Due to the specialist nature of their use of a visual language, Deaf and hard of hearing students have unique experiences at institutions of higher education. This research explored the experiences of Deaf teachers as students at Wits University. I employed a qualitative research design in the study. In -depth interviews and documentary information were used to collect data from twelve current and past Deaf and hard of hearing students. Current theory, practice and legislation designed to guide the creation of an inclusive education society were examined in order to explore the implications they have for Deaf students in terms of inclusion and access to education. The findings showed high level of academic competitiveness among the Deaf and hard of hearing students but low social participation. Their academic success was driven by factors such as commitment to Deaf education, the availability of interpreting services, having Deaf peers and their pre-university experiences.

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<p><strong> </strong></p><p>There is a lack of research in the field of quality improvement efforts based on profound knowledge in social services. The current situation is therefore a significant knowledge gap in terms of studies of this type of systematic quality work and how it is applied in practice. This study therefore intends to describe Pilbackens quality work and further examine if the profound knowledge is consistent with quality work in microsystems by an analysis of Pilbackens work. The present study has been performed by a qualitative method and the material is collected through semi-structured interviews. In order to analyze the study’s result have profound knowledge and the model microsystems been used. The results show that Pilbackens in quality improvement efforts have made numerous changes in its organization. They have via a clear purpose and objective of working with quality in microsystems achieved a number of perceived and documented results. The analysis of Pilbackens quality work shows a compliance with profound knowledge and the ability incorporate microsystems in practice.</p>

There is a lack of research in the field of quality improvement efforts based on profound knowledge in social services. The current situation is therefore a significant knowledge gap in terms of studies of this type of systematic quality work and how it is applied in practice. This study therefore intends to describe Pilbackens quality work and further examine if the profound knowledge is consistent with quality work in microsystems by an analysis of Pilbackens work. The present study has been performed by a qualitative method and the material is collected through semi-structured interviews. In order to analyze the study’s result have profound knowledge and the model microsystems been used. The results show that Pilbackens in quality improvement efforts have made numerous changes in its organization. They have via a clear purpose and objective of working with quality in microsystems achieved a number of perceived and documented results. The analysis of Pilbackens quality work shows a compliance with profound knowledge and the ability incorporate microsystems in practice.

A dream can impact a person so profoundly that it may permanently alter his or her life, beliefs, or behaviour. Most of the time, these gifts of insight happen to only a rare few and usually occur without intention. These life-altering dreams are spontaneous and unpredictable. While most studies focus on the content or meaning of dreams after they occur, this study explores the possibility of using dreams to influence behavioural changes in the waking world. This study examined three of the dream elements associated with profound dreams that could potentially be used to develop a systematic method of using dreams to create behavioural changes. The three elements are (a) Emotion: the ability to generate high-emotion states within a dream; (b) Narrative: the formation of narratives within a dream; and (c) Reality: the ability of the dreamer to perceive and accept the dream as reality. This study was conducted using a qualitative research design with a narrative analysis approach in order to explore and understand the subjective experiences of two participants. Data were collected through the participants‘ interviews and dream journals to help determine themes emerging from each of the participants‘ individual experiences. The themes were then analysed for any information regarding the three elements of dreaming as well as the dreams‘ personal significance to the dreamer. Further analysis explored whether lucid or non-lucid dreaming was able to intentionally produce an experientially-based shift in a specific target behaviour. The results of this research study suggest that there is potential for using dreams to induce behavioural change. The research provided a preliminary inquiry into this new field of dream therapy. This exploration of key elements to a potential dream method may prove essential to defining a basic framework and the tools that may be required to implement a new dream method. Future studies are necessary to uncover the correct combination of elements that will produce profound dream experiences at will. / Psychology / Ph. D. (Psychology)

This research describes the development of communicative intention of young children with cochlear implants in order to study the relationship between the early communicative intention of these children and their later verbal communication. Five children under the age of three years with cochlear implants were selected from the records of the University of Stellenbosch, Tygerberg Academic Hospital’s Cochlear Implant Unit, Cape Town as subjects. Video recordings of each of the five subjects in unstructured free play interaction with their caregivers, before cochlear implantation and each six months after cochlear implantation over a period of two years were used to identify the development of their communicative intention. The Communicative Intention Inventory (Coggins&Carpenter, 1981) was used to classify the communicative behaviour of the subjects according to the types of communication functions that were used, as well as the way in which they expressed the functions of communication. Results of the study show that the development course of the functions of communication that the subjects used over a two-year period, were consistent with the development patterns found in younger children with normal hearing. There was however marked individual differences between the subjects during the transition from nonverbal to dominantly verbal ways of communication as far as the rate of development of verbal communication was concerned. A strong relationship was found among the five subjects regarding the use of the nonverbal communication functions, request for object or action and protest before cochlear implantation and their total verbal communication two years after cochlear implantation, which could account for these individual differences in the rate of verbal communication development after cochlear implantation. Indications for clinical application and future research were identified on the basis of these conclusions. The data collected during the research is seen as meaningful in clinical decision-making regarding the suitability of young children under the age of three years with a profound hearing loss for cochlear implantation and their therapeutic management. / Dissertation (M (Communication Pathology))--University of Pretoria, 2006. / Speech-Language Pathology and Audiology / Unrestricted

Parenting plays an important role in many adult lives. Parenting a child with profound multiple disabilities results in a distinct parenting experience. This qualitative phenomenological study examined the role of social media in the lives of parents raising children with profound multiple disabilities. Five parents raising children with profound multiple disabilities were interviewed, and resulting themes were identified. Consistent with previous research, parents described the initial adaptation to their child’s disability-related needs as the most challenging period of their parenting to date. Adaptation was followed by an acclimation to a new normal of their parenting experience. Parents described moving from medical crises, feelings of isolation, and unfamiliarity with resource systems to becoming empowered through interactions with other parents raising children with profound multiple disabilities, both in-person and through social media. Parents focused on three areas with their social media efforts: their own social needs, their child’s social needs, and their child’s disability-related needs. To address disability-related needs, parents used a social media bricolage approach to create a composite of social media group memberships that reflected their child’s complex medical, disability and intervention profiles. Parents described social media use as daily and essential to their functioning both personally and within their parenting. However, parents prioritized in-person social connections and utilized social media to make and maintain relationships both online and in-person. Parents expressed awareness and deliberate use of privacy settings in using social media. Parents described common pitfalls to social media use and described engaging in disability awareness through social media. Parents described social media as providing a sense of community through which they became empowered in their parenting. They also networked through in-person and virtual social interactions. Social media provided these parents with a networked community empowerment experience as they parented their child with profound multiple disabilities.

Text in English / The purpose of the study was to describe and explore the experiences of student nurses in caring for mental health users with profound intellectual disabilities in one of the care and rehabilitation centre at Gauteng province incorporating the Common Sense Model. Qualitative descriptive and explorative research was conducted to explore the experiences of student caring for mental health care users with profound intellectual disabilities and to recommend the best practices in caring for mental health care users with profound intellectual disabilities. Data collection was done using reflective diaries and in depth interviews. Twelve participants participated in the study. The study composed of student nurses (n=12) caring for mental health care users with profound intellectual disabilities. Five themes emerged from the study i.e. emotionally challenging, communication difficulties, lack of knowledge on the nature of intellectual disability, burden of care and mixed feelings. Findings of the study revealed that completing nurses find working with profound intellectual disabilities to be emotionally challenging and that negative experiences outweigh the positive experiences, resulting in their reluctance to want to work with profound intellectual disability users. It is therefore incumbent upon policy makers and hospital administrators to take cognisance of these negative feelings so that ways of minimising these frustrations and promoting the wellbeing of nurses caring for mental health care users with profound intellectual disabilities are promoted. / Health Studies / M.A. (Health Studies)

Text in English / The purpose of the study was to describe and explore the experiences of student nurses in caring for mental health users with profound intellectual disabilities in one of the care and rehabilitation centre at Gauteng province incorporating the Common Sense Model. Qualitative descriptive and explorative research was conducted to explore the experiences of student caring for mental health care users with profound intellectual disabilities and to recommend the best practices in caring for mental health care users with profound intellectual disabilities. Data collection was done using reflective diaries and in depth interviews. Twelve participants participated in the study. The study composed of student nurses (n=12) caring for mental health care users with profound intellectual disabilities. Five themes emerged from the study i.e. emotionally challenging, communication difficulties, lack of knowledge on the nature of intellectual disability, burden of care and mixed feelings. Findings of the study revealed that completing nurses find working with profound intellectual disabilities to be emotionally challenging and that negative experiences outweigh the positive experiences, resulting in their reluctance to want to work with profound intellectual disability users. It is therefore incumbent upon policy makers and hospital administrators to take cognisance of these negative feelings so that ways of minimising these frustrations and promoting the wellbeing of nurses caring for mental health care users with profound intellectual disabilities are promoted. / Health Studies / M.A. (Health Studies)