The research at hand focuses on job satisfaction as a moderator of the relationship between work-family conflict and stress among female civil service managers in the Department of Education in the King William’s Town District. Samples of 100 employees were used in the study. The data was collected by means of a questionnaire which consisted of the following sections: (i) a biographical and occupational data questionnaire,(ii) Eum, Lee, and Paek’s (2007) Effort-Reward Imbalance questionnaire, (iii) Bedenia, Burke, and Moffat’s (1998) Short-form Work-family Conflict questionnaire, and (iv) Halpern’s (1966) Job Satisfaction questionnaire. The data were analyzed by means of Pearson’s Correlation Technique, Multiple Regression Analysis, and Analysis of Variance. The results showed that job satisfaction does not moderate the relationship between work-family conflict and occupational stress. The study also found a significant positive correlation between work-family conflict and occupational stress and between work-family conflict and job satisfaction. It also showed that both work-family conflict and job satisfaction respectively accounted for a significant proportion of variance in occupational stress. The thesis ends with several recommendations for future research and for future professional or managerial practice.

Considering the high incidence of suicide in the South African context, the fact that suicide is considered an occupational hazard for psychologists, with more than half experiencing the suicide of a patient in their career and the dearth of post-suicide qualitative research among psychologists, the purpose of this study is to explore and describe the experience of psychologists after the suicide of their patient, and to develop guidelines as a framework of reference to assist psychologists in dealing with the suicide of their patient. In keeping with a social constructionist ontological and ecosystemic epistemological theoretical framework, data was collected by means of meaning-making conversations with six purposively selected psychologists, with a minimum of five years‟ experience and at least one year having passed after the suicide of their patient. The data was analysed independently by the researcher and an independent coder using Tesch‟s open and descriptive method. The present study found that, following the suicide of their patient, the participants were propelled into a myriad of acutely distressing emotions. They often described a suffocating sense of responsibility for the suicide and the lingering presence of their patient. The participants experienced feelings of guilt and self-doubt, often questioning their own professional competence. The post-suicide process was described as being both a personally and professionally isolating event, due to the sense of having to carry the burden of the suicide alone for ethical reasons and fear of social stigmatisation. The participants appeared to grapple with the paradoxical dance between their personal emotional realities and what they perceived to be “clinically” or “professionally” acceptable. Having gone through the traumatic experience of losing a patient to suicide, most of the participants eventually found new wisdom, which helped them become wounded healers. Based on these findings, post-vention guidelines with practical actions were developed to assist psychologists in dealing with the suicide of their patient. Recommendations are made with regard to suicidology research, suicide education and psychologists‟ practice. / Psychology / M.A. (Clinical Psychology)

The purpose of the study was to explore and describe the lived experiences of neophyte professional nurses working in ICU during their first year post graduation with the aim to discover strategies to support the nurse in critical care unit. An explorative, descriptive, interpretative qualitative design was conducted to uncover the nurse’s experiences. A purposive sampling was used which is based on belief that the researcher’s knowledge about the population can be used to hand pick sample elements. Data was collected through in-depth unstructured interviews and written narratives. Collaizi’s method of data analysis was used. The study findings revealed that neophyte professional nurses experienced difficulties and challenges in adjusting to the unit because of lack of mentors emanating from the shortage of staff. Nurses experienced mixed feelings regarding the relationship with colleagues in terms of support received. / Health Studies / M.A. (Health Studies)

MPH / Department of Public Health / The healthcare profession has emerged as one of the professions that is mostly prone to burnout. Burnout is a major problem affecting healthcare professionals nationwide and abroad. When employees experience burnout, it becomes difficult to remain productive at work since this starts to impact negatively on their occupational functioning. Although studies have been done on burnout, very little is known about factors that influence burnout among healthcare professionals. Knowledge around the concept of burnout and accompanying risk factors is vital for early detection and intervention. The study aimed to explore on the factors that influence burnout among healthcare professionals at selected hospitals in Ehlanzeni District, South Africa. A qualitative research approach using phenomenological research design was used for the study. A sample was chosen from the target population by means of convenient sampling. The total number of participants was determined by a rapid assessment test which was used to screen burnout among the professionals. Data were collected through a semi-structured interview guide. The data collected was analyzed using thematic content analysis. The findings show that burnout is influenced by a number of different factors (workload, financial problems, emotional exhaustion, poor working relationships, lack of social support, and experience/number of years working at the hospital and personality type. In addition, most healthcare professionals are vulnerable to burnout while some are experiencing it. Also, there are currently no adequate strategies/initiatives put in place to prevent burnout. / NRF

MCur / Department of Advanced Nursing Science / Background: The heavy workload of hospital nurses is a major problem globally. Nurses are experiencing higher workloads than ever before due to four main reasons, increased demand for nurses, inadequate appointment of new nurses, reduced staffing and increased overtime and reduction in patient length of stay. It is necessary for South Africa to find ways to reduce nursing workload and improve patient safety particularly in rural areas, to understand these effects of nursing workload on patient safety, the study was conducted with professional nurses from selected hospitals in Vhembe district, Limpopo Province. Purpose: The purpose of this study was to determine and to assess the effects of nurses‘ workloads on patient safety in the selected public hospitals, Vhembe District, Limpopo Province, South Africa. Methodology: Quantitative, exploratory descriptive design was adopted. Self-administered questionnaires were used for data collection from the sampled hospitals in Vhembe district. Hospitals were sampled based on the statistics of admitted patients in medical and surgical wards. Target population were professional nurses with at least two years working in the sampled wards. Ethical considerations were maintained. Results: There are several important consequences of high nursing workload. Findings show that a heavy nursing workload adversely affects patient safety. The study also shows that majority 80 (79.0%) of the respondents were overloaded by nursing responsibilities and this negatively affects nursing job satisfaction. As many as 55 (54.4%) indicated that such v workload contributes to high turnover and the nursing shortage. In addition to the higher patient acuity, work system factors and expectations also contribute to the nurses‘ workload: nurses are expected to perform non-professional tasks such as delivering and retrieving food trays; housekeeping duties; transporting patients; and ordering, coordinating, or performing ancillary services Conclusion: Nursing workload is affected by staffing levels and the patients‘ conditions, but also by the design of the nurses‘ work system. The study showed that a work situation above the assumed optimal level increases the risk for adverse events and patient mortality. However, the resources for nursing staff are limited in all public hospitals where the study focused. Professional nurses, therefore, must use available resources in the most optimal way. The study also recommended that there should be a creation of the nursing posts and the filling of all vacant positions in South Africa. Continuity of in-service training to empower professional nurses on patient safety was emphasised. / NRF

Thesis (Ph.D. (Social Work)) -- University of Limpopo, 2021 / An Emergency Medical Service (EMS) is considered one of the most stressful work environments. Copious literature has demonstrated that emergency service work has an undesirable impact on the health and wellbeing of personnel. In South Africa, research findings described that emergency services personnel are among the highest group of professionals at risk of suffering from job-related stress. In spite of the fact, previous studies have examined the association between critical incidents and Post Traumatic Stress Disorder (PTSD) symptoms including the psychological influence of trauma, a minority studies have explored the EMS personnel’s traumatic experiences and the subsequent coping strategies applied. This study sought to explore and describe the lived experiences of Emergency Medical Personnel in Capricorn District and to develop a user led model for mitigating occupational stress among EMS personnel. The principal aim of this study was achieved through the following objectives; to profile work related stress and the lived experiences of EMS personnel in Capricorn District, to Identify and appraise coping strategies employed by EMS personnel, to establish how accessible and user friendly EAP services are to EMS personnel, to determine the nature of social support (colleagues and supervisors) EMS personnel receive and to develop a user-led model for EMS personnel. This study was rooted in three theories, namely; trauma theory, resilience theory and the strengths perspective theory. The three theories were appropriate in this study to offer a perspective of situation and to analyse the situation under study to provide an understanding into the way in which EMS personnel make sense of their situation of the challenges they come across and make use of the available resources. The three theories interlaced together played a critical role in this study as they both align with building resilience, recognise individual’s innate strengths and coping in the face of hardship. Owing to the inimitability role of the emergency personnel and the services’ work context, the study adopted a qualitative approach. The purpose of the study was exploratory descriptive in nature. Exploring both their experience of critical incidents and the coping strategies employed by them to mitigate work-related stress and traumatic incidents from this qualitative perspective allowed the researcher to employ phenomenological research design for this study. A sample size of 21 emergency employees comprising 7 station managers and 14 EMS personnel) was obtained through purposive sampling technique. Thematic analysis was used to analyse data.  The findings suggest that life in the emergency field can possibly have an undesirable long-term effect on employees’ overall health and welfare and higher risk of PTSD. The distressing incidents were those in which the participants experienced feelings of vulnerability and had no control of the situations. The study established that emergency personnel find it most hard to deal with incidents involving children and colleagues. Emergency personnel suffer from emotional and physical stress owing to high job demands and repeated exposure to traumatic incidents. Regardless of the traumatic nature of emergency work and the inimitable role of emergency personnel, this study discovered that fact several stressors originate from organisational failure such lack of involvement in decision-making process, lack of training and shortage of staff. Unsupportive work environment, Lack of personal and job resources were found to be the extensive contributory factors to the job pressure experienced by which lead to compassion fatigue and exhaustion. It was also discovered the current EAP programme in the Department of Health (DoH) is not known and inaccessible to EMS personnel. The coping strategies utilised by emergency personnel were not adequate to prevent the aftermath of critical incidents. However collegial and social support from supervisors were found helpful in dealing with work-related stress. The study findings revealed that emergency personnel were unaware of the available support services within the DoH in Capricorn District. Collectively, the findings confirm that there is a need for an extensive marketing strategy of the EAP services and the user-led model which will be implemented by the organisation. The researcher recommends that EAP policies should form part of package given to new recruits during induction or orientation programme and diverse marketing strategies should be adopted to familiarise employees with EAP services available to them. The DoH should consider decentralisation of EAP services to enhance accessibility.

Summaries in English, Afrikaans, Tsonga and Zulu / This study was driven by an observation by the Chaplain’s office in the Soweto East Cluster and its satellites for the need of a practical theological coaching intervention between the SAPS management and officers on the ground. The coaching intervention mentioned above would be focused largely on the challenge of the mental anxiety caused by the nature of work carried out by the SAPS in relation to its intentions to make the nation a more safe and secure environment for the citizens of South Africa. Naturally, the men and women who staff the SAPS are as human as the rest of us and therefore their state of mental health must not be separated from the rest of the nation. While the intervention is seen as necessary, it is not a replacement of other highly specialised interventions within the SAPS; it must be considered as complementary in the context of a socio- scientifically informed Practical Theology. The Zenith of Its contribution is therefore an attempt to harness the spirituality of officers in concurrence with the psychological and emotional aspects of their work. The study proceeds from the assumption, ‘no work unit is an island,’ thus, it argues for a dynamic synthesis of a practical-theological and psychological interaction of resources in the context of a systems thinking framework. While there are no rigid patterns in the dynamic work of the SAPS, an informed coaching mechanism will provide an informed theoretical synthesis for a robust on-the-ground decision-making process when urgently called upon. This study contends that, this is a paradigm shift from the traditional patterns of top-down management that so often lead to crises situations. The Chaplain’s office is seen as a strategic partner in this initiative given its non-threatening placement within the SAPS systems of work in relation to highly specialised services. / Hierdie studie was gedryf deur n waarneming by die kapelaan se kantoor in die Soweto Oos area en die satelliet kantore vir 'n behoefte van n praktiese teologiese afrigters intervensie tussen die SAPS bestuur en offisiere op grond vlak. Die afrigters ingryping bo genome, sal grotendeels fokus op die uitdaging van geestelike angstigheid veroorsaak deur die omvang van die werk wat gedoen word deur SAPD in verwantskap met die bedoeling om vir die nasie n veilige en beskermde omgewing te skep vir all inwoners van Suid Afrika. Die mans en dames is natuurlik net menslik soos die res van ons en daarom kan hulle geestelike gesondheid nie geskei word van die res van die nasie nie. Terwyl die ingryping noodsaaklik is is dit nie 'n vervanging van ander hoogs gespesialiseerde intervensies in die SAPD nie. Dit moet beskou word as 'n bydraende faktor in die konteks van wetenskaplike praktiese teologie. Die impak van die bydra is dus 'n poging om die geestelike welstand van offisiere te beheer in samewerking met die psigologiese en emosionele aspekte van hulle werk. Die studie beweeg van uit die aanname dat geen werk 'n eiland is nie. Dit argumenteer dat dinamiese samewerking van praktiese en psigologiese interaksie van bronne in die konteks van 'n system denke raamwerk. Terwyl daar geen vasgelêde patrone is in die dinamiese werk van die SAPD nie, sal 'n ingeligte afrigters meganisme help om n ingeligte teoretiese sintese vir 'n ernstige grond vlak besluitnemings proses te hê wanneer dit gevra word. Hierdie studie gaan van die veronderstellings dat n paridigma skuif geneem word van die tradisionele patrone van bestuur van bo na onder wat meestal lei tot krieses bestuur. Die kapelaan se kantoor word gesien as a strategiese vennoot in hierdie initiatief siende dat dit nie intimiderend geplaas is binne die SAPS systeem van werk in verhouding met hoogs gespesialiseerde dienste. / Lolu cwaningo lwasungulwa emveni kokuthi ihovisi likaChaplain elikwisifunda sase Mpumalanga ne Soweto laqaphela ukuthi abasebenzi abangamaphoyisa badinga usizo ngokwesimo somqondo-nkolo kuwo wonke amazinga okusebenza. Lokhu kususwa yimiqondo-simo ababa kuyona njalo uma bebhekana nezinselelo zomsebenzi wabo ezibhekene nokuphephisa isizwe. Lolu sizo abaludingayo kumele lubhekane nokuthi nabo bangabantu njengabo bonke abantu. Loluhlelo alubukeli phansi ezinye izinhlelo ezikhona embuthweni wamaphoyisa kodwa luzama ukuncedisana nazo zonke ezinye izinhlelo ezihlose ukulekelela isimo mqondo sabasebenzi bokuvikela umphakathi. Lengxenye yohlelo ibheke kakhulu ekulungiseni isimo somqondo ngakwezomoya. Loluhlelo lukulungele ukubheka wonke amacala esimo mqondo ngokwesimo sempilo, isimo sokholo kanye nayo yonke eminye imixhantela ebukeka inomthelela ekulungiseni noma ekukhuliseni impilo-mqondo yamaphoyisa. Lobu budlelwano bubukeka buhlukile kunalobu obujwayelekile ngoba buvula amathuba okuthi amaphoyisa abe yingxenye yohlelo olungawasiza abe engaphoqelekile ukuba yingxenye yalolohlelo. Ngokuthi ihovisi likaChaplain alikhethi macala yingakho lobuhlobo bubukeka sengathi bungaba nemiphumela emihle kunezinye ezike zabakhona ngaphambilini. / Dyondzo leyi yi hlohloteriwe hi leswi nga lemukiwa hi hofisi ya Mufundhisi-Wa-Maphorisa eka muganga wa Soweto-Vuxa ni swiyenge leswi va tirhisanaka na swona, va vona ku pfumaleka ka nghenelo-mpfuneto wa vudzaberi lebyi nga ni dyondzo yo khomeka ya ntivo-vukwembu exikarhi ka vufambisi bya vukorhokeri bya xiphorisa bya Afrika-Dzonga ni maphorisa entirhweni. Vudzaberi lebyi hlayiweke laha henhla a byi ta va byo xiyisisa hi vuenti ntlhontlho wa ku karhateka ka miehleketo loku vangiwaka hi muxaka wa ntirho wa xiphorisa mayelana ni ku tiyimisela ka xona ku pfuneta ku vumba rixaka leri hlayisekeke, leri nga ni ntshamiseko. Hambi leswi vudzaberi lebyi byi nga bya nkoka, a byi fanelanga ku bakanyela e tlhelo ni ku teka ndhawu ya mimpfuneto yin'wana leyo hlawuleka leyi se yi nga ku tirheni exiphoriseni, kambe byi fanele ku voniwa tanihi ndlela yo seketela hi ku languta hi ku katsakanya dyondzo yo khomeka ya Ntivo-vukwembu leyi nga ni risima hi ku languta ntshamo wa vutomi lowu tiyisisiweke hi vumbhoni bya xisayense. Xikongomelo-nkulu xa mpfuneto lowu i ku ringeta ku tiyisa vutomi bya ximoya bya maphorisa hi ku tirhisana ni miehleketo na ku titwa ka vona entirhweni. Dyondzo leyi yi pfelela eka ku teka tanihi ntiyiso ntshaho lowu nge 'ku hava xiphemu xa ntirho lexo kotisa xihlala ku tiyimela xoxe', hi ndlela leyi, ntshaho lowu wu koxa leswaku ku va ni ku katsakanya swiyenge swo hambana hambana. Hambi leswi ku nga ri ki ni mikhuva yo nonohela ncinco exiphoriseni, ndlela ya vudzaberi lebyi fambisanaka ni vutivi yi ta tisa matirhelo ya vutlhari yo pfuneta ku teka swiboho leswi vupfeke loko ku va ni xilaveko xa sweswo. Dyondzo leyi yi ri xikolo-kolo leswi i ku cinca lokukulu ni ku dzuvula ku huma eka mikhuva ya xikhale ya muxaka wa vufambisi byo kombetela hi tintiho, swi nga swona leswi vangaka swiyimo swa mintlimbo ni nkelunkelu. Hofisi ya Mufundhisi-Wa-Maphorisa yi voniwa tanihi mukondleteri wa nkoka eka xipimanyeto lexi hi ku ya hi ndzima leyi boxiwaka hi hofisi leyi hi ku pfumala nxungeto eka matirhelo ya xiphorisa ya vukorhokeri byo hlawuleka ni bya risima. / Practical Theology / M. Th. (Practical Theology)

The research posed two questions, namely (a) how much stress, if any, is experienced by house mothers in a childrens' home, and (b) which factors cause such stress. The methodology employed is descriptive research. It covered the total population of ten house mothers in a childres' home. Measuring instruments employed were; the Heimler scale for Social Functioning, the Glazer Stress Control Life Style Questionnaire, the Stress Questionnaire, and a self-formulated questionnaire. The results are as follows: 70% reported average to high stress, but are inclined to deny stress. 30% reported normal stress levels, Possible causes of stress are the work context of the childrens' home, age, period of service, and personality. / Die studie soek antwoorde op twee vrae, naamlik (a) hoeveel sires, indien enige, beleef huismoeders in 'n kinderhuis, en (b) wat veroorsaak sulke sires? Die metode wat gebruik was, is beskrywende navorsing. Die totale populasie van tien huismoeders in die spesifieke kinderhuis is betrek. Die klein omvang maak hierdie studie nie veralgemeenbaar nie. Die volgende meetinstrumente is benut ; die Heimlerskaal vir Maatskaplike Funksionering, die "Glazer Stress Control Life Style Questionnaire'', die "Stress Questionnaire", en 'n selfgeformuleerde vraelys. Die resultate is soos volg: 70% van die huismoeders in die studie vermeld gemiddelde tot hoe mates van stres, maar is geneig om stres te ontken. Dertig persent van die respondente vermeld normale hoeveelhede stres. Moontlike oorsake van sires is aangetoon as: die werkskonteks binne die kinderhuis, ouderdom, tydperk van diens, en persoonlikheid / Social Work / M.A. (Social Work: Mental Health)

The research posed two questions, namely (a) how much stress, if any, is experienced by house mothers in a childrens' home, and (b) which factors cause such stress. The methodology employed is descriptive research. It covered the total population of ten house mothers in a childres' home. Measuring instruments employed were; the Heimler scale for Social Functioning, the Glazer Stress Control Life Style Questionnaire, the Stress Questionnaire, and a self-formulated questionnaire. The results are as follows: 70% reported average to high stress, but are inclined to deny stress. 30% reported normal stress levels, Possible causes of stress are the work context of the childrens' home, age, period of service, and personality. / Die studie soek antwoorde op twee vrae, naamlik (a) hoeveel sires, indien enige, beleef huismoeders in 'n kinderhuis, en (b) wat veroorsaak sulke sires? Die metode wat gebruik was, is beskrywende navorsing. Die totale populasie van tien huismoeders in die spesifieke kinderhuis is betrek. Die klein omvang maak hierdie studie nie veralgemeenbaar nie. Die volgende meetinstrumente is benut ; die Heimlerskaal vir Maatskaplike Funksionering, die "Glazer Stress Control Life Style Questionnaire'', die "Stress Questionnaire", en 'n selfgeformuleerde vraelys. Die resultate is soos volg: 70% van die huismoeders in die studie vermeld gemiddelde tot hoe mates van stres, maar is geneig om stres te ontken. Dertig persent van die respondente vermeld normale hoeveelhede stres. Moontlike oorsake van sires is aangetoon as: die werkskonteks binne die kinderhuis, ouderdom, tydperk van diens, en persoonlikheid / Social Work / M.A. (Social Work: Mental Health)

Many of the caring tasks previously done by health care professionals are these days handled by caregivers. Caregivers are selected, trained and to a certain extend supervised. Little attention is however given to the effects that care giving has on their physical and mental health and own needs for caring and support. This study is an exploratory, qualitative and quantitative investigation into the effects of care giving on the physical and mental health of caregivers in HIV and AIDS programmes to determine their needs for ongoing support. A literature study was supplemented by an empirical investigation. The literature study and empirical investigation proved that care giving has a tremendous impact on the lives of caregivers. Recommendations resulting from the study are the need for more education and skills for caregivers, support through counselling, debriefing and support groups, policies and guidelines that makes provision for caregivers to be registered and receive a fixed income. / Social Work / M. A. ((SS)(Mental Health)Social Work)