Thesis submitted to the Faculty of Education in fulfilment ofthe requirements for the degree of DOCTOR OF EDUCATION in the Department of Philosophy of Education at the University of Zululand, 1998. / The researcher sought to investigate the antiracist approach in education which has been adopted by the Government of National Unity (GNU). The changes that have taken place in education since 1994 inform this research. The study therefore purports to reveal some of these changes as they relate to anti-racism. In the early 1990s the open school system was incepted. Historical White schools were open to other racial groups particularly Africans. That was an antiracist approach which confronted institutional racism. The researcher established a view that African education was fraught with crisis as emanating from unequal educational opportunities between Africans and Whites in particular. In this. study the researcher has tried to document various aspects of inequality in education. These aspects resulted to the movement of African learners to traditional White schools. White learners were not attracted into traditional African schools. This study attempted to emphasise the importance of anti-racist education in creating equal educational opportunities between Africans and their White counterparts. The researcher decided to state her problem in a question form like this: Does anti-racist education in South Africa have any role to play in eliminating inequalities that characterise the South African education system? The aims of the study included investigating: strategies employed by the GNU in implementing equal education. The role of educators in restoring the culture of learning in African schools. These aims necessitated the utilisation of literature review, interview and empirical survey as research tools. This study revealed that African schools are underdeveloped as compared to historical White schools. The findings also pointed out that some Whites still adhere to the idea of White superiority and African inferiority. This master-servant attitude also became the major focal point of the discussion of anti-racist education. Among some recommendations that the researcher made, the following can be cited: The provision of African schools with additional resources in order to bring equity which would yield equal educational opportunities. The compensatory programme should be launched to change personal views of inferiority held by culturally deprived, disadvantaged learners to enable them to compete in the new cultural and socio-economic demands. There should be racial awareness programmes in order to inculcate common values of respect, tolerance and acceptance across racial groups.

Polyelectrolyte capsules fabricated by layer-by-layer (LbL) technique are introduced as a simple and efficient carrier system for spontaneous deposition of proteins and low molecular water soluble drug. The objective of the work was to investigate the applicability of polyelectrolyte capsules as vehicles for sustained or controlled delivery of drugs. Two different polymeric systems composed of weak and strong polyelectrolytes were chosen to study the loading and release behavior in order to meet the requirements of biomedical applications. In the first system, the wall permeability of weak polyelectrolyte (PAH/PMA) capsules could be readily manipulated from open to closed state by simply varying the pH. The open and closed state of the capsules could be attributed to the charge density variation of weak polyelectrolytes, which induces the capsule wall to undergo a transition from continuous to nanoporous morphology due to phase segregation. Bovine Serum Albumin (BSA) was spontaneously deposited in the hollow capsules and deposition was investigated by CLSM, SEM and AFM techniques. The driving force for spontaneous deposition was electrostatic interaction between the preloaded polystyrene sulfonate (PSS) and BSA. The deposition was uniform and concentration of BSA in the capsule interior reached a few hundred times greater than that of bulk. The amount of loading was significantly influenced by the loading pH, loading concentration and charge density of substance to be loaded at the corresponding pH. The deposition was successful up to the isoelectric point of BSA (pH = 4.8) and there was no loading observed above that, since the deposition is based on electrostatic attraction between PSS and BSA. During the release at physiological pH of 7.4, charge reversal of BSA occurred which induced electrostatic repulsion between PSS and BSA thereby triggering the movement of BSA from the interior to the bulk. Release continued up to 5 h in water and a total release of 63 % was observed which increased to 72 % when release was performed in PBS. Spontaneous deposition of low molecular weight, water soluble drug, ciprofloxacin hydrochloride was performed in the same manner and its release profile was studied. Controlling diffusion of smaller drug molecules is extremely difficult in drug delivery applications. Cross linking of capsule wall components could be used to control the release rates of smaller drug molecules. Cross linking density is dependent on the cross linking time and increases the stiffness of the capsule wall. Release of ciprofloxacin hydrochloride was possible even up to 6 h after cross linking. Antibacterial studies showed that the drug released even after 25 h has a significant effect on the bacterial pathogen E.coli. The second system included weak and strong polyelectrolytes (PAH & DS) and a novel route was employed to fabricate optically addressable capsules that could be laser activated for delivery of drugs. This approach involved a combination of LbL assembly and polyol reduction method wherein PEG was used to reduce AgNO3 to Ag nanoparticles (NPs). The capsules were prepared via LbL assembly of PAH and DS on silica template followed by synthesis of silver NPs in the layers and subsequent dissolution of the silica core. The sulfonate groups of DS present in the polyelectrolyte film act as binding sites for the adsorption of silver ions which are then reduced to silver NPs in the presence of PEG. The size of the silver NPs formed was influenced by the AgNO3 concentration used. At lower concentration, smaller particles of uniform distribution were observed which turned into larger particles of random distribution when the concentration of AgNO3 is increased. Silver NPs embedded capsules ruptured when exposed to laser and was significantly influenced by silver NPs size, their distribution, laser intensity and time of exposure. The synthesis of silver NPs increased the permeability of the capsules to higher molecular weight substances like dextran caused by the defects, discontinuities and pores created on the polymeric network due to the newly formed silver NPs. Encapsulation of FITC-dextran was performed using thermal encapsulation method by exploiting temperature induced shrinking of the capsules at elevated temperatures. During heat treatment the porous morphology transformed into smooth pore free structure which prevented the movement of dextran into the bulk and hence enrichment inside the capsules. The loaded dextran was readily released when exposed to laser and the release could be controlled from linear to burst release in order to meet practical requirements in biomedical applications.

Magister Curationis - MCur / In South Africa, the Occupational Specific Dispensation (OSD) for professional nurses provides a structure for training and career progression in the Public Health Sector. It necessitates the urgency for professional nurses who are working in specialty units at hospitals, to study further in advanced post-graduate nursing sciences programmes, e.g. advanced psychiatric nursing. Professional nurses were not informed about the implications of the OSD for practice, prior to implementation. It was unclear how advanced psychiatric nurses were experiencing their practice in an OSD hospital setting. In this study, the experiences of advanced psychiatric nurses who were practising at an OSD psychiatric public hospital led to the description of guidelines for supporting these nurses during their practice in an OSD ward. A qualitative, exploratory, descriptive and contextual design was followed. The study population consisted of advanced psychiatric nurses (N = 50). Purposive sampling was conducted until data saturation was reached. Eight participants were included in the sample. In-depth unstructured individual interviews were conducted with each of these participants. Field notes were kept and voice recordings of all interview sessions were captured. The researcher conducted a pilot study with one participant in order to detect possible flaws that could occur during the data collection process. The data analysis where themes were identified was based on Tesch‟s method of qualitative analysis. A literature control supported the findings of this study. Subsequently, guidelines were described from the findings according to the method of Muller (2001:204-205). Trustworthiness was maintained by using the criteria of Guba‟s model; that is credibility, transferability, confirmability, and dependability. The ethical principles of the right to self-determination, withdrawal from the research study, privacy, autonomy and confidentiality, fair treatment, protection from discomfort and harm, and obtaining informed written consent was adhered to. Four themes emerged from the data that indicated: the under-utilisation of the full scope of advanced nursing skills, role conflict and overload, organisational structural barriers that delayed viii the implementation and practice of advanced nursing skills, and failure to conceptualise / clarify advanced nursing role that resulted in unrealistic and / or unmet expectations.

>Magister Scientiae - MSc / In South Africa, the Occupational Specific Dispensation (OSD) for professional nurses provides a structure for training and career progression in the Public Health Sector. It necessitates the urgency for professional nurses who are working in specialty units at hospitals, to study further in advanced post-graduate nursing sciences programmes, e.g. advanced psychiatric nursing. Professional nurses were not informed about the implications of the OSD for practice, prior to implementation. It was unclear how advanced psychiatric nurses were experiencing their practice in an OSD hospital setting. In this study, the experiences of advanced psychiatric nurses who were practising at an OSD psychiatric public hospital led to the description of guidelines for supporting these nurses during their practice in an OSD ward. A qualitative, exploratory, descriptive and contextual design was followed. The study population consisted of advanced psychiatric nurses (N = 50). Purposive sampling was conducted until data saturation was reached. Eight participants were included in the sample. In-depth unstructured individual interviews were conducted with each of these participants. Field notes were kept and voice recordings of all interview sessions were captured. The researcher conducted a pilot study with one participant in order to detect possible flaws that could occur during the data collection process. The data analysis where themes were identified was based on Tesch‟s method of qualitative analysis. A literature control supported the findings of this study. Subsequently, guidelines were described from the findings according to the method of Muller (2001:204-205). Trustworthiness was maintained by using the criteria of Guba‟s model; that is credibility, transferability, confirmability, and dependability. The ethical principles of the right to self-determination, withdrawal from the research study, privacy, autonomy and confidentiality, fair treatment, protection from discomfort and harm, and obtaining informed written consent was adhered to. Four themes emerged from the data that indicated: the under-utilisation of the full scope of advanced nursing skills, role conflict and overload, organisational structural barriers that delayed the implementation and practice of advanced nursing skills, and failure to conceptualise / clarify advanced nursing role that resulted in unrealistic and / or unmet expectations.

The study examined the effects of Public Service Reform in the appointments of management cadres in the Public Service of Namibia from 1990 to 2005. Specific focus was given to the Office of the Prime Minister, the core institution in the management of the Central Government operations. The study found that the need for a new post-colonial dispensation compatible with the requirements of statehood prompted the structuring of Government institutions. The Research Question explicitly sought to explain the extent to which the Post-independent Public Service Reform initiatives have transformed the structures and reoriented the government institutions to adopt the New Public Management principles, which can ensure efficiency and effective delivery of services. The legislative frameworks, particularly the Constitution of Namibia and the Public Service Act, 1995 (Act 13 of 1995), have provided the bases for analyzing the Recruitment Policy in the Public Service of Namibia. A systematic semi-structured interview with respondents has significantly unveiled a highly structured institution, with complex mechanisms of planning and executing programmes within managerial frameworks. The empirical research conducted for the study explored the political, economic, social and historical significance of Public Service Reform and indeed produced sufficient evidence confirming the adoption of new ways of improving performance and of enhancing accountability of the civil servants. Qualitative research methods were employed to evaluate the participants’ daily life experience for the purpose of describing the Public Service Reform from the insider’s perspective. The findings show that the traditional culture of administration is evidently being phased out and the New Public Management is gradually taking root. The Merit System has given way to new practices without loss of values that are generic to the selection of the “right type of people” for the meritocratic Public Service. Nevertheless, the current managerial reform initiatives appear to be superficial, taking a pragmatic approach with no serious provisions for structural change. Options for Namibia should include adopting structural changes that responds to its social, economic and political conditions in the face of globalisation. The study has ultimately recommended Competency-Management as the best approach to achieve a meritocratic and professional civil service. / Thesis (PhD)--University of Pretoria, 2009. / School of Public Management and Administration (SPMA) / unrestricted

This dissertation is not available online. A copy of the dissertation on CD is available in the Music Library at Call number: CD MUSOV 661. The purpose of this study is to write unit standards for a Music Technology Programme in South Africa. The research focuses on the introduction of Music Technology as an integral part of the present South African education dispensation. In answering this question, the researcher also answered the sub-questions: What is technology; What is Music Technology; Will a computer replace the teacher; How will the teacher benefit from using Music Technology; How will the learner benefit from Music Technology? Necessary information and guidance for using Music Technology in Music Education is also offered. This was done to be ‘on a par with the existing formulated curricula’ for Music Education in South Africa. On the other hand this is also ‘a paradigm shift away from the existing boundaries, inherited systems and requirements of traditional examining bodies within which teachers in Music Education have operated to date’. This is in correlation with the Proposal for the MEUSSA (Music Education Unit Standards for Southern Africa) project written by Professor Caroline van Niekerk. Apart from literature review, action research was done as part of the MEUSSA team. The MEUSSA team identified the problem of writing unit standards for Music in South Africa and did something to resolve it (complete their theses and dissertations). By applying action research within the MEUSSA team, first hand experience was gained as to where the gaps are and what needed to be done to fill them. Presenting a dissertation on CD-ROM was very challenging. There were virtually no guidelines because this is a very new concept. The researcher of this dissertation is convinced that presenting the dissertation on CD-ROM should be applicable to the medium. It is important that the dissertation is still academically acceptable, but makes use of the new possibilities that the medium offers. In further studies the author intends researching the best content for a teachers’ training programme, who are willing to use technology in their teaching. Future research is recommended in order to address the problem of national employment requirements in areas of music industry and education. E12/4/210 / Dissertation (MMus (Music Education))--University of Pretoria, 2006. / Music / unrestricted

A thesis submitted in partial fulfilment of the requirements for the degree of Masters of Arts in Clinical Psychology at the University of Zululand, South Africa, 2011. / South Africa is at a critical point in the debate about the future of health-care in the occupation-specific dispensation (OSD). It also faces the exodus of valuable human resources that was perceived as greener pastures, as medical practitioners become increasingly dissatisfied with governmental policy, wage negotiations, work-place disillusionment, lack of service delivery, expressions of corruptions, and lack of resources. This research aimed to thematically analyse the experiences, opinions and feelings of medical practitioners in both the public and private health-care sectors as well as explored international trends with the intention of drawing comparisons, highlighting problem areas, and discussion of possible solutions. It was hoped that this research would contribute towards understanding the dynamics that marked the exodus of medical practitioners from South Africa, at a time when change in the health-care system was imminent. In order for the medical practitioners to remain in the current health-care system, a new dialogue would have been opened in which their concerns could be raised and evaluated.

Submitted by Verena Bastos (verena@uefs.br) on 2015-07-31T13:08:58Z No. of bitstreams: 1 Inalva V. Freitas - Pr?tica da dispensa??o de medicamentos nas unidades sa?de da fam?lia de um munic?pio baiano.pdf: 947610 bytes, checksum: 2f70af4f3d1b9c02e63659a19ba4e4df (MD5) / Made available in DSpace on 2015-07-31T13:08:58Z (GMT). No. of bitstreams: 1 Inalva V. Freitas - Pr?tica da dispensa??o de medicamentos nas unidades sa?de da fam?lia de um munic?pio baiano.pdf: 947610 bytes, checksum: 2f70af4f3d1b9c02e63659a19ba4e4df (MD5) Previous issue date: 2014-03-30 / This paper studies the practice of dispensation of drugs in the Family Health Units in a city in the Brazilian state of Bahia. The objectives of this study are to analyze the practice of dispensation in the pharmacies of the Family Health Units in a city in Bahia; and to discuss the articulation of the Family Health team in the activities of drug dispensation in the Family Health units. The theoretical referential of this study is based on the comprehension of the process of labor in public health. This is a qualitative research under a critical analytical perspective, having as a field of study 08 Family Health Units in a city of the Brazilian state of Bahia. The subjects participating in the study were divided in three groups: Group I ? key informants (three); Group II ? workers (sixteen); Group III ? users (ten). The data collection techniques were systematic observation, semi-structured interviews and document analysis. Data was analyzed using content analysis. This research was approved by the Ethics in Research Committee of the Universidade Estadual de Feira de Santana (Feira de Santana State University), report number 408.270. The observation and data analysis reveals an inarticulate labor process among the subjects, with predominant hard and light-hard technologies, with focus on management activities in detriment to user-centered assistance. Salient among the difficulties in the process are the complete absence of pharmacists in the Family Health Unit pharmacies, inadequate pharmacy structure, and inadequate training of the agents responsible for dispensation, creating the difficulty in providing a quality health care service. / Estudo sobre a Pr?tica da Dispensa??o de Medicamentos nas Unidades Sa?de da Fam?lia em um munic?pio baiano. Os objetivos s?o analisar a pr?tica de dispensa??o de medicamentos nas farm?cias das unidades Sa?de da Fam?lia em um municipio baiano; discutir a articula??o da equipe Sa?de da Familia nas atividades de dispensa??o de medicamentos, nas unidades da Sa?de da Fam?lia. Seu referencial te?rico baseia-se na compreens?o de processo de trabalho na sa?de p?blica. Pesquisa qualitativa, numa perspectiva cr?tica anal?tica tendo como campo de estudo 08 Unidades de Sa?de da Fam?lia de um munic?pio do estado da Bahia, Brasil. Os sujeitos participantes do estudo foram divididos em tr?s grupos: Grupo I informantes chaves (tr?s); Grupo II trabalhadores (dezesseis); Grupo III, usu?rios (dez). As t?cnicas de coleta de dados foram observa??o sistem?tica, entrevista semiestruturada e an?lise de documentos. Para analisar os dados foi utilizada a an?lise de conte?do. A pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa da Universidade Estadual de Feira de Santana, com n?mero de parecer 408.270. A observa??o e an?lise de dados revela um processo de trabalho desarticulado entre os sujeitos, predominado as tecnologias dura e leve-dura, predominando as atividades de gerenciamento em detrimento da assist?ncia centrada no usu?rio. Destaca-se entre as dificuldades a aus?ncia completa de farmac?uticos nas farm?cias das Unidades de Sa?de, estrutura inadequada das farm?cias, despreparo dos agentes respons?veis pela dispensa??o, dimensionando a dificuldade em oferecer um cuidado de qualidade em sa?de.

Magister Pharmaceuticae - MPharm / Prior to 2007, South Africa’s government became concerned about the loss and inability to retain certain professionals in its employment. Health human resources were distributed in favour of the private sector and urban areas while rural areas survived on a meagre portion of health employees. In 2007, the government introduced a re-designed remuneration structure for individual skilled professions namely, Occupation Specific Dispensation (OSD), with the goal to attract and retain professionals. This study qualitatively explores the perceptions of public sector employment (PSE) by pharmacists to extract how OSD-policy may or may not be succeeding. It also investigates the opinions of pharmacists on the promotional structure of OSD and opportunity for career advancement (CA) as a possible indication of organisational commitment. Participants were recruited from four career streams in OSD’s structure, all employed in the Department of Health, Provincial Government of the Western Cape. In the first stage of data collection, one-on-one interviews were conducted with key-informants which consisted of policy specialists (n=2) and management (n=2). In the second stage, focus group interviews were conducted comprising of production and supervisory pharmacists (n=27). Sampling strategies encompassed purposive, snowball and stratified sampling to ensure saturation of data and provide comparisons between groups and sub-groups. Thematic analysis of interview transcripts was performed using inductive coding in the first stage and apriori coding in the second stage. Themes and sub-themes were “reflexed” onto Human Resource and Work Motivation Theory by engaging a three question reflexive framework to ensure consistency in the interpretation of results. Eleven major themes emerged: overlapping of salary grades; variety of positions; being a manager of professionals; envisioning promotion; pay versus responsibility; pay equity and expectancy; OSD and attraction; OSD and retention; over-time and after-hours remuneration; interpreting OSD; and using unions to negotiate policy for professionals. 41 sub-themes that emerged were positively, negatively or neutrally connected to perceptions of PSE or CA. Positive sub-themes of PSE is that OSD has “ensured that entry level positions are extremely attractive” and OSD is “attracting more junior pharmacists to management positions”. Negative sub-themes of PSE include that a “retention strategy for experienced pharmacists tends to be neglected” and “some work related factors may nullify retention strategies”. Negative or stagnant perceptions of PSE produce an image that fails to care for individual employee needs and tarnishes the image of public sector employment. Positive sub-themes of CA are that OSD now “permits individual freedom of career path choice” and OSD “has created a variety positions through a broadened post structure”. Negative subthemes of CA are that “experienced pharmacists stagnate in their career” and “supervisors have a lot more responsibilities but get paid the same as production pharmacists”. Since the perception of career mobility is related to organizational commitment and retention, negative perceptions of career advancement may result in apprehension to develop via promotion or career path change. This can lead to employee boredom, complacency or frustration of career ambitions and eventual loss of staff. Some aspects of OSD, such as overlapping of salary grades, should be addressed by policy-developers to ensure the successful accomplishment of policy goals.

[pt] Em organizações hospitalares há uma grande variedade de produtos e existe o compromisso de não se permitir as perdas e o fracasso operacional (Portela, 2001). Uma maneira de se evitar essas perdas é o emprego racional dos medicamentos através de uma padronização (Klugl et al, 1999). Desse modo é possível criar valor ao paciente de modo que a farmácia consegue administrar os produtos de forma adequada oferecendo serviços de qualidade (Barbieri e Machline, 2006). Nesse cenário, a gestão dos custos das organizações de saúde tem papel estratégico. Medicamentos representam parcela significativa destes custos e a sua logística interna, complexa e com muitas particularidades, deve funcionar da melhor maneira possível. Isso porque os processos, nos quais estão envolvidos, são parte fundamental para a assistência de qualidade tanto prezada pelos hospitais. Este trabalho tem como objetivo investigar e analisar a situação atual de dois processos, unitarização e a dispensação que afetam diretamente a farmácia, observando as práticas, adotadas no segmento hospitalar. Para isto, foi feito uma análise das farmácias hospitalares e dos fluxos de ambos os processos com o objetivo de entendê-los melhor. Em seguida, estudou-se em um caso real, diagnosticando os pontos de melhoria da operação. Assim, pôde-se chegar a algumas soluções, que tiveram como objetivo otimizar os processos estudados, para os pontos de melhoria levantados e comprovar a hipótese de que a centralização do estoque pode ser aplicados, com devidas adaptações respeitando as particularidades, às organizações hospitalares. / [en] In hospital organizations there is a wide variety of products and there is a commitment not to allow the losses and the operational failure (Portela, 2001). One way to avoid these losses is the rational use of medicines through standardization (Klügl et al, 1999). Thus you can create value to the patient so that the pharmacy handling the products properly offering quality services (Barbieri and Machline, 2006). In this scenario, the management of the health costs organizations have strategic role. Medicines represent a significant portion of these costs and their internal logistics, complex and with many details, should work in the best possible way. This is because the processes, in which they are involved, are fundamental parts to the quality of care both prized by hospitals. This study aims to investigate and analyze the current situation of two processes, unitarization and the dispensation that directly affect the pharmacy, observing the practices adopted in the hospital segment. For this, he was made an analysis of hospital pharmacies and flows of both processes in order to understand them better. Then studied in a real case, diagnosing the points of improvement of the operation. Thus, we could come up with some solutions that were designed to optimize the processes studied for improvement points raised and prove the hypothesis that the stock of centralization can be applied, with necessary adaptations respecting the individual, to hospitals.