Exploring cultural understandings of traumatic stress among the Amaxhosa traditional healers in the Eastern Cape
- Authors: Mlonyeni, Makhi
- Date: 2019
- Subjects: Post-traumatic stress disorder -- South Africa -- Eastern Cape , Herbalists -- Psychological aspects Herbalists -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/45042 , vital:38228
- Description: Psychology is an essentially Eurocentric discipline. In a world that is becoming progressively aware, tolerant and accepting of differences among people, there is growing interest to challenge and amend psychological constructs that are unfairly generalized universally. Literature abounds with appeals for more research to be conducted on nonwestern cultures so that scholars can be at a better position to ‘decolonise’ the PTSD diagnosis as they will then have an improved understanding of understudied non-western societies. The Eastern Cape province of South Africa is home to the AmaXhosa tribe, the second largest ethnic group in the country. This study seeks to explore indigenous understandings and coping strategies of these people in regards to traumatic exposure. This is done through gaining insights of AmaXhosa traditional healers- Amagqirha (Diviners) and AmaXhwele (Herbalists). A sample of eight participants is sourced from Grahamstown (Makhanda) and the rural areas of Peddie (Ngqushwa). Through the use of two case studies that are presented and open ended follow up questions, the traditional healers relate their perspectives on how they interpret symptoms of psychological trauma and the strategies they employ to facilitate coping/healing of their clients in their context. It was discovered that traditional healers perceived traumatic events as phenomena that befalls only those that are spiritually vulnerable, either due to strained relationships with their ancestors, bewitchment by an enemy or jealous person or simply torment by a wandering wicked spirit. Rituals and practices of how to combat this vulnerability are then outlined.
- Full Text:
- Date Issued: 2019
- Authors: Mlonyeni, Makhi
- Date: 2019
- Subjects: Post-traumatic stress disorder -- South Africa -- Eastern Cape , Herbalists -- Psychological aspects Herbalists -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/45042 , vital:38228
- Description: Psychology is an essentially Eurocentric discipline. In a world that is becoming progressively aware, tolerant and accepting of differences among people, there is growing interest to challenge and amend psychological constructs that are unfairly generalized universally. Literature abounds with appeals for more research to be conducted on nonwestern cultures so that scholars can be at a better position to ‘decolonise’ the PTSD diagnosis as they will then have an improved understanding of understudied non-western societies. The Eastern Cape province of South Africa is home to the AmaXhosa tribe, the second largest ethnic group in the country. This study seeks to explore indigenous understandings and coping strategies of these people in regards to traumatic exposure. This is done through gaining insights of AmaXhosa traditional healers- Amagqirha (Diviners) and AmaXhwele (Herbalists). A sample of eight participants is sourced from Grahamstown (Makhanda) and the rural areas of Peddie (Ngqushwa). Through the use of two case studies that are presented and open ended follow up questions, the traditional healers relate their perspectives on how they interpret symptoms of psychological trauma and the strategies they employ to facilitate coping/healing of their clients in their context. It was discovered that traditional healers perceived traumatic events as phenomena that befalls only those that are spiritually vulnerable, either due to strained relationships with their ancestors, bewitchment by an enemy or jealous person or simply torment by a wandering wicked spirit. Rituals and practices of how to combat this vulnerability are then outlined.
- Full Text:
- Date Issued: 2019
A model of support for divorced professional nurses in the Eastern Cape, South Africa
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
- Full Text:
- Date Issued: 2018
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
- Full Text:
- Date Issued: 2018
An assessment of school food and nutrition environments for strengthening the integrated school health policy in the Eastern Cape, South Africa
- Authors: Okeyo, Alice Phelgona
- Date: 2019
- Subjects: Nutrition policy -- South Africa -- Eastern Cape School health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10353/17039 , vital:40836
- Description: The 2012 Integrated School Health Policy (ISHP) offers a framework for adequate school food environment. It aims to contribute to the improvement of the general health of school-going children and to address health barriers to learning in order to improve education outcomes. This study assessed the school food and nutrition environment and critically appraised the position of nutrition within ISHP in order to make recommendations for best practice and promotion of healthy-eating in quintiles 1 – 3 secondary school learners of the Eastern Cape, South Africa. Areas evaluated included the school food environment (National School Food Nutrition Programme, NSNP, tuck-shop, vendor, lunch box, and school vegetable garden); eating practice; nutrition knowledge; and nutrition status. A quantitative and qualitative cross-sectional design was applied in data collection. Data was collected from 1,357 learners at 18 secondary schools in three districts: Buffalo City Metropolitan Municipality, Chris Hani and OR Tambo, using semi-structured questionnaires. Five major food items provided in the school food and nutrition environment included: beans, pap, sour-milk, rice, and samp (maize) (NSNP); chips, sandwich, pap, biscuits, and cake (tuck-shop); chips, sandwich, pap, cake, and pop-corn (vendor); and samp (maize), noodles, fat-cake, chips, and Russian/Viennas (lunch boxes). Only three of the 16 schools had school vegetable gardens which produced vegetables and no fruits. Five most frequently eaten foods for breakfast were porridge, rusks, stiff-pap, bread-with-spread, eggs, and polony. Learners from quintile 3 (60.8percent) significantly ate more cooked porridge than learners from quintiles 1 and 2 (51.9percent) (p = 0.015). Leaners from quintile 3 (59.4percent) significantly ate more brown bread-with-spread than learners from quintiles 1 and 2 (50.4) (p = 0.022). The majority of learners (72.7percent) ate breakfast; more male learners (24.4percent) than female learners (29.1percent) skipped breakfast. The majority (62.2percent) of learners had poor nutritional knowledge; significantly, more male (35percent) than female (27percent) learners had poor nutritional knowledge (p = 0.003). Nutritional knowledge increased with age; significantly more grade 8 learners had poor (42.6percent) nutritional knowledge than grade 12 learners (14.1percent) (p < 0.001). Leaners from quintile 3 had good (23.5percent) nutritional knowledge than learners from quintiles 1 and 2 (15.7percent) (p < 0.001). School lessons, books and television were the most important source for nutritional information to learners. The most significant source was lessons (72.0percent; p < 0.001); followed by television (69.4percent; p < 0.001) and books (67.8percent; p = 0.014), in that ranking order. The majority of learners (64percent) had normal body weight. The prevalence of underweight, overweight and obesity was 13.0percent, 15.0percent and 8.0percent, respectively. The prevalence of overweight and obesity was higher in females than males (21.3percent vs 5.3percent; overweight; p < 0.001)) and (11.6percent vs 1.2percent; obesity; p < 0.001), respectively; while the prevalence in terms of underweight was significantly higher in male (21.3percent) learners than in female learners (8.1percent); p < 0.001. The study indicated that the school food environment was not supported by ISHP. The Integrated School Health Policy did not include on-site package for nutritional assessment, thus, there is need to offer nutritional interventions in schools.
- Full Text:
- Date Issued: 2019
- Authors: Okeyo, Alice Phelgona
- Date: 2019
- Subjects: Nutrition policy -- South Africa -- Eastern Cape School health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10353/17039 , vital:40836
- Description: The 2012 Integrated School Health Policy (ISHP) offers a framework for adequate school food environment. It aims to contribute to the improvement of the general health of school-going children and to address health barriers to learning in order to improve education outcomes. This study assessed the school food and nutrition environment and critically appraised the position of nutrition within ISHP in order to make recommendations for best practice and promotion of healthy-eating in quintiles 1 – 3 secondary school learners of the Eastern Cape, South Africa. Areas evaluated included the school food environment (National School Food Nutrition Programme, NSNP, tuck-shop, vendor, lunch box, and school vegetable garden); eating practice; nutrition knowledge; and nutrition status. A quantitative and qualitative cross-sectional design was applied in data collection. Data was collected from 1,357 learners at 18 secondary schools in three districts: Buffalo City Metropolitan Municipality, Chris Hani and OR Tambo, using semi-structured questionnaires. Five major food items provided in the school food and nutrition environment included: beans, pap, sour-milk, rice, and samp (maize) (NSNP); chips, sandwich, pap, biscuits, and cake (tuck-shop); chips, sandwich, pap, cake, and pop-corn (vendor); and samp (maize), noodles, fat-cake, chips, and Russian/Viennas (lunch boxes). Only three of the 16 schools had school vegetable gardens which produced vegetables and no fruits. Five most frequently eaten foods for breakfast were porridge, rusks, stiff-pap, bread-with-spread, eggs, and polony. Learners from quintile 3 (60.8percent) significantly ate more cooked porridge than learners from quintiles 1 and 2 (51.9percent) (p = 0.015). Leaners from quintile 3 (59.4percent) significantly ate more brown bread-with-spread than learners from quintiles 1 and 2 (50.4) (p = 0.022). The majority of learners (72.7percent) ate breakfast; more male learners (24.4percent) than female learners (29.1percent) skipped breakfast. The majority (62.2percent) of learners had poor nutritional knowledge; significantly, more male (35percent) than female (27percent) learners had poor nutritional knowledge (p = 0.003). Nutritional knowledge increased with age; significantly more grade 8 learners had poor (42.6percent) nutritional knowledge than grade 12 learners (14.1percent) (p < 0.001). Leaners from quintile 3 had good (23.5percent) nutritional knowledge than learners from quintiles 1 and 2 (15.7percent) (p < 0.001). School lessons, books and television were the most important source for nutritional information to learners. The most significant source was lessons (72.0percent; p < 0.001); followed by television (69.4percent; p < 0.001) and books (67.8percent; p = 0.014), in that ranking order. The majority of learners (64percent) had normal body weight. The prevalence of underweight, overweight and obesity was 13.0percent, 15.0percent and 8.0percent, respectively. The prevalence of overweight and obesity was higher in females than males (21.3percent vs 5.3percent; overweight; p < 0.001)) and (11.6percent vs 1.2percent; obesity; p < 0.001), respectively; while the prevalence in terms of underweight was significantly higher in male (21.3percent) learners than in female learners (8.1percent); p < 0.001. The study indicated that the school food environment was not supported by ISHP. The Integrated School Health Policy did not include on-site package for nutritional assessment, thus, there is need to offer nutritional interventions in schools.
- Full Text:
- Date Issued: 2019
The learning styles of first year university students
- Authors: Vawda, Aamena
- Date: 2005
- Subjects: Learning, Psychology of , College students -- South Africa -- Evaluation , Learning ability
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9849 , http://hdl.handle.net/10948/358 , http://hdl.handle.net/10948/d1005817 , Learning, Psychology of , College students -- South Africa -- Evaluation , Learning ability
- Description: There has been a shift in the South African education system from a purely grade-oriented system to that of a learner-centred outcome-based system of education which challenges higher educational institutions and their faculties to adjust their goals to this system. In South Africa there is evidence of poor academic performance at higher education institutions. Among other things, noncognitive factors may be important mediators of academic success. With the expansion of higher education and the increased emphasis on access, retention and life-long learning, it is a good reason to explore the nature of different learning styles (Healey & Jenkins, 2000). Learning styles and personality types has been identified as significant predictors of academic performance. The present study aimed to contribute to this body of research in general and to Kolb’s (1981) theory of experiential learning and his conceptualisation of learning styles in particular. The aims of the study were to explore and describe the learning styles of first year university students (Aim 1), to explore and describe the learning styles of first year university students per faculty (Aim 2), and to explore the relationship between learning styles and academic performance for students in the various faculties (Aim 3). The study used an explorative descriptive and correlational research method and was conducted within a quantitative framework. Participants were selected using a non-probability convenience sampling technique. The sample was comprised of 391 first year university students to whom Kolb’s Learning Style Indicator was administered as part of the Explore programme during orientation week. Descriptive statistics were used in order to explore and describe the learning style of the learners for the sample as a whole and per faculty. Data for the learning styles and academic performance categories were cross tabulated so as to comment on the relationship between learning styles and academic performance per faculty. Small cell sizes made it impossible to analyse the latter data statistically. Across the six faculties the Accommodator learning style was the most represented, followed by the Diverger learning style. No significant relationship was found between learning styles and academic performance. The implications of the findings for counselling and teaching students are highlighted and suggestions to expand the research through using larger samples are also made.
- Full Text:
- Date Issued: 2005
- Authors: Vawda, Aamena
- Date: 2005
- Subjects: Learning, Psychology of , College students -- South Africa -- Evaluation , Learning ability
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9849 , http://hdl.handle.net/10948/358 , http://hdl.handle.net/10948/d1005817 , Learning, Psychology of , College students -- South Africa -- Evaluation , Learning ability
- Description: There has been a shift in the South African education system from a purely grade-oriented system to that of a learner-centred outcome-based system of education which challenges higher educational institutions and their faculties to adjust their goals to this system. In South Africa there is evidence of poor academic performance at higher education institutions. Among other things, noncognitive factors may be important mediators of academic success. With the expansion of higher education and the increased emphasis on access, retention and life-long learning, it is a good reason to explore the nature of different learning styles (Healey & Jenkins, 2000). Learning styles and personality types has been identified as significant predictors of academic performance. The present study aimed to contribute to this body of research in general and to Kolb’s (1981) theory of experiential learning and his conceptualisation of learning styles in particular. The aims of the study were to explore and describe the learning styles of first year university students (Aim 1), to explore and describe the learning styles of first year university students per faculty (Aim 2), and to explore the relationship between learning styles and academic performance for students in the various faculties (Aim 3). The study used an explorative descriptive and correlational research method and was conducted within a quantitative framework. Participants were selected using a non-probability convenience sampling technique. The sample was comprised of 391 first year university students to whom Kolb’s Learning Style Indicator was administered as part of the Explore programme during orientation week. Descriptive statistics were used in order to explore and describe the learning style of the learners for the sample as a whole and per faculty. Data for the learning styles and academic performance categories were cross tabulated so as to comment on the relationship between learning styles and academic performance per faculty. Small cell sizes made it impossible to analyse the latter data statistically. Across the six faculties the Accommodator learning style was the most represented, followed by the Diverger learning style. No significant relationship was found between learning styles and academic performance. The implications of the findings for counselling and teaching students are highlighted and suggestions to expand the research through using larger samples are also made.
- Full Text:
- Date Issued: 2005
Antibiotic stewardship: the role of clinical pharmacist
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
- Authors: Ramkhalawon, Shabeerah
- Date: 2015
- Subjects: Hospital pharmacies -- South Africa Pharmacists -- South Africa
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: http://hdl.handle.net/10948/10858 , vital:26830
- Description: South Africa has a high prevalence of infectious diseases; the major ones being the Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome epidemic, and tuberculosis. South Africa’s burden of resistant bacteria is also increasing. Antibiotic resistance in hospitalised patients leads to an increase in morbidity and mortality, resulting in longer hospital stays, and an increase in hospital costs. In order to counteract the problem of antibiotic resistance in hospitals and other healthcare facilities and preserve the efficacy of currently available antibiotics, there is a need for serious antibiotic management. Antibiotic stewardship initiatives have thus been put in place to guide healthcare professionals on the correct use of antibiotics. Clinical pharmacists can intervene and contribute to antibiotic stewardship owing to comprehensive knowledge of antibiotics, including the properties, uses, safety and efficacy of individual agents. There is a paucity of research to support the role of the clinical pharmacist in antibiotic stewardship in public sector hospitals. The current pharmacist staffing system within public sector hospitals does not adequately support pharmacists, in particular clinical pharmacists, to participate actively in antibiotic stewardship. The primary aim of the study was to evaluate the role of the clinical pharmacist in antibiotic stewardship in a public hospital setting. A secondary aim was to contribute towards more rational inpatient use of antibiotics in the general medical ward. The hypothesis for the study was that clinical pharmacists can make a positive contribution to the correct use of antibiotics in a public hospital setting. The study showed that the introduction of a pharmacist-driven antibiotic stewardship in the ward, using a prospective audit and feedback strategy, had a positive effect on overall appropriateness of antibiotic prescribing (Chi2=7.89; df=3; p=0.04815, Cramer’s V=0.13). However, this finding did not show any reduction in the volume of antibiotic use. Positive patient outcomes were achieved and shown through a reduction in the length of hospital stay (p=0.00487; one-way ANOVA). Although patients were not followed up on discharge to assess re-admission rates, the results are relevant in order to inform the hospital staff about the implementation of antibiotic stewardship at the public hospital setting with the aims of reducing inappropriate antibiotic prescribing and improving patient outcomes. From the results of the study, it can be concluded that the hypothesis was achieved and that the clinical pharmacist did play an integral role in antibiotic prescribing at the public hospital setting. Thus, it can be concluded that the study, though limited in its scope, achieved its aims and objectives, and showed that the clinical pharmacist does play an integral role in the rational use of antibiotics in a public hospital setting.
- Full Text:
- Date Issued: 2015
An epidemiological study of childhood asthma care by general practitioners in the Nelson Mandela Metropole
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
- Authors: Wickens, Nicolas John
- Date: 2003
- Subjects: Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Language: English
- Type: Thesis , Masters , MTech (Biomedical Technology)
- Identifier: vital:10825 , http://hdl.handle.net/10948/124 , Asthma in children -- South Africa -- Nelson Mandela Metropole , Epidemiology -- South Africa -- Nelson Mandela Metropole , Physicians (General practice) -- South Africa -- Nelson Mandela Metropole
- Description: The purpose of this study was to measure and evaluate GPs' practices, perceptions, and beliefs with regard to chronic childhood asthma management and to identify GPs' attitudes towards practice guidelines in particular the SACAWG (South African Childhood Asthma Work Group) guideline (Motala et al., 2000). In 2001 a single period cross-sectional survey was conducted among 300 GPs in the Nelson Mandela Metropole (NMM) which comprised the Port Elizabeth, Uitenhage, and Despatch regions. GPs in clinical practice in the NMM were identified from the register of the Health Professions Council (HPC) CD-ROM (2000). The register contains names and professional information on all physicians in South Africa who have completed or in the process of completing requirements to practice medicine. GPs meeting the following criteria were identified: (1) primary self-designated practice specialty of general practice; (2) practice location in Port Elizabeth, Uitenhage, and Despatch areas; and (3) engaged in direct patient care. The HPC register contained listings for 300 GPs that matched the study criteria. Data were collected by means of a structured self-administered questionnaire. Questionnaires with a return envelope were mailed to the GPs' practices. Questionnaires were returned by 89 of the 300 eligible NMM GPs, reflecting a 29,7 % response rate. A 43-item Chronic Childhood Asthma Management questionnaire was developed and validated to assess the delivery of asthma care by GPs in the NMM. Forty-four per cent of the respondents reported performing spirometry on patients with newly diagnosed asthma as part of their initial evaluation. For patients with moderate persistent asthma prescribing of inhaled corticosteroids (ICSs) varied by patient age, with 57,4% of physicians routinely prescribing them for patients < 5 years, compared with 76,5% of physicians prescribing them for patients 5 years. Awareness of the SACAWG guidelines among these GPs was high, with 76,8% reporting that they have heard of the guidelines, and 59,4% reporting having read them. 14,5 per cent of the GPs reported developing written treatment plans for patients with moderate or severe asthma. To achieve the best results with their asthma patients, 68,1% of the physicians reported that patient compliance was imperative, 49,3% reported education as the most important, pharmacotherapy / good products was reported as most important by 29,0% of the group, environmental control was cited by 18,8% of the GPs. Several aspects of the SACAWG guidelines appear to have been incorporated into clinical practice by GPs in the NMM, whereas other recommendations do not appear to have been readily adopted. This information suggests areas for intervention to improve primary care for asthma in the NMM.
- Full Text:
- Date Issued: 2003
A psychobiographical study of Isie Smuts
- Authors: Smuts, Carisa
- Date: 2009
- Subjects: Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9913 , http://hdl.handle.net/10948/894 , Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Description: Psychobiographical research, with the use of psychological theory, allows us to uncover and unravel the life of an individual. This important area of research for the application of a psychological theory has, however, been under-utilized, especially in South Africa. The importance of psychobiographical case study research for the development and testing of theories of human development throughout the lifespan, has been supported by a number of academics in the field. The research subject was Sibella Margaretha (Isie) Krige. Isie (1870-1954) was married to General Jan Christiaan Smuts (1870-1950). He was a prominent South African and Commonwealth statesman, military leader, botanist and philosopher. Although much has been written on General Smuts, a psychobiography on the life of Isie had not been written yet. Isie was chosen as the research subject through purposive sampling. The study employed a qualitative psychobiographical research method, which aimed to explore and describe Isie’s psychological development in terms of Daniel Levinson’s (1996) theory of the Human Life Cycle. Collected data were analysed in accordance with Huberman and Miles’ (2000) approach. It integrated three sub-processes, namely data reduction, data display, as well as the drawing of conclusions and verification. The findings of the study indicate that Isie’s life was consistent with the pattern which Levinson (1996) identified. Isie was relatively successful in resolving the life tasks and transitional periods proposed by Levinson. The findings of the study also indicated that the development of Isie’s life structure was strongly influenced by a number of sociohistorical and global events. This research study has given a positive demonstration of the value of development theory. Furthermore, it emphasized the uniqueness of individuals in coping with the challenges of life. As a result it has opened up the possibility of perceiving people and their actions in a different way. Consequently, recommendations regarding the psychobiographical research design and methodology in future have been made.
- Full Text:
- Date Issued: 2009
- Authors: Smuts, Carisa
- Date: 2009
- Subjects: Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9913 , http://hdl.handle.net/10948/894 , Smuts, Isie K., 1870-1954 , Psychology -- Biographical methods , Developmental psychology
- Description: Psychobiographical research, with the use of psychological theory, allows us to uncover and unravel the life of an individual. This important area of research for the application of a psychological theory has, however, been under-utilized, especially in South Africa. The importance of psychobiographical case study research for the development and testing of theories of human development throughout the lifespan, has been supported by a number of academics in the field. The research subject was Sibella Margaretha (Isie) Krige. Isie (1870-1954) was married to General Jan Christiaan Smuts (1870-1950). He was a prominent South African and Commonwealth statesman, military leader, botanist and philosopher. Although much has been written on General Smuts, a psychobiography on the life of Isie had not been written yet. Isie was chosen as the research subject through purposive sampling. The study employed a qualitative psychobiographical research method, which aimed to explore and describe Isie’s psychological development in terms of Daniel Levinson’s (1996) theory of the Human Life Cycle. Collected data were analysed in accordance with Huberman and Miles’ (2000) approach. It integrated three sub-processes, namely data reduction, data display, as well as the drawing of conclusions and verification. The findings of the study indicate that Isie’s life was consistent with the pattern which Levinson (1996) identified. Isie was relatively successful in resolving the life tasks and transitional periods proposed by Levinson. The findings of the study also indicated that the development of Isie’s life structure was strongly influenced by a number of sociohistorical and global events. This research study has given a positive demonstration of the value of development theory. Furthermore, it emphasized the uniqueness of individuals in coping with the challenges of life. As a result it has opened up the possibility of perceiving people and their actions in a different way. Consequently, recommendations regarding the psychobiographical research design and methodology in future have been made.
- Full Text:
- Date Issued: 2009
The management of antiretroviral drug distribution in the Qwaqwa District
- Authors: Mokheseng, Mamolise
- Date: 2013
- Subjects: Antiretroviral agents -- South Africa -- Qwaqwa , Hospitals -- Drug distribution systems -- South Africa -- Qwaqwa , HIV-positive persons -- Care -- Government policy -- South Africa -- Qwaqwa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10081 , http://hdl.handle.net/10948/d1016077
- Description: The supply of Antiretrovirals (ARVs) to HIV/AIDS patients in most of the provinces in South Africa is hindered by various factors such as ineffective and inefficient drug procurement, and drug distribution systems. In the QwaQwa district in the Free State Province, a major barrier to the consistent supply of Highly Active Antiretroviral Treatment was identified to be the lack of an effective and efficient ARV drug distribution system. This resulted in major drug supply shortages in the QwaQwa district. A continuous, uninterrupted supply of ARVs to HIV/AIDS patients is critical to avoid drug resistance and therapy failure. Failure of a patient to respond to treatment results in a deterioration of a patient's health, and ultimately leads to death. The purpose of the study was to determine whether the ARV drug distribution practices at the Manapo Hospital in the QwaQwa district were effective and efficient in the management of ARVs. The distribution practices reviewed were the ordering, transportation, the management of inventory and warehousing, and the distribution of treatment to HIV/AIDS patients. Quantitative exploratory, descriptive and contextual methods were used to determine the relationship between the ARV drug distribution practices and the effective management of the ARVs. The study comprised of a sample size of twenty-one participants. The sample size entailed the Manapo Hospital pharmacists and pharmacist assistants who have been or are currently involved in the distribution of ARVs in the QwaQwa district since the initiation of the ARV rollout programme in 2004. The study revealed that the practices performed in the management of ARVs in the QwaQwa district were neither effective nor efficient in the distribution of ARVs. The recommendations of the study were identified to further ensure the effective and efficient management of the ARV drug distribution system, which will ensure a consistent supply of treatment to HIV/AIDS patients. Guidelines were developed for better circulation, thus meeting the objectives of the research.
- Full Text:
- Date Issued: 2013
- Authors: Mokheseng, Mamolise
- Date: 2013
- Subjects: Antiretroviral agents -- South Africa -- Qwaqwa , Hospitals -- Drug distribution systems -- South Africa -- Qwaqwa , HIV-positive persons -- Care -- Government policy -- South Africa -- Qwaqwa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10081 , http://hdl.handle.net/10948/d1016077
- Description: The supply of Antiretrovirals (ARVs) to HIV/AIDS patients in most of the provinces in South Africa is hindered by various factors such as ineffective and inefficient drug procurement, and drug distribution systems. In the QwaQwa district in the Free State Province, a major barrier to the consistent supply of Highly Active Antiretroviral Treatment was identified to be the lack of an effective and efficient ARV drug distribution system. This resulted in major drug supply shortages in the QwaQwa district. A continuous, uninterrupted supply of ARVs to HIV/AIDS patients is critical to avoid drug resistance and therapy failure. Failure of a patient to respond to treatment results in a deterioration of a patient's health, and ultimately leads to death. The purpose of the study was to determine whether the ARV drug distribution practices at the Manapo Hospital in the QwaQwa district were effective and efficient in the management of ARVs. The distribution practices reviewed were the ordering, transportation, the management of inventory and warehousing, and the distribution of treatment to HIV/AIDS patients. Quantitative exploratory, descriptive and contextual methods were used to determine the relationship between the ARV drug distribution practices and the effective management of the ARVs. The study comprised of a sample size of twenty-one participants. The sample size entailed the Manapo Hospital pharmacists and pharmacist assistants who have been or are currently involved in the distribution of ARVs in the QwaQwa district since the initiation of the ARV rollout programme in 2004. The study revealed that the practices performed in the management of ARVs in the QwaQwa district were neither effective nor efficient in the distribution of ARVs. The recommendations of the study were identified to further ensure the effective and efficient management of the ARV drug distribution system, which will ensure a consistent supply of treatment to HIV/AIDS patients. Guidelines were developed for better circulation, thus meeting the objectives of the research.
- Full Text:
- Date Issued: 2013
Effects of an integrated movement programme on motor proficiency, visual motor integration and scholastic achievement in grade one learners of quintile five primary schools in Port Elizabeth
- Authors: Lister, Cassandra
- Date: 2018
- Subjects: Perceptual-motor learning , Motor ability in children -- South Africa -- Port Elizabeth Self-perception in children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22442 , vital:29970
- Description: Globally, the association between physical fitness, motor proficiency and scholastic achievement has been well researched. However, information concerning the effectiveness of integrated movement programmes in children from various socio-economic disparities, is less well studied. A lack of studies exists on the relationship between perceptual-motor development and scholastic performance in literacy and numeracy in children from low-middle income countries such as in sub-Saharan Africa. Thus, the need exists for educational movement programme implementation in developing countries based on studies of good methodological design, to allow early prevention, identification and rectification of apparent motor deficits in young children. Purpose (Aim): To investigate effects of an integrated movement programme in the classroom setting on motor proficiency, visual-motor integration and scholastic achievement of grade one learners between the ages of six- to nine-years-old in quintile five primary schools in Port Elizabeth. A quasi-experimental research design was used to evaluate the selected dependent variables at baseline assessment on 45 grade one learners from an experimental-and control group in quintile five schools in Port Elizabeth. There were two intervention periods that consisted of a pre-existing classroom-based integrated movement programme (NeuroNet) administered by an internationally accredited teacher to the experimental group. Each intervention period coincided with school terms three and four in 2017 and were a minimum of four weeks long. Pre-test and post-test assessments for all three dependent variables were done at the beginning and end of each term respectively. The learners participated in the integrated movement programme five days per week for 20-minute duration in the classroom. The main two standardised, reliable and valid test batteries used to measure motor proficiency and visual-motor integration were the Bruininks-Oseretsky Test of Motor Proficiency Brief Form (BOT-2 Brief Form) and the Beery-Buktenica Developmental Test of Visual-Motor Integration Full Form sixth edition (Beery VMI). The Beery VMI contained two sub-tests the Beery VMI Visual Perception Test (VMI-VP), and the Beery VMI Motor Coordination Test (VMI-MC), which measured the participants’ visual perception and motor coordination. Scholastic achievement was measured using four domains of the participants’ school reports: numeracy, reading, writing and total scholastic achievement scores. Purposive sampling was used to obtain participants from quintile five primary schools whose principals voluntarily provided consent to undertake the study. Data was collected by trained research assistants and the sole researcher. The Statistica for Windows (StatSoft Incorporated; 2014) software package was used for data analysis. Descriptive data analysis included the means (M) and standard deviations (SD) as measures of central tendency and distribution. Independent t-tests determined between-group differences and the level of significance was set at p<0.05. The magnitude (effect size) of pre-post-intervention differences for both groups was calculated for all variables as Cohen’s d statistic. Subsequent interpretation categories were d<0.20 (insignificant effect), 0.20≤d<0.50 (small effect), 0.50≤d<0.80 (medium effect) and d≥0.80 (large effect) (Gravetter & Wallnau, 2009). The experimental group had statistically significant (p<0.05) higher initial mean values for motor proficiency, visual perception, the reading, writing and total scholastic achievement domains. Motor proficiency showed a mean increase of 10.62±13.97 (24% improvement) in the experimental group compared to a mean increase of 9.63±13.26 (8% improvement) in the control group. A significant final mean between-group difference in motor proficiency was found post-intervention (Diff=16.70, t(43)=3.70, p=0.001; Cohen’s d=1.11: large effect size). Visual-motor integration showed a mean decrease of 5.38±14.34 in the experimental group and a decrease of 8.88±15.39 in the control group. No apparent between-group significant difference occurred for visual-motor integration. Visual perception scores indicated a mean increase of 11.82±18.81 in the experimental group and a mean increase of 15.71±30.03 in the control group. A statistically significant mean between-group difference in visual perception post-intervention was seen (Diff=26.40, t(43) =3.95, p<0.0005; Cohen’s d=1.18: large effect size). Motor coordination showed a mean increase of 20.00±18.45 in the experimental group and decrease of 1.50±23.74 in the control group over the intervention period (Diff=21.50, t(43)=3.36, p=0.002; Cohen’s d=1.00: large effect size). There was a significant between-group mean motor coordination difference post intervention (Diff=19.59, t(43)=2.96, p=0.005; Cohen’s d=0.88: large effect size). The experimental group showed significantly higher mean reading scores pre- 5.67±0.80 and post-intervention 5.43±0.93 compared to the control group pre- 4.13±0.74 and post-intervention 4.63±0.88. Significant between-group differences in reading scores pre- (Diff=1.54, t(43)=6.73, p<0.0005; Cohen’s d=2.01: large effect size) and post-intervention (Diff=0.80, t(43)=2.99, p=0.005; Cohen’s d=0.89: large effect size) were also evident. The experimental group also showed significantly higher mean writing scores pre- 5.62±0.74 and post-intervention 5.05±0.86 compared to the control group pre- 3.83±0.96 and post-intervention 4.21±1.28. A significant between-group difference in writing scores pre- intervention (Diff=1.79, t(43)=6.90, p<0.0005; Cohen’s d=2.06: large effect size) was evident. Total scholastic achievement scores showed an initial significant difference between the experimental- and control group (Diff=1.26, t(43)=6.42, p<0.0005; Cohen’s d=1.92: large effect size). Positive practical significance |r|≥0.300 at (p<0.05) was found between visual-motor integration and reading |r|=0.350; visual perception and writing |r|=0.336; motor coordination and writing |r|=0.318; visual-motor integration and total scholastic achievement |r|=0.330 in the experimental group. In the control group negative practical significance |r|≥0.300 at (p<0.05) was found between visual perception and reading |r|=-0.304, whereas positive practical significance was found between visual perception and writing |r|=0.319; motor coordination and writing |r|=0.340; motor coordination and numeracy |r|=0.378; and motor coordination and total scholastic achievement |r|=0.378 at (p<0.05). The integrated movement programme had significantly positive effects on motor proficiency, visual perception and motor coordination. Motor proficiency had no significant correlation to scholastic achievement domains post-intervention, whereas visual-motor integration significantly correlated to reading and total scholastic achievement; visual perception correlated significantly to writing and negatively to reading; and motor coordination correlated significantly to writing, numeracy and total scholastic achievement. Future longitudinal research incorporating a larger range and scope is needed to fully evaluate the effectiveness of integrated movement programmes on motor proficiency, visual-motor integration and scholastic achievement.
- Full Text:
- Date Issued: 2018
- Authors: Lister, Cassandra
- Date: 2018
- Subjects: Perceptual-motor learning , Motor ability in children -- South Africa -- Port Elizabeth Self-perception in children -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/22442 , vital:29970
- Description: Globally, the association between physical fitness, motor proficiency and scholastic achievement has been well researched. However, information concerning the effectiveness of integrated movement programmes in children from various socio-economic disparities, is less well studied. A lack of studies exists on the relationship between perceptual-motor development and scholastic performance in literacy and numeracy in children from low-middle income countries such as in sub-Saharan Africa. Thus, the need exists for educational movement programme implementation in developing countries based on studies of good methodological design, to allow early prevention, identification and rectification of apparent motor deficits in young children. Purpose (Aim): To investigate effects of an integrated movement programme in the classroom setting on motor proficiency, visual-motor integration and scholastic achievement of grade one learners between the ages of six- to nine-years-old in quintile five primary schools in Port Elizabeth. A quasi-experimental research design was used to evaluate the selected dependent variables at baseline assessment on 45 grade one learners from an experimental-and control group in quintile five schools in Port Elizabeth. There were two intervention periods that consisted of a pre-existing classroom-based integrated movement programme (NeuroNet) administered by an internationally accredited teacher to the experimental group. Each intervention period coincided with school terms three and four in 2017 and were a minimum of four weeks long. Pre-test and post-test assessments for all three dependent variables were done at the beginning and end of each term respectively. The learners participated in the integrated movement programme five days per week for 20-minute duration in the classroom. The main two standardised, reliable and valid test batteries used to measure motor proficiency and visual-motor integration were the Bruininks-Oseretsky Test of Motor Proficiency Brief Form (BOT-2 Brief Form) and the Beery-Buktenica Developmental Test of Visual-Motor Integration Full Form sixth edition (Beery VMI). The Beery VMI contained two sub-tests the Beery VMI Visual Perception Test (VMI-VP), and the Beery VMI Motor Coordination Test (VMI-MC), which measured the participants’ visual perception and motor coordination. Scholastic achievement was measured using four domains of the participants’ school reports: numeracy, reading, writing and total scholastic achievement scores. Purposive sampling was used to obtain participants from quintile five primary schools whose principals voluntarily provided consent to undertake the study. Data was collected by trained research assistants and the sole researcher. The Statistica for Windows (StatSoft Incorporated; 2014) software package was used for data analysis. Descriptive data analysis included the means (M) and standard deviations (SD) as measures of central tendency and distribution. Independent t-tests determined between-group differences and the level of significance was set at p<0.05. The magnitude (effect size) of pre-post-intervention differences for both groups was calculated for all variables as Cohen’s d statistic. Subsequent interpretation categories were d<0.20 (insignificant effect), 0.20≤d<0.50 (small effect), 0.50≤d<0.80 (medium effect) and d≥0.80 (large effect) (Gravetter & Wallnau, 2009). The experimental group had statistically significant (p<0.05) higher initial mean values for motor proficiency, visual perception, the reading, writing and total scholastic achievement domains. Motor proficiency showed a mean increase of 10.62±13.97 (24% improvement) in the experimental group compared to a mean increase of 9.63±13.26 (8% improvement) in the control group. A significant final mean between-group difference in motor proficiency was found post-intervention (Diff=16.70, t(43)=3.70, p=0.001; Cohen’s d=1.11: large effect size). Visual-motor integration showed a mean decrease of 5.38±14.34 in the experimental group and a decrease of 8.88±15.39 in the control group. No apparent between-group significant difference occurred for visual-motor integration. Visual perception scores indicated a mean increase of 11.82±18.81 in the experimental group and a mean increase of 15.71±30.03 in the control group. A statistically significant mean between-group difference in visual perception post-intervention was seen (Diff=26.40, t(43) =3.95, p<0.0005; Cohen’s d=1.18: large effect size). Motor coordination showed a mean increase of 20.00±18.45 in the experimental group and decrease of 1.50±23.74 in the control group over the intervention period (Diff=21.50, t(43)=3.36, p=0.002; Cohen’s d=1.00: large effect size). There was a significant between-group mean motor coordination difference post intervention (Diff=19.59, t(43)=2.96, p=0.005; Cohen’s d=0.88: large effect size). The experimental group showed significantly higher mean reading scores pre- 5.67±0.80 and post-intervention 5.43±0.93 compared to the control group pre- 4.13±0.74 and post-intervention 4.63±0.88. Significant between-group differences in reading scores pre- (Diff=1.54, t(43)=6.73, p<0.0005; Cohen’s d=2.01: large effect size) and post-intervention (Diff=0.80, t(43)=2.99, p=0.005; Cohen’s d=0.89: large effect size) were also evident. The experimental group also showed significantly higher mean writing scores pre- 5.62±0.74 and post-intervention 5.05±0.86 compared to the control group pre- 3.83±0.96 and post-intervention 4.21±1.28. A significant between-group difference in writing scores pre- intervention (Diff=1.79, t(43)=6.90, p<0.0005; Cohen’s d=2.06: large effect size) was evident. Total scholastic achievement scores showed an initial significant difference between the experimental- and control group (Diff=1.26, t(43)=6.42, p<0.0005; Cohen’s d=1.92: large effect size). Positive practical significance |r|≥0.300 at (p<0.05) was found between visual-motor integration and reading |r|=0.350; visual perception and writing |r|=0.336; motor coordination and writing |r|=0.318; visual-motor integration and total scholastic achievement |r|=0.330 in the experimental group. In the control group negative practical significance |r|≥0.300 at (p<0.05) was found between visual perception and reading |r|=-0.304, whereas positive practical significance was found between visual perception and writing |r|=0.319; motor coordination and writing |r|=0.340; motor coordination and numeracy |r|=0.378; and motor coordination and total scholastic achievement |r|=0.378 at (p<0.05). The integrated movement programme had significantly positive effects on motor proficiency, visual perception and motor coordination. Motor proficiency had no significant correlation to scholastic achievement domains post-intervention, whereas visual-motor integration significantly correlated to reading and total scholastic achievement; visual perception correlated significantly to writing and negatively to reading; and motor coordination correlated significantly to writing, numeracy and total scholastic achievement. Future longitudinal research incorporating a larger range and scope is needed to fully evaluate the effectiveness of integrated movement programmes on motor proficiency, visual-motor integration and scholastic achievement.
- Full Text:
- Date Issued: 2018
Guidelines for a therapeutic programme to address the mental health needs of adolescents being treated in a psychiatric hospital
- Authors: Smith, Lourett
- Date: 2013
- Subjects: Teenagers , Psychiatric hospitals , Mental health facilities
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10036 , http://hdl.handle.net/10948/d1010963 , Teenagers , Psychiatric hospitals , Mental health facilities
- Description: It is estimated that about 10 million children and adolescents worldwide, annually suffer from psychiatric disorders. They often require hospital treatment because they are not coping with their psychiatric condition at home or there is a lack of supervision. Suicide amongst adolescents who are experiencing a crisis is a bleak reality. In-patient treatment provides the necessary structure and supervision in order to secure a stable environment which is vital for treating adolescents. Treatment usually includes a therapeutic programme provided by members of the multi-professional team. Since there is at present no adolescent in-patient treatment facility in the Nelson Mandela Bay to provide psychiatric care to adolescents who are experiencing a mental problem, these patients are admitted to psychiatric hospitals which cater only for the needs of adult patients or they are referred to facilities in other provinces. The goals and objectives of this study are firstly, to explore and describe the perceptions of mental health professionals working in psychiatric hospitals regarding what should be included in a therapeutic programme for adolescents and secondly, to develop guidelines for treating adolescents that can be implemented in psychiatric hospitals in the Nelson Mandela Bay. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included various professionals who provide services at psychiatric hospitals in the Nelson Mandela Bay. Purposive sampling was utilized. Semi-structured interviews were conducted to collect information-rich data and field notes were kept. The interviews were transcribed and Tesch’s eight steps of data analysis were followed to create meaning from the data collected. Themes were identified and grouped together to form new categories. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature was reviewed in order to identify research that was done previously regarding adolescent psychiatric in-patient programmes in order to bridge the gaps that were identified. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely, credibility, transferability, dependability and confirmability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity.
- Full Text:
- Date Issued: 2013
- Authors: Smith, Lourett
- Date: 2013
- Subjects: Teenagers , Psychiatric hospitals , Mental health facilities
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10036 , http://hdl.handle.net/10948/d1010963 , Teenagers , Psychiatric hospitals , Mental health facilities
- Description: It is estimated that about 10 million children and adolescents worldwide, annually suffer from psychiatric disorders. They often require hospital treatment because they are not coping with their psychiatric condition at home or there is a lack of supervision. Suicide amongst adolescents who are experiencing a crisis is a bleak reality. In-patient treatment provides the necessary structure and supervision in order to secure a stable environment which is vital for treating adolescents. Treatment usually includes a therapeutic programme provided by members of the multi-professional team. Since there is at present no adolescent in-patient treatment facility in the Nelson Mandela Bay to provide psychiatric care to adolescents who are experiencing a mental problem, these patients are admitted to psychiatric hospitals which cater only for the needs of adult patients or they are referred to facilities in other provinces. The goals and objectives of this study are firstly, to explore and describe the perceptions of mental health professionals working in psychiatric hospitals regarding what should be included in a therapeutic programme for adolescents and secondly, to develop guidelines for treating adolescents that can be implemented in psychiatric hospitals in the Nelson Mandela Bay. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included various professionals who provide services at psychiatric hospitals in the Nelson Mandela Bay. Purposive sampling was utilized. Semi-structured interviews were conducted to collect information-rich data and field notes were kept. The interviews were transcribed and Tesch’s eight steps of data analysis were followed to create meaning from the data collected. Themes were identified and grouped together to form new categories. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature was reviewed in order to identify research that was done previously regarding adolescent psychiatric in-patient programmes in order to bridge the gaps that were identified. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely, credibility, transferability, dependability and confirmability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity.
- Full Text:
- Date Issued: 2013
Experiences of analogue-trained radiographers utilising digital imaging in projection radiography
- Authors: Campbell, Sydney
- Date: 2017
- Subjects: Radiography, Medical -- Digital techniques Angiography , Image processing -- Digital techniques Radiography
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/14796 , vital:27851
- Description: The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
- Full Text:
- Date Issued: 2017
- Authors: Campbell, Sydney
- Date: 2017
- Subjects: Radiography, Medical -- Digital techniques Angiography , Image processing -- Digital techniques Radiography
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/14796 , vital:27851
- Description: The professional work of a radiographer encompasses both patient care and the use of technology. The technology employed could either be analogue or digital technology. Since 1973, the analogue imaging system has slowly been replaced by digital radiography imaging systems. Despite the many advantages of digital imaging it does present the radiographer with added responsibilities. Furthermore, analogue-trained radiographers have found adjusting to digital imaging especially challenging. The aim of the study was to explore and describe the experiences of analogue-trained radiographers utilising digital imaging in projection radiography with the intention of developing guidelines to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. The researcher used Schlossberg’s Transition Theory as a lens to look at the experiences of analogue-trained radiographers using digital imaging to produce radiographs. The research study used a qualitative design which was explorative, descriptive and contextual in nature. The target population included all diagnostic radiographers (public and private) in the local municipality who were registered with the Health Professions Council of South Africa. Purposive sampling was employed to select the radiographers that represented all radiographers in the Nelson Mandela Bay Health District. The sample included all radiographers who fulfilled the identified selection criteria. The selected participants were recruited to take part in in-depth, semi-structured individual interviews. The data was analysed using a computer-aided qualitative data analysis software package, ATLAS.ti. The trustworthiness of this study was ensured by applying Guba’s model of trustworthiness that includes credibility, transferability, dependability and confirmability. The ethical principles of respect for persons, beneficence and justice, as espoused by the Belmont Report, were adhered to in order to ensure that the study was conducted in an ethical manner. Two themes emanated from the data, namely the evolution of the radiographer when faced with the advances in technology as well the role that the work environment played in the manner that the participants experienced the change. The experiences of the participants were described using direct quotations from the interviews and a literature control was used to verify the participants’ experiences. Evidence was found of radiographer indifference towards exposure selection, dose optimisation and placement of anatomical side markers when utilising digital imaging. Finally, guidelines were developed to equip radiography managers to assist analogue-trained radiographers to better utilise digital imaging. In addition, the guidelines will assist all other radiographers to better utilise digital imaging.
- Full Text:
- Date Issued: 2017
Experiences of R425 newly qualified professional Nurses during their first year of practice in 3 selected hospitals in the Eastern Cape
- Authors: Qwaqwa, Nomathamsanqa P
- Date: 2016
- Subjects: Student nurses practice -- Hospitals
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/11260/677 , vital:27767
- Description: Transition of the newly qualified nurses from an educational focus to professional practitioner has long been identified as a conflicted time of critical personal and professional adjustment and staggering reality shock. This study explored the experiences of newly qualified R425 professional nurses during their first year of practice in the Eastern Cape Province at three selected hospitals. The study followed a qualitative, exploratory, descriptive design using a phenomenological approach. The sample included newly qualified professional nurses in their first year of employment. Convenience sampling was used to select the participants. Data collection was conducted by means of semi-structured interviews from ten (n=10) participants. Each interview took about 45 minutes. Ethical codes of research were followed. Data was coded manually and analyzed using content analysis Four themes and seven subthemes emerged from the data collected The findings revealed positive experiences such as sense of belonging and feelings of independence; negative experiences such as feelings of rejection, as well as management challenges The study identified challenges which impacted on the performance of new nurses, namely shortage of human and material resources and inadequate support in the working environment Recommendation: Introducing mandatory education by service institutions on transition as well as extended, sequential and structured orientation and mentoring programs for newly qualified professional nurses as this will assist them in their career development Managers to use different strategies in enhancing quality environments in order to reduce frustration for these newly qualified nurses.
- Full Text:
- Date Issued: 2016
- Authors: Qwaqwa, Nomathamsanqa P
- Date: 2016
- Subjects: Student nurses practice -- Hospitals
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/11260/677 , vital:27767
- Description: Transition of the newly qualified nurses from an educational focus to professional practitioner has long been identified as a conflicted time of critical personal and professional adjustment and staggering reality shock. This study explored the experiences of newly qualified R425 professional nurses during their first year of practice in the Eastern Cape Province at three selected hospitals. The study followed a qualitative, exploratory, descriptive design using a phenomenological approach. The sample included newly qualified professional nurses in their first year of employment. Convenience sampling was used to select the participants. Data collection was conducted by means of semi-structured interviews from ten (n=10) participants. Each interview took about 45 minutes. Ethical codes of research were followed. Data was coded manually and analyzed using content analysis Four themes and seven subthemes emerged from the data collected The findings revealed positive experiences such as sense of belonging and feelings of independence; negative experiences such as feelings of rejection, as well as management challenges The study identified challenges which impacted on the performance of new nurses, namely shortage of human and material resources and inadequate support in the working environment Recommendation: Introducing mandatory education by service institutions on transition as well as extended, sequential and structured orientation and mentoring programs for newly qualified professional nurses as this will assist them in their career development Managers to use different strategies in enhancing quality environments in order to reduce frustration for these newly qualified nurses.
- Full Text:
- Date Issued: 2016
Die ervaring van die geregistreerde verpleegkundedosent ten opsigte van die kliniese begeleiding van verpleegstudente
- Authors: De Wet, Annemie
- Date: 2014
- Subjects: Nursing students , Mentoring in nursing -- South Africa
- Language: Afrikaans
- Type: Thesis , Masters , MCur
- Identifier: vital:10053 , http://hdl.handle.net/10948/1018275
- Description: Die doel van die studie was om vas te stel hoe die verpleegkundedosent die begeleiding van verpleegstudente in die praktyk ervaar. In die verlede was begeleiding van verpleegstudente met praktika in gesondheidsorginstansies deur ʼn professionele verpleegkundige gedoen wat deel was van die personeel se verantwoordelikhede. Die verpleegstudente doen hul teoretiese kennis op by ʼn tersiêre instansie en verkry hul praktiese kennis by ʼn geakkrediteerde gesondheidsorginstansie soos vereis deur die Suid-Afrikaanse Raad op Verpleging (SARV). Een van die take van ‘n verpleegkundedosent van die privaat opleidingskool is om die kliniese begeleiding van verpleegstudente in geakkrediteerde instellings te doen. Omdat verpleging ʼn beroep is waar vaardighede belangrik is, is praktiese inoefening van prosedures en evaluering van die verpleegstudente se vaardigheid daarin noodsaaklik. Die verpleegstudente is heeltyd besig met die pasiënte in die vorm van prosedures waarby die teorie wat in die opleidingskool verkry was, gekorreleer moet word met die prosedure om die hele prentjie te vorm. Dit is dus nodig dat begeleiding van die verpleegstudente gedoen moet word om vaardigheid en toepassing van kennis te verseker. Die navorser het ʼn kwalitatiewe, ondersoekende, beskrywende en kontekstuele studie gedoen waarvan die populasie die geregistreerde dosente van verskeie provinsiale en privaatverpleegskole in die Klein-Karoo en Suid-kaapdistrikte was. Die navorser het gebruik gemaak van ʼn nie-waarskynlike steekproef. Inligtingryke data was ingesamel deur semi-gestruktureerde onderhoude wat aangevul was met veldnotas soos verkry tydens onderhoude. Data-ontleding was reeds begin met data-insameling en Tesch se inhoudsontleding was gebruik om ʼn mening te vorm. ‘n Literatuurkontrole was gedoen om te bepaal wat vorige navorsing oor begeleiding bevind en aanbeveel het. Lincoln en Guba se model was gebruik vir betroubaarheidsversekering volgens die kriteria wat hulle aanbeveel het, naamlik geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid. Uit die data-ontleding het vier belangrike temas en subtemas te voorskyn gekom. Die temas was dat die verpleegkundedosente aspekte van die begeleiding van verpleegstudente in die gesondheidsorginstansie as positief en ook as negatief beleef. Die wyse waarop die gesondheidsorginstansies bestuur word, het die begeleiding beïnvloed en daar was riglyne voorgestel wat die kliniese personeel en dosente kan rig wanneer hulle betrokke raak by die begeleiding van verpleegstudente. Die begeleiding van verpleegstudente deur verpleegkundedosente, kliniese dosente en die gesondheidsorginstansie se opgeleide personeel, is ʼn belangrike deel van verpleegopleiding en bepaal uiteindelik die kwaliteit van die pasiëntsorg wat verskaf word deur die verpleegkundiges. Die navorser het riglyne daar gestel om die begeleiding van vepleegstudente te rig. Die riglyne moet nou geïmplementeer en getoets word binne die konteks van die bepaalde verpleegskole en dan weer geëvalueer word. Beperkings wat ondervind was in die studie was dat die steekproef ʼn klein groepie verpleegkundedosente op die platteland was, wat veralgemening bemoeilik, veral in die stedelike konteks. Die begeleiding van die verpleegstudente is gedoen met die ingeskrewe verpleegstudente (Die Suid-Afrikaanse Raad op Verpleging Regulasies, Regulasie 2176 en 2175 van 19 November 1993), naamlik die kategorie met die minste status en verantwoordelikheid onder verpleegstudente. Veralgemening na alle kategorieë, veral verpleegstudente besig met professionele verpleegprogramme, mag dus nie sinvol wees nie.
- Full Text:
- Date Issued: 2014
- Authors: De Wet, Annemie
- Date: 2014
- Subjects: Nursing students , Mentoring in nursing -- South Africa
- Language: Afrikaans
- Type: Thesis , Masters , MCur
- Identifier: vital:10053 , http://hdl.handle.net/10948/1018275
- Description: Die doel van die studie was om vas te stel hoe die verpleegkundedosent die begeleiding van verpleegstudente in die praktyk ervaar. In die verlede was begeleiding van verpleegstudente met praktika in gesondheidsorginstansies deur ʼn professionele verpleegkundige gedoen wat deel was van die personeel se verantwoordelikhede. Die verpleegstudente doen hul teoretiese kennis op by ʼn tersiêre instansie en verkry hul praktiese kennis by ʼn geakkrediteerde gesondheidsorginstansie soos vereis deur die Suid-Afrikaanse Raad op Verpleging (SARV). Een van die take van ‘n verpleegkundedosent van die privaat opleidingskool is om die kliniese begeleiding van verpleegstudente in geakkrediteerde instellings te doen. Omdat verpleging ʼn beroep is waar vaardighede belangrik is, is praktiese inoefening van prosedures en evaluering van die verpleegstudente se vaardigheid daarin noodsaaklik. Die verpleegstudente is heeltyd besig met die pasiënte in die vorm van prosedures waarby die teorie wat in die opleidingskool verkry was, gekorreleer moet word met die prosedure om die hele prentjie te vorm. Dit is dus nodig dat begeleiding van die verpleegstudente gedoen moet word om vaardigheid en toepassing van kennis te verseker. Die navorser het ʼn kwalitatiewe, ondersoekende, beskrywende en kontekstuele studie gedoen waarvan die populasie die geregistreerde dosente van verskeie provinsiale en privaatverpleegskole in die Klein-Karoo en Suid-kaapdistrikte was. Die navorser het gebruik gemaak van ʼn nie-waarskynlike steekproef. Inligtingryke data was ingesamel deur semi-gestruktureerde onderhoude wat aangevul was met veldnotas soos verkry tydens onderhoude. Data-ontleding was reeds begin met data-insameling en Tesch se inhoudsontleding was gebruik om ʼn mening te vorm. ‘n Literatuurkontrole was gedoen om te bepaal wat vorige navorsing oor begeleiding bevind en aanbeveel het. Lincoln en Guba se model was gebruik vir betroubaarheidsversekering volgens die kriteria wat hulle aanbeveel het, naamlik geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid. Uit die data-ontleding het vier belangrike temas en subtemas te voorskyn gekom. Die temas was dat die verpleegkundedosente aspekte van die begeleiding van verpleegstudente in die gesondheidsorginstansie as positief en ook as negatief beleef. Die wyse waarop die gesondheidsorginstansies bestuur word, het die begeleiding beïnvloed en daar was riglyne voorgestel wat die kliniese personeel en dosente kan rig wanneer hulle betrokke raak by die begeleiding van verpleegstudente. Die begeleiding van verpleegstudente deur verpleegkundedosente, kliniese dosente en die gesondheidsorginstansie se opgeleide personeel, is ʼn belangrike deel van verpleegopleiding en bepaal uiteindelik die kwaliteit van die pasiëntsorg wat verskaf word deur die verpleegkundiges. Die navorser het riglyne daar gestel om die begeleiding van vepleegstudente te rig. Die riglyne moet nou geïmplementeer en getoets word binne die konteks van die bepaalde verpleegskole en dan weer geëvalueer word. Beperkings wat ondervind was in die studie was dat die steekproef ʼn klein groepie verpleegkundedosente op die platteland was, wat veralgemening bemoeilik, veral in die stedelike konteks. Die begeleiding van die verpleegstudente is gedoen met die ingeskrewe verpleegstudente (Die Suid-Afrikaanse Raad op Verpleging Regulasies, Regulasie 2176 en 2175 van 19 November 1993), naamlik die kategorie met die minste status en verantwoordelikheid onder verpleegstudente. Veralgemening na alle kategorieë, veral verpleegstudente besig met professionele verpleegprogramme, mag dus nie sinvol wees nie.
- Full Text:
- Date Issued: 2014
Availability of pharmacoeconomic data and its use in the development of drug formularies in South Africa
- Authors: Keele, Mothobi Godfrey
- Date: 2008
- Subjects: Drugs -- Cost effectiveness , Pharmacy -- Economic aspects
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: vital:10146 , http://hdl.handle.net/10948/685 , Drugs -- Cost effectiveness , Pharmacy -- Economic aspects
- Description: In an attempt to manage scarce health care resources and keep drug expenditure low, health care administrators worldwide have to make careful considerations regarding the choice of drugs to be provided to patients within their systems. One of the key strategies that is being employed to achieve this goal is the use of formularies. A major challenge in the formulary development process is to use pharmacoeconomics and outcomes research effectively to arrive at formularies that simultaneously provide patients with effective pharmacotherapy whilst maintaining financial stability. The extent to which this can be successfully achieved depends to a large extent on the availability of appropriate pharmacoeconomic data. The primary objectives of this study were to describe the availability and quality of literature pertaining to South African based pharmacoeconomic research, and to establish the manner in and extent to which pharmacoeconomic data is used in drug formulary decision-making processes, in both the private and public health care sectors in South Africa. A structured bibliographic search for South African pharmacoeconomic studies was conducted and a qualitative assessment of the identified studies which met the predetermined inclusion criteria was completed, using a pre-validated quality evaluation tool. In order to determine the use of pharmacoeconomic data in the formulary decisionmaking processes, by various stake holders in both the public and private of health care sectors in South Africa, a cross-sectional, descriptive study using a self-administered questionnaire was conducted. The results suggest that there is a limited availability of pharmacoeconomic research data in South Africa. Only 16 full pharmacoeconomic studies could be identified as having been published between 01 January 1995 and 30 June 2007. The quality of 3 of these studies was considered to be ‘dubious’, one study was found to be of high standard whilst the other 12 (74.95%) were of acceptable quality and thus could be considered as suitable to be used in formulary decision-making. The results of the national survey indicated that pharmacoeconomics is considered to be of importance and is used in formulary decision-making processes in both the public and private sectors. The primary source of pharmacoeconomic data used in formulary decisions appears to be international peer-reviewed publications. Of concern however, is the finding that this data, mostly from studies conducted outside of South Africa, is applied directly without sensitivity analysis or modelling. The results of the literature search and the subsequent quality appraisal suggest that pharmacoeconomic research and the use of pharmacoeconomic data in formulary decisions is at its infancy in South Africa. Thus efforts are needed to develop and grow the discipline of pharmacoeconomics in South Africa.
- Full Text:
- Date Issued: 2008
- Authors: Keele, Mothobi Godfrey
- Date: 2008
- Subjects: Drugs -- Cost effectiveness , Pharmacy -- Economic aspects
- Language: English
- Type: Thesis , Masters , MPharm
- Identifier: vital:10146 , http://hdl.handle.net/10948/685 , Drugs -- Cost effectiveness , Pharmacy -- Economic aspects
- Description: In an attempt to manage scarce health care resources and keep drug expenditure low, health care administrators worldwide have to make careful considerations regarding the choice of drugs to be provided to patients within their systems. One of the key strategies that is being employed to achieve this goal is the use of formularies. A major challenge in the formulary development process is to use pharmacoeconomics and outcomes research effectively to arrive at formularies that simultaneously provide patients with effective pharmacotherapy whilst maintaining financial stability. The extent to which this can be successfully achieved depends to a large extent on the availability of appropriate pharmacoeconomic data. The primary objectives of this study were to describe the availability and quality of literature pertaining to South African based pharmacoeconomic research, and to establish the manner in and extent to which pharmacoeconomic data is used in drug formulary decision-making processes, in both the private and public health care sectors in South Africa. A structured bibliographic search for South African pharmacoeconomic studies was conducted and a qualitative assessment of the identified studies which met the predetermined inclusion criteria was completed, using a pre-validated quality evaluation tool. In order to determine the use of pharmacoeconomic data in the formulary decisionmaking processes, by various stake holders in both the public and private of health care sectors in South Africa, a cross-sectional, descriptive study using a self-administered questionnaire was conducted. The results suggest that there is a limited availability of pharmacoeconomic research data in South Africa. Only 16 full pharmacoeconomic studies could be identified as having been published between 01 January 1995 and 30 June 2007. The quality of 3 of these studies was considered to be ‘dubious’, one study was found to be of high standard whilst the other 12 (74.95%) were of acceptable quality and thus could be considered as suitable to be used in formulary decision-making. The results of the national survey indicated that pharmacoeconomics is considered to be of importance and is used in formulary decision-making processes in both the public and private sectors. The primary source of pharmacoeconomic data used in formulary decisions appears to be international peer-reviewed publications. Of concern however, is the finding that this data, mostly from studies conducted outside of South Africa, is applied directly without sensitivity analysis or modelling. The results of the literature search and the subsequent quality appraisal suggest that pharmacoeconomic research and the use of pharmacoeconomic data in formulary decisions is at its infancy in South Africa. Thus efforts are needed to develop and grow the discipline of pharmacoeconomics in South Africa.
- Full Text:
- Date Issued: 2008
Social workers' experiences on the transformation of social welfare from a remedial approach to a developmental approach
- Authors: Mashigo, Boipuso Stephina
- Date: 2007
- Subjects: Social service -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9990 , http://hdl.handle.net/10948/559 , Social service -- South Africa
- Description: When the new democratic government came into power, much legislation, policies and strategies were transformed, included was the welfare system that was imbalanced, unjust, discriminatory and inappropriate. It was replaced by a developmental approach that is more just, equitable and appropriate system contained in the White Paper for Social Welfare (1997). Social workers were expected to reform their method of intervention. Consequently, this study will focus on the experiences of social workers as changes were brought into the approaches used in service delivery. The goal of the study is to explore and describe social workers’ experiences on the transformation of social welfare from a traditional remedial approach to a developmental approach. The study was conducted using the qualitative research approach. The research study made use of an explorative, descriptive and contextual design. The researcher used purposive and theoretical non-probability sampling methods to draw the sample. Data was collected through semi- structured interviews. The data was analyzed using Tesch’s eight steps in Creswell (1994:155) and was verified against four criteria that Guba in (Krefting, 1991) developed for testing the trustworthiness of a qualitative study. Based on the findings and conclusion of the study, recommendations were made to the management of the department of social development on how to address the challenges facing social workers on the implementation of the developmental approach. The results will be disseminated by means of a written research report.
- Full Text:
- Date Issued: 2007
- Authors: Mashigo, Boipuso Stephina
- Date: 2007
- Subjects: Social service -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9990 , http://hdl.handle.net/10948/559 , Social service -- South Africa
- Description: When the new democratic government came into power, much legislation, policies and strategies were transformed, included was the welfare system that was imbalanced, unjust, discriminatory and inappropriate. It was replaced by a developmental approach that is more just, equitable and appropriate system contained in the White Paper for Social Welfare (1997). Social workers were expected to reform their method of intervention. Consequently, this study will focus on the experiences of social workers as changes were brought into the approaches used in service delivery. The goal of the study is to explore and describe social workers’ experiences on the transformation of social welfare from a traditional remedial approach to a developmental approach. The study was conducted using the qualitative research approach. The research study made use of an explorative, descriptive and contextual design. The researcher used purposive and theoretical non-probability sampling methods to draw the sample. Data was collected through semi- structured interviews. The data was analyzed using Tesch’s eight steps in Creswell (1994:155) and was verified against four criteria that Guba in (Krefting, 1991) developed for testing the trustworthiness of a qualitative study. Based on the findings and conclusion of the study, recommendations were made to the management of the department of social development on how to address the challenges facing social workers on the implementation of the developmental approach. The results will be disseminated by means of a written research report.
- Full Text:
- Date Issued: 2007
Knowledge, attitudes and experiences of dieticians in relation to tuberculosis at the workplace
- Authors: Oxland, Ingrid Oxley
- Date: 2016
- Subjects: Tuberculosis -- South Africa -- Etiology Disease management -- South Africa
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12972 , vital:27140
- Description: Tuberculosis (TB) is acknowledged as an epidemic in South Africa. Health care professionals (HCPs), including dieticians, are at an increased risk for TB-infection compared to the general population. Implementation of the World Health Organization (WHO) TB infection control measures can protect HCPs from contracting TB; however, many studies have shown poor adherence to guidelines by HCPs. The aim of the study was to determine dieticians’ knowledge, attitudes and experiences in relation to TB at the workplace. A descriptive quantitative, cross-sectional research design was employed. Convenience sampling was applied. The online survey was conducted between August 2014 and March 2015. Data analysis included descriptive and inferential statistics. Ethical principles were adhered to. The sample consisted of 102 registered dieticians in South Africa. Good knowledge was displayed as two-thirds of dieticians correctly identified the National TB Management Guidelines and the main signs and symptoms of TB. However, a critical knowledge gap regarding TB transmission was identified, as only 42% of dieticians knew that TB could spread by talking. Favourable attitudes towards TB and infection control measures were present, except towards inadequate staffing levels and being worried about TB. The respondents reported that the fear of contracting TB affected patient interaction. Poor adherence to infection control measures was found. Only 45% of dieticians reported having a written TB infection control plan at their workplace, and only 23% were trained on TB infection control measures. Coughing patients were not always triaged and education material was not always available for TB patients. The availability of N-95 respirators was reported by 76% of dieticians. Training on TB infection control measures could influence dieticians’ adherence to infection control measures, ultimately protecting them from contracting TB at the workplace.
- Full Text:
- Date Issued: 2016
- Authors: Oxland, Ingrid Oxley
- Date: 2016
- Subjects: Tuberculosis -- South Africa -- Etiology Disease management -- South Africa
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/12972 , vital:27140
- Description: Tuberculosis (TB) is acknowledged as an epidemic in South Africa. Health care professionals (HCPs), including dieticians, are at an increased risk for TB-infection compared to the general population. Implementation of the World Health Organization (WHO) TB infection control measures can protect HCPs from contracting TB; however, many studies have shown poor adherence to guidelines by HCPs. The aim of the study was to determine dieticians’ knowledge, attitudes and experiences in relation to TB at the workplace. A descriptive quantitative, cross-sectional research design was employed. Convenience sampling was applied. The online survey was conducted between August 2014 and March 2015. Data analysis included descriptive and inferential statistics. Ethical principles were adhered to. The sample consisted of 102 registered dieticians in South Africa. Good knowledge was displayed as two-thirds of dieticians correctly identified the National TB Management Guidelines and the main signs and symptoms of TB. However, a critical knowledge gap regarding TB transmission was identified, as only 42% of dieticians knew that TB could spread by talking. Favourable attitudes towards TB and infection control measures were present, except towards inadequate staffing levels and being worried about TB. The respondents reported that the fear of contracting TB affected patient interaction. Poor adherence to infection control measures was found. Only 45% of dieticians reported having a written TB infection control plan at their workplace, and only 23% were trained on TB infection control measures. Coughing patients were not always triaged and education material was not always available for TB patients. The availability of N-95 respirators was reported by 76% of dieticians. Training on TB infection control measures could influence dieticians’ adherence to infection control measures, ultimately protecting them from contracting TB at the workplace.
- Full Text:
- Date Issued: 2016
Culturally-informed coping strategies of posttraumatic stress disorders among the black Africans in the greater Accra region of Ghana and black Africans in the eastern cape of South Africa
- Authors: Thompson, Sandra
- Date: 2019
- Subjects: Posttraumatic stress disorder
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/44625 , vital:38154
- Description: The influence of culture in coping with Posttraumatic Stress Disorders (PTSD) has been highlighted in literature. However, these culture specific coping strategies are not as yet, extensively explored. The research sought to explore and describe the culturally - informed coping strategies of PTS D among the black Africans in the Greater Accra Region of Ghana and black Africans in the Eastern Cape of South Africa. A qualitative methodological approach was used to explore the phenomenon under study. Purposive non - probability sampling was employed to obtain access to participants who could inform the objectives of the study. Data was collected using semi - structured interviews with traumatised individuals and focus group discussions with cultural leaders. All interviews were audio - recorded, transcribed, translated and analysed using thematic content analysis to facilitate the description and comparison of the similarities and distinctive features emerging from the two African communities. The findings indicated that a number of cultural factors influence interpretation of symptoms of PTSD and the adopted coping strategies. Participants’ understanding of symptoms of PTSD relied heavily on Christian Religious and African cultural understandings. It was evident that almost all explanations were purely spiritual and minimal knowledge was expressed on cognitive interpretations. A great deal of emphasis by the Ghanaians and isiXhosa of South Africa, was on dreams and such interpretations were deferred to an authoritative individual (especially the traditional healer). An obvious hierarchy for coping emerged with the traditional healer playing a major role for the Ghanaian and isiXhosa participants. Performing rites and the use of plants were essential to healing for these group of individuals. Whereas, the Coloured - Afrikaans made reference to a higher power “God”. An outstanding observation was the extent to which Ghanaian and isiXhosa participants have incorporated Christian and traditional practices (i.e. praying to God, performing rites and using herbs or plants). Even where an individual did not wish to mix practice because of upbringing, they acknowledged the existence and effectiveness of these practices. Colonisation was drawn on as an explanation for such mixed practices. The advent of Christianity was explained as having established Western culture (specifically Christianity) that is incorporated by participants. The Coloured - Afrikaans on the other hand, were consistent with the Christian practices “prayers to God”. A great deal of consistency however existed among all participants. Social support was considered very important. Talking with family and friends were relevant to the healing process as it gets rid of distorted thought patterns and avoids isolation considered as a serious current threat to healing. While there was an element of cognitive understanding, Western based treatment using cognitive restructuring was not a treatment option. Clinical practitioners or Psychologists that come into contact with the black Ghanaians and black South Africans should consider collaborative treatment strategies using the draft checklist as a guide.
- Full Text:
- Date Issued: 2019
- Authors: Thompson, Sandra
- Date: 2019
- Subjects: Posttraumatic stress disorder
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/44625 , vital:38154
- Description: The influence of culture in coping with Posttraumatic Stress Disorders (PTSD) has been highlighted in literature. However, these culture specific coping strategies are not as yet, extensively explored. The research sought to explore and describe the culturally - informed coping strategies of PTS D among the black Africans in the Greater Accra Region of Ghana and black Africans in the Eastern Cape of South Africa. A qualitative methodological approach was used to explore the phenomenon under study. Purposive non - probability sampling was employed to obtain access to participants who could inform the objectives of the study. Data was collected using semi - structured interviews with traumatised individuals and focus group discussions with cultural leaders. All interviews were audio - recorded, transcribed, translated and analysed using thematic content analysis to facilitate the description and comparison of the similarities and distinctive features emerging from the two African communities. The findings indicated that a number of cultural factors influence interpretation of symptoms of PTSD and the adopted coping strategies. Participants’ understanding of symptoms of PTSD relied heavily on Christian Religious and African cultural understandings. It was evident that almost all explanations were purely spiritual and minimal knowledge was expressed on cognitive interpretations. A great deal of emphasis by the Ghanaians and isiXhosa of South Africa, was on dreams and such interpretations were deferred to an authoritative individual (especially the traditional healer). An obvious hierarchy for coping emerged with the traditional healer playing a major role for the Ghanaian and isiXhosa participants. Performing rites and the use of plants were essential to healing for these group of individuals. Whereas, the Coloured - Afrikaans made reference to a higher power “God”. An outstanding observation was the extent to which Ghanaian and isiXhosa participants have incorporated Christian and traditional practices (i.e. praying to God, performing rites and using herbs or plants). Even where an individual did not wish to mix practice because of upbringing, they acknowledged the existence and effectiveness of these practices. Colonisation was drawn on as an explanation for such mixed practices. The advent of Christianity was explained as having established Western culture (specifically Christianity) that is incorporated by participants. The Coloured - Afrikaans on the other hand, were consistent with the Christian practices “prayers to God”. A great deal of consistency however existed among all participants. Social support was considered very important. Talking with family and friends were relevant to the healing process as it gets rid of distorted thought patterns and avoids isolation considered as a serious current threat to healing. While there was an element of cognitive understanding, Western based treatment using cognitive restructuring was not a treatment option. Clinical practitioners or Psychologists that come into contact with the black Ghanaians and black South Africans should consider collaborative treatment strategies using the draft checklist as a guide.
- Full Text:
- Date Issued: 2019
Perceptions of Kwazulu-Natal radiographers regarding the role of professional development in clinical practice
- Authors: Zulu Anelisa
- Date: 2022-12
- Subjects: Radiography -- KwaZulu Natal , radiographers regarding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60290 , vital:64292
- Description: Professional development in the form of continuing education is associated with professional competence and good service delivery to the patient, and this understanding of professional development applies to the radiography profession. A manager may prompt participation in professional development, or the needs of a radiography department may influence it, or it may be driven by the personal and professional ambitions of the radiographer. Participation could also be due to regulatory body requirements, which require tracking and documentation as in the case of the Health Professions Council of South Africa (HPCSA) which may audit the professional’s continuing professional development (CPD) compliance. Professional development is a concept inclusive of all learning such as CPD; postgraduate qualifications; staff development; and reflective practice, pursued for the betterment of the radiographers’ professional expertise. Few if any qualitative studies have sought to explore South African radiographers’ perceptions of professional development as a concept inclusive of all learning. The purpose of the study was to explore and describe the perceptions of KwaZulu-Natal radiographers regarding the role of professional development in clinical practice to make recommendations to radiography managers on how to optimise the participation of radiographers in professional development. Bandura’s social learning theory was used as the theoretical framework for a study of the perceptions of practising KZN radiographers regarding the role of professional development in clinical practice and exploring how people learn from one another, including concepts such as observational learning, imitation, and modelling. The target population for the study consisted of practising radiographers working in the public and private, rural and urban hospitals in KZN. Data were gathered using semi-structured one-on-one interviews and were coded using Tesch’s eight steps. The trustworthiness of this study was enhanced using Lincoln and Guba’s (1985) model of trustworthiness, namely: credibility, transferability, dependability and confirmability. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
- Authors: Zulu Anelisa
- Date: 2022-12
- Subjects: Radiography -- KwaZulu Natal , radiographers regarding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60290 , vital:64292
- Description: Professional development in the form of continuing education is associated with professional competence and good service delivery to the patient, and this understanding of professional development applies to the radiography profession. A manager may prompt participation in professional development, or the needs of a radiography department may influence it, or it may be driven by the personal and professional ambitions of the radiographer. Participation could also be due to regulatory body requirements, which require tracking and documentation as in the case of the Health Professions Council of South Africa (HPCSA) which may audit the professional’s continuing professional development (CPD) compliance. Professional development is a concept inclusive of all learning such as CPD; postgraduate qualifications; staff development; and reflective practice, pursued for the betterment of the radiographers’ professional expertise. Few if any qualitative studies have sought to explore South African radiographers’ perceptions of professional development as a concept inclusive of all learning. The purpose of the study was to explore and describe the perceptions of KwaZulu-Natal radiographers regarding the role of professional development in clinical practice to make recommendations to radiography managers on how to optimise the participation of radiographers in professional development. Bandura’s social learning theory was used as the theoretical framework for a study of the perceptions of practising KZN radiographers regarding the role of professional development in clinical practice and exploring how people learn from one another, including concepts such as observational learning, imitation, and modelling. The target population for the study consisted of practising radiographers working in the public and private, rural and urban hospitals in KZN. Data were gathered using semi-structured one-on-one interviews and were coded using Tesch’s eight steps. The trustworthiness of this study was enhanced using Lincoln and Guba’s (1985) model of trustworthiness, namely: credibility, transferability, dependability and confirmability. , Thesis (MA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-12
Low uptake and early removal of Implanon NXT among women of reproductive age in Limpopo
- Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Authors: Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Date: 2021-11
- Subjects: Contraceptive drug implants
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21849 , vital:51829
- Description: Implanon NXT also referred to as subdermal Implant, is a long-acting subdermal contraceptive method available in the South African public health care system since 2014. The implant was introduced to broaden the choice for women of childbearing age to delay or prevent unwanted pregnancies. Following a surge in popularity, reports of early removals and frequent adverse effects led to a significant decrease in its uptake in the country. Insufficient knowledge on Implanon, poor management of side effects, poor counseling by health care workers, and lack of partner support were the main themes that were picked from the interview, influencing uptake or early removals of the Implanon. The major concerning side effect reported was uncontrolled and irregular heavy bleeding The purpose of the study was to explore the factors associated with low uptake and early removals of Implanon NXT among women of reproductive age in one district in Limpopo province. A qualitative research design was used, primarily as exploratory and descriptive in nature. Participants were identified using non-probable, purposeful voluntary sampling. Data collection was achieved using open-ended structured interviews with sixteen (16) women aged from18-49. Data was analysed using thematic method of organizing data into categories, followed by coding and sorting the data to identify patterns and interpret the meanings and responses. An independent consultant was involved to confirm the thematic areas identified after which consensus discussions took place to finalize the analysed data. From the results, it appeared that there was a need that Implanon should be marketed by use of digital platforms and print media for information sharing. These platforms should be utilized by DOH from the National, provincial, district, facility and community levels. There should be clear protocol on how to manage different kinds of side effects, and this information should be rolled out to the implementation level. Health Care workers should provide client education and counselling services to the clients about the effectiveness of the method. Male partner involvement is crucial to provide support for women on contraceptives and to support their contraceptive choices. Mentorship will help providers to attain their proficiency in Implanon counselling, insertions, and removals. Lastly, availing adequate and effective youth-friendly services to enable young people to open up more about challenges and options that can be explored. For the adolescents and youth, these services should be provided by trained providers not at the general unit, where there is a mixture of adult population and the elderly, but at youth zones to enhance the uptake of Implanon NXT. Recommendations are for clinical practice area, for generic student education as well as for further research. The conclusions confirm that the government need to revitalise the Implanon program, to drive the uptake and reduce early removals. Training of health workers and mentorship should emphasize more comprehensive counselling, provide adequate information on what is to be expected and more importantly, how to treat and manage the side effects. That early removals due to side effects become the last option as information need to be widely available to all users utilising the traditional methods and modern methods such as digital platforms to spread the correct information and create demand for the Implanon. The functional service-provision-based youth-friendly services which will cater for the needs of young women and adolescents is highlighted as it provides a comfortable and conducive environment to provide and receive a comprehensive sexual reproductive health and rights services. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-11
- Authors: Magomani, Nandu Victoria https://orcid.org/ 0000-0001-5473-9984
- Date: 2021-11
- Subjects: Contraceptive drug implants
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21849 , vital:51829
- Description: Implanon NXT also referred to as subdermal Implant, is a long-acting subdermal contraceptive method available in the South African public health care system since 2014. The implant was introduced to broaden the choice for women of childbearing age to delay or prevent unwanted pregnancies. Following a surge in popularity, reports of early removals and frequent adverse effects led to a significant decrease in its uptake in the country. Insufficient knowledge on Implanon, poor management of side effects, poor counseling by health care workers, and lack of partner support were the main themes that were picked from the interview, influencing uptake or early removals of the Implanon. The major concerning side effect reported was uncontrolled and irregular heavy bleeding The purpose of the study was to explore the factors associated with low uptake and early removals of Implanon NXT among women of reproductive age in one district in Limpopo province. A qualitative research design was used, primarily as exploratory and descriptive in nature. Participants were identified using non-probable, purposeful voluntary sampling. Data collection was achieved using open-ended structured interviews with sixteen (16) women aged from18-49. Data was analysed using thematic method of organizing data into categories, followed by coding and sorting the data to identify patterns and interpret the meanings and responses. An independent consultant was involved to confirm the thematic areas identified after which consensus discussions took place to finalize the analysed data. From the results, it appeared that there was a need that Implanon should be marketed by use of digital platforms and print media for information sharing. These platforms should be utilized by DOH from the National, provincial, district, facility and community levels. There should be clear protocol on how to manage different kinds of side effects, and this information should be rolled out to the implementation level. Health Care workers should provide client education and counselling services to the clients about the effectiveness of the method. Male partner involvement is crucial to provide support for women on contraceptives and to support their contraceptive choices. Mentorship will help providers to attain their proficiency in Implanon counselling, insertions, and removals. Lastly, availing adequate and effective youth-friendly services to enable young people to open up more about challenges and options that can be explored. For the adolescents and youth, these services should be provided by trained providers not at the general unit, where there is a mixture of adult population and the elderly, but at youth zones to enhance the uptake of Implanon NXT. Recommendations are for clinical practice area, for generic student education as well as for further research. The conclusions confirm that the government need to revitalise the Implanon program, to drive the uptake and reduce early removals. Training of health workers and mentorship should emphasize more comprehensive counselling, provide adequate information on what is to be expected and more importantly, how to treat and manage the side effects. That early removals due to side effects become the last option as information need to be widely available to all users utilising the traditional methods and modern methods such as digital platforms to spread the correct information and create demand for the Implanon. The functional service-provision-based youth-friendly services which will cater for the needs of young women and adolescents is highlighted as it provides a comfortable and conducive environment to provide and receive a comprehensive sexual reproductive health and rights services. , Thesis (MPH) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-11
The subjective well-being of divorced single custodial parents
- Authors: Henry, Jaci Lee
- Date: 2005
- Subjects: Single parents -- South Africa , Divorced parents -- South Africa , Self-actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9841 , http://hdl.handle.net/10948/368 , Single parents -- South Africa , Divorced parents -- South Africa , Self-actualization (Psychology)
- Description: As the divorce rate consistently rises, the occurrence of single parent families are becoming increasingly prevalent. Despite the marked increase in single custodial parents, research on this population (and more importantly, into the positive aspects such as their subjective well-being) has been neglected. Over the past three decades, psychologists have shifted the emphasis of their research from examining demographic and pathogenic factors to a positive psychology framework focusing on personality and resilience. The general aim of this study was to explore and describe the subjective wellbeing, including satisfaction with life and general happiness, of divorced, single custodial parents. In addition, this study aimed to identify potential patterns among the aspects of subjective well-being investigated and aimed to explore the relationships between these patterns. Thirty-five participants were included for participation in this study by means of non-probability, purposive sampling. The research measures included a biographical questionnaire, the Satisfaction with Life Scale (SWLS) and Affectometer-2 Scale (AFM-2). The data were analysed by the researcher and an independent statistician in terms of descriptive statistics and cluster analysis, or according to content analysis. This reflects a triangulation data collection and analysis method. Key findings included the following: The results of the SWLS indicated that the majority of participants reported being slightly dissatisfied with their lives. The results of the AFM-2 indicated that the participants generally had high levels of positive affect, and low levels of negative affect. However, the participants’ overall levels of happiness were still relatively low. A four cluster solution was obtained, with the clusters being significantly different from each other on all input variables. The first cluster experienced high levels of positive affect, low levels of negative affect, and high levels of overall happiness. The second cluster experienced predominantly slight dissatisfaction with their lives, high levels of positive affect, low levels of negative affect, and slightly low levels of overall happiness. The third cluster reported mostly dissatisfaction with their lives, low levels of positive affect, high levels of negative affect, and very low levels of overall happiness. The fourth cluster experienced predominantly slight satisfaction with xi life, slightly high levels of positive affect, neutral levels of negative affect, and low levels of overall happiness. It appeared that clusters containing participants who were satisfied with their jobs, were involved in a personal relationship and who participated in leisure activities, all experienced higher levels of subjective well-being. Overall, this study emphasises the value of and the need for South African research on the subjective wellbeing of divorced, single custodial parents.
- Full Text:
- Date Issued: 2005
- Authors: Henry, Jaci Lee
- Date: 2005
- Subjects: Single parents -- South Africa , Divorced parents -- South Africa , Self-actualization (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9841 , http://hdl.handle.net/10948/368 , Single parents -- South Africa , Divorced parents -- South Africa , Self-actualization (Psychology)
- Description: As the divorce rate consistently rises, the occurrence of single parent families are becoming increasingly prevalent. Despite the marked increase in single custodial parents, research on this population (and more importantly, into the positive aspects such as their subjective well-being) has been neglected. Over the past three decades, psychologists have shifted the emphasis of their research from examining demographic and pathogenic factors to a positive psychology framework focusing on personality and resilience. The general aim of this study was to explore and describe the subjective wellbeing, including satisfaction with life and general happiness, of divorced, single custodial parents. In addition, this study aimed to identify potential patterns among the aspects of subjective well-being investigated and aimed to explore the relationships between these patterns. Thirty-five participants were included for participation in this study by means of non-probability, purposive sampling. The research measures included a biographical questionnaire, the Satisfaction with Life Scale (SWLS) and Affectometer-2 Scale (AFM-2). The data were analysed by the researcher and an independent statistician in terms of descriptive statistics and cluster analysis, or according to content analysis. This reflects a triangulation data collection and analysis method. Key findings included the following: The results of the SWLS indicated that the majority of participants reported being slightly dissatisfied with their lives. The results of the AFM-2 indicated that the participants generally had high levels of positive affect, and low levels of negative affect. However, the participants’ overall levels of happiness were still relatively low. A four cluster solution was obtained, with the clusters being significantly different from each other on all input variables. The first cluster experienced high levels of positive affect, low levels of negative affect, and high levels of overall happiness. The second cluster experienced predominantly slight dissatisfaction with their lives, high levels of positive affect, low levels of negative affect, and slightly low levels of overall happiness. The third cluster reported mostly dissatisfaction with their lives, low levels of positive affect, high levels of negative affect, and very low levels of overall happiness. The fourth cluster experienced predominantly slight satisfaction with xi life, slightly high levels of positive affect, neutral levels of negative affect, and low levels of overall happiness. It appeared that clusters containing participants who were satisfied with their jobs, were involved in a personal relationship and who participated in leisure activities, all experienced higher levels of subjective well-being. Overall, this study emphasises the value of and the need for South African research on the subjective wellbeing of divorced, single custodial parents.
- Full Text:
- Date Issued: 2005