Thesis (MCur)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Nursing is influenced by the values of each nurse (Mellish & Paton, 1999: 6). Values form an integral part of human reality; they predict thoughts, feelings, actions and perceptions. Nursing in South Africa, is defined as a "caring profession” (Act No. 33 of 2005) and forms a subculture of the South African population, with nurses coming from different cultural and ethnic groups, being of various ages and both genders. It was identified that a need exists to understand nursing values and the factors influencing these values. Consequently, together with the lack of research data regarding values in South Africa and the factors influencing them, the importance to do an investigation into the factors influencing nursing values was identified. The aim was to do an in-depth study into the factors influencing nursing values of nurses working in nursing facilities in the Paarl district employed by the Provincial Administration of the Western Cape, in the West Coast Winelands Region of the Western Cape. The objectives were to determine the main reason for entering the nursing profession for nurses working in these facilities; to identify the most important part of nursing practice; to identify the core nursing values; to determine the factors influencing nursing values and the factors influencing nursing care. A quantitative research design using a descriptive, explorative survey was conducted. The population included the three categories of nurses, with a total population of 470 nurses (N = 470). Research questionnaires were distributed to 388 participants working on the days of data collection in all nursing departments, excluded nurses not permanently employed by the Provincial Administration Western Cape, including nursing agency staff, students doing practica and personnel on leave. The return rate was 60.56% (n = 235). The questionnaire was based on a literature review and the objectives, and a pilot test ensured reliability and validity. The results of the pilot study (n =10) were included in the findings, leading to 245 respondents (n = 245) being included in the main study. The questionnaire consisted of four sections and was validated by an expert in nursing science and research methodology, a biostatistician, a quality assurance manager and ethical committees. Four open-ended questions were included to provide richer and more diverse data. Only the researcher was involved in data collection that took place during day and night duty. Descriptive statistics and appropriate inferential statistical tests were used in analysing the data. Ethical approval was obtained. Anonymity and confidentiality of respondents were observed and written consent was obtained from respondents. It was identified that nurses enter the nursing profession due to altruism and the most important part of nursing encompasses caring. Differences in values important for behaviour of a nurse, patient care and ethical decision making were identified. Findings depicted that age, years of experience, qualification obtained, job description and department influence different values. Results identified that political and social factors, as well as motivation influence nursing practice. Recommendations include setting a clear value structure for nursing in South Africa; attention to the evaluation of staff performance and management; enhancing motivation of staff and the development of a management-for-nurse strategy. / AFRIKAANSE OPSOMMING: Verpleging word beïnvloed deur die waardes van elke verpleegster (Mellish & Paton, 1999:6). Waardes vorm ’n integrerende deel van die menslike realiteit, dit voorspel gedagtes, gevoelens, handelinge en gewaarwordinge. Verpleging in Suid-Afrika word gedefinieer as ’n versorgingsberoep (Wet No. 33 van 2005) en vorm ’n subkultuur van die Suid-Afrikaanse bevolking, met verpleegsters van verskillende kulturele en etniese groepe wat verskeie ouderdomme en albei geslagte insluit. Dit is geïdentifiseer dat ’n behoefte bestaan om verplegingswaardes en die faktore wat hierdie waardes beïnvloed, te verstaan. Gevolglik, gesamentlik met die gebrek aan navorsingsdata aangaande verpleegwaardes en die faktore wat dit beïnvloed, in Suid-Afrika, is die belangrikheid geïdentifiseer om ’n ondersoek te doen aangaande die faktore wat verpleegwaardes beïnvloed. Die doel was om ’n dieptestudie te doen van die faktore wat die verpleegwaardes van verpleegsters beïnvloed wat in verpleeg instansies in die Paarl-distrik werk in diens van die Provinsiale Administrasie van die Wes-Kaap, in die Weskus Wynlandstreek van die Wes-Kaap. Die doelwitte was om die hoofrede te bepaal waarom verpleegsters wat in hierdie fasiliteite werk die verpleegberoep betree het; om die belangrikste aspek van die verpleegpraktyk te identifiseer; die kern verplegingswaardes te identifiseer; en die faktore te bepaal wat verplegingswaardes en verpleegsorg beïnvloed. ’n Kwantitatiewe navorsingsontwerp is toegepas deur van ’n beskrywende, ondersoekende opname gebruik te maak. Die bevolking het die drie kategorieë van verpleegsters ingesluit, met ’n totale bevolking van 470 verpleegsters (N=470). Navorsingsvraelyste is versprei aan 388 deelnemers wat op die dae van data-insameling gewerk het in die verpleegdepartemente en het verpleegsters uitgesluit wat nie permanent indiens was van die Provinsiale Administrasie van die Wes-Kaap, asook verpleegagentskap personeel, studente wat praktika verrig en personeel op verlof. Die terugkeerkoers was 60.56% (n=235). Die vraelys was gebaseer op ’n literatuurstudie en die doelwitte van die studie, ’n loodsstudie het betroubaarheid en geldigheid verseker. Die resultate van die loodsstudie (n=10) is ingesluit in die bevindinge, wat gelei tot 245 respondente (n=245) in die hoof studie. Die vraelys het bestaan uit vier afdelings en is geldig verklaar deur ’n spesialis op die gebied van verpleegkunde en navorsingsmetodologie, ’n biostatistikus, ’n kwaliteitversekeringsbestuurder en etiese komitees. Vier oop-vrae is ingesluit om omvattende en meer uiteenlopende data te voorsien. Slegs die navorser was betrokke by data-insameling wat gedurende dag en nag skofte plaasgevind het. Beskrywende statistiek en geskikte afleibare statistiese toetse is gebruik in die analisering van die data. Etiese goedkeuring is verkry. Anonimiteit en vertroulikheid van respondente is behou en geskrewe toestemming is verkry van respondente. Bevindinge het getoon dat verpleegsters die verpleegberoep betree weens hul onbaatsugtigheid en dat die belangrikste aspek van verpleging versorging is. Verskille in waardes wat belangrik is vir die gedrag van ’n verpleegster/verpleër, pasiënt versorging en etiese besluitneming is geïdentifiseer. Daar is bevind dat ouderdom, ondervinding in jare, kwalifikasies behaal, posbeskrywing en die departement verskillende waardes beïnvloed. Resultate het bewys dat politieke en sosiale faktore, asook motivering verpleegpraktyk beïnvloed. Aanbevelings sluit die daarstelling van ’n duidelike struktuur van verpleegwaardes in Suid-Afrika; die nodigheid vir aandag aan die evaluering van personeelprestasie en -bestuur; die verheffing van personeelmotivering en die ontwikkeling van ’n bestuur-vir-verpleegster strategie.

Esta dissertação de mestrado realiza uma leitura crítica dA condição humana (1958) de Hannah Arendt. Mais do que contradições reclamadas por seus intérpretes por um lado, democrática radical e, por outro, elitista encontraremos uma coerência com relação ao que batizo como alienação ocidental da alteridade. Nesse sentido, a obra aqui estudada se revela como um momento de elaboração e fixação teórica dessa alienação, principalmente a partir da noção de realidade humana. O argumento é de que para entender isso é necessário não reificar e fetichizar o retorno à pólis, mas, sim, politizar os escritos de Arendt, localizando-os. Em um primeiro momento, parto dos eventos citados no prólogo a fim de remontar os problemas de seu tempo que preocupavam Arendt. Demonstro que a principal questão da autora nesse livro continua a ser a possibilidade de movimentos totalitários, pois estes se baseiam no conformismo das massas. No entanto, para a autora, uma grande responsável por esse conformismo seria o desenvolvimento tecnológico que estaria para liberar a humanidade do fardo do trabalho. Termino afirmando que a chave para entender essa estranha caracterização é enxergar que Arendt pretendeu uma análise do capital sem levar seu processo global em conta. Posteriormente a autora irá afirmar que o terceiro mundo não existe. A seguir procuro entender a era moderna século XVII até início do século XX na visão de Arendt. Para isso, parto de três eventos citados eventos citados no início do último capítulo do livro: o telescópio, a Reforma Protestante e a descoberta da América. Refaço as análises sobre o desenvolvimento da alienação com relação à Terra, resultado do avanço científico representado pelo telescópio; e depois reconstruo sua narrativa sobre a Reforma Protestante que teria dado início ao capitalismo. Neste ponto, trato da dificuldade que a separação entre público e privado apresentada por Arendt. No entanto, afirmo que ainda que essa divisão possa ser interpretada de forma mitigada, ela depende de uma exclusão anterior: a instauração do mundo a precede. Por último, procuro entender a falta de elaboração do terceiro evento, as Grandes Navegações. Além de suas principais consequências não serem mencionadas, não recebemos explicações sobre o tipo peculiar de alienação que engendraram. Neste trabalho escolho nomear alienação ocidental da alteridade. Retorno até o tratamento de Arendt sobre o Imperialismo m Origens do totalitarismo para revelar que o motivo pelo qual a autora se torna incapaz de tratar das colonizações nA condição humana é porque ela está mobilizando essa alienação em suas análises. Assim, sua resposta à sua principal preocupação se encontra muito limitada: conforme mostra a linha que liga as colonizações, escravidão, imperialismo ao nazismo, um dos principais elementos desses movimentos é a insensibilidade para com mortes periféricas. Proponho, por último, que a subversão da divisão da vita contemplativa e vita activa nA condição humana pode ser entendida como uma resposta de Arendt ao totalitarismo. Por outro lado, a manutenção de uma forte divisão entre physis e nomos é a continuação do racismo cultural utilizado para tratar do imperialismo. / This master\'s dissertation performs a critical reading of Hannah Arendt\'s The Human Condition (1958). More than contradictions - on the one hand, radical democratic and on the other, elitist - we will find a coherence with what I call Western alienation from otherness. The work studied here reveals itself as a moment of elaboration and theoretical fixation of this alienation, especially from the notion of human reality. To understand this it is necessary not to reify the return to the polis, but rather to politicize Arendt\'s writings by locating them. I depart from the events cited in the prologue to remount the problems of his time that concerned Arendt. I show that the author\'s main question in this book remains the possibility of totalitarian movements, as these are based on mass conformism. However, for the author, a major responsible for this conformity would be the technological development that would be to \"free humanity from the burden of work\". I argue that the key to understanding this strange characterization is to see that Arendt intended an analysis of capital without taking its global process into account. Later the author will state that \"the third world does not exist\". Next I seek to understand the modern age - the seventeenth century until the early twentieth century - in Arendt\'s view. To this end, I start from three events cited at the beginning of the last chapter of the book: the telescope, the Protestant Reformation, and the \"discovery\" of America. I redo the analysis of the development of alienation from the earth, the result of the scientific advance represented by the telescope; and then reconstruct his narrative about the Protestant Reformation that would have started capitalism. At this point I deal with the difficulty that Arendt\'s separation of public and private presents. However, I contend that even though this division can be interpreted in a mitigated way, it depends on an earlier exclusion: the establishment of the world precedes it. Finally, I try to understand the lack of elaboration of the third event, the Great Navigations. Apart from its main consequences not being mentioned, we have received no explanation of the peculiar kind of alienation they engendered. In this work I choose to name it \"Western alienation from otherness.\" I return to Arendt\'s treatment of Imperialism in Origins of Totalitarianism to reveal that the reason why the author becomes incapable of dealing with colonization in The Human Condition is because she is mobilizing this alienation in her analyzes. Thus, her answer to his main concern is very limited: as the line linking colonization, slavery, imperialism and Nazism shows, one of the main elements of these movements is insensitivity to peripheral deaths. Finally, I propose that the subversion of the division of the vita contemplativa and vita activa in The human condition can be understood as Arendt\'s response to totalitarianism. On the other hand, maintaining a strong division between physis and nomos is the continuation of the cultural racism used to deal with imperialism.