A Comparative Analysis of PSA Trends of Conventional vs Hypo-fractionated External Beam Radiotherapy for the Treatment of Localised Prostate Cancer at Frere Hospital
- Authors: Mistry, Himal
- Date: 2023-10
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12906 , vital:76177
- Description: External beam radiotherapy with a moderate hypofractionated regimen has largely replaced conventional schedules. The change in regimen is based on the premise that prostate cancer, due to its low the alpha/beta ratio, demonstrates a higher sensitivity to a larger dose per fraction of radiation. Prostate Specific Antigen (PSA) is a specific indicator of prostate cancer treatment outcomes. The serum PSA trend is an indication of treatment response and risk for relapse. The time to nadir and the value of the PSA nadir are important predictors of biochemical control or failure. The lower the PSA level, the more durable the probability of maintained biochemical disease free survival. This study focuses on the biochemical control of patients treated with two different fractionation regimens at Frere Hospital. Aim To illustrate that the use of a moderate hypofractionated regimen for the treatment of intermediate and high risk prostate cancer is non inferior to a conventional regimen. Methodology The study took place at the department of radiation oncology, Frere Hospital, East London, Eastern Cape, South Africa. The study population consisted of 26 patients treated with conventional fractionation (2.00Gy x 36 fractions) in 2018 and 36 patients treated with the newly adopted hypofractionated regimen (3.00Gy x 20 fractions) in 2019. A comparison is made of the post treatment PSA trend over a 24 month period. Impact of study The study is projected to support the change in fractionation regimens at an institutional level. 2 Results: 41.9% of patients were enrolled in the conventional regimen, 58.1% were enrolled in the moderately hypo-fractionated arm. The participants were classified into high risk and intermediate risk in the two treatment arms and these were distributed equally. There was a clear decline in the serum PSA values over the two-year follow-up period. All four groups showed a similar pattern in that from the baseline to the first quarter, there was a sharp decline in the serum PSA values and this was significant for all four groups , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-10
- Authors: Mistry, Himal
- Date: 2023-10
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12906 , vital:76177
- Description: External beam radiotherapy with a moderate hypofractionated regimen has largely replaced conventional schedules. The change in regimen is based on the premise that prostate cancer, due to its low the alpha/beta ratio, demonstrates a higher sensitivity to a larger dose per fraction of radiation. Prostate Specific Antigen (PSA) is a specific indicator of prostate cancer treatment outcomes. The serum PSA trend is an indication of treatment response and risk for relapse. The time to nadir and the value of the PSA nadir are important predictors of biochemical control or failure. The lower the PSA level, the more durable the probability of maintained biochemical disease free survival. This study focuses on the biochemical control of patients treated with two different fractionation regimens at Frere Hospital. Aim To illustrate that the use of a moderate hypofractionated regimen for the treatment of intermediate and high risk prostate cancer is non inferior to a conventional regimen. Methodology The study took place at the department of radiation oncology, Frere Hospital, East London, Eastern Cape, South Africa. The study population consisted of 26 patients treated with conventional fractionation (2.00Gy x 36 fractions) in 2018 and 36 patients treated with the newly adopted hypofractionated regimen (3.00Gy x 20 fractions) in 2019. A comparison is made of the post treatment PSA trend over a 24 month period. Impact of study The study is projected to support the change in fractionation regimens at an institutional level. 2 Results: 41.9% of patients were enrolled in the conventional regimen, 58.1% were enrolled in the moderately hypo-fractionated arm. The participants were classified into high risk and intermediate risk in the two treatment arms and these were distributed equally. There was a clear decline in the serum PSA values over the two-year follow-up period. All four groups showed a similar pattern in that from the baseline to the first quarter, there was a sharp decline in the serum PSA values and this was significant for all four groups , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-10
A Critical Analysis of the Role of School Governing Bodies in the Recruitment, Selection and Transfer of Educators in the Butterworth District
- Authors: Sifuba, Mpilo
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3495 , vital:43616
- Description: Recruitment, selection and transfer of educators were decentralized after South Africa became a democratic state in 1994 and shifted to School Governing Bodies. The legislation promoted a shared governance and participation of parents in issues that are related to recruitment, selection and transfer of educators, but parents are struggling and facing challenges in performing these tasks as School Governing Body members especially in the Butterworth district, as a result of that Butterworth district is experiencing problems with increasing number of disputes resulting from the appointment of educators after they have been recommended by the School Governing Bodies. This study focuses on the recruitment, selection and transfer of educators in the Butterworth district of the Eastern Cape Province of South Africa. The study sought to reveal the thinking behind government insistence on giving the School Governing Bodies a responsibility to recruit, select and transfer educators knowing fully well that they do not perform this responsibility. A qualitative approach was used to explore and challenge this phenomenon. This approach is concerned with understanding social phenomenon from the participant’s perspective. In depth semi – structured interviews with open ended questions were used to bring the researcher more closer to a more plausible perspective of this phenomenon. Moreover, they were used because they are the most appropriate method to capture the data. The findings revealed that School Governing Bodies are faced with challenges such as: high level of illiteracy, manipulation of School Governing Bodies by school management, unions and candidates, the issue of regionalism and kickbacks, capacity building and empowerment and role played by the Departmental Officials. By conducting this study, we hope that the findings might contribute in identifying the disjuncture between the policy and the practice in issues pertaining to educator recruitment, selection and transfers. , Thesis (MMED) -- Faculty of Educational Sciences, 2011
- Full Text:
- Date Issued: 2011
- Authors: Sifuba, Mpilo
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3495 , vital:43616
- Description: Recruitment, selection and transfer of educators were decentralized after South Africa became a democratic state in 1994 and shifted to School Governing Bodies. The legislation promoted a shared governance and participation of parents in issues that are related to recruitment, selection and transfer of educators, but parents are struggling and facing challenges in performing these tasks as School Governing Body members especially in the Butterworth district, as a result of that Butterworth district is experiencing problems with increasing number of disputes resulting from the appointment of educators after they have been recommended by the School Governing Bodies. This study focuses on the recruitment, selection and transfer of educators in the Butterworth district of the Eastern Cape Province of South Africa. The study sought to reveal the thinking behind government insistence on giving the School Governing Bodies a responsibility to recruit, select and transfer educators knowing fully well that they do not perform this responsibility. A qualitative approach was used to explore and challenge this phenomenon. This approach is concerned with understanding social phenomenon from the participant’s perspective. In depth semi – structured interviews with open ended questions were used to bring the researcher more closer to a more plausible perspective of this phenomenon. Moreover, they were used because they are the most appropriate method to capture the data. The findings revealed that School Governing Bodies are faced with challenges such as: high level of illiteracy, manipulation of School Governing Bodies by school management, unions and candidates, the issue of regionalism and kickbacks, capacity building and empowerment and role played by the Departmental Officials. By conducting this study, we hope that the findings might contribute in identifying the disjuncture between the policy and the practice in issues pertaining to educator recruitment, selection and transfers. , Thesis (MMED) -- Faculty of Educational Sciences, 2011
- Full Text:
- Date Issued: 2011
A decision-making model to guide securing blockchain deployments
- Authors: Cronje, Gerhard Roets
- Date: 2021-10-29
- Subjects: Blockchains (Databases) , Bitcoin , Cryptocurrencies , Distributed databases , Computer networks Security measures , Computer networks Security measures Decision making , Ethereum
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/10962/188865 , vital:44793
- Description: Satoshi Nakamoto, the pseudo-identity accredit with the paper that sparked the implementation of Bitcoin, is famously quoted as remarking, electronically of course, that “If you don’t believe it or don’t get it, I don’t have time to try and convince you, sorry” (Tsapis, 2019, p. 1). What is noticeable, 12 years after the famed Satoshi paper that initiated Bitcoin (Nakamoto, 2008), is that blockchain at the very least has staying power and potentially wide application. A lesser known figure Marc Kenisberg, founder of Bitcoin Chaser which is one of the many companies formed around the Bitcoin ecosystem, summarised it well saying “…Blockchain is the tech - Bitcoin is merely the first mainstream manifestation of its potential” (Tsapis, 2019, p. 1). With blockchain still trying to reach its potential and still maturing on its way towards a mainstream technology the main question that arises for security professionals is how do I ensure we do it securely? This research seeks to address that question by proposing a decision-making model that can be used by a security professional to guide them through ensuring appropriate security for blockchain deployments. This research is certainly not the first attempt at discussing the security of the blockchain and will not be the last, as the technology around blockchain and distributed ledger technology is still rapidly evolving. What this research does try to achieve is not to delve into extremely specific areas of blockchain security, or get bogged down in technical details, but to provide a reference framework that aims to cover all the major areas to be considered. The approach followed was to review the literature regarding blockchain and to identify the main security areas to be addressed. It then proposes a decision-making model and tests the model against a fictitious but relevant real-world example. It concludes with learnings from this research. The reader can be the judge, but the model aims to be a practical valuable resource to be used by any security professional, to navigate the security aspects logically and understandably when being involved in a blockchain deployment. In contrast to the Satoshi quote, this research tries to convince the reader and assist him/her in understanding the security choices related to every blockchain deployment. , Thesis (MSc) -- Faculty of Science, Computer Science, 2021
- Full Text:
- Date Issued: 2021-10-29
- Authors: Cronje, Gerhard Roets
- Date: 2021-10-29
- Subjects: Blockchains (Databases) , Bitcoin , Cryptocurrencies , Distributed databases , Computer networks Security measures , Computer networks Security measures Decision making , Ethereum
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/10962/188865 , vital:44793
- Description: Satoshi Nakamoto, the pseudo-identity accredit with the paper that sparked the implementation of Bitcoin, is famously quoted as remarking, electronically of course, that “If you don’t believe it or don’t get it, I don’t have time to try and convince you, sorry” (Tsapis, 2019, p. 1). What is noticeable, 12 years after the famed Satoshi paper that initiated Bitcoin (Nakamoto, 2008), is that blockchain at the very least has staying power and potentially wide application. A lesser known figure Marc Kenisberg, founder of Bitcoin Chaser which is one of the many companies formed around the Bitcoin ecosystem, summarised it well saying “…Blockchain is the tech - Bitcoin is merely the first mainstream manifestation of its potential” (Tsapis, 2019, p. 1). With blockchain still trying to reach its potential and still maturing on its way towards a mainstream technology the main question that arises for security professionals is how do I ensure we do it securely? This research seeks to address that question by proposing a decision-making model that can be used by a security professional to guide them through ensuring appropriate security for blockchain deployments. This research is certainly not the first attempt at discussing the security of the blockchain and will not be the last, as the technology around blockchain and distributed ledger technology is still rapidly evolving. What this research does try to achieve is not to delve into extremely specific areas of blockchain security, or get bogged down in technical details, but to provide a reference framework that aims to cover all the major areas to be considered. The approach followed was to review the literature regarding blockchain and to identify the main security areas to be addressed. It then proposes a decision-making model and tests the model against a fictitious but relevant real-world example. It concludes with learnings from this research. The reader can be the judge, but the model aims to be a practical valuable resource to be used by any security professional, to navigate the security aspects logically and understandably when being involved in a blockchain deployment. In contrast to the Satoshi quote, this research tries to convince the reader and assist him/her in understanding the security choices related to every blockchain deployment. , Thesis (MSc) -- Faculty of Science, Computer Science, 2021
- Full Text:
- Date Issued: 2021-10-29
A delphi study tp build consensus on the ultrasound skills required for effective healthcare service delivery at distict hospitals in South Africa
- Authors: Mans, Pierre Andre
- Date: 2023-07
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12923 , vital:76178
- Description: ABSTRACT Background: Despite increased access to ultrasound machines across the country, there are no guidelines on the required competency level in point of care ultrasound (POCUS) for medical doctors working in district hospitals in South Africa. Through a Delphi process involving nominated experts across the country, this study aimed to develop and achieve expert consensus on the POCUS skillsets required for medical doctors working at district hospitals in South Africa. Methods: A Delphi method of consensus development was performed, comprising several iterative rounds of skillset selection that continued until consensus was achieved on all items. We started this process using the existing American Academy of Family Physicians’ ultrasound curriculum (93 skillsets) as the starting point in the questionnaire. Experts were drawn from across the country; two from district hospitals in each province and two from each academic Family Medicine Department (N=36). In each iterative round, participants were asked to identify which POCUS skillsets were essential, optional (region specific) or non-essential for South African district hospitals. Results: Overall, five iterative rounds were required before consensus was attained on all skillsets (>70% agreement among the experts). In the first round, consensus was reached on 14 skillsets, followed by 21 skillsets in the second and third rounds. In the fourth round, consensus was reached on 26 skillsets, and in the fifth and final round, consensus was reached on the remaining eight skillsets. Of the starting 93 skillsets, three skillsets could not achieve consensus , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-07
- Authors: Mans, Pierre Andre
- Date: 2023-07
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12923 , vital:76178
- Description: ABSTRACT Background: Despite increased access to ultrasound machines across the country, there are no guidelines on the required competency level in point of care ultrasound (POCUS) for medical doctors working in district hospitals in South Africa. Through a Delphi process involving nominated experts across the country, this study aimed to develop and achieve expert consensus on the POCUS skillsets required for medical doctors working at district hospitals in South Africa. Methods: A Delphi method of consensus development was performed, comprising several iterative rounds of skillset selection that continued until consensus was achieved on all items. We started this process using the existing American Academy of Family Physicians’ ultrasound curriculum (93 skillsets) as the starting point in the questionnaire. Experts were drawn from across the country; two from district hospitals in each province and two from each academic Family Medicine Department (N=36). In each iterative round, participants were asked to identify which POCUS skillsets were essential, optional (region specific) or non-essential for South African district hospitals. Results: Overall, five iterative rounds were required before consensus was attained on all skillsets (>70% agreement among the experts). In the first round, consensus was reached on 14 skillsets, followed by 21 skillsets in the second and third rounds. In the fourth round, consensus was reached on 26 skillsets, and in the fifth and final round, consensus was reached on the remaining eight skillsets. Of the starting 93 skillsets, three skillsets could not achieve consensus , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-07
A Facile Effective Method for the Synthesis of Au-Cdse Nanostructures and their Characterisations.
- Authors: Gaxela, Nelisa Ncumisa
- Date: 2016-5
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3238 , vital:43198
- Description: ABSTRACT We report the synthesis of aqueous and organically soluble cadmium selenide (CdSe) nanoparticles (NPs) doped with gold via a facile and effective method. Briefly the synthesis involves the reduction of selenium powder using sodium sulphite to produce sodium selenosulphate which acts as the selenium source, followed by the addition of CdX (X = Cl2, CH3COO, NO3). The nanoparticles were passivated with trisodium citrate, mercaptopropanoic acid (MPA), potassium sodium tartarate (PST) and L-cysteine which rendered them soluble in water and also acted as stabilizing agents, while passivation with hexadecylamine (HDA) made them soluble in organic solvent which also enhanced their stability. The high quality of the as-synthesized nanoparticles was confirmed using absorption and photoluminescence (PL) spectroscopy, Fourier transform infrared spectroscopy (FTIR), transmission electron microscopy (TEM) and high resolution TEM (HRTEM). The systematic study of the effect of mole ratio, temperature, capping agent, growth time, cadmium precursor and ratio of Au on the size, optical and structural properties on the water soluble CdSe nanoparticles were investigated. All the as-synthesised particles, are blue-shifted in relation to the bulk band gap of CdSe. As the Cd: Se mole ratio increases, the intensity of the citrate capped CdSe materials also increases and the particle sizes are in the range of 2.06 – 4.00 nm. When the temperature was increased, the luminescence intensity quenched whereas the particle size increased. As the growth time increased, the intensity increased and then decreased again towards the end of the reaction. When different capping agents were used the particle sizes range from 2.06 – 3.36 nm for citrate, 2.08 – 3.33 nm for MPA, 2.01 – 2.28 nm for L-cysteine and polydispersed for PST. The luminescence intensity decreased in the order citrate > cysteine > PST > MPA when CdCl2 was used as cadmium precursor. When different cadmium precursors were used for L-cysteine, the particle sizes range from 2.06 – 2.31 nm for Cd(CH3COO)2 and 2.00 – 2.37 nm for Cd(NO3)2 while the intensity increased as the reaction time increased, however, still lower than the CdCl2 materials. The effect of Au ratio showed that the intensity of Au-doped cysteine capped-CdSe increased as the Au ratio decreased. The systematic study of the effect of temperature and growth time in the organic soluble CdSe nanoparticles on the size, optical and structural properties was also investigated. All the as-synthesised particles were blue-shifted in relation to the bulk CdSe. As the temperature increased the particle sizes of the undoped materials range between 2.92 – 2.95 nm at 160 °C and 5.35 – 5.39 nm at 200 °C while for the doped materials the particle size range from 2.53 – 2.61 nm at 160 °C, 3.97 nm at 200 °C and 4.20 – 4.72 nm at 240 °C. The intensity of the doped materials increased as the reaction time increased and then decreased again towards the end of the reaction. After ligand exchange the intensity of the as-synthesized doped and undoped-CdSe NPs was very low compare to the parent organically capped doped and un-doped CdSe. It was discovered that without any further purification, the quality of the materials formed by this method is comparable to that of the best CdSe NPs reported in the literature. This method is safe, inexpensive and reproducible. , Thesis (MsC Chemistry) -- Faculty of Natural Sciences, 2019
- Full Text:
- Date Issued: 2016-5
- Authors: Gaxela, Nelisa Ncumisa
- Date: 2016-5
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3238 , vital:43198
- Description: ABSTRACT We report the synthesis of aqueous and organically soluble cadmium selenide (CdSe) nanoparticles (NPs) doped with gold via a facile and effective method. Briefly the synthesis involves the reduction of selenium powder using sodium sulphite to produce sodium selenosulphate which acts as the selenium source, followed by the addition of CdX (X = Cl2, CH3COO, NO3). The nanoparticles were passivated with trisodium citrate, mercaptopropanoic acid (MPA), potassium sodium tartarate (PST) and L-cysteine which rendered them soluble in water and also acted as stabilizing agents, while passivation with hexadecylamine (HDA) made them soluble in organic solvent which also enhanced their stability. The high quality of the as-synthesized nanoparticles was confirmed using absorption and photoluminescence (PL) spectroscopy, Fourier transform infrared spectroscopy (FTIR), transmission electron microscopy (TEM) and high resolution TEM (HRTEM). The systematic study of the effect of mole ratio, temperature, capping agent, growth time, cadmium precursor and ratio of Au on the size, optical and structural properties on the water soluble CdSe nanoparticles were investigated. All the as-synthesised particles, are blue-shifted in relation to the bulk band gap of CdSe. As the Cd: Se mole ratio increases, the intensity of the citrate capped CdSe materials also increases and the particle sizes are in the range of 2.06 – 4.00 nm. When the temperature was increased, the luminescence intensity quenched whereas the particle size increased. As the growth time increased, the intensity increased and then decreased again towards the end of the reaction. When different capping agents were used the particle sizes range from 2.06 – 3.36 nm for citrate, 2.08 – 3.33 nm for MPA, 2.01 – 2.28 nm for L-cysteine and polydispersed for PST. The luminescence intensity decreased in the order citrate > cysteine > PST > MPA when CdCl2 was used as cadmium precursor. When different cadmium precursors were used for L-cysteine, the particle sizes range from 2.06 – 2.31 nm for Cd(CH3COO)2 and 2.00 – 2.37 nm for Cd(NO3)2 while the intensity increased as the reaction time increased, however, still lower than the CdCl2 materials. The effect of Au ratio showed that the intensity of Au-doped cysteine capped-CdSe increased as the Au ratio decreased. The systematic study of the effect of temperature and growth time in the organic soluble CdSe nanoparticles on the size, optical and structural properties was also investigated. All the as-synthesised particles were blue-shifted in relation to the bulk CdSe. As the temperature increased the particle sizes of the undoped materials range between 2.92 – 2.95 nm at 160 °C and 5.35 – 5.39 nm at 200 °C while for the doped materials the particle size range from 2.53 – 2.61 nm at 160 °C, 3.97 nm at 200 °C and 4.20 – 4.72 nm at 240 °C. The intensity of the doped materials increased as the reaction time increased and then decreased again towards the end of the reaction. After ligand exchange the intensity of the as-synthesized doped and undoped-CdSe NPs was very low compare to the parent organically capped doped and un-doped CdSe. It was discovered that without any further purification, the quality of the materials formed by this method is comparable to that of the best CdSe NPs reported in the literature. This method is safe, inexpensive and reproducible. , Thesis (MsC Chemistry) -- Faculty of Natural Sciences, 2019
- Full Text:
- Date Issued: 2016-5
A single centre study evaluating adherence to methotrexate monitoringguidelinesin patients with rheumatoid arthritis
- Authors: Genevieve, Olivier
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9690 , vital:74612
- Description: Introduction: Methotrexate (MTX) is considered a first-line agent for the treatment of rheumatoid arthritis (RA) and regular blood test monitoring is advised in treatment guidelines to identify potential toxicity. Failure to adhere to monitoring guidelines for methotrexate use may compromise patient care. Identifying and correcting variability in care may optimise the safe use of this medication and improve patient outcomes. Aims: This study aimed to evaluate adherence to guidelines on methotrexate safety monitoring in rheumatoid arthritis patients at an Eastern Cape hospital and to establish whether a dedicated rheumatology outpatient department (OPD) performs this task more effectively than a general medical outpatient department (MOPD). Method: This retrospective cross-sectional single-centre study was conducted at Frere Hospital in the Eastern Cape over one year from 1 January 2019 to 31 December 2019. Adult patients over the age of 18 years who received methotrexate for rheumatoid arthritis during the study period and attended either the rheumatology OPD or the MOPD at Frere Hospital were included in the study population. Permission to undertake this study was obtained through the Faculty of Health Sciences Research Ethics and Bio-safety Committee at Walter Sisulu University and the Cecilia Makiwane and Frere Hospitals Research and Ethics Committee. The random sample generator tool on Microsoft Excel was used to select patients from the Frere Hospital Pharmacy Database who was prescribed methotrexate for rheumatoid arthritis. Laboratory test results were accessed through the Labtrak system of the National Health Laboratory Service (NHLS). The number and type of blood test done as recommended in a South African Methotrexate use guideline by Hodkinson et al, was documented on a data collecting sheet. Two or more blood tests done within a three-to six month period was considered adherent to the guideline. The hospital management system version two (HMS2) was used to see which clinic the patient attended. iii Results: There was 53% adherence (95% Confidence Interval 42-65%) overall to guideline. In the study sample, 64% of patients were from Rheumatology OPD and the remainder were from MOPD. There was 78% (95% CI 62-89%) adherence in the Rheumatology OPD compared to 22% (95% CI 11-38%) in MOPD. No significant association was found between the number of FBC tests and the site of testing (p-value = 0.346) or for Creatinine tests (p-value = 0.078). However, a significant association was found with ALT tests and the site of testing (MOPD or rheumatology OPD) with p-value = 0.010, although this is likely a chance finding. Conclusion: Adherence to a South African guideline for methotrexate safety monitoring was found to be suboptimal at the study centre. Adherence was better in the dedicated Rheumatology OPD compared to a general medical OPD. Education regarding the correct use of guidelines in different health settings by medical professionals is advised. , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
- Authors: Genevieve, Olivier
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9690 , vital:74612
- Description: Introduction: Methotrexate (MTX) is considered a first-line agent for the treatment of rheumatoid arthritis (RA) and regular blood test monitoring is advised in treatment guidelines to identify potential toxicity. Failure to adhere to monitoring guidelines for methotrexate use may compromise patient care. Identifying and correcting variability in care may optimise the safe use of this medication and improve patient outcomes. Aims: This study aimed to evaluate adherence to guidelines on methotrexate safety monitoring in rheumatoid arthritis patients at an Eastern Cape hospital and to establish whether a dedicated rheumatology outpatient department (OPD) performs this task more effectively than a general medical outpatient department (MOPD). Method: This retrospective cross-sectional single-centre study was conducted at Frere Hospital in the Eastern Cape over one year from 1 January 2019 to 31 December 2019. Adult patients over the age of 18 years who received methotrexate for rheumatoid arthritis during the study period and attended either the rheumatology OPD or the MOPD at Frere Hospital were included in the study population. Permission to undertake this study was obtained through the Faculty of Health Sciences Research Ethics and Bio-safety Committee at Walter Sisulu University and the Cecilia Makiwane and Frere Hospitals Research and Ethics Committee. The random sample generator tool on Microsoft Excel was used to select patients from the Frere Hospital Pharmacy Database who was prescribed methotrexate for rheumatoid arthritis. Laboratory test results were accessed through the Labtrak system of the National Health Laboratory Service (NHLS). The number and type of blood test done as recommended in a South African Methotrexate use guideline by Hodkinson et al, was documented on a data collecting sheet. Two or more blood tests done within a three-to six month period was considered adherent to the guideline. The hospital management system version two (HMS2) was used to see which clinic the patient attended. iii Results: There was 53% adherence (95% Confidence Interval 42-65%) overall to guideline. In the study sample, 64% of patients were from Rheumatology OPD and the remainder were from MOPD. There was 78% (95% CI 62-89%) adherence in the Rheumatology OPD compared to 22% (95% CI 11-38%) in MOPD. No significant association was found between the number of FBC tests and the site of testing (p-value = 0.346) or for Creatinine tests (p-value = 0.078). However, a significant association was found with ALT tests and the site of testing (MOPD or rheumatology OPD) with p-value = 0.010, although this is likely a chance finding. Conclusion: Adherence to a South African guideline for methotrexate safety monitoring was found to be suboptimal at the study centre. Adherence was better in the dedicated Rheumatology OPD compared to a general medical OPD. Education regarding the correct use of guidelines in different health settings by medical professionals is advised. , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
An audit of patients with new onset stroke and associated barriers to thrombolysis of hyperacute strokesat a tertiary level hospital in the Eastern Cape
- Authors: Pasio, Roswyn Claire
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9891 , vital:74639
- Description: Globally and in South Africa stroke is a leading cause of morbidity and mortality. In 2006, the Joint World Congress of Stroke declared stroke a ‘catastrophic illness’ in South Africa. This declaration aims to focus the attention of policymakers on the impact of stroke and engage with them to intervene. Local stroke data is needed to make informed and relevant policy changes. Data is also required to start multi-level initiatives regarding stroke prevention and care. This study aims to analyse the demographic profile of stroke and assess the quality of stroke care using time-based performance measures at Livingstone Tertiary Hospital in the Eastern Cape. Methodology The study is a descriptive, retrospective chart review of patients presenting with an acute stroke to Livingstone Tertiary Hospital Emergency Department over a 12 month period. Demographic data, stroke risk factors, patient comorbidities and mode of transport were collated and analysed. Time parameters were used to ascertain delays within the stroke care pathway of patients and factors precluding patients from thrombolysis were identified. Results The study included 403 eligible patients, 54% of the patients of whom were female. The majority of those were of Mixed-race ethnicity (49%) and aged between 50 and 79 years. Hypertension (71%) was the most common comorbidity followed by smoking (31%) and diabetes mellitus (24%). The median time from onset of symptoms to presentation to hospital was 12 hours 23 minutes (I.Q 20hrs 34min). The average time from arrival to being III seen by a doctor was 1 hour 57 minutes (I.Q 1hr 59min) and the time from arrival to radiological imaging was 17 hours 6 minutes (I.Q. 8hrs 28min). 375 patients had radiological imaging, 58% (n=217) had evidence of an ischaemic stroke compared to 21% (n=80) who had signs of an intracranial haemorrhage. Of the study cohort, 99 (25%) of all stroke patients presented within the 4.5hr thrombolytic window, 68 (32%) of which were ischaemic strokes. However, in-hospital time delays precluded 35% of these patients from thrombolysis. A further 33% of patients had other contraindications to thrombolysis and 32% were not offered thrombolysis based on the clinical discretion of the doctor. Conclusion This study highlights the burden of stroke within Port Elizabeth, located in the Western Region of the Eastern Cape. Risk factor modification and disease control is imperative in reducing the prevalence and impact of stroke. The major precluding factor in stroke patients not being offered thrombolysis is a delay in arrival to hospital. Public education and awareness initiatives need to focus on addressing this issue. The clinical discretion of the treating physician significantly influences the decision to thrombolyse patients with an acute stroke. In-service training can address physicians’ perceptions regarding the benefits of thrombolysis as a treatment option. , Thesis (Masters) -- Faculty of Medicine and Health Sciences in brach of emergency medicine, 2023
- Full Text:
- Date Issued: 2023-00
- Authors: Pasio, Roswyn Claire
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9891 , vital:74639
- Description: Globally and in South Africa stroke is a leading cause of morbidity and mortality. In 2006, the Joint World Congress of Stroke declared stroke a ‘catastrophic illness’ in South Africa. This declaration aims to focus the attention of policymakers on the impact of stroke and engage with them to intervene. Local stroke data is needed to make informed and relevant policy changes. Data is also required to start multi-level initiatives regarding stroke prevention and care. This study aims to analyse the demographic profile of stroke and assess the quality of stroke care using time-based performance measures at Livingstone Tertiary Hospital in the Eastern Cape. Methodology The study is a descriptive, retrospective chart review of patients presenting with an acute stroke to Livingstone Tertiary Hospital Emergency Department over a 12 month period. Demographic data, stroke risk factors, patient comorbidities and mode of transport were collated and analysed. Time parameters were used to ascertain delays within the stroke care pathway of patients and factors precluding patients from thrombolysis were identified. Results The study included 403 eligible patients, 54% of the patients of whom were female. The majority of those were of Mixed-race ethnicity (49%) and aged between 50 and 79 years. Hypertension (71%) was the most common comorbidity followed by smoking (31%) and diabetes mellitus (24%). The median time from onset of symptoms to presentation to hospital was 12 hours 23 minutes (I.Q 20hrs 34min). The average time from arrival to being III seen by a doctor was 1 hour 57 minutes (I.Q 1hr 59min) and the time from arrival to radiological imaging was 17 hours 6 minutes (I.Q. 8hrs 28min). 375 patients had radiological imaging, 58% (n=217) had evidence of an ischaemic stroke compared to 21% (n=80) who had signs of an intracranial haemorrhage. Of the study cohort, 99 (25%) of all stroke patients presented within the 4.5hr thrombolytic window, 68 (32%) of which were ischaemic strokes. However, in-hospital time delays precluded 35% of these patients from thrombolysis. A further 33% of patients had other contraindications to thrombolysis and 32% were not offered thrombolysis based on the clinical discretion of the doctor. Conclusion This study highlights the burden of stroke within Port Elizabeth, located in the Western Region of the Eastern Cape. Risk factor modification and disease control is imperative in reducing the prevalence and impact of stroke. The major precluding factor in stroke patients not being offered thrombolysis is a delay in arrival to hospital. Public education and awareness initiatives need to focus on addressing this issue. The clinical discretion of the treating physician significantly influences the decision to thrombolyse patients with an acute stroke. In-service training can address physicians’ perceptions regarding the benefits of thrombolysis as a treatment option. , Thesis (Masters) -- Faculty of Medicine and Health Sciences in brach of emergency medicine, 2023
- Full Text:
- Date Issued: 2023-00
An evaluation of the mechanical, engineering and retails service and training authority staff development project at an Eastern Cape University
- Authors: Masha, Anthony Nkambi
- Date: 2022-00
- Subjects: Evaluation and Training
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10691 , vital:75213
- Description: Higher Education (HE) has undergone significant changes in recent decades, necessitating the adaptation of Higher Education Institutions (HEIs) to focus on teaching, supporting, and academically developing academic staff. In Africa, some HEIs have requested their staff to obtain certain postgraduate qualifications, as research achievements lead to academic promotion. The MerSETA Staff Development Project was established to train lecturers in the Engineering Department to upgrade their qualifications to the doctorate level and to increase their research skills. This study aimed to evaluate the project's success using project management methodology. A mixed methods approach was used, with a qualitative and quantitative phase. Data was collected through focus group interviews (FGIs) and closed-ended questionnaires. A purposive sampling technique was used in the qualitative phase, while census sampling was used in the quantitative phase. Qualitative data analysis was primarily inductive, with interpretive data analysis techniques (IPA) used to discuss findings with existing literature. Statistical techniques were used in the quantitative phase, with Structural Equation Modelling (SEM) tested. Descriptive statistics were used to describe the features and summaries of the study's sample or data set. Regression analysis was used to test the research hypotheses and establish the relationship between variables under investigation. The study employed appropriate Cronbach alpha formulae to determine a co-efficient above 0.70. The results of this study indicate that the MerSETA Project successfully developed its beneficiaries academically at Walter Sisulu University. However, there are limitations to the study, such as the cross-sectional study design, which cannot reflect changes in variables over time. Further research is required to study the relationships between variables over time using a longitudinal study design. The MerSETA Project demonstrated the importance of understanding project life cycles, knowledge areas, and monitoring and evaluation techniques in managing projects like the MerSETA Project. To enhance causality, further research is needed to study relationships between variables over time using a longitudinal study design. The MerSETA Project, a successful project, requires an understanding of the project life cycle, management knowledge areas, and monitoring and evaluation techniques. The study's findings concluded that the project was a success. , Thesis (Masters) -- Faculty of Education, 2022
- Full Text:
- Date Issued: 2022-00
- Authors: Masha, Anthony Nkambi
- Date: 2022-00
- Subjects: Evaluation and Training
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10691 , vital:75213
- Description: Higher Education (HE) has undergone significant changes in recent decades, necessitating the adaptation of Higher Education Institutions (HEIs) to focus on teaching, supporting, and academically developing academic staff. In Africa, some HEIs have requested their staff to obtain certain postgraduate qualifications, as research achievements lead to academic promotion. The MerSETA Staff Development Project was established to train lecturers in the Engineering Department to upgrade their qualifications to the doctorate level and to increase their research skills. This study aimed to evaluate the project's success using project management methodology. A mixed methods approach was used, with a qualitative and quantitative phase. Data was collected through focus group interviews (FGIs) and closed-ended questionnaires. A purposive sampling technique was used in the qualitative phase, while census sampling was used in the quantitative phase. Qualitative data analysis was primarily inductive, with interpretive data analysis techniques (IPA) used to discuss findings with existing literature. Statistical techniques were used in the quantitative phase, with Structural Equation Modelling (SEM) tested. Descriptive statistics were used to describe the features and summaries of the study's sample or data set. Regression analysis was used to test the research hypotheses and establish the relationship between variables under investigation. The study employed appropriate Cronbach alpha formulae to determine a co-efficient above 0.70. The results of this study indicate that the MerSETA Project successfully developed its beneficiaries academically at Walter Sisulu University. However, there are limitations to the study, such as the cross-sectional study design, which cannot reflect changes in variables over time. Further research is required to study the relationships between variables over time using a longitudinal study design. The MerSETA Project demonstrated the importance of understanding project life cycles, knowledge areas, and monitoring and evaluation techniques in managing projects like the MerSETA Project. To enhance causality, further research is needed to study relationships between variables over time using a longitudinal study design. The MerSETA Project, a successful project, requires an understanding of the project life cycle, management knowledge areas, and monitoring and evaluation techniques. The study's findings concluded that the project was a success. , Thesis (Masters) -- Faculty of Education, 2022
- Full Text:
- Date Issued: 2022-00
An interpretive analysis of the experiences of adults working as university support staff
- Authors: Zini, Thembela Nomonde
- Date: 2021-10-29
- Subjects: Universities and colleges South Africa , Universities and colleges Employees , Universities and colleges Sociological aspects , Identity (Psychology) , Identity (Psychology) Social aspects , Work Psychological aspects , Work Social aspects , Interpretive Phenomenological Analysis (IPA)
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/10962/188888 , vital:44795
- Description: Work means different things to different people and the different meanings they make of their work has the unique ability of contributing to a sense of identity. Support staff have to negotiate their personal identities and social identities to develop a work identity in the complex South African context that has its unique challenges. Exploring how support staff make sense of their experiences, when it comes to their identities, reveals what identity work strategies they use. An interpretative phenomenological method of inquiry was employed as an initial research method to explore the aspects that impact on the identity formation of support staff at Rhodes University. The study aims to investigate how support staff have constructed a work identity through their constructions of their experiences. Six participants were recruited through a purposive sampling method and data were collected using semi-structured interviews. The study revealed that support staff use the following identity work strategies to negotiate their identities: Financial, Personality, Career mobility, Roles, Status and Esteem, Subjective wellbeing. These themes were derived from the narratives of the participants, using the emphases in the data and suggest that support staff use identity work strategies both outside and within the workplace, when constructing their work identities. The study illustrates that as people ascribe different meanings to work, they will define and negotiate their identities in the workplace based upon those meanings. Identity work is indeed challenging for support staff because they need to use identity strategies that are enhancing to their self-esteem. Identity work is a challenging task because of the many tensions and demands of modern society, as adults negotiate their needs to provide for families and to find ways to construct their job status in positive ways. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
- Authors: Zini, Thembela Nomonde
- Date: 2021-10-29
- Subjects: Universities and colleges South Africa , Universities and colleges Employees , Universities and colleges Sociological aspects , Identity (Psychology) , Identity (Psychology) Social aspects , Work Psychological aspects , Work Social aspects , Interpretive Phenomenological Analysis (IPA)
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/10962/188888 , vital:44795
- Description: Work means different things to different people and the different meanings they make of their work has the unique ability of contributing to a sense of identity. Support staff have to negotiate their personal identities and social identities to develop a work identity in the complex South African context that has its unique challenges. Exploring how support staff make sense of their experiences, when it comes to their identities, reveals what identity work strategies they use. An interpretative phenomenological method of inquiry was employed as an initial research method to explore the aspects that impact on the identity formation of support staff at Rhodes University. The study aims to investigate how support staff have constructed a work identity through their constructions of their experiences. Six participants were recruited through a purposive sampling method and data were collected using semi-structured interviews. The study revealed that support staff use the following identity work strategies to negotiate their identities: Financial, Personality, Career mobility, Roles, Status and Esteem, Subjective wellbeing. These themes were derived from the narratives of the participants, using the emphases in the data and suggest that support staff use identity work strategies both outside and within the workplace, when constructing their work identities. The study illustrates that as people ascribe different meanings to work, they will define and negotiate their identities in the workplace based upon those meanings. Identity work is indeed challenging for support staff because they need to use identity strategies that are enhancing to their self-esteem. Identity work is a challenging task because of the many tensions and demands of modern society, as adults negotiate their needs to provide for families and to find ways to construct their job status in positive ways. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
An Investigation into the Management of Efficient Reading of Learners in Nelson Mandela Schools
- Nomajoko, Nothenjana Albertina
- Authors: Nomajoko, Nothenjana Albertina
- Date: 2012
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/2952 , vital:43096
- Description: Reading has become centre of debate amongst teachers, principals, parents, departmental officials and the entire community of South Africa who are interested in education. Public concern over the teaching of reading has mounted in response to inflammatory statements and articles in popular media across the world. According to a statement in South African teachers’ newsletter about 35% of the children in public schools of this country were reported to have reading difficulties. Even the South African Minister for Basic Education, Angie Motshega, in her public statement on grade 12 results in 2010, mentioned reading as the major problem leading to high failure rate. Being a language teacher the researcher in this study believes every learner can read and write on completion of Foundation Phase Level in our schools and that every teacher can help learners with reading and writing difficulties. This study aims to identify the strategies that help teachers to be able to teach reading effectively and efficiently. This study will be of great value to the society at large. Teachers will benefit from this study as various teaching strategies to teach reading will be exposed. The main focus of this study was to explore the factors contributing towards efficient, effective and successful reading of learners in a well-resourced classroom and well equipped teacher. Foundation Phase is where learners acquire the most important skills for lifelong learning. The reading program is a necessity for every public school. A qualitative investigation was undertaken with the purpose to expose the strategies that help teachers in Nelson Mandela Schools (NMS). The study was undertaken in two schools that are in the reading program under the Nelson Mandela Institute (NMI) . The schools were conveniently sampled as the researcher is in one of the schools, so as to obtain easy access. The principals of the two schools and the Foundation Phase teachers were identified as the participants since the program is focusing mainly in the phase. Qualitative data were collected through questionnaires and semi-structured interviews. The outcomes pointed out that parental involvement in their children’s learning is seen as a major contributing factor in learners reading and writing efficiency. The well resourced classrooms and well equipped teachers are also contributing. , Thesis (MMED) -- Faculty of Educational Sciences, 2012
- Full Text:
- Date Issued: 2012
- Authors: Nomajoko, Nothenjana Albertina
- Date: 2012
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/2952 , vital:43096
- Description: Reading has become centre of debate amongst teachers, principals, parents, departmental officials and the entire community of South Africa who are interested in education. Public concern over the teaching of reading has mounted in response to inflammatory statements and articles in popular media across the world. According to a statement in South African teachers’ newsletter about 35% of the children in public schools of this country were reported to have reading difficulties. Even the South African Minister for Basic Education, Angie Motshega, in her public statement on grade 12 results in 2010, mentioned reading as the major problem leading to high failure rate. Being a language teacher the researcher in this study believes every learner can read and write on completion of Foundation Phase Level in our schools and that every teacher can help learners with reading and writing difficulties. This study aims to identify the strategies that help teachers to be able to teach reading effectively and efficiently. This study will be of great value to the society at large. Teachers will benefit from this study as various teaching strategies to teach reading will be exposed. The main focus of this study was to explore the factors contributing towards efficient, effective and successful reading of learners in a well-resourced classroom and well equipped teacher. Foundation Phase is where learners acquire the most important skills for lifelong learning. The reading program is a necessity for every public school. A qualitative investigation was undertaken with the purpose to expose the strategies that help teachers in Nelson Mandela Schools (NMS). The study was undertaken in two schools that are in the reading program under the Nelson Mandela Institute (NMI) . The schools were conveniently sampled as the researcher is in one of the schools, so as to obtain easy access. The principals of the two schools and the Foundation Phase teachers were identified as the participants since the program is focusing mainly in the phase. Qualitative data were collected through questionnaires and semi-structured interviews. The outcomes pointed out that parental involvement in their children’s learning is seen as a major contributing factor in learners reading and writing efficiency. The well resourced classrooms and well equipped teachers are also contributing. , Thesis (MMED) -- Faculty of Educational Sciences, 2012
- Full Text:
- Date Issued: 2012
An Investigation on the Clinical Experiences of Newly Qualified Professional Nurses in Hospital Facilities of the Alfred Nzo District Municipality in the Eastern Cape
- Authors: Hloba, Siyathemba Prince
- Date: 2021-00
- Subjects: Nurse practitioners
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7942 , vital:55856
- Description: The study aimed to explore and describe the clinical experiences of newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. The newly qualified professional nurses may face difficulties in the hospital facilities when it comes to the execution of duties. The newly qualified professional nurses are expected to display knowledge, skills and to have a positive effect on patients, the relatives of patients and their colleagues to alleviate diseases. This challenge may create emotional distress if newly qualified professional nurses receive inadequate guidance from the senior staff members of the hospital facility. The objectives of this study were to explore and describe the clinical experiences of newly qualified professional nurses, to explore how the newly qualified professional nurses were affected emotionally by clinical experiences and to explore the support system to enhance the performance of the newly qualified professional nurses. A qualitative, explorative, descriptive and contextual design was used to explore and describe the experiences of the newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. A purposive sampling of newly qualified professional nurses, with less than two years of experience after completing the community service in the clinical practice, was used. The data were collected through face-to-face and semi-structured interviews. The interviews were conducted until the data were saturated. A pilot study was done before the main study to prove the adequacy and suitability of the methods to conduct the main study. The participants‟ interviews and results of the pilot study were incorporated into the interviews and results of the main study. Tesch‟s method of thematic analysis and an independent coder were used to analyse the data and to draw meaning from the content. The study used Guba and Lincoln‟s criteria of measures to ensure trustworthiness, which included credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with ethical principles, namely, respect for persons, beneficence, justice and autonomy. The key considerations to curb the spread of the Covid-19 pandemic, as stipulated by the World Health Organisation, were followed during the data collection. On data interpretation, three themes were developed with eight subthemes on the first theme, two subthemes on the second theme and three subthemes on the third theme. The research findings revealed that the participants experienced negative attitudes from colleagues and multidisciplinary team members. The shortage of staff and resources made participants feel ineffective in their work environment. Clinical exposure to different units and procedures in various units added value to the development of the participants. The recommendations were made with regards to three divisions. They were the hospital facilities‟ personnel, future nursing research personnel and nursing schools personnel. In hospital facilities, the recommendations included that all novice professional nurses should be made aware of the emotional impact at work. An annual plan for workshops and in-service training should be implemented. Professional counselling is required for the novice professionals who were exposed to Covid-19 isolation units. A need to increase staff coverage in the clinical units was identified as the workload is too big. Management is encouraged to be more sensitive about the newly employed nurses‟ challenges in their facilities and the most experienced nurses are encouraged to mentor and coach the novice nurses. In the future nursing research, recommendations included that more studies need to be conducted in South Africa and the Eastern Cape province to verify the findings of this research. A specific research study that will focus on the supportive needs of nurses in clinical facilities should be done institutionally to provide evidence-based practice. The research culture on the nurses‟ experiences in clinical facilities needs to become a norm. In nursing schools, the recommendations motivated that the nursing students should be exposed to all clinical units before completing the training xiv course. Further studies need to be conducted to evaluate the balance between theory and clinical learning on duly performance. The nursing education institutions should use quality improvement suggestion boxes for students to consider their experiences and opinions about their learning. Key words : clinical experiences, newly qualified professional nurses, Alfred Nzo district municipalities , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
- Authors: Hloba, Siyathemba Prince
- Date: 2021-00
- Subjects: Nurse practitioners
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/7942 , vital:55856
- Description: The study aimed to explore and describe the clinical experiences of newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. The newly qualified professional nurses may face difficulties in the hospital facilities when it comes to the execution of duties. The newly qualified professional nurses are expected to display knowledge, skills and to have a positive effect on patients, the relatives of patients and their colleagues to alleviate diseases. This challenge may create emotional distress if newly qualified professional nurses receive inadequate guidance from the senior staff members of the hospital facility. The objectives of this study were to explore and describe the clinical experiences of newly qualified professional nurses, to explore how the newly qualified professional nurses were affected emotionally by clinical experiences and to explore the support system to enhance the performance of the newly qualified professional nurses. A qualitative, explorative, descriptive and contextual design was used to explore and describe the experiences of the newly qualified professional nurses in hospital facilities of the Alfred Nzo District Municipality in the Eastern Cape. A purposive sampling of newly qualified professional nurses, with less than two years of experience after completing the community service in the clinical practice, was used. The data were collected through face-to-face and semi-structured interviews. The interviews were conducted until the data were saturated. A pilot study was done before the main study to prove the adequacy and suitability of the methods to conduct the main study. The participants‟ interviews and results of the pilot study were incorporated into the interviews and results of the main study. Tesch‟s method of thematic analysis and an independent coder were used to analyse the data and to draw meaning from the content. The study used Guba and Lincoln‟s criteria of measures to ensure trustworthiness, which included credibility, confirmability, dependability and transferability. Ethical standards were maintained throughout the study as the researcher complied with ethical principles, namely, respect for persons, beneficence, justice and autonomy. The key considerations to curb the spread of the Covid-19 pandemic, as stipulated by the World Health Organisation, were followed during the data collection. On data interpretation, three themes were developed with eight subthemes on the first theme, two subthemes on the second theme and three subthemes on the third theme. The research findings revealed that the participants experienced negative attitudes from colleagues and multidisciplinary team members. The shortage of staff and resources made participants feel ineffective in their work environment. Clinical exposure to different units and procedures in various units added value to the development of the participants. The recommendations were made with regards to three divisions. They were the hospital facilities‟ personnel, future nursing research personnel and nursing schools personnel. In hospital facilities, the recommendations included that all novice professional nurses should be made aware of the emotional impact at work. An annual plan for workshops and in-service training should be implemented. Professional counselling is required for the novice professionals who were exposed to Covid-19 isolation units. A need to increase staff coverage in the clinical units was identified as the workload is too big. Management is encouraged to be more sensitive about the newly employed nurses‟ challenges in their facilities and the most experienced nurses are encouraged to mentor and coach the novice nurses. In the future nursing research, recommendations included that more studies need to be conducted in South Africa and the Eastern Cape province to verify the findings of this research. A specific research study that will focus on the supportive needs of nurses in clinical facilities should be done institutionally to provide evidence-based practice. The research culture on the nurses‟ experiences in clinical facilities needs to become a norm. In nursing schools, the recommendations motivated that the nursing students should be exposed to all clinical units before completing the training xiv course. Further studies need to be conducted to evaluate the balance between theory and clinical learning on duly performance. The nursing education institutions should use quality improvement suggestion boxes for students to consider their experiences and opinions about their learning. Key words : clinical experiences, newly qualified professional nurses, Alfred Nzo district municipalities , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-00
Appraising the sustainability of groud water quantity and quality
- Authors: Mkosana, Kululwa
- Date: 2023-00
- Subjects: Geography
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9398 , vital:73516
- Description: South Africa is a semi-arid region that suffers from water scarcity. With a changing climate, incidents such as droughts and human migration will exacerbate the water scarcity already experienced. Thus, the assessment of groundwater quality and quantity is a major step toward ensuring a viable sustainable water argumentation for general use and to serve as one of the most basic needs of human beings. Hence, this study appraises the sustainability of groundwater resource availability and assesses its water quality at the King Sabatha Dalindyebo Local Municipality within the Mthatha River Catchment (MRC). The objectives were to: i) examine the extent of groundwater potential in the area ii) investigate the determinant factors that characterized the groundwater and surface water interaction and assess the impacts of climatic variables on yield iii) compare the physico-chemical and microbial concentration samples collected at different boreholes in the MRC with respect to South African and World Health Organization (WHO) standards and iv) develop the temporal variation trend in modeling the groundwater quality parameters. Using a systematic sampling method, a preliminary survey was carried out to identify the location and selection of the appropriate boreholes’ representation. Thereafter, reconnaissance map and characterisation of the 10 selected borehole's location was made to spatially represent the sites. The water samples were made thrice per site (totally 30 samples). The collected samples were transported to Talbot and Talbot Laboratory, where they were analysed for their physico-chemical and bacteriological parameters using established procedures. Other parameters such as depth of hole, water level, borehole yield, abstraction rate, the screen length, drawdown, morphometry, geological, land-use variables, were generated after rigorous geographical information system (GIS) analysis in QGIS environment and Excel in achieving the study aims. The Soil and Water Assessment Tool (SWAT) model was used for the estimation of the groundwater flow or baseflow drawing strength from the hydraulic conductivity of the aquifer flow (Ksat) (mm/day), sub-basin divide for the groundwater system to the main channel Lgw (m), and the water table height (m). Thereafter, the principal iv component analysis, multiple linear regression analysis, and correlation analysis were used to assess the controlling factors for the spatial variation of recharge in the watershed characteristics and assess the impacts of climatic variables on groundwater yield. The simulated results revealed a mean monthly water yield range of 2.7-14.8 m3/s for groundwater over the study years (2000-2019). The development of temporal variation trend modeling of the physico-chemical composition of the groundwater varied from one borehole to another despite their proximity, thus, making it difficult to generalise the water quality parameters fluctuation. The water quality results showed that the majority of the variables are not within acceptable standards. Ammonia and total coliform levels depict a range between 1.5 mg/l minimum to 10 mg/l maximum with to 1000 counts/mL for total coliform. Also, there was no clear relationship between the location of the boreholes and the borehole yield among the selected samples. However, there was a significant difference between the borehole yield and the risk description matrix for the various water quality parameters. Most of the borehole water quality depicts a non-health aesthetic, acute health, and disinfectant status for the area. Keywords: Water scarcity, groundwater, seasonal variability, aquifer scale , Thesis (Masters) -- Faculty of Natural Sciences, 2023
- Full Text:
- Date Issued: 2023-00
- Authors: Mkosana, Kululwa
- Date: 2023-00
- Subjects: Geography
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9398 , vital:73516
- Description: South Africa is a semi-arid region that suffers from water scarcity. With a changing climate, incidents such as droughts and human migration will exacerbate the water scarcity already experienced. Thus, the assessment of groundwater quality and quantity is a major step toward ensuring a viable sustainable water argumentation for general use and to serve as one of the most basic needs of human beings. Hence, this study appraises the sustainability of groundwater resource availability and assesses its water quality at the King Sabatha Dalindyebo Local Municipality within the Mthatha River Catchment (MRC). The objectives were to: i) examine the extent of groundwater potential in the area ii) investigate the determinant factors that characterized the groundwater and surface water interaction and assess the impacts of climatic variables on yield iii) compare the physico-chemical and microbial concentration samples collected at different boreholes in the MRC with respect to South African and World Health Organization (WHO) standards and iv) develop the temporal variation trend in modeling the groundwater quality parameters. Using a systematic sampling method, a preliminary survey was carried out to identify the location and selection of the appropriate boreholes’ representation. Thereafter, reconnaissance map and characterisation of the 10 selected borehole's location was made to spatially represent the sites. The water samples were made thrice per site (totally 30 samples). The collected samples were transported to Talbot and Talbot Laboratory, where they were analysed for their physico-chemical and bacteriological parameters using established procedures. Other parameters such as depth of hole, water level, borehole yield, abstraction rate, the screen length, drawdown, morphometry, geological, land-use variables, were generated after rigorous geographical information system (GIS) analysis in QGIS environment and Excel in achieving the study aims. The Soil and Water Assessment Tool (SWAT) model was used for the estimation of the groundwater flow or baseflow drawing strength from the hydraulic conductivity of the aquifer flow (Ksat) (mm/day), sub-basin divide for the groundwater system to the main channel Lgw (m), and the water table height (m). Thereafter, the principal iv component analysis, multiple linear regression analysis, and correlation analysis were used to assess the controlling factors for the spatial variation of recharge in the watershed characteristics and assess the impacts of climatic variables on groundwater yield. The simulated results revealed a mean monthly water yield range of 2.7-14.8 m3/s for groundwater over the study years (2000-2019). The development of temporal variation trend modeling of the physico-chemical composition of the groundwater varied from one borehole to another despite their proximity, thus, making it difficult to generalise the water quality parameters fluctuation. The water quality results showed that the majority of the variables are not within acceptable standards. Ammonia and total coliform levels depict a range between 1.5 mg/l minimum to 10 mg/l maximum with to 1000 counts/mL for total coliform. Also, there was no clear relationship between the location of the boreholes and the borehole yield among the selected samples. However, there was a significant difference between the borehole yield and the risk description matrix for the various water quality parameters. Most of the borehole water quality depicts a non-health aesthetic, acute health, and disinfectant status for the area. Keywords: Water scarcity, groundwater, seasonal variability, aquifer scale , Thesis (Masters) -- Faculty of Natural Sciences, 2023
- Full Text:
- Date Issued: 2023-00
Arterial stiffness in pregnant women with preeclampsia and HIV infection at Nelson Mandela Academic Hospital
- Authors: Flatela, Mlungisi
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9832 , vital:74631
- Description: Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
- Authors: Flatela, Mlungisi
- Date: 2023-00
- Subjects: Medicine
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9832 , vital:74631
- Description: Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
Assessing South African Medical Interns’ Experience and Confidence in Managing Obstetric Emergencies
- Authors: Miller, Andrew
- Date: 2021-02
- Subjects: Obstetrical emergencies
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6882 , vital:52352
- Description: Background: Medical doctors in South Africa are required to complete a two-year internship at training hospitals, including a four-month rotation in obstetrics and gynaecology. Following this, doctors are allocated to community service posts; many of which are at district and primary level facilities where supervision is limited. The latest triennial Saving Mothers Report identified district hospitals as the second leading site for maternal deaths of all causes. District hospital were also the leading site for maternal deaths secondary to obstetric haemorrhage and the most likely site for the lack of a skilled doctor to be identified as a factor in deaths associated with caesarean delivery. Methods: This cross-sectional descriptive study aimed to describe the self-perceived readiness of medical interns completing their training to independently manage obstetric emergencies, based on the ESMOE modules in the HPCSA internship logbook. The research assessed medical interns in the last three months of their training, using a self-administered online questionnaire, with data collection between October and December 2019. Cluster sampling of interns at training facilities throughout the country resulted in a total of 182 respondents from 17 hospitals in seven provinces in the country, with an overall response rate of 34.1%. Results: Most interns had experience with, and confidence in, the management of miscarriage and hypertension in pregnancy. However, gaps in labour ward management, pregnancy related sepsis and surgical skills were identified. Only 42.3% of respondents were confident in their ability to diagnose obstructed labour, 26.3% had performed an assisted delivery, 39.0% were confident in their knowledge of the indications and contraindications of assisted deliveries and 35.7% had been involved in the delivery of a baby with shoulder dystocia. Regarding pregnancy related sepsis, 54.4% had experience with managing a wound abscess and 29.7% were confident managing puerperal endometritis. While 78.0% felt confident to perform a caesarean section, only 28.6% had performed uterine compression sutures for uterine atony at caesarean section. Additionally, there was a statistically significant variation in scores between training hospitals. Conclusion: A gap exists between the shortcomings in district hospital obstetric services, the prioritisation of placement of community service doctors at primary care and district hospitals, and the self-perceived readiness of medical interns completing their training to safely manage obstetric emergencies. This highlights the importance of clinical support for junior doctors at district hospitals and standardisation of intern training at accredited facilities across the country. , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-02
Assessing South African Medical Interns’ Experience and Confidence in Managing Obstetric Emergencies
- Authors: Miller, Andrew
- Date: 2021-02
- Subjects: Obstetrical emergencies
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6882 , vital:52352
- Description: Background: Medical doctors in South Africa are required to complete a two-year internship at training hospitals, including a four-month rotation in obstetrics and gynaecology. Following this, doctors are allocated to community service posts; many of which are at district and primary level facilities where supervision is limited. The latest triennial Saving Mothers Report identified district hospitals as the second leading site for maternal deaths of all causes. District hospital were also the leading site for maternal deaths secondary to obstetric haemorrhage and the most likely site for the lack of a skilled doctor to be identified as a factor in deaths associated with caesarean delivery. Methods: This cross-sectional descriptive study aimed to describe the self-perceived readiness of medical interns completing their training to independently manage obstetric emergencies, based on the ESMOE modules in the HPCSA internship logbook. The research assessed medical interns in the last three months of their training, using a self-administered online questionnaire, with data collection between October and December 2019. Cluster sampling of interns at training facilities throughout the country resulted in a total of 182 respondents from 17 hospitals in seven provinces in the country, with an overall response rate of 34.1%. Results: Most interns had experience with, and confidence in, the management of miscarriage and hypertension in pregnancy. However, gaps in labour ward management, pregnancy related sepsis and surgical skills were identified. Only 42.3% of respondents were confident in their ability to diagnose obstructed labour, 26.3% had performed an assisted delivery, 39.0% were confident in their knowledge of the indications and contraindications of assisted deliveries and 35.7% had been involved in the delivery of a baby with shoulder dystocia. Regarding pregnancy related sepsis, 54.4% had experience with managing a wound abscess and 29.7% were confident managing puerperal endometritis. While 78.0% felt confident to perform a caesarean section, only 28.6% had performed uterine compression sutures for uterine atony at caesarean section. Additionally, there was a statistically significant variation in scores between training hospitals. Conclusion: A gap exists between the shortcomings in district hospital obstetric services, the prioritisation of placement of community service doctors at primary care and district hospitals, and the self-perceived readiness of medical interns completing their training to safely manage obstetric emergencies. This highlights the importance of clinical support for junior doctors at district hospitals and standardisation of intern training at accredited facilities across the country. , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-02
Association of antiretroviral therapy adherence and Development of cardiovascular desease risk
- Authors: Fihla, Qhayiya Mteto
- Date: 2023-12
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12894 , vital:76176
- Description: IAntiretroviral therapy (ART) is the standard treatment for human immunodeficiency virus (HIV). The treatment reduces HIV load to low level, relegating the disease from an acute infection to a chronic condition. Of late, there have been increased reports associating ART with increased cardiovascular disease (CVD) risk, further reducing the possibility of complete positive health outcomes for people living with HIV (PLWH). Poor adherence to the ART has been implicated in the development of some CVD risk factors but levels of adherence is not well known in the Eastern Cape. Thus, this study was designed to determine the level of ART adherence and associated cardiovascular risk factors. A cross-sectional study of a 100 participants was conducted to determine ART adherence and prevalence CVD risk factors in Mthatha. Both Male and female participants above 18 years of age were selected and ART adherence was determined using the adherence in chronic diseases scale (ACDS). The lipid profile, anthropometric measurements, and clinical parameters were used to determine CVD risk factors. Regression models were fitted to determine the association between adhrence and CVD risk factors in PLWH. All statistical analysis was performed using the statistical package for social sciences (SPSS) version 28, and the statistical significance was set at The average adherence rate was found to be 90.35% population of PLWH sampled, and 30% participants were found to have the optimum adherence rate ≥95%, which considered be adequate to effect viral progression. The prevalence of CVD risk factors was found to be 97%, with 46% of the participants having CVD. Although it was not statistically significant, the regression analyses indicated that non-adherent patients were more likely to report presence of CVD risk factors. This suggests that sub-optimal adherence to ART may be a contributing factor towards CVD risk development in patients on ART. It is possible that the results are clinically significant but there is a need to collect more data to increase the statistical power of the study , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Fihla, Qhayiya Mteto
- Date: 2023-12
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/12894 , vital:76176
- Description: IAntiretroviral therapy (ART) is the standard treatment for human immunodeficiency virus (HIV). The treatment reduces HIV load to low level, relegating the disease from an acute infection to a chronic condition. Of late, there have been increased reports associating ART with increased cardiovascular disease (CVD) risk, further reducing the possibility of complete positive health outcomes for people living with HIV (PLWH). Poor adherence to the ART has been implicated in the development of some CVD risk factors but levels of adherence is not well known in the Eastern Cape. Thus, this study was designed to determine the level of ART adherence and associated cardiovascular risk factors. A cross-sectional study of a 100 participants was conducted to determine ART adherence and prevalence CVD risk factors in Mthatha. Both Male and female participants above 18 years of age were selected and ART adherence was determined using the adherence in chronic diseases scale (ACDS). The lipid profile, anthropometric measurements, and clinical parameters were used to determine CVD risk factors. Regression models were fitted to determine the association between adhrence and CVD risk factors in PLWH. All statistical analysis was performed using the statistical package for social sciences (SPSS) version 28, and the statistical significance was set at The average adherence rate was found to be 90.35% population of PLWH sampled, and 30% participants were found to have the optimum adherence rate ≥95%, which considered be adequate to effect viral progression. The prevalence of CVD risk factors was found to be 97%, with 46% of the participants having CVD. Although it was not statistically significant, the regression analyses indicated that non-adherent patients were more likely to report presence of CVD risk factors. This suggests that sub-optimal adherence to ART may be a contributing factor towards CVD risk development in patients on ART. It is possible that the results are clinically significant but there is a need to collect more data to increase the statistical power of the study , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-12
Attitudes and barriers towards HIV testing services among males aged between 15-49 years at Mzamomhle Township: Buffalo City Metropolitan Municipality
- Authors: Mantashe, Zintle
- Date: 2023-00
- Subjects: Public Health
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9753 , vital:74617
- Description: This study delves into the attitudes and obstacles surrounding HIV Testing Services (HTS) among males aged 15 to 49 in Mzamomhle Township, Buffalo City Metropolitan Municipality, South Africa. HIV/AIDS prevalence remains a significant concern, especially in sub-Saharan Africa. Employing a mixed-methods approach with questionnaires and interviews, data was gathered from 106 participants. The findings highlight a range of challenges that impede the accessibility of HTS. These challenges include stigma, concerns about privacy, fears related to testing, limited knowledge, and negative attitudes of staff towards HTS. Despite these challenges, the study reveals that participants generally hold positive attitudes towards HTS. However, there are doubts regarding the efficacy of testing in preventing the transmission of HIV. Privacy concerns emerge prominently, with participants fearing that their status might be disclosed. Stigma also acts as a barrier, as individuals fear potential embarrassment if their status becomes known. To address these issues, several recommendations are proposed. These include the establishment of robust support systems, educational campaigns to empower individuals with knowledge about HTS benefits, and community initiatives to combat negative attitudes towards testing. Furthermore, enhancing healthcare worker training and raising political awareness can contribute to creating a more favourable environment for HTS utilisation. By implementing these recommendations, South Africa can work towards dismantling the barriers that hinder HIV testing and promoting a proactive culture of health-seeking behaviour among men. This effort is essential for reducing HIV transmission rates and achieving global health targets. , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
- Authors: Mantashe, Zintle
- Date: 2023-00
- Subjects: Public Health
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/9753 , vital:74617
- Description: This study delves into the attitudes and obstacles surrounding HIV Testing Services (HTS) among males aged 15 to 49 in Mzamomhle Township, Buffalo City Metropolitan Municipality, South Africa. HIV/AIDS prevalence remains a significant concern, especially in sub-Saharan Africa. Employing a mixed-methods approach with questionnaires and interviews, data was gathered from 106 participants. The findings highlight a range of challenges that impede the accessibility of HTS. These challenges include stigma, concerns about privacy, fears related to testing, limited knowledge, and negative attitudes of staff towards HTS. Despite these challenges, the study reveals that participants generally hold positive attitudes towards HTS. However, there are doubts regarding the efficacy of testing in preventing the transmission of HIV. Privacy concerns emerge prominently, with participants fearing that their status might be disclosed. Stigma also acts as a barrier, as individuals fear potential embarrassment if their status becomes known. To address these issues, several recommendations are proposed. These include the establishment of robust support systems, educational campaigns to empower individuals with knowledge about HTS benefits, and community initiatives to combat negative attitudes towards testing. Furthermore, enhancing healthcare worker training and raising political awareness can contribute to creating a more favourable environment for HTS utilisation. By implementing these recommendations, South Africa can work towards dismantling the barriers that hinder HIV testing and promoting a proactive culture of health-seeking behaviour among men. This effort is essential for reducing HIV transmission rates and achieving global health targets. , Thesis (Masters) -- Faculty of Medicine and Health Sciences, 2023
- Full Text:
- Date Issued: 2023-00
Chalenges of accessing tertiary health care services in Africa, in the OR Tambo District: A case study of Canzibe Hospital
- Authors: Qaqa, Ayabulela Lilian
- Date: 2022-00
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10964 , vital:75670
- Description: Accessing Tertiary health care by distant rural patients is still by far the most difficult and stressful process and results in health problems for the rural community. The lack of research on this topic of scholarly inquiry in rural areas remains a cause for concern. This qualitative study examines the obstacles that Canzibe residents face when trying to get primary medical treatment in tertiary hospitals in the O.R. Tambo District. This study is exploratory, descriptive, and qualitative by design. Research participants for this study comprised both of females and males who attend or are seen at Outpatient Department of a Tertiary Hospital, in the O.R Tambo District for ongoing treatment and reviews. A non-probability sampling method was used and a purposive sampling technique was used to select ten participants for this study. The researcher interviewed participants regarding their challenges in accessing tertiary health care services in the O.R Tambo District. Semi-structured interviews were used to collect the data, and an open-ended interview schedule was used as a guide. The interview schedule focused on the experiences of patients in accessing tertiary healthcare services. Data was analyzed using thematic analysis, which is a process whereby data is transcribed and translated to English. After the transcription, codes were created and arranged together into themes, and used to derive a meaning. The researcher adhered to all the ethical principles, while conducting the study. The study's results were also explored in relation to South African patient experiences with tertiary healthcare services. , Thesis (Masters) -- Faculty of Law, Humanities and Social Sciences, 2022
- Full Text:
- Date Issued: 2022-00
- Authors: Qaqa, Ayabulela Lilian
- Date: 2022-00
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10964 , vital:75670
- Description: Accessing Tertiary health care by distant rural patients is still by far the most difficult and stressful process and results in health problems for the rural community. The lack of research on this topic of scholarly inquiry in rural areas remains a cause for concern. This qualitative study examines the obstacles that Canzibe residents face when trying to get primary medical treatment in tertiary hospitals in the O.R. Tambo District. This study is exploratory, descriptive, and qualitative by design. Research participants for this study comprised both of females and males who attend or are seen at Outpatient Department of a Tertiary Hospital, in the O.R Tambo District for ongoing treatment and reviews. A non-probability sampling method was used and a purposive sampling technique was used to select ten participants for this study. The researcher interviewed participants regarding their challenges in accessing tertiary health care services in the O.R Tambo District. Semi-structured interviews were used to collect the data, and an open-ended interview schedule was used as a guide. The interview schedule focused on the experiences of patients in accessing tertiary healthcare services. Data was analyzed using thematic analysis, which is a process whereby data is transcribed and translated to English. After the transcription, codes were created and arranged together into themes, and used to derive a meaning. The researcher adhered to all the ethical principles, while conducting the study. The study's results were also explored in relation to South African patient experiences with tertiary healthcare services. , Thesis (Masters) -- Faculty of Law, Humanities and Social Sciences, 2022
- Full Text:
- Date Issued: 2022-00
Chalenges of implimenting South African school administration and management system at Junior Secondary Schools in circuit 16, OR Thambo Coastal District
- Authors: Nkwanca, Loyiso Collis
- Date: 2022-00
- Subjects: Evaluation and Training
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10779 , vital:75220
- Description: The purpose of this study was to investigate the challenges of implementing South African School Administration and Management System at Junior Secondary Schools in Circuit 16 in OR Tambo Coastal District. Literature review looked mainly at aspects of challenges resulting from policy issues guiding the implementation of SASAMS, challenge of ICT and SA-SAMS training, other challenges that influence implementation of SASAMS in circuit 16, OR Tambo District. The study was qualitative in nature and employed case study research design. Convenient sampling was used to select two junior secondary schools in Circuit 16 in Port St. Johns Circuit Management Centre (CMC) in OR Tambo Coastal Education District. The principal, one (1) educator, one (1) school clerk were purposively selected from each school and this made a total of six (6) participants. Face-to-face individual semi-structured interviews were conducted to gather data about the views and opinions of the participants. Data were analysed using the interpretational analytical strategies. Themes were drawn from the responses of the participants. The major findings were: School personnel lack the ICT skills for them to be able to operate SASAMS for administration and management; there is a lack of connection network for the school personnel to provide data promptly to the Department of Education; school personnel had not received appropriate training on using SASAMS for administration and management; the use of SASAMS is not guided by clearly spelt out policies and guidelines in all the school that were visited; participants unanimously agreed that SASAMS could be a user-friendly system only if all personnel were to get thorough training; due to lack training and knowledge for other personnel, at times especially when school clerks are not at work submissions are not done promptly; the school personnel have no expertise when there is break down of computers or the system crushes, they have to travel long distances to try and find help; when it is time to enter marks for learners, it is impossible for teacher to connect at the same time, only about four laptops can connect at a time and the Department of Education delays to install the latest patch. It is recommended that: SASAMS be incorporated in Teacher Education programmes in Universities and training colleges; there should be enough ICT and SASAMS technicians on standby for any technical error that might occur in schools; school principals, teachers and administrative clerks need to be equipped with training in ICT and SASAMS; there is a need for Department of Basic Education to ensure that each school has Wi-Fi connection so that all computers in the school are connected to the main-server at the same time; the DBE should consider formulating guiding policies where, for example, schools are allowed to factor in a certain percentage in enrolment increase, as it creates a good foundation for data falsification by unscrupulous officials. , Thesis (Masters) -- Faculty of Education, 2024
- Full Text:
- Date Issued: 2022-00
- Authors: Nkwanca, Loyiso Collis
- Date: 2022-00
- Subjects: Evaluation and Training
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/10779 , vital:75220
- Description: The purpose of this study was to investigate the challenges of implementing South African School Administration and Management System at Junior Secondary Schools in Circuit 16 in OR Tambo Coastal District. Literature review looked mainly at aspects of challenges resulting from policy issues guiding the implementation of SASAMS, challenge of ICT and SA-SAMS training, other challenges that influence implementation of SASAMS in circuit 16, OR Tambo District. The study was qualitative in nature and employed case study research design. Convenient sampling was used to select two junior secondary schools in Circuit 16 in Port St. Johns Circuit Management Centre (CMC) in OR Tambo Coastal Education District. The principal, one (1) educator, one (1) school clerk were purposively selected from each school and this made a total of six (6) participants. Face-to-face individual semi-structured interviews were conducted to gather data about the views and opinions of the participants. Data were analysed using the interpretational analytical strategies. Themes were drawn from the responses of the participants. The major findings were: School personnel lack the ICT skills for them to be able to operate SASAMS for administration and management; there is a lack of connection network for the school personnel to provide data promptly to the Department of Education; school personnel had not received appropriate training on using SASAMS for administration and management; the use of SASAMS is not guided by clearly spelt out policies and guidelines in all the school that were visited; participants unanimously agreed that SASAMS could be a user-friendly system only if all personnel were to get thorough training; due to lack training and knowledge for other personnel, at times especially when school clerks are not at work submissions are not done promptly; the school personnel have no expertise when there is break down of computers or the system crushes, they have to travel long distances to try and find help; when it is time to enter marks for learners, it is impossible for teacher to connect at the same time, only about four laptops can connect at a time and the Department of Education delays to install the latest patch. It is recommended that: SASAMS be incorporated in Teacher Education programmes in Universities and training colleges; there should be enough ICT and SASAMS technicians on standby for any technical error that might occur in schools; school principals, teachers and administrative clerks need to be equipped with training in ICT and SASAMS; there is a need for Department of Basic Education to ensure that each school has Wi-Fi connection so that all computers in the school are connected to the main-server at the same time; the DBE should consider formulating guiding policies where, for example, schools are allowed to factor in a certain percentage in enrolment increase, as it creates a good foundation for data falsification by unscrupulous officials. , Thesis (Masters) -- Faculty of Education, 2024
- Full Text:
- Date Issued: 2022-00
Challenges facing school management teams in the general education and training band schools
- Authors: Bafundi,Zealous Mapisa
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3538 , vital:43625
- Description: Abstract text The study investigated the factors that lead to the high failure rate of grade 12 learners of the two high schools in the Ngqeleni area of Libode Mega District of the Eastern Cape, South Africa. The study was qualitative in nature; therefore interviews were used as the method of collecting data. Seven SMT members, four parents and four learners were, randomly selected from the two schools in the Ngqeleni area of Libode Mega District. The researcher randomly selected the participants then interviewed them. The researcher used a video recoder as an instrument to record the responses from the participants. To analyse data, the researcher transcribed the interview responses and interpreted them. The main findings of the study showed that the high failure rate was caused by the following factors: over-croweded classes, shortage of teaching and learnin~ materials, lack of parental involvement, teachers' low morale, poor learner discipline, teachers experiencing problems in implementing government policies, work-load and as such teaching becoming stressful. The researcher in his study therefore recommends that the Department of Education plans more workshops for schools to capacitate them. There should be provision for more classrooms and incentives for teachers. Key Words: factors, high failure rate, grade 12, Ngqeleni area, Department of Education. , Thesis (MMED) -- Faculty of Educational Sciences, 2011
- Full Text:
- Date Issued: 2011
- Authors: Bafundi,Zealous Mapisa
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3538 , vital:43625
- Description: Abstract text The study investigated the factors that lead to the high failure rate of grade 12 learners of the two high schools in the Ngqeleni area of Libode Mega District of the Eastern Cape, South Africa. The study was qualitative in nature; therefore interviews were used as the method of collecting data. Seven SMT members, four parents and four learners were, randomly selected from the two schools in the Ngqeleni area of Libode Mega District. The researcher randomly selected the participants then interviewed them. The researcher used a video recoder as an instrument to record the responses from the participants. To analyse data, the researcher transcribed the interview responses and interpreted them. The main findings of the study showed that the high failure rate was caused by the following factors: over-croweded classes, shortage of teaching and learnin~ materials, lack of parental involvement, teachers' low morale, poor learner discipline, teachers experiencing problems in implementing government policies, work-load and as such teaching becoming stressful. The researcher in his study therefore recommends that the Department of Education plans more workshops for schools to capacitate them. There should be provision for more classrooms and incentives for teachers. Key Words: factors, high failure rate, grade 12, Ngqeleni area, Department of Education. , Thesis (MMED) -- Faculty of Educational Sciences, 2011
- Full Text:
- Date Issued: 2011
Comparison between Endothelin, Nitric Oxide and their Association to Blood Pressure and Body Composition in HIV Patients, in Mthatha
- Authors: Zono, Sinethemba
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3550 , vital:43627
- Description: The motivation for this study is that Health Resource Centres of the Eastern Cape ought to provide access to high quality, relevant and appropriate information that is evidence-based and responsive to the needs of health professionals thereby assisting health professionals accomplish their tasks. In order to provide access to quality information, the Health Resource Centres are expected to provide information services within an acceptable framework of service standards. This study seeks to explore the implementation of standards in the Health Resource Centres of the Eastern Cape. The study was carried out in two phases namely a literature review and a survey. The study used the quantitative method of collecting data by means of a cross-sectional survey. A self administered questionnaire was used to collect data. The questionnaire was piloted in the Queenstown Health Resource Centre, after which appropriate changes were made before the commencement of data collection. The study was conducted in the three other Health Resource Centres of the Eastern Cape, namely Umtata Health Resource Centre, East London Health Resource Centre and Port Elizabeth Health Resource Centre. Health Resource Centre managers completed the questionnaires. The overall findings of this study show that the three Health Resource Centres uphold service standards. The results show that the Health Resource Centres were compliant with the service standards relating to both services and management areas. The Health Resource Centres were more compliant with standards relating to service areas than they were to standards relating to management areas. The results of the study furthermore demonstrate that the Umtata Health Resource Centre was most compliant regarding service areas (86,20%) compared to the East London Health Resource Centre (82,75%) and the Port Elizabeth Health Resource Centre (72,41%). In regard to management areas, the results show that the Umtata Health Resource Centre and East London Health Resource were more compliant than the Port Elizabeth Health Resource Centre. However certain aspects of their service such as availability of space, health and safety, staff performance and development, quality leadership and design and financial management need further attention. The study suggests that further research is required to objectively verify implementation of standards, to solicit health professionals’ opinions and experiences about the services provided by these Health Resource Centres and to find out if there is any connection between the quality of services provided and the quality of patient care. , Thesis (MSc) -- Faculty of Health Sciences, 2015
- Full Text:
- Date Issued: 2011
- Authors: Zono, Sinethemba
- Date: 2011
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/3550 , vital:43627
- Description: The motivation for this study is that Health Resource Centres of the Eastern Cape ought to provide access to high quality, relevant and appropriate information that is evidence-based and responsive to the needs of health professionals thereby assisting health professionals accomplish their tasks. In order to provide access to quality information, the Health Resource Centres are expected to provide information services within an acceptable framework of service standards. This study seeks to explore the implementation of standards in the Health Resource Centres of the Eastern Cape. The study was carried out in two phases namely a literature review and a survey. The study used the quantitative method of collecting data by means of a cross-sectional survey. A self administered questionnaire was used to collect data. The questionnaire was piloted in the Queenstown Health Resource Centre, after which appropriate changes were made before the commencement of data collection. The study was conducted in the three other Health Resource Centres of the Eastern Cape, namely Umtata Health Resource Centre, East London Health Resource Centre and Port Elizabeth Health Resource Centre. Health Resource Centre managers completed the questionnaires. The overall findings of this study show that the three Health Resource Centres uphold service standards. The results show that the Health Resource Centres were compliant with the service standards relating to both services and management areas. The Health Resource Centres were more compliant with standards relating to service areas than they were to standards relating to management areas. The results of the study furthermore demonstrate that the Umtata Health Resource Centre was most compliant regarding service areas (86,20%) compared to the East London Health Resource Centre (82,75%) and the Port Elizabeth Health Resource Centre (72,41%). In regard to management areas, the results show that the Umtata Health Resource Centre and East London Health Resource were more compliant than the Port Elizabeth Health Resource Centre. However certain aspects of their service such as availability of space, health and safety, staff performance and development, quality leadership and design and financial management need further attention. The study suggests that further research is required to objectively verify implementation of standards, to solicit health professionals’ opinions and experiences about the services provided by these Health Resource Centres and to find out if there is any connection between the quality of services provided and the quality of patient care. , Thesis (MSc) -- Faculty of Health Sciences, 2015
- Full Text:
- Date Issued: 2011