Public health nurses (PHNs) are ideally situated to reduce health inequities and based on documents articulating their role, should be working upstream to promote equity, prevent chronic diseases, and improve population health outcomes. In reality however, numerous barriers contribute to lack of role clarity for PHNs, and this goal has not been attainable in practice. A common vision for PHN practice based on discipline specific competencies and full scope of practice has been identified as a priority by Canadian experts. The intention of this study was to develop a model to support PHN practice in an urban Canadian city. This study used a participatory action research approach, grounded in local experience and context. The action was the development of a professional practice model. Data were gathered using semi-structured interview guides during audio-recorded research working group (RWG) meetings from November 2012 to July 2013. A researcher reflexive journal and field notes were kept. The data were analyzed using qualitative methods. A significant feature was full participant involvement throughout the course of the study. A professional practice model was a key organizational tool that provided the framework to develop an autonomous PHN role and the structures necessary to support PHN practice within the health system. The professional practice model fostered full scope of practice and role clarity, with a focus on population health and equity, so that a consistent and evidence-based practice was attainable. The result was that RWG participants reported a shift in their practice, with greater awareness of theory. Participatory action research was essential in developing the framework and common language, and is a research methodology that should continue to be explored with nurses in Canada.

This exploratory and descriptive investigation used the case study as research strategy to indi cate how writing may be used as a specialised form of therapy for an adolescent in the phase of mid-adolescence. The study researched and consolidated a body of knowledge concerning writing in a therapeutic context, while highlighting the Gestalt therapeutic approach. Its empirical integration culminated in a method for the use of therapists who irrespective of their therapeutic orientation wish to apply writing in therapy with adolescents. The dissertation argues that writing practised from a Gestalt therapeutic perspective should move gradually from being a tool of self-expression to becoming one of self-nurturing. It should guide the client through a process of self-regulation to a point of self-support. In such a process, writing in therapy will evolve into writing as therapy, a therapy practised by the client her- or himself as a means of achieving equilibrium. / Social Work / M. Diac. (Play Therapy)

This thesis investigates the social, legal and ethical perceptions of participants towards the implementation of biometric access control systems within a sample of United Kingdom work-based environments. It focuses on the application of fingerprint scanning and facial recognition systems, whilst alluding to the development of more advanced (bleeding edge) technologies in the future. The conceptual framework is based on a tripartite model in which Maslow's Hierarchy of Needs is applied to the workforce whilst the principles of Utilitarianism and the Psychological Contract are applied to both management strategies and workforce perceptions. A qualitative paradigm is used in which semi-structured interviews are conducted with management and workforce participants within a sample of United Kingdom-based organisations (represented by Case Studies A-D). Discourse from these interviews are analysed, leading to the development of a series of first-cut findings for suggested "Best Practice " in the social, legal and ethical management of biometric access control systems. This process is subsequently developed with a refined sample of respondents (Case Studies A and C) culminating in the presentation of a suggested "Best Practice Model" for application to all four case studies. The model is based upon elements of a pre-determined Code of Practice (ISO/IEC 27002lnformation Technology - Security techniques - Code of Practice for Information Security Management) towards fostering acceptance of biometric technology within the workplace, in answering the question: How should organisations using biometric access control systems address social, legal and ethical concerns in the management of specific working environments in the United Kingdom?

This exploratory and descriptive investigation used the case study as research strategy to indi cate how writing may be used as a specialised form of therapy for an adolescent in the phase of mid-adolescence. The study researched and consolidated a body of knowledge concerning writing in a therapeutic context, while highlighting the Gestalt therapeutic approach. Its empirical integration culminated in a method for the use of therapists who irrespective of their therapeutic orientation wish to apply writing in therapy with adolescents. The dissertation argues that writing practised from a Gestalt therapeutic perspective should move gradually from being a tool of self-expression to becoming one of self-nurturing. It should guide the client through a process of self-regulation to a point of self-support. In such a process, writing in therapy will evolve into writing as therapy, a therapy practised by the client her- or himself as a means of achieving equilibrium. / Social Work / M. Diac. (Play Therapy)

In hierdie ondersoek is daar gepoog om die belange van die minderjarige kind in egskeiding te bevorder deur die egskeidingsevalueringsproses waarvolgens die belange van die kind bepaal word, te ondersoek en te beskryf. Die sisteemteoretiese benadering, wat op holisme as uitgangspunt gebaseer is, is gedefinieer en beskryf ten einde die sistemiese perspektief op die gesin-in-egskeiding uit te klaar. Voorts is egskeiding as internasionale fenomeen en die implikasies van egskeidingsdispute vir die minderjarige kind ondersoek en in terme van die juridiese en maatskaplike implikasies asook die beginsel van die “beste belang” van die kind beskryf en verduidelik. Navorser het `n selfontwikkelde praktykmodel vir egskeidingsevaluering ontwikkel en geëvalueer met die doel om die vasstel van die belange van die minderjarige kind in egskeiding te bevorder. Dit is gevolg deur die empiriese resultate, `n algemene opsomming, gevolgtrekkings en aanbevelings. Die volgende navorsingsvraag is geformuleer om die ondersoekende en beskrywende gedeelte van die empiriese navorsing te rig: Wat is die aard en inhoud van die egskeidingsevalueringsproses wat in die praktyk deur die Kantoor van die Gesinsadvokaat toegepas word ten einde die belange van die minderjarige kind te bevorder? Gelei deur die navorsingsvraag is die volgende hipotese geformuleer: Indien die sisteemteoretiese praktykmodel tydens egskeidingsdispute toegepas word, sal die beste belang van die minderjarige kind bevorder word. Vir hierdie ondersoek, waar twee evalueringsprosesse met mekaar vergelyk is, was die kwantitatiewe navorsingsbenadering die aangewese keuse. Intervensienavorsing as tipe navorsing is volgens die Ontwerp- en Ontwikkelingsmodel toegepas. Die kwantitatief-beskrywende opname navorsingsontwerp is benut ten einde die doel van die studie te bereik, naamlik: <ul>Om `n praktykmodel vir egskeidingsevaluering te ontwikkel en empiries te evalueer ten einde die beste belang van die minderjarige kind te bevorder.</li></ul> Voortspruitend uit die doel is die volgende doelwitte geformuleer: <ul> <li>Om vanuit `n sisteemteoretiese perspektief egskeiding as maatskaplike verskynsel, die gesin as maatskaplike sisteem en die belange van die minderjarige kind, teoreties te konseptualiseer.</li> <li>Om die huidige egskeidingsevalueringsproses, soos deur die Kantoor van die Gesinsadvokaat toegepas, te ondersoek en te beskryf.</li> <li>Om `n praktykmodel vir egskeidingsevaluering vanuit `n sisteemteoretiese perspektief, wat die belange van die minderjarige kind bevorder, te ontwikkel.</li> <li>Om die effektiwiteit van die nuut ontwikkelde praktykmodel vir egskeidingsevaluering empiries te evalueer.</li> <li>Om aanbevelings te maak ten opsigte van die praktykbenutting van die nuut ontwikkelde praktykmodel om die belange van die minderjarige kind in egskeidingsevaluering te bevorder.</li></ul> Ten einde die heersende evalueringsproses wat deur die Kantoor van die Gesinsadvokaat in egskeidingsdispute toegepas word met die evalueringsproses soos deur die nuut ontwikkelde praktykmodel toegepas is, te kon vergelyk, het navorser `n vraelys ontwerp vir evaluering van beide prosesse. Die vraelys het uit die volgende drie afdeling bestaan: (1) die professionele profiel van die deskundige (gesinsraadgewer/navorser); (2) profiel van die gesinsisteem in egskeiding wat geëvalueer is; en (3) die aard en inhoud van die evalueringsproses vir egskeidingsdispute. Voltooiing van die vraelys deur die deskundiges wat die twee egskeidingsevalueringsprosesse toegepas het, het meegebring dat die data vergelykbaar was. Daarvolgens kon die twee evalueringsprosesse dus vergelyk word en die effektiwiteit van die nuut ontwikkelde praktykmodel empiries geëvalueer word. Die empiriese resultate ten opsigte van die toepassing van die twee egskeidingsevalueringsprosesse in die praktyk, het `n wesenlike onderskeid in die aard en inhoud van die twee prosesse met betrekking tot die beste belang van die minderjarige kind aangetoon. Dit het geblyk dat in die toepassing van die egskeidingsevalueringsproses deur die Kantoor van die Gesinsadvokaat die assessering van die behoeftes, wense, ontwikkelingsvlak, verhoudings asook sistemiese verbintenisse van die minderjarige kind nie prioriteit geniet nie. Tydsbesteding aan konsultasies met die minderjarige kind is baie beperk en is slegs op `n ad hoc basis uitgevoer. Kollaterale bronne is ook op `n ad hoc basis betrek sodat dit nie moontlik was om die sistemiese verbintenisse van die minderjarige kind te eksploreer nie. Die evalueringsproses soos deur die nuut ontwikkelde praktykmodel toegepas is, bepaal as `n standaard prosedure individuele konsultasies vir assesseringsdoeleindes met die minderjarige kind ten einde die wense, behoeftes, ontwikkelingsvlak, verhoudings en sistemiese verbintenisse te kan bepaal met die oog op die vasstelling van die beste belang van die minderjarige kind vir die post-egskeidingsfase. Voldoende tydsbesteding aan die assessering van die minderjarige kind het hoë prioriteit volgens die praktykmodel geniet. Die evalueringsproses volgens die nuut ontwikkelde praktykmodel het kollaterale bronne as `n standaard prosedure betrek sodat die sistemiese verbintenisse van die minderjarige kind volledig geëksploreer kon word. Dit het dus uit die empiriese resultate geblyk dat die hipotese wat vir die studie gestel was, bevestig is. ENGLISH The aim of this study was to promote the interests of the minor child in a divorce situation, through an investigation into the process of assessment and evaluation whereby the best interests of the minor child in divorce disputes are determined. The systems theory approach, which sees holism as basic principle, was defined and described to explain the systems perspective of the family system in a divorce situation. Divorce as an international phenomenon and the implications of divorce disputes on the minor child were investigated, described and explained according to the legal and social implications as well as the principle of “the best interests” of the child. The researcher presented a self-developed practice model for divorce evaluation with the aim to promote the best interests of the minor child in divorce disputes. The study was concluded with the empirical results, a general summation, conclusions and recommendations. One research question was formulated to guide the investigative and descriptive part of the study, namely: What is the nature and content of the process of evaluation in divorce disputes to determine the best interests of the minor child which is administered by the Office of the Family Advocate? The following hypothesis was formulated according to the research question: If the practice model in divorce evaluation, based on systems theory, is administered in divorce disputes, the best interests of the minor child will be promoted. The quantitative research approach was selected in this investigation where two processes of evaluation were to be compared and the type of research was identified as Intervention Design and Development. The quantitative-descriptive survey design was selected to achieve the following goal of the study, namely: <ul> <li> To develop a practice model for evaluation in divorce and to evaluate the practice model empirical to promote the best interests of the minor child</li></ul> In order to obtain the goal of the study the following objectives were formulated: <ul> <li>To conceptualise theoretically divorce as social phenomenon, the family as social system and the interests of the minor child from a systems perspective.</li> <li>To investigate and describe the current process of evaluation in divorce disputes as it is administered by the Office of the Family Advocate.</li> <li>To develop a practice model for evaluation in divorce disputes from a systems perspective to promote the interests of the minor child.</li> <li>To evaluate empirically the effectiveness of the newly developed practice model for evaluation in divorce disputes.</li> <li>To make recommendations regarding the implementation of the newly developed practice model to promote the interests of the minor child in divorce disputes.</li></ul> A questionnaire was developed by the researcher to enable the comparison of the two processes of evaluation in divorce disputes. The questionnaire had three sections, namely: (1) the professional profile of the expert investigator (family counsellor/researcher); (2) profile of the family system who was evaluated; and (3) the nature and content of the process of evaluation. Data from the questionnaires completed by the expert investigators was compared to enable researcher to evaluate the effectiveness of the newly developed practice model to promote the interests of the minor child. The empirical results from the two evaluation processes confirmed a distinct difference in the nature and content of the two processes. The evaluation process in divorce as done by the Office of the Family Advocate did not put emphasis on the assessment of the needs, wishes, developmental status, relationships or systemic bonds of the minor child in a divorce situation. The time allocated to assessment of the minor child is extremely limited and consultations with the minor child was only done on an ad hoc basis. Consultations with collateral sources were also done on an ad hoc basis. It was thus not possible for family counsellors to explore in-depth the systemic relationships of the minor child in a divorce situation. The evaluation process according to the new practice model recognised the importance of individual consultations with the minor child. Individual assessment of the minor child was done as a regular procedure to establish the needs, wishes, developmental status, relationships as well as the systemic associations of the minor child in a divorce situation. The practice model recognised the need for adequate time allocation for assessment of the minor child. Exploring collateral sources was done as a standard procedure according to the practice model to allow opportunity for assessment of the systemic bonds of the minor child. The empirical results confirmed the hypothesis which was developed for this study. / Thesis (DPhil)--University of Pretoria, 2008. / Social Work and Criminology / unrestricted

The study is aimed at the development of a Practice Model for Private Practice Management in Social work. It is evident from the literature that no practice model for private practice management exists, peculiar to the nature and modus operandi of Social work. A further problem is that the knowledge base of Social work is often derived and adopted from other professions and disciplines to address problem areas in Social work private practice. The problem lies far deeper. The lack of a practice model for private practice management also implies the lack of guidelines on how to employ social workers within the field of private practice. Poor remuneration and socio-economic change in the external environment put financial and emotional pressure on the social worker, which causes him to leave the social work profession. With reference to the above mentioned the researcher developed a practise model for private practice management in Social work to an extend that the content nature and magnitude of private practice is being familiarised and utilised in practice through this practise model. In order to reach this goal, a theoretical frame of reference for private practice management in Social work is created, the profile of existing private practices in South Africa is explored, a practice model for private practice management is developed through the intervention research model and the developed practice model's value is evaluated through focus groups consisting of private practitioners. Interdependent herewith all relevant concepts, principles, processes and elements as components of a practice model is investigated in both the field of social work and economic and management sciences. From the economic and management science a distinction is made between aspects applicable within entrepreneurship and management to private practice management. Based on a comprehensive literature study the practice model is developed and supported by a secondary data analysis from the national databank of the South African Social Workers in Private Practice. The utilisation value of the developed model is evaluated through three separate focus groups consisting of social workers in private practice. The qualitative data analysed through this process is carefully incorporated into a final practice model. Conclusions and recommendations as a result of the research process conclude the study. Copyright 2004, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. Please cite as follows: Bloem, CHM 2004, 'n Praktykmodel vir privaatpraktykbestuur in maatskaplike werk (Afrikaans), PhD thesis, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-12152006-111832 / > / Thesis (PhD)--University of Pretoria, 2006. / Social Work and Criminology / Unrestricted

To advance social work practice and decrease the research practice gap, this dissertation followed a model development paradigm consisting of several phases. Based on the task-centered model of social work practice and motivational interviewing, a new combined model was construed. The two underlying models were analyzed and synthesized, using technical eclecticism as the integrative approach. The resulting combined model was described by guidelines and manualized. To test the combined model in an applied setting, a study was designed in collaboration with social workers at a substance abuse counseling center. There, the combined model intervention was implemented in an outpatient medication assisted treatment program dispensing methadone and buprenorphine to a mainly African-American population. The agency program aimed at detoxification, but also provided methadone maintenance. It offered additional groups and acupuncture. Ten clients and four social work practitioners participated in the intervention study. The study used a mixed-method approach in data collection and analysis. Client practitioner verbal interaction was recorded using digital audio recording. The digital audio files were loaded directly into Atlas.ti software to be used for analysis. Qualitative data analysis with Atlas.ti was performed for two research tasks, a) assessing implementation fidelity of the manual based intervention and b) exploring model development aspects to improve model guidelines. Treatment fidelity was analyzed through deductive coding and frequency counts. Model development analysis was performed similar to a grounded theory model and used content analysis and constant comparison methodologies. Addiction Severity Index and Readiness Ruler, urine drug screens, problem change, and task accomplishment ratings were used as quantitative outcome measures to produce time series data in order to chart individual case progress in a single system design. After testing the intervention, a focus group with participating practitioners was conducted. Overall beneficence with clients improving and progressing successfully in the program was found. The integration of the underlying models was deemed successful. Their elements were found to be complementary and intricately linked. Crucial for successful implementation is that the program environment supports and accepts client choices. Model guidelines were reviewed and improved for further field testing.