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"I want to kill myself!": identity documents and mental health in the South African Daily Sun tabloid

- Boshoff, Priscilla A

Authors: Boshoff, Priscilla A
Date: 2015
Language: English
Type: text , book
Identifier: http://hdl.handle.net/10962/143549 , vital:38256 , ISBN , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
Description: An Identity Document (ID) is needed by South Africans to study, apply for a pension or get married. However, Home Affairs, the state department responsible for issuing them, is poorly managed. The popular Daily Sun tabloid newspaper mediates for its five million working class readers the frustration caused by this incompetency in its “Horror Affairs” column. Readers tell their stories about (not) getting their IDs, stories often of suicide, depression and “giving up” on life. Using a Lacanian frame, and through a close reading of “Horror Affairs” texts, I argue that this tabloid plays a therapeutic role for its socially marginalised readers by mediating the “invisibility” engendered by the modernising state and its administrative technologies. Given the concern about high rates of mental health illness in South Africa, the research also demonstrates how popular culture forms can alert health care practitioners to issues which may otherwise go unnoticed.
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Date Issued: 2015

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"I've always known this place, familiar as a room in our house" : engaging with memory, loss and nostalgia through sculpture

- Reed, Kesayne

Authors: Reed, Kesayne
Date: 2015
Subjects: Memory in art , Loss (Psychology) in art , Nostalgia in art , Sculpture -- Themes, motives , Art therapy , Sculpture -- Exhibitions
Language: English
Type: Thesis , Masters , MFA
Identifier: vital:2513 , http://hdl.handle.net/10962/d1020022
Description: My exhibition draws on Andreas Huyssen's notion of memory sculpture to articulate my own sense of loss and trauma, due to the divorce of my parents. Within my work I explore the effects that divorce had on me and how it has disturbed my normative understanding of home and family. I have created scenarios alluding to the family home that I have manipulated in order to convey a sense of nostalgia and loss. By growing salt crystals over found objects and/or cladding them in salt, I attempt to suggest the dual motifs of preservation (a nostalgic clinging to the past) and destruction (due to the salt’s corrosive properties). In this way, the salt-crusted objects serve as a metaphor for a memory that has become stagnant, and is both destructive and regressive. The objects encapsulate the mind’s coping methods to loss. In my mini thesis, I discuss characteristics of memory sculpture as a response to trauma, drawing on Sigmund Freud's differentiation between mourning and melancholia. I also unpack how objects and traces (such as photographs) may act as nostalgic triggers, inducing a state of melancholic attachment to an idealised past. I address these concerns in relation to selected works by Doris Salcedo and Bridget Baker, and also situate them in relation to my own art practice.
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Date Issued: 2015

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"Soap operas as a platform for disseminating health information regarding ART and the use of 'reel' versus 'real' role models"

- Deiner, Catherine Anne

Authors: Deiner, Catherine Anne
Date: 2015
Subjects: Isidingo (Television program) , Television soap operas -- South Africa , Health in mass media , Mass media in health education -- South Africa , Antiretroviral agents -- South Africa , Public health -- Moral and ethical aspects , HIV-positive women -- South Africa -- Grahamstown
Language: English
Type: Thesis , Masters , MA
Identifier: vital:3542 , http://hdl.handle.net/10962/d1017783
Description: The media, through development communication and edutainment, plays a critical role in the transformation of societies. In line with this, this thesis discusses the extent to which commercially driven prosocial soap operas can provide a platform for public health messaging, in the context of the HIV/AIDS epidemic in South Africa, for antiretroviral treatment (ART) and for encouraging ART adherence to foster national development. Furthermore, this thesis examined the potential of celebrities as HIV/AIDS ambassadors and the potential of both fictional characters and ‘real-life’ celebrities to disseminate these health messages. Although the HIV/AIDS epidemic in South Africa is stabilising, this is not the time to relax the communication around the disease, particularly regarding adherence to ARVs, considering that South Africa has the largest ARV rollout in the world. The qualitative methodological approach taken for this thesis is a three-step approach examining the intended message, the text and the appropriated message by viewers. Firstly, a thematic content analysis of an episode of Isidingo, that illustrated Nandipha as HIV-positive and the side-effects that came with her ART adherence, and the 3Talk interview with Lesego Motsepe, where she announced that she was weaning herself off ART, was done in order to understand the intended health messaging in the soap opera and the health message disseminated by an HIV-positive actress with regards to ART. Thereafter interview responses by the production team as well as by HIV-positive viewers, using ARVs, were thematised. In addition media texts which provided commentary on the use of a celebrity as a HIV-positive role model were examined. In doing this, this thesis has offered up the meanings of how HIV-positive women taking ARVs and living in Makana experience and understand the media, particularly health messaging relating to ARVs. The findings of this study suggest that commercial soap operas are the perfect platform to address HIV/AIDS and that prosocial health messaging regarding ARV adherence is still necessary in this country. Soap operas have the potential to have an educational angle. Although, HIV-positive individuals serve as better role models as they are authentic; given human nature, fictional characters, such as Nandipha Matabane in Isidingo, may be more sustainable role models as their message can be scientifically-based and well-researched. Realistic characters serve as role models whose behaviour is to be emulated. Soap operas appeal to a wide audience and so storylines can be tailor-made according to the times and the needs in terms of health issues and messaging. Thus, soap operas are not a single platform but rather one which can be exploited to maximum advantage for public health messaging.
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Date Issued: 2015

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"Soliloquy: the untold story of Sleeping Beauty's dreams"; a re-vision of Charles Perrault's "The sleeping beauty in the woods."

- Ledwick, Lisa-Mari

Authors: Ledwick, Lisa-Mari
Date: 2015
Subjects: Perrault, Charles, 1628-1703 , Symbolism in fairy tales , Sleeping Beauty (Tale) in literature
Language: English
Type: Thesis , Masters , MTech
Identifier: http://hdl.handle.net/10948/3155 , vital:20405
Description: Taken as a whole, the purpose of the practical and theoretical components of this research aims to contextualise and present a contemporary fairy tale heroine who recuperates and re-values traditional aspects of femininity within a feminist context.
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Date Issued: 2015

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"Why Persephone?" investigating the unique position of Persephone as a dying god(dess) offering hope for the afterlife

- Goodwin, Grant

Authors: Goodwin, Grant
Date: 2015
Subjects: Mythology, Greek , Gods, Greek , Future life , Greece -- Religious life and customs , Persephone -- (Greek deity)
Language: English
Type: Thesis , Masters , MA
Identifier: vital:3655 , http://hdl.handle.net/10962/d1017896
Description: Persephone’s myth is unique, as it was the central narrative of one of the most prominent ancient mystery religions, and remains one of the few (certainly the most prominent) ancient Greek myths to focus on the relationship of a mother and her daughter. This unique focus must have offered her worshippers something important that they perhaps could not find elsewhere, especially as a complex and elaborate cult grew around it, transforming the divine allegory of the changing seasons or the storage of the grain beneath the earth, into a narrative offering hope for a better place in the afterlife. To understand the appeal of this myth, two aspects of her worship and mythic significance require study: the expectations of her worshippers for their own lives, to which the goddess may have been seen as a forerunner; and the mythic frameworks operating which would characterise the goddess for her worshippers. The myth, as described in The Hymn to Demeter, is initially interpreted for its literary meaning, and then set within its cultural milieu to uncover what meaning it may have had for Persephone’s worshippers, particularly in terms of marriage and death, which form the initial motivating action of the myth. From this socio-anthropological study we turn to the mythic patterns and motifs the story offers, particularly the figure of the goddess of the Underworld (primarily in the influential Mesopotamian literature), and the Dying-Rising God figure (similarly derived from the Near East). These figures, when compared to the Greek goddess, may both reveal her unique appeal, and highlight the common attractions that lie in the figures generally. By this two-part investigation, on the particular culture’s expectations and the general mythic framework she exists in, Persephone’s meaning in her native land may be uncovered and understood.
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Date Issued: 2015

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'Becoming animal': motifs of hybridity and liminality in fairy tales and selected contemporary artworks

- Wasserman, Minke

Authors: Wasserman, Minke
Date: 2015
Subjects: Fairy tales -- History and criticism , Liminality in literature , Cultural fusion in literature , Cultural fusion and the arts , Art, Modern -- 21st century -- Themes, motives , Art, Modern -- 21st century -- Exhibitions , Human-animal relationships in art , Human-animal relationships in literature
Language: English
Type: Thesis , Masters , MFA
Identifier: vital:2512 , http://hdl.handle.net/10962/d1019759
Description: ‘Becoming Animal’: Motifs of Hybridity and Liminality in Fairy Tales and Selected Contemporary Artworks serves as a theoretical examination of the concept of the hybrid. My research unpacks the liminal aspect of hybridity, locating the hybrid in the imaginative world of popular fairy tales, folk lore and mythology. In my accompanying MFA exhibition, Becoming(s), I explore these motifs through an installation of mixed-media sculptures which are based on the hybrid creatures that populated the fantasy world of my childhood. The written component of my MFA submission will relate directly to my professional art practise, developing it further and situating it within a relevant context. In my mini-thesis I will consider the liminal in relation to the ‘animal turn’ in contemporary art, with a particular focus on relevant artists working with the motifs of hybridity, such as Nandipha Mntambo, Jane Alexander and Kiki Smith. The ‘animal turn’ is a term used by Kari Weil (2010: 3) to describe a contemporary interest in issues of the nonhuman, and in the ways that the relationship between humans and nonhumans is marked by “difference, otherness and power”. Of key concern to my research will be Giles Deleuze and Felix Guattari’s concept of ‘becoming animal’. Rather than describing a transition from one stable state to another, ‘becoming animal’ suggests a radical dissolution of boundaries – not just between species (such as ‘human’ and ‘animal’) but between any essentialising binaries. As such, ‘becoming animal’ suggests a conception of identity as being fluid and mutable, rather than stable and fixed.
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Date Issued: 2015

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'Committed, motivated and joyful?'Job satisfaction and organisational commitment of managers at a South African public utility

- Mayer, Claude-Hélène‏, Louw, Lynette, Baxter, Jeremy

Authors: Mayer, Claude-Hélène‏ , Louw, Lynette , Baxter, Jeremy
Date: 2015
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/123320 , vital:35427 , https://doi.org/10.4102/acom.v15i1.291
Description: During the past decade, publications and conferences on management in African organisations (Kamoche 2011a; 2011b) and in global contexts (Mangaliso 2001; Jackson 2004)1 have increased steadily. In various African contexts and organisations, job satisfaction (JS) (Walumbwa et al. 2005) and organisational commitment (OC) (Gbadamosi 2003; Wasti 2003; Nyengane 2007; Pillay 2008) have been researched. Most of the previous research is quantitative in nature. Although quantititative research provides insights into the relationships between variables, it does not necessarily provide in-depth meaningful conclusions on micro-psychological levels (e.g. Sempane, Rieger & Roodt 2002; Buitendach & De Witte 2005).
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Date Issued: 2015

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'Feeling at home': institutional culture and the idea of a university

- Vice, Samantha

Authors: Vice, Samantha
Date: 2015
Language: English
Type: text , book
Identifier: http://hdl.handle.net/10962/142072 , vital:38047 , ISBN 9781869142902 , https://books.google.co.za/books?id=49o8rgEACAAJanddq=Being+at+home:+Race,+institutional+culture+and+transformation+at+South+African+higher+education+institutionandhl=enandsa=Xandved=0ahUKEwiPgsa6mpjjAhXNN8AKHbNwAtoQ6AEIKDAA
Description: This edited work has gathered together contributions on how to transform universities in South Africa; as many are struggling to shift their institutional culture. In a South African context, transformation means to attempt to change higher education institutions such that they no longer reflect the values promoted by apartheid but rather reflect the values embodied in South Africa's 1996 Constitution. Institutional culture is the main subject for discussion in this book. In order to transform South Africa's universities, the contributors begin by analyzing the idea of what a university is, and relatedly, what its ideal aims are. A second theme is to understand what institutional culture is and how it functions. Moreover, transformation cannot occur without transforming the broader cultures of which they are a part. Related to this theme is a general concern about how contemporary moves towards the instrumentalization of higher education affect the ability to transform institutions. These institutions are being pushed to conform to goals that are outside the traditional idea of a university, such as concerns that universities are being 'bureaucratized' and becoming corporations, instead of a place of learning open to all. In conclusion it can be said that the contemporary South African academic community has an opportunity to recreate itself as the end of apartheid created space for engaging in transformative epistemic projects. The transformation of the tertiary sector entails a transformation of institutional cultures.
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Date Issued: 2015

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'I always knew I would go to university': a social realist account of student agency: part 1

- Ellery, Karen, Baxen, Jean

Authors: Ellery, Karen , Baxen, Jean
Date: 2015
Language: English
Type: article , text
Identifier: http://hdl.handle.net/10962/61207 , vital:27990
Description: Academic development programmes at higher education institutions (HEIs) in South Africa are often underpinned by discourses that view students as deficit. Archer's social realist ontology offers a means of understanding reflexivities and agency of students in the higher education context. Using narrative data and drawing on Archer's (2003) theory of mediation between structure and agency through internal conversations, this study examined the socio-economic background of one particular student, Thando, and his agential journey to arrive at the academy. The analysis reveals Thando has a deliberate and determined stance towards achieving his project of obtaining a tertiary education in order to realise a better life for himself and his family. Despite what could be perceived as constraining socio-cultural conditions, Thando strategically circumvents such restrictions and acts in ways that help him pursue his project. It is argued that student agency needs to take a more central place within academic development programmes in higher education.
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Date Issued: 2015

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'Meaningful engagement’: Towards a language rights paradigm for effective language policy implementation

- Docrat, Zakeerah, Kaschula, Russell H

Authors: Docrat, Zakeerah , Kaschula, Russell H
Date: 2015
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/174812 , vital:42512 , https://doi.org/10.1080/02572117.2015.1056455
Description: This article aims to develop the concept of ‘meaningful engagement’ in terms of the contemporary language policy implementation framework in South Africa. By exploring the current language policies, implementation and the current lack of effectiveness, the authors offer a new implementation focus drawn from the legal concept of ‘meaningful engagement’. ‘Meaningful engagement’ is a concept within the socio-economic rights sphere. This article expands and advances the concept within a language policy framework. Against the enabling legislative environment created by the Use of Official Languages Act 12 of 2012 and the overarching Constitutional framework which embeds the rights of all official languages, ‘meaningful engagement’ is developed and applied to selected language policies and practices.
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Date Issued: 2015

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'Tell us a new story': a proposal for the transformatory potential of collective memory projects

- Vincent, Louise

Authors: Vincent, Louise
Date: 2015
Language: English
Type: text , book
Identifier: http://hdl.handle.net/${Handle} , vital:38046 , ISBN 9781869142902 , https://books.google.co.za/books?id=49o8rgEACAAJanddq=Being+at+home:+Race,+institutional+culture+and+transformation+at+South+African+higher+education+institutionandhl=enandsa=Xandved=0ahUKEwiPgsa6mpjjAhXNN8AKHbNwAtoQ6AEIKDAA
Description: This edited work has gathered together contributions on how to transform universities in South Africa; as many are struggling to shift their institutional culture. In a South African context, transformation means to attempt to change higher education institutions such that they no longer reflect the values promoted by apartheid but rather reflect the values embodied in South Africa's 1996 Constitution. Institutional culture is the main subject for discussion in this book. In order to transform South Africa's universities, the contributors begin by analyzing the idea of what a university is, and relatedly, what its ideal aims are. A second theme is to understand what institutional culture is and how it functions. Moreover, transformation cannot occur without transforming the broader cultures of which they are a part. Related to this theme is a general concern about how contemporary moves towards the instrumentalization of higher education affect the ability to transform institutions. These institutions are being pushed to conform to goals that are outside the traditional idea of a university, such as concerns that universities are being 'bureaucratized' and becoming corporations, instead of a place of learning open to all. In conclusion it can be said that the contemporary South African academic community has an opportunity to recreate itself as the end of apartheid created space for engaging in transformative epistemic projects. The transformation of the tertiary sector entails a transformation of institutional cultures.
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Date Issued: 2015

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(Ferrocenylpyrazolyl) zinc (II) benzoates as catalysts for the ring opening polymerization of ε-caprolactone

- Obuah, Collins, Lochee, Yemanlall, Jordaan, Johan H L, Otto, Daniel P, Nyokong, Tebello, Darkwa, James

Authors: Obuah, Collins , Lochee, Yemanlall , Jordaan, Johan H L , Otto, Daniel P , Nyokong, Tebello , Darkwa, James
Date: 2015
Subjects: To be catalogued
Language: English
Type: text , article
Identifier: http://hdl.handle.net/10962/189515 , vital:44853 , xlink:href="https://doi.org/10.1016/j.poly.2015.02.007"
Description: The reaction of Zn(OAc)2 and C6H5COOH or 3,5-NO2-C6H3COOH with 3-ferrocenylpyrazolyl-methylenepyridine (L1), 3-ferrocenyl-5-methylpyrazolyl-methylenepyridine (L2), 3-ferrocenylpyrazolyl-ethylamine (L3) and 3-ferrocenyl-5-pyrazolyl-ethylamine (L4) afford the corresponding complexes [Zn(C6H5COO)2(L1)] (1), [Zn(C6H5COO)2(L2)] (2), [Zn(3,5-NO2-C6H3COO)2(L1)] (3), [Zn(3,5-NO2-C6H3 COO)2(L2)] (4), [Zn(C6H5COO)2(L3)] (5), [Zn(C6H5COO)2(L4)] (6), [Zn(3,5-NO2-C6H3COO)2(L3)] (7) and [Zn(3,5-NO2-C6H3COO)2(L4)] (8). These complexes behave as catalysts for the ring opening polymerization of e-caprolactone to produce polymers with molecular weight that range from 1480 to 7080 g mol1 and exhibited moderate to broad PDIs. Evidence of these complexes acting as catalysts was obtained from both the polymerization data and kinetic studies. The polymerization data show that variation of the [CL]/[C] from 100 to 800 produced PCL with relatively the same molecular weight indicative of a catalyst behavior. The appearance of induction period in kinetic plots strengthens the fact that these complexes are catalysts rather than initiators. MALDI-TOF MS and 1 H NMR data show di-hydroxy end groups, which support the coordination mechanism rather than insertion mechanism. To understand the broad PDIs obtained for some of the polymer, the electronic properties of the zinc complexes were investigated using cyclic voltammetry. The results show that the zinc complexes containing amine based ligands are highly electrophilic therefore making them unstable, hence the broad PDIs observed for zinc complexes containing amine based ligands. Among the eight complexes investigated, complex 7 is the most active catalyst with kp value of 1.18 107 h1 mol1 at 110 C.
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Date Issued: 2015

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(Un)stable architecture as deconstructed meaning

- Lombard, Lindi

Authors: Lombard, Lindi
Date: 2015
Subjects: Art and architecture , Architecture in art , Proportion (Art) , Vertigo in art , Deconstructivism (Architecture)
Language: English
Type: Thesis , Masters , MFA
Identifier: http://hdl.handle.net/10962/5825 , vital:20980
Description: How often do we notice the buildings that we work in, play in and live in? The architecture that we construct is specially geared to our human proportions, and shelters and accommodates us. It can be seen as a metaphor for the body, the self, and systems of social control that we have created. When the structure of this architecture is compromised, either literally or metaphorically, we experience instability and vertigo. My practical submission, Vertigo is concerned with architecture, perspective, deconstruction, instability, vertigo, scale and the body. Vertigo consists of paintings, ranging in scale from the size of a brick to the height of a single storey house. Utilizing a highly representational style as well as working with abstract sign systems and technical plan drawings, I destabilize firstly, our sense of certainty in the architecture that surrounds us, and secondly, prompts us to question the assumed fixity of ourselves and our social systems, through the convergence and collision of architecture and painting. This supporting document, (Un)stable Architecture as Deconstructed Meaning, considers the key conceptual concerns informing my practical submission. In chapter one of this mini-thesis: Deconstructivist Architecture, Instability and Impermanence I look at Deconstructivist Architecture which challenges traditional values of order, stability, harmony and unity of architecture. I position my work in relation to architecture projects on the Deconstructivist Architecture show in relation to their intent of undoing, shifting and destabilizing structure and what architecture is traditionally valued for. I also look at the shifting meaning and symbolism of architecture and skyscrapers. In the second chapter: Vertiginous Point of View and Shifted Perspectives I engage with vertigo, perspective, scale and the bodily analogy in architecture. I look at how Julie Mehretu destabilises built space and architecture in a painterly way, depicting multiple perspectives which are subjected to multiple interpretations. In chapter Three: Painting a Building and Building a Painting: Process, Scale and the Body, I discuss and engage with my practical submission, Vertigo, in relation to my process, scale, the body, vertigo, deconstruction, instability and perspective.
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Date Issued: 2015

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A best practice guideline for evidence based teaching strategies for nurse educators

- Breytenbach, Cecile

Authors: Breytenbach, Cecile
Date: 2015
Subjects: Nursing -- Study and teaching -- Great Britain , Nurse educators , Evidence-based nursing
Language: English
Type: Thesis , Masters , MA
Identifier: http://hdl.handle.net/10948/4831 , vital:20699
Description: Evidence based practice (EBP) is a worldwide phenomena defined as the “conscientious explicit and judicious use of current best evidence in making decisions about the patient’s care”. The evidence based practice concept’s aim is to effectively guide health care professionals to build knowledge that will be supported by evidence. Evidence based practice must be supported by evidence based teaching. Nurse educators must be up to date with evidence based teaching as well as the latest evidence based teaching strategies, in order to teach the new millennial nursing students and for the new qualifications structure. Teaching the concept of evidence based practice by implementing evidence based teaching to nursing students will enable them to transform the future of healthcare by delivering high quality care practice. A paucity of evidence is available on evidence based teaching and teaching strategies in the South African context. Therefore the researcher used a systematic review methodology to explore and describe the best available evidence based teaching strategies and to develop a guideline on evidence based teaching strategies for nurse educators. The data bases searched included: MEDLINE, CINAHL, PubMed and Google Scholar. Manual searches were done and completed with the assistance of librarians. A total number of n=50 studies were identified as potentially relevant to the study. The number or articles included for critical appraisal were 20. On completion of the critical appraisal n=17 articles were identified for the review. The included studies for the review were n=7 Level 1, systematic reviews and n=10 Level 2, quasi-experimental studies. Three studies were excluded after critical appraisal from two reviewers, appraisal was done independently, and consensuses were reached between the two reviewers. The Joanna Briggs Institutes critical appraisal and data extraction instruments were used for the study. The descriptive data synthesis was done of the included studies as well as a comparison of teaching strategies to determine which one to better than the other one. Although n = 4 of the teaching strategies (concept mapping, internet-based learning, evidence based interactive strategy and cultural competence) significantly increased knowledge, the overall results found that a variety of teaching strategies to be implemented to increase the knowledge outcomes of the nursing students. The different teaching strategies found were: e-learning, concept mapping, internet-based learning, web-based learning, gaming, problem-based learning, and case studies, evidence based learning and cultural competence. However, more research is needed to investigate the best use of the different teaching strategies and compare the impact of a variety of teaching strategies on increasing knowledge of the nursing student.
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Date Issued: 2015

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A business model for medical subspecialty training in South Africa

- Dalmeyer, Johannes Paulus Franciscus

Authors: Dalmeyer, Johannes Paulus Franciscus
Date: 2015
Subjects: Health care teams -- Training of -- South Africa , Medical care -- Needs assessment -- South Africa , Evidence-based medicine -- South Africa
Language: English
Type: Thesis , Doctoral , DPhil
Identifier: http://hdl.handle.net/10948/3508 , vital:20437
Description: The shortage of healthcare workers and doctors in the developing world compared to the developed world is a problem, and will continue to be so, due to the continual migration of qualified professionals and the inability of the state to remedy these shortfalls. A shortage of healthcare workers and specialist doctors will seriously hamper the Government’s National Health Insurance (NHI) plan, as well as the sustainability of the private health care sector. In addition, the duration of medical training in South Africa is exceptionally long. The three major hospital groups and other private corporates have over the last number of years taken limited initiative to fund education projects in conjunction with the academic institutions. However, these projects have been poorly focused and have been managed in an unstructured and detached manner. There is a desire from the private sector to get involved in these projects on a much larger scale through more formalised structures. Given this background, the primary objective of this research is to develop a business model for medical subspecialty training to complement the current academic subspecialty training in South Africa. A trial model for training subspecialists in reproductive medicine was developed as a first attempt to address the threatening shortages and training duration. This trial programme is the basis of this research. A two-phased process was used in collecting data. In Phase 1 data was collected from stakeholder groups. The results of this survey assisted in generating variables to include in the measuring instrument for the survey in Phase 2. In Phase 2 the perceptions and expectations of sub-specialists (reproductive subspecialists and cardiologists) regarding sub-specialty training was collected. The results of the demographic variables confirm the aging profile of subspecialist and the need to ensure succession. The results further showed that cardiologists and reproductive subspecialist expectations of the training of subspecialists are very similar except for their expectations on the training duration. Reproductive subspecialist respondents agreed more than cardiology subspecialist respondents that the training duration is too long. The biggest gap between perceptions and expectations is also with the factor training. The results showed that the expectations of subspecialists are not met for training. From these results a business model for the training of medical subspecialists is proposed. This proposed business model can play a complementary role to the existing state controlled system and form the bases of Public Private Partnerships (PPP) in medical training. This proposed business model will fit a developing country were the focus is on primary healthcare, with financial and capacity constraints. The proposed model would require role players to bring about change to accommodate a larger scale Public Private Partnership (PPP) to ensure the implementation of the model. The proposed decentralised business model for training subspecialists would allow the trainee subspecialist to practise as a specialist thus maintaining an acceptable income, and enable an expedited completion and lead to a wider dissemination of medical expertise that can be delivered in a wider national foot print. It further will provide for a structured Public Private Partnership.
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Date Issued: 2015

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