Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.

published_or_final_version / Education / Master / Master of Education

Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.

Esta investigação tem por objetivo analisar o significado e o sentido que “reincidentes” na Medida Socioeducativa de Internação paranaenses dão para a reincidência e a maneira pela qual reincidiram. Trata-se de uma abordagem qualiquantitativa, exploratória e descritiva, operacionalizada por meio da pesquisa bibliográfica e documental e da entrevista semi-estruturada. A orientação teóricometodológica de base empírica e documental que ilumina os procedimentos lógicos seguidos é a hermenêutica-dialética. A pesquisa descreve e contextualiza os principais instrumentos jurídico-normativos e teórico-praticos que atualmente regulamentam e informam, no Estado do Paraná, o tipo de intervenção estatal consubstanciada nas instituições, políticas, práticas profissionais e agentes especializados que compõem o Sistema Estadual de Atendimento Socioeducativo, apontado a conservação de uma estrutura material e institucional distintiva da modernidade penal, encoberta sob a perspectiva de uma “infância universal” e operacionalizada por um pretenso “reordenamento político-institucional” que ampliou o uso do encarceramento como resposta institucional à violência e à criminalidade juvenil partindo, primeiramente, da ideia de “reinserção” e, depois, de “prevenção” e gestão dos “fatores de risco”. Os resultados apontam uma seletividade penal focada na distinção de raça e classe, onde os “reincidentes” na Medida Socioeducativa de Internação representam 17,5% do total de adolescentes em “cumprimento” desta mesma Medida. Trata-se de jovens (92,7% entre 16 e 18 anos) não-brancos (61,8%), do sexo masculino (98,2%), com pouca escolaridade (74,5% na Fase II do Ensino Fundamental), excluídos do mercado de trabalho (81%), provenientes de famílias despossuídas (49% recebem entre 1 e 2 salários mínimos) e dos territórios precarizados dos grandes centros urbanos (80%). A “natureza” dos atos infracionais atribuídos aos “reincidentes” confirma a predominância de uma “criminalidade de rua” (76,3%) com destaque para os atos infracionais tipificados como crimes contra o patrimônio (roubo: 41,2%) e contra a incolumidade pública (tráfico de drogas: 21,4%). A chamada “criminalidade violenta” (crimes contra a pessoa) equivale a 13,4% de todos os atos infracionais atribuídos aos “reincidentes”. A investigação desvela que a privação de liberdade impede o acesso dos sujeitos a processos de socialização, pertencimento, reconhecimento e alteridade necessários à sua emancipação. Privilegiando a entrevista com “informantes-chave” e a constituição de suas trajetórias, vivências e experiências (tanto na relação com as instituições e organizações sociais quanto com as instituições de privação de liberdade), a investigação ratifica que a privação de liberdade, além de retirar o sujeito de seus círculos de relacionamentos e sistemas de trocas simbólicas, impedindo seu desenvolvimento pleno, reproduz injustiças sociais e estigmatizações, causando sofrimento inútil, alienação, controle, segregação e neutralização. / This research aims to analyze the meaning and the sense that "recidivists" in Measure Socioeducative of deprivation of liberty paranaenses give to the recidivism and the manner in which they relapsed. This is a qualitative and quantitative, exploratory and descriptive approach, operationalized through the bibliographical and documentary research and through the semi-structured interview. The theoretical and methodological, empirical and documentary guidance that illuminates the logical procedures followed is the hermeneutics-dialectics. The research describes and contextualizes the main legal-normative and theoretical-practical instruments that currently regulates and inform, in the State of Paraná, the type of state intervention consubstantiated in institutions, policies, professional practices and specialized agents that comprise the Socioeducative System of the State of Paraná, pointing out conservation of a institutional and material structure of the penal modernity, hidden from the perspective of a "universal childhood" and operated by an alleged "politicalinstitutional reorganization" which extended the use of imprisonment as an a institutional response to the juvenile violence and crime, starting, first, of the idea of "resocialization" and, then of the ideas of "prevention" and management of "risk factors". The results indicate a criminal selectivity focused on race distinction and on class distinction, where the "recidivists" on Measure Socioeducative of deprivation of liberty represent 17.5% of adolescents in "fulfillment" of that same Measure Socioeducative. It is young (92.7% between 16 and 18 years) non-whites (61.8%), male (98.2%), with low education (74.5% in Phase II of the Elementary School ), excluded from the labor market (81%), from dispossessed families (49% receive between 1 and 2 minimum wages) and of precarious areas of large urban centers (80%). The "nature" of the infractions attributed to the "recidivists" confirms the predominance of a "street criminality" (76.3%) highlighting the illegal acts typified as crimes against property (robbery: 41.2%) and against public safety (drug trafficking: 21.4%). The so-called "violent crimes" (crimes against persons) equals to 13.4% of all infractions attributed to the "recidivists". The research shows that deprivation of freedom prevents access of individuals to the socialization processes, belonging, recognition and otherness necessary for their emancipation. Privileging the interview with "key informants" and the constitution of their trajectories and life experiences (both in relation to the institutions and social organizations and with the institutions of deprivation of liberty), the research confirms that the deprivation of liberty, besides withdraw the subject of the your circles of relationships and of the your symbolic exchanges systems, preventing their full development, reproduces social injustices and stigmatization, causing suffering unnecessary, alienation, control, segregation and neutralization.

This study set out to investigate how students construct their identities. Throughout their socialisation into academia, students are confronted with the paradox of learning as they negotiate the opposing discourses of enslavement and mastery that construct higher education. Utilising a critical discursive psychology approach this research aimed to examine the implications this paradox holds for the development of students’ identities. In-depth interviews with five master’s degree students allowed for an examination of the linguistic resources available for students to draw on in constructing their accounts of student-hood. Analysis of the interpretive repertoires and ideological dilemmas in the text revealed the uptake of contradictory subject positions in participants’ navigation of academic discourse. In order to address the inconsistencies associated with these conflicting ways of being a student, participants ‘worked’ a face in their interactions with academic discourse. Their face-work served to address the paradox by integrating the contradictory positions evident in their accounts. It is in the agency displayed in the integration of these disparate positions that the emancipating student is revealed. / Psychology / M.A. (Research Consultation)

The premise of the research concerns negative spatial legacies and questions doubting the existence of the true post-apartheid city in South Africa. The study describes the socio-spatial structure of the functional urban core of the City of Tshwane Metropolitan Municipality (CTMM). An empirical analysis, a unique segregation-desegregation classification, a relative socio-economic classification and three continuity-discontinuity hypotheses was used to compare past and present socio-spatial characteristics. Structural racial-residential segregation is evident along with high levels of socio-economic inequality. Spatial polarisation of societal attributes has created a clear north-west and south-east divide in the study area. The study area is described as one with a central-south citadel (inhabited by the wealthy) and a dynamic periphery (diverse but relatively deprived). Current socio-spatial characteristics can be attributed to strong spatial legacies, ineffective policy interventions and underlying socio-spatial influences that inhibit true inclusivity and equality in the study area. / Geography / M. Sc. (Geography)

Cette étude s’appuie sur une recherche ethnographique commencée en octobre 2006, dans le cadre d’un doctorat en anthropologie. C’est une étude qui vise à comprendre la façon dont les relations sociales, qui articulent le continuum accueil-soins des malades, contribuent ou non à l’accès aux soins à l’hôpital Sendwe.<p><p>La plupart des études qui ont abordé la problématique de l’accès aux soins, et de l’utilisation des services de soins dans les hôpitaux publics des pays en développement, ont envisagé cette problématique davantage en termes de carence en matériel ;et réduit souvent l’essentiel des problèmes à une question financière.<p><p>Et pourtant, comme le témoignent des études récentes conduites dans les hôpitaux africains au cours de la dernière décennie, soutenues notamment par une méthodologie qualitative, alliant observations intensives et entretiens approfondis (cf. Jawkes & al. 1998 ;Gobbers, 2002 ;Jaffré & Olivier de Sardan, 2003 ;Vidal & al. 2005 ;Jaffré & al. 2009), l’accès ou non aux soins et l’utilisation des services hospitaliers recouvrent des champs plus vastes et plus complexes qui englobent à la fois des questions, bien sûr, économiques que des problèmes comportementaux d’exclusion, des violences, des humiliations… bref, des questions liées à la relation inégalitaire des pouvoirs due à la distance sociale qui s’observe entre soignant et soigné. Dans le cadre de l’hôpital Sendwe, cette inégalité de la relation soignant-soigné est particulièrement exacerbée par un contexte de misère sociale à laquelle se conjugue une bureaucratisation des tâches dont l’exécution vient ici redoubler au statut du fonctionnaire un pouvoir de soigner. C’est face à cette tension permanente entre partie en interaction favorisée par le décalage entre l’offre médicale et la demande des soins que je me suis interrogé comment les soins hospitaliers sont-ils négociés à l’hôpital Sendwe. Avec quelles ressources les parties s’engagent dans le processus d’accès aux soins ?Quelles sont les pratiques effectives qui s’observent dans les interactions avec le patient et ses proches ?Comment les patients catégorisent-ils le personnel médical, et vice-versa ?Quelles sont les règles, pratiques et morales, qui régissent leurs interactions ?C’est donc à toutes ces questions que cette étude tente de répondre. / Doctorat en Sciences politiques et sociales / info:eu-repo/semantics/nonPublished

Many Information and Communication Technologies for Development (ICTD) projects are established with the overall aim of positively developing the communities they are implemented in. However, the solutions that are provided are often commonly developed without the needs of these communities being sufficiently investigated beforehand. As a result the ICTD strategy of the project ends up not well aligned with the aims and targets of the needs of the community. As a result of this, an appropriate programme theory for the project and relevant impact indicators fail to be adequately developed. Consequently, when an impact assessment is conducted it is often found that the intended effects are not directly linked to the needs of the community or what the community had hoped to gain from the ICTD initiative. The purpose of this research serves to develop a needs-ICTD strategy alignment foundation that supports the identification and formulation of impact assessment indicators. Through this research, a framework is developed to support the alignment of ICTD strategy, the development and the promotion of contextual needs of rural communities and other frequently marginalized areas. The Needs-ICTD strategy alignment framework is composed of eight main components that describe the process that can be used to align ICTD strategy with community needs. These components include: collaboration between the internal and external stakeholders, the development of the community, conducting baseline studies, the needs assessment, the ICTD strategy, linking of the needs-ICTD strategy, and lastly the identification of impact indicators. An interpretive research approach is used to explore and inform the framework through a multi-case study investigation of the Siyakhula Living Lab and two projects in the Systems Application Products (SAP) Living Lab. Two main case study questions drive the exploration of the framework, that being: 1) How are the needs of the community elicited and how is the ICTD strategy aligned to the needs of the community? 2) And, why were the selected approaches chosen for aligning the needs of the community and ICTD strategy? Data for this research was collected qualitatively through interviews, document analysis and participant observation. Key findings indicate that the involvement of internal (local) stakeholders in the development and alignment of ICTD strategy to the needs of the community is still lacking. As a consequence, many community members end up not fully understanding the project objectives and how these objectives aims are to be achieved. The research also finds that ‘solution specific’ projects also fail communities as they focus specifically on one target group and repeatedly fail to assist the community holistically in supporting their information and their community development needs.

This thesis explores the contribution of Information and Communication Technology (ICT) in rural development processes. Within the framework of social capital theory, and in the context of the information society, the study examines how the collaborative and innovative model of ICT for Development (ICT4D) can enhance social networks and information channels in rural communities, thereby enabling the active participation of rural community members in their own development processes. The study examines networks and information channels both within the rural communities under investigation and between these communities and other sectors in the society. The thesis studies the case of the Siyakhula Living Lab (SLL), an ICT4D initiative in the Mbashe Municipality of the Eastern Cape Province of South Africa. During the investigation, four types of networks were identified: local organisations, social institutions, collective community projects and social ties. It was found that the Living Lab has so far influenced the creation of new forms of networks through the common spaces (computer labs) which have been made available by the Living Lab. The study further showed that the use of computers has enabled other community members to partake in the wider community of online/virtual social networks, allowing them to communicate and share information with those outside their own communities. The study also showed that the Living Lab has enabled the networking of these communities with other sectors such as academia. It was, however, found that so far the existence of the Living Lab has not influenced the already existing local networks in these communities. Also, the study showed that the relationship between these rural communities and their government and industry partners as stakeholders in the Living Lab is currently ineffective. Nevertheless, this situation has a potential to change in the future as there are ICT applications which have been developed through collaboration with rural community members, which will assist in enhancing communication between these rural communities and other stakeholders. The study finally revealed that social networks do contribute to the functioning of communities by providing both monetary and social support to community members, even though, in effect, the monetary benefits are somewhat limited by a number of factors. It is revealed that the engagement of ICT could go a long way in improving social and economic activities, governance and service delivery, as well as education in these communities.

MPH / Department of Public Health / Over the past years, suicide and suicidal ideation are being increasingly recognised as important issues for public health policy, especially, among police officers. Suicidal ideation is one of the tragic issues among police officers, causing serious emotional, spiritual, medical, social and psychological distress for the individual, their families and friends, however, not much is known about it in the Vhembe District. The purpose of the study was to explore the factors contributing to suicidal ideation among police officers in Vhembe District. The study was conducted in the Thohoyandou cluster, which is situated in Limpopo Province, South Africa. A study had a qualitative phenomenological research design. The data saturation were reached at the number of 12 police officers, the target population were selected by means of convenience sampling and data was collected through a semi-structured interview. The data collected was analysed using the thematic analytical approach and conclusion were made based on the findings of the study. The study findings show the following as the factors contributing to suicidal ideation among the police officers - domestic violence, financial problems, divorce, extramarital affairs, lack of social support, health problems, contradicting the law and organisational factors that include organisational structure and working with guns. The study recommended that the South African Police Services should continue to provide support and counselling to police officers after they have attended to traumatic cases and that police officers need to be more open about their problems and avoid attempting to deal with them by themselves. / NRF