A systematic review on South African literature on hegemonic masculinity
- Authors: Pieterse, Carl
- Date: 2019
- Subjects: Masculinity , Men -- Psychology Hegemony
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/43225 , vital:36761
- Description: The application and use of hegemonic masculinity as a theory and concept in South African literature is confusing and ambiguous. This confusion often results in hegemonic masculinity being equated to the concepts of dominant masculinity or traditional masculinity. Recently, research has suggested that studies on hegemonic masculinity contaminated the concept, whereas only a few have added new and acceptable knowledge. The concept of hegemonic masculinity has an almost hegemonic foundation in global literature, often resulting in the misuse of the concept. The aim of the study was to identify, analyse, and report on the themes and trends in South African literature that represents the understudied populations that create and maintain hegemonic masculinity. A systematic review process was utilised to identify and summarise the data, while thematic analysis was used to identify, analyse, and report on the patterns in the data. The results revealed five major themes that contribute toward the complex and paradoxical ways in which hegemonic masculinity was created and maintained by both individuals and society. In conclusion, the study discovered the complex nexus of paradoxes that exist in South African society and ultimately how they are used to create and maintain heteronormative standards of living by means of alignment with hegemonic masculinity. The study recommends that future research should focus on intersectionality as a lens through which hegemonic masculinity is studied.
- Full Text:
- Date Issued: 2019
- Authors: Pieterse, Carl
- Date: 2019
- Subjects: Masculinity , Men -- Psychology Hegemony
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/43225 , vital:36761
- Description: The application and use of hegemonic masculinity as a theory and concept in South African literature is confusing and ambiguous. This confusion often results in hegemonic masculinity being equated to the concepts of dominant masculinity or traditional masculinity. Recently, research has suggested that studies on hegemonic masculinity contaminated the concept, whereas only a few have added new and acceptable knowledge. The concept of hegemonic masculinity has an almost hegemonic foundation in global literature, often resulting in the misuse of the concept. The aim of the study was to identify, analyse, and report on the themes and trends in South African literature that represents the understudied populations that create and maintain hegemonic masculinity. A systematic review process was utilised to identify and summarise the data, while thematic analysis was used to identify, analyse, and report on the patterns in the data. The results revealed five major themes that contribute toward the complex and paradoxical ways in which hegemonic masculinity was created and maintained by both individuals and society. In conclusion, the study discovered the complex nexus of paradoxes that exist in South African society and ultimately how they are used to create and maintain heteronormative standards of living by means of alignment with hegemonic masculinity. The study recommends that future research should focus on intersectionality as a lens through which hegemonic masculinity is studied.
- Full Text:
- Date Issued: 2019
A systematic review on the use of methylphenidate as a performance-enhancing substance in tertiary institutions
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
A therapeutic exploration of a child with an insecure attachment style
- Authors: Van Heerden, Lorryn
- Date: 2010
- Subjects: Attachment behavior in children -- South Africa , Child psychology -- South Africa , Child psychotherapy -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9896 , http://hdl.handle.net/10948/1102 , Attachment behavior in children -- South Africa , Child psychology -- South Africa , Child psychotherapy -- South Africa
- Description: The extensive amount of research conducted internationally in the field of John Bowlby's attachment theory indicates that an insecure attachment between a child and the primary caregiver has a detrimental effect on both social and emotional development in childhood, as well as having a profound effect on psychological development and functioning in adulthood. The present study aimed to explore and describe the therapeutic process of a nine year old with an insecure attachment style within a therapeutic framework, namely Theraplay. The therapeutic process was embedded within Ann Jernberg's Theraplay framework and the case was further contextualized within Bowlby's attachment theory. The case study method was utilized with a purposive sampling technique employed to select the participant. Irving Alexander's content-analytic framework in conjunction with Guba's model of trustworthiness was employed for data analysis. Two needs emerged during the therapeutic process namely the need for nurturance and affection as well as the need for power, control and safety.
- Full Text:
- Date Issued: 2010
- Authors: Van Heerden, Lorryn
- Date: 2010
- Subjects: Attachment behavior in children -- South Africa , Child psychology -- South Africa , Child psychotherapy -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9896 , http://hdl.handle.net/10948/1102 , Attachment behavior in children -- South Africa , Child psychology -- South Africa , Child psychotherapy -- South Africa
- Description: The extensive amount of research conducted internationally in the field of John Bowlby's attachment theory indicates that an insecure attachment between a child and the primary caregiver has a detrimental effect on both social and emotional development in childhood, as well as having a profound effect on psychological development and functioning in adulthood. The present study aimed to explore and describe the therapeutic process of a nine year old with an insecure attachment style within a therapeutic framework, namely Theraplay. The therapeutic process was embedded within Ann Jernberg's Theraplay framework and the case was further contextualized within Bowlby's attachment theory. The case study method was utilized with a purposive sampling technique employed to select the participant. Irving Alexander's content-analytic framework in conjunction with Guba's model of trustworthiness was employed for data analysis. Two needs emerged during the therapeutic process namely the need for nurturance and affection as well as the need for power, control and safety.
- Full Text:
- Date Issued: 2010
A trend analysis of perinatal mortalities in Barberton Hospital between 2002 and 2016
- Modupe, Oluwarotimi Folorunsho
- Authors: Modupe, Oluwarotimi Folorunsho
- Date: 2018
- Subjects: Newborn infants -- Mortality Perinatology
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/11254 , vital:37630
- Description: Background and aim: There is no doubt that the quantification of data on the new born is imperative towards the design of effective public health policy interventions. However, the trend in under-five mortality rates in Barberton Hospital is not recognised as no empirical investigation has been undertaken to ascertain its position in this regard. A trend analysis of infant and maternal deaths in will therefore shed light on possible factors influencing this trend. The specific objectives of this study were to examine the trend and causes of perinatal mortality in Barberton Hospital from 2002-2016. It was hypothesized that there would be a downward trend in the infant and maternal mortality rates in Barberton Hospital from 2002-2016, possibly as a result of improved medical care. Methods: This retrospective study was conducted in Barberton Hospital, located in the Umjindi sub-district in Mpumalanga Province. The data was drawn from the Perinatal Problem Identification Programme (PPIP) database. Pregnancy related deaths of women, and of children from birth to one year in Barberton Hospital from 1999-2014 were extracted. The population study consists of a record review of all infant and maternal deaths in Barberton Hospital from 2002-2016 and captured in the data on the PPIP. The University of Fort Hare ethical review committee approved the study protocol. In addition, permission to use the data was granted by the Mpumalanga Department of Health after applying for approval for use of the data for academic purposes. The data was then exported into an Excel format document and fed to Statistical Package for Social Sciences (SPSS) program to allow for a more detailed analysis. Results: Over the period under review (2002-2016), a total of 21151 babies were delivered, 20593 babies were alive at discharge, 221 babies died in the first 28 days of delivery, and 337 babies were stillbirths. 18577 were normal weight (≥2500gram), 1581 weighed 2000-2499 grams, 568 weighed 1500-1999grams, 286 weighed 1000-1499 and 139 weighed below 1000grams. All the women who gave birth over the period under review, 27.3percent tested positive to HIV, 40.3 percent tested negative. Of all women that tested positive, 80.2percent received any form of ART. For over half of women that received ART (n=2981), the type of ART they received is unknown. Most women whose baby died were young. One in five women did not have their age captured in the database indicating an important gap that need to be addressed in order to ensure integrity of the database. Of all the 558 perinatal mortality, 75.3 weighed below 2500 grams. Low birth weight is major risk factor for child mortality. Babies weighing less than 2,500 grams are 20 times more likely to die than heavier babies. For all the perinatal deaths, the majority of their mothers received antenatal care services. About 86.6percent were delivered at Barberton Hospital and only 1 child was delivered in transit to the hospital. Of all the 558 deaths, only 7.5 percent was multiple births. Of the 558 babies that died, only 39.6percent were born alive, 37.1percent was macerated stillbirths. The syphilis serology test indicated that most mothers tested negative. The HIV serology test indicated that 28percent of mothers tested positive. The hospital recorded a total of 337 stillbirths between 2002 and 2016. This accounts for 60.2percent of all perinatal mortality over the period. Of all stillbirths, 61.6percent was macerated stillbirths. Yearly analysis of stillbirth rate did not clearly indicate whether stillbirth rate is increasing or declining. Not less than 56 primary obstetric causes of perinatal deaths were identified in this study. Many perinatal deaths were unexplainable due to lack of post-mortem. Idiopathic preterm labour was the main primary obstetric cause of early (34.5percent) and late neonatal (38.9percent) deaths, and the next was labour related intrapartum asphyxia. Labour related intrapartum asphyxia also accounts for 6.8percent of all stillbirths. The main known primary obstetric cause of stillbirth in the Hospital was Proteinuric hypertension/hypertension disorders. Over 60percent of perinatal mortality in Barberton Hospital was due to associated maternal conditions. Only 10.9percent was due to fetal related conditions and 26.4percent was unexplained. Few deaths were due to health system failure and domestic violence. Spontaneous preterm labour (18.4percent), abnormal labour or uterine rupture (14.5percent), maternal hypertension (12.4percent), antepartum haemorrhage (10.2percent) were the main associated maternal conditions causes of perinatal mortality in Barberton Hospital. Similarly, Fetal abnormality and infections were the main associated fetal condition causes of perinatal mortality. Of all the babies that were alive at birth, 85.2percent died due to maternal related conditions. Most neonates died due to spontaneous preterm labour (43.5percent) and abnormal labour or uterine rupture (23.1percent). Maternal HIV, diabetics and syphilis only accounted for a few neonatal deaths. For stillbirth babies that were alive at admission, abnormal labour or uterine rupture (33.1percent) and antepartum haemorrhage (19.7percent) were the main causes of their death. Over 60percent of all of macerated deaths have unexplained causes. Maternal hypertension is the main known cause of macerated stillbirth. For stillbirths that were dead on admission, maternal hypertension (13.1percent), antepartum haemorrhage (26.2percent) and abnormal labour or uterine rupture were the main causes of deaths. The majority of perinatal deaths in the hospital were caused by intrauterine deaths (58.8percent). Extreme multi-organ immaturity (13.1percent), Hyaline membrane disease (7.2percent) and Hypoxic ischaemic encephalopathy (5.2percent) were among the main final causes of perinatal deaths. The main behavioural factor causing perinatal mortality in Mpumalanga province was non-use of antenatal care services. The majority of perinatal mortality (60.4percent) was due to health system related causes. Most perinatal deaths were due to poor management of cases and delayed referral. Conclusion: The findings indicate that while stillbirths have slightly declined, neonatal deaths have not declined over the period. Perinatal have slightly declined in the hospital. The findings of this study also indicate that the majority of perinatal deaths in the hospital were caused by idiopathic preterm labour, unexplained intrauterine deaths, hypertension, and intrapartum asphyxia. Patient and health system related factors contributed significantly to perinatal deaths in the hospital. There is a need for yearly analysis of PPIP data to track progress and identify area for continuous improvement in provision of quality obstetric services. A greater community awareness of risk factors for perinatal deaths and importance of early and regular take up antenatal care services is needed.
- Full Text:
- Date Issued: 2018
- Authors: Modupe, Oluwarotimi Folorunsho
- Date: 2018
- Subjects: Newborn infants -- Mortality Perinatology
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/11254 , vital:37630
- Description: Background and aim: There is no doubt that the quantification of data on the new born is imperative towards the design of effective public health policy interventions. However, the trend in under-five mortality rates in Barberton Hospital is not recognised as no empirical investigation has been undertaken to ascertain its position in this regard. A trend analysis of infant and maternal deaths in will therefore shed light on possible factors influencing this trend. The specific objectives of this study were to examine the trend and causes of perinatal mortality in Barberton Hospital from 2002-2016. It was hypothesized that there would be a downward trend in the infant and maternal mortality rates in Barberton Hospital from 2002-2016, possibly as a result of improved medical care. Methods: This retrospective study was conducted in Barberton Hospital, located in the Umjindi sub-district in Mpumalanga Province. The data was drawn from the Perinatal Problem Identification Programme (PPIP) database. Pregnancy related deaths of women, and of children from birth to one year in Barberton Hospital from 1999-2014 were extracted. The population study consists of a record review of all infant and maternal deaths in Barberton Hospital from 2002-2016 and captured in the data on the PPIP. The University of Fort Hare ethical review committee approved the study protocol. In addition, permission to use the data was granted by the Mpumalanga Department of Health after applying for approval for use of the data for academic purposes. The data was then exported into an Excel format document and fed to Statistical Package for Social Sciences (SPSS) program to allow for a more detailed analysis. Results: Over the period under review (2002-2016), a total of 21151 babies were delivered, 20593 babies were alive at discharge, 221 babies died in the first 28 days of delivery, and 337 babies were stillbirths. 18577 were normal weight (≥2500gram), 1581 weighed 2000-2499 grams, 568 weighed 1500-1999grams, 286 weighed 1000-1499 and 139 weighed below 1000grams. All the women who gave birth over the period under review, 27.3percent tested positive to HIV, 40.3 percent tested negative. Of all women that tested positive, 80.2percent received any form of ART. For over half of women that received ART (n=2981), the type of ART they received is unknown. Most women whose baby died were young. One in five women did not have their age captured in the database indicating an important gap that need to be addressed in order to ensure integrity of the database. Of all the 558 perinatal mortality, 75.3 weighed below 2500 grams. Low birth weight is major risk factor for child mortality. Babies weighing less than 2,500 grams are 20 times more likely to die than heavier babies. For all the perinatal deaths, the majority of their mothers received antenatal care services. About 86.6percent were delivered at Barberton Hospital and only 1 child was delivered in transit to the hospital. Of all the 558 deaths, only 7.5 percent was multiple births. Of the 558 babies that died, only 39.6percent were born alive, 37.1percent was macerated stillbirths. The syphilis serology test indicated that most mothers tested negative. The HIV serology test indicated that 28percent of mothers tested positive. The hospital recorded a total of 337 stillbirths between 2002 and 2016. This accounts for 60.2percent of all perinatal mortality over the period. Of all stillbirths, 61.6percent was macerated stillbirths. Yearly analysis of stillbirth rate did not clearly indicate whether stillbirth rate is increasing or declining. Not less than 56 primary obstetric causes of perinatal deaths were identified in this study. Many perinatal deaths were unexplainable due to lack of post-mortem. Idiopathic preterm labour was the main primary obstetric cause of early (34.5percent) and late neonatal (38.9percent) deaths, and the next was labour related intrapartum asphyxia. Labour related intrapartum asphyxia also accounts for 6.8percent of all stillbirths. The main known primary obstetric cause of stillbirth in the Hospital was Proteinuric hypertension/hypertension disorders. Over 60percent of perinatal mortality in Barberton Hospital was due to associated maternal conditions. Only 10.9percent was due to fetal related conditions and 26.4percent was unexplained. Few deaths were due to health system failure and domestic violence. Spontaneous preterm labour (18.4percent), abnormal labour or uterine rupture (14.5percent), maternal hypertension (12.4percent), antepartum haemorrhage (10.2percent) were the main associated maternal conditions causes of perinatal mortality in Barberton Hospital. Similarly, Fetal abnormality and infections were the main associated fetal condition causes of perinatal mortality. Of all the babies that were alive at birth, 85.2percent died due to maternal related conditions. Most neonates died due to spontaneous preterm labour (43.5percent) and abnormal labour or uterine rupture (23.1percent). Maternal HIV, diabetics and syphilis only accounted for a few neonatal deaths. For stillbirth babies that were alive at admission, abnormal labour or uterine rupture (33.1percent) and antepartum haemorrhage (19.7percent) were the main causes of their death. Over 60percent of all of macerated deaths have unexplained causes. Maternal hypertension is the main known cause of macerated stillbirth. For stillbirths that were dead on admission, maternal hypertension (13.1percent), antepartum haemorrhage (26.2percent) and abnormal labour or uterine rupture were the main causes of deaths. The majority of perinatal deaths in the hospital were caused by intrauterine deaths (58.8percent). Extreme multi-organ immaturity (13.1percent), Hyaline membrane disease (7.2percent) and Hypoxic ischaemic encephalopathy (5.2percent) were among the main final causes of perinatal deaths. The main behavioural factor causing perinatal mortality in Mpumalanga province was non-use of antenatal care services. The majority of perinatal mortality (60.4percent) was due to health system related causes. Most perinatal deaths were due to poor management of cases and delayed referral. Conclusion: The findings indicate that while stillbirths have slightly declined, neonatal deaths have not declined over the period. Perinatal have slightly declined in the hospital. The findings of this study also indicate that the majority of perinatal deaths in the hospital were caused by idiopathic preterm labour, unexplained intrauterine deaths, hypertension, and intrapartum asphyxia. Patient and health system related factors contributed significantly to perinatal deaths in the hospital. There is a need for yearly analysis of PPIP data to track progress and identify area for continuous improvement in provision of quality obstetric services. A greater community awareness of risk factors for perinatal deaths and importance of early and regular take up antenatal care services is needed.
- Full Text:
- Date Issued: 2018
Abortion and the role of self-forgiveness
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Van der Berg, Hailey
- Date: 2021-04
- Subjects: Grahamstown (South Africa) , Forgiveness -- Psychological aspects , Abortion -- South Africa -- Eastern Cape -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51917 , vital:43384
- Description: Women who have terminated a pregnancy may identify shame, guilt, grief, and/or regret after the procedure. This study aimed to explore and describe the self-forgiveness process of women in the Nelson Mandela Metropole area who identified negative emotions such as guilt and/or regret after an abortion. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's (1985) model of trustworthiness. Participants were obtained through non-probability purposive sampling and data was gathered via semi-structured, online individual interviews on a face-to-face basis. Data gathered was analysed using Braun and Clarke’s (2006) thematic analysis. The findings reflected the participants’ perceptions of forgiveness and self-forgiveness, as well as the psychological experiences of women post-abortion. A self-forgiveness model developed by Enright and the Human Development Study Group (1996), as well as the stages of grief developed by Kübler-Ross and Kessler (2005), was utilised to conceptualise the psychological experiences and psychological healing of post-abortion women. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Accelerated staff turnover among professional nurses at a district hospital
- Authors: Toni, Gladys Nosisana
- Date: 2007
- Subjects: Labor turnover -- South Africa -- Eastern Cape , Nurses -- Employment -- South Africa -- Eastern Cape , Hospitals -- South Africa -- Eastern Cape -- Personnel management
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10039 , http://hdl.handle.net/10948/620 , Labor turnover -- South Africa -- Eastern Cape , Nurses -- Employment -- South Africa -- Eastern Cape , Hospitals -- South Africa -- Eastern Cape -- Personnel management
- Description: The study emanated from the researcher’s experience and involvement in clinical nursing and nursing management. The researcher noted how heavy losses of recruited professional nurses might have had an influence on the quality of service delivery. It is a costly and time-consuming task to recruit enough nurses into the profession and retention of staff is especially difficult. There had been a significant increase in the number of professional nurses leaving the district hospitals either to primary health care service, private hospitals or other countries. Before the commencement of the study the turnover rate at the district hospital where the study was conducted, almost doubled the accepted norm, which was ten percent of the staff. For those reasons the researcher decided to conduct a study named, “Accelerated staff turnover among professional nurses at a district hospital.” The constant heavy losses of qualified nurses from the profession constitute one of the serious challenges for nursing managers. The researcher wanted answers to the following question: “What were your experiences of your job as a professional nurse at the district hospital?” The objectives of the study were: · to explore and describe factors leading to high staff turnover of professional nurses at a district hospital · to develop guidelines to help retain professional nurses. The design of this study, which was conducted in one of the district hospitals in the Makana Local Service Area in the Eastern Cape, is qualitative, descriptive and contextual. Informed permission for conducting the research was obtained from relevant authorities and participants were asked to sign a consent form before the researcher proceeded with the study. Participants that met the selection criteria were selected by means of purposive sampling. Data was obtained by means of semi-structured telephonic interviews that were audio-taped and later transcribed verbatim. To ensure trustworthiness of the study, the researcher applied the four strategies as proposed by Lincoln and Guba (De Vos, 2002:351) namely, credibility, transferability, dependability and confirmability. Collected data was analysed according to the descriptive method proposed by Tesch (in Creswell, 1994:154). The services of an independent coder, who was provided with transcripts and a protocol to guide data analysis, were utilised. A consensus meeting was held between the researcher and the independent coder to discuss the identified themes and sub-themes. Following the data analysis, a literature control was undertaken to highlight the similarities to and differences in comparison between this and previous studies. Four major themes and sub-themes were identified through analysis.
- Full Text:
- Date Issued: 2007
- Authors: Toni, Gladys Nosisana
- Date: 2007
- Subjects: Labor turnover -- South Africa -- Eastern Cape , Nurses -- Employment -- South Africa -- Eastern Cape , Hospitals -- South Africa -- Eastern Cape -- Personnel management
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10039 , http://hdl.handle.net/10948/620 , Labor turnover -- South Africa -- Eastern Cape , Nurses -- Employment -- South Africa -- Eastern Cape , Hospitals -- South Africa -- Eastern Cape -- Personnel management
- Description: The study emanated from the researcher’s experience and involvement in clinical nursing and nursing management. The researcher noted how heavy losses of recruited professional nurses might have had an influence on the quality of service delivery. It is a costly and time-consuming task to recruit enough nurses into the profession and retention of staff is especially difficult. There had been a significant increase in the number of professional nurses leaving the district hospitals either to primary health care service, private hospitals or other countries. Before the commencement of the study the turnover rate at the district hospital where the study was conducted, almost doubled the accepted norm, which was ten percent of the staff. For those reasons the researcher decided to conduct a study named, “Accelerated staff turnover among professional nurses at a district hospital.” The constant heavy losses of qualified nurses from the profession constitute one of the serious challenges for nursing managers. The researcher wanted answers to the following question: “What were your experiences of your job as a professional nurse at the district hospital?” The objectives of the study were: · to explore and describe factors leading to high staff turnover of professional nurses at a district hospital · to develop guidelines to help retain professional nurses. The design of this study, which was conducted in one of the district hospitals in the Makana Local Service Area in the Eastern Cape, is qualitative, descriptive and contextual. Informed permission for conducting the research was obtained from relevant authorities and participants were asked to sign a consent form before the researcher proceeded with the study. Participants that met the selection criteria were selected by means of purposive sampling. Data was obtained by means of semi-structured telephonic interviews that were audio-taped and later transcribed verbatim. To ensure trustworthiness of the study, the researcher applied the four strategies as proposed by Lincoln and Guba (De Vos, 2002:351) namely, credibility, transferability, dependability and confirmability. Collected data was analysed according to the descriptive method proposed by Tesch (in Creswell, 1994:154). The services of an independent coder, who was provided with transcripts and a protocol to guide data analysis, were utilised. A consensus meeting was held between the researcher and the independent coder to discuss the identified themes and sub-themes. Following the data analysis, a literature control was undertaken to highlight the similarities to and differences in comparison between this and previous studies. Four major themes and sub-themes were identified through analysis.
- Full Text:
- Date Issued: 2007
Activities, functions and structure of public sector pharmaceutical and therapeutics committees in the Eastern Cape Province, South Africa
- Authors: Henge-Daweti, Vatiswa
- Date: 2017
- Subjects: Medical ethics committees -- South Africa -- Eastern Cape Pharmaceutical policy -- South Africa -- Eastern Cape , Pharmaceutical services -- South Africa -- Eastern Cape Pharmaceutical ethics -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15945 , vital:28293
- Description: The Council of Australian Therapeutic Advisory Groups (CATAG) (2013) define a Pharmaceutical and Therapeutics Committee (PTC) as a ‘multi-disciplinary team committee with a commitment to the overall governance of the medicines management system in health service organizations to ensure the judicious, appropriate, safe, effective and cost-effective use of medicines’. The multi-disciplinary team includes the health care providers, who are actively participating in the health care systems, such as doctors, pharmacists, nurses, administrators, finance officers, quality improvement managers and other staff members who participate in the medicine use processes according to their knowledge and skills. The major role of this committee is to evaluate and promote rational drug use by health care providers and consumers. In addition, this committee is responsible for developing systems and strategies to prevent adverse medicine reactions and medication errors, enhance rational prescribing and dispensing, provide educational activities and ensure the use of quality and cost-effective medicines. This is a cross-sectional study that was aimed at exploring the structure, activities and functions of public sector institutional Pharmaceutical and Therapeutics Committees (PTC) in the Eastern Cape (EC) Province in South Africa (SA). The primary objectives of the study were to (i) investigate and describe the structure, functions and the activities of the institutional PTCs, and (ii) explore and describe the perception of PTC secretariats on the functionality of the institutional PTCs. A purpose-designed questionnaire including both quantitative and qualitative aspects adapted from other international studies was piloted prior to being used for data collection. The secretariats of the institutional PTCs were requested to complete the questionnaire. Data were analysed using descriptive statistics for the quantitative aspects and thematic analysis for the qualitative component of the questionnaire. Data collection commenced after approval by the relevant ethics committees had been granted. The findings of the study reflected that the majority of the PTCs in the EC province, SA are district/sub-district PTCs which are a cluster of a number of health care institutions in close proximity. The PTC members were appointed by the executive authority as recommended by the literature and other guiding documents. As expected the nurses were dominant as the members of the PTCs in these district/sub-district PTCs. The secretariats were the pharmacists where pharmacists were available and chairperson were doctors. These findings correspond to the recommendations by the National Department of Health PTC policy (2015) and the studies conducted in other countries. A number of PTCs had sub-committees formed e.g. ABC analysis review committee, medicine utilization evaluation (MUE) committee and pharmacovigilance committee to optimise their functionality. Out of 15 PTCs only five PTCs with sub-committees reported functions and interventions, establishment of policies and SOPs. The rest had no outcomes or interventions reported. Poor production of policies and SOPs was observed which differs from other countries’ PTCs. The focus of sub-committees in other countries is the development of formulary and policies related to medicine use. These findings pose a question regarding the functionality and effectiveness of the existing institutional PTCs in the province. In addition, the basic documents that are required to run the PTC were unavailable in a number of PTCs. Barriers to the functionality of PTCs were reported i) Lack of pharmacists and training in PTCs. ii) The rural nature of the EC province and iii) Unavailability of resources including lack of re-imbursement of personal costs. These findings reveal that budget allocation for institutional PTCs is crucial for their functionality. It can be concluded that in the EC province the institutional PTCs which are active and effective are low in number and do not cover all geographical areas. Secondly there is a need for training and educating the PTC members on the role of the PTC members, role of sub-committees, development of policies, SOPs and the basic documents for the functionality of the committee. It is also important that during training the monitoring and evaluation of the effectiveness of the committee is emphasised. Therefore, the choice of the PTC objectives should be measurable as they can assist as indicators of effectiveness. Support by the executive authority has been observed.
- Full Text:
- Date Issued: 2017
- Authors: Henge-Daweti, Vatiswa
- Date: 2017
- Subjects: Medical ethics committees -- South Africa -- Eastern Cape Pharmaceutical policy -- South Africa -- Eastern Cape , Pharmaceutical services -- South Africa -- Eastern Cape Pharmaceutical ethics -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/15945 , vital:28293
- Description: The Council of Australian Therapeutic Advisory Groups (CATAG) (2013) define a Pharmaceutical and Therapeutics Committee (PTC) as a ‘multi-disciplinary team committee with a commitment to the overall governance of the medicines management system in health service organizations to ensure the judicious, appropriate, safe, effective and cost-effective use of medicines’. The multi-disciplinary team includes the health care providers, who are actively participating in the health care systems, such as doctors, pharmacists, nurses, administrators, finance officers, quality improvement managers and other staff members who participate in the medicine use processes according to their knowledge and skills. The major role of this committee is to evaluate and promote rational drug use by health care providers and consumers. In addition, this committee is responsible for developing systems and strategies to prevent adverse medicine reactions and medication errors, enhance rational prescribing and dispensing, provide educational activities and ensure the use of quality and cost-effective medicines. This is a cross-sectional study that was aimed at exploring the structure, activities and functions of public sector institutional Pharmaceutical and Therapeutics Committees (PTC) in the Eastern Cape (EC) Province in South Africa (SA). The primary objectives of the study were to (i) investigate and describe the structure, functions and the activities of the institutional PTCs, and (ii) explore and describe the perception of PTC secretariats on the functionality of the institutional PTCs. A purpose-designed questionnaire including both quantitative and qualitative aspects adapted from other international studies was piloted prior to being used for data collection. The secretariats of the institutional PTCs were requested to complete the questionnaire. Data were analysed using descriptive statistics for the quantitative aspects and thematic analysis for the qualitative component of the questionnaire. Data collection commenced after approval by the relevant ethics committees had been granted. The findings of the study reflected that the majority of the PTCs in the EC province, SA are district/sub-district PTCs which are a cluster of a number of health care institutions in close proximity. The PTC members were appointed by the executive authority as recommended by the literature and other guiding documents. As expected the nurses were dominant as the members of the PTCs in these district/sub-district PTCs. The secretariats were the pharmacists where pharmacists were available and chairperson were doctors. These findings correspond to the recommendations by the National Department of Health PTC policy (2015) and the studies conducted in other countries. A number of PTCs had sub-committees formed e.g. ABC analysis review committee, medicine utilization evaluation (MUE) committee and pharmacovigilance committee to optimise their functionality. Out of 15 PTCs only five PTCs with sub-committees reported functions and interventions, establishment of policies and SOPs. The rest had no outcomes or interventions reported. Poor production of policies and SOPs was observed which differs from other countries’ PTCs. The focus of sub-committees in other countries is the development of formulary and policies related to medicine use. These findings pose a question regarding the functionality and effectiveness of the existing institutional PTCs in the province. In addition, the basic documents that are required to run the PTC were unavailable in a number of PTCs. Barriers to the functionality of PTCs were reported i) Lack of pharmacists and training in PTCs. ii) The rural nature of the EC province and iii) Unavailability of resources including lack of re-imbursement of personal costs. These findings reveal that budget allocation for institutional PTCs is crucial for their functionality. It can be concluded that in the EC province the institutional PTCs which are active and effective are low in number and do not cover all geographical areas. Secondly there is a need for training and educating the PTC members on the role of the PTC members, role of sub-committees, development of policies, SOPs and the basic documents for the functionality of the committee. It is also important that during training the monitoring and evaluation of the effectiveness of the committee is emphasised. Therefore, the choice of the PTC objectives should be measurable as they can assist as indicators of effectiveness. Support by the executive authority has been observed.
- Full Text:
- Date Issued: 2017
Adherence and non-adherence to antiretroviral treatment in HIV people in Port Elizabeth
- Masokoane, Kgomotso Quentinne
- Authors: Masokoane, Kgomotso Quentinne
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9886 , http://hdl.handle.net/10948/1185 , Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Description: The introduction of antiretroviral drugs (ARVs) in 1996 transformed the treatment of HIV and AIDS, improving the quality and greatly prolonging the lives of many infected people. HIV (Human Immunodeficiency Virus) is the virus that is believed to cause AIDS. AIDS (Acquired Immune Deficiency Syndrome) is the collection of illnesses or symptoms that ultimately results in death. Antiretroviral (ARVs) drugs or Highly Active Antiretroviral Therapy (HAART) is the treatment that has been applied to combat the HI virus in a bid to slow down the progression of AIDS and ultimately prolong the life of the infected individual. The study aimed to explore and describe the factors contributing to adherence and non-adherence to ARVs in individuals on treatment. A sample of 81 individuals who have been on ARV and HAART treatment for six months or more was used. The methodology used was exploratory-descriptive and the data obtained was quantitative in nature. A biographical questionnaire and questionnaire with questions aimed at ascertaining the possible factors that contribute to individuals either adhering to or defaulting on their treatment, such as side effects and cost of treatment, was administered. The data obtained was analysed by means of descriptive statistics and frequency counts. The results of the study showed that the sample had a fairly high level of adherence. The factors that could undermine adherence were identified as lack of support, as familial and health provider support acts as a motivator to adhere; substance abuse as it can lead to forgetting to take treatment; unemployment and poverty, as these can lead to an inability to return for follow up clinic visits or failure to have food to take with the pills; and the type of treatment regimen whereby the more complex the treatment is the more likely it is that adherence will be difficult to maintain. Suggestions were made as to future research involving antiretroviral therapy (ART). Finally the limitations as well as the value of the research were outlined.
- Full Text:
- Date Issued: 2009
- Authors: Masokoane, Kgomotso Quentinne
- Date: 2009
- Subjects: Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9886 , http://hdl.handle.net/10948/1185 , Antiretroviral agents -- South Africa -- Port Elizabeth , HIV infections -- Treatment -- South Africa -- Port Elizabeth , AIDS (Disease) -- Treatment -- South Africa -- Port Elizabeth
- Description: The introduction of antiretroviral drugs (ARVs) in 1996 transformed the treatment of HIV and AIDS, improving the quality and greatly prolonging the lives of many infected people. HIV (Human Immunodeficiency Virus) is the virus that is believed to cause AIDS. AIDS (Acquired Immune Deficiency Syndrome) is the collection of illnesses or symptoms that ultimately results in death. Antiretroviral (ARVs) drugs or Highly Active Antiretroviral Therapy (HAART) is the treatment that has been applied to combat the HI virus in a bid to slow down the progression of AIDS and ultimately prolong the life of the infected individual. The study aimed to explore and describe the factors contributing to adherence and non-adherence to ARVs in individuals on treatment. A sample of 81 individuals who have been on ARV and HAART treatment for six months or more was used. The methodology used was exploratory-descriptive and the data obtained was quantitative in nature. A biographical questionnaire and questionnaire with questions aimed at ascertaining the possible factors that contribute to individuals either adhering to or defaulting on their treatment, such as side effects and cost of treatment, was administered. The data obtained was analysed by means of descriptive statistics and frequency counts. The results of the study showed that the sample had a fairly high level of adherence. The factors that could undermine adherence were identified as lack of support, as familial and health provider support acts as a motivator to adhere; substance abuse as it can lead to forgetting to take treatment; unemployment and poverty, as these can lead to an inability to return for follow up clinic visits or failure to have food to take with the pills; and the type of treatment regimen whereby the more complex the treatment is the more likely it is that adherence will be difficult to maintain. Suggestions were made as to future research involving antiretroviral therapy (ART). Finally the limitations as well as the value of the research were outlined.
- Full Text:
- Date Issued: 2009
Adolescent mothers’ breastfeeding experiences in Nelson Mandela Bay health district
- Authors: Fordjour Afriyie, Vera
- Date: 2017
- Subjects: Breastfeeding -- South Africa -- Eastern Cape , Children -- Nutrition -- South Africa -- Port Elizabeth , Teenage mothers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/13879 , vital:27316
- Description: Rationale: There is limited research available in South Africa that explores the breastfeeding experience among adolescent mothers; most of the studies were conducted in developed countries. One such study relating to the above mentioned developed countries stated that social and commitment factors influence the decision to breastfeed by adolescents. Furthermore, while adolescent mothers appreciate the benefits of breastfeeding, pain, public exposure and perceived complexities related to breastfeeding create barriers for them. The researcher was unable to ascertain if similar ambiguities exist among adolescent mothers in South Africa, and in the Eastern Cape (EC) in particular with its high rates of adolescent pregnancy. In order to attempt to develop age appropriate recommendations to assist adolescent mothers with their breastfeeding journey, the researcher undertook this research study to answer the following question: What are the breastfeeding experiences of adolescent mothers in the Nelson Mandela Bay Heath District (NMBHD)? Aim: The research aim was to determine the experiences of adolescent mothers regarding breastfeeding in NMBHD. Methods: The study implemented a qualitative research approach. To enhance the design, the researcher utilised an explorative, descriptive and contextual research design. The ethical principles that guided this study were autonomy, nonmaleficence, beneficence and justice. Fourteen adolescent mothers, attending PHC facilities in the NMBHD participated in the study. Participants were chosen from a purposive sampling technique and data were collected from semi-structured interviews, compromising of individual interviews. The researcher analysed the data using the using the eight steps of the Tesch analysis technique. Data was also analysed by an independent coder. Results obtained from the Tesch approach were compared to that of the independent coder results. Thereafter, the major themes and sub-themes that related to the study objectives were identified. Results: Three themes and 10 sub-themes were identified. Lack of knowledge and poor adherence to EBF, perceived breastmilk insufficiency, as well as incorrect infant feeding advice given by maternal mothers and grandmothers were associated with early introduction of complementary feeding. Most participants were motivated to breastfeed due to its economic and bonding benefits, as well as seeing their infant‟s progress in growth. Challenges of breastfeeding mentioned by the participants include: lack of support from the fathers of their infants and from health care providers, breast milk leakage, and the foul smell associated with the leaking of breast milk. The participants of the study also had suggestions to help improve the support given to adolescent mothers by health care providers in PHC facilities. Conclusions and recommendations: In conclusion, this study‟s findings revealed that adolescent mothers may need extra age appropriate education and support to assist them in breastfeeding successfully at PHC facilities, the community and schools. Maternal mothers and grandmothers were found to be the primary source of a support network for most adolescent mothers as opposed to health care providers who were categorised as being the secondary source of support. Thus, breastfeeding promotion tailored at maternal mothers and grandmothers would be beneficial in improving their knowledge about the recommended infant feeding practices and consequently aid in providing appropriate support and advice to adolescent mothers. Additionally, training and attitude modification of health care providers is needed to provide adolescent mothers with age-appropriate, effective and sensitive care and counselling.
- Full Text:
- Date Issued: 2017
- Authors: Fordjour Afriyie, Vera
- Date: 2017
- Subjects: Breastfeeding -- South Africa -- Eastern Cape , Children -- Nutrition -- South Africa -- Port Elizabeth , Teenage mothers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/13879 , vital:27316
- Description: Rationale: There is limited research available in South Africa that explores the breastfeeding experience among adolescent mothers; most of the studies were conducted in developed countries. One such study relating to the above mentioned developed countries stated that social and commitment factors influence the decision to breastfeed by adolescents. Furthermore, while adolescent mothers appreciate the benefits of breastfeeding, pain, public exposure and perceived complexities related to breastfeeding create barriers for them. The researcher was unable to ascertain if similar ambiguities exist among adolescent mothers in South Africa, and in the Eastern Cape (EC) in particular with its high rates of adolescent pregnancy. In order to attempt to develop age appropriate recommendations to assist adolescent mothers with their breastfeeding journey, the researcher undertook this research study to answer the following question: What are the breastfeeding experiences of adolescent mothers in the Nelson Mandela Bay Heath District (NMBHD)? Aim: The research aim was to determine the experiences of adolescent mothers regarding breastfeeding in NMBHD. Methods: The study implemented a qualitative research approach. To enhance the design, the researcher utilised an explorative, descriptive and contextual research design. The ethical principles that guided this study were autonomy, nonmaleficence, beneficence and justice. Fourteen adolescent mothers, attending PHC facilities in the NMBHD participated in the study. Participants were chosen from a purposive sampling technique and data were collected from semi-structured interviews, compromising of individual interviews. The researcher analysed the data using the using the eight steps of the Tesch analysis technique. Data was also analysed by an independent coder. Results obtained from the Tesch approach were compared to that of the independent coder results. Thereafter, the major themes and sub-themes that related to the study objectives were identified. Results: Three themes and 10 sub-themes were identified. Lack of knowledge and poor adherence to EBF, perceived breastmilk insufficiency, as well as incorrect infant feeding advice given by maternal mothers and grandmothers were associated with early introduction of complementary feeding. Most participants were motivated to breastfeed due to its economic and bonding benefits, as well as seeing their infant‟s progress in growth. Challenges of breastfeeding mentioned by the participants include: lack of support from the fathers of their infants and from health care providers, breast milk leakage, and the foul smell associated with the leaking of breast milk. The participants of the study also had suggestions to help improve the support given to adolescent mothers by health care providers in PHC facilities. Conclusions and recommendations: In conclusion, this study‟s findings revealed that adolescent mothers may need extra age appropriate education and support to assist them in breastfeeding successfully at PHC facilities, the community and schools. Maternal mothers and grandmothers were found to be the primary source of a support network for most adolescent mothers as opposed to health care providers who were categorised as being the secondary source of support. Thus, breastfeeding promotion tailored at maternal mothers and grandmothers would be beneficial in improving their knowledge about the recommended infant feeding practices and consequently aid in providing appropriate support and advice to adolescent mothers. Additionally, training and attitude modification of health care providers is needed to provide adolescent mothers with age-appropriate, effective and sensitive care and counselling.
- Full Text:
- Date Issued: 2017
Adult adjustment and independent functioning in individuals who were raised in a children's home
- Authors: Bond, Susan Jane
- Date: 2010
- Subjects: Child welfare , Foster children -- Counseling of , Children -- Institutional care , Adjustment (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9994 , http://hdl.handle.net/10948/d1008161 , Child welfare , Foster children -- Counseling of , Children -- Institutional care , Adjustment (Psychology)
- Description: Children are placed in a children’s home when a Presiding Officer finds them to be in need of care and when there is no viable community placement alternative. The body of literature on children’s homes focuses primarily on the negative effects and outcomes of such statutory placement. The assertion that children who grew up in children’s homes will continue to use the services of welfare organisations in adulthood, is supported by the researcher’s observation as a practicing social worker. This, and the study of available literature, resulted in this qualitative, exploratory-descriptive and contextual research study with the following goal: to enhance the understanding of how intervention programmes at children’s homes can contribute to adult adjustment and independent functioning of those children in their care. A purposive sampling method was used to identify ten participants who had spent at least 2 years in a children’s home and who had been discharged from the children’s home at least 5 years ago (to the date of data collection). The sample was drawn from clients at non governmental social welfare agencies who fitted the sampling criteria. The data was collected via semi-structured interviews using an interview guide, which were recorded, transcribed and then analysed using a thematic content analysis approach. The results of the study may be used to develop and implement meaningful intervention strategies for individuals placed in children’s homes.
- Full Text:
- Date Issued: 2010
- Authors: Bond, Susan Jane
- Date: 2010
- Subjects: Child welfare , Foster children -- Counseling of , Children -- Institutional care , Adjustment (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9994 , http://hdl.handle.net/10948/d1008161 , Child welfare , Foster children -- Counseling of , Children -- Institutional care , Adjustment (Psychology)
- Description: Children are placed in a children’s home when a Presiding Officer finds them to be in need of care and when there is no viable community placement alternative. The body of literature on children’s homes focuses primarily on the negative effects and outcomes of such statutory placement. The assertion that children who grew up in children’s homes will continue to use the services of welfare organisations in adulthood, is supported by the researcher’s observation as a practicing social worker. This, and the study of available literature, resulted in this qualitative, exploratory-descriptive and contextual research study with the following goal: to enhance the understanding of how intervention programmes at children’s homes can contribute to adult adjustment and independent functioning of those children in their care. A purposive sampling method was used to identify ten participants who had spent at least 2 years in a children’s home and who had been discharged from the children’s home at least 5 years ago (to the date of data collection). The sample was drawn from clients at non governmental social welfare agencies who fitted the sampling criteria. The data was collected via semi-structured interviews using an interview guide, which were recorded, transcribed and then analysed using a thematic content analysis approach. The results of the study may be used to develop and implement meaningful intervention strategies for individuals placed in children’s homes.
- Full Text:
- Date Issued: 2010
Adult circumcision practices of traditional surgeons and nurses in relation to the initiates’ health outcomes/morbidity in the Eastern Cape
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
- Authors: Dalasa, Siyamthemba
- Date: 2019
- Subjects: Circumcision -- Social aspects
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/17029 , vital:40834
- Description: BACKGROUND Despite the adverse outcomes associated with traditional male circumcision, the practice remains prevalent, especially in the Eastern Cape, South, Africa. This study seeks to assess the practices of traditional surgeons and nurses in relation to the prevention and control of infections and their understanding of human physiological mechanisms during circumcision processes. METHOD This study has adopted a qualitative design, which involved conducting 115 semistructured interviews among traditional surgeons, traditional nurses and traditionally circumcised men, and one focus group discussion among traditional nurses. The data generated were transcribed and subjected to thematic content analysis. RESULTS The analysis revealed that both traditional surgeons and nurses demonstrated both poor aseptic techniques and a lack of knowledge of how the human body functions. Their lack of knowledge of basic human physiology meant that they trivialised sepsis in the penile wound. In addition, the seclusion lodges for circumcision and initiates living were unclean and uninhabitable. CONCLUSION The poor aseptic techniques of traditional surgeons and nurses, as well as the uncleanliness of their environment during traditional male circumcision procedures, could expose initiates to infections and morbidity. Environmental health officers should regularly supervise traditional surgeons and nurses in order to prevent the adverse health outcomes associated with the traditional male circumcision practice.
- Full Text:
- Date Issued: 2019
African narratives of customary marriage, marital stressors, strengths and the value of indigenous marital counselling
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
An (auto)-biographical account of nursing transformation: 1970-2018
- Authors: Ricks, Esmeralda Jennifer
- Subjects: Nursing -- Study and teaching , Nursing -- South Africa
- Language: English
- Type: text , An (auto)-biographical account of nursing transformation: 1970-2018 , Lectures
- Identifier: http://hdl.handle.net/10948/21055 , vital:29434
- Description: This lecture provides a description of how nursing education and practice, research and technology has transformed over the past 48 years. The information provided in this lecture is based on personal experience and own research, and research of various other authors. The first part of the lecture provides an overview of the era in which I trained and is used as a benchmark to compare current day practices. The changes in nursing education and practice with regard to the Nursing Act and regulations over the past 48 years are highlighted, depicting the number of times that the different nursing acts and regulations were amended with regard to all basic nursing qualification programmes. This lecture also includes a brief discussion of the new nursing education programme that will be implemented soon, as well as its opportunities and challenges. A detailed description is provided with regard to how nursing research has evolved over the past 48 years because of the dedication and vision that nurse leaders have for the profession. A national nursing strategy has been developed to enhance collaborative, rigorous scientific enquiry that builds a significant body of knowledge in order to improve the health of the people of South Africa. It is envisaged that the research strategy will contribute significantly to directing future nursing research development in South Africa. It is evident in this lecture that the use of technology in nursing has truly evolved and can be seen as a major driver of changes in the nursing profession. There are huge shifts in how patient records are maintained, how medications are tracked and ordered, how care is passed from one provider to another, how blood and X-ray results are retrieved and how information is being accessed at the point of care in nursing. In today’s healthcare system technology is the foundation of the future. Today’s nurses must not only know how to care for patients, but how to use technology safely and appropriately in their day-to-day work. It is evident that nursing has transformed in many ways since 1970 and that nurses have always been the drivers of nursing transformation.
- Full Text:
- Authors: Ricks, Esmeralda Jennifer
- Subjects: Nursing -- Study and teaching , Nursing -- South Africa
- Language: English
- Type: text , An (auto)-biographical account of nursing transformation: 1970-2018 , Lectures
- Identifier: http://hdl.handle.net/10948/21055 , vital:29434
- Description: This lecture provides a description of how nursing education and practice, research and technology has transformed over the past 48 years. The information provided in this lecture is based on personal experience and own research, and research of various other authors. The first part of the lecture provides an overview of the era in which I trained and is used as a benchmark to compare current day practices. The changes in nursing education and practice with regard to the Nursing Act and regulations over the past 48 years are highlighted, depicting the number of times that the different nursing acts and regulations were amended with regard to all basic nursing qualification programmes. This lecture also includes a brief discussion of the new nursing education programme that will be implemented soon, as well as its opportunities and challenges. A detailed description is provided with regard to how nursing research has evolved over the past 48 years because of the dedication and vision that nurse leaders have for the profession. A national nursing strategy has been developed to enhance collaborative, rigorous scientific enquiry that builds a significant body of knowledge in order to improve the health of the people of South Africa. It is envisaged that the research strategy will contribute significantly to directing future nursing research development in South Africa. It is evident in this lecture that the use of technology in nursing has truly evolved and can be seen as a major driver of changes in the nursing profession. There are huge shifts in how patient records are maintained, how medications are tracked and ordered, how care is passed from one provider to another, how blood and X-ray results are retrieved and how information is being accessed at the point of care in nursing. In today’s healthcare system technology is the foundation of the future. Today’s nurses must not only know how to care for patients, but how to use technology safely and appropriately in their day-to-day work. It is evident that nursing has transformed in many ways since 1970 and that nurses have always been the drivers of nursing transformation.
- Full Text:
An adolescent survivor’s experience following child sexual abuse: a case study
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Shwaye, Wandiswa
- Date: 2021-04
- Subjects: Sexually abused teenagers -- South Africa -- Psychology , Sexually abused teenagers -- Rehabilitation -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51895 , vital:43382
- Description: This study seeks to provide an in-depth description of the phenomenon of Child Sexual Abuse (CSA) and will be an addition to the existing body of knowledge. CSA is a complex phenomenon and despite it being a criminal act, incidences continue to increase globally. It has become a huge problem all over the world and South Africa is one of the leading countries with a higher prevalence. To gain understanding of this phenomenon and its prevalence in South Africa, a review of literature and analysis of the causes, types, diversity, and its effects were conducted. The analysis further provided a comprehensive account on how the adolescent survivor was affected by the CSA experiences and how she recovered from its effects. One participant was selected for the study and the purposive sampling technique was used for the process. The study made use of the General Systems Theory but narrowed it to the Family Systems Theory also known as the Bowen Family Systems Theory (BFST) as its theoretical framework. Systems theory was explored with a focus on families and communities and how each one contributes to the problem of CSA. The impacts of CSA on the survivor consisted of anger, poor scholastic performance marred future and broken relationships. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
An appraisal of strategies to mitigate related to non-communicable diseases of the eye: a case study of Michael Mapongwane Health Clinic in Khayelitsha, Western Cape Metro District
- Authors: Ngcebetsha, Avela Ayanda
- Date: 2022-03
- Subjects: Chronically ill--Care , Ophthalmic nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22908 , vital:53186
- Description: Preventive and curative eye-care services are a critical component of care for patients diagnosed with chronic diseases. The South African constitution guarantees health as a fundamental human right of all citizens. While most chronically ill patients are managed at the primary health care centers, eye care services are currently contracted to private service providers. The extent to which people, especially the chronically ill patients, have access to eye-care service under the current structure is less understood. The study aims to establish the effectiveness and sustainability of the eye-care service delivery model at the Michael Mapongwane CHC, with specific reference to access to eye-care services. Specifically, the study examined the rate and determinants of eye-care service utilisation, assess user’s satisfaction and perspectives of primary health workers and private service providers regarding the current structure of eye-care services. The study adopted a descriptive and explanatory design, which involved a survey and semi-structured interviews. The survey was conducted among 423 patients attending the two primary health centers selected for this study. Patients with chronic illness were recruited over a period of one month. Overall, 365 patients with chronic illness and 58 patients without chronic illness took part in the study. Descriptive and inferential statistics were used to analyse the quantitative date. Purposive sampling was used to select nine health workers and 10 private eye-care service providers for the semi-structured interviews. The data obtained were transcribed and coded. Thematic content analysis was performed on the qualitative data. The results show that less than half of the respondents (n=168) had ever had an eye test, and an even lower proportion (n=115) had had an eye test in the past two years. Age, female sex, formal rural dwelling, marital status, and income were significantly associated with ever having an eye test done. The results reveal a gross inequality in access to eye care test. Only 19.2% of patients diagnosed with hypertension had had their eyes examined. Even fewer proportions of the patients (8.5%) had had their eyes examined during or after diagnosis for hypertension. Likewise, only one in three patients diagnosed with diabetes has had their eyes examined before or after they were diagnosed with diabetes. The majority of patients who had used the services affirmed that it was easy to access eye care services. While most respondents agreed that waiting time to make an appointment was not too long, over half of them affirmed that waiting to see an eye doctor was too long. Most users were reasonably satisfied with the eye care services received. Primary health care providers highlighted challenges such as work overload, poor infrastructure, and patient’s forgetfulness of the appointment dates as factors affecting access to eye care services in their clinic. The primary challenges the private eye-care service providers experienced were small rooms or inappropriate clinic rooms, language barrier and inadequate support from the clinics. In conclusion, this study has shown that access to preventive and curative health care services was among patients attending primary health care centres, and especially those with chronic illness. The current structure of eye care services makes it difficult for patients to access care and for providers to provide quality care. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Ngcebetsha, Avela Ayanda
- Date: 2022-03
- Subjects: Chronically ill--Care , Ophthalmic nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22908 , vital:53186
- Description: Preventive and curative eye-care services are a critical component of care for patients diagnosed with chronic diseases. The South African constitution guarantees health as a fundamental human right of all citizens. While most chronically ill patients are managed at the primary health care centers, eye care services are currently contracted to private service providers. The extent to which people, especially the chronically ill patients, have access to eye-care service under the current structure is less understood. The study aims to establish the effectiveness and sustainability of the eye-care service delivery model at the Michael Mapongwane CHC, with specific reference to access to eye-care services. Specifically, the study examined the rate and determinants of eye-care service utilisation, assess user’s satisfaction and perspectives of primary health workers and private service providers regarding the current structure of eye-care services. The study adopted a descriptive and explanatory design, which involved a survey and semi-structured interviews. The survey was conducted among 423 patients attending the two primary health centers selected for this study. Patients with chronic illness were recruited over a period of one month. Overall, 365 patients with chronic illness and 58 patients without chronic illness took part in the study. Descriptive and inferential statistics were used to analyse the quantitative date. Purposive sampling was used to select nine health workers and 10 private eye-care service providers for the semi-structured interviews. The data obtained were transcribed and coded. Thematic content analysis was performed on the qualitative data. The results show that less than half of the respondents (n=168) had ever had an eye test, and an even lower proportion (n=115) had had an eye test in the past two years. Age, female sex, formal rural dwelling, marital status, and income were significantly associated with ever having an eye test done. The results reveal a gross inequality in access to eye care test. Only 19.2% of patients diagnosed with hypertension had had their eyes examined. Even fewer proportions of the patients (8.5%) had had their eyes examined during or after diagnosis for hypertension. Likewise, only one in three patients diagnosed with diabetes has had their eyes examined before or after they were diagnosed with diabetes. The majority of patients who had used the services affirmed that it was easy to access eye care services. While most respondents agreed that waiting time to make an appointment was not too long, over half of them affirmed that waiting to see an eye doctor was too long. Most users were reasonably satisfied with the eye care services received. Primary health care providers highlighted challenges such as work overload, poor infrastructure, and patient’s forgetfulness of the appointment dates as factors affecting access to eye care services in their clinic. The primary challenges the private eye-care service providers experienced were small rooms or inappropriate clinic rooms, language barrier and inadequate support from the clinics. In conclusion, this study has shown that access to preventive and curative health care services was among patients attending primary health care centres, and especially those with chronic illness. The current structure of eye care services makes it difficult for patients to access care and for providers to provide quality care. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
An assessment of infant and young child feeding policy implementation of HIV mother-to-child transmission in the Nelson Mandela Bay Municipality health care facilities
- Authors: Mkontwana, Phumeza Eudicia
- Date: 2012
- Subjects: HIV infections -- South Africa -- Port Elizabeth , Communicable diseases in children -- Transmission , HIV-positive women , Medical care -- South Africa -- Port Elizabeth , Communicable diseases in children -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10040 , http://hdl.handle.net/10948/d1011632 , HIV infections -- South Africa -- Port Elizabeth , Communicable diseases in children -- Transmission , HIV-positive women , Medical care -- South Africa -- Port Elizabeth , Communicable diseases in children -- Prevention
- Description: This descriptive study aimed to assess the Infant and Young Child Feeding (IYCF) policy implementation in the Prevention of Mother-to-Child Transmission of HIV (PMTCT) among healthcare workers in the Nelson Mandela Bay Municipality public health care facilities. A convenience sampling method was used to gather information from nurses (n=32) rendering maternal and child health services in nineteen permanent Nelson Mandela Bay public health care facilities (MOU’s, paediatric sections, well baby clinics and PMTCT sites). Recommendations included to the need develop indicators for measuring the IYCF policy objectives and regularly collect data on infant and young child feeding, standardising infant feeding education given by peer educators / lay counsellors from various organisations, capacity building and training of staff on IYCF and scaling up monitoring and evaluation of the IYCF policy impact.
- Full Text:
- Date Issued: 2012
- Authors: Mkontwana, Phumeza Eudicia
- Date: 2012
- Subjects: HIV infections -- South Africa -- Port Elizabeth , Communicable diseases in children -- Transmission , HIV-positive women , Medical care -- South Africa -- Port Elizabeth , Communicable diseases in children -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10040 , http://hdl.handle.net/10948/d1011632 , HIV infections -- South Africa -- Port Elizabeth , Communicable diseases in children -- Transmission , HIV-positive women , Medical care -- South Africa -- Port Elizabeth , Communicable diseases in children -- Prevention
- Description: This descriptive study aimed to assess the Infant and Young Child Feeding (IYCF) policy implementation in the Prevention of Mother-to-Child Transmission of HIV (PMTCT) among healthcare workers in the Nelson Mandela Bay Municipality public health care facilities. A convenience sampling method was used to gather information from nurses (n=32) rendering maternal and child health services in nineteen permanent Nelson Mandela Bay public health care facilities (MOU’s, paediatric sections, well baby clinics and PMTCT sites). Recommendations included to the need develop indicators for measuring the IYCF policy objectives and regularly collect data on infant and young child feeding, standardising infant feeding education given by peer educators / lay counsellors from various organisations, capacity building and training of staff on IYCF and scaling up monitoring and evaluation of the IYCF policy impact.
- Full Text:
- Date Issued: 2012
An assessment of quality health care in the operating theatres of Frere Hospital in the Eastern Cape
- Authors: Bennett, Fabion Charton
- Date: 2018
- Subjects: Medical care Surgical instruments and apparatus -- Safety measures
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/13425 , vital:39660
- Description: BACKGROUND: Operating theatres are one of most expensive resources in a hospital. The management of operating theatres is complex due to the conflicting priorities and preferences of all stakeholders. Operating theatres also pose one of the greatest medico legal risks to any hospital. This study was conducted at Frere Hospital in East London to assess the functioning of the operating theatre system. The focus of this study was on Pre-operative categorisation of emergency cases, the utilisation of the World Health Organisation Safety Checklist, compliance to the National Core Standards for Health, the effectiveness of governance and review processes, theatre staffing as well as theatre efficiency indicators (start time/tardiness, utilisation, turn-around time, re-admission to theatre rate, cancellation on day of procedure, slate under/over runs, Anaesthetic time as a percentage of theatre time). OBJECTIVE: The purpose of this study was to promote the adherence to the various operating theatre universal approaches by operating theatre staff with the goal of reducing costs and errors caused by poor quality in operating theatres and improving the overall health system. METHOD: In this research a convergent parallel mixed method research design was applied. The research was non-experimental and descriptive in approach, using a mixed method questionnaire, a structured open ended interview, a structured infrastructure assessment, a structured observation checklist and an audit of patient files for a review of emergency surgical cases. Data was collected during October 2016 and January 2017.The study population consisted of 13 operating rooms across 6 operating theatre suites, surgical management staff as well as clinical and nursing staff in the operating theatres at Frere Hospital in East London. RESULTS: The study showed opportunities for improvement in the overall management of the operating theatres to ensure efficient quality care; the data from the observations, questionnaires, interviews as well as the analysis of the efficiency indicators consistently showed that an effective process of operating theatre governance and performance is non-existent, the Pre- operative categorisation of emergency cases is inconsistently applied, the compliance to the principles of the World Health Organisation Safety Checklist Is very low, theatre nursing staff levels per case is low, staff are also demotivated and theatre efficiency indicators require improvement. During this study, the Paediatric theatre suite appeared to be well run and compliant with opportunity to increase theatre utilisation, the casualty theatre is underutilised and has potential to be utilised as an enabler to improve the efficiency of other theatres. The main theatre and endoscopy suites have opportunities to improve its compliance to universal operating theatre quality and efficiency standards, the Orthopaedics and Obstetrics theatre suites, however, require urgent improvement focus. DISCUSSION: According to the findings, a structured operating theatre governance and performance review processes should be implemented with the intention of ensuring consistency across the management of the 6 operating theatre suites in the hospital. A review of staffing allocation and relative task allocation should be conducted. Interventions should be implemented to increase utilisation rates, improve the pre-operative categorisation of emergency cases, improve the compliance to the principles of the World Health Organisation Safety Checklist, reduce case start time variance/tardiness, reduce cancellation on day of procedure, increase anaesthetic time as a percentage of theatre time by introducing pre- anaesthetic induction prior to the patient being wheeled into the operating room.
- Full Text:
- Date Issued: 2018
An assessment of quality health care in the operating theatres of Frere Hospital in the Eastern Cape
- Authors: Bennett, Fabion Charton
- Date: 2018
- Subjects: Medical care Surgical instruments and apparatus -- Safety measures
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/13425 , vital:39660
- Description: BACKGROUND: Operating theatres are one of most expensive resources in a hospital. The management of operating theatres is complex due to the conflicting priorities and preferences of all stakeholders. Operating theatres also pose one of the greatest medico legal risks to any hospital. This study was conducted at Frere Hospital in East London to assess the functioning of the operating theatre system. The focus of this study was on Pre-operative categorisation of emergency cases, the utilisation of the World Health Organisation Safety Checklist, compliance to the National Core Standards for Health, the effectiveness of governance and review processes, theatre staffing as well as theatre efficiency indicators (start time/tardiness, utilisation, turn-around time, re-admission to theatre rate, cancellation on day of procedure, slate under/over runs, Anaesthetic time as a percentage of theatre time). OBJECTIVE: The purpose of this study was to promote the adherence to the various operating theatre universal approaches by operating theatre staff with the goal of reducing costs and errors caused by poor quality in operating theatres and improving the overall health system. METHOD: In this research a convergent parallel mixed method research design was applied. The research was non-experimental and descriptive in approach, using a mixed method questionnaire, a structured open ended interview, a structured infrastructure assessment, a structured observation checklist and an audit of patient files for a review of emergency surgical cases. Data was collected during October 2016 and January 2017.The study population consisted of 13 operating rooms across 6 operating theatre suites, surgical management staff as well as clinical and nursing staff in the operating theatres at Frere Hospital in East London. RESULTS: The study showed opportunities for improvement in the overall management of the operating theatres to ensure efficient quality care; the data from the observations, questionnaires, interviews as well as the analysis of the efficiency indicators consistently showed that an effective process of operating theatre governance and performance is non-existent, the Pre- operative categorisation of emergency cases is inconsistently applied, the compliance to the principles of the World Health Organisation Safety Checklist Is very low, theatre nursing staff levels per case is low, staff are also demotivated and theatre efficiency indicators require improvement. During this study, the Paediatric theatre suite appeared to be well run and compliant with opportunity to increase theatre utilisation, the casualty theatre is underutilised and has potential to be utilised as an enabler to improve the efficiency of other theatres. The main theatre and endoscopy suites have opportunities to improve its compliance to universal operating theatre quality and efficiency standards, the Orthopaedics and Obstetrics theatre suites, however, require urgent improvement focus. DISCUSSION: According to the findings, a structured operating theatre governance and performance review processes should be implemented with the intention of ensuring consistency across the management of the 6 operating theatre suites in the hospital. A review of staffing allocation and relative task allocation should be conducted. Interventions should be implemented to increase utilisation rates, improve the pre-operative categorisation of emergency cases, improve the compliance to the principles of the World Health Organisation Safety Checklist, reduce case start time variance/tardiness, reduce cancellation on day of procedure, increase anaesthetic time as a percentage of theatre time by introducing pre- anaesthetic induction prior to the patient being wheeled into the operating room.
- 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
An assessment of the computer literacy status of nurse managers in a private hospital group in the Nelson Mandela metropolitan area
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
- Authors: Booysen, Mary Kathleen
- Date: 2009
- Subjects: Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10035 , http://hdl.handle.net/10948/924 , Nursing informatics , Nursing -- Data processing -- South Africa - Nelson Mandela Metropolitan Area , Information storage and retrieval systems -- Hospitals , Hospital care -- Data processing -- South Africa - Nelson Mandela Metropolitan Area
- Description: There has been an increase in the use of information technology in the hospital environment over the past decade and the use of computers by Nursing Managers is rapidly increasing. The latter poses a challenge to Nurse Managers, as their computer literacy status is unknown. This is evident from the fact that prior to 1996 there was only four computers at one of the private hospitals used in this study. Computer skills were never a requirement when applying for the position of Nurse Manager; and there is still currently no formal computer training provided for Nurse Managers or Acting Nurse Managers. Resources are however available in the hospitals to assist the managers with various computer problems but it is not known if these resources equip managers with the appropriate tools to become efficient in their role. The lack of formal training and lack of assessment of resources to determine whether the computer needs of Nurse Managers are met results in a lot of time being wasted and many frustrations experienced among Nurse Managers. The researcher was therefore motivated by the latter problem to explore and describe the computer literacy status of Nurse Managers in order to make recommendations to management regarding the research findings. The researcher selected a quantitative, explorative, contextual and descriptive survey design. The research population was made up of all Nurse Managers and Acting Nurse Managers at the time of the study. A 100 percent sample was utilised and comprised thirty-four respondents who made up the entire group of Nurse Managers and Acting Nurse Managers at the time of the study. A structured, self-administered questionnaire was used in Phase One of the research and in Phase Two a data observation sheet was used to test the respondents and to collect the necessary data. This data was manually processed and analysed by the iii researcher. All ethical considerations were honoured throughout the research process. The main findings of the research study reflected that the respondents had a below average ability to use various software packages such as Microsoft Word, EXCEL and Power Point. Findings further revealed that the respondent’s literacy levels were average with regard to the use of peripheral components of the computer such as the use of the mouse and keyboard. The respondents rated their competency level as average with regard to using a computer. Due to the limitations and small sample size used in the study the researcher recommends that further research using a larger sample by expanding the research into the other private hospitals in the group through out South Africa should take place in order to produce more constructive results than this study.
- Full Text:
- Date Issued: 2009
An assessment of the motivational value of rewards among health professionals in Malawi's Ministry of Health
- Chanza, Alfred Witness Dzanja
- Authors: Chanza, Alfred Witness Dzanja
- Date: 2012
- Subjects: Employee motivation -- Malawi , Medical personnel -- Salaries, etc. -- Malawi , Medical personnel -- Job satisfaction -- Malawi , Public health -- Malawi
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9963 , http://hdl.handle.net/10948/d1020330
- Description: The assessment of the motivational value of rewards in the world of work is interesting but difficult to understand. Variations in research reports and inadequate comprehension of the efficiency and motivational value of rewards have brought about confusions, controversies and contradictions among authors, researchers, consultants and practitioners in the field of Industrial and Organisational Psychology (Mangham, 2007; Muula, 2006; Muula & Maseko, 2005; Palmer, 2006; World Bank, 2004). As a consequence, organisations are applying theories and models of motivation selectively depending on their beliefs, ideological framework of values and assumptions (Dzimbiri, 2009). The study was therefore carried out as a positive contribution to the existing knowledge and debate on the motivational value of rewards for health professionals in the public health sectors of the developing countries. Through a systematic sampling method, 571 health professionals were sampled for the study. Data were collected through the use of a self-administered questionnaire which was composed based on the data collected from desk research/literature review, focus group discussions and interviews. The findings of the study revealed that the Malawi‟s Ministry of Health (MoH) is failing to attract, motivate and retain health professionals; there is perception of inequity of the rewards among the health professionals; health professionals develop coping strategies to supplement their monthly financial rewards; health professionals engage in corrupt practices to supplement their monthly financial rewards; and there is erosion of industrial democracy in the Malawi‟s Public Health Sector. While the statistical testing of the hypothesized model proved a lack of fit between the variables, the statistical testing of the re-specified model suggests that there is a positive relationship between financial rewards and reward-related problems being faced by health professionals in the Malawi‟s MoH. Through the Structural Equation Modeling (SEM) exercise, an inverse (negative) relationship between financial and non-financial rewards was deduced, and scientifically and graphically demonstrated. Both the re-specified and graphical models symbolize a pragmatic departure from the theoretical model whose authors (Franco, Bennett, Kanfer & Stubblebine, 2004) are largely inclined to the use of non-financial rewards and suggest that financial rewards should be used with caution. These findings also reject the Herzberg‟s two factor theory (Herzberg, 1960) which claims that financial rewards (salaries) are not a motivator. The major recommendations of the study are that the Franco et al.‟s (2004) model should be adopted and adapted in the Malawi‟s MoH with the view that the value of both financial and non-financial rewards (as motivators) varies from individual to individual due to individual differences and prevailing factors/forces in both the work environment and wider society in which the MoH operates; a hybrid reward system combining the strengths of time-based, performance-based and competence-based reward systems should be developed and implemented; the results of scientifically testing the re-specified model and the inverse (causal) relationship established between financial and non-financial rewards (as demonstrated in a graphic model) should be re-tested with other samples in the public health sectors of the developing countries; and the motivational value of non-financial rewards should be scientifically established and compared with the motivational value of financial rewards used independent of each other in business organisations to make an objective conclusion on the rewards-motivation debate.
- Full Text:
- Date Issued: 2012
- Authors: Chanza, Alfred Witness Dzanja
- Date: 2012
- Subjects: Employee motivation -- Malawi , Medical personnel -- Salaries, etc. -- Malawi , Medical personnel -- Job satisfaction -- Malawi , Public health -- Malawi
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9963 , http://hdl.handle.net/10948/d1020330
- Description: The assessment of the motivational value of rewards in the world of work is interesting but difficult to understand. Variations in research reports and inadequate comprehension of the efficiency and motivational value of rewards have brought about confusions, controversies and contradictions among authors, researchers, consultants and practitioners in the field of Industrial and Organisational Psychology (Mangham, 2007; Muula, 2006; Muula & Maseko, 2005; Palmer, 2006; World Bank, 2004). As a consequence, organisations are applying theories and models of motivation selectively depending on their beliefs, ideological framework of values and assumptions (Dzimbiri, 2009). The study was therefore carried out as a positive contribution to the existing knowledge and debate on the motivational value of rewards for health professionals in the public health sectors of the developing countries. Through a systematic sampling method, 571 health professionals were sampled for the study. Data were collected through the use of a self-administered questionnaire which was composed based on the data collected from desk research/literature review, focus group discussions and interviews. The findings of the study revealed that the Malawi‟s Ministry of Health (MoH) is failing to attract, motivate and retain health professionals; there is perception of inequity of the rewards among the health professionals; health professionals develop coping strategies to supplement their monthly financial rewards; health professionals engage in corrupt practices to supplement their monthly financial rewards; and there is erosion of industrial democracy in the Malawi‟s Public Health Sector. While the statistical testing of the hypothesized model proved a lack of fit between the variables, the statistical testing of the re-specified model suggests that there is a positive relationship between financial rewards and reward-related problems being faced by health professionals in the Malawi‟s MoH. Through the Structural Equation Modeling (SEM) exercise, an inverse (negative) relationship between financial and non-financial rewards was deduced, and scientifically and graphically demonstrated. Both the re-specified and graphical models symbolize a pragmatic departure from the theoretical model whose authors (Franco, Bennett, Kanfer & Stubblebine, 2004) are largely inclined to the use of non-financial rewards and suggest that financial rewards should be used with caution. These findings also reject the Herzberg‟s two factor theory (Herzberg, 1960) which claims that financial rewards (salaries) are not a motivator. The major recommendations of the study are that the Franco et al.‟s (2004) model should be adopted and adapted in the Malawi‟s MoH with the view that the value of both financial and non-financial rewards (as motivators) varies from individual to individual due to individual differences and prevailing factors/forces in both the work environment and wider society in which the MoH operates; a hybrid reward system combining the strengths of time-based, performance-based and competence-based reward systems should be developed and implemented; the results of scientifically testing the re-specified model and the inverse (causal) relationship established between financial and non-financial rewards (as demonstrated in a graphic model) should be re-tested with other samples in the public health sectors of the developing countries; and the motivational value of non-financial rewards should be scientifically established and compared with the motivational value of financial rewards used independent of each other in business organisations to make an objective conclusion on the rewards-motivation debate.
- Full Text:
- Date Issued: 2012