Thesis (M Nursing)--University of South Australia, 1996

Thesis (Ph.D.) -- University of Adelaide, Dept. of Clinical Nursing, 1999. / Bibliography: leaves 252-270.

Thesis (Ed.D.)--Teachers College, Columbia University, 1995. / Includes tables. Typescript; issued also on microfilm. Sponsor: Elizabeth M. Maloney. Dissertation Committee: Herve Varenne. Includes bibliographical references (leaves 153-167).

Thesis (PhD. (Nursing Science, Faculty of Health Sciences))--University of Pretoria, 2005. / Includes bibliographical references

M.Cur. / A single comprehensive, equitable and integrated National Health System must be created for South Afiica (ANC, 1994:19). This will be achieved by the ANC's commitment too promotion ofhealth through prevention and education. The Primary Health Care approach is the tenet for the restructuring ofthe health system. To be able to create a Health System which is single, comprehensive, equitable and integrated the system should be accessible, effective, acceptable, affordable and just. Community health nursing should be restructured to comply with these conditions. In this study the functions ofthe district nurse as a component ofthe Community Health Nursing Service within the National Health System is described. The aim ofthis study is to render more prominence to the promotive, preventive, curative and rehabilitive aspects ofcommunity health nursing in the home environment. Criteria for the delivery ofa district nursing service as component ofa community health nursing service will also be set and the position ofcurrent district nursing services investigated. An explorative, descriptive study was performed. The functions that the district nurse is supposed to perform will be obtained, by analysing duty sheets, a questionnaire and a literature review, to set guide lines for the delivery ofa district nursing service. Most ofthe district nurse's functions were found to be corresponding, in the duty sheets and questionnaires. But there were also some differences. The final findings are described

M.Cur. / The legal limitations in the practice of the Primary Health Care nurse (PHC nurse)' in the RSA have direct implications for the achievement of the goal "Health for all by the year 2000". The questions which had to be answered by means of the research are in relation to the legal limitations, the nature and scope of the limitations as well as to how these limitations should be addressed in order to facilitate the practice of the PHC nurse. A content analysis of selected health legislation was done and recommendations formulated to amend and/or clarify certain health legislation. The research design is an exploratory descriptive study with a qualitative research orientation. A content analysis of certain professional and relevant health legislation showed legal limitations in the practice of the PHC nurse. Experts in the field of PHC who were interviewed confirmed that there are limitations in the practice of the PHC nurse. The limitations identified were the following: • limitations in certain health professions and other health legislation • limitations caused by the interpretation of legislation by health professions • limitations due to the attitudes and perceptions of medical practitioners, pharmacists and nurses in respect of the role and functions of the PHC nurse The conclusions indicate that there are limitations in the practice of the PHC nurse which have direct implications for the achievement of the objectives of the National Health Policy, 1989. Recommendations include the amendment of certain health legislation, addressing limitations caused by attitudes and perceptions at educational, professional, policy making and management levels, for nurses, medical practitioners and pharmacists.

D.Cur. (Professional Nursing Science ) / Curriculum evaluation of Community Nursing at the Ann Latsky. Bona Lesedi and Coronation Nursing Colleges was done on the basis of Stake's curriculum evaluation model which was used as point of departure and altered to comply with the specific requirements of the curriculum evaluation of Community Nursing. The purpose of the evaluation was to identify inadequacies in the curriculi and to initiate improvements. Firstly, the intentions of the Nursing Colleges with regard to the Community Nursing curriculum were described. Secondly, certain observations were made' by way of. among other things. questionnaires to enable the researcher to make further delineations. In the third instance. standards were described which is important in evaluating curriculi. The curricular were evaluated on the basis of the details gathered. Lastly. guidelines were laid down to serve as a source for improving curriculi. Observations made included the following: - Students are uncertain of their readiness for community nursing immediately after training. - Only one of the Community Nursing lecturers at the three Nursing Colleges has sufficient clinical experience in Community Nursing. - Sixty four per cent of the clinical practitioners who took part in the study do not fully agree with the objectives set down for practical work in Community Nursing. - Students are generally satisfied with Community Nursing content. - Some of the guidelines set down by the researcher for the improvement of the Community Nursing curricular are: - Management must come to an agreement with. among others. local authorities to enable lecturers to be appointed in a part-time clinical position to improve their clinical experience...

M.Cur. / Child development is a subject that is increasingly becoming the focus of discussion. The interest in this subject, however dates back to the twenties when Arnold Gesell started researching this field. Over the years scales were developed to make the measurement of the level of child development easier ...

M.Cur. / Who am I? What am I doing here? What is the purpose of life? What is real? Individuals are intent on trying to find an answer to their questions about life, yet many may find that they remain in a quagmire of confusion and vacillating inner torment. In their own lives many individuals deal with pain, guilt and death, each having their own share of suffering where they may either withdraw into their own world or attempt to take from it whatever bit of happiness and pleasure they can, which often leaves them with a feeling of emptiness, futility and despair. What is it aU for? What is life about? According to what Waltos and Waltos (2002:16) have termed "a conscious revolution", individuals have entered an age of responsibility and empowerment. In both human life and healthcare this translates to individuals being more willing to take charge of their lives as well as responsibility for their overall health. Frankl (1984:15) posits mental health and stability to be dependent upon an individual's ability to perceive meaning. This quest for meaning is one of the greatest challenges facing individuals, families and nations (Wong & Fry, 1998:406). At certain points in life, everyone has questioned what sustains their being and what makes life worth living. With a focus on the family, the researcher to this study noticed that the first crack in many famUy structures developed during pregnancy, birth and parenthood due to an inability of the parents to communicate their differing views and perspectives of their reality. Consequently, this resulted in self-expression becoming compromised and inhibited, resulting in inner confusion and turmoil. Parenthood also brings about personal challenges of coping and making meaning out of life circumstances. This breakdown in relationships impacts on individuals' and families' ability to develop and grow holistically, with consequent negative ripple effects on family dynamics and structure. Such discord and disharmony further cascades out to include community and the work environment.

Background: There has been an increasing shift in patient care from the acute hospital setting to the community. Nurses play an essential role as part of the community health care workforce; however, only a limited number of baccalaureate nursing students tend to choose a career in community health nursing after graduation. There is currently a gap in knowledge surrounding nursing students’ perception of a career in Community Health Nursing and the issues influencing their career choice upon graduation. Purpose: To explore issues that influence career choice in community health nursing from the perspective of baccalaureate nursing students. Research Methodology: The study was guided by a descriptive qualitative research approach. Individual semi-guided interviews and focus groups were conducted with 11 nursing students and a group of key stakeholders to share their thoughts on pursuing a career in community health nursing and the factors that enabled or hindered their decision making. Thematic analysis of the interview and focus group data generated relevant themes. Findings: Five major themes were revealed from study. These are 1) defining community health nursing, 2) the clinical practicum experience, 3) stereotypes of community health nursing, 4) societal trends and expectations, and 5) issues influencing career choice in community health nursing. Discussion and Implications: The personal and contextual factors influencing the perceptions and attitudes of students towards pursuing community health nursing were discussed. Existing literature was integrated into the discussion of the many factors that both motivated and hindered baccalaureate nursing students from pursuing community health nursing. The underrepresentation of new graduates in community health nursing calls for directed efforts by community health nursing organizations and the university to improve the situation. Conscientious efforts need to be made to provide students with knowledge and information surrounding the roles of community health nurses and the opportunities for nursing students and nurses in community health nursing settings. Conclusion: There is a need to increase awareness about community health nursing in order for nursing students to understand the importance and impact it has on the health status of communities and healthcare delivery infrastructure. Nursing education programs would be an ideal platform for this awareness-raising and facilitate student nurses decision to pursue community health nursing as a career.