This study is aimed at exploring the impact of secondary trauma on the child. A shortcoming has been identified in practice because of the lack of trained social workers and therapists in the field of secondary trauma and children and applying effective therapeutic intervention. The goal of this study was to explore and determine the impact of trauma on the child as the secondary victim in the emergency room of the hospital. In order to reach the required goal, a number of objectives were set. By means of a literature study and consultation with experts in the field of trauma, a theoretical framework was set up with regard to the following: secondary trauma as phenomenon; the child in the middle childhood as part of life; trauma debriefing and the child. An empirical study where semi-structured interviews and participatory observation were used as the methods of data collection was undertaken, to assess the impact of trauma on the child, as the secondary victim in the emergency room of the hospital. The following aspects were handled specifically: 1. the experience of trauma by the child 2. fears and anxiety 3. re-experiencing the event through thoughts 4. sensation, communication and play 5. increase in sensitivity through sight, noises and smell 6. avoidance of memories, thoughts and feelings towards the trauma and then the search for closure Individual semi-structured interviews were used with ten respondents. Applied research was undertaken as the researcher aimed at establishing solutions for problems that occur in the emergency room of the hospital. The researcher used a qualitative research approach. Considering that in this study a relatively unknown field was researched, a phenomenological strategy within an exploratory study was used to explore, understand and interpret the research question, which is not well known. The research question formulated for this study was: “What is the effect of trauma on the child as the secondary victim?” Empirical data, which was obtained by using a semi-structured interview schedule and participatory observation, revealed the following: 1. The secondary traumatized child is the individual that’s been exposed to the trauma by either witnessing the event or through the relationship with the victim. 2. The following phases of trauma were identified through the study of the secondary traumatized child: i. PHASE 1 : Biological impact phase ii. PHASE 2 : Reaction phase iii. PHASE 3 : Avoidance phase iv. PHASE 4 : Reintegration and recovery of homeostasis 3. Role of social support systems for the adaptation of the psycho-social functioning of the victim. 4. External factors that might influence the traumatized child. The study revealed information on the child as the secondary traumatized victim in the emergency room of the hospital, which holds further research possibilities. The desired information was acquired and can be used in further studies and the development of a trauma-debriefing programme. / Dissertation (MSW (Social Health Care))--University of Pretoria, 2006. / Social Work and Criminology / MSW (Social Health Care) / Unrestricted

Group relations events are intended to enable transformation through learning, but such collective experiential events are not explicitly focused on enabling individual group members to derive meaning from them. This research aims to explicate individual learning from the experiences of a group relations event, in order to formulate a process for meaning-making post an intensive experiential event. Literature reviewed provides construct definitions of systems psychodynamic aspects, as well as insight, meaning-making, coaching methods and other approaches to facilitating meaning-making. Systems psychodynamics is the theoretical paradigm that informs a qualitative phenomenological research approach. Data analysis adopted hermeneutic phenomenology to allow for the interpretation of the rich data collected. Multiple case studies were adopted using multi-pronged data collection methods, including semi-structured interviews conducted before the event, as well as both a focus group and Free Association Narrative Interviews (FANI) conducted after the event. The results are reported by case, and this is followed with an interpretation of results by various systems psychodynamic themes. Furthermore, the relationship between personality types and defences mechanisms, with the associative techniques to use for each, have been set forth as additional findings in the thesis. The research hypothesis produced by the study is a meaning-making model to facilitate post-group relations event reflections and debriefing, with the aim of enabling insight formation, learning and adaption by individuals who have participated in such events. / Psychology / Ph. D. (Psychology)

Dans l’optique de perfectionner l’utilisation de la simulation clinique, il importe de se questionner sur la qualité des débriefings et surtout sur la perception qu’en ont les étudiant(e)s. L’outil le plus utilisé à cet effet est le Debriefing Experience Scale (DES; Reed, 2012) qui évalue l’expérience et l’importance du débriefing selon les étudiant(e)s. Cet outil n’est pas disponible en français et il est essentiel qu’il soit adapté au contexte et à la population auprès de qui on souhaite l’utiliser. Le but de cette étude a été de traduire en français, adapter au contexte québécois et valider le contenu du DES (Reed, 2012). Selon les recommandations de Sousa et Rojjanasrirat (2011), le DES a été traduit en français et rétrotraduit en anglais pour obtenir une version française, le DES-FR. La pertinence et la clarté de ses énoncés ont été évaluées par 10 expert(e)s en simulation clinique. Un échantillon de convenance de 29 étudiant(e)s en sciences infirmières a été sollicité pour évaluer la clarté des énoncés de l’outil. Les résultats indiquent que le DES-FR a un indice de validité de contenu global (IVC-S) de 0,93 selon les expert(e)s, suggérant une bonne validité de contenu, ainsi qu’un indice de clarté global (IC-S) de 0,96, soutenant qu’il est dans son ensemble clair selon l’échantillon étudiant. Le DES-FR est le premier outil en français présentant une validité de contenu et adapté au contexte de formation québécois qui permettra d’obtenir des données sur la qualité des débriefings selon la perspective étudiante. / To further improve the use of clinical simulations, it is crucial to question the quality of debriefings, especially students’ perceptions of them. The most used tool for this purpose is the Debriefing Experience Scale (DES; Reed, 2012), which assesses the experience and importance of debriefing for nursing students. The DES (Reed, 2012) is not available in French, and it must be congruent with the context and population it is intended to be used. This study aimed to translate into French, adapt to the Quebec educational context, and validate the content of the DES (Reed, 2012). For the method, we followed Sousa and Rojjanasrirat (2011) guidelines. Thus, the DES (Reed, 2012) was translated into French and back-translated into English to obtain a French version, the DES-FR. Ten clinical simulation experts assessed the French version for item relevance and clarity. In total, 29 nursing students evaluated the DES-FR item clarity. According to the experts, the DES-FR has an overall content validity index (S-CVI) of 0.93, suggesting good content validity. The overall scale’s clarity index (S-CI) reached 0.96, supporting that the content of the DES-FR is clear according to nursing students. The DES-FR is the first content-validated French tool adapted to the Quebec educational context that will provide data on the quality of debriefings from the student perspective.

This study examined the validity of the South African Police Service (SAPS) multiple stressor intervention. The multiple stressor was developed for members of their specialised units to address Post Traumatic Stress Disorder (PTSD). Unfortunately, the SAPS multiple stressor intervention lacks scientific evidence to support its possible effectiveness in addressing PTSD. In the current study a deployment and intervention group was compared which employed a pre- test post-test design. The Davidson Trauma Scale and the Revised Impact of Event Scale measured PTSD globally, but also the PTSD dimensions of Intrusion, Avoidance/Numbing, and Hyperarousal. The Wilcoxon signed rank test results indicated that the intervention and deployment was both effective in addressing PTSD although the intervention group revealed the greatest improvement in their overall PTSD scores. The intervention group made significant progress in dealing with all three PTSD symptoms while the deployment group made less progress with their Intrusion and Avoidance/Numbing symptoms, but made significant progress with their Hyperarousal symptoms. The Mann-Whitney u test revealed no significant differences between the post intervention test scores of the two groups, either globally or on the three PTSD dimensions. It appears that deployment was just as effective as the multiple stressor intervention in addressing PTSD. / Psychology / M.A. (Psychology)

This study examined the validity of the South African Police Service (SAPS) multiple stressor intervention. The multiple stressor was developed for members of their specialised units to address Post Traumatic Stress Disorder (PTSD). Unfortunately, the SAPS multiple stressor intervention lacks scientific evidence to support its possible effectiveness in addressing PTSD. In the current study a deployment and intervention group was compared which employed a pre- test post-test design. The Davidson Trauma Scale and the Revised Impact of Event Scale measured PTSD globally, but also the PTSD dimensions of Intrusion, Avoidance/Numbing, and Hyperarousal. The Wilcoxon signed rank test results indicated that the intervention and deployment was both effective in addressing PTSD although the intervention group revealed the greatest improvement in their overall PTSD scores. The intervention group made significant progress in dealing with all three PTSD symptoms while the deployment group made less progress with their Intrusion and Avoidance/Numbing symptoms, but made significant progress with their Hyperarousal symptoms. The Mann-Whitney u test revealed no significant differences between the post intervention test scores of the two groups, either globally or on the three PTSD dimensions. It appears that deployment was just as effective as the multiple stressor intervention in addressing PTSD. / Psychology / M.A. (Psychology)

No description available.

The aim of this study was to describe the nurses‘ perception of termination of pregnancy and her perception of her conduct towards clients that request termination of pregnancy guided by Kings‘ Systems Approach and Goal Attainment Theory. A non-experimental quantitative descriptive correlational design was used. A non-probability purposive sampling method was used consisting of institutions in the Western Cape, available to participate in this study, which deliver termination of pregnancy services, gov ernment health care institutions (21) and Marie Stopes clinics (3). Non-probability convenience sampling was used consisting of registered nurses who are working in termination of pregnancy units in these facilities (N=82). Data were collected through the administration of a self-designed questionnaire. The main findings of the study indicate that respondents (personal system) appear to feel positive about the work they are doing. Formal improvement and development are however not utilised optimally. Regarding the interpersonal system, respondents also show a positive orientation to both the woman opting for termination of pregnancy and the foetus. The potential towards transaction and ultimately goal attainment reside within this system. The respondents are also positive about legislation, employers and policies (social system) relating to termination of pregnancy. This orientation creates a milieu that is conducive to transactions, interactions and goal attainment.The main recommendation is that three systems as proposed by King be continuously integrated within the termination of pregnancy setup through, amongst other measures: values clarification, management support, in service education, the inclusion of termination of pregnancy in undergraduate programmes, focus groups and the like. / Die doel van hierdie studie was om die verpleegkundige se persepsie van terminasie van swangerskap en haar persepsie van haar houding en gedrag teenoor kliёnte wat terminasie van swangerskap versoek, aan die hand van King se Sisteembenadering en Doelwitbereikingsteorie te ondersoek en te beskryf. `n Nie-eksperimentele kwantitatiewe beskrywende korrelasie navorsingsontwerp was gebruik. `n Nie-waarskynlike doelbewuste-steekproefneming van die staatsgesondheidsorg-instansies wat terminasie van swangerskapdienste aanbied, is geneem en wat beskikbaar vir hierdie studie was (21) asook die Marie Stopesdienste (3), in die Wes-Kaap. `n Nie-waarskynlike gerieflikheidsteekproefneming is van verpleegkundiges geneem wat swangerskappe in hierdie afdelings termineer of moet termineer (N=82). Data is met behulp van `n selfontwerpte vraelys ingesamel. Die hoofbevindings van die studie dui daarop dat respondente (persoonlike sisteem) positief voel oor hul werk. Formele ontwikkelingshulpbronne word egter nie optimaal deur die sisteem benut nie. Wat die interpersoonlike sisteem betref, toon respondente ook ‗n positiewe oriëntasie tot beide die vrou wat terminasie van swangerskap aanvra en die fetus. Die potensiaal tot transaksie-sluiting en uiteindelike doelwitbereiking is binne hierdie sisteem geleë. Die respondente is ook positief oor wetgewing en die werkgewer en beleid (sosiale siteem) ten opsigte van terminasie van swangerskap. Hierdie oriëntering laat ‗n milieu wat bevorderlik is vir transaksie-sluiting, interaksie en doelwitbereiking. Die hoofaanbeveling is dat voortdurend gepoog moet word na die integrasie van King se drie sisteme binne die terminasie van swangerskapafdelings deur onder meer: waarde-uitklaringswerkswinkels, ondersteuning van bestuur, indiensopleiding, die insluiting van terminasie van swangerskap in voorgraadse kurrikula, fokusgroepe en so meer. / Health Studies / D. Litt. et Phil. (Gesondheidstudies)

Existing literature identify betrayal as one of the major challenges that former SADF soldiers face in the “new” South Africa, and identify a need for studying the nature and types of betrayal and the effects it has on relationships. This study aimed to describe and interpret former SADF soldier‟s lived experience by focusing on the psychology of betrayal. A cross-sectional qualitative research methodology was used, guided by an interpretive phenomenological approach. Data was gathered through semi-structured interviews, and the data was analysed using Heidegger‟s hermeneutical principles. The identified themes are (1) in the belly of the beast, (2) different agendas, (3) volte-face, (4) keeping the score (5) and just carry on. The findings offer deeper insights and understanding into how former SADF soldiers experience betrayal and the impact it has on their everyday lives. / Psychology / M.A. (Psychology)

In this thesis, I explore the impact and effectiveness of clinical supervision provided by external clinical supervisors, on workers from a variety of practice backgrounds in a residential rehabilitation centre, in the AOD sector. This thesis uses the framework of social work supervision, as defined by Kadushin (1985; 2002), with the administrative, educative and supportive elements. The research focuses closely on the latter two elements. For this purpose, I employ qualitative research methods, via a triangulation of methods, being guided by Participatory Action Research (PAR) and then conducting semi-structured interviews and focus groups as well as acting as a participant observer, to gather the data. The data was analysed using grounded theory. This research was based upon a clinical supervision project that was fully funded and provided free clinical supervision by external supervisors, providing both individual and group supervision, for a period of 10 months. There were a total of 16 respondents with varied roles and training backgrounds as well as an additional six supervisors, interviewed throughout different stages of the project. The various roles undertaken by me throughout the research process provided essential viewpoints on supervision, as well as the place of boundaries and need for support. The power of such a large scale intervention is discussed and ultimately highlights and identifies the particular benefits of supervision in this research arena. This thesis places clinical supervision in the context of workforce development in the Alcohol and Other Drug (AOD) sector. Thus, while this research elucidates a number of benefits and the factors involved with this experience, the clear separation of other modalities such as training, mentoring and Critical Incident debriefing are seen as integral additional avenues of support and professional development. This research concludes also with what the difficulties and hindrances were for people to continue with regular ongoing clinical supervision, and warrants the argument for interminable supervision in this setting. This research points to an overall paucity of literature on efficacy studies, especially in the AOD context in Australia. This research significantly adds to this dearth and examines the factors unique to the AOD sector in Australia, as well as what factors make for effective supervision. The particular impact of external supervisors and group supervision are explored, which underwrites the forwarded concept of a customised supervision for this setting. By making explicit in this research what the efficacy is on those new to supervision, it provides greater clarity for future studies. A number of recommendations are proposed as result of this research. New definitions of the supportive function of supervision and of clinical supervision are forwarded, as is a new look at the evolving history of social work supervision. This thesis highlights the impact of external supervisors and the unique contribution they offer.

The aim of this study was to describe the nurses‘ perception of termination of pregnancy and her perception of her conduct towards clients that request termination of pregnancy guided by Kings‘ Systems Approach and Goal Attainment Theory. A non-experimental quantitative descriptive correlational design was used. A non-probability purposive sampling method was used consisting of institutions in the Western Cape, available to participate in this study, which deliver termination of pregnancy services, gov ernment health care institutions (21) and Marie Stopes clinics (3). Non-probability convenience sampling was used consisting of registered nurses who are working in termination of pregnancy units in these facilities (N=82). Data were collected through the administration of a self-designed questionnaire. The main findings of the study indicate that respondents (personal system) appear to feel positive about the work they are doing. Formal improvement and development are however not utilised optimally. Regarding the interpersonal system, respondents also show a positive orientation to both the woman opting for termination of pregnancy and the foetus. The potential towards transaction and ultimately goal attainment reside within this system. The respondents are also positive about legislation, employers and policies (social system) relating to termination of pregnancy. This orientation creates a milieu that is conducive to transactions, interactions and goal attainment.The main recommendation is that three systems as proposed by King be continuously integrated within the termination of pregnancy setup through, amongst other measures: values clarification, management support, in service education, the inclusion of termination of pregnancy in undergraduate programmes, focus groups and the like. / Die doel van hierdie studie was om die verpleegkundige se persepsie van terminasie van swangerskap en haar persepsie van haar houding en gedrag teenoor kliёnte wat terminasie van swangerskap versoek, aan die hand van King se Sisteembenadering en Doelwitbereikingsteorie te ondersoek en te beskryf. `n Nie-eksperimentele kwantitatiewe beskrywende korrelasie navorsingsontwerp was gebruik. `n Nie-waarskynlike doelbewuste-steekproefneming van die staatsgesondheidsorg-instansies wat terminasie van swangerskapdienste aanbied, is geneem en wat beskikbaar vir hierdie studie was (21) asook die Marie Stopesdienste (3), in die Wes-Kaap. `n Nie-waarskynlike gerieflikheidsteekproefneming is van verpleegkundiges geneem wat swangerskappe in hierdie afdelings termineer of moet termineer (N=82). Data is met behulp van `n selfontwerpte vraelys ingesamel. Die hoofbevindings van die studie dui daarop dat respondente (persoonlike sisteem) positief voel oor hul werk. Formele ontwikkelingshulpbronne word egter nie optimaal deur die sisteem benut nie. Wat die interpersoonlike sisteem betref, toon respondente ook ‗n positiewe oriëntasie tot beide die vrou wat terminasie van swangerskap aanvra en die fetus. Die potensiaal tot transaksie-sluiting en uiteindelike doelwitbereiking is binne hierdie sisteem geleë. Die respondente is ook positief oor wetgewing en die werkgewer en beleid (sosiale siteem) ten opsigte van terminasie van swangerskap. Hierdie oriëntering laat ‗n milieu wat bevorderlik is vir transaksie-sluiting, interaksie en doelwitbereiking. Die hoofaanbeveling is dat voortdurend gepoog moet word na die integrasie van King se drie sisteme binne die terminasie van swangerskapafdelings deur onder meer: waarde-uitklaringswerkswinkels, ondersteuning van bestuur, indiensopleiding, die insluiting van terminasie van swangerskap in voorgraadse kurrikula, fokusgroepe en so meer. / Health Studies / D. Litt. et Phil. (Gesondheidstudies)