The experiences of professional nurses working in outpatient departments of the introduction of the Batho Pele Principles in state hospitals
- Authors: Miza, Thenjiwe Mildred
- Date: 2011
- Subjects: Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10023 , http://hdl.handle.net/10948/1421 , Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Description: After 1994 with the inception of the South African Democratic Government, the health care delivery system was one of the areas that had to be reviewed. The vehicle for a comprehensive health care system was based on primary health care which encouraged people and patients to take responsibility for their health by being involved in all aspects of their care. For this purpose the Batho Pele principles were introduced, a concept which is informed by 8 principles, namely: consultation, service standards, access, courtesy, information, openness and transparency, redress and value for money. These principles are meant to restore the dignity and the rights of patients which are paramount in the Constitution of South Africa. (Constitution of South Africa 108 of 1996 Chapter 2) The nurses claim that since the introduction of the Batho Pele Principles, patients and their families have been “impossible” towards nurses, making unnecessary and sometimes impossible demands. The nurses also experience patients and their families as being informed of their “rights” but not of their responsibilities as patients. They were also unaware of the rights of the nurses. The objectives of the study were:- To explore and describe the experiences of professional nurses working in the outpatient departments of the introduction of the Batho Pele principles in state hospitals, and to Recommend guidelines that will enhance better understanding and implementation of the Batho Pele principles by the professional nurses. The study is founded on a qualitative research paradigm based on explorative, descriptive and contextual framework. The data was collected from focus groups from each hospital of the Port Elizabeth Hospital Complex. Each group consisted of four to six willing participants all of them were professional nurses who have worked at least five or more years in the outpatient department of the Port Elizabeth Hospital Complex. Data was collected via semi-structured audio-taped interviews together with the researcher’s field notes. Data analysis was done using Tesch’s data analysis spiral. The assistance of independent coder reinforced the truth value of the findings. Themes and subthemes emerged from the data that was collected and revealed that the professional nurses experienced that the Batho Pele Principles as a good policy, but that it was difficulty to uphold due to inadequate planning of health services prior to implementation of the Batho Pele Principles. They experience not getting from their management and they also experience that there was lack of discipline in their institutions. Based on these findings, guidelines that will recommend better implementation of the Batho Pele Principles by nurses were compiled by the researcher and future research in this regard was recommended.
- Full Text:
- Date Issued: 2011
- Authors: Miza, Thenjiwe Mildred
- Date: 2011
- Subjects: Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10023 , http://hdl.handle.net/10948/1421 , Nurse and patient -- South Africa -- Port Elizabeth , Hospitals -- Outpatient services -- South Africa -- Port Elizabeth
- Description: After 1994 with the inception of the South African Democratic Government, the health care delivery system was one of the areas that had to be reviewed. The vehicle for a comprehensive health care system was based on primary health care which encouraged people and patients to take responsibility for their health by being involved in all aspects of their care. For this purpose the Batho Pele principles were introduced, a concept which is informed by 8 principles, namely: consultation, service standards, access, courtesy, information, openness and transparency, redress and value for money. These principles are meant to restore the dignity and the rights of patients which are paramount in the Constitution of South Africa. (Constitution of South Africa 108 of 1996 Chapter 2) The nurses claim that since the introduction of the Batho Pele Principles, patients and their families have been “impossible” towards nurses, making unnecessary and sometimes impossible demands. The nurses also experience patients and their families as being informed of their “rights” but not of their responsibilities as patients. They were also unaware of the rights of the nurses. The objectives of the study were:- To explore and describe the experiences of professional nurses working in the outpatient departments of the introduction of the Batho Pele principles in state hospitals, and to Recommend guidelines that will enhance better understanding and implementation of the Batho Pele principles by the professional nurses. The study is founded on a qualitative research paradigm based on explorative, descriptive and contextual framework. The data was collected from focus groups from each hospital of the Port Elizabeth Hospital Complex. Each group consisted of four to six willing participants all of them were professional nurses who have worked at least five or more years in the outpatient department of the Port Elizabeth Hospital Complex. Data was collected via semi-structured audio-taped interviews together with the researcher’s field notes. Data analysis was done using Tesch’s data analysis spiral. The assistance of independent coder reinforced the truth value of the findings. Themes and subthemes emerged from the data that was collected and revealed that the professional nurses experienced that the Batho Pele Principles as a good policy, but that it was difficulty to uphold due to inadequate planning of health services prior to implementation of the Batho Pele Principles. They experience not getting from their management and they also experience that there was lack of discipline in their institutions. Based on these findings, guidelines that will recommend better implementation of the Batho Pele Principles by nurses were compiled by the researcher and future research in this regard was recommended.
- Full Text:
- Date Issued: 2011
Revolt as a strategy of de-reification in contemporary performance practice
- Authors: Smit, Sonja
- Date: 2010
- Subjects: Mantero, Vera Bouwer, Jaco, 1973- Performance art -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2147 , http://hdl.handle.net/10962/d1002379
- Description: This thesis investigates the concepts of revolt and de-reification and how these can be perceived and implemented within the context of performance. The argument focuses on the ability of revolt to question and unsettle processes of reification which in turn manifest a strategy of de-reification. I investigate the potential in contemporary performance practice to challenge prevailing modes of perception and restore the production of desire to the spectator through strategies of de-reification. This research is approached through a qualitative process which entails a reading and application of critical texts to the analysis. This reading/application is engaged in a dialogue with the interpretative and experiential aspects of the two works selected for analysis. Chapter One functions as an introduction to the concept of reification and the necessity of a process geared towards de-reification through revolt. I argue that revolt is already embedded in avant-garde artistic practices through an experimental and questioning approach to artistic practice and the production of meaning. Chapter Two is an analysis of Vera Mantero’s solo work, one mysterious Thing said e.e cummings* (1996). This is structured around two identifiable elements, one being the resistance to signification (designification), which is argued as a strategy of revolt within the piece. The second is the notion of abjection, which works doubly to aid the resistance to signification as well as working as a strategy of revolt by its implication in the work. Chapter Three analyses Jaco Bouwer’s Untitled (2008), specifically dealing with the notion of absence as a strategy of revolt and de-reification. The discussion is focused on the potential complication of desire through absence as enacting a larger project of revolt. As in Chapter Two, this is similarly related to the fragmentation of signs through designification which emphasises the strategy of absence. This thesis concludes with the idea that meaning-making in performance can be considered a process. Instead, the lack or failure of meaning within these selected performance practices enables a return to the individual (performer and spectator) as the agent of desire.
- Full Text:
- Date Issued: 2010
- Authors: Smit, Sonja
- Date: 2010
- Subjects: Mantero, Vera Bouwer, Jaco, 1973- Performance art -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2147 , http://hdl.handle.net/10962/d1002379
- Description: This thesis investigates the concepts of revolt and de-reification and how these can be perceived and implemented within the context of performance. The argument focuses on the ability of revolt to question and unsettle processes of reification which in turn manifest a strategy of de-reification. I investigate the potential in contemporary performance practice to challenge prevailing modes of perception and restore the production of desire to the spectator through strategies of de-reification. This research is approached through a qualitative process which entails a reading and application of critical texts to the analysis. This reading/application is engaged in a dialogue with the interpretative and experiential aspects of the two works selected for analysis. Chapter One functions as an introduction to the concept of reification and the necessity of a process geared towards de-reification through revolt. I argue that revolt is already embedded in avant-garde artistic practices through an experimental and questioning approach to artistic practice and the production of meaning. Chapter Two is an analysis of Vera Mantero’s solo work, one mysterious Thing said e.e cummings* (1996). This is structured around two identifiable elements, one being the resistance to signification (designification), which is argued as a strategy of revolt within the piece. The second is the notion of abjection, which works doubly to aid the resistance to signification as well as working as a strategy of revolt by its implication in the work. Chapter Three analyses Jaco Bouwer’s Untitled (2008), specifically dealing with the notion of absence as a strategy of revolt and de-reification. The discussion is focused on the potential complication of desire through absence as enacting a larger project of revolt. As in Chapter Two, this is similarly related to the fragmentation of signs through designification which emphasises the strategy of absence. This thesis concludes with the idea that meaning-making in performance can be considered a process. Instead, the lack or failure of meaning within these selected performance practices enables a return to the individual (performer and spectator) as the agent of desire.
- Full Text:
- Date Issued: 2010
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