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Recent initiatives to modernise the National Health Service describe how improving pay structures and staff working lives can be achieved in the form of advanced practitioner and consultant posts. Role development in Radiography represents a fundamental change to professional practice of radiographers and is subject to the provisions of the statutory and professional codes of conduct which govern such practice. In Diagnostic Radiography the response to Government initiatives has led to a change in practice so that radiographers in these new posts provide reports for a variety of imaging modalities. At the same time as there have been changes in the practice of Radiography, the discipline of evidence-based medicine has emerged. Changes in clinical practice should be underpinned by evidence from research. The purpose of this paper is to discuss the methodological approaches used to conduct research that evaluates one of the most salient areas of development in Radiography practice, that is the role of radiographers as advanced or consultant practitioners when interpreting plain radiographs. We begin by discussing what an evaluation is and two broad approaches for conducting health services research, and then appraise the evidence about radiographer reporting in the context of these methods of evaluation. We then suggest future considerations about the methodological approaches to evaluating radiographer reporting practice and identify where there are evidence gaps and the need for further research to inform evidence-based Radiography.

This study examined the perception of parental nurturance, the parental identification, and the sex-role orientation of women who had been sexually abused as children. Its purpose was to explore these aspects of a woman's relationship with her parents and the subsequent sex role development, as it relates to the presence or absence of sexual abuse in the relationship. Eighty women averaging 31 years of age volunteered to participate in the study. The women represented three distinct populations with respect to the question of sexual abuse. The first group reported never having been sexually abused (Nonabused). The second group reported having been sexually abused by their father or stepfather (Father Abused). The third group reported having been sexually abused by someone other than their father or stepfather (Other Abused). As predicted, perceived parental nurturance was significantly lower for members of the Father Abused group than for the remaining two groups. In addition, the Nonabused group reported the highest nurturance scores of the three groups. Contrary to expectation, there was no difference between the parent identification patterns of the three groups. Support was provided for the prediction that women who had been sexually abused by their fathers were more likely to express undifferentiated sex roles than androgynous ones. Women not abused by their fathers were more likely to express androgynous sex roles than undifferentiated ones. Limitations of the study and implications of the results were discussed.

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.

AFRIKAANS: In hierdie studie is daar gelet op MIV en VIGS en die geslagsrolle van die Noord-Sotho/Tswana-sprekende vrou in die Limpopo Provinsie. Daar is spesifiek gefokus op watter MIV- en VIGS-verbandhoudende risiko’s voorkom rondom die geslagsrolle van die Noord-Sotho/Tswana-sprekende vrou in die Limpopo Provinsie. Sewe relevante geslagsrolle van die vrou is geïdentifiseer vir ondersoek, en het die vrou as individuelewese, seksuelewese, huweliksmaat, moeder, versorger, enkelouer en broodwinner ingesluit. Verbandhoudende aspekte van hierdie rolle is ook ondersoek en het mishandeling van die vrou, die vrou se opvoeding, geloof, kultuur, gesondheid, geslag en spesifieke beradingsbehoeftes ingesluit. Waar geslag ‘n sosiale- en kulturelestruktuur is en ook kultuur-spesifiek is, was dit van belang om die vrou se geslagsrolle en die verbandhoudende aspekte daarvan binne die vrou se relevante kulturelekonteks te ondersoek. Die navorsingsmetodologie vir hierdie studie is duidelik omskryf en uiteengesit, waarna verskeie literatuurhoofstukke volg. Die literatuurhoofstukke fokus op MIV en VIGS as medieseverskynsel en die beradingsaspekte wat daarmee verband hou. In die literatuurhoofstukke is daar ook gelet op die Afrika-kultuur en geslagsrolvorming, waarna die sewe geslagsrolle van die vrou en die verbandhoudende aspekte daarvan bespreek is. Die literatuurhoofstukke voorsien die nodige agtergrond wat aanduidend is van spesifieke MIV-risiko’s wat deur Afrika-vroue in hul geslagsrolle beleef word. Navorsingsbevindings vir hierdie kwalitatiewe studie is met behulp van tabelle voorgestel wat volledig bespreek is, ten einde te bepaal watter spesifieke MIV-risiko’s deur Noord-Sotho/Tswana-sprekende vroue in die Limpopo Provinsie beleef word. Navorsingsbevindings vir hierdie kwalitatiewe studie is met behulp van tabelle voorgestel wat volledig bespreek is, ten einde te bepaal watter spesifieke MIV-risiko’s deur Noord-Sotho/Tswana-sprekende vroue in die Limpopo Provinsie beleef word. Hierdie bevindings het getoon dat Noord-Sotho/Tswana-sprekende vroue in die Limpopo Provinsie veral kwesbaar is vir MIV waar hierdie vroue ‘n tekort aan mag het om te onderhandel vir veilige seksuele-omgang en kondoomgebruik. ‘n Raamwerk vir kultuursensitiewe MIV- en VIGS-berading is ontwikkel, en bestaan uit inligting bekom vanuit die empiriese ondersoek, praktykervaring asook die navorser se kennis van relevante literatuur. Die raamwerk vir kultuursensitiewe MIV- en VIGS-berading is op wyses aangebied wat as gepas beskou word vir die spesifieke probleme of behoeftes van die vrou, en bestaan uit afmerklyste, kolomme en gevallestudies. Die raamwerk is ook saamgestel sodat dit deur die maatskaplike werker, MIV-berader en ander lede van die multidissiplinêrespan benut kan word tydens hulpverlening aan MIV-positiewe Noord-Sotho/Tswana-sprekende vroue. Ten slotte is ‘n algemene samevatting, gevolgtrekkings en aanbevelings gemaak na aanleiding van relevante bevindings vanuit die studie. Die navorsingsvraag vir hierdie studie in geheel is beantwoord deurdat die empiriese ondersoek sowel as die raamwerk vir kultuursensitiewe MIV- en VIGS-berading, die MIV- en VIGS-verbandhoudende risiko’s rondom die geslagsrolle van die Noord-Sotho/Tswanasprekende MIV-positiewe vrou in die Limpopo Provinsie duidelik geïdentifiseer en logies gegroepeer het, en gevolgtrekkings en aanbevelings gebied het. Hierdie studie het getoon dat elk van die vrou se sewe geslagsrolle, asook die verbandhoudende aspekte daarvan, verband hou met spesifieke MIV-risiko’s wat op fisiologiesesosiale-, psigologiese-, ekonomiese- en kulturele vlak beleef word deur Noord-Sotho/Tswana-sprekende vroue in die Limpopo Provinsie. ENGLISH: This study considered HIV and AIDS and the gender roles of Northern Sotho/Tswana speaking women in the Limpopo Province. Specific focus was placed on HIV and AIDS related risks surrounding the gender roles of Northern Sotho/Tswana speaking women in the Limpopo Province. Seven relevant gender roles were identified for investigation; these include women as individual beings, sexual beings, wives, mothers, caregivers, single parents and breadwinners. Related aspects of these roles were also investigated and include the abuse of women, education, religion, culture, health, gender and specific counselling needs. It was of importance to examine gender roles and the related aspects in the woman’s relevant cultural context since gender is seen as a social and cultural construct and is also culture-specific. The research methodology for this study was clearly defined and outlined. The literature chapters focussed on HIV and AIDS as medical phenomenon and related counselling aspects. The literature chapters also considered the African culture and gender role development, the seven gender roles of women and aspects related to these. The literature chapters provided the necessary background which is indicative of the specific HIV risks which are experienced by African women in their gender roles. Research findings for this qualitative study were presented using tables which were fully discussed in the study in order to determine the specific HIV risks experienced by Northern Sotho/Tswana speaking women in the Limpopo province. These findings showed that Northern Sotho/Tswana speaking women in the Limpopo Province are particularly vulnerable to HIV as these women experience a lack of power to negotiate for safe sex and condom use. A framework for culturally sensitive HIV and AIDS counselling was developed and consists of information obtained from the empirical investigation, practical experience and the researcher’s knowledge of relevant literature. The framework for culturally sensitive HIV and AIDS counselling was presented in a manner which is suited to the specific problems and needs of these women and consists of tick-mark lists, columns and case studies. The framework was also compiled in such a manner that it may be utilised by the social worker, HIV counsellor and other members of the multidisciplinary team during the counselling of HIV positive Northern Sotho/Tswana speaking women. A general summary, conclusions and recommendations were finally made following the relevant findings of the study. The research question for this study was fully answered in that the empirical investigation as well as the framework for culturally sensitive HIV and AIDS counselling identified, logically grouped and made conclusions and recommendations about the HIV and AIDS related risks surrounding the gender roles of Northern Sotho/Tswana speaking women in the Limpopo Province. This study showed that each of the seven gender roles of women as well as the related aspects of these roles are associated with specific HIV risks which are experienced on a physiological, social, psychological, economical and cultural level by Northern Sotho/Tswana speaking women in the Limpopo Province. / Thesis (PhD)--University of Pretoria, 2011. / Social Work and Criminology / PhD / Unrestricted