Purpose: This study aimed to assess the feasibility of implementation of the Health Professions Council of South Africa's (HPCSA) clinic-based hearing screening subsection of its 2007 Position Statement on Early Hearing Detection and Intervention (EHDI) programmes in South Africa. Specific sub-aims included (a) establishing the prevalence of hearing screening conducted at Maternal Child Woman’s Health (MCWH) immunisation clinics; (b) determining the hearing screening procedures and protocols in use at MCWH immunisation clinics; (c) determining and exploring the possible concomitant personnel-associated factors which may influence the implementation of newborn and infant hearing screening programmes; (d) determining and exploring other factors that may have influenced implementation of newborn and infant hearing screening; and lastly, (e) comparing any hearing screening procedures and protocols in use to the HPCSA (2007) EHDI position statement clinic guidelines and associated clinic benchmarks Participants: Thirty primary healthcare immunisation clinic managers/acting managers were interviewed in two South African sample groups, in the North West province (NW) and Gauteng (GP). Design: An exploratory, non-experimental, qualitative research design was employed incorporating both quantitative and qualitative information within the two sample groups. Methods and Materials: An interview using a questionnaire was administered with primary health care (PHC) clinic nursing manager/acting manager, placed within the identified sites. The questionnaire encompassed areas such as work contexts, hearing screening contexts and information management systems, as well as quality control measures in place at these clinics. Data Analysis: Content analysis was used to code emergent themes into specific categories. Frequency calculations of the emergent themes were calculated and results described qualitatively. Results: No PHC clinics placed within the identified sites offered or provided formalised newborn/infant hearing screening and none of these facilities had equipment to do so. Most sites attributed the lack of formalised hearing screening to budgetary and human resource issues, staff training in particular. Non-formalised hearing screening protocols in place demonstrated inconsistencies in application across districts and none complied with HPCSA (2007) clinic guidelines. Most respondents were willing to implement formalised hearing screening to coincide with their immunisation schedules. The immunisation context was considered favourable for implementation of formalised hearing screening. Other factors such as reduced parental awareness of the importance of hearing screening, and caregiver cultural issues were considered surmountable by respondents. Conclusions: HPCSA (2007) implementation of clinic hearing screening protocols at PHC immunization clinics (level one) does not appear to be feasible based on current evidence. Results from the current study have assisted in identifying procedural and logistical assets and barriers to implementation of HPCSA (2007) clinic guidelines for EHDI at immunisation clinics in South Africa. Future research implications include formal investigations of central directorate versus district differences in PHC Package Integrated Management of Childhood Illnesses (IMCI); Otitis Media, and Road to Health Chart (RtHC) protocols; provincial and district inequities in funding as they impinge on hearing health care service delivery; costing of rudimentary protocols in place versus formalised HPCSA (2007) EHDI service delivery; research into parental awareness, education and willingness in specific reference to certain procedures such as otoacoustic emissions; and replication of the current study throughout the country for quantitave data with increased ability to draw causal inferences and generalize findings.

The purpose of this study was to evaluate the effectiveness of the committee of preliminary inquiry (in the context of professional conduct committees) of the Health Professions Council of South Africa, with specific reference to maxillo-facial and oral surgery. An evaluation was done of cases that were referred by the committee for preliminary inquiry to this specific professional conduct committee of the Medical and Dental Professions Board. Where necessary, these cases were supplemented by relevant cases from other professional conduct committees. In order to achieve this goal, a comprehensive literature study was conducted on the broad concept of medical and dental misconduct and negligence. Specific attention was paid to the issues of expert testimony and witnesses and consent. Furthermore, a study was conducted to determine the legal framework in which these committees are supposed to function. In the cases where inquiries into the complaints against the registered practitioners followed, a detailed evaluation of the so-called legal process was done, as well as the findings in each case (in the context of the professional conduct committees). The results of this study have shown that the investigative system of the committee for preliminary inquiry preceding professional conduct inquiries into complaints against registered practitioners has certain shortcomings, especially in the more complex cases. The following proposals have been made (in order of most importance): 1. Both the committee for preliminary inquiry and professional conduct committee must abide by the rules of natural justice, as pertained in the Constitution of the Republic of South Africa. 2. Establishment of a Forum of Expert Witnesses that will evaluate all cases of alleged professional misconduct and negligence pertaining to the field of maxillo-facial and oral surgery, after it was evaluated and referred by the Ombudsman. 3. Appointment of a maxillo-facial and oral surgeon as Ombudsman to evaluate all cases brought before the committee for preliminary inquiry pertaining to the field of maxillo-facial and oral surgery. 4. Acceptance of the proposed test of medical negligence, i.e. the ‘reasonable person’s test’, subjected to that of the ‘reasonable specialist’ as standard for evaluation of cases of alleged negligence in maxillo-facial and oral surgery. 5. The proposed patient’s consent form serves as an example of a legitimate patient consent form. It follows that the legal requirements, especially in cases of extensions and deviations of medical interventions, must be adhered to. 6. It is advisable to belong to an organisation providing indemnity cover (such as Medical/Dental Protection Society) in order to receive proper assistance in the handling of these cases of alleged unprofessional/disgraceful conduct. The recommendations consequential to this study would provide a more streamlined, cost- and time effective investigative system to investigate claims of unprofessional conduct for possible further disciplinary action. / Thesis (PhD (Dentistry))--University of Pretoria, 2006. / Maxillo-Facial and Oral Surgery / unrestricted

Magister Chirurgiae Dentium (MChD) / Exodontia remains one of the most regularly done procedures in dentistry in South Africa (SA) and alveolar osteitis (AO) is considered one of the most common complications associated with exodontia. Despite the extensive research done on this clinical entity, the management of AO still remains controversial. Various management protocols have been suggested in the literature, varying from prophylactic to symptomatic management of AO (Blum,2002). However, none of these management protocols have to date shown any conclusive evidence on the effectiveness and benefit over another protocol. The author was of the opinion that general dental practitioners (GDPs) in South Africa generally use preventative and treatment protocols based on what they were taught at their alumni dental schools or use protocols modified from their own clinical experience in practice. The aim of this study was to assess which treatment protocols are routinely used by GDPs in South Africa for the management of AO and suggest a scientifically sound treatment protocol for AO. The study was done in the form of a questionnaire and the participants were randomly selected from the Health Professions Council's register. The results showed that most of the GDPs in South Africa continued to use the same treatment protocol as their alumni dental school. They were of the opinion that these protocols were still clinically the most effective. Despite the plethora of intra-alveolar medicaments available, Alvogyl®still remains the medicament of choice of GDPs. As there is no evidence in the scientific literature that suggests that one intra-alveolar medicament or antibiotic is more effective than the other, the author does not encourage the use of the medicaments or antibiotics in the treatment of AO. However, by following simple measures such as improving patients' oral hygiene and using a pre-operative 0.2% chlorhexidine mouth rinse, the incidence of AO can be reduced significantly.

The profession of psychology in South Africa has not always been regulated by a statutory body such as the Health Professions Council of South Africa (HPCSA). Currently, the profession of psychology is regulated by the HPCSA and psychologists and the HPCSA find themselves in a lawful and interminable relationship. The HPCSA’s motto is to protect the public and to guide the profession, but it was questioned whether psychologists actually experience guidance from the HPCSA. In response to this problem, this study aimed to explore the subjective experiences of a group of South African psychologists regarding the HPCSA as well as the ethical code which serves as a guideline for the conduct of psychologists. This study made use of a sequential mixed method design, which comprised of a qualitative phase followed by a quantitative phase. All participants in this study were qualified psychologists. Seven participants took part in the qualitative phase and 74 participants took part in the quantitative phase. The data from the qualitative phase was grouped into broad categories and served as the basis for compiling a questionnaire for the quantitative phase. After collecting the completed questionnaires, the data was read into SPSS (Statistical Package for the Social Sciences), which was used for the statistical analysis of the data. The data was analysed by means of frequency distributions and mean scores. During the analysis of the data, six themes where identified: five regarding the HPCSA as the regulator of psychology and one regarding the ethical code that guides the conduct of psychologists. The themes include “guidance and mentorship”, “the HPCSA as a watchdog”, “the HPCSA’s motive”, “reverence that psychologists have for the HPCSA”, “the competence of the HPCSA” and “psychologists’ view on the ethical code”. The results indicated that an ambiguous relationship exists between this group of psychologists and the HPCSA, as these two entities seem to function separately. Generally, psychologists who took part in this research have a negative view towards the HPCSA, although they realise the necessity for the HPCSA as a regulating body for psychology. The recognition of this need is a platform for a workable relationship between psychologists and the HPCSA. The participants provided less detail and responded more neutral regarding their views on the ethical code, and it is concerning that quite a number of psychologists indicated that they did not know the code. This study concludes with recommendations for the HPCSA to be more approachable and to provide psychologists with more support. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2011.

The profession of psychology in South Africa has not always been regulated by a statutory body such as the Health Professions Council of South Africa (HPCSA). Currently, the profession of psychology is regulated by the HPCSA and psychologists and the HPCSA find themselves in a lawful and interminable relationship. The HPCSA’s motto is to protect the public and to guide the profession, but it was questioned whether psychologists actually experience guidance from the HPCSA. In response to this problem, this study aimed to explore the subjective experiences of a group of South African psychologists regarding the HPCSA as well as the ethical code which serves as a guideline for the conduct of psychologists. This study made use of a sequential mixed method design, which comprised of a qualitative phase followed by a quantitative phase. All participants in this study were qualified psychologists. Seven participants took part in the qualitative phase and 74 participants took part in the quantitative phase. The data from the qualitative phase was grouped into broad categories and served as the basis for compiling a questionnaire for the quantitative phase. After collecting the completed questionnaires, the data was read into SPSS (Statistical Package for the Social Sciences), which was used for the statistical analysis of the data. The data was analysed by means of frequency distributions and mean scores. During the analysis of the data, six themes where identified: five regarding the HPCSA as the regulator of psychology and one regarding the ethical code that guides the conduct of psychologists. The themes include “guidance and mentorship”, “the HPCSA as a watchdog”, “the HPCSA’s motive”, “reverence that psychologists have for the HPCSA”, “the competence of the HPCSA” and “psychologists’ view on the ethical code”. The results indicated that an ambiguous relationship exists between this group of psychologists and the HPCSA, as these two entities seem to function separately. Generally, psychologists who took part in this research have a negative view towards the HPCSA, although they realise the necessity for the HPCSA as a regulating body for psychology. The recognition of this need is a platform for a workable relationship between psychologists and the HPCSA. The participants provided less detail and responded more neutral regarding their views on the ethical code, and it is concerning that quite a number of psychologists indicated that they did not know the code. This study concludes with recommendations for the HPCSA to be more approachable and to provide psychologists with more support. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2011.

Registered counsellors were regarded as part of the solution to the ever-increasing void in mental healthcare and were acknowledged by the South African government over a decade ago. Some challenges have however arisen regarding the implementing of their vocations in the community, that impact service delivery as well as career satisfaction of registered counsellors, but limited information is available in terms of the exploration of the perceptions of registered counsellors regarding their role in the South African context. This study focused on exploring how registered counsellors perceive their role in South Africa and describing these perceptions. This research is important because little is known about the perceptions of registered counsellors and their experience of their role in the South African context. The research was conducted in Johannesburg and Kwa-Zulu Natal, South Africa. 12 participants (one man and 11 women) volunteered to be part of the research. The size of the sample was not predetermined, but was rather based on data saturation. The participants were purposefully selected on the basis of having acquired the registration of registered counsellor with the Health Professions Council of South Africa (HPCSA). Data was collected through conducting semi-structured interviews with all the participants. An interview schedule was used to facilitate the interview process for consistency in the interviews. Thematic analysis was utilised to delineate different themes. To ensure the trustworthiness of the research process, the guidelines suggested by Lincoln and Guba (1985) were followed. The current researcher found that the registered counsellors experienced conflicting perceptions of their role in South Africa. They felt that their role was a necessary and important one in South Africa and in the context of the development of mental healthcare in South Africa. However, some negative feelings were also expressed as they experienced uncertainty regarding their role in the profession as well as the changing scope of practice for registered counsellors in South Africa. Additional negative perceptions were associated with a lack of acknowledgement of their role by other mental healthcare professionals and some ignorance from the public regarding the work of registered counsellors. To promote adequate mental healthcare in South Africa, mental health professionals such as registered counsellors are particularly important. But what appears to be the uncertainty and a lack of information related to the role of registered counsellors, has impacted negatively on their perception of their role in South Africa and, as a result, many individuals do not work in the professional mental healthcare field. It is recommended that the perception of the registered counsellors be acknowledged and taken into consideration to further the development of mental healthcare and treatment for mental health difficulties within the South African context. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

Registered counsellors were regarded as part of the solution to the ever-increasing void in mental healthcare and were acknowledged by the South African government over a decade ago. Some challenges have however arisen regarding the implementing of their vocations in the community, that impact service delivery as well as career satisfaction of registered counsellors, but limited information is available in terms of the exploration of the perceptions of registered counsellors regarding their role in the South African context. This study focused on exploring how registered counsellors perceive their role in South Africa and describing these perceptions. This research is important because little is known about the perceptions of registered counsellors and their experience of their role in the South African context. The research was conducted in Johannesburg and Kwa-Zulu Natal, South Africa. 12 participants (one man and 11 women) volunteered to be part of the research. The size of the sample was not predetermined, but was rather based on data saturation. The participants were purposefully selected on the basis of having acquired the registration of registered counsellor with the Health Professions Council of South Africa (HPCSA). Data was collected through conducting semi-structured interviews with all the participants. An interview schedule was used to facilitate the interview process for consistency in the interviews. Thematic analysis was utilised to delineate different themes. To ensure the trustworthiness of the research process, the guidelines suggested by Lincoln and Guba (1985) were followed. The current researcher found that the registered counsellors experienced conflicting perceptions of their role in South Africa. They felt that their role was a necessary and important one in South Africa and in the context of the development of mental healthcare in South Africa. However, some negative feelings were also expressed as they experienced uncertainty regarding their role in the profession as well as the changing scope of practice for registered counsellors in South Africa. Additional negative perceptions were associated with a lack of acknowledgement of their role by other mental healthcare professionals and some ignorance from the public regarding the work of registered counsellors. To promote adequate mental healthcare in South Africa, mental health professionals such as registered counsellors are particularly important. But what appears to be the uncertainty and a lack of information related to the role of registered counsellors, has impacted negatively on their perception of their role in South Africa and, as a result, many individuals do not work in the professional mental healthcare field. It is recommended that the perception of the registered counsellors be acknowledged and taken into consideration to further the development of mental healthcare and treatment for mental health difficulties within the South African context. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

The category of Registered Counsellors was created to provide psychological service at primary level to previously disadvantaged communities, yet there is lack of public and professional knowledge concerning this category. This study aimed at finding reasons why people choose to become registered counsellors and what their relevance and future is in South Africa. Social constructionism is the epistemological framework for this qualitative investigation. Three registered counsellors aged between 27 and 31 were chosen for this study using a combination of purposive and snowball sample technique. Rich data were collected through open ended interviews. This approach was chosen as the most relevant because it helped in giving a voice to the three ‘registered counsellors’ which in turn helped in getting a holistic understanding of the participants’ point of view. Thematic analysis technique was used to identify key themes. The main themes identified in comparative analysis were the following: the need to help, feeling of fulfillment, working in a multidisciplinary team, registered counsellors as first point of entry, experiencing barriers in terms of lack of recognition, confusion between registered counsellors and other healthcare professionals; and the role of HPCSA. The results showed that the participants became registered counsellors because of the need to help others. The results also showed that registered counsellors are relevant in South Africa because their services are needed for the well-being of society. There is a future for registered counsellors in South Africa to close the gap in terms of mental health workforce shortage. / Psychology / M.A. (Psychology)

Thesis (MPhil)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: The practice of medicine has always been a big area of interest as a profession. The focus ranges depending on issues at hand - it may be on the educational, training, humanistic, economic, professional ethics and legal aspects. One area of medicine that is under the spotlight around the world is that of the maintenance of clinical competency, followed very closely and almost linked to professional ethics. This study follows the introduction of a system of Continuing Professional Development (hereinafter also referred to as CPD), in South Africa and an overview of how it has been introduced in a few other countries. The main areas of focus being the extrication of inherent values of CPD, relating this aspect to quality improvement in medical health care. The medical profession as well as most of the interested parties, has different perspectives regarding the fact that the system is regulated through legislation. There is also the doubt whether the CPD system will be effective in achieving the goals that it has been set to achieve. Although a system of Continuing Medical Education has been a tradition in all countries, which implies that the CPD system is not totally new as far as the educational principles are concerned, the values accruable need to be exploited. It is the possible success of this kind of evaluations that may foster more understanding of the inherent values in this CPD system. / AFRIKAANSE OPSOMMING: Beroepsgewys het die praktyk van geneeskunde nog altyd groot belangstelling gelok. Die fokus verskuif na gelang van die onderwerpe ter sprake. Dit wissel van opvoedkunde, opleiding, humanisme, ekonomie, en professionele etiek tot regsaspekte. Dwarsoor die wêreld word daar gefokus op die handhawing van kliniese vaardighede, gevolg deur professionele etiek wat ook daarin verweef is. Hierdie studie bespreek die instelling van 'n stelsel van Voortgesette Professionele Ontwikkeling (hierna verwys na as VPO) in Suid-Afrika asook oorsig oor die wyse waarop dit in 'n paar ander lande ingestel is. Die klem lê op die inherente waardes met betrekking tot die verbetering gehalte in mediese gesondheidsorg. Die mediese beroep, asook meeste van die belangegroepe het verskillende opvattings oor die feit dat die stelsel deur wetgewing gereguleer word. Daar is ook twyfel of die VPO-stelsel in sy vooropgestelde doelwitte sal slaag. Wat die opvoedkundige beginsels betref, is die VPO-stelsel nie totaal en al nuut nie. Alhoewel VPO in ander lande tradisie is, is dit nodig om die totstandkoming van waardes te ontgin. Die moontlike sukses van hierdie tipe van evaluasies mag dalk beter begrip ten opsigte van die inherente waardes in die VPO-stelsel bevorder.