A model of support for divorced professional nurses in the Eastern Cape, South Africa
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
- Full Text:
- Authors: Murray, Daphne
- Date: 2018
- Subjects: Divorce counseling -- South Africa -- Eastern Cape Divorce -- Social aspects -- South Africa -- Eastern Cape Employees -- Counseling of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , Nursing
- Identifier: http://hdl.handle.net/10353/10028 , vital:35293
- Description: The purpose of this research study was to develop a support model for divorced professional nurses in the health-care facilities of the Department of Health, Eastern Cape, with guidelines to operationalise the model. Divorce is a process with psychological as well as social implications, and with a series of economic causes it also has implications in terms of the society and culture in which individuals operate. The main causes for divorce are adultery and domestic violence, especially against women and children (Lurea, 2011:99). A need for support from managers in the health-care facilities of the Department of Health, Eastern Cape during the process of divorce was identified by divorced professional nurses, since a lack of support and all the negativity that encompasses divorce could lead to severe depression, which will later have a negative effect on work performance (Abdul Kadir & Bifulco, 2010:858). The literature in this field of study, along with experience, indicates that it is imperative for divorced professional nurses to be supported in the workplace to help them to cope emotionally with their work demands, as prescribed by the South African Nursing Council. An explorative, descriptive and contextual qualitative design with theory generation was used to achieve the purpose of the study. Snowball sampling was employed to select participants, namely divorced professional nurses who were unknown to the researcher. A sample of 21 divorced professional nurses who work in health-care facilities in the Buffalo City Metropolitan Municipality in the Eastern Cape participated in the study. Data was collected by means of individual face-face interviews with divorced professional nurses. The interviews continued until data saturation was reached. Field notes supplemented data that could not be portrayed by audio-taped interviews, such as non- verbal communication in observed interactions. Data analysis was done using Tesch’s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed, becoming fundamental units in the development of the conceptual framework as well as in the model. The researcher did a thorough literature review to conceptualise the identified concepts on which the model was based. The description and evaluation of the model, along with guidelines to operationalise the model, were done in accordance with the method described by Chinn and Kramer (2011:197). The justification of the research, the limitations, and the recommendations for operationalisation of the model of support for divorced professional nurses working in the Buffalo City Metropolitan Municipality of the Department of Health, Eastern Cape Province, and South Africa were indicated accordingly.
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A systematic review and document analysis on the prevention of mother-to-child programmes to prevent vertical transmission of human immuno-deficiency virus
- Authors: Sobetwa, Nwabisa Nokuzola
- Date: 2017
- Subjects: AIDS (Disease) in pregnancy , Maternal health services , HIV infections -- Children -- Transmission -- Prevention
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/7957 , vital:31282
- Description: Background: The National Strategic Plan 2012-2016 is advocating for zero new infections due to vertical transmission. This goal has not yet been achieved. This study evaluated whether the prevention of mother-to-child vertical transmission (PMTCT) of Human Immuno-deficiency Virus (HIV) programmes in South Africa are based on evidence. Aim: The aim of this study was to conduct a systematic review of the available literature comparing PMTCT antiretroviral regimens published between the years 2000 to 2015 and to do a document analysis of the current implemented PMTCT programme to evaluate if it is based on best evidence. Rational: The rational of the systematic review and the document analysis were to assess whether the latest PMTCT policy was based on evidence and to critically analyse published articles that addressed aspects related to efficacy and efficiency of PMTCT programmes to reduce transmission of HIV from mothers to their infants. Methods: Overall 25 randomised controlled trials and primary studies that assessed efficacy of ARV regimens to prevent mother-to-child transmission of the HIV during pregnancy, labour and the postnatal periods were systematically reviewed. In 1997 the first trial began and the last one ended in 2012. Twelve guidelines referring to PMTCT were sampled and they were published by WHO and Department of Health South Africa from 2001 to 2015. The document analysis was only based on National consolidated guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) and the management of HIV in children, adolescents and adults April, 2015. Findings: The systematic review illustrated that significantly fewer infants tested HIV-positive when exposed to a longer ARV regime although there was no significant difference once the infants reached six months of age. Different ARVs have a similar Preamble effect on maternal deaths; however, a double or triple combination of ARVs is superior to monotherapy to decrease infant deaths. Common maternal adverse reactions to ARVs include anaemia, bronchopneumonia, and maculopapular rash. Infant adverse events included septicaemia, pneumonia, gastroenteritis, fever and maculopapular rash. The document analysis has shown that the PMTCT policy is mainly based on evidence from randomised controlled trials and systematic reviews. Occasionally some statements are still based on lower categories of evidence such as non-experimental descriptive studies. Conclusion: The systematic review showed that double and triple ARV therapy is superior to monotherapy and that the longer the mother and her infant are exposed to ARV therapy the better the results are to prevent MTCT. Adverse events are always posing a challenge and as with any other medication, caregivers must be aware of potential adverse reactions. The National consolidated guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) and the management of HIV in children, adolescents and adults April 2015 is based on evidence, but the policy itself does not include any reference to evidence.
- Full Text:
- Authors: Sobetwa, Nwabisa Nokuzola
- Date: 2017
- Subjects: AIDS (Disease) in pregnancy , Maternal health services , HIV infections -- Children -- Transmission -- Prevention
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/7957 , vital:31282
- Description: Background: The National Strategic Plan 2012-2016 is advocating for zero new infections due to vertical transmission. This goal has not yet been achieved. This study evaluated whether the prevention of mother-to-child vertical transmission (PMTCT) of Human Immuno-deficiency Virus (HIV) programmes in South Africa are based on evidence. Aim: The aim of this study was to conduct a systematic review of the available literature comparing PMTCT antiretroviral regimens published between the years 2000 to 2015 and to do a document analysis of the current implemented PMTCT programme to evaluate if it is based on best evidence. Rational: The rational of the systematic review and the document analysis were to assess whether the latest PMTCT policy was based on evidence and to critically analyse published articles that addressed aspects related to efficacy and efficiency of PMTCT programmes to reduce transmission of HIV from mothers to their infants. Methods: Overall 25 randomised controlled trials and primary studies that assessed efficacy of ARV regimens to prevent mother-to-child transmission of the HIV during pregnancy, labour and the postnatal periods were systematically reviewed. In 1997 the first trial began and the last one ended in 2012. Twelve guidelines referring to PMTCT were sampled and they were published by WHO and Department of Health South Africa from 2001 to 2015. The document analysis was only based on National consolidated guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) and the management of HIV in children, adolescents and adults April, 2015. Findings: The systematic review illustrated that significantly fewer infants tested HIV-positive when exposed to a longer ARV regime although there was no significant difference once the infants reached six months of age. Different ARVs have a similar Preamble effect on maternal deaths; however, a double or triple combination of ARVs is superior to monotherapy to decrease infant deaths. Common maternal adverse reactions to ARVs include anaemia, bronchopneumonia, and maculopapular rash. Infant adverse events included septicaemia, pneumonia, gastroenteritis, fever and maculopapular rash. The document analysis has shown that the PMTCT policy is mainly based on evidence from randomised controlled trials and systematic reviews. Occasionally some statements are still based on lower categories of evidence such as non-experimental descriptive studies. Conclusion: The systematic review showed that double and triple ARV therapy is superior to monotherapy and that the longer the mother and her infant are exposed to ARV therapy the better the results are to prevent MTCT. Adverse events are always posing a challenge and as with any other medication, caregivers must be aware of potential adverse reactions. The National consolidated guidelines for the prevention of mother-to-child transmission of HIV (PMTCT) and the management of HIV in children, adolescents and adults April 2015 is based on evidence, but the policy itself does not include any reference to evidence.
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Management practices, milk quality, haemato-chemical biomarkers of free ranging pregnant goats from three genotypes and linear body measurements of their respective kids
- Idamokoro, Emrobowansan Monday
- Authors: Idamokoro, Emrobowansan Monday
- Date: 2016
- Subjects: Milk--Quality Biochemical markers Goat milk
- Language: English
- Type: Thesis , Doctoral , Animal Science
- Identifier: http://hdl.handle.net/10353/11548 , vital:39082
- Description: The broad objective of this study was to assess farmers’ perceptions on the welfare and management practices of pregnant goats and to determine the effect of genotypes and physiological status on doe’s performance (blood metabolites and milk quality) and their respective kid’s linear body measurements of goats reared in an extensive system of production. A survey was conducted among 153 goat farmers to assess their perception on goat mortality and management practices during and after gestation period. The results from the survey showed that 98.7percent of the farmers depended on pastures to feed their pregnant and lactating does. Majority of the farmers (59.9percent) did not vaccinate their dams against diseases before using them for breeding purposes. An aggregate of 77.8percent respondents allowed their does to mate freely on the veld. Most of the respondents (75.2percent) kept their pregnant goats together with other flocks in mud floor pen (kraals) fenced with tree branches. Farmers indicated that, poor diet (32percent), disease (24 percent) and predators (15percent) were some factors that cause mortality in pregnant does. About 66.7percent respondents perceived that, quality diet is a factor that can boost the reproductive performance of pregnant goats. The haemato-biochemical parameters of Nguni, Boer and Non-descript goats at late and early lactation revealed that, Nguni goat had higher (P ˂ 0.05) values of red cell counts (13.37 x1011/L), haemoglobin (9.07 g/dL) and creatine kinase (269.54 U/L) compared to Boer (9.96 x 1011/L, 7.94 g/ dL and 132.16 U/L) and Non-descript goats (12.98 x 1011 /L, 7.85 g/ dL and 143.50 U/L), respectively. The Nguni goats also had higher (P ˂ 0.05) mean values of glucose (3.38 mmol/L), sodium (141.66 mmol/L) and urea content (5.51 mmol/L) compared to Boer (2.96 mmol/L, 135.70 mmol/L and 4.45 mmol/L) and Non-descript goats (2.50 mmol/L, 141.31 mmol/L and 3.90 mmol/L), respectively. The results of blood metabolites also revealed that, there was significant difference (P < 0.05) in the physiological status of goats. The late stage of pregnancy had higher mean values of red cell counts (14.44 x 1011 /L), haemoglobin (8.57 g/dL), haematocrit (0.67 L/L), glucose (3.12 mmol/L), sodium (141.74 mmol/L) and calcium content (2.37 mmol/L) compared to the early stage of lactation (9.77 x 1011/ L, 8.00 g /dL, 0.55 L/L, 2.77 mmol/L, 137.37 mmol/L and 2.23 mmol/L), respectively. Furthermore, it was revealed that, Nguni goats produced (1.2±0.09, 1.3±0.11 and 1.2±0.07 litres per day) more milk (P ˂ 0.05) at early, mid and late stages of lactation than Boer (0.6±0.10, 1.0±0.17 and 0.6±0.09 litres per day) and Non-descript (0.3±0.10, 0.3±0.12 and 0.3±0.09 litres per day) goats. There was significant difference (P ˂ 0.05) of genotypes on milk fat, milk magnesium and sodium contents among Nguni, Boer and Non-descript goats. Lactation stages had a significant effect (P ˂ 0.05) on some milk compositions (fat, protein, lactose and solid non-fat) and mineral profiles (Ca, Mg, Na, K, and Fe) of Nguni goats. Lactation stages had a significant effect (P ˂ 0.05) on fat, protein, lactose and solid non-fat content and mineral profiles (Ca, Mg, Na, K, and Fe) of Nguni goats. Milk protein content of Nguni goat was positively correlated to milk fat but, not in Boer and Non-descript goats. Milk quality parameters from the three goat genotypes possessed relatively moderate milk compositions and mineral profiles which is comparable to some exotic goat breeds. Nguni kids had higher mean weights (7.36 kg, 11.85 kg and 13.72 kg) than the Boer kids (5.20 kg, 7.18 kg and 10.20 kg) and the Non-descript goat kids (5.23 kg, 6.19 kg and 8.01 kg) at weeks 4, 6 and 8 after parturition, respectively. In terms of height at withers, the Nguni kids had higher mean values in heights (41.92 cm, 44.71 cm, 49.38 cm and 55.75 cm) than the Boer kids (35.67 cm, 37.14 cm, 42.40 and 44.20 cm) and the Non-descript kids (36.38 cm, 40.20 cm, 41.14 cm and 43.50 cm) at week 2, 4, 6 and 8 after parturition, respectively. Conversely, there was a positive correlation (P ˂ 0.05) between body lengths and live weights of Nguni goats and not in Boer and Non-descript goats. It was concluded from this study that, the indigenous Nguni, Boer and Non-descript pregnant goats were managed in poor conditions by communal farmers and the perceived causes of mortality of pregnant goats among others include poor feed, diseases and predators. In addition, the Nguni goats had higher mean values in some haematological parameters (red cell counts and haemoglobin) and serum biochemical profiles (glucose, sodium, urea and creatine kinase) than Boer and Non-descript goats during the periods of investigation. Nguni goats also produced more milk at the early and late stages of lactation compared to the Boer and Non-descript goats. The Non-descript goats had a higher mean value of milk fat compared to Nguni and Boer goats. Likewise, the Boer goats were observed to have higher mean value of milk magnesium and sodium content compared to Nguni and Non-descript goats. In terms of body weights and linear body measurments, the Nguni goat kids were superior compared to Boer and Non-descript goats.
- Full Text: false
- Authors: Idamokoro, Emrobowansan Monday
- Date: 2016
- Subjects: Milk--Quality Biochemical markers Goat milk
- Language: English
- Type: Thesis , Doctoral , Animal Science
- Identifier: http://hdl.handle.net/10353/11548 , vital:39082
- Description: The broad objective of this study was to assess farmers’ perceptions on the welfare and management practices of pregnant goats and to determine the effect of genotypes and physiological status on doe’s performance (blood metabolites and milk quality) and their respective kid’s linear body measurements of goats reared in an extensive system of production. A survey was conducted among 153 goat farmers to assess their perception on goat mortality and management practices during and after gestation period. The results from the survey showed that 98.7percent of the farmers depended on pastures to feed their pregnant and lactating does. Majority of the farmers (59.9percent) did not vaccinate their dams against diseases before using them for breeding purposes. An aggregate of 77.8percent respondents allowed their does to mate freely on the veld. Most of the respondents (75.2percent) kept their pregnant goats together with other flocks in mud floor pen (kraals) fenced with tree branches. Farmers indicated that, poor diet (32percent), disease (24 percent) and predators (15percent) were some factors that cause mortality in pregnant does. About 66.7percent respondents perceived that, quality diet is a factor that can boost the reproductive performance of pregnant goats. The haemato-biochemical parameters of Nguni, Boer and Non-descript goats at late and early lactation revealed that, Nguni goat had higher (P ˂ 0.05) values of red cell counts (13.37 x1011/L), haemoglobin (9.07 g/dL) and creatine kinase (269.54 U/L) compared to Boer (9.96 x 1011/L, 7.94 g/ dL and 132.16 U/L) and Non-descript goats (12.98 x 1011 /L, 7.85 g/ dL and 143.50 U/L), respectively. The Nguni goats also had higher (P ˂ 0.05) mean values of glucose (3.38 mmol/L), sodium (141.66 mmol/L) and urea content (5.51 mmol/L) compared to Boer (2.96 mmol/L, 135.70 mmol/L and 4.45 mmol/L) and Non-descript goats (2.50 mmol/L, 141.31 mmol/L and 3.90 mmol/L), respectively. The results of blood metabolites also revealed that, there was significant difference (P < 0.05) in the physiological status of goats. The late stage of pregnancy had higher mean values of red cell counts (14.44 x 1011 /L), haemoglobin (8.57 g/dL), haematocrit (0.67 L/L), glucose (3.12 mmol/L), sodium (141.74 mmol/L) and calcium content (2.37 mmol/L) compared to the early stage of lactation (9.77 x 1011/ L, 8.00 g /dL, 0.55 L/L, 2.77 mmol/L, 137.37 mmol/L and 2.23 mmol/L), respectively. Furthermore, it was revealed that, Nguni goats produced (1.2±0.09, 1.3±0.11 and 1.2±0.07 litres per day) more milk (P ˂ 0.05) at early, mid and late stages of lactation than Boer (0.6±0.10, 1.0±0.17 and 0.6±0.09 litres per day) and Non-descript (0.3±0.10, 0.3±0.12 and 0.3±0.09 litres per day) goats. There was significant difference (P ˂ 0.05) of genotypes on milk fat, milk magnesium and sodium contents among Nguni, Boer and Non-descript goats. Lactation stages had a significant effect (P ˂ 0.05) on some milk compositions (fat, protein, lactose and solid non-fat) and mineral profiles (Ca, Mg, Na, K, and Fe) of Nguni goats. Lactation stages had a significant effect (P ˂ 0.05) on fat, protein, lactose and solid non-fat content and mineral profiles (Ca, Mg, Na, K, and Fe) of Nguni goats. Milk protein content of Nguni goat was positively correlated to milk fat but, not in Boer and Non-descript goats. Milk quality parameters from the three goat genotypes possessed relatively moderate milk compositions and mineral profiles which is comparable to some exotic goat breeds. Nguni kids had higher mean weights (7.36 kg, 11.85 kg and 13.72 kg) than the Boer kids (5.20 kg, 7.18 kg and 10.20 kg) and the Non-descript goat kids (5.23 kg, 6.19 kg and 8.01 kg) at weeks 4, 6 and 8 after parturition, respectively. In terms of height at withers, the Nguni kids had higher mean values in heights (41.92 cm, 44.71 cm, 49.38 cm and 55.75 cm) than the Boer kids (35.67 cm, 37.14 cm, 42.40 and 44.20 cm) and the Non-descript kids (36.38 cm, 40.20 cm, 41.14 cm and 43.50 cm) at week 2, 4, 6 and 8 after parturition, respectively. Conversely, there was a positive correlation (P ˂ 0.05) between body lengths and live weights of Nguni goats and not in Boer and Non-descript goats. It was concluded from this study that, the indigenous Nguni, Boer and Non-descript pregnant goats were managed in poor conditions by communal farmers and the perceived causes of mortality of pregnant goats among others include poor feed, diseases and predators. In addition, the Nguni goats had higher mean values in some haematological parameters (red cell counts and haemoglobin) and serum biochemical profiles (glucose, sodium, urea and creatine kinase) than Boer and Non-descript goats during the periods of investigation. Nguni goats also produced more milk at the early and late stages of lactation compared to the Boer and Non-descript goats. The Non-descript goats had a higher mean value of milk fat compared to Nguni and Boer goats. Likewise, the Boer goats were observed to have higher mean value of milk magnesium and sodium content compared to Nguni and Non-descript goats. In terms of body weights and linear body measurments, the Nguni goat kids were superior compared to Boer and Non-descript goats.
- Full Text: false
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