The initial purpose of this study was to describe and analyse the language situation at Baragwanath Hospital. This was seen as a microcosm of the language situation in urban South Africa. As such, this study set out to identify problems and offer suggestions in resolving the difficulties experienced in communication in this hospital as well as in other medical institutions in the rest of the country. Before attempting such an investigation, a sound theoretical framework had to be established. In order to gain familiarity with the research field, concepts on sociolinguistics had to be researched and described. In order to apply particular concepts to the situation under investigation, the concepts had to be defined and interpreted first. This study has made a contribution to the theoretical debate regarding various sociolinguistic concepts, in that it has shown how these concepts apply to the South African situation. The next step in the research process involved making a decision about which method would be most appropriate for collecting data. Therefore, various approaches were investigated in order to find the appropriate one. The techniques of data collection and the recruitment of respondents had to be refined before the main data collection process could begin. Then began the journey of discovery. The detailed description of the language situation at Baragwanath Hospital presented in chapter 3 forms the crux of this study. This is the first time that such a comprehensive, qualitative description of the entire language situation in this hospital has been done. An appropriate method for data analysis had to be devised. This entailed various levels of analysis and interpretation. A description of the language situation at Baragwanath Hospital would have been incomplete without presenting a few of the various scenarios that took place in this hospital. Many important conclusions were reached during the course of the research. The most important of these were: 1. A huge communication problem exists at Baragwanath Hospital. 2. Either interpreters will have to be hired to overcome this problem; or nurses will have to be paid more for their interpreting services. / African Languages / D. Litt. et Phil.

Text in English / The aim of this study was to gain understanding of community service nurses’ experiences of health care services at Tshwane district public hospital. This qualitative study followed an Interpretative Phenomenological Analysis (IPA) approach to explore the community services nurses’ experiences of health care services at Tshwane district public hospital. Data were collected from 11 purposively selected community service nurses using a semi-structured interview format. Data was analysed using Interpretative Phenomenological Analysis framework for data analysis. Four super-ordinates emerged from data analysis: (1) Resources, (2) Work environmental relations, (3) Supervision and support and, (4) Impact of community service experiences. The study revealed that the health care services rendered at the hospital studied are substandard. Community service nurses reported several challenges experienced during their placement in the hospital under study. Lack of human and material resources, supervision and support contributed to hindrance of smooth acquisition of their clinical skills and experience. These challenges resulted in the psychological and emotional drain of the participants. There is a need for development of guidelines to ensure constant and adequate support to all the community service nurses placed at Ratanang Hospital. / Health Studies / M.A. (Nursing Science)

The South African Waste Information System (SAWIS) was developed by the Department of Environmental Affairs and Tourism (DEAT) in 2005. This is a system used by government and industry to capture routine data on the tonnages of waste generated, recycled and disposed of in South Africa on a monthly and annual basis. All waste producers and waste management organisations should contribute to this national waste database and should accurately monitor the types and quantities of waste produced and handled. According to DEAT (2006) the need for Data verification is important. DEAT (2006:59) defined the term Data Verification as: "assessing data accuracy, completeness, consistency, availability and internal control practices that serve to determine the overall reliability of the data collected." The aim of the study is to determine a procedure, as well as the nature and extent of internal and external source documents, which could be used in the reconciliation of medical waste quantities from generation to disposal. The key objectives are to determine whether the selected hospitals keep internal records of the quantities of medical waste generated; to reconcile the waste quantities on the internal records with the external records, such as the collection certificates, invoices and waste incineration certificates; to ascertain whether the quantity of medical waste generated is equal to the quantity of waste incinerated and disposed of to determine the ratio factor between the quantity of medical waste before incineration and the quantity of the residue (ashes) after incineration, and to make recommendations on the reconciliation of waste quantities from the point of generation to the point of disposal. The results of the study indicate that the destruction certificate is the proof that the waste that was on-site collected by the service provider has been disposed /treated. Especially as an internal control measure. The health care risk waste (HCRW) management record keeping of quantities of weight as per Hospital A, Hospital B and Hospital C allows the opportunity to analyse the weight per month and per Hospital and per category and to make comparisons. The weakness or the gap however still exist that the waste is not weighed at the point of origin, but at the point where the waste service provider collects the waste onsite. It is from this point onwards that the service level agreement between the hospital and the waste service provider and the document management system and the tracking receipt and the waste collection documents (WCD) becomes relevant and where the quantities of waste per category are for the first time recorded. The hypothesis as stated in Chapter 1 was proven valid. The study concludes that reconciliation and comparison between the collection certificate and the destruction certificate and the monthly invoice is therefore possible, but the risk of mixing of waste and the understating or overstating of waste quantities is still not overcome. / Environmental Sciences / M. Sc. (Environmental management)

The initial purpose of this study was to describe and analyse the language situation at Baragwanath Hospital. This was seen as a microcosm of the language situation in urban South Africa. As such, this study set out to identify problems and offer suggestions in resolving the difficulties experienced in communication in this hospital as well as in other medical institutions in the rest of the country. Before attempting such an investigation, a sound theoretical framework had to be established. In order to gain familiarity with the research field, concepts on sociolinguistics had to be researched and described. In order to apply particular concepts to the situation under investigation, the concepts had to be defined and interpreted first. This study has made a contribution to the theoretical debate regarding various sociolinguistic concepts, in that it has shown how these concepts apply to the South African situation. The next step in the research process involved making a decision about which method would be most appropriate for collecting data. Therefore, various approaches were investigated in order to find the appropriate one. The techniques of data collection and the recruitment of respondents had to be refined before the main data collection process could begin. Then began the journey of discovery. The detailed description of the language situation at Baragwanath Hospital presented in chapter 3 forms the crux of this study. This is the first time that such a comprehensive, qualitative description of the entire language situation in this hospital has been done. An appropriate method for data analysis had to be devised. This entailed various levels of analysis and interpretation. A description of the language situation at Baragwanath Hospital would have been incomplete without presenting a few of the various scenarios that took place in this hospital. Many important conclusions were reached during the course of the research. The most important of these were: 1. A huge communication problem exists at Baragwanath Hospital. 2. Either interpreters will have to be hired to overcome this problem; or nurses will have to be paid more for their interpreting services. / African Languages / D. Litt. et Phil.

Text in English / The aim of this study was to gain understanding of community service nurses’ experiences of health care services at Tshwane district public hospital. This qualitative study followed an Interpretative Phenomenological Analysis (IPA) approach to explore the community services nurses’ experiences of health care services at Tshwane district public hospital. Data were collected from 11 purposively selected community service nurses using a semi-structured interview format. Data was analysed using Interpretative Phenomenological Analysis framework for data analysis. Four super-ordinates emerged from data analysis: (1) Resources, (2) Work environmental relations, (3) Supervision and support and, (4) Impact of community service experiences. The study revealed that the health care services rendered at the hospital studied are substandard. Community service nurses reported several challenges experienced during their placement in the hospital under study. Lack of human and material resources, supervision and support contributed to hindrance of smooth acquisition of their clinical skills and experience. These challenges resulted in the psychological and emotional drain of the participants. There is a need for development of guidelines to ensure constant and adequate support to all the community service nurses placed at Ratanang Hospital. / Health Studies / M.A. (Nursing Science)

Bibliography: leaves 241-295 / Text in English with summaries in English, Afrikaans and Setswana / This study, to enhance understanding of volunteer well-being and to develop a conceptual model of volunteer well-being through an in-depth exploration of volunteers’ work–life experiences, was guided by an interest in volunteering as well as curiosity about well-being as a concept. My perception of the importance of volunteering for our society was based on first-hand knowledge of a volunteering context operating in the Gauteng health sector, as well as the volunteering literature, which confirmed its importance and encouraged me to conduct research on this resource. The literature on well-being highlights its importance for employees in particular and organisations in general and thus justifies the study. The literature also supported my preference for conducting this research on volunteer well-being from a qualitative perspective. Further motivation for the research was provided by my awareness of the challenging nature of the volunteering context as well as the adverse personal circumstances of the volunteers. Accordingly, recognising the importance of well-being in volunteers, I was prompted to dedicate attention to this dynamic work context. To achieve its aim, in this research I applied a qualitative research approach and a hermeneutic (interpretive) phenomenological research methodology. In-depth interviews were used to explore the work–life experiences of eight volunteers and a phenomenological hermeneutical analytic process was used to analyse the data. The data were further contextualised and the findings supported by the relevant well-being literature. Based on the findings, a conceptual model of volunteer well-being was constructed. This model enhances our understanding of volunteer well-being, ultimately contributing to knowledge and practice in the field of volunteering. / Die hoofdoel van hierdie studie was om die begrip van vrywilligerswelstand te bevorder en om ’n konseptuele model van vrywilligerswelstand te ontwikkel deur ’n omvattende ondersoek van vrywilligers se werklewe-ervarings. Die studie was gelei deur ’n belangstelling in vrywilligerswerk en ‘n nuuskierigheid oor welstand as ’n konsep. My waarneming van die belangrikheid van vrywilligerswerk vir ons samelewing is gebaseer op eerstehandse kennis van ’n vrywilligerskonteks in die Gautengse gesondheidsektor en die literatuur oor vrywilligersdienslewering, wat die belangrikheid daarvan bevestig het en my aangemoedig het om navorsing oor hierdie hulpbron te doen. Die literatuur oor welstand beklemtoon veral die belangrikheid daarvan vir werknemers en organisasies oor die algemeen, en regverdig dus die studie. Die literatuur het ook my voorkeur om hierdie navorsing oor vrywilligers se welstand vanuit ’n kwalitatiewe perspektief te benader, ondersteun. My bewustheid van die uitdagende aard van die vrywilligerskonteks asook die ongunstige persoonlike omstandighede van die vrywilligers het my verder gemotiveer om die navorsing te doen. Dienooreenkomstig, as erkenning van die belangrikheid daarvan om vrywilligers se welstand te fasiliteer, is ek geïnspireer om aandag te skenk aan hierdie dinamiese werkskonteks. Om hierdie doel te bereik het ek ’n kwalitatiewe navorsingsbenadering en ’n hermeneutiese (verklarende) fenomenologiese navorsingsmetodologie in hierdie navorsingsprojek gebruik. Indiepte onderhoude is gebruik om die werklewe-ervarings van agt vrywilligers te ondersoek, en ’n fenomenologiese, hermeneutiese, analitiese proses is gebruik om die data te ontleed. Die data is verder gekontekstualiseer en die bevindings is deur die tersaaklike literatuur ondersteun. ’n Konseptuele model van vrywilligerwelstand is op grond van hierdie bevindinge opgestel. Hierdie model bevorder ons begrip van vrywilligerswelstand, en lewer sodoende ’n bydrae tot die kennis en ervaring op die terrein van vrywilligerswerk. / Thutopatlisiso eno ya go tlhama sekao sa kgopolo sa boithaopi go tswa mo mogopolong wa seemo se se amogelesegang sa botshelo ka go sekaseka go ya kwa botennye, maitemogelo a tiro a baithaopi, e kaetswe ke kgatlhego mo boithaoping, keletso ya go itse ka ga mogopolo wa seemo se se amogelesegang sa botshelo le dikwalo tse di ka ga boithaopi. Kitso e e tseneletseng ya bokao jwa boithaopi jo bo dirang mo lephateng la boitekanelo la Gauteng, gammogo le dikwalo tsa boithaopi, di tlhomamisitse botlhokwa jwa boithaopi mo setšhabeng sa gaetsho mme tsa nthotloetsa go dira patlisiso ka ntlha eno. Go tlaleletsa, thutopatlisiso eno e tlhomamisitswe ke dikwalo tse di ka ga seemo se se amogelesegang le botlhokwa jwa seemo se se amogelesegang sa botshelo se se totileng badiri ka bo bona le ditheo ka kakaretso. Dikwalo gape di tshegeditse tlhopho ya me ya go dira patlisiso ka ga seemo se se amogelesegang sa botshelo jwa baithaopi ka mogopolo wa go batla go batlisisa mabaka a a bakang seemo se se rileng. Thotloetso e nngwe ya patlisiso e tlisitswe ke temogo ya me ya dikgwetlho tsa boithaopi gammogo le maemo a a sa amogelesegeng a baithaopi. Fela jalo, ka go lemoga botlhokwa jwa go gokaganya seemo se se amogelesegang sa botshelo mo baithaoping, ke ne ke patelesega go tota mofuta ono wa tiro. Go fitlhelela maikaelelo ano, patlisiso eno e dirisitse mokgwa wa patlisiso o o lebelelang mabaka a a rotloetsang ntlha e e rileng (qualititative research) le mokgwa wa patlisiso o o ranolang (hermeneutic phenomological research methodology). Go dirisitswe dipotsolotso tse di tseneletseng go sekaseka maitemogelo a tiro a baithaopi mme ga dirisiwa thulaganyo ya tshekatsheko ya phenomenological hermeneutial go sekaseka tshedimosetso. Tshedimosetso e ne ya bewa ka bokao mme diphitlhelelo tsa tshegediwa ka dikwalo tse di maleba. Go ikaegilwe mo diphitlhelelong tseno, go ne ga thalwa sekao sa kgopolo sa seemo se se amogelesegang sa botshelo jwa baithaopi. Go tshitshinngwa gore go dirisiwe sekao seno go dirisa ka botlalo le go netefatsa go nnela leruri ga tiro ya baithaopi, gore kwa bokhutlong go tshwaelwe mo kitsong le mo tirong mo lephateng la boithaopi. / Psychology / D. Phil. (Psychology)

The objective of the study was to identify the factors that affect the survival lifetime of HIV+ terminal patients in rural district hospitals of Albert Luthuli municipality in the Mpumalanga province of South Africa. A cohort of HIV+ terminal patients was retrospectively followed from 2010 to 2017 until a patient died, was lost to follow-up or was still alive at the end of the observation period. Nonparametric survival analysis and semiparametric survival analysis methods were used to analyse the data. Through Cox proportional hazards regression modelling, it was found that ART adherence (poor, fair, good), Age, Follow-up mass, Baseline sodium, Baseline viral load, Follow CD4 count by Treatment (Regimen 1) interaction and Follow-up lymphocyte by TB history (yes, no) interaction had significant effects on survival lifetime of HIV+ terminal patients (p-values<0.1). Furthermore, through quantile regression modelling, it was found that short, medium and long survival times of HIV+ patients, respectively represented by the 0.1, 0.5 and 0.9 quantiles, were not necessarily significantly affected by the same factors. / Statistics / M. Sc. (Statistics)

MCur / Departrment of Advanced Nursing Science / In mental health, a Maximum-Security Ward is a special setting for care of patients who are unique and exceptional. People who have committed crimes due to their mental conditions are admitted for care, treatment and rehabilitation. Patients admitted in this ward are verbally and physically aggressive, violent, unpredictable, unmanageable and at times manipulative. Professional nurses working in the Maximum-Security Ward are at risk of suffering from occupational stress, burnout, lack motivation and are anxious. The aim of this study is to investigate the experiences of professional nurses working in the Maximum-Security Ward at Hayani hospital. A qualitative approach using a descriptive, exploratory and contextual design was used. A purposive, convenient sampling was used to sample professional nurses working in the Maximum-Security Ward of Hayani hospital. In-depth interviews were used to collect data. A voice recorder was utilised to record all data and the researcher being the main instrument for data collection. Dependability, confirmability and transferability were upheld to ensure trustworthiness of the findings. Data was analysed using Tech’s eight steps approach. Three themes with their categories and subcategories emerged after data analysis. The themes were as follows: the participants’ views on type of patients admitted in the ward, participants’ views on safety in the ward and participants’ views on staff interaction. The study recommended the following: Emotional counselling and debriefing sessions to be conducted at regular intervals or after a traumatic incident. Motivational and team building activities to be organised for professional nurses. Safety of professional nurses must be of significant value. More support is needed in times of emotional difficulties. Development of a model to support professional nurses. / NRF

Text in English with abstracts in English, Northern Sotho, Tshivenda and Xitsonga / The purpose of this study was to determine the self-reported competence of newly qualified professional nurses on the critical midwifery skills. The study was conducted in the four public hospitals designated for community service in Gauteng Province. A quantitative descriptive design was used with a structured self-report questionnaire as data collection instrument. Non-probability convenience sampling was used for the study. The sample size was eighty-four newly qualified professional nurses. The Stata 15 software was used for statistical analyses. The researcher used descriptive statistics to describe and synthesize the collected data. The findings revealed that most newly qualified professional nurses had no knowledge in identifying different types of decelerations, management of late and variable decelerations, but had knowledge in most of the skills related to management of third stage of labour. / Maikemišetšo a dinyakišišo tše e be e le go hwetša bokgoni bja go ipega ka nnoši bja baoki bao ba ithutetšego profešene ya booki ka go bokgoni bjo bohlokwa bja pelegišo. Dinyakišišo di dirilwe dipetleleng tše nne tša bohle tšeo di kgethetšwego tirelo ya setšhaba ka Profenseng ya Gauteng. Khwanthitheitif diskriptif disaene ‘Quantitative descriptive design’ e dirišitšwe gammogo le lenaneopotšišo leo le beakantšwego la go ipega ka nnoši ‘structured self-report questionnaire’ bjalo ka sedirišwa sa go kgoboketša bohlatsi. “Non-probability convenience sampling” e dirišitšwe mo go kgetheng banyakišišwa. Bogolo bja sešupo e be e le baoki ba masomeseswai-nne ba baswa bao ba ithutetšego profešene ya booki. “Stata 15 software” e dirišitšwe tshekatshekong ya dipalopalo. Monyakišiši o dirišitše dipalopalo tša tlhalošo ‘descriptive statistics’ go hlaloša le go kopanya ‘data’ yeo e kgobokeditšwego. Ditšweletšo di utollotše gore bontši ba baoki ba baswa bao ba ithutetšego profešene ya booki ga ba na le tsebo ya go hlatha mehuta yeo e fapanego ya diphokotšo, taolo ya diphokotšo tša morago le tša go fetoga, efela ba na le tsebo ka go bokgoni bjo bontši bjoo bo amanago le taolo ya kgato ya boraro ya lešoko. / Ndivho ya ngudo iyi yo vha u wanulusa nḓivho ya vhukoni ha iwe muṋe ya vhaongi vhaswa vha kha ḓi bvaho u phasa vhuongi uri vha na zwikili zwa ndeme zwa vhuongi vhubebisi u swika ngafhi. Ngudo iyi yo itwa kha zwibadela zwiṋa zwa muvhuso zwo ṋewaho u isa tshumelo zwitshavhani kha vunḓu ḽa Gauteng. Kha u kuvhanganya mafhungo muṱoḓisi o shumisa ngona ya u ṱalutshedza ya khwanthithethivi ho ṱanganyiswa na mbudziso dzo dzudzanyiwaho dzi bviselaho khagala kha iwe muṋe (structured self-report questionnaire). Vhunanguludzi ho shumiswaho kha ngudo iyi ho vha “Non-probability convenience”. Tshivhalo tsha vhashelamulenzhe vho nanguludzwaho tsho vha vhaongi vhaswa vha kha ḓibvaho u phasa vha fumalo ina. “The Stata 15 software” ndi tshishumiswa tsho shumiswaho kha u sengulusa mafhungo o kuvhanganywaho. Muṱoḓisisi o shumisa zwisiṱatisitika zwa u ṱalutshedza kha u ṱalutshedza na u dzudzanya mafhungo o kuvhanganyiwaho. Ngudo iyi yo bvisela khagala uri vhunzhi ha vhaongi vhaswa vha kha ḓi bvaho u phasa a vha na nḓivho ya u vhona tshaka dzo fhambanaho dza kurwele kwa mbilu ya ṅwana na u langa u lenga ha u rwa ha mbilu ya ṅwana zwo katela na u sa dzudzanyea fhethu huthihi ha kurwele kwa mbilu ya ṅwana, honeha vha na nḓivho ya zwikili zwi yelanaho na vhulanguli ha tshipiḓa tsha vhuraru tsha u beba. / Xikongomelo xa ndzavisiso lowu i ku kuma vuswikoti lebyi munhu a byi twisisaka hi vaongori lava ha ku thwaselaka tidyondzo ta vuongori eka swikili swa nkoka hi vusungukati. Ndzavisiso lowu wu endliwile eka swibedlhele swa mune swa mani na mani leswi yisaka vukorhokeri evanhwini eka Phurovhinsi ya Gauteng, laha ku tirhisiweke maendlelo ya tinhlayo lama hambanaka na swivutiso ku hlengeleta timhaka. Ku tirhisiwile xiphemu xo karhi xa vanhu ku kuma vuxokoxoko hi mayelano na vona hinkwavo. Xiphemu lexi tirhisiweke i xa nhlayo ya vaongori vo ringana makumenhungu-mune wa vaongori lawa ha ku thwaselaka tidyondzo ta vuongori. Ku tirhisiwile “stata software” ku hlela tinhlayo leti tirhisiweke. Mulavisisi u tirhisile tinhlayo, tinhlayonhlamuselo ku hlamusela no katsakanya mahungu lama a ma hlengeleteke. Leswi kumiweke swi paluxa leswaku vunyingi bya vaongori lava ha ku thwaselaka tidyondzo ta vuongori va hava vutivi byo hambanisa mabelo ya mbilu, ku hlawula ku hlwela no hambana ka mabelo ya mbilu, kambe va na vutivi eka swikili mayelana no lawula xiyimo xa vunharhu xo lumiwa. / Health Studies / M.A. (Nursing)