No Brasil, os avanços nas pesquisas nacionais e internacionais não têm sido traduzidos na construção de diretrizes para nortear o tratamento tópico da úlcera venosa. Ainda persistem muitas dúvidas a respeito dos melhores tratamentos, o que gera uma diversidade de condutas. Este estudo foi desenvolvido em três etapas, com o objetivo de construir uma proposta de diretriz para tratamento tópico de úlcera venosa, a partir de evidências da literatura, e avaliar a concordância de especialistas das áreas de enfermagem e medicina antes e após duas intervenções. Na primeira etapa, buscaram-se as evidências pelo levantamento bibliográfico de publicações indexadas em diversas bases de dados. Para serem elegíveis, as publicações tinham que avaliar a terapia de compressão ou tópica no tratamento de úlcera venosa e relatar uma medida objetiva de redução de edema ou cicatrização de ferida. Na segunda etapa foi construída a proposta de diretriz, amparada nas evidências da literatura e diretrizes internacionais. Na terceira etapa, de delineamento quase-experimental, utilizou-se a técnica Delphi (Delfos) para identificar a opinião dos especialistas a respeito das recomendações e a influência das evidências e da opinião dos pares para a busca de concordância. Pela revisão sistemática de 33 estudos primários, 2 metanálises e 4 diretrizes, concluiu-se que o uso de terapia compressiva por bandagens ou meias aumenta as taxas de cicatrização e o não uso está associado com a recorrência da úlcera. O tratamento com compressão resulta em cicatrização confiável na maioria dos pacientes, mas deve ser associado a coberturas. Ao final da revisão sistemática, extraíram-se 82 recomendações que constituíram a proposta de diretriz, composta de 8 domínios: 1 avaliação do paciente e de sua ferida; 2 documentação dos achados clínicos; 3 cuidado com a ferida e pele ao redor; 4 indicação da cobertura; 5 uso de antibiótico; 6 melhoria do retorno venoso e prevenção de recidiva; 7 encaminhamentos dos pacientes; 8 capacitação profissional. O estudo quase-experimental foi desenvolvido com 42 médicos dermatologistas, angiologistas e cirurgiões vasculares e 31 enfermeiros membros da Sociedade Brasileira de Enfermagem em Dermatologia ou estomaterapeutas de várias cidades do Brasil. Durante a pesquisa, houve perda de 15 participantes. No primeiro momento, quando os participantes receberam as recomendações para a prática baseada em evidências, as melhores concordâncias ocorreram em quatro domínios. Após a primeira intervenção, quando os participantes receberam a proposta de diretriz com os estudos que as embasavam e o nível de evidência, houve aumento dos participantes na posição concordante em todos os domínios, sendo que o domínio 2 manteve-se como o melhor aceito e o 4 como o menos aceito. Após a segunda intervenção, quando os participantes tomaram conhecimento da opinião dos seus pares, houve aumento de participantes na posição concordante na maioria dos domínios, com exceção do domínio 4. O melhor aceito passou a ser o domínio 8 e o menos aceito manteve-se o domínio 4. Observou-se que as intervenções resultaram em mudanças estatisticamente significativas nos domínios 1, 3, 6 e 7. Pode-se afirmar que ambas intervenções foram capazes de modificar a posição dos participantes, levando-os para a posição de concordância quanto às recomendações baseadas em evidências para o tratamento de úlceras venosas. / In Brazil, advances in national and international research have not been translated in the construction of topic treatment guidelines for venous ulcers. Many doubts remain about what the best treatments are, which gives rise to a variety of behaviors. This three-phase study aimed to elaborate a guideline proposal for topic treatment of venous ulcers, based on evidence from literature, as well as to evaluate nursing and medical specialists’ agreements before and after two interventions. In the first phase, evidences were collected through a bibliographic survey of publications that were indexed in different databases. Publications were included if they evaluated compression or topic therapy in venous ulcer treatment and reported on an objective edema reduction or wound healing measure. In the second phase, a guideline proposal was elaborated on the basis of the evidence collected in literature and international guidelines. In the third phase, a quasi-experimental design was adopted, using the Delphi technique to identify specialists’ opinion on the recommendations and how the evidence and peer opinions influenced the search for an agreement. The systematic review of 33 primary studies, 2 meta-analyses and 4 guidelines revealed that using compression therapy by means of bandages or stockings increases healing rates and that non-use is associated with ulcer recurrence. In most patients, compression treatment results in a reliable result, although it should be associated with dressings. The systematic review resulted in 82 recommendations, which constituted the guideline proposal, covering 8 domains: 1 patient and wound assessment, 2 documentation of clinical findings, 3 wound and surrounding skin care, 4 dressing indication, 5 use of antibiotics, 6 venous return improvement and relapse prevention, 7 patient referrals, 8 professional training. The quasi-experimental study involved 42 dermatologists, angiologists and vascular surgeons and 31 nurses who were members of the Brazilian Society of Dermatology Nursing or stomal therapists from different Brazilian cities. 15 participants left the study while in course. At the beginning, when the participants received evidence-based practice recommendations, the highest agreement levels were concentrated in four domains. After the first intervention, when the participants received the guideline proposal, including the studies it was based on and the level of evidence, agreement levels increased across all domains. Domain 2 continued as the most accepted and 4 as the least accepted domain. After the second intervention, when the participants got to know their peers’ opinions, agreement levels increased in most domains, except for domain 4. Domain 8 became the most accepted, while 4 continued as the least accepted domain. The interventions brought about statistically significant changes in domains 1, 3, 6 and 7. Both interventions were capable of changing the participants’ position towards agreement on evidence-based recommendations for venous ulcer treatment.

O Sistema Único de Saúde (SUS) avançou muito desde o seu surgimento, entretanto, ainda existem muitos desafios que precisam ser superados. Entre eles, encontram-se a qualificação e a formação dos profissionais de saúde. Os cursos de graduação em saúde têm privilegiado uma formação tecnicista e fragmentada, incapaz de formar a força de trabalho necessária à resolução dos problemas de saúde da população brasileira. Neste sentido, há necessidade de desenvolver instrumentos direcionados ao incentivo de mudanças curriculares no ensino superior em saúde, tendo como um dos eixos a interação com os serviços de saúde. Cita-se, nesse contexto, o Programa de Educação pelo Trabalho para a Saúde (PET-Saúde). A presente investigação se propôs a avaliar o PET-Saúde instituído na Universidade de São Paulo (USP), campus Capital. Os sujeitos do estudo foram tutores, preceptores e alunos de odontologia que integraram o Programa em algum momento da sua existência. Foi utilizada uma abordagem qualitativa, sendo a coleta de dados realizada com o auxílio das técnicas Delphi e de Grupo Focal. O tratamento do material coletado foi orientado pela análise de conteúdo. Os dados levantados evidenciaram que, apesar das mudanças já implementadas, o modelo formador em odontologia apresenta fragilidades no sentido de atender completamente as Diretrizes Curriculares Nacionais (DCN), visto que é persistente a tendência tecnicista, biologicista e fragmentada. Os sujeitos reforçaram que a aproximação dos estudantes com os cenários de prática é capaz de auxiliar no processo formativo de alunos e na qualificação de profissionais inseridos nos serviços e professores dos cursos de graduação em saúde. Além disso, o PET-Saúde proporciona a ampliação do olhar do estudante em direção ao processo saúde/doença e o despertar para atuação futura no âmbito do SUS. A imersão no Programa foi responsabilizada pela quebra de pré-conceitos e pela consequente compreensão da organização da Atenção Primária e do trabalho desenvolvido no setor. Uma das vantagens apontadas pelos moldes de interação ensino-serviço do PET-Saúde consiste no estabelecimento da interdisciplinaridade no processo formador o que, dentre outras características, o conforma como um modelo de interação ensino-serviço mais próximo do ideal almejado. Como principais limites foram apontados a incompatibilidade de horários entre os protagonistas do programa, a distância dos cenários de prática em relação às unidades de ensino, além da ausência de diretrizes operacionais claras e da heterogeneidade de organização das atividades pelas unidades de saúde. Os resultados do estudo traduzem o PET-Saúde como um poderoso instrumento de indução de mudanças na concepção dos profissionais de saúde, contribuindo para uma formação condizente com as necessidades do SUS. / The Unified Health System of Brazil has advanced greatly since itsestablishment, but there are many challenges that need be overcome. Among them are the qualification and the education of health workers. Health courses have privileged a technicist and fragmented education, that is unable to create the workforce needed to solve the health problems of the Brazilian population. So there is a need to create instruments directed to the encouragement of curriculum changes in the higher health education , based on the interaction with health services. In this context, the Education Program of Work for Health is pointed out. The research evaluated the Education Program of Work for Health established at the University of São Paulo, Brazil. The study subjects were dental students, preceptors and tutors in the program. A qualitative approach was used and data collected using the Delphi technique and focus group. The material obtained was treated by Bardin analysis of content . Data collected evidenced that despite changes already implemented, dentistry education model presents fragilities onfully meeting the National Curriculum Guidelines since much students keep the technicist, fragmented and biologicist tendency. The subjects reinforcedthat students approximation with practice scenarios is able to assist in the formation process of students and qualification of professionals inserted in services and of health courses professors. Moreover, the Education Program of Work for Health provides a wider view from students toward the health/disease process and also an awakening for later operating in the Unified Health System. The immersion in the program was responsible for breaking preconceptions and for the consequent understanding of the organization of Primary Care and of work in the sector. One of the advantages pointed by the model of interaction between teaching and service by the Education Program of Work for Health is the establishment of interdisciplinarity in the formation process that, among others characteristics, conforms it as a model of interaction between teaching and service closest to the desired ideal. The incompatibility of schedules between the protagonists of the program, the distance of the practice scenarios in relation to teaching units besides the absence of clear operational guidelines and diverse organization of activities by health units were pointed as the main limitations. The study results reflect the Education Program of Work for Health as a powerful tool to induce changes in the conception of health professionals, contributing to an education consistent with the needs of the Unified Health System.

Online innovations have been growing rapidly in the past number of years. The integration of online learning with these technological advancements creates significant challenges in determining how the use of technology can contribute to the delivery of learning materials. An area where little research has been undertaken is in determining the skills and attributes online facilitators need to be effective. This study is based on inputs gathered from both online facilitators and online learners. These inputs provided empirical information pertaining to the roles and tasks of both facilitators and learners in an ideal online learning environment. Of what benefit would this study be to future online learning? Taking cognisance of an ideal online environment, the outcomes of this study are categorised into unique groups that will provide insight to the future development of online facilitators and the tasks to be executed in addressing the diverse needs of the online learner in the knowledge era. / Dissertation (MEd (CIE))--University of Pretoria, 2005. / Curriculum Studies / unrestricted

Background: Time matters in multiple sclerosis (MS). Irreversible neural damage and cell loss occur from disease onset. The MS community has endorsed a management strategy of prompt diagnosis, timely intervention and regular proactive monitoring of treatment effectiveness and disease activity to improve outcomes in people with MS. Objectives: We sought to develop internationally applicable quality standards for timely, brain health–focused MS care. Methods: A panel of MS specialist neurologists participated in an iterative, online, modified Delphi process to define ‘core’, ‘achievable’ and ‘aspirational’ time frames reflecting minimum, good and high care standards, respectively. A multidisciplinary Reviewing Group (MS nurses, people with MS, allied healthcare professionals) provided insights ensuring recommendations reflected perspectives from multiple stakeholders. Results: Twenty-one MS neurologists from 19 countries reached consensus on most core (25/27), achievable (25/27) and aspirational (22/27) time frames at the end of five rounds. Agreed standards cover six aspects of the care pathway: symptom onset, referral and diagnosis, treatment decisions, lifestyle, disease monitoring and managing new symptoms. Conclusion: These quality standards for core, achievable and aspirational care provide MS teams with a three-level framework for service evaluation, benchmarking and improvement. They have the potential to produce a profound change in the care of people with MS.

No description available.

The Merriam-Webster Dictionary (2018) defines heartbreak as “crushing grief, anguish or distress.” Heartbreak can lead to biological, psychological and social responses and consequences. Heartbreak from the dissolution of a romantic relationship is a form of disenfranchised grief, which is defined as the griever’s belief that society does not recognize their source of grief as legitimate (Doka, 1989). The literature shows that talking about grief helps those who experience it (Fisher & Archer, 2008). Hence, the present study sought to provide a consensus of the best practices that marriage and family therapists have utilized to help broken-hearted clients. I employed a modification of the Delphi technique, a research method which seeks to reach consensus on a topic through group communication between experts in the subject area discussed (Hsu & Sandford, 2007) in order to gather data about best practices from marriage and family therapists on how they have helped their broken-hearted clients. This study consisted of a total of 20 experts, who are licensed marriage and family therapists. The findings suggest that the disenfranchisement of the grief resulting from the dissolution of a romantic relationship is closely associated with the symptom of sadness experienced by the broken-hearted. In addition, the way in which MFTs can help the disenfranchised griever is by providing an empathic presence in sessions, generating historical conversations through the use of a genogram, involving family members in the therapeutic process and having future oriented conversations. The results of this study have illustrated a plethora of techniques and best practices that have reportedly proven successful in helping the broken-hearted client.

保障人民的生命財產安全向來為政府的基本職責之一，而要如何在重大災害發生之際，擬訂周全的處理計畫，確保人民的生命財產安全，則取決於政府的「緊急災難管理」（emergency management）能力。 我國政府自民國八十三年由行政院頒佈「災害防救方案」後，無疑為我國「緊急災難管理」的體系與決策運作制度立下新的里程碑。然而此一體系在歷經了民國八十五年「賀伯風災」、八十六年「溫妮風災」、台北縣汐止鎮「林肯大郡災難」、八十七年桃園縣「華航大園空難」，直至去年（民國八十八年）「九二一大地震」的嚴苛挑戰後，卻如殘垣破瓦般不堪一擊。政府雖於今年（民國八十九年）六月底完成「災害防救法」三讀程序，然而其內容除了在提高災害防救委員會的層級，以及擴增消防署之功能上有所建樹外，仍多半延續舊有的災害防救體制，是否真能一掃以往「災害防救方案」在執行過程中所產生的缺失，仍有待時間來加以檢驗，但吾人不難從今年七月二十二日「八掌溪事件」，政府救災體系的複雜，以及決策運作的紊亂中看出端倪。 本論文的研究目的在探討我國如何建立一個足以防範多元災害的整合性緊急管理體系，並成立從中央至地方一條鞭式，運作順暢的災難決策運作模式。本論文的研究方法主要是透過文獻資料分析，從制度面、決策面與程序面三面向進行美、日兩國的個案比較。制度面旨在探討緊急災難管理之組織體系與架構；決策面旨在分析中央至地方的決策運作模式；程序面則是從美、日之救災實例過程中尋求可供我國政府參考，提高救災績效的運作程序。在此舉美國政府處理加州北嶺大地震（又稱洛杉磯大地震）以及日本政府處理阪神大地震之經過為例。 本論文除透過文獻分析進行美、日兩國的個案比較之外，更於其後藉由「德菲法」（Delphi technique）問卷調查的方式，設計開放式問卷以供專家學者針對如何改進我國目前災害防救體系做出具體回應，以收集思廣益之效。最後則綜合專家學者之意見並取得共識，找出最可行的方案，以作為本論文之政策建議。 本論文的政策建議仍分為制度面、決策面與程序面三面向分別加以探討。除建議我國政府可倣效美國「緊急災難管理」體系，成立台灣之FEMA（緊急管理總署）外，必須將決策層級改為中央－地方兩級制以利決策管道之順暢，至於培訓專業人才、健全法源依據、賦予地方政府較大的決策自主性、加強緊急通訊設備等課題，都是攸關「緊急災難管理機制」健全與否的重要因素，政府千萬不可等閒視之。 「緊急災難管理」是一門「科際整合」的（inter-disciplinary）學問，本論文僅從組織的觀點切入，建議後續研究人員可從法制層面、軍事民防層面與都市計劃層面進行研究探討，使我國「緊急災難管理」體系與制度更趨完備。

基於教育指標客觀而精簡的特性，本研究嘗試建立一套適合當前教育環境的「我國高級中學後設評鑑指標權重體系」。其方法首先經由文獻探討，分析國內外關於教育指標及後設評鑑的相關研究，並以此建立我國高級中學後設評鑑指標調查問卷初稿。再利用得懷術，結合專家學者智慧修正指標。最後則以臺灣區公、私立高級中學校長為對象寄發問卷，有效樣本123位，並以因素分析法計算後設評鑑指標權重。據此，本研究建構完成之「我國高級中學後設評鑑指標之權重體系」，其結果顯示： 一、「我國高級中學後設評鑑指標之權重體系」中，一級指標包括「評鑑規劃階段」，權重值.204、「評鑑設計階段」，權重值.226、「評鑑實施階段」，權重值.233、「評鑑結果階段」，權重值.220、「結果利用與檢討階段」，權重值.228。 二、一級指標中之「評鑑規劃階段」，下轄「評鑑目的」、「評鑑計畫」、「規劃人員」等三個二級指標，其權重值依序為.391、.402、.379，二級指標下共有11個三級後設評鑑指標，亦各有其權重。 三、一級指標中之「評鑑設計階段」，下轄「評鑑方式」、「評鑑表與評鑑標準」、「評鑑組織及人員」等三個二級指標，其權重值依序為.373、.378、.371，二級指標下共有12個三級後設評鑑指標，亦各有其權重。 四、一級指標中之「評鑑實施階段」，下轄「溝通與協調」、「評鑑資料蒐集方法」、「學校自評過程」、「訪視評鑑過程」等四個二級指標，其權重值依序為.286、.298、.280、.296，二級指標下共有17個三級後設評鑑指標，亦各有其權重。 五、一級指標中之「評鑑結果階段」，下轄「評鑑資料分析」、「評鑑報告」、「評鑑結果公佈」等三個二級指標，其權重值依序為.358、.362、.359，二級指標下共有13個三級後設評鑑指標，亦各有其權重。 六、一級指標中之「結果利用與檢討階段」，下轄「評鑑結果的利用」、「評鑑結果的檢討」等二個二級指標，其權重值皆為.523，二級指標下共有10個三級後設評鑑指標，亦各有其權重。 此外，本研究也針對得懷術及因素分析方法的運用進行分析與檢討，最後並針對實務應用及未來後續研究方向等提出具體的建議。 / The purpose of this study is to establish the meta-evaluation indicators and the weight system of senior-high school in Taiwan.First,we used document analysis to establish the primary scales of meta-evaluation indicators of senior-high school in Taiwan(M.E.I.S.T.).Then,we used the delphi technique to improve the primary scales.Finally, 123 principles of senior-high school in Taiwan were investigated, and we used factor analysis to calculate the weights of M.E.I.S.T.. The main conclusion of this study are as follows: (1)The first-order indicators of M.E.I.S.T. include “the stage of evaluation formulation”,” the stage of evaluation design”, “the stage of evaluation implementation”, “the stage of evaluation results”,“the stage of use and discussion of results”. The weights for each indicator is .204,.226,.233,.220,and.228. (2)There are 3 second-order indicators under“The stage of evaluation formulation”.They are “The evaluation purpose”, “The evaluation plan”, “The staff of planning”. The weights for each indicator is .391, .402, .379.There are 11 third-order indicators under them. (3) There are 3 second-order indicators under“The stage of evaluation design ”.They are “The evaluation ways”, “The evaluation scales and criterias ”, “The organizations and staff”. The weights for each indicator is .373, .378, .371. There are 12 third-order indicators under them. (4) There are 4 second-order indicators under“The stage of evaluation implementation”.They are “The communication and negotiation”,“The data collection”,“The self-evaluation process”, “ The external evaluation process”.The weights for each indicator is .286, . 298, .280, .296. There are 17 third-order indicators under them. (5) There are 3 second-order indicators under“The stage of evaluation results”.They are “The data analysis”, “The evaluation report ”,“The disclosure of results”. The weights for each indicator is .358, .362, .359. There are 13 third-order indicators under them. (6) There are 2 second-order indicators under“The stage of use and discussion of results.”.They are “The use of results ”, “The discussion of results ”. Both of the weights are .523. There are 10 third-order indicators under them. Besides,this study also discusses the implementation of delphi technique and factor analysis. At the end of the study also proposes some concrete suggestions for practical and further study.

No description available.

Text in English with abstracts and keywords in English, Tswana and Afrikaans / Tuberculosis (TB) is one of the top-ranking causes of death in many countries, including Namibia. The purpose of this research study was to determine the knowledge and the attitudes of religious leaders and congregants regarding TB and to describe practices of TB prevention among religious leaders and congregants in Khomas Region, Namibia. The researcher developed strategies for enhancing the prevention of TB by religious leaders in Khomas Region, Namibia. The Health Belief Model and the Socio-ecological Model were adopted for the study. A mixed-method convergent design was used in this study. Phase one of the study involved the use of a quantitative descriptive design and phase two comprised a sequential mixed-method study using the Delphi technique. Explorative, descriptive and contextual designs were applied in phase two. Data were collected using semi-structured questionnaires in both phase one and phase two. Phase one included 299 participants and phase two included 100 experts in TB and religion. A quantitative data analysis was done using Moon Stats 2018, version 2.0. A qualitative data analysis was done following the steps of content analysis. This study found that the participants were very knowledgeable about TB in that 241 (80.87%) participants indicated that bacteria are the cause of TB and 292 (97.99%) indicated that TB bacteria are spread through the air from one person to another. The participants had a good attitude towards TB in that 227 (76.65%) participants agreed that anyone can be infected with TB and 140 (47.78%) expressed compassion for people who have TB. Participants of the study had good practices for TB prevention, like seeking medical attention if they suspect they have TB. A total of 28 strategies for the primary, secondary and tertiary prevention of TB were developed. The recommendation made in this study is that religious leaders should be at the forefront of TB prevention activities due to their sphere of influence in society. All health sector stakeholders should support efforts by religious leaders to combat TB through sponsorships. / Bolwetsi jwa lehuba (TB) ke nngwe ya dibaki tsa loso tse di kwa setlhoeng mo dinageng tse dintsi, go akaretsa Namibia. Maikaelelo a thutopatlisiso eno e ne e le go sekaseka kitso le maitshwaro a baeteledipele ba sedumedi le baphuthegi mabapi le TB le go tlhalosa ditiragalo tsa thibelo ya TB magareng ga baeteledipele ba sedumedi le baphuthegi mo Kgaolong ya Khomas, Namibia. Mmatlisisi o dirile ditogamaano tsa go tokafatsa thibelo ya TB ka baeteledipele ba sedumedi mo Kgaolong ya Khomas, Namibia. Go amogetswe sekao sa Tumelo ya Boitekanelo le Sekao sa Ikholoji ya Loago mo thutopatlisisong. Go dirisitswe thadiso ya molebo o o kopantsweng mo thutopatlisisong eno. Kgato ya ntlha ya thutopatlisiso e akareditse tiriso ya molebo o o tlhalosang wa dipalopalo, mme kgato ya bobedi e nnile le thutopatlisiso ya molebo o o kopantsweng wa tatelano o o dirisang thekeniki ya Delphi. Go dirisitswe melebo ya tshekatsheko, tlhaloso le bokao mo kgatong ya bobedi. Data e ne ya kgobokanngwa go dirisiwa makwalopotsolotso a a batlileng a rulagantswe mo kgatong ya ntlha le kgato ya bobedi. Kgato ya ntlha e akareditse banni-le-seabe ba le 299, mme kgato ya bobedi e akareditse baitsenape ba le 100 ba TB le bodumedi. Tokololo ya data ya dipalopalo e ne ya dirwa go diriswa Moon Stats 2018, mofuta wa 2.0. Tokololo ya data e e lebelelang mabaka e ne ya dirwa go latelwa dikgato tsa tokololo ya diteng. Thutopatlisiso eno e fitlhetse gore banni-le-seabe ba ne ba na le kitso thata ka ga TB mo e leng gore banni-le-seabe ba ba 241 (80.87%) ba kaile gore ditwatsi ke tsona di tlholang TB, mme ba le 292 (97.99%) ba kaile gore ditwatsi tsa TB di phatlaladiwa mo moweng go tswa go motho yo mongwe go ya go yo mongwe. Banni-le-seabe ba na le megopolo e e siameng ka ga TB mo e leng gore banni-le-seabe ba ba 227 (76.65%) ba dumetse gore mongwe le mongwe a ka nna a tshwaetswa ke TB, mme ba le 140 (47.78%) ba ne ba bontsha boutlwelobotlhoko mo bathong ba ba nang le TB. Banni-le-seabe ba thutopatlisiso ba na le ditiragatso tse di siameng tsa thibelo ya TB, go tshwana le go batla thuso ya kalafi fa e le gore ba belaela gore ba na le TB. Go dirilwe palogotlhe ya ditogamaano di le 28 tsa thibelo ya ntlha, ya bobedi le ya boraro ya TB. Katlenegiso e e dirilweng mo thutopatlisisong eno ke gore baeteledipele ba sedumedi ba tshwanetse go nna kwa pele mo ditiragatsong tsa thibelo ya TB ka ntlha ya seemo sa bona sa tshusumetso mo setšhabeng. Baamegi botlhe ba lephata la boitekanelo ba tshwanetse go tshegetsa maiteko a baeteledipele ba sedumedi go lwantsha TB ka diketleetso. / Tuberkulose (TB) is een van die grootste doodsoorsake in Namibië en talle ander lande. Die doel van hierdie studie was om godsdiensleiers en gemeentelede in die Khomasstreek in Namibië se kennis van TB, hulle ingesteldheid jeens die siekte, en hulle voorkomingsmaatreëls te ondersoek. Die navorser het strategieë opgestel om te verhoed dat godsdiensleiers in hierdie streek TB opdoen. Die Gesondheidopvattings- en die Sosiaal-ekologiese model is met die oog op hierdie studie aangepas. ʼn Konvergente ontwerp met gemengde metodes is in hierdie studie gebruik. In fase 1 is ʼn kwantitatiewe, deskriptiewe ontwerp gevolg en in fase 2 is opeenvolgende gemengde metodes volgens die Delphitegniek toegepas. ʼn Verkennende, deskriptiewe en kontekstuele ontwerp is in fase gevolg. Data is in fase 1 en 2 aan die hand van halfgestruktureerde vraelyste ingesamel. In fase 1 het 299 respondente en in fase 2 het 100 TB- en godsdiensdeskundiges deelgeneem. ʼn Kwantitatiewe ontleding van die data is met Moon Stats 2018, weergawe 2.0 gedoen. Vervolgens is die data kwalitatief volgens die stappe van ʼn inhoudsanalise ontleed. In hierdie studie is bevind dat die deelnemers heel kundig was oor TB. Altesame 241 (80,87%) deelnemers het te kenne gegee dat bakterieë die oorsaak van TB is, en 292 (97,99%) het laat blyk dat TB-bakterieë luglangs van een persoon na ʼn ander versprei. Die deelnemers se ingesteldheid jeens TB was reg, want 227 (76,65%) deelnemers was dit eens dat enige iemand die siekte kan opdoen, en 140 (47,78%) het medelye gehad met TB-lyers. Daarby het hulle goeie voorkomingsmaatreëls gevolg soos om ʼn dokter te spreek toe hulle vermoed het dat hulle TB opgedoen het. Altesame 28 maatreëls is vir die primêre, sekondêre en tersiêre voorkoming van hierdie siekte getref. Daar word aanbeveel dat godsdiensleiers vanweë die aansien wat hulle in die samelewing geniet, die leiding in voorkomingsveldtogte moet neem. Alle belanghebbendes in die gesondheidsektor moet godsdiensleiers se pogings om TB te bestry, met borgskappe steun. / Health Studies / Ph. D. (Nursing)