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An investigation into home and community based health care programmes in Zimbabwe : an analysis of the congruency of service users' needs and the programme goalsMataure, Priscilla Nkosazana 30 January 2014 (has links)
Background: The past two decades have witnessed transition from in-patient hospital settings to Community and Home Based Care in Zimbabwe. This is because of an increase in the number of people developing chronic health conditions such as diabetes, hypertension and cancers, and thus needing longer treatment durations. The increase in chronic conditions has mainly been attributed to the increase in incidence and prevalence of Human Immunodeficiency Virus and Acquired Immune-deficiency Syndrome in Sub-Saharan Africa. Many Governments, including that of Zimbabwe, endorsed and promoted community and home based care to provide a continuum of care to the chronically ill. Despite the implementation of Community and Home Based Care programmes, no studies known to the researcher have been done to investigate the congruency of service users’ needs and the programme goals.
Purpose: The purpose of the study is twofold; firstly to explore whether Community and Home Based Care interventions provide services that effectively meet users’ goals in a dynamic social environment and secondly, to develop guidelines for enhancing care provision as well as congruency of service users’ needs and programme goals.
Methods: A mixed-method approach combining qualitative and quantitative data collection and analysis was used. Concurrent collection of data with equal status was placed on both qualitative and quantitative data. For qualitative data interviews and focus groups were used with home based care service users, family care givers, and health providers. Structured questionnaires were used for the quantitative data.
Framework: Imogene King’s Interacting Systems Framework and Theory of Goal Attainment were adopted to guide the study. These were utilised because of the assumption that mutual agreement on goals for effective care can be achieved through nurse-client interactions and communication
Research findings: Community and Home Based Care programme in Zimbabwe does not comprehensively meet the needs of its service users. Service users have diverse needs and goals depending on the specific condition and symptoms they experience. They perceive access to medication for symptom management and pain control, food and financial stability, as priority needs. The study found that nursing services provided in Community and Home Based Care generally align with the physical needs of service users and was deficient in addressing the socio-economic and psycho-social needs of service users.
Conclusion: No single sector can achieve the users’ and the programme`s goals of quality health on its own. The goals may only be realised when other stakeholders and relevant sectors contribute to the Community and Home Based Care programme, which requires diverse resources. Guidelines to enhance integration of Community and Home Based Care with social services were developed. / Health Studies / D.Litt. et Phil. (Health Studies)
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An investigation into home and community based health care programmes in Zimbabwe : an analysis of the congruency of service users' needs and the programme goalsMataure, Priscilla Nkosazana 30 January 2014 (has links)
The past two decades have witnessed transition from in-patient hospital settings to Community and Home Based Care in Zimbabwe. This is because of an increase in the number of people developing chronic health conditions such as diabetes, hypertension and cancers, and thus needing longer treatment durations. The increase in chronic conditions has mainly been attributed to the increase in incidence and prevalence of Human Immunodeficiency Virus and Acquired Immune-deficiency Syndrome in Sub-Saharan Africa. Many Governments, including that of Zimbabwe, endorsed and promoted community and home based care to provide a continuum of care to the chronically ill. Despite the implementation of Community and Home Based Care programmes, no studies known to the researcher have been done to investigate the congruency of service users’ needs and the programme goals.
Purpose: The purpose of the study is twofold; firstly to explore whether Community and Home Based Care interventions provide services that effectively meet users’ goals in a dynamic social environment and secondly, to develop guidelines for enhancing care provision as well as congruency of service users’ needs and programme goals.
Methods: A mixed-method approach combining qualitative and quantitative data collection and analysis was used. Concurrent collection of data with equal status was placed on both qualitative and quantitative data. For qualitative data interviews and focus groups were used with home based care service users, family care givers, and health providers. Structured questionnaires were used for the quantitative data.
Framework: Imogene King’s Interacting Systems Framework and Theory of Goal Attainment were adopted to guide the study. These were utilised because of the assumption that mutual agreement on goals for effective care can be achieved through nurse-client interactions and communication
Research findings: Community and Home Based Care programme in Zimbabwe does not comprehensively meet the needs of its service users. Service users have diverse needs and goals depending on the specific condition and symptoms they experience. They perceive access to medication for symptom management and pain control, food and financial stability, as priority needs. The study found that nursing services provided in Community and Home Based Care generally align with the physical needs of service users and was deficient in addressing the socio-economic and psycho-social needs of service users.
Conclusion: No single sector can achieve the users’ and the programme`s goals of quality health on its own. The goals may only be realised when other stakeholders and relevant sectors contribute to the Community and Home Based Care programme, which requires diverse resources. Guidelines to enhance integration of Community and Home Based Care with social services were developed. / Health Studies / D.Litt. et Phil. (Health Studies)
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Informačně knihovnické služby pro studenty uměleckých škol se zaměřením na dramatické a hudební umění v ČR / Information and library services for students of art schools with a focus on dramatic and musical art in the Czech RepublicFialová, Zuzana January 2012 (has links)
Diploma thesis " Information and library services for students of art schools with a focus on dramatic and musical art in the Czech Republic " aims to analyze the environment of libraries with a fund focused on music and theater, which serves students of art schools. This thesis also describes library and information services and the impact of copyright law to provide services in libraries with a fund containing score, audio and audiovisual media. The last section describes methodology of qualitative research and evaluates research by force field analyzing method and also analyzed findings and recommendations to address the identified facts.
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A comparative analysis of Sesuto-English dictionary and Sethantso sa SeSotho with reference to lexical entries and dictionary designMotjope-Mokhali, Tankiso Lucia 11 1900 (has links)
Since the publication of Dr. Johnson’s first English dictionary in 1755, there have been rapid changes in the development of dictionaries in other parts of the world. However, the advances are perceived more in other languages of the world such as the European languages while in Africa, the changes have been very slow. The majority of dictionaries utilised by most Africans are bilingual and were produced by the missionaries. These dictionaries were aimed at serving the needs of the missionaries, but more recently African scholars have been trying to create dictionaries that are intended to meet the needs of the native speakers particularly because the existing dictionaries contain many words which are archaic or going out of use. This means that the currently produced dictionaries should reflect the changes that have occurred in languages and society. The two dictionaries under scrutiny, Sesuto-English Dictionary and Sethantšo sa Sesotho, share similar content as if they were both targeting the same generation even though the former was written by missionaries in the 19th century while the latter was created by a Sesotho native speaker in the 21st century. This study aimed to establish whether the two dictionaries are the same or not, or whether Sethantšo sa Sesotho had been derived from Sesuto-English Dictionary as well as whether the two dictionaries meet the needs of the contemporary users. The study employed adaptation theory in order to discover the originality of Sethantšo sa Sesotho. User-perspective approach and communication-oriented function were utilised to judge the effectiveness of the two dictionaries in reading and writing and to analyse users’ views. The study established that Sethantšo sa Sesotho has adapted 69% lexical items from Sesuto-English Dictionary; words are arranged in a similar order in both dictionaries with slight differences here and there; most definitions and illustrative phrases/sentences are the same even though the author of Sethantšo sa Sesotho did not acknowledge using any written source of information, thus violating the principles of adaptation; use of these dictionaries during reading and writing was found to be beneficial to users; and both dictionaries lack current words which users encounter daily. / African Languages / D. Litt. et Phil.(African Languages)
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