D.Cur. / There is currently lack of mobilization of the advanced psychiatric nurse as a resource person in the mental health services of the Gauteng Province. This lack of mobilization of the advanced psychiatric nurse as a resource person in the mental health services, is associated with her supervisors who are the psychiatric nurse managers. The purpose of this research was to develop and describe a model that could be implemented to guide the mobilization of the advanced psychiatric nurse as a resource person in the mental health services in order to facilitate her mental health. The research also focused on developing guidelines for the implementation of the model for the mobilization of the advanced psychiatric nurse as a resource person. The model: "Mobilization of the advanced psychiatric nurse as a resource person: an interactive process", together with its operational guidelines was developed by using a theory generative design, that is, qualitative, explorative, descriptive and contextual in nature. This model was developed according to Chinn and Kramer's (1995) approach to theory generation, namely: identification of the central concepts for the model by conducting a field study to explore and describe the views of the advanced psychiatric nurse and those of the psychiatric nurse managers with regard to the mobilization of the advanced psychiatric nurse as a resource person in the mental health services of Gauteng; analysing the data gathered through focus groups interviews from the sample of the advanced psychiatric nurses and form the sample of psychiatric nurse managers using Strauss and Corbin's (1990) open, axial, and selective coding approach to guide data analysis; analysing the data by identifying, defining, classifying the concepts and placing them into relationship with each other to form relationship statements as the conceptual framework for the model; describing the model using strategies proposed by Chinn and Kramer (1995) and then subjecting the model to evaluation by experts in theory generation; describing the guidelines for the implementation of the model in the clinical setting.

M.Cur. / Please refer to full record to view abstract

D.Cur. / South Africa, like many other countries, is charged with ensuring that her adolescents are mobilised to believe in the power of their own dignity in order for their life-world to change. Hundreds of thousands of adolescents were forced to experience political upheavals, violence, neglect, incarceration and family disorganisation. Many of these adolescents were forced onto the margins of society in their strive for understanding and survival. Many dropped out of school, are unskilled and therefore unemployed. They feel hopeless as they struggle for a place in society, because society has no faith in them - "they are lost to society". The purpose of this study was to generate a psychiatric nursing model to facilitate the reintegration of marginalised adolescents into the community. This study therefore has profound social, political and economic implications for the South African community. Through this model, which is a theoretical framework to be utilized by the advanced practitioner in psychiatric nursing, adolescents will be empowered to believe in themselves, to engage in meaningful relationships and activities with their families, peer groups and the broader community. The model provides a theoretical framework that attempts to rekindle and inspire the adolescents from a state of hopelessness and disillusionment, to integrated individuals who are respected, valued and accepted as integral members of their families, peer groups and communities. The model will assume a problem solving and preventative approach. Based on this discussion, the following questions were addressed in this research: What obstacles exist that hamper marginalised adolescents' reintegration into the community? What could be done to assist marginalised adolescents' reintegration into the community? A theory generative, qualitative, contextual, exploratory and descriptive design was followed. The research was conducted in four steps with a pilot-study that preceded step one of the research. In step one, focus group discussions were conducted with five groups of respondents to explore and describe obstacles that hamper the reintegration of marginalised adolescents into the community, as well as their views on how marginalised adolescents can be assisted to be reintegrated into the community. Data was analysed using Tesch's method. Based on the results of analyzed data, disempowerment, characterized by hopelessness, alienation/isolation, anger, frustration and worthlessness - related to poor socialisation, lack of support and services, family disorganisation, peer pressure and fragmented services - was identified as a main theme among stumbling blocks. Empowerment, characterized by improved self-image, feelings of worth, belief in own dignity - related to a sense of wellbeing, belonging and respect - resulting in personal growth and societal change with ultimate reintegration, was identified as major strategy to address marginalisation. In step two, the defined concepts were related to each other to show interrelationships. Classification of central and relational concepts followed to formulate relationship-statements, the result being to depict related concepts in structural form. In step three, a visual model to be utilized as a theoretical framework by the advanced psychiatric nurse practitioner to facilitate the marginalised adolescents as recipients and the advanced psychiatric nurse as agent, was designed to facilitate reintegration into the community. The model was evaluated by a panel of experts. Step four dealt with guidelines to operationalise the model in practice, education and research. Recommendations and limitations of the research were also discussed.

The purpose of this study was to describe the perceptions/views of student nurses, nurse educators and unit supervisors on accompaniment of student nurses in clinical settings of the Northern Province of the RSA A quantitative descriptive cross-sectional survey was used in this study to describe the perceptions/views of student nurses, nurse educators and unit supervisors on apcompaniment of student nurses in clinical settings. Data was collected during February and March 200 I when student nurses, nurse educators and unit supervisors in the Northern Province completed questionnaires. The study revealed positive and negative perceptions regarding accompaniment of student nurses in clinical settings, including that: • accompaniment in the clinical settings enhanced student nurses' clinical learning experiences • the presence of nurse educators in the clinical settings improved student nurses' accompaniment • facilitators played an important role in the accompaniment of student nurses • accompaniment enhances correlation of theory and practice / Health Studies / MA (Advanced Nursing Sciences)

Text in Afrikaans / In hierdie beskrywende, verkennende en kontekstuele studie is ondersoek gedoen na redes waarom opgeleide intensiewesorgverpleegkundiges uit die intensiewesorgomgewing bedank en buite die intensiewesorgomgewing werk in die noordelike gedeelte van Gauteng. Doelwitte vir die studie was om die faktore te bepaal wat bydra tot die bedanking uit die intensiewesorgeenheid, die identifisering van die nie-verpleegkundige beroepe wat tans beoefen word en die bepaling van die faktore wat bydra tot die beoefening van 'n nie-verpleegkundige beroep. Die data is ingesamel deur middel van 'n vraelys wat voltooi is deur opgeleide intensiewesorgverpleegkundiges wat bedank het uit die intensiewesorgomgewing. Die sneeubalsteekproeftegniek is gebruik. Die data-analise het getoon dat redes vir bedanking uit die intensiewesorgomgewing die volgende insluit: onvoldoende salarisse, te veel stres en emosionele uitputting, ongerieflike werkure, personeeltekort en onbevredigende werkomstandighede. Daar is bevind dat verpleeg-sessiewerk steeds deur die respondente gedoen word, al werk hulle huidig voltyds buite die intensiewesorgomgewing. / In this exploratory, descriptive and contextual study research has been done to establish the reasons why intensive care nursing personnel resign from the intensive care environment in the northern Gauteng region. The researcher aimed to establish the factors that contributed to the resignations from the intensive care environment, to identify the non-nursing careers currently being practised by former intensive care nursing staff and to establish the factors that influenced them to practice non-nursing careers. The data was collected through questionnaires completed by former intensive care nursing personnel. The snowball test sampling method has been used. Data analysis has shown the following to be inter alia the reasons for the resignations from the intensive care environment: insufficient income, exhaustion and emotional stress, inconvenient working hours, staff shortages and unsatisfactory working conditions. One finding is that respondents are still doing nursing session work although they are working full-time in nonnursing capacities. / Health Studies / M.A. (Verpleegkunde)

The purpose of this study was to describe the perceptions/views of student nurses, nurse educators and unit supervisors on accompaniment of student nurses in clinical settings of the Northern Province of the RSA A quantitative descriptive cross-sectional survey was used in this study to describe the perceptions/views of student nurses, nurse educators and unit supervisors on apcompaniment of student nurses in clinical settings. Data was collected during February and March 200 I when student nurses, nurse educators and unit supervisors in the Northern Province completed questionnaires. The study revealed positive and negative perceptions regarding accompaniment of student nurses in clinical settings, including that: • accompaniment in the clinical settings enhanced student nurses' clinical learning experiences • the presence of nurse educators in the clinical settings improved student nurses' accompaniment • facilitators played an important role in the accompaniment of student nurses • accompaniment enhances correlation of theory and practice / Health Studies / MA (Advanced Nursing Sciences)

Text in Afrikaans / In hierdie beskrywende, verkennende en kontekstuele studie is ondersoek gedoen na redes waarom opgeleide intensiewesorgverpleegkundiges uit die intensiewesorgomgewing bedank en buite die intensiewesorgomgewing werk in die noordelike gedeelte van Gauteng. Doelwitte vir die studie was om die faktore te bepaal wat bydra tot die bedanking uit die intensiewesorgeenheid, die identifisering van die nie-verpleegkundige beroepe wat tans beoefen word en die bepaling van die faktore wat bydra tot die beoefening van 'n nie-verpleegkundige beroep. Die data is ingesamel deur middel van 'n vraelys wat voltooi is deur opgeleide intensiewesorgverpleegkundiges wat bedank het uit die intensiewesorgomgewing. Die sneeubalsteekproeftegniek is gebruik. Die data-analise het getoon dat redes vir bedanking uit die intensiewesorgomgewing die volgende insluit: onvoldoende salarisse, te veel stres en emosionele uitputting, ongerieflike werkure, personeeltekort en onbevredigende werkomstandighede. Daar is bevind dat verpleeg-sessiewerk steeds deur die respondente gedoen word, al werk hulle huidig voltyds buite die intensiewesorgomgewing. / In this exploratory, descriptive and contextual study research has been done to establish the reasons why intensive care nursing personnel resign from the intensive care environment in the northern Gauteng region. The researcher aimed to establish the factors that contributed to the resignations from the intensive care environment, to identify the non-nursing careers currently being practised by former intensive care nursing staff and to establish the factors that influenced them to practice non-nursing careers. The data was collected through questionnaires completed by former intensive care nursing personnel. The snowball test sampling method has been used. Data analysis has shown the following to be inter alia the reasons for the resignations from the intensive care environment: insufficient income, exhaustion and emotional stress, inconvenient working hours, staff shortages and unsatisfactory working conditions. One finding is that respondents are still doing nursing session work although they are working full-time in nonnursing capacities. / Health Studies / M.A. (Verpleegkunde)

M.Cur. / The Rights of the Child are summarised in the Convention of the Rights of the Child. The Convention sets the basic rights of children for their survival, development and protection. The purpose of this research is to investigate the view of the Nursing staff working in Paediatric Intensive Care Unit in a Private Clinic on the West Rand, regarding the rights of the child, and to describe the view of the Nursing staff regarding the rights of the child as applicable within the context of a Paediatric Intensive Care Unit in a Private Clinic on the West Rand.

D.Cur. / South Africa is currently undergoing radical transformational changes in all facets of its society. This is an era immediately following the first democratic elections in the country. The new Government, the Government of National Unity (GNU) which is dominated by the African National Congress (ANC), has introduced what is known as the Reconstruction and Development Programme (RDP)(ANC, 1994), which seeks to redress disparities of the past. This programme has significant social, political and economical implications for the South African community. It proposes that statutory bodies and institutions should be rationalized and restructured to reflect the diversity of the South African people and should be better able to promote and protect the standards of health care and training. It aims to, inter alia, promote mental health and to increase the accessibility, quality and quantity of mental health support and counselling services. In line with this goal and based on problems that arise because of anxieties and fears that are inherent in change, the mental health of nurse educators and nursing students of a selected nursing college was investigated utilizing a qualitative, theory – generative design which is exploratory, descriptive and contextual in nature. The study was conducted in two phases. In Phase 1, in-depth phenomenological interviews were conducted individually with ten nurse educators and nine nursing students to explore and describe their experience of interaction with one another. Follow-up interviews were also conducted with some of the participants. Data was analysed using Tesch's method. Based on the results of the analysis, the major concept, understanding was identified as the essence of a model for constructive nurse educator - student interaction envisaged. In Phase 2, a theory -generative design was utilized to develop a constructive nurse educator - student interaction model, founded on a mental health approach. The identified concept was examined in existing writings to determine essential criteria of the concept. In addition, a model case was written in which the concept was constructed to the best of the researcher's understanding. Essential criteria of the concept were identified and a concept map was drawn to depict the essential criteria in relation to each other. The related concepts were identified and portrayed in a structural form. The visual model depicts nurse educators and nursing students who function as a family, as the recipients of activity, and the advanced psychiatric nurse practitioner, who facilitates their interaction, as the agent. By utilizing the deductive reasoning strategy, relationship statements were inferred from the model. Guidelines were described for the advanced psychiatric nurse practitioner with regard to all three phases, namely, the Interaction Initiation Phase, the Interaction Cohesiveness Phase and the Interaction Dissolution Phase, in terms of objectives, strategies and proposed activities.

M.Cur. / In this study a qualitative design which is explorative, descriptive and contextual in nature is followed. The objective of the study is three-fold: firstly, to explore and describe the opinions of members of the community about the reasons for the under-utilization of the Midwifery Obstetrical Unit ; secondly, to explore and describe the suggestions of the community for improving the utilization of the Midwifery Obstetrical Unit and, thirdly, to formulate intervention strategies for community nurses to improve the utilization of the MOU. Data was collected by means of focus group interviews, and was analysed using Tesch's method of data analysis. Trustworthiness was ensured by using the method of Guba and Lincoln. The participants in research were mothers who delivered their babies at the hospital, mothers who delivered their babies at the MOU, members of the Community Health Committee and MOU nurses.