The perspective on health among school pupils needs to be extended. School is animportant arena for the promoting of health among youth, primarily from a healthpromoting perspective and a proactive perspective. A holistic approach has gatheredsome ground in the policy documents for the nine year compulsory school in Sweden, butin what way, and what effect does it have on the governing authorities and on schoollevel?The aim of the study is to investigate the coherence between national, municipal andlocal levels regarding the view on health among pupils. In order to do this, the guidelinesfor pupil health in the municipality of Örebro and operational plans for seven F9 schoolsin the municipality of Örebro will be studied and compared to the government bill”Health, learning and sense of security”. In order to obtain a theoretical understanding ofthe course of events between the different organizational levels, intervention theory hasbeen used as an explanatory model.Through analysis of the municipal guidelines for youth and pupil health, shows that thedocument very much resembles the government bill, which becomes apparent through thesame abstract formulations used. The content of the operational plans, particularly thequestion of preventing ill-health, therefore generally stays on an abstract level as well.Consequently, no concrete measures are taken on school level.From what the government bill emphasizes, the strongest reflection in the operationalplans is the point of quality control in the pupil health work and the participation ofparents. The operational plans are influenced by documents that describe how the pupilhealth work is to be organized, but there is still no policy document available for pupilhealth on local school level that includes health promoting and preventive measures. Thusthe schools lack the tools needed to tackle ill-health from a holistic point of view.However, several measures are available when it comes to reactive measures such asbullying and abusive behaviour. / Det finns ett behov av en utvidgad syn på elevhälsa som uppmärksammar fler aspekter avhälsa. Skolan är en viktig arena för arbetet med barn och ungdomars hälsa, inte minstutifrån ett hälsofrämjande och förebyggande perspektiv. I de dokument som styr skolanhar ett helhetsperspektiv på elevers hälsa fått ett allt större utrymme men på vilket sättoch vad innebär det, från de styrande organen för skolan och ner till personalen som skabemöta eleverna?Syftet med studien är att undersöka överensstämmelsen mellan en nationell och enkommunal och en lokal nivå vad gäller elevhälsa. Konkret innebär det att granska Örebrokommuns riktlinjer för barn- och elevhälsa och sju verksamhetsplaner för F9-skolor iÖrebro kommun utifrån regeringspropositionen ”Hälsa, lärande och trygghet”. För att fåen sammanhängande teoretisk beskrivning av skeendet mellan de olika organisatoriskanivåerna har en interventionsteori används som förklaringsmodell.Det som framkommit genom analys av det kommunala dokumentet är att det i stort ärväldigt likt propositionen, vilket bland annat innebär att det som formulerats i abstraktaordalag i propositionen sällan formuleras mer konkret i kommunens riktlinjer. Det somblir skrivet i verksamhetsplanerna, i synnerhet det som rör att förebygga psykisk ohälsa,blir därför också i vissa fall bara till abstrakta målformuleringar som aldrig tar form ikonkreta åtgärder eller insatser.Det som starkast avspeglas i verksamhetsplanerna utifrån det som framhålls ipropositionen är vikten av att kvalitetssäkra elevhälsoarbetet och att arbeta med eleversoch föräldrars delaktighet. Till stor del formas verksamhetsplanerna utifrån dokumentsom konkret beskriver hur arbetet med elevhälsa ska bedrivas, dock finns det inte någotelevhälsodokument på lokal nivå som generellt beskriver ett förebyggande ochhälsofrämjande arbete. Således har skolorna få verktyg för att angripa ohälsa ur etthelhetsperspektiv. Däremot finns det ett flertal specifika åtgärder till redan befintligproblematik, likt mobbning och kränkande behandling.

Ten years after the introduction of the new democratic political dispensation in 1994, violence in schools are as rife as before. There has been no significant decrease in school violence during this period. Violence has only increased and become part of people's everyday lives. School violence remains a serious problem for both learners and educators. Various factors contribute to school violence and it has become necessary to determine to what extent school violence influences the learners of South Africa. Education is available for everyone to utilize. For learners to achieve optimally, safe environments need to be created. In order to eradicate the problem of school violence, it is important to know what the concept school violence entails, which factors contribute to school violence and to what extent school violence has influenced the schools up to date. It is also important to keep track of international trends which promote health in schools globally. Health is undoubtedly linked to educational achievement. The World Health Organization has initiated a project to promote health and healthy lifestyles universally. To counteract the persisting violence in schools, the possibility of creating health promoting schools in South Africa deserves attention. In order to unravel the phenomenon of violence in schools, a qualitative method of research was used, with data being collected by means of focus-group interviews, through intentional sampling. The transcriptions were subjected to descriptive analysis. The findings of the research are presented with an overview of school violence in the West Rand region. Factors contributing to school violence in this region have been identified as: drug and alcohol abuse, gangsterism, gambling, intolerance and the influence of educators. Physical and Psychological violence are the two main categories of violence identified in this region with various sub-categories which include fighting, harassment, sexual abuse, intimidation and victimization which enhance the violence and violent behaviour in this region. A nation's wealth lies within the youth of a country. They assure the future and our children are the most important natural resources we possess, therefore we need to respond to the challenges -violent behaviour and crime in our schools. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2005.

Le concept d’Hôpital Promoteur de Santé (HPS) a pris beaucoup d’importance depuis son élaboration vers la fin des années quatre-vingt. Dans le contexte de la dernière réforme, le réseau montréalais des HPS et CSSS a été créé. Le Centre Universitaire de Santé McGill (CUSM) fait partie de ce réseau depuis 2007. Cette étude vise la création d’un milieu hospitalier promoteur de la santé pour les patients et s’adresse à l’expérience d’un repas pour les personnes âgées nécessitant une diète purée. Une étude de cas qualitative a été utilisée pour explorer la perception de patients vis-à-vis les aspects relatifs à leur cabaret, l’assistance qu’ils recevaient et le contexte social de leur repas. Les impressions des professionnels de la santé quant à l’expérience des patients ont aussi été obtenues. Les résultats indiquent que l’identification difficile des aliments en purée, la saveur, l’apparence et la variété sont tous des éléments qui affectent négativement leur expérience repas. Des sentiments d’impuissance ont aussi été rapportés par les patients et les professionnels de la santé. Le contexte social du repas a été souligné comme étant un aspect à cibler pour améliorer l’expérience des patients. Un programme utilisant des purées formées pourrait contrecarrer les effets négatifs de la prescription d’une diète purée. Des changements dans les pratiques infirmières, à savoir la création d’une ambiance sociale agréable au moment des repas, semble être une option peu couteuse qui pourrait améliorer l’expérience repas des patients et diminuer les sentiments d’impuissance relevés par les professionnels de la santé à l’égard de cet aspect de soin. / The Health Promoting Hospital (HPH) concept has gained much momentum since its development in Europe in the late nineteen eighties. The Montreal network of HPH was created in 2005, within the context of the last reform. The McGill University Health Center (MUHC) is a part of this network since 2007. This study focuses on the creation of a health promoting hospital setting for patients and addresses the mealtime experience of older hospitalized patients requiring a puree diet. A qualitative case study design was used to explore patients’ perceptions of aspects of their puree meal tray, assistance provided by staff and the social context in which the meal was taken. Health professionals’ view of the patients’ experience were also obtained. Results indicate that the difficult identification of food items, flavour, appearance and variety were all important factors negatively affecting the mealtime experience. Feelings of loss of control were also reported by patients and staff. The social context in which the meal was taken was highlighted as an area which could be targeted to improve mealtimes. A program using formed puree food items could help lessen the negative impact of the prescription of a puree diet. Changes in nursing practices regarding the creation of a pleasant social atmosphere were identified as an inexpensive option to improve the mealtime experience for patients and decrease feelings of lack of control for staff in this aspect of care.

<p>Language diversity continues to create a language barrier to international tourism. Tourists from non-English speaking countries face a language barrier in South Africa and this affects their experiences in the country. Measuring and understanding something of this challenge is the purpose of this study. The focus is on how the tourism industry in Cape Town uses languages to sell and promote the city internationally. The study investigates procedures, strategies, and policies adopted by the tourism industry in Cape Town to cater for tourists from across the world. In addition, the study also investigates how tourists from non-English speaking countries adapt linguistically to cope with their stay in Cape Town. The study targeted both tourism organisations and international tourists who use tourist facilities in most popular tourist areas in Cape Town. Both primary and secondary data were collected. Convenience sampling was used to select both tourism service providers and tourists. To enhance validity, reliability, and accuracy, various tools have been deployed to collect the data. Primary data were collected from both tourism service providers and international tourists using questionnaires, interviews, photographs and observations. Secondary data collection involved observations of public signage as well as analysis of electronic and printed promotional materials such as brochures, guidebooks, menus, newspapers and websites. Collected data were captured in spread sheets to enable descriptive analysis of tourists&rsquo / languages and of language use in tourism organisations in different of forms of niche tourism in Cape Town. Survey results reveal that a little more than half of all surveyed tourism organisations in Cape Town sell and promote their products using only South African languages including English whilst a minority sell and promote their products using English coupled with foreign languages. The majority of multilingual staff in those surveyed tourism organisations who have adopted multilingualism are working part-time or employed temporarily. In addition, results also indicate that English dominates other languages in public signs and printed and electronic promotional publications used by surveyed tourism organisations in Cape Town. Foreign languages are used most in tour operations and travel agencies sector whilst South African languages dominate in accommodation and restaurants sectors. On the other hand the research shows that a big proportion of foreign tourists in Cape Town were able to speak English and other foreign languages. The research shows that the majority of tourists from non-English speaking countries are more interested in learning foreign languages compared with their counterparts from English speaking countries. Only less than a quarter of all surveyed tourists from non-English speaking countries in Cape Town are monolingual in their home languages. These tourists struggle to communicate with service providers in Cape Town. Translators and gestures were used by non-English speaking tourists as a way of breaking down communication barriers in Cape Town. Contrarily, a big proportion (two thirds) of all surveyed tourists from English speaking countries in Cape Town does speak only English. Foreign tourists in Cape Town speak tourism service providers&rsquo / language rather than tourism service providers speaking tourists&rsquo / languages. The majority of tourism service providers in Cape Town are reluctant to learn foreign languages and to employ multilingual staff. This means that most tourism organisations sell and market their product in English only. Other South African languages such as Afrikaans and Xhosa are used frequently in informal communication in the tourism industry in Cape Town. Seemingly, Afrikaans dominates Xhosa in all forms of tourism except in township tourism where the majority of service providers are Xhosa-speakers. To market and promote Cape Town internationally, the tourism industry in Cape Town should employ multilingual staff who can communicate in tourists&rsquo / native languages. Multilingualism should be practised in all tourism sectors rather than in one or few sectors because all tourism sectors compliment each other in meeting customer&rsquo / s satisfaction. Failure in one tourism sector may affect other tourism sectors&rsquo / performance.</p>

<p>Language diversity continues to create a language barrier to international tourism. Tourists from non-English speaking countries face a language barrier in South Africa and this affects their experiences in the country. Measuring and understanding something of this challenge is the purpose of this study. The focus is on how the tourism industry in Cape Town uses languages to&nbsp / sell and promote the city internationally. The study investigates procedures, strategies, and policies adopted by the tourism industry in Cape Town to cater for tourists from across the world. In addition, the study also investigates how tourists from non-English speaking countries adapt linguistically to cope with their stay in Cape Town. The study targeted both tourism organisations&nbsp / and international tourists who use tourist facilities in most popular tourist areas in Cape Town. Both primary and secondary data were collected. Convenience sampling was used to select&nbsp / both tourism service providers and tourists. To enhance validity, reliability, and accuracy, various tools have been deployed to collect the data. Primary data were collected from both tourism service providers and international tourists using questionnaires, interviews, photographs and observations. Secondary data collection involved observations of public signage as well as&nbsp / analysis of electronic and printed promotional materials such as brochures, guidebooks, menus, newspapers and websites. Collected data were captured in spread sheets to enable&nbsp / descriptive analysis of tourists&rsquo / languages and of language use in tourism organisations in different of forms of niche tourism in Cape Town. Survey results reveal that a little more than half of&nbsp / all surveyed tourism organisations in Cape Town sell and promote their products using only South African languages including English whilst a minority sell and promote their products using&nbsp / English coupled with foreign languages. The majority of multilingual staff in those surveyed tourism organisations who have adopted multilingualism are working part-time or employed&nbsp / temporarily. In addition, results also indicate that English dominates other languages in public signs and printed and electronic promotional publications used by surveyed tourism organisations in Cape Town. Foreign languages are used most in tour operations and travel agencies sector whilst South African languages dominate in accommodation and restaurants&nbsp / sectors. On the other hand the research shows that a big proportion of foreign tourists in Cape Town were able to speak English and other foreign languages. The research shows that the&nbsp / majority of tourists from non-English speaking countries are more interested in learning foreign languages compared with their counterparts from English speaking countries. Only less than a&nbsp / quarter of all surveyed tourists from non-English speaking countries in Cape Town are monolingual in their home languages. These tourists&nbsp / struggle to communicate with service providers in Cape Town. Translators and gestures were used by non-English speaking tourists as a way of breaking down communication barriers in Cape Town. Contrarily, a big proportion (two thirds) of&nbsp / all surveyed tourists from English speaking countries in Cape Town does speak only English. Foreign tourists in Cape Town speak tourism service providers&rsquo / language rather than tourism&nbsp / service providers speaking tourists&rsquo / languages. The majority of tourism service providers in Cape Town are reluctant to learn foreign languages and to employ multilingual staff. This means&nbsp / that most tourism organisations sell and market their product in English only. Other South African languages such as Afrikaans and Xhosa are used frequently in informal communication in the&nbsp / ourism industry in Cape Town. Seemingly, Afrikaans dominates Xhosa in all forms of tourism except in township tourism where the majority of service providers are Xhosa-speakers. To market and promote Cape Town internationally, the tourism industry in Cape Town should employ multilingual staff who can communicate in tourists&rsquo / native languages. Multilingualism should&nbsp / be practised in all tourism sectors rather than in one or few sectors because all tourism sectors compliment each other in meeting customer&rsquo / s satisfaction. Failure in one tourism sector may&nbsp / affect other tourism sectors&rsquo / performance.</p>

Inoculation with free-living diazotrophic bacteria is well documented to enhance vegetative growth and yield increases of various crops coupled with suppression of sublethal pathogens. The use of microbial inoculants has been identified as an alternative or supplement to use of nitrogenous fertilizers and agrochemicals for sustainable agriculture. The search for effective free-living diazotrophic bacterial strains for formulation as biofertilizers has been on going since the 1970’s and a number of inoculant biofertilizers have been developed and are commercially available. In the current study, 250 free-living diazotrophic bacteria were isolated from soils collected from the rhizosphere and leaves of different crops in different areas within KwaZulu-Natal, province, Republic of South Africa. These were evaluated for plant growth-promotion and biological control of damping-off fungi initially by in vitro screening. The growth promotion traits tested included, phosphate-solubilization, production of indole-3-acetic acid, production of ammonia and acetylene reduction. Biocontrol traits evaluated included siderophore-production, antibiosis, and production of hydrogen cyanide (HCN). Biochemical and molecular bioassay tests were conducted to identify the twenty most promising isolates selected in the in vitro study. The twenty isolates were further tested in combination with various levels of nitrogenous fertilizer for growth-promotion of maize (Zea mays L.) and wheat (Triticum aestivum L.) under greenhouse conditions. The five most promising isolates identified for growth promotion under greenhouse conditions for each crop were assessed for their effects on the germination of maize in vitro and growth and yields of two maize and two wheat cultivars, when combined with a low dose of nitrogenous fertilizer in field trials. The five Bacillus subtilis (Ehrenberg) Cohn isolates that suppressed the growth of a wide range of pathogenic fungi in vitro were tested for their efficacy against damping-off of wheat caused by Rhizoctonia solani Kühn in the greenhouse. These isolates were further studied for their modes of action against R. solani in vitro. The modes of action tested included antibiosis, production of siderophores, extracellular enzymes, production of hydrogen cyanide (HCN) and antibiotic resistance. The twenty most promising bacterial isolates identified from the in vitro screening reduced acetylene to ethylene, produced indole-3-acetic acid and siderophores, one isolate solubilized phosphate, and 9 inhibited the growth of R. solani. These twenty isolates enhanced growth of maize and wheat above the Uninoculated Control under greenhouse conditions. The growth enhancements varied with bacterial isolate x crop species interactions, which identified five different isolates for each of the two crops. Relative to the Uninoculated Control, the best five isolates significantly (P = 0.001) enhanced the growth of maize and wheat at all fertilizer levels for a number of growth parameters: increased chlorophyll levels and heights of maize, shoot dry biomass of maize and wheat, and enhanced root development of maize in the greenhouse. Inoculation of maize and wheat with the two most promising isolates identified from the field trial for each crop, in combination with 65% and 50% of the recommended amount of nitrogenous fertilizer for maize and wheat, respectively, caused the same increases in shoot biomass as the Fully Fertilized Control. Application of a combination of the best bacterial isolates and 35% nitrogenous fertilizer resulted in the same or greater shoot dry biomass and yields of both maize and wheat under field conditions. Shoot dry biomass of wheat increased by 75% above the Uninoculated Control and 30% above the Fully Fertilized Control. The wheat yield increased by 95% above the Uninoculated Control and 43% above the Fully Fertilized Control. Seed inoculation with the best isolates combined with 35% N increased yields of maize by 41% above the Uninoculated Control and 15% above the Fully Fertilized Control. The best isolates significantly (P < 0.001) increased plant height, chlorophyll levels and shoot biomass of maize relative to the Uninoculated Control. There was a positive correlation between chlorophyll level and yield, chlorophyll level and shoot dry biomass, height and shoot dry biomass and height and yield of maize at P = 0.01 with r values of 0.87, 0.77, 0.92 and 0.81, respectively. The isolates that exhibited multiple plant-growth promoting traits in vitro, increased shoot biomass of both maize and wheat in the greenhouse and field, and caused yield increases in the two crops under field conditions. Five B. subtilis isolates inhibited the growth of some of the pathogenic fungi tested in vitro up to 95%. Seed inoculation with the same isolates significantly (P = 0.001) suppressed R. solani damping-off of wheat under greenhouse conditions and exhibited multiple mechanisms of disease control in vitro. The use of microbial inoculants in combination with low doses of nitrogenous fertilizers can enhance crop production without compromising the yields. The B. subtilis isolates obtained in this study can effectively control R. solani damping-off of wheat, fix nitrogen and enhance plant growth. The use of microbial inoculants can contribute to the integrated production of cereal crops with reduced nitrogenous fertilizer inputs, as a key component of sustainable agriculture. Key words: Free-living bacteria; plant growth-promotion; diazotrophs; biological nitrogen fixation; phosphate-solubilization; siderophores; indole-3-acetic acid; biocontrol; damping-off / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2013.

The purpose of this dissertation was to research into Sri Lanka’s tourism and study the development over the last five years, 2009-2014. The author did a small contradistinction between Sri Lanka and Thailand to see the difference between both countries in Asia. Following years was chosen because of the ended war in Sri Lanka. Interviews that have been done to accomplish this dissertation were expert interviews with three tour operators/agencies and two individuals. All five persons that were interviewed work within promoting or selling trips to Sri Lanka for Swedish travelers. Sri Lanka could be improved and market by using the 8P factors in the Marketing Mix by Morrison. Factors as Promotion, Partnership, Packaging and Impact should be prioritizing while promoting Sri Lanka as a tourist destination in Asia. During their development towards a tourism destination they have reached the Involvement stage in the Butler’s sequence model. They are developing roads, hotels and striving towards a better marketing and they will surely increase their inbound tourism as soon as the development is finished. / Syftet med uppsatsen var att forska om Sri Lankas turism och dess utveckling kring the senaste fem åren, 2009-2014. Skribenten har valt att göra en liten jämförelse mellan Sri Lanka och Thailand för att se vad som skiljer sig åt mellan båda Asien länderna. Fokus ligger på svenskarnas resor till vardera av länderna. Statistiskt har de fem valda åren undersökts och skribenten valde dessa år för att kriget i Sri Lanka slutade 2009 och man kan lägga fokus på att forska kring utvecklingen av turismen. Intervjuer, så kallade expert intervjuer, har gjorts för att slutföra denna uppsats. Skribenten intervjuade tre touroperatörer/resebyråer och två individer. Alla fem personer som blev intervjuade till denna uppsats jobbar med Sri Lanka genom att marknadsföra och sälja resor till svenska resenärer. Sri Lanka skulle kunna förbättras och marknadsföras bättre genom att använda sig av de 8P faktorerna ur Marketing Mix av Morrison. Faktorerna så som Promotion, Partnership, Packaging och Impact bör prioriteras vid marknadsföring av Sri Lanka som turism destination i Asien.

Forkhead box (Fox) transcription factors have a conserved function in regulating lifespan and onset of age related disease in organisms from worms to mammals. Key functions in this process are the regulation of the cell cycle, oxidative stress response, and apoptosis. A complex post-translational code from nutrient, growth factor, and stress induced signals regulates Fox activity, target specificity, stability, and subcellular localization; however, many of the Fox mechanisms and targets responsible for regulating lifespan remain elusive. The budding yeast, Saccharomyces cerevisiae, is a powerful model for unravelling the genetic mechanism and pathways. Yeast encodes four Fox transcription factors, Fkh1, Fkh2, Fhl1 and Hcm1, and their roles in aging are only recently being examined. In this study, we utilized the chronological lifespan and oxidative stress assays, to explore evolutionary conservation of lifespan regulation in two of the yeast Fox orthologs, FKH1 and FKH2. We observed that deletion of both FKH genes in S. cerevisiae, impedes normal lifespan and stress resistance. Furthermore, fkh1Δ fkh2Δ cells were found to be non-responsive to caloric restriction, an intervention that extends lifespan from yeast to mammals. Conversely, increased expression of the FKHs leads to extended lifespan and improved stress resistance. Additionally, we show the Anaphase-Promoting Complex (APC) genetically interacts with the FKHs, likely functioning in a linear pathway under normal conditions, as fkh1Δ fkh2Δ post-mitotic survival defect is epistatic to that observed in apc5CA mutants. However, under stress conditions, post-mitotic survival is dramatically impaired in apc5CA fkh1Δ fkh2Δ beyond either apc5CA or fkh1Δ fkh2Δ. Finally, we observed that both the FKHs and APC genetically interact with nutrient-responsive lifespan-regulating kinase encoding genes SCH9 and TOR1. This study establishes that the yeast FKHs play a role as regulators of lifespan in yeast and identifies the APC as a novel component of this mechanism. We speculate this involves combined regulation of stress response, genomic stability, and cell cycle.

En 2006, un hôpital universitaire de la région de Montréal a décidé d’implanter le projet « Hôpital Promoteur de Santé » dans un contexte où les conditions de travail des infirmières étaient particulièrement difficiles. Une étude de cas a été menée dans le CHU, afin de mieux comprendre le contexte interne d’implantation du sous-projet ‘milieu de travail promoteur de santé’. Des entrevues ont été menées auprès de 7 acteurs-clés du niveau stratégique et 18 infirmières-chefs pour examiner leurs perceptions relativement à l’implantation du projet HPS, et plus particulièrement d’un ‘milieu de travail promoteur de santé’ pour les infirmières. Un questionnaire a aussi été administré par entrevue à quatre acteurs-clés stratégiques du CHU afin d’évaluer la compatibilité des pratiques organisationnelles avec les critères d’une des dimensions du projet HPS, le milieu de travail promoteur de santé. Les résultats montrent des similitudes et des différences parmi les perceptions des acteurs stratégiques au sujet du contexte interne d’implantation. Les similitudes portent sur l’utilité, la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs de l’organisation, la nécessité d’une implantation graduelle ainsi que sur l’existence d’obstacles à l’implantation. Les différences ont mené à cinq discours d'acteurs stratégiques aux niveaux d’engagement différents, en fonction de facteurs d'intelligibilité (i.e. compréhension du concept HPS, rôle perçu dans l'implantation, stratégie d'implantation, vision des implications du concept HPS). Les résultats révèlent aussi que toutes les infirmières-chefs perçoivent l’utilité et la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs, normes, stratégies et buts organisationnels, ainsi que les mêmes obstacles à son implantation perçus par les acteurs stratégiques. Ils montrent aussi l’existence de deux groupes différents chez les infirmières-chefs quant aux stratégies proposées et utilisées pour implanter un ‘milieu de travail promoteur de santé’. Ainsi, les stratégies des infirmières-chefs du groupe 1 peuvent être assimilées à celles de leaders transactionnels, tandis que les infirmières-chefs du groupe 2 peuvent être assimilées à celles de leaders transformationnels. Finalement, les résultats de l’analyse des données du questionnaire indiquent divers niveaux de compatibilité des pratiques de l’hôpital par rapport aux critères d’un ‘milieu de travail promoteur de santé’. Ainsi, la compatibilité est élevée pour les critères portant sur l'organisation apprenante et performante, les stratégies pour un milieu de travail sain et sécuritaire, les activités liées à la promotion de saines habitudes de vie ainsi que les modifications de l'environnement physique et social. Cependant, elle est faible pour les critères portant sur la politique de promotion de la santé et la participation des infirmières. Notre étude a souligné l’importance de l’état de préparation d’une organisation de santé à l’implantation d’une innovation, un concept peu étudié dans les études sur l’implantation efficace d’innovations dans les services de santé, plus particulièrement du projet HPS. Nos résultats ont également mis en évidence l’importance, pour un hôpital souhaitant implanter un milieu de travail promoteur de santé, de former son personnel et ses gestionnaires au sujet du projet HPS, de disposer d’un plan de communication efficace, et de réaliser un état des lieux préalablement à l’implantation. / In 2006, a University Hospital in Montreal decided to implement the "Health Promoting Hospital" project in a context where nurses’ working conditions were particularly difficult. A case study was conducted at the University Hospital in order to better understand the internal context of implementation of the subproject ‘health promoting workplace'. Interviews were conducted with 7 strategic stakeholders and 18 head nurses to examine their perceptions about the implementation of the HPH project, and particularly of a ‘health promoting workplace’ for nurses. A questionnaire was administered by interview to four key strategic stakeholders of the hospital to assess the compatibility of organizational practices with the standards and criteria of one dimension of the HPH project i.e. the health promoting workplace. The results show similarities and differences among strategic stakeholders’ perceptions about the internal context of implementation. The similarities are on utility, compatibility of the subproject ‘health promoting workplace’ with the organizational values, the need for a gradual implementation, as well as obstacles to its implementation. Differences have lead to five discourses from strategic actors with different levels of commitment. These levels depend on factors of intelligibility (i.e. understanding of the HPH concept, perceived role in the implementation, implementation strategies, vision of implications of the HPH concept). The results also reveal that all head nurses perceive the usefulness and compatibility of the subproject ‘health promoting workplace' with the organizational values, norms, strategies and goals, as well as the same obstacles to its implementation perceived by the strategic stakeholders. They also show two groups of head nurses differing on proposed and used strategies to implement a ‘health promoting workplace’. The strategies of group 1 can be compared to those of transactional leaders, while those of group 2 can be compared to transformational leaders. Finally, results from the questionnaire show various levels of compatibility between hospital practices and the criteria of a health promoting workplace. Compatibility is high on the criteria for organizational learning and efficiency, health and safety strategies, activities related to health promoting lifestyles, and changes in the physical and social environment. However, it is low for the criteria on health promotion policy and nurses’ participation. Our study has shown the importance of organizational readiness to implement an innovation, a concept hardly considered in the studies about the implementation efficacy of innovations in health services, and particularly the HPH project. Our results also highlighted the importance for a hospital wishing to implement a ‘health promoting workplace’, to train its staff and managers about the HPH project, to have an effective communication plan, and to achieve an organizational diagnostic prior to implementation.

Ten years after the introduction of the new democratic political dispensation in 1994, violence in schools are as rife as before. There has been no significant decrease in school violence during this period. Violence has only increased and become part of people's everyday lives. School violence remains a serious problem for both learners and educators. Various factors contribute to school violence and it has become necessary to determine to what extent school violence influences the learners of South Africa. Education is available for everyone to utilize. For learners to achieve optimally, safe environments need to be created. In order to eradicate the problem of school violence, it is important to know what the concept school violence entails, which factors contribute to school violence and to what extent school violence has influenced the schools up to date. It is also important to keep track of international trends which promote health in schools globally. Health is undoubtedly linked to educational achievement. The World Health Organization has initiated a project to promote health and healthy lifestyles universally. To counteract the persisting violence in schools, the possibility of creating health promoting schools in South Africa deserves attention. In order to unravel the phenomenon of violence in schools, a qualitative method of research was used, with data being collected by means of focus-group interviews, through intentional sampling. The transcriptions were subjected to descriptive analysis. The findings of the research are presented with an overview of school violence in the West Rand region. Factors contributing to school violence in this region have been identified as: drug and alcohol abuse, gangsterism, gambling, intolerance and the influence of educators. Physical and Psychological violence are the two main categories of violence identified in this region with various sub-categories which include fighting, harassment, sexual abuse, intimidation and victimization which enhance the violence and violent behaviour in this region. A nation's wealth lies within the youth of a country. They assure the future and our children are the most important natural resources we possess, therefore we need to respond to the challenges -violent behaviour and crime in our schools. / Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2005.