Background: Drug rehabilitation is crucial for drug addicts. As much as drug rehabilitation (rehab) centres are helping in dealing with drug addiction. Some drug addicts may find that some of the drug rehabs do not meet their needs. Therefore, the study explored the experience of caregivers caring for nyaope addicts. Method: This study adopted a qualitative research approach and a case study design. The purposive sampling method was employed to select the sample. The sample comprised six caregivers. The structured interview and open-ended questionnaire were employed to collect data. An interview questionnaire was designed allowing the participants to respond at home and provide feedback. Their responses provided through this process were insufficient, participants were then requested face-to-face interviews and they agreed. Results: One of the main findings in this study was that caregiving affects the caregivers negatively. Caregiving has led to psychological and physical effects amongst the caregivers. Conclusion: A need was identified for support and awareness for the caregivers and rehabilitation centres in South Africa. This might reduce the relapse of substance abuse and help eradicate the number of substance abusers in South Africa. / Psychology / M.A. (Psychology (Research Consultation))

Children heading their households are not a new phenomenon in South Africa. Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has been the number one cause behind the emergence of many child-headed households in sub-Saharan Africa. This qualitative research inquiry was guided by an interpretivist epistemology. Bronfenbrenner's ecological theory was used as the theoretical framework that guided this study. A case study design was used with un-structured interviews being the primary method of data collection. Participatory task-based methods in the form of metaphors and story writing, informal observations, questionnaires and field notes augmented the data generation process. Purposive sampling procedures were used and two participants were chosen for this study. Thematic analysis of data generated the themes and sub-themes which provided insight into the lives of children in the role of parents. Findings of this study reveal that orphaned and vulnerable children in the role of parents have the task of taking care of their siblings by providing food, washing their clothes, sending them to school and helping with their homework. They also have the added task of making decisions in the home and providing parental guidance to their younger siblings in the absence of their parents. Children in this study also experienced poverty and faced stigma and discrimination from relatives, peers, neighbors and members in the community / Educational Studies / M.Ed. (Guidance and Counselling)

Children heading their households are not a new phenomenon in South Africa. Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has been the number one cause behind the emergence of many child-headed households in sub-Saharan Africa. This qualitative research inquiry was guided by an interpretivist epistemology. Bronfenbrenner's ecological theory was used as the theoretical framework that guided this study. A case study design was used with un-structured interviews being the primary method of data collection. Participatory task-based methods in the form of metaphors and story writing, informal observations, questionnaires and field notes augmented the data generation process. Purposive sampling procedures were used and two participants were chosen for this study. Thematic analysis of data generated the themes and sub-themes which provided insight into the lives of children in the role of parents. Findings of this study reveal that orphaned and vulnerable children in the role of parents have the task of taking care of their siblings by providing food, washing their clothes, sending them to school and helping with their homework. They also have the added task of making decisions in the home and providing parental guidance to their younger siblings in the absence of their parents. Children in this study also experienced poverty and faced stigma and discrimination from relatives, peers, neighbors and members in the community / Educational Studies / M. Ed. (Guidance and Counselling)

The family as the basic unit of society plays an important role in the lives of individuals especially children. The HIV/AIDS epidemic has devastated the family structure which is already strained by other detrimental factors such as urbanisation and poverty. The increased death rate of young parents due to AIDS-related diseases has led to an escalating number of orphaned children growing in child headed households (CHH) without adult care. A qualitative study was undertaken to develop an understanding of the barriers that hinder the integration of orphaned children into extended family folds and to obtain suggestions on how to overcome these barriers. Semi-structured, face-to-face interviews were conducted in Bushbuckridge, Mpumalanga Province, with a sample of children heading CHH, relatives of these children and social workers who were rendering social work services to these client-systems. The study revealed that the level of suffering faced by CHH began with the illness of the parents. This was further exacerbated by the death of the parents as these children were not absorbed by their extended families. Barriers that hindered the integration of orphaned children into extended family folds go beyond the extended families’ economic capacity to absorb the children. There is an interplay of barriers that are poverty related, relational and family related, culturally related, circumstances that are related to the orphaned children as well as limitations in social work service delivery. The findings indicate that CHH is not a good option to care and protect orphaned children as it exposes them to pervasive adversities with little resources and support. The integration of orphaned children is embraced as a good option to care for the children because of its potential value, amongst others, of enabling the extended families to relieve the CHH from the burden of care. From the findings of this study, practice guidelines were developed to enhance the efficacy of integrating orphaned children into extended families to prevent the CHH phenomenon.

The question the researcher set out to answer during this research is: How is a caring concern maintained by the (student nurse) as caregiver? It stemmed from unresolved plausible hypotheses stated during a previous qualitative study into the phenomenon caring, from media reports on the "poor care" rendered in health institutions in South Africa, and a concern about the Tylerian rationale in nursing education. The theory generation required was achieved through Wertz's Empirical Psychological Reflection and existential phenomenology. Heidegger's theory of"Care as the essence of being" constituted a central concept in this research. A linguistic epistemology and expanded definition of the term empirical were also pertinent in this research. The literature review focussed on the methodology, ontology (caring and maintenance) and epistemology, serving a purpose towards bracketing. A purposive sample of informants was extracted according to students' performance on the Personal Orientation Inventory (POI). Sixteen qualitative research interviews were conducted. Analysis was conducted through open coding, categorisation and axial coding. At the idiographic level, twelve individual psychological profiles were constructed serving the purpose of imaginative variation. At the nomothetic level four major themes emerged, namely: The Caring Phenomenon (Contextualisation); Factors Eroding a Caring Concern; Factors in the Maintenance of a Caring Concern; and Core Experiences. The dialogue among the four intra-psychic processes of Care, will, meaning attribution and conscience accounts for all events encountered in the data. This dialogue results in either reason or intuition, displaying caring and the maintenance of a caring concern. Positing will and conscience as thesis and antithesis, the resulting synthesis postulates the basic ethical concepts of autonomy, authority, responsibility and accountability as existentially inherent to being and existence, and to the maintenance of a caring concern. The final manifestation of the object ofintention, maintenance, is proposed as an anthropological model. When extended to the fields of (nursing) education, human motivation and the teaching of (nursing) ethics, emotional intelligence, social intelligence, the self-science curriculum and life-skills training become imperative to (nursing) curricula. It is also proposed that human caring be studied as a manifestation of human motivation. / Health Studies / D. Litt et Phil. (Advanced Nursing Sciences)

In English / This study investigates the resilience of caregivers at a Gauteng-based hospice with patients living with HIV/AIDS. The primary focus of this study was to describe the impact on caregivers working with terminally ill patients predominantly with HIV/AIDS. Six participants were selected for this study utilising purposive sampling. Their ages ranged between 30 and 70 years. For the purpose of data collection, face-to-face semi-structured interviews were undertaken. In analysing data, the themes and sub-themes were extracted and presented by employing thematic analysis. The findings of this study revealed that in times of adversity and setbacks most caregivers utilise various skills to bounce back, and they still showed contentment in serving community members. However, caregivers have also voiced the concern that the support offered at work was not sufficient in meeting their needs. Recommendations for further research, on the resilience of caregivers when working with terminally ill patients is highlighted. / Psychology / M.A. (Clinical Psychology)

In English / This study investigates the resilience of caregivers at a Gauteng-based hospice with patients living with HIV/AIDS. The primary focus of this study was to describe the impact on caregivers working with terminally ill patients predominantly with HIV/AIDS. Six participants were selected for this study utilising purposive sampling. Their ages ranged between 30 and 70 years. For the purpose of data collection, face-to-face semi-structured interviews were undertaken. In analysing data, the themes and sub-themes were extracted and presented by employing thematic analysis. The findings of this study revealed that in times of adversity and setbacks most caregivers utilise various skills to bounce back, and they still showed contentment in serving community members. However, caregivers have also voiced the concern that the support offered at work was not sufficient in meeting their needs. Recommendations for further research, on the resilience of caregivers when working with terminally ill patients is highlighted. / Psychology / M. A. (Clinical Psychology)

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2009. / The study was about assessing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province. Given the number of orphans who are escalating in each year as a result of HIV/AIDS pandemic especially in the Sub Saharan region, the author’s intention was to analyse what are the causes for these children to drop out from school, and what can be done to minimize the dropout rate of these children. All the participants were the children who are heads of households and residents of Mandela Village, East of Mamelodi Township, and Pretoria. Data was collected through in-depth interviews with thirty-one children who are heads of households, as well as with two educators in schools where these children are attending school or were attending school. This was followed by two focus groups with the same children. The intention of using the focus group was to investigate the issues raised during the interviews and to establish an understanding of how the children who are heads of households want to improve their own circumstances. The study findings observed that there were no strong linkages in assisting children who are heads of households between the Department of Social Development and Department of Education in the North Rand Region, Gauteng. Other findings were that the schools have no support programmes or teachers assigned to assist these children to cope with schoolwork. Due to multiplicity of responsibilities they are faced with, they are not copying with their studies.

The family as the basic unit of society plays an important role in the lives of individuals especially children. The HIV/AIDS epidemic has devastated the family structure which is already strained by other detrimental factors such as urbanisation and poverty. The increased death rate of young parents due to AIDS-related diseases has led to an escalating number of orphaned children growing in child headed households (CHH) without adult care. A qualitative study was undertaken to develop an understanding of the barriers that hinder the integration of orphaned children into extended family folds and to obtain suggestions on how to overcome these barriers. Semi-structured, face-to-face interviews were conducted in Bushbuckridge, Mpumalanga Province, with a sample of children heading CHH, relatives of these children and social workers who were rendering social work services to these client-systems. The study revealed that the level of suffering faced by CHH began with the illness of the parents. This was further exacerbated by the death of the parents as these children were not absorbed by their extended families. Barriers that hindered the integration of orphaned children into extended family folds go beyond the extended families’ economic capacity to absorb the children. There is an interplay of barriers that are poverty related, relational and family related, culturally related, circumstances that are related to the orphaned children as well as limitations in social work service delivery. The findings indicate that CHH is not a good option to care and protect orphaned children as it exposes them to pervasive adversities with little resources and support. The integration of orphaned children is embraced as a good option to care for the children because of its potential value, amongst others, of enabling the extended families to relieve the CHH from the burden of care. From the findings of this study, practice guidelines were developed to enhance the efficacy of integrating orphaned children into extended families to prevent the CHH phenomenon.

The question the researcher set out to answer during this research is: How is a caring concern maintained by the (student nurse) as caregiver? It stemmed from unresolved plausible hypotheses stated during a previous qualitative study into the phenomenon caring, from media reports on the "poor care" rendered in health institutions in South Africa, and a concern about the Tylerian rationale in nursing education. The theory generation required was achieved through Wertz's Empirical Psychological Reflection and existential phenomenology. Heidegger's theory of"Care as the essence of being" constituted a central concept in this research. A linguistic epistemology and expanded definition of the term empirical were also pertinent in this research. The literature review focussed on the methodology, ontology (caring and maintenance) and epistemology, serving a purpose towards bracketing. A purposive sample of informants was extracted according to students' performance on the Personal Orientation Inventory (POI). Sixteen qualitative research interviews were conducted. Analysis was conducted through open coding, categorisation and axial coding. At the idiographic level, twelve individual psychological profiles were constructed serving the purpose of imaginative variation. At the nomothetic level four major themes emerged, namely: The Caring Phenomenon (Contextualisation); Factors Eroding a Caring Concern; Factors in the Maintenance of a Caring Concern; and Core Experiences. The dialogue among the four intra-psychic processes of Care, will, meaning attribution and conscience accounts for all events encountered in the data. This dialogue results in either reason or intuition, displaying caring and the maintenance of a caring concern. Positing will and conscience as thesis and antithesis, the resulting synthesis postulates the basic ethical concepts of autonomy, authority, responsibility and accountability as existentially inherent to being and existence, and to the maintenance of a caring concern. The final manifestation of the object ofintention, maintenance, is proposed as an anthropological model. When extended to the fields of (nursing) education, human motivation and the teaching of (nursing) ethics, emotional intelligence, social intelligence, the self-science curriculum and life-skills training become imperative to (nursing) curricula. It is also proposed that human caring be studied as a manifestation of human motivation. / Health Studies / D. Litt et Phil. (Advanced Nursing Sciences)