Thesis (M.S.)--University of Michigan, 1982.

M.Cur. / The aim with this study is to describe guidelines for curriculation, with primary health care as departure point. This study is based on the Judeo-Christian human and world premise and philosophy. The Nursing Theory for the Whole Person serves as meta-theoretic departure point, while the theoretic assumptions are based on: The Nursing Theory for the Whole Person (Oral Roberts University, Anna Vaughn School of Nursing, 1990). Van Niekerk's, Accompaniment Guidelines for Theory - Practice Correlation (1993). Curriculation Models of Malan & Jorrisen (1990) and Uys (1983). Klopper's Model for Accompanied selfstudy in Nursing Science (1994). The Botes's Model for Research in Nursing Science serves as methodological departure point (1991). Emphasis is placed on participative decision making regarding basic needs, including health care, within the ideology of the new Government of National unity (ANC, 1994:45) The Reconstruction and Development Programme, (RDP) accepted within the new political dispensation of South Africa, supports primary health care as total departure point, such as the National health Plan (ANC, 1994: 45). This, however, is not a new concept in health care services. The South African Nursing Council (SANC) has been supporting this principle for a considerable time. However there is little or no existing literature regarding the curriculation of the four year diploma programme, with primary health care as the departure point. This Qualitative study is executed in four phases. The first and second phase explore and describe the perceptions and interpretations of the share holders of the curriculum, in respect of primary health care as departure point, within curriculums, in terms of focus group interviews. The third phase describes a conceptual framework, according to a comprehensive literature study. Phase four describes guidelines for the facilitation of meso and micro curriculation, with primary health care as departure point, in respect of inferential data obtained from focus group interviews, the literature study and conceptual framework. The study's unique contribution, within the context of the Mpumalanga region is embodied in the manner in which the researcher succeeds to describe guidelines for curriculation for the four year diploma programme, that leads to registration as Professional Nurse (General-, Psychiatric-, and Community-) and Midwife, with primary health care as the departure point. This was achieved through inductive deliberation and cross triangulation in all four phases, which increases the trustworthiness of the study.

Thesis (MTech: Nursing)-Durban Institute of Technology, 2005 xi, 278, cxxx leaves : ill. ; 30 cm / The study was a cross sectional descriptive approach using individual interviews and a focus group. The study took place in Inanda, KwaZulu Natal. The purpose of the study was to assess the Bhambayi community at the individual, family and community levels in terms of the provision of home-based care for people living with, and affected by AIDS; and to develop an action plan for an appropriate intervention.

Dissertation submitted in full compliance with the requirements for the Masters Degree of Technology: Nursing, Durban Institute of Technology, 2005. / The study was a cross sectional descriptive approach using individual interviews and a focus group. The study took place in Inanda, KwaZulu Natal. The purpose of the study was to assess the Bhambayi community at the individual, family and community levels in terms of the provision of home-based care for people living with, and affected by AIDS; and to develop an action plan for an appropriate intervention.

No description available.

M.Cur. / The overall aim of the study is to explore and describe the factors that influence the accessibility of PHC services in Alexandra Township. Most of the time the public clinics in Alexandra rely on part-time nursing personnel to render health services. Sometimes there are so few nurses on duty that they cannot manage to perform all the services required in the clinic and the community. There are long queues of patients and they are often turned away because they cannot be attended to. Statistics (Clinic Statistics, Jan 2000-Dec 2000) show that about 100 000 people out of the total population of 350 000 people (Community Statistics, 1999) attend these clinics in a year. This number includes people who come to the clinics three or more times per year for services such as family planning, Tuberculosis and well baby. To achieve the objectives of the study a quantitative, non-experimental, exploratory, descriptive and contextual design as described by Polit and Hungler (1997:166,456 & 466) and Burns and Grove (1997:52) was chosen. A pilot study (Burns and Grove 1997:52) was done in three phases with 12 patients, 10 community members and two professional nurses from the clinics. After that 300 interview schedules were administered to 160 randomly selected patients attending the four public clinics in the area and 140 members of the community. Ten questionnaires were distributed among the remaining 10 professional nurses. The researcher as a participant observer, made observations with the aid of an observation list, which was developed after the three phases of data collection to verify the data, collected. A quantitative descriptive data analysis (Burns & Groove 1997:779) was done with the use of SPSS computer program. Content analysis was done on the open-ended questions and the results of the observations. The demographics of the residents reveal that the community is a vulnerable area (White paper, 1997:14) which should be the focus of the health service providers. Although the iii services are geographically accessible, they are provided in an unacceptable, inefficient, ineffective and inequitable manner. Moreover services are functionally, socially, physica.lly and financially inaccessible. Health education factors add to the inaccessibility of the services to the people. Guidelines to improve these factors were formulated to make public PHC services in the area more accessible. These findings have implications on nursing practice, education and research. A replica of the study in similar and different contexts in SA is recommended.

Abstract Due to the rapid rise in medical expenses and unanticipated accumulation of overdue premiums, Taiwan's National Health Insurance has impacted the management of all-size hospitals. For the purpose of survival and maintaining good performance, the hospitals need to adopt suitable strategic management. Medical centers take the responsibilities of service, teaching, and research, it should be some hard thinking as to how to manage the hospital continuously and make every effort to achieve the goal of ¡§health for all in the twenty-first century¡¨. This study was conducted in three stages: questionnaire development and testing, surveying, and data analysis. The 34-item questionnaire was self-made according to the definition and contents of community health nursing defined in United Kingdom Central Council (UKCC). Seven hundred and forty questionnaires were send to the community inhabitants with 679 were returned and valid, representing a response rate of 91.8%. Descriptive analysis, Chi-Square test, Pearson correlation analysis, factor analysis, and stepwise regression analysis were used for the statistical analysis. The information about community health nursing was obtained from bureau of public health in the majority of inhabitants (57%). As for the satisfaction of service of community health nursing to the inhabitants, people who were satisfied is less than those who weren't (21.4% vs 41.2%). Though fewer inhabitants who had a favorable impression on the medical center, more people prefer medical center to practice community health nursing. Community health nursing was classified into seven dimensions according to the factor analysis, "home health care" had a highest score (4.23), and "mental health care" got a lowest score (3.64). There was significant negative correlation between satisfaction and "supporting school health nursing", "home health care is of more humane care", "hospital gains profit from home health care", "willing to take home health care", and "hospital cooperates with community to care mental disabled". Significant positive correlation was noted between satisfaction and "accepting mental disabled in the community". In age 30-39 and 40-49, relating to the satisfaction of community health nursing, inhabitants who were unsatisfied are more than those who weren't, significant difference was noted. People who had higher educational background felt unsatisfied to the service of community health nursing, and the higher the less. Through stepwise regression analysis, "establish referral system" had the best predictability in using facilities efficiently to economies of scale to reduce operating cost; "ability to provide better service" had the best predictability in confidence of practicing community health nursing in medical center; "medical center is a good neighbor" had the best predictability in increasing benefits from practicing community health nursing; and "public health nursing helping disease prevention" had the best predictability in government health policy.

No description available.

No description available.

No description available.