Thesis (MTech (Nursing))--Cape Peninsula University of Technology. / Occupational Health Nursing (OHN) is a specialised field of nursing that deals with exposure risks, prevention of disease and disability in the workplace. These nurses work in isolation and are dependent upon regulations to ensure compliance. Although there is very good legislation, there are no quality-control systems in place to ensure that standards of care have been met, or that companies are compliant. They also report to managers who do not have any medical background. This raises a concern, as managers, due to their lack of field-specific knowledge, will not be able to ensure quality of work rendered or adherence to compliance. The lack of insight into the functions and responsibilities of the OHNP poses frustrations when requests for training and attending meetings are made by the Occupational Health Nurses. The purpose of this study is to investigate factors that influence the functions and professional development of Occupational Health Nurses. A mixed-method, descriptive design was used. The target population was an entire group of OHNPs, working in the Western Cape only. Four managers from the private and public sector were also selected to participate in this study. Two data-collection tools were utilised. One was a questionnaire that was distributed to the Occupational Health Nurses and subsequent, telephonic interviews were scheduled with the nurses’ direct line managers. The process was initiated after ethical approval was obtained from the Ethics Committee at Cape Peninsula University of Technology. The quantitative data was analysed using The Statistical Package for the Social Sciences (SPSS) (V 23). The qualitative data was transcribed by an independent transcriber and descriptive coding was done, after which thematic content analysis was applied. Managers’ responses confirmed the view of 50% of the Occupational Health Nursing Practitioners (OHNPs) - that they did not understand the functions of the OHNPs. Although the majority of OHNPs work alone, they do not have a locum or an administrator to assist with administrative duties. The majority of OHNPs attend regular development programmes. The respondents indicated that a Continuous Professional Development (CPD) System should be implemented by the South African Nursing Council (SANC) / South African Society of Occupational Health Nurses

Prof. W.J. Hattingh Prof. H. Viviers

The aim of this study was to model the process of development for an Online Learning Resource (OLR) by Health Care Professionals (HCPs) to meet lymphoedema-related educational needs, within an asset-based management context. Previous research has shown that HCPs have unmet educational needs in relation to lymphoedema but details on their specific nature or context were lacking. Against this background, the study was conducted in two distinct but complementary phases. In Phase 1, a national survey was conducted of HCPs predominantly in community, oncology and palliative care services, followed by focus group discussions with a sample of respondents. In Phase 2, lymphoedema specialists (LSs) used an action research approach to design and implement an OLR to meet the needs identified in Phase 1. Study findings were analysed using descriptive statistics (Phase 1), and framework, thematic and dialectic analysis to explore their potential to inform future service development and education theory. Unmet educational need was found to be specific to health care setting and professional group. These resulted in HCPs feeling poorly-equipped to diagnose and manage lymphoedema. Of concern, when identified, lymphoedema was sometimes buried for fear of overwhelming stretched services. An OLR was identified as a means of addressing the unmet educational needs. This was successfully developed and implemented with minimal additional resources. The process model created has the potential to inform contemporary leadership theory in asset-based management contexts. This doctoral research makes a timely contribution to leadership theory since the resource constraints underpinning much of the contribution has salience to current public services. The process model created has the potential to inform contemporary leadership theory in asset-based management contexts. Further study of a leadership style which incorporates cognisance of Cognitive Load Theory and Self-Determination Theory is suggested. In addition, the detailed reporting of process and how this facilitated learning for participants contributes to workplace education theory.

This PhD thesis is concerned with the influence of sustainable design in further education (FE) college buildings on whole institutional change for sustainability. The research focuses on the first decade of the 21st century in England and Wales when increasing engagement with the sustainability agenda in the FE sector included linking sustainability criteria to the funds for new building projects. The original contribution of the thesis is twofold. Firstly, it reveals the extent to which these new buildings contributed to institutional change for sustainability in the FE sector and identifies ways to maximise future sustainable building projects as a resource for institutional change. Although there was substantial investment in new buildings and a growing interest in sustainability during the period of the study, no evidence exists of research into the links between sustainable design and institutional change in the FE sector. Secondly, the thesis develops an original research approach, contributing to the multi-disciplinary field of research into sustainability and sustainable development. The thesis adopts a biographical approach from social science research and adapts it to produce narrative accounts of the development of two buildings with recognised sustainability qualities, one in England and one in Wales. These biographies are then analysed for evidence of institutional change for sustainability using the systems perspective that underpins the view of sustainability presented in the thesis. The thesis establishes two frameworks, one for recognising sustainable design within FE college buildings and one for identifying change for sustainability in FE institutions. The biographies of the buildings were developed using data collected by biographical research methods and the focus of the analyses is on the relationships that existed around each building’s development and its physical presence on campus. The thesis reveals that even colleges with a reputation for sustainability have not fully exploited the introduction of a sustainably designed building onto a campus as a catalyst for institutional change. The outcomes from the research offer key points for maximising the influence of future building projects in terms of achieving institutional change for sustainability and identify areas for further research into the influence of sustainable design on institutions in the FE and other education sectors. The development of the research approach in this thesis presents an alternative for researching sustainability in education and other fields.

Nursing and nurse education within Britain are influenced by the legacy of the development of hospital based adult general nursing in the 19th Century. Discourses that emerged at that time identify nurses as ‘good women’: respectable, hardworking, loyal and obedient. Currently, nurse education is criticised for being less able to produce nurses who are fit to undertake their role than in the past. Taking the concept that discourse exerts a powerful influence on the way people behave, this thesis asserts that the 19th Century legacy is important and seeks to establish the discourses that shaped nurse education. The period 1945 -1955 is chosen as sufficiently distanced from early developments, but recent enough to be in living memory and prior to the relocation of British nursing from a hospital base into Higher Education. Six overlapping discourses are identified though the literature. An interpretative approach is then taken to data collected in three stages: a life story 1932 -1973, semi-structured interviews with nurses who commenced their training 1945 -55 and documentary analysis of nursing journals for the same period. The ‘good nurse’ is explored through discourses around the ‘right kind of girl’, the tension between vocation and profession and the transition from woman to nurse. Despite significant change of direction in educational theory and policy in the period 1945 -55 the thesis suggests that the power of the discourse meant that little changed in the practice of nursing or the conduct of nurse education. Furthermore, it is argued that whilst discourses have changed and contemporary nursing is establishing its place in Higher Education as an applied academic discipline, the current discourses embracing caring, reflection and emotional labour are equally gendered and controlling. Now, as then, this discourse is not imposed by outside forces, but is generated and controlled from within the profession. It therefore concludes that the pervasive influence of discourses surrounding the ‘good nurse’ and related discourses about control and care must be given full recognition when attempting to change nursing or to influence its policy and educational developments.

Yn y traethawd hwn, trafodir prosiect doethurol a chanddo ddau brif nod, sef: (1) cynhyrchu cyfres o adnoddau dysgu Cymraeg ar-lein yn arbennig ar gyfer Canolfan Iaith a Threftadaeth Cymru Nant Gwrtheyrn; a (2) ymchwilio i ac ysgrifennu traethawd ymchwil mewn maes cysylltiedig. Penderfynais gyfuno’r ddwy elfen, a defnyddio theori ac ymchwil fel sail ar gyfer y dasg greadigol. Fy ngobaith oedd dangos ymagwedd egwyddorol tuag at ddatblygu adnoddau e-ddysgu newydd, ac ysbrydoli eraill i wneud yr un fath yn y dyfodol, yn enwedig yng ngoleuni galwad diweddar Mac Giolla Chríost et al. (2012, t. 182) i ymarferwyr ym maes Cymraeg i Oedolion rannu ‘ymarfer da’. Mae allbynnau’r Ddoethuriaeth hon yn gwneud dau brif gyfraniad at y maes. Y cyntaf o’r rhain yw’r gyfres o adnoddau e-ddysgu unigryw o’r enw “e-nant” a fydd yn dechrau cael traweffaith yn syth ar ddysgwyr sy’n mynychu cyrsiau lefel Mynediad yn Nant Gwrtheyrn o nawr ymlaen. Ar ben hynny, mae’r traethawd hwn yn dangos yn glir sut y gellir seilio datblygiad deunyddiau dysgu newydd ar egwyddorion ymchwil. Bydd hwn yn adnodd defnyddiol iawn i awduron deunyddiau’r dyfodol, oherwydd ei fod yn darparu enghreifftiau clir o’r byd go iawn o sut mae rhoi cysyniadau theoretig ar waith yn ymarferol. Drwy ymgymryd ag ymchwil cyfrwng Cymraeg, yr wyf hefyd yn gwneud trydydd cyfraniad, sef hwyluso trafodaeth o bynciau tebyg drwy’r Gymraeg yn y dyfodol, a chyfrannu at godi statws y Gymraeg fel iaith academaidd – un o amcanion strategol Llywodraeth Cynulliad Cymru (2010). Casglwyd rhestr o dermau perthnasol i feysydd Caffael Ail Iaith a Dysgu Iaith drwy Gymorth Cyfrifiadur, y bydd ymchwilwyr y dyfodol yn gallu cyfeirio ati’n hawdd, a bathwyd sawl term newydd, er mwyn galluogi trafodaeth o gysyniadau nad ydynt erioed wedi’u trafod yn y Gymraeg o’r blaen. This thesis discusses a doctoral project with two main aims: (1) to produce a series of online Welsh learning resources especially for the Nant Gwrtheyrn Welsh Language and Heritage Centre; and (2) to research and write a research thesis in a related field. I decided to combine the two elements, and to use theory and research as a base for the creative task. My hope was to demonstrate a principled approach towards developing new e-learning resources, and to inspire others to do likewise in the future, especially in light of Mac Giolla Chríost et al.'s (2012, t. 182) recent call for Welsh for Adults practitioners to share ‘good practice’. The outputs of this Doctorate make two main contributions to the field. The first of these is the series of unique e-learning resources called “e-nant” which will immediately begin to have an impact on learners who attend Entry-level courses at Nant Gwrtheyrn from now on. In addition, this thesis clearly shows how the development of new learning materials can be based on research principles. This will be a very useful resource for future materials writers, since it provides clear real-world examples of how to put theoretical concepts into practice. By undertaking Welsh-medium research, I also make a third contribution, namely to facilitate discussion of similar subjects through Welsh in the future, and to contribute towards raising the status of Welsh as an academic language – one of the Welsh Assembly Government’s (2010) strategic aims. A list of relevant terms was compiled for the fields of Second Language Acquisition and Computer-Assisted Language Learning, which future researchers will be able to refer to easily, and several new terms were coined, in order to enable discussion of concepts which have never before been discussed in the Welsh language.

This study investigates the perceptions of key stakeholders in midwifery education concerning the involvement of service users in student assessment. It identifies the key stakeholders in specific interest groups, as expert professional and expert lay people, parents, student midwives, qualified midwives who mentor students in clinical practice and the heads of midwifery education in University Departments. The work starts from the premise that assessment is an underestimated means of enhancing students' learning and the development of competence to practise as a registered midwife. The inquiry opens by examining the professional context in which maternity services are provided. It identifies the relationships that midwives form with the women and their families for whom they care. These considerations are followed by an interrogation of the literature that reveals a rich variety of interlocking concepts that are apposite considerations in terms of the assessment of student midwives and the involvement of women in it. This finely links the problem to previous research and provides a sound rationale for the conduct of the study. Interpretivism is advanced as a suitable philosophical framework for the prosecution of the study that offers a methodological rationale for a pragmatic, mixed methods investigation. The study design presents a raison d'dtre for a phased approach to the work and data are accrued variously from qualitative and quantitative sources. Although the focus of the work concerned the role of users of maternity services in student assessment and found considerable support for their involvement, what emerged has wider consequences for teaching and learning, the overall student experience and also for women as health service consumers. Having examined the principle dynamics that influence student learning in clinical placements, the study concludes that there is a superficial disharmony between learning and assessment yet it claims the two are mutually complimentary. The inclusion of women in teaching and learning is seen as a potent means to add an extra element to the definition of competence and to add to the authenticity of its assessment.

GNVQs epitomise one strand of contemporary philosophy of education. However, a question that arises is whether GNVQs, having built on the ethos of NVQs, abandon all earlier educational philosophies in favour of the competence movement endorsed in the USA. A question central to this study revolves around whether earlier, alternative philosophies of education also have something of value to offer. To answer this, traditional approaches to educational provision are identified and explored in terms of their possible 'ideal types'; these ideal types being seen to be represented by liberal, general and vocational education. To give such ideal types relevance in modern society they are related to significant educational provision, in this instance educational provision for 16 - 19 year olds. A curriculum criticism of A Levels, BTEC Diplomas, RSA, NVQs and GNVQs is therefore conducted, taking into account the historical development, philosophy, aims, the content and the teaching and learning methods of each approach. To achieve parity of comparison the field of Business Studies was used as an exemplar. The culmination of this stage of the research requires that the findings of the curriculum criticism are mapped against the established ideal types, the purpose being to identify elements that could be said to embody liberal, general and/or vocational education. For example, GNVQs are clearly linked to the vocational, their breadth can also be said to contribute to the general, but are they liberal in any way? The findings indicated that the inclusion of Key Skills and the student centred approach did offer some potential for a liberal education. To support these findings interviews and an attitudinal survey were conducted. The rationale for this was to explore and reveal the extent to which staff and students concerned with GNVQ Business held the same beliefs as those generated by the desk research; both sets of findings were in concordance. The final stage of the research programme was concerned with the future direction of GNVQs. Interviews were conducted with education policy makers and industry representatives. They were concerned with what the 'ideal' post-1 6 education programme would entail in the light of perceptions of liberal/vocational/general education. Staff and students were again consulted by way of vedfication of the conclusions drawn. The research concludes that liberal education was considered by many as the ideal way forward for post-16 education. GNVQs were seen as predominantly offering general education. From this one could infer that GNVQs are not, therefore, seen as the ideal post-1 6 programme. However, when 'ideal' elements of post-1 6 education are discussed some consideration of the world of work was deemed essential (though not a concern of traditional liberal education) and the inclusion of Key Skills were deemed important, as was a student centred approach to learning. In the light of this GNVQs have some potential for meeting the desired/essential components of an ideal post-16 education programme. Greater consideration, however, is required with regard to self-development and social awareness in order to promote liberal aspects of post-16 education. A combination of these factors within a GNVQ programme would represent a marriage of liberal, vocational and, general education philosophies and approaches to education; an 'ideal'post-16 education programme.

The BEC/BTEC National Diploma in Business and Finance was, from the late 1970s to the mid 1990s, a major vocational award in England, Wales and Northern Ireland. Although the majority of BEC/BTEC students were located in the further education colleges within the somewhat marginalised postcompulsory sector, the BEC/BTEC National level curriculum was directly experienced by hundreds of thousands of students as well as their lecturers, and indirectly by a range of educational stakeholders including employers and university tutors coming into contact with former BEC/BTEC students. Having transformed the rhetoric and substantially altered pedagogic practices within further education the BTEC National Diploma was beginning to establish an identity when it was, in effect, superceded by the Advanced GNVQ in Business. Notwithstanding the significance of BEC/BTEC as a major awarding body the associated curriculum attracted relatively little interest from researchers, receiving only a fraction of the attention which has been attracted by the more recent NVQs and GNVQs. This study is primarily a curriculum history which aims to provide an account of a curriculum which was conceived and implemented at a time before policy makers had come to recognise the value of the post-compulsory sector as an engine for potentially improving national economic performance, and as a catalyst for the creation of a culture of life-long learning. The study attempts to theoretically contextualise the BEC/BTEC curriculum as an important instance of vocationalism. Ideas drawn from Gramsci, Althusser, Foucault and Lyotard are utilised in order to provide a critical but multi-perspectival analytical framework. The study incorporates an outline discussion of vocationalism in England; an account of the genesis and development of BEC/BTEC as an institution; an overview of various versions (or "generations") of the BEC/BTEC National curriculum as well as those which have superceded it (using course specifications and associated documents); and presents perceptions of the BEC/BTEC National curriculum drawn from a questionnaire survey and interviews. The BEC/BTEC National curriculum is seen as an innovatory curriculum which, for many students, presented important opportunities to progress. It is suggested, however, that ideological assumptions implicit in the model of vocationalism as operationalised in late Twentieth Century capitalism have necessarily emasculated the critical potential and intellectual integrity of vocational education and training in England.

This study explores the reasons why adult learners take part in professional management education courses, their social and cultural capital together with their human and economic capital. The author has responsibility for these programmes in a university in the north of England. It is framed by a multiple capital approach which reflects, and illuminates, the rationale for engagement in lifelong learning and professional management education. The underlying research was phenomenological, as it explored the direct experiences of the participants in relation to professional management education. Two methods were used sequentially, quantitative which provided numerical data by the use of questionnaires, and qualitative, by the use of interviews. The results of the interviews were used to construct the stories of the respondents. Fifty questionnaires were completed by employees and fifteen interviews were undertaken, out of a total population of eighty one. The entire population of twenty four employers completed a questionnaire and six of them were interviewed. The outcomes of this research highlight the workplace in the twenty-first century, together with the impact of the current economic climate. This has led to a need for the acquisition of new skills by workers at all hierarchical levels in organisations. Cultural capital was evidenced by the desire of employees to equip themselves with new skills and knowledge, in order to remain in employment and to advance their careers. Many of the respondents gained cultural capital through their early life experiences of home and school and their relationships with mentors. The social capital of employers was found to be important in mentoring, and encouraging, employees to engage in learning. Economic capital was expressed through engagement in lifelong learning by employees to enhance their knowledge and skills, and to improve their employment prospects.Human capital was evidenced by both employers and employees as engagement in professional management education facilitates the acquisition of new skills and knowledge.