ETD Collection
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Item Satisfaction of inpatients in a psychiatric hospital with nursing service and communication(2010-10-26) Masilani, Mhakamuni LucyTherapeutic communication skills are vital in psychiatric nursing. They contribute extensively to patients' perceptions about the quality of care received whilst in hospital. The aim of the study was to establish inpatients' level of general satisfaction and satisfaction with nursing communication in a psychiatric hospital, with a view to suggesting recommendations that focus on improving nurse-patient relationships. This study was conducted in a specialist psychiatric hospital in Gauteng, Johannesburg, South Africa. The target population was 140 inpatients and a sample size of 53 patients was used after the selection process had been completed. A qualitative, exploratory, descriptive and non-experimental design was selected for the study. Data was collected using questionnaires. The purpose of the study was to determine psychiatric patients' satisfaction of nurses' communication and care in psychiatric hospital. Raw data was pooled and analysed using descriptive statistical analytical procedures. The results were presented in graphs, tables and summaries depicting the responses and highlighting patients' overall experience of hospitalization and nursing interventions and communication. Recommendations to relevant stakeholders are suggested based on the findings of this study in order to improve service delivery in psychiatric hospitals.Item Management of rehabilitation personnel within the context of the National Rehabilitation Policy(2009-10-19T11:06:56Z) Dayal, HarshaThe provision of rehabilitation services has received little attention within the context of health sector reforms in South Africa. This study explores the human resource (HR) management component of the National Rehabilitation Policy (NRP), formulated to improve access to rehabilitation services within the public health sector. Qualitative methodology was used to understand the alignment of policy to practice, with data derived from both the deductive approach (document reviews); and inductive approach (key informant interviews and focus group discussions). The findings reveal that there is a gap between policy and practice. Resistance to integration, problems with professional identity and capacity constraints at national, provincial and local levels hindered the implementation of an integrated rehabilitation service. In addition, polices and norms and standards that aim to guide HR in public health are not coherent. These directly influence HR performance, and have served to highlight the social and institutional phenomena impacting on service delivery.Item Complexities of organisational change: the case of the Eastern Cape Department of Education (ECDE)(2009-09-15T13:59:44Z) Ngoma, Wendy YolisaFor rational theories of organisational change, organisational dysfunctionalities are nothing more than the inadequacy of organisations to maximise on their goals or lack of co-ordination of different types of inputs and processes. Usually, such observations are made in exclusion of the analysis of organisational realities and the experiences that are part of their daily realities. This thesis explores the experiences of organisational change in a single case of the provincial department of education, namely the Eastern Cape Department of Education (ECDE). Using the qualitative and exploratory methods of interviews and document analysis, it asks how and why the department was perceived to be in a state of crisis in terms of service delivery, eight years after its initial transformation. To explore these questions, the thesis looked at the interplay between context, organisational design and internal skills and capacities, as the triad of processes that influenced the patterns for organisational change in this context. Broadly, the findings revealed that issues of organisational efficiency and service delivery cannot be debated and analysed outside of the political processes that influence them. The ECDE revealed that it was caught in endless politics of networks of coalition which influenced the pattern of service delivery. As a result this thesis concluded that organisational change and service delivery debates have to extend beyond the rational inputs and outputs paradigms to look at the complexities of networks that were a coincidence of transitional politics. It therefore proposes a focus on relational and network analysis of organisations to unravel their politics and pattern of influence on service delivery.Item How funding affects service delivery among non-profit organizations in Johannesburg(2009-09-11T10:28:02Z) Sibanda, JoyceABSTRACT The primary purpose of the study was to explore how funding affected service delivery among Nonprofit Organizations (NPOs) in Johannesburg, given the important role these organizations play in contributing to social development in South Africa. The study was undertaken among 15 NPO organizations based in Johannesburg and located in various service fields. A semi-structured interview schedule comprising open-ended and close-ended questions was utilized to collect information. Descriptive statistics were employed to analyze closed-ended questions whilst thematic content analysis was used to analyze open-ended items. The main finding that emerged from the study was that NPOs that were surveyed suffered from a diversity of challenges emanating from insufficient and at times delayed funding, particularly by state departments such as the Department of Social Development. The problems faced by these NPOs were found to be predominantly human resources related. These organizations were unable to attract skilled professional staff because their funds did not permit them to offer market-related packages. In addition, these NPOs suffered from high labour turnover because employees tended to leave these organizations in pursuit of greener pastures in government departments and the private sector. The sector also experienced inadequately funded programmes and an inability to expand their services to the wider populations due to inadequate funding. The NPOs that were surveyed had not engaged in entrepreneurial activities on a scale sufficiently extensive to wean them off donor funding or over-reliance on such funding. Self-sustainability was found to be still in the embryonic stage. Moreover, the relationship between the sector and the state was found to be characterized by a lack of faith and confidence on the part of the NPOs surveyed, suggesting a ‘troubled’ partnership between the two. The findings of the study suggest the need for the research project to be replicated on a wider sample in different provinces. Since the study focused on formally registered NPOs in terms of the Nonprofit Organizations Act of 1997, future research needs to investigate the funding challenges faced by smaller mainly informal/ unregistered community-based organizations that form an integral part of the nonprofit sector in South Africa and offer an array of services to their communities. Furthermore, the findings of this study could potentially be used as a basis for policy formulation and analysis by policy makers as they appear to have implications for re-assessing funding policies in respect of NPOs.