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391	Professional nurses' perception of the implementation of a quality circles programme in a public hospital in the Eastern Cape Province Mbovane, Mkululi Meckson 28 February 2004 (has links) A qualitative research design that is explorative, descriptive and contextual in nature was employed in order to understand and describe the professional nurses' perception of the implementation of a quality circles programme in a public hospital in the Eastern Cape Province and to develop guidelines for the implementation of a quality circles programme in public hospitals. The data-collection techniques were individual semi-structured interviews and field notes. The sample was drawn from a population of 425 Xhosa-speaking professional nurses employed in this institution. The sample comprised eight (8) professional nurses all of whom volunteered for in-depth individual semi-structured interviews. All the respondents answered one question "How do you perceive the implementation of the quality circles programme in your hospital?" During data collection and analysis only one theme emerged, namely the perception of quality circles as a forum for discussing patient care problems and future plans. There were four broad categories in this theme, namely  Staff empowerment  Teambuilding in the nursing discipline  Maintenance of standards by nurses  Challenges to the momentum of a quality circles programme It is recommended that all three tiers of nursing management be involved in the quality circles programme to improve interpersonal, interdepartmental and intradepartmental communication and concomitantly the nursing care. / Health Studies / M.A. (Health Studies) Quality improvement Quality circles Qualitative research Public hospital Professional nurses Nursing division Evaluation Eastern Cape Province 362.1106875 Medical care -- Qaulity control
392	An assessment of needs of the mentally retarded in the community of district 22 (sub-district 222) KwaZulu-Natal Webster, Joyce 30 November 2003 (has links) The system of care for persons suffering from mental retardation is in a state of upheaval. Considering the mentally handicapped as holistic beings, this study explored and assessed the needs of those residing in the community of District 22 (sub-district 222), KwaZulu-Natal, thus facilitating the planning of care and care facilities for these individuals to enable them to function optimally in the community. To accomplish this purpose, specific objectives were formulated. A quantitative, exploratory and descriptive study based on Maslow's hierarchy of needs theory was carried out, using 167 respondents. The study revealed that despite being mentally retarded, they were still regarded as valuable members of the community, their needs did not differ from the needs of others in the rest of the world and that mental retardation is still rated low in the prioritization of health problems, hence the lack of resources and support needed for the rehabilitation of such persons. / Health Studies / M.A. (Health Studies) Needs Assessment Mental retardation Community Physical needs Psychological needs Spiritual needs Emotional needs Community resources 362.309684 Community mental health services
393	Developing a laboratory based CCMT programme status reporting system in the Ekurhuleni Health District Cassim, Naseem 18 July 2014 (has links) The purpose of this study was to develop a laboratory based Comprehensive Care, Management and Treatment of HIV and AIDS (CCMT) programme status reporting system using a methodological research study design. Quantitative data was collected using a request form and qualitative data was collected using structured questionnaires. For the study 1190 eligible CD4 samples were received, of which 1004 (84%) had a valid CCMT programme status. Overall 32% of the CD4 samples had a pre-ART status (n=383) and 52% had an ART status (n=621). The remaining 16% of CD4 samples (n=186) did not have a valid CCMT programme status. A pre-ART register was generated and assessed using a structured questionnaire. Based on the study findings a recommendation has been made to adopt the two-tick design for all NHLS request forms where programmatic data is collected. Additionally the CCMT programme status reporting system is recommended for rollout to other health districts / Health Studies / M.A. (Public Health with specialisation in Medical Informatics) CD4 count Monitoring and evaluation Comprehensive care Laboratory register Programme status Pre-ART register Laboratory request form Laboratory management information system Antiretroviral therapy Indicator 362.196979200968224
394	Cost-effective delivery of managed nurse-based primary health care in a selected medical scheme Seymore, Martha Magarieta 06 1900 (has links) The study was aimed at furthering the health objectives of the government's Reconstruction and Development Programme (ANC 1994b) in the area of primary health care. . The purpose of the study was to examine the possible reduction of medical scheme claims for cardiovascular disease by means of primary health care, so that medical scheme benefits do not become exhausted so rapidly. The overall outcome of the study showed that if cardiovascular disease could be diagnosed and treated early, the financial benefits could be substantial. This was illustrated by the comparison of primary, secondary and tertiary treatment of cardiovascular disease using case studies over a period of one year. Recommendations centered around nurse-based primary health care for cardiovascular disease and the cost-effective management of the medical scheme. It was concluded that as a result of nurse-based primary health care, costs could be contained so that medical scheme benefits would not become exhausted so rapidly. / Health Studies / M.A. (Nursing Science) Cardiovascular diseases Cholesterol Cost escalation Diabetes mellitus Hypercholesterolemia, Hypertension Managed health care Nurse-based primary health care, Medical scheme Primary health care Risk factors 362.10425068 Medical policy -- South Africa Medical care -- South Africa -- Finance Nursing care plans -- South Africa Health care reform -- South Africa. Health insurance -- South Africa
395	Voorkoms van stres by huismoeders in diens van 'n kinderhuis Erasmus, Magdalena 11 1900 (has links) The research posed two questions, namely (a) how much stress, if any, is experienced by house mothers in a childrens' home, and (b) which factors cause such stress. The methodology employed is descriptive research. It covered the total population of ten house mothers in a childres' home. Measuring instruments employed were; the Heimler scale for Social Functioning, the Glazer Stress Control Life Style Questionnaire, the Stress Questionnaire, and a self-formulated questionnaire. The results are as follows: 70% reported average to high stress, but are inclined to deny stress. 30% reported normal stress levels, Possible causes of stress are the work context of the childrens' home, age, period of service, and personality. / Die studie soek antwoorde op twee vrae, naamlik (a) hoeveel sires, indien enige, beleef huismoeders in 'n kinderhuis, en (b) wat veroorsaak sulke sires? Die metode wat gebruik was, is beskrywende navorsing. Die totale populasie van tien huismoeders in die spesifieke kinderhuis is betrek. Die klein omvang maak hierdie studie nie veralgemeenbaar nie. Die volgende meetinstrumente is benut ; die Heimlerskaal vir Maatskaplike Funksionering, die "Glazer Stress Control Life Style Questionnaire'', die "Stress Questionnaire", en 'n selfgeformuleerde vraelys. Die resultate is soos volg: 70% van die huismoeders in die studie vermeld gemiddelde tot hoe mates van stres, maar is geneig om stres te ontken. Dertig persent van die respondente vermeld normale hoeveelhede stres. Moontlike oorsake van sires is aangetoon as: die werkskonteks binne die kinderhuis, ouderdom, tydperk van diens, en persoonlikheid / Social Work / M.A. (Social Work: Mental Health) Burn-out Child care workers Heimler-scale House parents Job-stress Residential care Staff turn-over Stress Type A-personality Glazerskaal Heimlerskaal Huisouers Kinderversorgers Personeelomset Residentiele versorging Sires Tipe-A persoonlikheid Uitbranding Werkstres 158.7208836 Stress (Psychology) -- South Africa. Job stress -- South Africa. Stress management -- South Africa. Institutional care -- South Africa. Social service -- Research. Burn out (Psychology)
396	From being in charge of a child-headed household to being placed in kinship foster care : the experiences and expectations of orphans previously in charge of child-headed households Mathebula, Thandy Shirley 16 April 2014 (has links) Placement of orphans under kinship foster care is a common occurrence in social work practice, especially around Bushbuckridge in Mpumalanga Province. Social workers are facing the challenge of an alarming increase in foster care cases due to the HIV and AIDS pandemic in the area. Thus the social workers are trapped in a situation of having to place orphans in kinship foster care, without adequate preparation nor the opportunity to explore the feelings and experiences of being in a child-headed household. This study aimed at exploring and describing the experiences and expectations of orphans who were in charge of child-headed households, regarding their preparation for being placed in kinship foster care and their subsequent placement in such care. Research findings revealed that some orphaned children who had previously been heading a child-headed household and were now placed in kinship foster care were continuing to head the households despite the fact that an order had been issued by the children’s court for them to be under the care and guidance of kin foster parents. The non-involvement of orphaned heads of households in any decisions that affect them emerged in the findings of the study as a critical issue. Another important finding was that some orphaned children in kinship foster care experienced the abuse of the foster care grant by their kin foster parents. The research study has made provision for conclusions and recommendations to all role-players responsible for placing child-headed households in kinship foster care in order to enhance the efficacy of kin foster care placement. / Department of Social Work / M.A. (Social Science (Mental Health)) Experiences Expectations Orphan Child-headed household Child(ren) Foster care Kinship foster care Preparation In-charge Placement 362.73096827
397	Factors contributing to late antenatal care booking in Mopani District of Limpopo Province Ragolane, Victoria Joyce 12 1900 (has links) Late booking is associated with high perinatal and maternal morbidity and mortality. The World Health Organization (WHO, 2016) recommends that pregnant women should book for ANC full first before 12 weeks of gestation. The aim of the study was to explore and describe factors contributing to late antenatal care booking at public health facilities of Mopani District. A qualitative approach was used. In-depth interviews were conducted with twenty one pregnant women who booked after twelve weeks of gestation and agreed to participate in the study. The study was conducted at four selected public health care facilities rendering maternal health services in Mopani district. Data was collected through in-depth interview with the aid of an interview guide. The analysis of data was done manually using a coding system to develop themes. The results revealed that there are personal and provider factors contributing to late antenatal care booking in Mopani district. Personal factors contributing to late antenatal care booking were unplanned and unaccepted pregnancy, lack of support, late recognition of pregnancy, cultural and religious beliefs, ignorance of the importance of antenatal care and fear. System or provider factors contributing to late booking were long waiting time, midwives’ attitude and lack of resources. / Health Studies / M.A. (Public Health) Antenatal care Late antenatal care booking Pregnancy 618.240968259
398	Framework for provision of essential medicines for the district health services Zuma, Sibusiso Memory 12 1900 (has links) The purpose of this study was to develop a framework for provision of essential medicines for the district health services. A qualitative descriptive, exploratory and contextual action research design was followed. The data collection was conducted through site visits and semi structured interviews targeting the responsible pharmacists who were purposively selected on the basis of their expert knowledge and experiences from the eight of the nine provinces of the Republic of South Africa which is a developing country with limited resources for provision of healthcare services. The study found that there was no standardised framework for provision of essential medicines for the District Health Services. Based on the site visits and action research findings a proposed framework covering the selection, procurement, warehousing, distribution and management support components for provision of essential medicines for district health services was developed and subjected to national pharmaceutical experts and district health services managers review and critique which is finally presented, after taking into consideration the experts inputs as a proposed framework emanating from the study. The proposed framework will contribute towards improving the provisioning and availability of essential medicines within the district health services. / Health Studies / D.Litt. et Phil. (Health Studies) Essential medicines District health service Pharmaceutical services Medicine supply management Primary health care Nurses Framework 362.17820968 Medicine, Preventive -- South Africa Drug accessibility -- South Africa South African Pharmacy Council Medical care -- South Africa -- Finance
399	"What does that mean?" Objects of significance in residential programmes for young persons in South Africa Molepo, Phineas Lesiba 30 June 2008 (has links) Many young persons live under difficult circumstances. Factors including HIV/AIDS pandemic, exacerbate the need to place young persons into alternative placements. The new and the unknown can be frightening but carrying a faithful transitional object establishes therapeutic bridge between the old and known and the new and unknown. This study sought to explore South African child and youth care workers' awareness of young persons' objects of significance in residential care settings. The rational was that with greater awareness, important objects may become a more useful option for the promotion of young persons' well-being. The research confirmed that South African child and youth care workers are aware of the existence and importance of significant objects. It further revealed that young persons possess different objects of significance to which workers need to pay careful attention. / Research Institute for Theology and Religion / M.Tech. (Child and Youth Care) Residential care programme Awareness Well-being Developmental work Therapeutic work Transition Possessions Significance Transitional objects Young persons Child and youth care worker 362.730968 Institutional care -- South Africa Custody of children -- South Africa Social work with youth -- South Africa Child care services -- South Africa Group homes for children -- South Africa Group homes for youth -- South Africa Child care workers -- South Africa
400	Professional nurses' perception of the implementation of a quality circles programme in a public hospital in the Eastern Cape Province Mbovane, Mkululi Meckson 28 February 2004 (has links) A qualitative research design that is explorative, descriptive and contextual in nature was employed in order to understand and describe the professional nurses' perception of the implementation of a quality circles programme in a public hospital in the Eastern Cape Province and to develop guidelines for the implementation of a quality circles programme in public hospitals. The data-collection techniques were individual semi-structured interviews and field notes. The sample was drawn from a population of 425 Xhosa-speaking professional nurses employed in this institution. The sample comprised eight (8) professional nurses all of whom volunteered for in-depth individual semi-structured interviews. All the respondents answered one question "How do you perceive the implementation of the quality circles programme in your hospital?" During data collection and analysis only one theme emerged, namely the perception of quality circles as a forum for discussing patient care problems and future plans. There were four broad categories in this theme, namely  Staff empowerment  Teambuilding in the nursing discipline  Maintenance of standards by nurses  Challenges to the momentum of a quality circles programme It is recommended that all three tiers of nursing management be involved in the quality circles programme to improve interpersonal, interdepartmental and intradepartmental communication and concomitantly the nursing care. / Health Studies / M.A. (Health Studies) Quality improvement Quality circles Qualitative research Public hospital Professional nurses Nursing division Evaluation Eastern Cape Province 362.1106875 Medical care -- Qaulity control

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