Thesis (DPhil (Psychology))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Major Depressive Disorder is a prevalent psychiatric illness that poses critical risk factors to families. Risk factors associated with depression are widely researched, but limited South African and international research exists with regard to family resilience factors and intervention programmes associated with these high-risk families. The aim of the present study was to address these limitations by (a) identifying and describing the qualities of resilience in families in which a parent had been living with Major Depressive Disorder, (b) developing a family intervention programme for parents to strengthen and enhance a quality of resilience and, finally, following the intervention programme, (c) to evaluate the impact of the intervention programme on the identified resilience quality. The research was divided into two phases in order to address the above-mentioned, namely the descriptive phase (Phase 1) and the intervention phase (Phase 2). The results of the descriptive phase revealed various statistically significant correlations between the independent variables and the dependent variable, namely family adaptation, as measured by The Family Attachment Changeability Index 8 (FACI8) (McCubbin et al., 1996). The strongest statistically significant correlation was found between family problem solving and communication, and family adaptation. This steered the development of the intervention programme, aiming it at enhancing family problem solving and communication as a family resilience quality. An experimental design was used to evaluate the impact of the intervention programme. Analysis 1 revealed a trend (not statistical significant on a 5% level), suggesting that negative communication decreased over a three-month period after the intervention programme. Analysis 2 supported this trend on a 5% level. The qualitative post-test data reveal that the participants perceived the intervention programme in a very positive light, namely as a beneficial and educational experience. Furthermore, the three-month follow-up assessment showed that the majority (81%) of the participants indicated that the intervention programme impacted positively on their family’s communication. / AFRIKAANSE OPSOMMING: Major Depressiewe Steuring is ‘n bekende psigiatriese siekte wat gesinne met kritiese risikofaktore uitdaag. Hierdie risikofaktore is wyd nagevors, maar beperkte Suid-Afrikaanse en internasionale navorsing bestaan met betrekking tot gesinsveerkragtigheidsfaktore en gepaste intervensieprogramme wat met hierdie hoë risiko gesinne geassosieer word. Die doel van die huidige studie was om hierdie beperkings aan te spreek, deur (a) veerkragtigheidsfaktore te identifiseer en te beskryf in gesinne waar ‘n ouer met Major Depressiewe Versteuring leef, (b) om ‘n gesinsintervensieprogram vir ouers te ontwikkel wat ‘n spesifieke veerkragtigheidsfaktor kan versterk en ontwikkel, en (c) om die impak van die intervensieprogram op die geïdentifiseerde veerkragtigheidsfaktor te evalueer. Die navorsing is in twee fases verdeel, naamlik die beskrywende fase (Fase 1) en die intervensie fase (Fase 2) om bogenoemde aan te spreek. Die resultate van die beskrywende fase het verskeie statisties beduidend korrelasies getoon tussen die onafhanklike veranderlikes en afhanklike veranderlike, naamlik familie aanpasbaarheid, wat deur The Family Attachment Changeability Index 8 (FACI8) gemeet is (McCubbin et al., 1996). Die sterkste statisties beduidende korrelasie was tussen gesin probleemoplossing en kommunikasie en gesin aanpasbaarheid. Hierdie verhouding het die ontwikkeling van die intervensieprogram bepaal wat ten doel gehad het om gesin probleemoplossing en kommunikasie as ‘n gesinsveerkragtiheidskwaliteit te ontwikkel. ‘n Eksperimentele ontwerp is gebruik om die impak van die intervensieprogram te evalueer. Analise 1 het ‘n tendens (nie statisties beduidend op ‘n 5 % vlak) uitgelig wat daarop dui dat negatiewe kommunikasie verminder het oor ‘n periode van drie maande na die intervensieprogram. Analise 2 het hierdie tendens ondersteun op ‘n 5% vlak. Die kwalitatiewe na-toets data het aangedui dat die deelnemers die intervensieprogram in ‘n baie positiewe lig ervaar het en as voordelig en opvoedkundig beskou het. Die drie-maande opvolgassessering het ook aangedui dat die meerderheid (81%) van die deelnemers gevind het dat die intervensieprogram ‘n positiewe impak op hulle gesinskommunikasie gehad het.

Thesis (MPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: The concern of this study is primarily with insights, either acquired or original, which may be gleaned from the works of Michael Quinn Patton, especially his seminal book, “Utilization-Focused Evaluation” with regards to utilisation of evaluation. The importance of utilisation of evaluation processes and findings cannot be overemphasised. Use is critical to the success of multiple development programmes in South Africa which collectively will ultimately determine the country’s accomplishment of its developmental goals. The study is an analysis of the relevant literature on utilisation of evaluation; comparing and contrasting Patton’s writings with those of other scholars on this topic of utilisation. The process of understanding these insights involves a brief biography of Patton to get a glimpse into the factors which influenced the development of his ideas and to learn from them as well as from his innovative ideas. The major theme of utilization-focused approach to evaluation is utility and actual use of evaluations. The study therefore devotes special attention to these concepts in order to find out how he defines them, his motivation to focus on them and his perceptions of the purposes of evaluation. These determine his conception of the evaluation field; and his success in promoting evaluation utilisation is measured against them. The study also contains a detailed discussion of the so-called “paradigms debate” between the quantitative and qualitative paradigms in the educational and social sciences in the 1960s and 1970s. This debate was necessary to quell the division triggered by the domination of the quantitative paradigm over qualitative one in these fields and to promote understanding of the need to prioritise research questions by designing studies to answer to them instead of research problems being fitted into “onesize- fits-all” readymade designs, the study argues. The role played by Patton in turning evaluation into a profession is also discussed at length. His works on this subject include a contribution towards enhancing quality and credibility of evaluation, major input on the Standards of Excellence for Evaluation as well as assisting in the development of methods for evaluation. The inevitability of politics in evaluation is highlighted together with the importance of their ethical conduct. The debates in the American Evaluation Association are very illuminating and Patton’s involvement in them is detailed in the study. They cover a range of issues which are useful to deepening of understanding of evaluation conduct and particular factors which affect use. The study ends with a critical analysis of Patton’s contribution to utilisation of evaluations by programme decision makers and its significance to South Africa. / AFRIKAANSE OPSOMMING: Die doel van dié studie het hoofsaaklik te doen met insigte, hetsy oorspronklik of ontleen aan ander bronne, wat afgelei kan word van die werk van Michael Quinn Patton, veral van sy invloedryke boek, “Utilization-Focused Evaluation,” ten opsigte van die toepassing van program-evaluasie. Die belangrikheid van die toepassing van evalueringsprosesse en -bevindings, kan nie oorbeklemtoon word nie. Toepassing is krities tot die sukses van veelvuldige ontwikkelingsprogramme in Suid-Afrika wat gesamentlik uiteindelik sal bepaal of die land sy ontwikkelingsdoelwitte sal bereik. Die studie is ’n analise van die tersaaklike literatuur oor die toepassing van evaluering; wat Patton se werk met dié van ander skrywers oor die onderwerp van toepassing vergelyk. Die proses om dié insigte te verstaan, behels ’n kort biografie van Patton ten einde ’n vlugtige blik te kry oor die faktore wat tot die ontwikkeling van sy idees aanleiding gegee het en om van hulle, sowel as van sy innoverende idees, te leer. Die hooftema van die toespitsing op die toepassingsbenadering vir evaluering, is sy veelsydigheid en die werklike gebruik van evaluasies. Derhalwe le die studie hom dus veral op dié konsepte toe ten einde vas te stel hoe hy hulle gebruik het, wat sy motivering was om daarop te fokus en sy siening rondom die doelwitte van evaluasie. Dít bepaal sy begrip van die gebied van evaluasie, en sy sukses ten einde die toepassing van evaluasie te bevorder, word hierteenoor gemeet. ’n Uitvoerige bespreking oor die sogenaamde “ paradigma-debat’’ tussen die kwantatiewe en kwalitatiewe paradigmas in die opvoedkundige en sosiale wetenskappe van die 1960’s en 1970’s word ook hierin saamgevat. Verder voer die studie aan dat die debat noodsaaklik was ten einde die verdeeldheid te oorkom wat deur die oorheersing van die kwantitatiewe oor die kwalitatiewe paradigmas op dié terreine veroorsaak is, en om begrip te bevorder betreffende die behoefte om navorsingsvrae voorrang te gee deur studies te ontwerp wat dié vrae beantwoord, in plaas daarvan om navorsingsprobleme in ’n klaargemaakte een-grootte-pas-almal ontwerp te plaas. Patton se rol om program-evaluasie in’n professie te omskep, word breedvoerig bespreek. Sy werk oor die onderwerp sluit ’n bydrae in om die gehalte en geloofwaardigheid van evaluasie te verhef, belangrike insette ten opsigte van die Standaarde van Uitnemenheid vir Evaluasie, sowel as om met die ontwikkeling van evaluasiemetodes te help.

Traditionnellement, les recherches évaluatives cherchaient à savoir si un programme était efficace ou s’il était implanté correctement. Dans l’évaluation réaliste, plutôt que de se poser la question "est-ce que le programme fonctionne?", la question posée est "pourquoi il fonctionne?". Autrement dit, le but de notre évaluation était d’expliciter la théorie de ce programme : que font les acteurs, dans quel but le font-ils et qu’est-ce qui influence leur intervention? Nous avons évalué un programme dans la communauté en santé mentale en nous basant sur le modèle de l’évaluation réaliste comme cadre d’analyse et en nous appuyant sur trois champs théoriques : le mouvement du rétablissement, l’approche par les forces et l’approche centrée sur les effets. D’un point de vue méthodologique, notre recherche est l’étude d’un cas : le programme de suivi d’intensité variable (SIV) de l’équipe en santé mentale du CSSS-IUGS. Notre recherche peut aussi être comprise comme une recherche évaluative, donc une évaluation de programme, visant à expliciter la théorie de programme SIV selon le modèle de l’évaluation réaliste. Dans ce modèle, trois catégories de variables forment la théorie de programme : les effets, les mécanismes d’intervention et les facteurs contextuels les influençant. Au coeur de notre démarche, le mécanisme d’intervention peut être conçu comme une petite théorie décrivant les processus responsables des effets. Selon ce vocabulaire, notre question de recherche est : Dans le programme de suivi d'intensité variable du CSSS-IUGS, quels sont les mécanismes d'intervention qui, mis dans un contexte et des circonstances précis, mènent à des effets dans la vie des personnes concernées ? Différentes méthodes de collecte de données furent utilisées : une recension réaliste des écrits, des entretiens avec les usagers, les intervenants et les gestionnaires, de l’observation directe et une analyse de la documentation interne (dont les plans d’interventions). La recherche permit de dégager une ébauche de théorie de programme contenant : - deux grandes finalités : l’amélioration de la qualité de vie et le maintien dans la communauté; - des effets désirés à court et à moyen terme; - trois familles de mécanismes d’intervention : la relation, le support social et la centration sur l’usager; - certains facteurs contextuels centraux pour l’intervention. En plus de la théorie de programme, la recherche a aussi permis de dégager un certain nombre de recommandations concernant notamment l’utilisation des outils, les modalités de la supervision de groupes, l’attribution des usagers et certaines conditions entourant le travail des intervenants.

Violence is a leading cause of morbidity and mortality amongst young people. Public health approaches are now being increasingly utilised to reduce the risk of young peoples' involvement in violence. One such programme is Medics Against Violence (MAV), which aims to reduce pro-violent attitudes and enhance empathy in secondary school pupils. This thesis aims to investigate whether this approach can be effective in tackling youth violence in secondary school pupils. A mixed-methods approach was adopted to conduct both an outcome and process evaluation of MAV. Four schools took part in the outcome evaluation, which examined whether there was a change in attitudes towards violence or empathy in pupils receiving the MAV programme. The process evaluation consisted of focus groups with school pupils, and open-ended questionnaires and semi-structured interviews with MAV volunteers. There was a small but significant reduction in pro-violent attitudes immediately post-intervention. However, this was not sustained at three months and there was no significant increase in empathy scores. Pupils generally demonstrated anti-violent attitudes, although were more likely to support the use of reactive violence. The pupils appeared to enjoy and generally engage well with the programme. In particular, the use of real footage, interviews with those affected by violence and the Glasgow setting provided a sense of realism for the pupils. Moreover, pupils valued the opportunity to discuss the issues raised by MAV with the volunteers. Volunteers felt engagement was occasionally an issue in the most affluent areas. However, some volunteers adapted the programme to focus on victimisation prevention in the most affluent schools. Further development is therefore needed in terms of establishing who the programme is aimed at (i.e. potential victims or perpetrators), focusing on reactive violence and increasing the sustainability of its effects.

International Telemetering Conference Proceedings / October 13-16, 1986 / Riviera Hotel, Las Vegas, Nevada / In Aerospace missions it is often required to have a flexible telemetry system for carrying out flight test on aircraft, in which the bit rate, sampling rate and the number of channels can be programmed. This enables the pilot of the aircraft to reconfigure the telemetry system to suit any particular test missions. An L-Band PCM/FM Telemetry System containing a Stored Programme Multiplexer, 12 bit ADC and other digital interfaces for carrying out the measurements on Speed, Events, etc has been developed as a flight instrumentation telemetry for HAL, India. This paper not only presents complete details of the system, which was qualified to meet MIL-5422 levels but also the performance of the system during actual aircraft missions.

Text in English / The goal of this research was to investigate the relationship between security risk management and business continuity management and to determine how these two methodologies are applied within United Nations Funds and Programmes. These United Nations (UN) agencies have been established to deliver humanitarian aid, economic and social development and reconstruction activities. The locations where these services are required are typically where security risks are also most prevalent. The staff of the UN, the International Red Cross and other humanitarian and development organisations have traditionally been treated as neutral parties and have not been targeted by belligerent groups. This study revealed that there has been an annual increase in security incidents against aid workers and employees of UN organisations. The changing security landscape worldwide and the increasing demand for aid and development services in especially fragile and post-conflict environments, require organisations working in these areas to maintain a high level of resilience. Their resilience can be strengthened by applying robust security risk and business continuity management methodologies. The study included an examination of the global risk environment as it pertains to UN agencies, as well as key risk management concepts such as risk management, operational risk management, security risk management, business continuity management and organisational resilience. For the purposes of this study, security risk management is defined as the systematic approach to assessing and acting on security risks, while ensuring the safety and security of the organisation's personnel and facilities and ensuring that organisational objectives are achieved. Business continuity is a management process that identifies potential threats to an organisation, it assesses the impact to business operations − should the threats materialise − and it furthermore assists in the development of strategies to continue operations in the event of a disruption. In addition to looking at these concepts individually, the relationship between security risk management and business continuity management was also reviewed. The specific objectives set out to achieve the goal of the study were the following:  Explore the perceptions of UN agencies about the link between security risk management and business continuity management.  Analyse the extent of integration between security risk management and business continuity management processes and oversight.  Make recommendations as to how security risk management and business continuity management can operate in an integrated manner with the goal of increasing the overall resilience of UN agencies. To answer the research questions a qualitative research approach was adopted. This enabled the researcher to collect data through interviewing participants and analysing their feedback. The research focused on UN Funds and Programmes as a sub-set of agencies within the UN family of organisations. Each one of these agencies has a specific mandate, such as providing assistance to refugees, promoting food security, poverty reduction, improving reproductive health and family planning services. They also operate in fragile states as well as in emergency and humanitarian crises situations where the security risks are often higher than in normal developing countries. Eight out of 12 UN Funds and Programmes agreed to participate in the study, including: United Nations Children's Fund; United Nations Relief and Works Agency for Palestine Refugees in the Near East; Office of the United Nations High Commissioner for Refugees; World Food Programme; United Nations Development Programme; United Nations Office on Drugs and Crime; United Nations Human Settlements Programme; and UN Women. Data were collected through conducting semi-structured telephone interviews with the security manager and/or business continuity manager serving in the headquarters of each participating organisation. Findings from the study indicated that security risk management within the UN system has evolved and that security has matured from a purely protective and defensive posture to following a risk management approach. The strength of the UN Security Management System lies in its Security Risk Management Model, which enables a thorough assessment of security risks and the implementation of commensurate mitigating security measures. In contrast to security risk management, the study revealed that business continuity as a management process is a fairly new initiative and has not yet been comprehensively adopted by all UN agencies. When combined, security risk management and business continuity management ensure the safety of staff, maximise the defence of the agencies’ reputation, minimise the impact of events on the agencies as well as their beneficiaries, protect the organisation’s assets, and very importantly, demonstrate effective governance. This can only be done through establishing an organisational risk management model by positioning security risk management and business continuity management within the UN agency’s organisational structure so that they can effectively work together and at the same time allow access to senior management. Good practices and apparent gaps were identified in how these two methodologies are implemented and five specific recommendations were made. The research confirmed the need for both security risk management and business continuity management and the role each function plays to enhance an organisation’s resilience. It also highlighted that while they are two separate management functions, both need to be implemented within a larger risk management framework and need to be closely aligned in order to be effective. The five recommendations are:  Incorporate security risk management and business continuity management functions and responsibilities into the larger agency-wide risk management governance framework.  Expand the scope of business continuity in those UN agencies where it currently sits in the domain of information technology or has not yet been comprehensively implemented across the organisation.  Establish a comprehensive crisis management framework spanning across the whole organisation from their headquarters to country offices.  Develop the capacity to gather risk data across their agency and aggregate the data to view the full spectrum of risks, including security risks and business continuity risks in a holistic manner.  Integrate security risk management and business continuity management processes to enhance their effectiveness. This study contributes to the existing body of knowledge in the field of risk management by gathering relevant information from participating UN Funds and Programmes, comparing the information with other academic sources and drawing conclusions to answer the research questions. While it is expected that each organisation will have its own view on how to implement security risk management and business continuity management, the findings and recommendations as a result of the study present a series of practical recommendations on how the two functions can operate in an integrated manner in order to increase the overall resilience of these UN agencies. Other non-UN organisations working in similar high risk environments could also benefit from the outcomes of the study, as it would allow them to compare their own approaches to security risk management and business continuity management with the information presented in this study. / Security Risk Management / M. Tech. (Security Management)

Au Québec, le programme d'éthique et culture religieuse a influencé les pratiques éducatives des enseignants. (Conseil supérieur de l'éducation, 2003, 2009; Deniger, 2004; Gouvernement du Québec, 1999, 2005). Les réactions lors de son implantation ont stimulé cette analyse sous l'aspect politique, idéologique, organisationnel et pédagogique. Nous cherchions à connaître et comprendre comment les titulaires du primaire se représentent le processus d'implantation du programme ÉCR. Notre méthodologie exploratoire qualitative se fonde sur quatorze entrevues semidirigées dans 4 régions du Québec. Sans être en mesure de généraliser, nos travaux font tout de même ressortir le processus d'implantation d'une innovation scolaire. (Bonami et ai, 1996 ; Cros, 2001). De plus, notre recherche fournit une réflexion sur les facteurs facilitant ou non l'implantation d'un programme scolaire. En effet, la théorie de l'ingénierie de formation, facilite l'analyse des conditions les plus pertinentes à la mise en place d'un changement d'envergure au sein d'une organisation.

La discussion des résultats expose ce qui s'avère être des éléments de continuité majeurs transversaux. Ces huit éléments de continuité majeurs, soit finalement les résultats principaux de notre recherche, se détaillent ainsi: (1) Le développement de l'individu est au coeur des préoccupations de tous les programmes; (2) Les relations interpersonnelles sont toujours travaillées; (3) Bien qu'on touche des savoirs davantage théoriques, ce sont surtout des aptitudes et des habiletés qu'on désire développer en morale et en éthique; (4) L'évaluation formative est prédominante sur l'évaluation sommative, bien que celle-ci soit également utilisée; (5) Les valeurs et les normes composent une partie du contenu de tous les programmes; (6) Le développement du jugement (moral, éthique, critique) est une constante; (7) On s'attend à ce que l'élève soit actif dans le développement de son jugement; (8) L'enseignant a plusieurs rôles, les plus importants étant d'être un motivateur, une personne ressource et un modèle. Parce qu'ils marquent une cassure certaine entre l'enseignement de l'éthique et l'enseignement de la morale, certains éléments de rupture retiennent également l'attention : (1) La place et le rôle de la religion; (2) La question du positionnement. En conclusion, cette recherche théorique permet de faire le pont entre l'enseignement moral et l'enseignement de l'éthique, exposant entre autres ce qui peut être transféré du premier vers le second.

Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: A nurse has to develop certain concepts, attitudes, knowledge and skills in nursing. For the purpose of this study the researcher explored a private nursing school in the Southern Cape with the focus on their personal-professional developmental (PPD) programme. The researcher explored the feasibility of this programme by describing the pre-registration nurses’ perceptions on the value and contribution of the programme to their personal and professional development. In particular, the exploration addressed the nurses from a multicultural setting who found it difficult to adapt to the nursing norms, values or working culture. This was done in order to make a difference in the nature of the above-mentioned programme so that it would suit the nurses from different cultures and also set up a programme which will ensure quality nursepatient care through enhanced communication skills, empathy and critical thinking abilities. The objectives set for this study were to explore the perceptions of pre-registration nurses from a multicultural setting who were involved in this programme in order to determine whether the PPD programme contributed to their life enrichment and level of knowledge and to explore the perceptions of the professional nurses supervising the pre-registration nurses with regard to additional knowledge, skills and attitudes gained after the completion of the PPD programme. A quantitative research approach with a smaller qualitative component and a descriptive design was selected. The population for this study comprised all the pre-registration nurses of the abovementioned school (N=120) and all the professional nurses who worked closely with the preregistration nurses (N=27). A structured questionnaire and semi-structured interviews were used to collect the data. The sample of pre-registration nurses who took part included the entire population (n=120). The non-probability purposive sampling of the professional nurses who took part in this study comprised 14 participants. Reliability and validity were assured by means of a pre-test of the questionnaire and the use of experts in nursing education, research methodology and statistics. Data were collected personally by the researcher. Ethical approval was obtained from Stellenbosch University and the head of the particular private hospital. Informed written consent was obtained from the participants. It seemed that the multicultural pre-registration nurses felt the PPD programme was effective and contributed to the skills they needed to be passionate and knowledgeable nurses. On completion of the study key recommendations were made regarding the improvement of communication between pre-registration nurses and management at ward level, the implementation of a structured programme with measurable, accessible outcomes, and the provision of classes in computer literacy as well as basic research skills. / AFRIKAANSE OPSOMMING: ʼn Verpleegster moet sekere konsepte, houdings, kennis en vaardighede in die verpleegkultuur ontwikkel. Vir die doel van die studie het die navorser ’n privaat verpleegskool in die Suid-Kaap ondersoek wat hul toespits op ’n unieke persoonlike professionele ontwikkelingsprogram (PPO). Die lewensvatbaarheid van hierdie program, asook die vlak van kennis wat die voorgraadse verpleegsters bereik het en ná voltooiing van die program op pasiënte toepas, is deur die navorser ondersoek. Hierdie program het ten doel om voorgraadse verpleegsters bevoeg te verklaar t.o.v. lewensverryking betreffende kommunikasievaardighede, empatie en kritiese denke. Die doel van die studie was om die persepsies van multikulturele voorgraadse verpleegsters ten opsigte van die genoemde program vas te stel ten einde te bepaal of hierdie program wel bygedra het tot hul lewensverryking en vlak van kennis. Persepsies van professionele verpleegkundiges onder wie se toesig hierdie genoemde verpleegsters werksaam was, is ondersoek om vas te stel of voorgraadse verpleegsters addisionele kennis, vaardighede, empatie en kritiese denke met behulp van die program bekom het. ’n Kwantitatiewe studie met ʼn kleiner kwalitatiewe komponent en ʼn beskrywende ontwerp is gekies. Die populasie het bestaan uit al die voorgraadse verpleegsters van die genoemde skool (N=120) en al die professionele verpleegkundiges wat betrokke is by bogenoemde verpleegsters (N=27). ’n Gestruktureerde vraelys en semi-gestruktureerde onderhoude is gebruik om data in te samel. Die totale populasie verpleegsters is ingesluit in die studie (n=120). ’n Nie-waarskynlikheids- doelgerigte steekproef van professionele verpleegkundiges wat deelgeneem het was 14. Geldigheid en betroubaarheid is verseker deur die uitvoer van ʼn vooraf toetsing van die vraelys, asook deur kenners in verpleegonderrig, navorsingsmetodologie en statistiek te konsulteer. Data is persoonlik deur die navorser ingesamel. Etiese goedkeuring is van die Universiteit Stellenbosch en die hoof van die spesifieke privaat hospitaal verkry. Geskrewe ingeligte toestemming is van al die deelnemers verkry. Dit wil voorkom asof die voorgraadse verpleegsters in die multikulturele werksomgewing van mening was dat die PPO-program effektief bygedra het tot hul passie vir verpleging en hulle verryk het met kennis. Ná afloop van die studie is die hoof-aanbevelings gedoen ten opsigte van verbeterde kommunikasievaardighede tussen voorgraadse verpleegsters en bestuur op grondvlak, die instelling van ’n gestruktureerde program met meetbare, bereikbare uitkomste, asook die aanbieding van rekenaarklasse en basiese navorsingsklasse.

Thesis (MCurr)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The issue of attrition of undergraduate participant nurses has remained a concern for an extremely long time. Attrition has been labelled as complex and in order to understand attrition it is important to pay attention to the rate, reasons and trends in South Africa. To understand attrition in South Africa, the trends internationally need to be taken into account to determine whether South Africa has a unique problem. Due to the enormous financial cost to the state and the students’ self-confidence, as well as their belief and understanding of why all the systems that have been put into place fail, it has become a concern. The reasons why students choose nursing and their academic progress throughout secondary schooling should give a clear indication to the educational authorities how successful the students could be. The aim of this study was to determine possible reasons for attrition in students who do the undergraduate diploma nursing course. The objective was to determine the attrition rate of students in the undergraduate course. Reasons for attrition involve a close investigation into age, home language, subjects taken in secondary school, family support, reasons for going into nursing, problems experienced, reasons for not completing the course and how these affected them. The objectives was met through a descriptive study with a quantitative approach. The target population (N=260/100%) consisted of all students that had not completed their undergraduate diploma nursing course over four years between the years 2007-2010, from a Nursing College in the Western Cape. The sample population (n=58/22%) voluntarily agreed to participate in the study. A telephonic questionnaire was administered with closed-ended questions and a small section which had a likert scale. Data was collected by the researcher and a trained field worker. Ethical approval was obtained from the Health Research Ethics Committee at the Faculty of Health Sciences, Stellenbosch University. Permission was also obtained from the Western Cape Provincial Administration to conduct the research. Informed consent was obtained from the students. Reliability and validity was supported by a pilot study conducted on (n=10/10%) of the students at the Western Cape College of Nursing to ensure feasibility of the study. The data was analysed by a statistician and presented in tables and graphs. Statistical analysis was determined by ordinal and nominal data. The results showed that there were numerous factors that contributed to the attrition of undergraduate nursing diploma students. The results showed that the majority of the students’ home language was Xhosa 43% (n=25/58) with the majority being female, single with one child. The main reasons for choosing nursing was because it was a vocation/calling. The recommendations were to ensure that all nursing colleges be integrated into institutions of higher education, thereby ensuring more stringent selection criteria. There needs to be a bridging year where the students are taught to improve their literacy and numeracy so that this will give the students a better understanding of the lectures being delivered in English. There needs to be systems in place to assist the students that are mediocre or struggling. The conclusion was that attrition is complex and requires more concrete systems to stem the rate. A total reformation of undergraduate diploma nursing programmes needs to be addressed. / AFRIKAANSE OPSOMMING: Die kwessie van attrisie by voorgraadse diploma student verpleegsters is al vir ’n geruime tyd kommerwekkend. Attrisie word as kompleks bestempel en om dit te begryp, is dit noodsaaklik om aandag te skenk aan die tempo waarteen dit vookom, asook die redes en tendense in Suid-Afrika te bepaal. Om attrisie in Suid-Afrika te kan begryp, moet die internasionale tendense in ag geneem word om te bepaal of Suid-Afrika ’n unieke probleem het. Weens die enorme finansiële onkoste wat die staat het ten opsigte hiervan en die student se selfvertroue, asook hulle geloof en begrip in al die sisteme wat in plek is wat gefaal het, word dit ’n bekommernis. Die redes waarom studente kies om verpleging te doen en hulle akademiese vordering gedurende hulle sekondêre skoolopleiding, behoort ’n duidelike aanduiding aan die onderwysowerhede te wees hoe suksesvol die studente kan wees. Die doel van hierdie studie is om die moontlike redes vir attrisie by studente wat die voorgraadse diploma kursus in verpleging volg, te bepaal. Die doelwit is om die attrisie-tempo by studente in die voorgraadse diploma kursus, te bepaal. Redes vir attrisie verg ’n indringende ondersoek van die ouderdom, huistaal, vakke geneem in die sekondêre skool, familie-ondersteuning, redes waarom verpleging as loopbaan gekies word, probleme wat ondervind word, redes waarom die kursus nie voltooi word nie en hoedat dit hulle geaffekteer het. Die doelwitte is behaal deur ’n beskrywende studie met ’n kwantitatiewe benadering te volg. Die teikenbevolking (N=260/100%) het bestaan uit alle studente wat nie hulle voorgraadse verpleegkursus binne vier jaar tussen die jare 2007-2010 aan ’n verpleegkollege in die Wes-Kaap voltooi het nie. Die steekproef bevolking (n=58/22%) het vrywillig ingestem om aan die studie deel te neem. ’n Telefoniese vraelys met geslote vrae is geadministreer en ’n klein gedeelte het ’n likertskaal bevat. Data is gekollekteer deur die navorser en ’n opgeleide veldwerker. Etiese goedkeuring is verkry van die Gesondheidsnavorsing se Etiese Komitee aan die Fakulteit van Gesondheidswetenskappe, Universiteit van Stellenbosch. Toestemming is ook verkry van die Wes-Kaapse Provinsiale Administrasie om die navorsing te doen. Ingeligte toestemming is van die deelnemers verkry. Betroubaarheid en geldigheid is ondersteun deur ’n loodsondersoek wat uitgevoer is op (n=10/10%) van die deelnemers aan die Wes-Kaap Kollege vir Verpleging om die uitvoerbaarheid van die studie te verseker. Die data is geanaliseer deur ’n statistikus en in tabelle en grafieke aangebied. Statistiese analise is bepaal deur ordinale en nominale data. Die uitslae het bewys dat daar ’n aantal faktore is wat bygedra het tot die attrisie van voorgraadse studente wat die verpleegdiploma doen. Die uitslae het bewys dat die meerderheid van die studente se huistaal Xhosa 43% (n=25/58) is, waarvan die meerderheid vroulik en enkel met een kind is. Die hoofredes waarom verpleging gekies is as loopbaan, is omdat dit ’n beroep/roeping is. Die aanbevelings is om te verseker dat alle verpleegkolleges geïntegreer word by instellings vir hoër onderwys, daardeur word strenger seleksie-kriteria verseker. Daar behoort ’n oorbruggingsjaar vir participante te wees om hulle geletterdheid en syfervaardigheid in so ’n mate te verbeter dat hulle lesings in Engels verstaan wanneer dit aangebied word. Daar behoort sisteme in plek te wees om participante te help wat gemiddeld presteer of sukkel. Die gevolgtrekking is dat attrisie kompleks is wat meer konkrete sisteme verg om die tempo waarteen dit plaasvind, die hoof te bied. ’n totale transformasie van voorgraadse diploma verplegingsprogramme behoort aangeroer te word.