Adolescent development is synonymous with physical and emotional changes and challenges. This development has previously been termed âstorm and stressâ to further illustrate these turmoils that adolescents experience. Adolescents generally growing up in a coloured community further experience hardships such as gangsterism, unemployment, overcrowding and substance abuse. The implementation of life skills could be seen as a way to possibly reduce engagement in risky behaviour and effectively face adversity. Life skills include an unlimited list of complex and integrated skills and assist in the participation of meaningful occupations. The main occupation of an adolescent is that of a learner. Within schools, life skills are part of the form of Life Orientation. Life Orientation includes subjects such as vocational guidance, religion and physical education and it addresses the most crucial life skills. Not only can life skills assist with positive adaptive behaviour amongst adolescents, but supportive environments also contribute to resilient behaviour. Resilience is being able to bounce back from challenges. Adolescents engaging in risky behaviour, having poor to little knowledge of life skills, not applying their life skills and negative environmental factors all influence their ability to be resilient. The researcher undertook this study to establish a profile of coloured adolescents and their knowledge and application of life skills that lead to resilient behavior. This was a descriptive study involving a convenience sampling method. The study took place at four predominantly coloured schools in Kimberley in the Northern Cape. Three hundred and forty eight (348) learners returned signed permission letters that allowed them to complete the questionnaire. The sample comprised of both males and females aged 16 to 18 years. Grade 12 learners were in the minority, while there were mostly grade 11 learners (45.4%) that participated in the study. Learners mostly came from coloured suburbs with 26.4% of learners coming from other suburbs within Kimberley. The profile of coloured adolescents presented with learners possessing knowledge and/or application of different life skills. Learners presented with better knowledge of life skills within communication skills (90.3%), time management (72.8%) and values (89.9%). When expected to apply life skills, problem-solving skills (90.9%) and values (81.1%) were applied best. Learners applied time management and decision making poorly of all life skills. The researcher further noted that application of communication skills and time management (whether high or low) were directly related to resilience. Knowledge of the other life skills (whether high or low) were related to resilience. The only exception was within values, where knowledge and application were both directly related to resilience. Only small numbers of learners engaged in risky behaviour in the form of drinking alcohol mostly. Risky behaviour is considered a negative influence on life skills. Learners portrayed hope, optimism and competence within individual environmental factors. However learners from the lower socio-economic backgrounds presented with less hope (70.7%) compared to other suburbs (84.2%). Within family factors security, stability and support were prominent factors and had a positive influence on life skills leading to resilience. Peer acceptance was important for most learners (95.4%). To conclude the researcher will use findings to develop community and school programmes that could assist in the implementation of life skills that would serve to support and empower adolescents. The important role that the occupational therapist could play in adolescent development is to ensure optimal engagement in occupations through life skills in order to develop as healthy adults.

The level of severity of disability may have increased among children with cerebral palsy and therefore continued monitoring of the characteristics of children with cerebral palsy is necessary. Cerebral palsy (CP) can be considered as a sensory-motor disorder that results from malformations in the developing brain that disrupts the development of the neuronal network and cortical and sub-cortical pathways. Although the motor behaviours and postural deficits are defining features of CP, visual disorders are a main symptom in the clinical picture of CP. There are well sounded reasons why children with CP have difficulties to partake in everyday activities. Neurologic pathology can affect specific aspects of postural control including the ability to maintain stability with alignment in a specific position. Postural control is necessary for maintaining all body segments in an upright position and to orientate the eyes to the environment. Problems with the visual system in CP include peripheral problems related to the anterior part of the visual system, visual problems of central origin and cerebral visual impairment. Observations of eye movements and postural alignment in sitting in children with CP were the focus of this study. These are variables known to potentially influence occupational-based activities. The aim of the study was to describe eye movements and postural alignment and to investigate if there was a possible association between eye movements and postural alignment in sitting in a frontal plane of children with CP, between the age of two and ten years. A non-experimental, quantitative approach addressed the aim. A descriptive study was used to describe the eye movements and alignment in body segments over the base of support against gravity. A correlation study was used to investigate the possible association between postural alignment and eye movements in children with CP. Following the pilot study the unstructured and structured observations were administered to a convenience sample of children with CP attending a clinic, school or a private practice. Fifty seven children with CP, between two and ten years of age participated in the study after meeting the pre-determined inclusion criteria. The data collected were numbers that reflected specific measurements of the characteristics in question and were analysed by using a grounded, observed â clinical reasoning approach. The mean age of the children was 5.3 years (SD = 2.26). Discussion of results was directed at describing eye movements and postural alignment and interpreting the implications of those associations for clinical practice. The obtained data from the unstructured and structured observations were statistically analysed and compared and did produce a statistically significant positive association between eye movements and postural alignment therefore, both the posture and the eye movements are critical to the provision of intervention. The study confirms the association between eye movements and postural alignment in sitting in children with CP. This study has documented the difficulties the child with CP has to encounter. This may facilitate the establishment of effective and appropriate measuring instruments for occupational therapists, assessing functional vision and postural alignment in any setting of practice.

Fieldwork education in Occupational Therapy provides students with the opportunity to integrate theory learned at higher institutions with practical skills and professional behaviour within real-life settings to become proficient occupational therapists. Fieldwork supervisors are the key role players and facilitators in realising the purpose of fieldwork education. To this end, supervisors must exhibit effective characteristics of supervision in order to provide quality and meaningful learning experiences for students. Concern has been raised throughout literature about the characteristics that supervisors display during fieldwork placements, because it has such a major influence on studentsâ learning and experiences of fieldwork education. Very little research has been done on fieldwork education of Occupational Therapy in South Africa and none on the characteristics of supervisors and supervision during fieldwork placements. This study aims to describe effective and ineffective characteristics of supervisors and supervision in Occupational Therapy fieldwork education at the UFS as identified by third and fourth year Occupational Therapy students and supervisors. These phenomena of supervisor and supervision characteristics have been researched in several qualitative studies internationally from either the supervisorsâ or the studentsâ perspective. In this study, a quantitative, descriptive study design was used to gather information about effective and ineffective characteristics of supervisors and supervision during Occupational Therapy fieldwork education. The data collection instruments implemented consisted of two similar self-report questionnaires: one for the students and one for the supervisors. The research population consisted of all the third and fourth year Occupational Therapy students enrolled at the UFS in 2012 (a total of 69) as well as all the supervisors involved in fieldwork training of these Occupational Therapy students (a total of 41). The response rate for the students was 98.6% and for the supervisors 100%. Effective supervision characteristics have been identified and described, with specific emphasis on the main findings that reflect that a supervisor must be competent, professional, approachable, considerate and knowledgeable about what is expected from the student and must spend adequate time with the student. Furthermore, the supervisor must provide sufficient guidelines, support, guidance and feedback. Results were reported according to the five categories used in the questionnaires, namely: interpersonal; curriculum; clinical and professional; feedback and environment. Ineffective supervision characteristics identified in this study were similar to those detected in international studies. This study clearly indicates that supervisors viewed the limited time they had to supervise students as a major cause of ineffective supervising. Additionally, they had less than five years of supervision experience, which influenced the effectiveness of their supervision characteristics negatively. An unexpected finding of this study was the indication by supervisors that studentsâ attributes â whether positive or negative â had been the biggest influence on the supervision they provided during fieldwork education. In conclusion, extensive recommendations were made to redress the ineffective characteristics of supervision identified in this study as it pertains to students, supervisors and the university. This study contributes to Occupational Therapyâs body of knowledge with regard to supervision characteristics in fieldwork education in a South African setting, which can be used as a base for future research.

<p> This participant-observer, phenomenological qualitative study explored the adult experience of a community circus class through an occupational therapy lens. Following 4 months of weekly participant-observation, semi-structured interviews were conducted with four adult beginner students in a community-based social circus class. Interviews were audio recorded, transcribed and analyzed using a grounded theory approach to identify six themes. Two themes addressed the structural supports of the class: <i>Meeting People Where They Are </i>, and <i>Culture and Competition</i>. Four themes were based on participant experiences and perceived outcomes: <i>Releasing Expectations, Trying, Learning</i>, and <i>Fun, Making Friends, Making Community, and Feeling Better</i>. Findings suggest that through the fun aspects of circus participation, students were able to confront and overcome physical, social, emotional and cognitive challenges. In this way, personal growth and quality of life were promoted. External supports enabled students to adopt an individualized approach to participation that encouraged self-awareness and self-assessment across multiple domains. Due to the scarcity of research investigating adult participation in circus, the therapeutic benefit of circus participation merits further investigation. Circus and occupational therapy may develop a mutually beneficial relationship on the basis of shared common philosophy and values. By working together, occupational therapy and circus may enhance their ability to address occupational justice, inclusivity, empowerment, connection, play and quality of life.</p>

Capstone Paper: Individual Case Study: The SOS Approach to Feeding

Adapting the Resources for Enhancing Alzheimer’s Caregivers Health (REACH) program for use in a nursing home setting OCT 7003 Capstone Paper

<p> Physician leadership has been endorsed as a critical component of successful healthcare transformation, and emerging evidence suggests that physician leaders offer a competitive advantage to their organizations. Healthcare executive level leadership roles are inherently stressful, and the transition from a clinical environment to an executive level administrative environment generates unique pressures and challenges for physician leaders that non-physician leaders may not experience. When proper coping skills are not present, occupational stress can have a negative impact on a physician leader&rsquo;s ability to lead effectively and may impact their emotional and physical wellbeing. This mixed methods study explored the perceptions of 35 Chief Medical Officers (CMOs) regarding their experiences with occupational stress and the influence of emotional intelligence (EI) on their ability to cope with the demands and pressures of their role. The primary method of data collection focused on in-depth interviews, and the interviews were supported with quantitative data using the Maslach Burnout Inventory (MBI) to measure CMOs&rsquo; perceived level of stress, emotional exhaustion, cynicism, and professional efficacy. Qualitative data was analyzed using an inductive thematic analysis process as well as a deductive thematic analysis process using the Emotional and Social Competency Inventory (ESCI) model to code the data. Three key findings emerged from this study: 1) EI competencies serve as an effective personal resource that contributes to a CMO&rsquo;s ability to deal with work-related stress and prevent burnout; 2) CMOs are experiencing high levels of stress, but it is not leading to burnout; and 3) self-efficacy serves as an effective personal resource that contributes to a CMO&rsquo;s ability to deal with work-related stress and prevent burnout. This study offers an increased awareness of the sources of CMOs&rsquo; stress and contributes to an understanding of how emotional intelligence competencies and self-efficacy serve as effective personal resources in the stress appraisal and coping processes. Keywords: stress, occupational stress, coping, burnout, emotional intelligence</p>

<p> <i><b>Purpose</b></i>. Exposures to paper dust, classified as Particulates Not Otherwise Regulated (PNOR), in an industrial setting can cause irritation to the eyes, skin, throat and upper respiratory tract. An exposure assessment was conducted to evaluate the paper dust exposures in the coupon manufacturing facility during a normal production working period. <i><b> Methods.</b></i> Total and respirable personal dust sampling was performed according to NIOSH 0500 and 0600 methods. Six total dust samples and seven respirable dust samples were taken within the sampling areas where airborne paper dust was produced to evaluate the Time Weighted Average (TWA) of the exposed employees. <i><b>Results.</b></i> Results showed that the TWAs for total dust within the three sampling areas ranged from 0.4% to 4.7% of the Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) and 0.5% to 7.1% of the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV), except sample RD-4 in the Baler Room. TWAs for respirable dust within the Press Room and Collation Area ranged from 0.8% to 0.9% of the OSHA PEL for all samples and 1.4% to 1.5% of the ACGIH TLV. Descriptive statistics showed the sample standard deviation for both total and respirable dust to be below 1.0. The coefficient of variation for TWAs of total dust in the Press Room was 32.7% while all other total dust and respirable dust coefficient of variations for TWA ranged from 1.3% to 3.4%. <i><b>Conclusion.</b></i> Exposures to paper dust ranged from 0.4% to 7.1% of either the OSHA PEL or ACGIH TLV with an exception of sample RD-4 in the Baler Room which was 34% of the OSHA PEL and 56.7% of the ACGIH TLV. Identical respirable dust data and variable total dust data in the Press Room and Collation Area suggest that the dust being generated is of a larger particle size and therefore affects the nose, throat, and upper lungs. The engineering and administrative controls present appeared to be adequate based on the sampling data. Respiratory Personal Protective Equipment (PPE) was not considered a requirement but should be permitted if requested. Present workplace practices also appeared adequate based on the sampling data. </p>

<p> This qualitative research explored factors affecting the successful development and implementation of shared leadership in a matrix organization. The study used Creswell&rsquo;s (2003) exploratory research methodology and thematic analysis to analyze data. Interviews using open-ended questions were conducted face-to-face or via phone with a purposive sample of 20 leaders in executive management in a worldwide apparel and footwear company. The major findings of the study were that (a) cultural differences were the primary factors affecting shared leadership in a matrix organization; (b) having a global acumen was the most important leadership quality needed today; (c) agility, creativity, innovation, communication, and vision were other key leadership qualities identified that enabled shared leadership in matrix organizations; (d) the matrix system was both an enabler and inhibitor for shared leadership, as it facilitated collaboration and communication, but also created conflict (primarily due to human resource struggles with appropriate talent search); and (e) collaboration and communication were key factors for successful implementation and development of shared leadership in a matrix system. </p>

Includes abstract. / Includes bibliographical references (leaves 47-52). / The aim of this study was to investigate the exposure-response relationship between the concentration of inhalable manganese dust and subclinical nervous system outcomes amongst workers in a South African manganese smelter with a view to identifying any exposure threshold below which adverse effects do not occur.