<p>The World Health Organisation estimates that the majority of the disabled population resides in the developing world, but most of the research on outcomes of patients originates from the developed world. In the light of the differences in healthcare structures and function, especially rehabilitation between settings and countries, it is imperative to have an understanding of the&nbsp / functioning of patients at discharge with the objective of measuring the level at which outcomes are met. The aim of this study was therefore to determine the process of rehabilitation and the&nbsp / outcome of patients following in-patient rehabilitation at a facility in the Western Cape. A quantitative research design was employed to address the objectives. Self-administered&nbsp / questionnaires were developed to collate information pertaining to the demographic-, socioeconomic- and medical profile of patients and data extraction sheets collected information relating&nbsp / to the process of rehabilitation and the impairment status of patients on admission. With regards to activity and participation, a longitudinal study design was used, which utilised standardised&nbsp / outcomes measures. The sample consisted of all patients with stroke and spinal cord injury admitted within a three-month period, and all ethical principles relating to research on human&nbsp / subjects, as stipulated in the Helsinki Declaration were adhered to during data collection, with ethical clearance obtained from relevant authorities. The SAS and the Microsoft Excel Package&nbsp / 2007 were used to analyse the quantitative data elements. Descriptive statistics using frequencies, percentages, ranges, means, and standard deviations and inferential statistics using&nbsp / chi-square, student T-tests and correlation tests, for determining the predictors of functional outcome, were calculated. There were 175 patients, whereof 82 were patients with stroke and 93&nbsp / with spinal cord injury, with 143 (76 presenting with spinal cord injury and 67 with stroke) meeting the inclusion criteria on admission. The mean age of those with spinal cord injury and stroke&nbsp / was 34.14 and 52.95 years. Most of the patients with spinal cord injuries were single (73.68%), whereas the majority (53.73%) of patients with strokes were married at the time of injury. All&nbsp / patients were managed by the doctor and the nurse, with most of the patients receiving physiotherapy, occupational therapy and social assistance from the social worker. With regards to recreational activities, 46.87% of patients with spinal cord injury and 39.39% of those with stroke attended the learn to swim programme, and 29.68% of patients with spinal cord injury attended the wheelchair basketball sessions. The mean length of hospital stay for patients with spinal cord injury and stroke was 73.11 and 51. 62 days, with most of the spinal cord injured patients&nbsp / (80.26%) and stroke patients (82.08%) discharged home without follow-up rehabilitation. The most prevalent impairments on admission of the spinal cord injury cohort were muscle&nbsp / weakness (75.0%), bladder incontinence (71.1%) and reduced sensation (69.7%), whereas patients with stroke presented mostly with muscle paralysis (80.6%), abnormal tone (76.1%) and aphasia (50.8%). Functional limitations experienced by the participants included, mobility, stair climbing and transfers. The participants experienced participation restrictions in the following&nbsp / domains, leisure activities and employment. A clinical significant improvement was noted in execution of functional task of patients with spinal cord injury (p&lt / 0.0001) and stroke (p&lt / 0.0001)&nbsp / between admission and discharge. A significant statistical change was also detected for the participation elements of both stroke and spinal cord injury cohorts. Functional ability on&nbsp / admission was found to be a predictor of functional outcome of the stroke diagnostic group at discharge, whereas the multiple&nbsp / redictor model of functional outcome of the spinal cord injured cohort at discharge was significant with remaining variables of functional outcome score on admission (p&lt / 0.0001) and bladder -and bowel impairment(s) (p=0.0247). The study findings suggest that despite the significant change in activity and participation, most of the patients were discharged home without further follow-up for rehabilitation, irrespective of the activity&nbsp / limitations and participation restrictions still experienced at the time of discharge. The latter finding&nbsp / questions the duration of the length of hospital stay, which does not allow patients to be independent in all meaningful activities and participatory actions and roles by the end of inpatient rehabilitation. The study findings could assist authorities to adapt the existing rehabilitation&nbsp / programme and referral process . </p>

This thesis shows some methods which are used in an ergodiagnostic review. It also shows the legal requirements for work rehabilitation and useful tools to describe jobs. This thesis focuses on the cooperation between the rehabilitation centre in Pardubice{\crq}s regional hospital and the local job centre. The recommendations from the final report of the ergodiagnostic examination are compared with the job titles of patients who underwent the ergodiagnostic examination during 2006. The patients can see the benefits of the ergodiagnostic examination and have an awareness of their own work opportunities. The job centre expects the ergodiagnostic examination to show a detailed outline of the work potential of each client and to suggest the next steps. For example, these could be the confirmation or exclusion of proposed occupations, proposed possible future positions, recommendations for professional re-qualification or eventually for filing for a disability pension. The examination should present the physical and psychical tolerances of each client and draw attention to the circumstances and knowledge which has been gained through observation during the examination, such as goodwill, work motivation, communication, punctuality and so on. Afterwards, this situation is compared to the situation and experiences of the job centre in České Budějovice.

Magister Scientiae (Physiotherapy) - MSc(Physio) / The World Health Organisation estimates that the majority of the disabled population resides in the developing world, but most of the research on outcomes of patients originates from the developed world. In the light of the differences in healthcare structures and function, especially rehabilitation between settings and countries, it is imperative to have an understanding of the functioning of patients at discharge with the objective of measuring the level at which outcomes are met. The aim of this study was therefore to determine the process of rehabilitation and the outcome of patients following in-patient rehabilitation at a facility in the Western Cape. A quantitative research design was employed to address the objectives. Self-administered questionnaires were developed to collate information pertaining to the demographic-, socioeconomic- and medical profile of patients and data extraction sheets collected information relating to the process of rehabilitation and the impairment status of patients on admission. With regards to activity and participation, a longitudinal study design was used, which utilised standardised outcomes measures. The sample consisted of all patients with stroke and spinal cord injury admitted within a three-month period, and all ethical principles relating to research on human subjects, as stipulated in the Helsinki Declaration were adhered to during data collection, with ethical clearance obtained from relevant authorities. The SAS and the Microsoft Excel Package 2007 were used to analyse the quantitative data elements. Descriptive statistics using frequencies, percentages, ranges, means, and standard deviations and inferential statistics using chi-square, student T-tests and correlation tests, for determining the predictors of functional outcome, were calculated. There were 175 patients, whereof 82 were patients with stroke and 93 with spinal cord injury, with 143 (76 presenting with spinal cord injury and 67 with stroke) meeting the inclusion criteria on admission. The mean age of those with spinal cord injury and stroke was 34.14 and 52.95 years. Most of the patients with spinal cord injuries were single (73.68%), whereas the majority (53.73%) of patients with strokes were married at the time of injury. All patients were managed by the doctor and the nurse, with most of the patients receiving physiotherapy, occupational therapy and social assistance from the social worker. With regards to recreational activities, 46.87% of patients with spinal cord injury and 39.39% of those with stroke attended the learn to swim programme, and 29.68% of patients with spinal cord injury attended the wheelchair basketball sessions. The mean length of hospital stay for patients with spinal cord injury and stroke was 73.11 and 51. 62 days, with most of the spinal cord injured patients (80.26%) and stroke patients (82.08%) discharged home without follow-up rehabilitation. The most prevalent impairments on admission of the spinal cord injury cohort were muscle weakness (75.0%), bladder incontinence (71.1%) and reduced sensation (69.7%), whereas patients with stroke presented mostly with muscle paralysis (80.6%), abnormal tone (76.1%) and aphasia (50.8%). Functional limitations experienced by the participants included, mobility, stair climbing and transfers. The participants experienced participation restrictions in the following domains, leisure activities and employment. A clinical significant improvement was noted in execution of functional task of patients with spinal cord injury (p< 0.0001) and stroke (p< 0.0001) between admission and discharge. A significant statistical change was also detected for the participation elements of both stroke and spinal cord injury cohorts. Functional ability on admission was found to be a predictor of functional outcome of the stroke diagnostic group at discharge, whereas the multiple redictor model of functional outcome of the spinal cord injured cohort at discharge was significant with remaining variables of functional outcome score on admission (p<0.0001) and bladder -and bowel impairment(s) (p=0.0247). The study findings suggest that despite the significant change in activity and participation, most of the patients were discharged home without further follow-up for rehabilitation, irrespective of the activity limitations and participation restrictions still experienced at the time of discharge. The latter finding questions the duration of the length of hospital stay, which does not allow patients to be independent in all meaningful activities and participatory actions and roles by the end of inpatient rehabilitation. The study findings could assist authorities to adapt the existing rehabilitation programme and referral process . / South Africa

This research project is a narrative study on the use of chess as a therapeutic medium in a substance abuse rehabilitation centre. Stabilis Treatment Centre served as the rehabilitation centre where the data was collected and the therapeutic sessions conducted. In this research report I introduced Stabilis Treatment Centre by exploring and providing an overview of their existing programmes. I have stated the research problem and the subsequent research question and goals. A literature review is included where information with regards to drug abuse, exercise psychology and the use of chess in various contexts is provided. The research methodology is examined and narrative practice is introduced and explored. The three participants in this research project are introduced and their experiences of playing chess are explored and extended to their experiences of life and relevant situations. This process is documented in letter format where I as researcher wrote letters to each participant reflecting on their experiences of using chess to narrate their personal narratives. This research project concludes where I summarize the results of this study as well as providing recommendations for future studies. / Dissertation (MA (Counselling Psychology))--University of Pretoria, 2008. / Psychology / unrestricted

Includes bibliographical references (leaves 181-198) / The research explored the partnership of Namutamba Rehabilitation Centre (NRC) in Uganda with its main donor, the Neukirchener Mission (NM). The review of the literature focused on empowerment, NGO partnerships and organisational sustainability. The achievements and challenges of the partnership of the NRC with the NM regarding the organisational sustainability of the NRC were identified by evaluating documents of both partners, individual interviews and focus group discussions of stakeholders of NRC. In brief, the relationship of NRC with the NM was characterised as a dependent partnership due to the power imbalance between the partners and the resource dependency of NRC. It was recommended that the NRC and the NM focus on creating greater self-reliance of NRC while attempting to develop an authentic partnership. This might have wide reaching consequences not only for the sustainability of NRC but also for the services offered to persons with disabilities in Central Uganda. / Development Studies / M.A. (Development Studies)

<p>This study examined three schools / namely a Public, Ex model C, and a Youth juvenile rehabilitation school. A non-experimental survey design was used for this study. The sample consisted of 47 educators across the three types of schools. Data was collected by means of two instruments: a demographic questionnaire, and the Maslach Burnout Inventory (MBI) consisting of three subscales namely / Emotional Exhaustion, Depersonalization, and Diminished Personal Accomplishment. It was hypothesised that due to the stressful nature of work in disadvantaged and resource lacking schools, as well as the unstable and unsafe environment in certain schools, burnout among educators in Public and Youth juvenile rehabilitation schools will have a higher prevalence rate than educators in Ex model C schools. The study also aimed to identify which various educator demographic variables correlate with high burnout levels. Correlational results of the study found no significant relationships between the three subscales of the MBI and certain educator demographic variables across the three types of schools. The results of an Analysis of Variance (ANOVA) test revealed a borderline non-significant difference in the Emotional Exhaustion subscale between the Youth juvenile rehabilitation school and Public schools. Post Hoc comparison tests suggested Public school educators in the sample had the highest levels of burnout in terms of Emotional Exhaustion across the three types of schools, while educators in the Youth juvenile rehabilitation schools showed the lowest levels of burnout in terms of Emotional exhaustion. The results of the present study were discussed from the perspective of the Conservation of Resources theory, suggesting resource depletion as a central facet to burnout and how prolonged stress leads to burnout. Future qualitative studies exploring the etiology of burnout was thus recommended.</p>

No description available.

<p>This study examined three schools / namely a Public, Ex model C, and a Youth juvenile rehabilitation school. A non-experimental survey design was used for this study. The sample consisted of 47 educators across the three types of schools. Data was collected by means of two instruments: a demographic questionnaire, and the Maslach Burnout Inventory (MBI) consisting of three subscales namely / Emotional Exhaustion, Depersonalization, and Diminished Personal Accomplishment. It was hypothesised that due to the stressful nature of work in disadvantaged and resource lacking schools, as well as the unstable and unsafe environment in certain schools, burnout among educators in Public and Youth juvenile rehabilitation schools will have a higher prevalence rate than educators in Ex model C schools. The study also aimed to identify which various educator demographic variables correlate with high burnout levels. Correlational results of the study found no significant relationships between the three subscales of the MBI and certain educator demographic variables across the three types of schools. The results of an Analysis of Variance (ANOVA) test revealed a borderline non-significant difference in the Emotional Exhaustion subscale between the Youth juvenile rehabilitation school and Public schools. Post Hoc comparison tests suggested Public school educators in the sample had the highest levels of burnout in terms of Emotional Exhaustion across the three types of schools, while educators in the Youth juvenile rehabilitation schools showed the lowest levels of burnout in terms of Emotional exhaustion. The results of the present study were discussed from the perspective of the Conservation of Resources theory, suggesting resource depletion as a central facet to burnout and how prolonged stress leads to burnout. Future qualitative studies exploring the etiology of burnout was thus recommended.</p>

Magister Psychologiae - MPsych / This study examined three schools; namely a Public, Ex model C, and a Youth juvenile rehabilitation school. A non-experimental survey design was used for this study. The sample consisted of 47 educators across the three types of schools. Data was collected by means of two instruments: a demographic questionnaire, and the Maslach Burnout Inventory (MBI) consisting of three subscales namely; Emotional Exhaustion, Depersonalization, and Diminished Personal Accomplishment. It was hypothesised that due to the stressful nature of work in disadvantaged and resource lacking schools, as well as the unstable and unsafe environment in certain schools, burnout among educators in Public and Youth juvenile rehabilitation schools will have a higher prevalence rate than educators in Ex model C schools. The study also aimed to identify which various educator demographic variables correlate with high burnout levels. Correlational results of the study found no significant relationships between the three subscales of the MBI and certain educator demographic variables across the three types of schools. The results of an Analysis of Variance (ANOVA) test revealed a borderline non-significant difference in the Emotional Exhaustion subscale between the Youth juvenile rehabilitation school and Public schools. Post Hoc comparison tests suggested Public school educators in the sample had the highest levels of burnout in terms of Emotional Exhaustion across the three types of schools, while educators in the Youth juvenile rehabilitation schools showed the lowest levels of burnout in terms of Emotional exhaustion. The results of the present study were discussed from the perspective of the Conservation of Resources theory, suggesting resource depletion as a central facet to burnout and how prolonged stress leads to burnout. Future qualitative studies exploring the etiology of burnout was thus recommended. / South Africa

Text in English / The purpose of the study was to describe and explore the experiences of student nurses in caring for mental health users with profound intellectual disabilities in one of the care and rehabilitation centre at Gauteng province incorporating the Common Sense Model. Qualitative descriptive and explorative research was conducted to explore the experiences of student caring for mental health care users with profound intellectual disabilities and to recommend the best practices in caring for mental health care users with profound intellectual disabilities. Data collection was done using reflective diaries and in depth interviews. Twelve participants participated in the study. The study composed of student nurses (n=12) caring for mental health care users with profound intellectual disabilities. Five themes emerged from the study i.e. emotionally challenging, communication difficulties, lack of knowledge on the nature of intellectual disability, burden of care and mixed feelings. Findings of the study revealed that completing nurses find working with profound intellectual disabilities to be emotionally challenging and that negative experiences outweigh the positive experiences, resulting in their reluctance to want to work with profound intellectual disability users. It is therefore incumbent upon policy makers and hospital administrators to take cognisance of these negative feelings so that ways of minimising these frustrations and promoting the wellbeing of nurses caring for mental health care users with profound intellectual disabilities are promoted. / Health Studies / M.A. (Health Studies)