M.P.H., Faculty of Health Sciences, University of the Witwatersrand 2011 / Background: The Employee Health and Wellness (EHW) Centre at the Kimberley Hospital Complex (KHC) started off as a staff clinic, rendering nursing services to staff members with occupational injuries and minor ailments such as influenza, colds and headaches. Since the EHW Programme was introduced in 2004 there has been no evaluation of the services provided. There is no information about referrals and current usage of the service, which compromises further planning. Study aim: The aim of the study was to describe the extent and patterns of utilization of the Employee Health and Wellness Services at the Kimberley Hospital Complex for the period 1 January 2008 to 31 December 2009. Methodology: This was a cross sectional descriptive study, involving a retrospective record review at the EHW Centre. Data extraction from various data sources was recorded on data collection tools using coding instead of names to protect the identity of the employees. The study setting was the EHW Centre at Kimberley Hospital Complex, which is the only hospital with a Centre for Employee Health and Wellness in the Northern Cape Province. Conclusion: The utilization rate of the EHW services at KHC is generally low (6.2% and 6.4%) in 2008 and 2009 respectively. There is a need for further research to determine the reasons for low utilisation through employee and employer interviews and focus group discussions. An interesting fact is the steep increase in the number of employees with multiple visits. It would be interesting to conduct a study that will determine the reasons for multiple visits in one month. There was no significant difference between the age and utilization of EHW services but there was a significant association between gender and components of services used, (chi-square test, p<0.001) for both PHC and OHS components. More males used the PHC component whilst more females used the OHS component of the services. While the reasons have not been established, it may possibly be related to a larger number of female employees in the professional category in the health sector. Thus there is a need for further research to explore the gender mismatch in utilising PHC and OHS components of the services. The Wellness programme was minimally used. There was no significant association between age and medical aid status and the usage of service components. The average length of employment for employees who visited the EHW centre was less than 10 years; there was no significant difference in usage of the service between more experienced and less experienced staff. There is a need for further studies to explore reasons for the low utilization rate of the EHW services as well as the perceptions of service providers and employees regarding the utilisation of these services at Kimberley Hospital Complex.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Science in Nursing Johannesburg 2018. / Background Client satisfaction is an increasingly important concept in service delivery, especially in the health sector. Knowing whether clients are satisfied has a multi-faceted effect. Besides being a determinant of quality service and care, satisfaction encourages happy clients to return to the service/company, so that the company retains their clientele, and may attract more. Purpose The purpose of this study was to explore and describe the employees’ level of satisfaction with the occupational health practitioners (OHPs) at one of the occupational health services (OHSs) in the Gert Sibande District in the Mpumalanga Province. Objectives The purpose of this study was to: 1. ascertain the specific demographics of employees presenting at the occupational health service (OHS) 2. ascertain and describe employees’ overall satisfaction with the occupational health practitioner’s (OHP’s) consultation on their visit 3. describe employees’ levels of satisfaction with how they were managed on their visit 4. explore and describe employees’ perceptions regarding the OHS environment 5. describe the level of trust in the relationship between the employee and the OHP. Research design and method This study made use of a quantitative cross-sectional descriptive study design to measure satisfaction experienced by clients entering and using a specific occupational health service. The survey method used was based on the Patient Satisfaction with Occupational Health Physicians tool developed by Verbeek, de Boer, van der Weide et al. (2005). Data analysis Data was captured using the guidelines provided by Verbeek et al. (2005) and was analysed using the Data Analysis and Statistical Software Version 14.1 software (STATA) computer package. Descriptive and inferential statistics were used to analyse the data. Statistical assistance was provided by a biostatistician at the Health Sciences Faculty of the University of the Witwatersrand in Johannesburg. Data were presented in tables and figures. Categorical data was presented using frequencies (number of occurrences) and percentages. Main findings Participants surveyed had a mean age of 33.87, with the majority being male, while the highest education attained was at the secondary level. Although 43.4% of participants had never used the service before, the arithmetic mean of the overall satisfaction rating with the OHP service was found to be 9.06 out of 10, implying that both new and returning participants experienced a high level of satisfaction. Most subscales showed an overall mean rating of more than 4, again implying that participants were satisfied with the services rendered. Conclusion Literature reveals that limited research has been done on South African employees’ levels of satisfaction with occupational health practitioners (OHPs). For this reason the researcher decided to ascertain and describe employees’ overall level of satisfaction with OHPs, finding a high level of satisfaction amongst the participants in this study. Ultimately, employees’ satisfaction is a strong indicator of quality of care, and employees should be able to voice their opinions on the quality of care received. Recommendations The occupational health nurse practitioner (OHNP) should be encouraged to participate in research- and evidence-based practice, as well as to formulate satisfaction surveys related to the specific workplace based on the workers’ needs, in order to identify strengths and weaknesses in the service provided. Further studies should be conducted on OHP services in South Africa. These studies can take place in different industries and provinces to ascertain if the results obtained herein are generally prevalent or will be contradicted. Furthermore, alternate methods of data collection such as qualitative one-on-one interviews should be used to yield more in-depth information on the satisfaction of employees with OHSs. Keywords Employee, Occupational Health Practitioner, Satisfaction, Occupational Health Service, Survey / LG2018

Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis equivalent (M.P.H.)--University of Michigan, 1947.

Thesis (Ed. D.)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Sponsor: John P. Allegrante. Dissertation Committee: David E. Wilder. Bibliography: leaves 139-146.

Thesis (M.S.) in Kinesiology and Phyiscal Education--University of Maine, 2003. / Includes vita. Includes bibliographical references (leaves 56-58 ).

This research report submitted to the Faculty of Management, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Management January, 1995 / There is mounting concern about the increasing cost of healthcare, marketing it unaffordable for more people. Until recently, healthcare has been reactive and curative, in the main" as opposed to proactive and preventive. In the USA and Australia, much research has been undertaken on tne effectiveness of wellness programmes - any programme which aims to educate individuals On unhealthy practices and lifestyles, and thereby pre-empt or avoid severe ill1ness. In this country, wellness programmes are a relatively new approach. [Abbreviated Abstract. Open document to view full version]

Thesis (M.P.H.)--University of Michigan, 1944.

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.H.)--University of Michigan, 1944.