-depth unstructured interviews were conducted. Data was then transcribed and coded. One central theme identified the fact that PLWAs experienced both positive and negative experiences at the clinics. The main findings of this research included evidence of various forms of stigma experienced by the PLWAs; distrust of the lay health counselors; but also that PLWAs were generally well-treated and satisfied with the service they had received. Broad guidelines for registered nurses was formulated that could facilitate them in rendering appropriate comprehensive ART management. The study concludes with recommendations made with regards to the areas of nursing practice, education and research. Throughout the study the researcher abided by the ethical considerations. The aspects of trustworthiness implemented in this study, included dependability, credibility, transferability and confirmability (Holloway & Wheeler, 2002:354).
- Full Text:
- Date Issued: 2009
The experiences of pregnant teenagers as related to ante-natal care
- Authors: Pienaar, Nadine
- Date: 2011
- Subjects: Pregnant teenagers -- South Africa -- Nelson Mandela Metropolitan Municpality , Prenatal diagnosis
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10028 , http://hdl.handle.net/10948/1321 , Pregnant teenagers -- South Africa -- Nelson Mandela Metropolitan Municpality , Prenatal diagnosis
- Description: The experiences of pregnant teenagers as related to ante-natal care were researched. The primary objective of the study was to explore and describe the experiences pregnant teenagers had of their ante-natal care. The researcher recommended measures based on the findings of the study to midwives to encourage ante-natal care clinic attendance amongst pregnant teenagers. The recommendations were such that even nurses at Primary Health Care clinics could utilise them as they also come into contact with pregnant teenagers. An increasing number of pregnant teenagers in the Nelson Mandela Metropolitan Municipality area are admitted to referral hospitals with complications during pregnancy and labour. Some of these teenagers are un-booked or had only a few ante-natal clinic visits. The researcher therefore wanted to obtain first hand information related to the reluctance of pregnant teenagers to attend ante-natal care clinics. Attendance at ante-natal care clinics plays an important part in enabling the staff to screen pregnant mothers for health problems and so limit complications. Hence the concern and need to develop measures to motivate pregnant teenagers to attend ante-natal clinics.
- Full Text: false
- Date Issued: 2011
- Authors: Pienaar, Nadine
- Date: 2011
- Subjects: Pregnant teenagers -- South Africa -- Nelson Mandela Metropolitan Municpality , Prenatal diagnosis
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10028 , http://hdl.handle.net/10948/1321 , Pregnant teenagers -- South Africa -- Nelson Mandela Metropolitan Municpality , Prenatal diagnosis
- Description: The experiences of pregnant teenagers as related to ante-natal care were researched. The primary objective of the study was to explore and describe the experiences pregnant teenagers had of their ante-natal care. The researcher recommended measures based on the findings of the study to midwives to encourage ante-natal care clinic attendance amongst pregnant teenagers. The recommendations were such that even nurses at Primary Health Care clinics could utilise them as they also come into contact with pregnant teenagers. An increasing number of pregnant teenagers in the Nelson Mandela Metropolitan Municipality area are admitted to referral hospitals with complications during pregnancy and labour. Some of these teenagers are un-booked or had only a few ante-natal clinic visits. The researcher therefore wanted to obtain first hand information related to the reluctance of pregnant teenagers to attend ante-natal care clinics. Attendance at ante-natal care clinics plays an important part in enabling the staff to screen pregnant mothers for health problems and so limit complications. Hence the concern and need to develop measures to motivate pregnant teenagers to attend ante-natal clinics.
- Full Text: false
- Date Issued: 2011
The experiences of professional nurses regarding the management of health services rendered to tuberculosis patients
- Authors: Jantjies, Leigh-Anne Rene
- Date: 2011
- Subjects: Tuberculosis -- Nursing -- South Africa -- Port Elizabeth , Health services administration -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10025 , http://hdl.handle.net/10948/1399 , Tuberculosis -- Nursing -- South Africa -- Port Elizabeth , Health services administration -- South Africa -- Port Elizabeth
- Description: The World Health Organisation (WHO) declared tuberculosis (TB) a global emergency, and this infectious disease remains a health threat by being the leading cause of death amongst adults (Naidoo, Dick & Cooper, 2008:55). In 2005, South Africa was ranked seventh in the world for having the highest TB rate and the lowest TB success rate in the world. As a professional nurse involved in the tuberculosis programme at a clinic in the Nelson Mandela Bay Municipality at local government level for approximately three years, the researcher observed that the morale of professional nurses who provide TB services appeared to be low. They also appeared to be frustrated because they feel that they are not winning the battle with regard to the TB epidemic in their communities irrespective of their efforts to try and curb the spread of the disease. The extent of the workload per person also appeared to add to the low morale and frustration of the professional nurses rendering TB health services because they feel that they are unable to manage everything. The objectives of the study were therefore to explore and describe how professional nurses experienced the management of health services being rendered to TB patients in Sub district B of the Nelson Mandela Bay Municipality (NMBM) in order to make recommendations that could be used by the district manager to address the research findings. The research study was based on a qualitative, explorative, descriptive and contextual research design. The research population consisted of all professional nurses who worked in the TB services of Sub district B. Non-probability, purposive sampling was used to select the participants for the study. Seven in-depth and three follow-up interviews were conducted before data saturation was achieved. The data gathered during the interview process by the researcher were transcribed and coded by an independent coder using Tech’s model for data analysis. Ethical considerations were adhered to throughout the research study. The aspect of trustworthiness according to Guba’s model was implemented in the research study and included credibility, applicability, consistency and neutrality. iii One theme, two sub themes and categories were identified relating to the diverse experiences expressed by the participants relating to the management of health services being rendered to TB patients. The experiences expressed by the professional nurses included both negative and positive experiences. The negative experiences expressed by the participants were for example, a lack of resources as hampering adequate service delivery, a concern regarding the number of staff contracting TB due to a lack of infection control measures, a difference in conditions of service between the two local authorities and the DOTS supporters as being a threat to patient confidentiality. The positive experiences expressed by the participants included experiences relating to job satisfaction in rendering TB health services, the DOTS supporters as being supportive to the staff, the TB meetings serving as an appropriate platform for problem solving and the audits conducted by managers as being remedial. The study concludes with recommendations made with regard to the areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2011
- Authors: Jantjies, Leigh-Anne Rene
- Date: 2011
- Subjects: Tuberculosis -- Nursing -- South Africa -- Port Elizabeth , Health services administration -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:10025 , http://hdl.handle.net/10948/1399 , Tuberculosis -- Nursing -- South Africa -- Port Elizabeth , Health services administration -- South Africa -- Port Elizabeth
- Description: The World Health Organisation (WHO) declared tuberculosis (TB) a global emergency, and this infectious disease remains a health threat by being the leading cause of death amongst adults (Naidoo, Dick & Cooper, 2008:55). In 2005, South Africa was ranked seventh in the world for having the highest TB rate and the lowest TB success rate in the world. As a professional nurse involved in the tuberculosis programme at a clinic in the Nelson Mandela Bay Municipality at local government level for approximately three years, the researcher observed that the morale of professional nurses who provide TB services appeared to be low. They also appeared to be frustrated because they feel that they are not winning the battle with regard to the TB epidemic in their communities irrespective of their efforts to try and curb the spread of the disease. The extent of the workload per person also appeared to add to the low morale and frustration of the professional nurses rendering TB health services because they feel that they are unable to manage everything. The objectives of the study were therefore to explore and describe how professional nurses experienced the management of health services being rendered to TB patients in Sub district B of the Nelson Mandela Bay Municipality (NMBM) in order to make recommendations that could be used by the district manager to address the research findings. The research study was based on a qualitative, explorative, descriptive and contextual research design. The research population consisted of all professional nurses who worked in the TB services of Sub district B. Non-probability, purposive sampling was used to select the participants for the study. Seven in-depth and three follow-up interviews were conducted before data saturation was achieved. The data gathered during the interview process by the researcher were transcribed and coded by an independent coder using Tech’s model for data analysis. Ethical considerations were adhered to throughout the research study. The aspect of trustworthiness according to Guba’s model was implemented in the research study and included credibility, applicability, consistency and neutrality. iii One theme, two sub themes and categories were identified relating to the diverse experiences expressed by the participants relating to the management of health services being rendered to TB patients. The experiences expressed by the professional nurses included both negative and positive experiences. The negative experiences expressed by the participants were for example, a lack of resources as hampering adequate service delivery, a concern regarding the number of staff contracting TB due to a lack of infection control measures, a difference in conditions of service between the two local authorities and the DOTS supporters as being a threat to patient confidentiality. The positive experiences expressed by the participants included experiences relating to job satisfaction in rendering TB health services, the DOTS supporters as being supportive to the staff, the TB meetings serving as an appropriate platform for problem solving and the audits conducted by managers as being remedial. The study concludes with recommendations made with regard to the areas of nursing practice, education and research.
- Full Text:
- Date Issued: 2011
The experiences of professional nurses working in outpatient departments of the introduction of the Batho Pele Principles in state hospitals
- Authors: Miza, Thenjiwe Mildred
- Date: 2011
- Subjects: Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10023 , http://hdl.handle.net/10948/1421 , Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Description: After 1994 with the inception of the South African Democratic Government, the health care delivery system was one of the areas that had to be reviewed. The vehicle for a comprehensive health care system was based on primary health care which encouraged people and patients to take responsibility for their health by being involved in all aspects of their care. For this purpose the Batho Pele principles were introduced, a concept which is informed by 8 principles, namely: consultation, service standards, access, courtesy, information, openness and transparency, redress and value for money. These principles are meant to restore the dignity and the rights of patients which are paramount in the Constitution of South Africa. (Constitution of South Africa 108 of 1996 Chapter 2) The nurses claim that since the introduction of the Batho Pele Principles, patients and their families have been “impossible” towards nurses, making unnecessary and sometimes impossible demands. The nurses also experience patients and their families as being informed of their “rights” but not of their responsibilities as patients. They were also unaware of the rights of the nurses. The objectives of the study were:- To explore and describe the experiences of professional nurses working in the outpatient departments of the introduction of the Batho Pele principles in state hospitals, and to Recommend guidelines that will enhance better understanding and implementation of the Batho Pele principles by the professional nurses. The study is founded on a qualitative research paradigm based on explorative, descriptive and contextual framework. The data was collected from focus groups from each hospital of the Port Elizabeth Hospital Complex. Each group consisted of four to six willing participants all of them were professional nurses who have worked at least five or more years in the outpatient department of the Port Elizabeth Hospital Complex. Data was collected via semi-structured audio-taped interviews together with the researcher’s field notes. Data analysis was done using Tesch’s data analysis spiral. The assistance of independent coder reinforced the truth value of the findings. Themes and subthemes emerged from the data that was collected and revealed that the professional nurses experienced that the Batho Pele Principles as a good policy, but that it was difficulty to uphold due to inadequate planning of health services prior to implementation of the Batho Pele Principles. They experience not getting from their management and they also experience that there was lack of discipline in their institutions. Based on these findings, guidelines that will recommend better implementation of the Batho Pele Principles by nurses were compiled by the researcher and future research in this regard was recommended.
- Full Text:
- Date Issued: 2011
- Authors: Miza, Thenjiwe Mildred
- Date: 2011
- Subjects: Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10023 , http://hdl.handle.net/10948/1421 , Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Description: After 1994 with the inception of the South African Democratic Government, the health care delivery system was one of the areas that had to be reviewed. The vehicle for a comprehensive health care system was based on primary health care which encouraged people and patients to take responsibility for their health by being involved in all aspects of their care. For this purpose the Batho Pele principles were introduced, a concept which is informed by 8 principles, namely: consultation, service standards, access, courtesy, information, openness and transparency, redress and value for money. These principles are meant to restore the dignity and the rights of patients which are paramount in the Constitution of South Africa. (Constitution of South Africa 108 of 1996 Chapter 2) The nurses claim that since the introduction of the Batho Pele Principles, patients and their families have been “impossible” towards nurses, making unnecessary and sometimes impossible demands. The nurses also experience patients and their families as being informed of their “rights” but not of their responsibilities as patients. They were also unaware of the rights of the nurses. The objectives of the study were:- To explore and describe the experiences of professional nurses working in the outpatient departments of the introduction of the Batho Pele principles in state hospitals, and to Recommend guidelines that will enhance better understanding and implementation of the Batho Pele principles by the professional nurses. The study is founded on a qualitative research paradigm based on explorative, descriptive and contextual framework. The data was collected from focus groups from each hospital of the Port Elizabeth Hospital Complex. Each group consisted of four to six willing participants all of them were professional nurses who have worked at least five or more years in the outpatient department of the Port Elizabeth Hospital Complex. Data was collected via semi-structured audio-taped interviews together with the researcher’s field notes. Data analysis was done using Tesch’s data analysis spiral. The assistance of independent coder reinforced the truth value of the findings. Themes and subthemes emerged from the data that was collected and revealed that the professional nurses experienced that the Batho Pele Principles as a good policy, but that it was difficulty to uphold due to inadequate planning of health services prior to implementation of the Batho Pele Principles. They experience not getting from their management and they also experience that there was lack of discipline in their institutions. Based on these findings, guidelines that will recommend better implementation of the Batho Pele Principles by nurses were compiled by the researcher and future research in this regard was recommended.
- Full Text:
- Date Issued: 2011
The experiences of registered nurses' of their work environment in a critical care unit
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009