The purpose of this study was to determine the nurse educators’ experiences in implementing the evidence-based practice (EBP) in teaching and learning, and to describe the importance and benefits of EBP teaching and learning to the nursing profession, especially for nurse educators and student nurses. A qualitative research design and methods were followed in conducting the study. A non-probability purposive sampling technique was used to access the sample of twelve nurse educators from two nursing campuses under KwaZulu-Natal College of Nursing within Umgungundlovu Health District. Data were collected using semi-structured interviews, the interview guide, and the digital voice recorder. Data were analysed manually, following a content thematic data analysis approach. Two themes emerged as follows:  Challenges experienced by nurse educators with the implementation of EBP in teaching and learning.  Benefits/value of EBP in teaching and learning. Findings revealed that, although most of the nurse educators are supportive and displayed a positive attitude towards implementing EBP in teaching and learning, the level of knowledge and skills was questionable. This was coupled with a lack of motivation and commitment towards research. Therefore, recommendations for nursing education, nursing practice, and future research were suggested, for successful implementation of EBP in teaching and learning. / Health Studies / M.A. (Health Studies)

South African history clearly illuminates the idea that women are regarded as unequal when compared to their male counterparts. Hence, women in general have been marginalized, especially when it comes to advancing in the workplace. Women are often defined in relation to motherhood, caring for others and for providing the necessities for sustenance. Society today has not moved very far from this idea. This is the reason why women often suffer a disadvantage when it comes to being appointed in leadership positions in South African education, even though the legislation makes provision for gender balance in South African education. This study examined the role of female principals as transformational leaders to improve schools in the uMgungundlovu District, KwaZulu-Natal. A qualitative investigation at three schools in the uMgungundlovu District was conducted. Nine participants were selected and data was collected by means of in-depth interviews and document analysis was done as a method of data collection. The findings of the study revealed that female leaders are taking a stand in education and are successfully implementing strategies to improve their schools. The study recommends that future female leaders are empowered at the beginning of their careers and they should learn skills that empower them so there are no excuses for being side lined when it comes to leadership positions. / Nalane ea Afrika Boroa e hlakisa mohopolo oa hore basali ba nkoe ba sa lekane ha ba bapisoa le balekane ba bona ba banna. Kahoo, basali ka kakaretso ba bile e behelletsoe ka thoko, haholo-holo ha ho tluoa khatelo-peleng ea mosebetsi. Basali hangata e hlalositsoeng kamanong le bo-mme, ho tsotella ba bang le ho fana ka litlhoko tsa Lintho tsa ho iphelisa. Mokhatlo kajeno ha o falle hole le mohopolo ona. Lena ke lona lebaka basali hangata ba le mathata ha ho tluoa ho khethoa boeta-pele maemo mo thutong ya Aforika Borwa, leha molao o fana ka sebaka sa tekano ea bong lithutong tsa Afrika Boroa Thutong ena ho ile ha hlahlojoa karolo ea basali lihlooho tsa boetapele ba phetoho ho ntlafatsa likolo setereke sa Umgungundlovu, KwaZulu-Natal. Patlisiso e nang le bokhoni likolong tse tharo Seterekeng sa Umgungundlovu e ne e tsamaisoa. Lintlha li ile tsa bokelloa ka lipuisano tse tebileng le sampole ea barupeluoa ba robong le tlhahlobo ea litokomane e entsoe e le mokhoa oa ho bokella data. The liphumano tsa boithuto li senotse hore baetapele ba basali ba nka karolo lithutong mme ba sebelisa ka katleho maano a ho ntlafatsa likolo tsa bona. Boithuto bo khothalletsa hore baetapele ba basali ba kamoso ba matlafatsoa qalong ea mesebetsi ea bona le bona ba lokela ho ithuta malebela a ba matlafatsang kahoo ha ho na mabaka a hore ba beheletsoe ka thoko ha e tla maemong a boetapele. / Umlando waseNingizimu Afrika ukhanyisa kahle umbono wokuthi abesifazane babhekwa njengabalingani uma kuqhathaniswa nabalingani babo besilisa. Ngakho-ke, abesifazane bebonke bebelokhu ebekelwe eceleni, ikakhulukazi uma kukhulunywa ngentuthuko emsebenzini. Abesifazane bavame kuchazwa maqondana nokuba ngumama, ukunakekela abanye nokuhlinzeka ngezidingo zeukondla. Umphakathi namhlanje awusususanga kude kakhulu kulo mbono. Lesi isizathu sokuthi kungani abesifazane bavame ukuhlupheka lapho kukhulunywa ngokuqokwa ebuholini izikhundla emfundweni yaseNingizimu Afrika, yize umthetho ubeka umthetho ukulingana ngokobulili emfundweni yaseNingizimu Afrika Lolu cwaningo luhlolisise iqhaza lowesifazane othishanhloko njengabaholi bezinguquko ukwenza ngcono izikole esifundeni saseMgungundlovu, KwaZulu-Natali. Uphenyo olufanele ezikoleni ezintathu ezifunda eMgungundlovu District yaqhutshwa. Idatha iqoqwe ngokusebenzisa izingxoxo ezijulile ngesampula ye ababambiqhaza abayisishiyagalolunye kanye nokuhlaziywa kwedokhumenti kwenziwa njengendlela yokuqoqa idatha. The Imiphumela yocwaningo iveze ukuthi abaholi besifazane bayabamba iqhaza kwezemfundo ukusebenzisa amasu ngempumelelo ukwenza ngcono izikole zabo. Ucwaningo luyancoma ukuthi abaholi besifazane besikhathi esizayo banikezwa amandla ekuqaleni kwemisebenzi yabo futhi bona kumele afunde amakhono awanikayo amandla ngakho-ke akunazaba zokufakwa kolayini lapho iza ezikhundleni zobuholi. / Educational Management and Leadership / M. Ed. (Education Management)

The National Health Act (Act 61 of 2003) defined Municipal Health Services and gave full responsibility for this function to district municipalities and metropolitan municipalities. District municipalities were required, by law, to provide municipal health services which were previously rendered by local municipalities and the Provincial Department of Health. This, therefore, required the transfer of staff, assets and liabilities from local municipalities and the Provincial Department of Health to district municipalities. The purpose of the study was to identify barriers to and facilitating factors for the transfer of municipal health services from the seven local municipalities and the Provincial Department of Health to the uMgungundlovu district municipality. A cross-sectional, descriptive study design was employed. A structured questionnaire was used to collect quantitative data from local municipalities and the Provincial Department of Health on the package of environmental health services offered and the available human resources. Qualitative data was collected through in-depth interviews and focus group discussions with key role players in the provision of environmental health within the district. The key findings of the study were: There were no changes to the package of environmental health services offered by local municipalities and the Provincial Health following the definition of Municipal Health Services. The Provincial Department of Health continues to play an important role in the provision of Municipal Health Services in the district There was a lot of awareness-raising on the integration process; however planning for the integration was very poor. The lack of progress in integration has had a negative impact on service delivery and on the environmental health personnel involved. The relationship between district and local municipalities, a lack of understanding of environmental health, budget allocation, communication, lack of commitment, capacity, and lack of a champion were seen as the main barriers to the integration process. The study was able to identify possible gaps in the planning process that, if revisited could assist the district municipality in better handling the process. / Thesis (M.Med.Sc.)-University of KwaZulu-Natal, Durban, 2011.

Magister Scientiae Dentium - MSc(Dent) / BACKGROUND: The majority of South African citizens are dependent on the State Health Care system for their wellbeing. Dental services are part of this system. The first line of intervention for oral disease is the primary oral health services. The National Norms and Standards for Primary Health Care sets out in detail the services to be offered by state dental clinics. This document also lists the equipment and materials that public dental clinics should be furnished with in order to deliver prescribed services. Despite this, most public dental clinics do not deliver the full spectrum of services due to the lack of materials and equipment. The end result is that patients do not receive the ideal treatment and treatment choices are based on the availability of equipment and material instead of clinical appropriateness. There was a need to determine to what extent the primary oral health clinics comply with the National Norms and Standards for Primary Health Care. The launch of the green paper of the National Health Insurance in 2011 stated that the NHI is a tool to ensure that healthcare to the entire South African population is of an equal standard. The Umgungundlovu District is one of the sites identified as a pilot district for the NHI. Prior to 1994 there was a two tiered health system in South Africa, the private health system and the public health system. It is this historical model that has shaped the current system. It was the socio-economic status of an individual that dictated within which of the two tiers treatment was sought. AIM: To determine whether public dental clinics in the Umgungundlovu District are equipped to deliver the oral health services prescribed by the Primary Health Care Package for South Africa protocol. METHODOLOGY: A cross sectional study was conducted in the Umgungundlovu district which is in KwaZulu Natal to establish which of the prescribed dental services are offered at the clinic. There are 11 dental clinics in the Umgungundlovu District and one mobile dental clinic. All clinics and the mobile clinic were included in the study. Physical inspection and a checklist were used to determine which equipment and materials were available at dental clinics of the Umgungundlovu district and to determine compliance with the National Norms and Standards for Primary Health Care. RESULTS: Dental services were provided at all the 12 dental facilities in the Umgungundlovu district. None of the clinics had 100% of required instruments, materials and equipment. Half of the clinics had more than 50% of required instruments, materials and equipment. Tooth-brushing programs and fluoride mouth rinsing programs were offered by 41.67% of the clinics, fissure sealant applications by 66.67% and topical fluoride application by 25% of the clinics. In addition, while all offered oral examination and emergency pain and sepsis care (including extractions) only half were able to take bitewing radiographs, 58.33% to carry out simple fillings of 1-3 tooth surfaces, 66.67% to provide atraumatic restorative treatment (ART). CONCLUSION: Lack of materials, instruments and equipment, the irregular supply of materials, instruments and equipment and the late supply of materials, instruments and equipment was found to limit the dental treatment offered by the clinics. None of the 12 clinics in the Umgungundlovu district were found to be compliant with the Primary Health Care Package for South Africa – a set of norms and standards document. Availability of dental services was limited in the dental clinics, except at the Edendale Dental Hospital Department

The purpose of the study is to determine the knowledge of midwives on implementing clinical guidelines for the management of pre-eclampsia with the aim of improving midwifery practice and preventing maternal and neonatal death due to pre-eclampsia. A quantitative, descriptive, cross sectional study design was used for the study. Data was collected using a self-administered questionnaire from 100 midwives working in the maternity section of the clinic referring to the regional hospital in UMgungundlovu District. The Statistical Package for Social Sciences (SPSS) version 23 was used for data analysis. The findings show that respondents to the study have a high mean value (3.6) of knowledge but need support in terms of providing training on the new guidelines. The study also showed that there is need to improve on distribution of guidelines. There was no significant association between demographic factors and the knowledge of midwives on clinical guidelines for the management of pre-eclampsia. A clinical audit of maternity records as well as a quality care project can be developed based on the findings / Health Studies / M.A. (Health Studies)

Submitted in fulfilment of the requirements of the Degree of Master's in Public Management, Durban University of Technology, 2017. / The purpose of the study explores the perception and experiences of students regarding weapons in schools, in a bid to create a peaceful and conducive learning environment. This study concentrated on four high schools in Umgungundlovu District. Students, educators and principals were asked to participate in this study on a voluntary basis. The study recognises that existing data related to weapons in South African schools is largely anecdotal. The significance of the study is that it collected data related to the weapons in schools and used data to inform recommendations on ways in which we can make schools safer places to the young people and staff. This was a mixed methods survey; however, the bulk of the findings were drawn from the quantitative data, which was conducted through surveys. The qualitative data was collected in interviews and in focus group discussions. The data revealed that a high proportion of students have seen weapons in school, which might be an indication that weapons find easy access onto school premises. The results revealed the types of weapons brought to schools. Knives were the weapons most seen at school followed by guns, while some other weapons mentioned were pepper sprays, screwdrivers, pangas and bats The study showed that in other schools, drugs, alcohol, substance abuse were reported in the sample. Among the contributing factors raised by the respondents on the reasons for the presence of weapons onto schools were the issue of drugs, alcohol, bullying, fights among students, and being involved on gang activities. Some policy recommendations regarding school security measures were proposed on the basis of the findings which were drawn from this study. As part of the study, it is recommended that the Department of Education ensure that all South African schools implement well-documented discipline policies, a code of conduct and school rules for their school which must clearly indicate seriousness of carrying a weapon in school as well as the consequences of misbehaviour. The policy must have steps to be followed by the principals and or educators where there are elements of misconduct against the students and sanctions to be issued if the student is found guilty. Other recommendations were made in line with the findings based on the results. Limitations of the study were further pointed out. / M