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Thesis (MA (Afrikaans en Nederlands))--North-West University, Potchefstroom Campus, 2004. Anthologies composed for adolescent readers are rare in both Afrikaans and Dutch. These anthologies are published at quite lengthy intervals, because they are post-publications in which already published volumes are absorbed. These anthologies are, however, to an increasing extent the medium by which readers become aware of poetry and are also introduced to different poets. For that reason it can be concluded that anthologies inform poetic taste. The empathy and love towards poetry experienced by young children in both languages are gradually replaced by an apathetic attitude towards poems and even an antipathetic attitude in general during adolescence. The first reaction to poetry is usually emotional and this indicates the way for further intellectual development. When selecting poems for the adolescent reader, the different developmental aspects affecting the adolescent and his identity development must be taken into consideration. The needs of the adolescent reader must be kept in mind. Needs in reading develop as a result of general needs that should be satisfied in the first place. Should this be the case, the need for reading would develop. In this study different theoretical points of view, namely reader-response criticism, developmental psychology, general needs and reading-related needs are used to determine the representation of identity in poems. Specific theories of poetry are used as instruments in text studies and analyses with regard to representation of identity in anthologies for adolescents. Poems in Versreise (Vermaak et al.) and Met gekleurde billen zou her gelukkiger leven zijn (Van Coillie) are analysed focusing on the representation of time and space, speaker and perspective, atmosphere and metaphorical language. For the purposes of this study analyses were conducted to evaluate and interpret the representation of identity in the texts of both anthologies. The differences and similarities between the Afrikaans and Dutch poetry texts for the adolescent had to be identified. The differences were used to determine which type of text would support the Afrikaans identity, the Dutch identity or the Flemish identity. The similarities, on the other hand, were used to determine the type of text that would not appeal to the Afrikaans, Dutch or Flemish adolescents only, but to adolescents in general. In this study method-pluralism is scientifically unavoidable. Different methods were systematically combined to support the specific methods of approach. The research was done in accordance with four methods: a synopsis of existing and appropriate theory of literature and forming of theory with regard to relevant concepts and terms; the analyses of texts in two anthologies; a summary of critical opinions stated in different reviews as well as surveys and interviews based on consultations via e-mail with the different role players, i.e. the anthology composers, illustrators and publishers. Masters

Anthologies composed for adolescent readers are rare in both Afrikaans and Dutch. These anthologies are published at quite lengthy intervals, because they are post-publications in which already published volumes are absorbed. These anthologies are, however, to an increasing extent the medium by which readers become aware of poetry and are also introduced to different poets. For that reason it can be concluded that anthologies inform poetic taste. The empathy and love towards poetry experienced by young children in both languages are gradually replaced by an apathetic attitude towards poems and even an antipathetic attitude in general during adolescence. The first reaction to poetry is usually emotional and this indicates the way for further intellectual development. When selecting poems for the adolescent reader, the different developmental aspects affecting the adolescent and his identity development must be taken into consideration. The needs of the adolescent reader must be kept in mind. Needs in reading develop as a result of general needs that should be satisfied in the first place. Should this be the case, the need for reading would develop. In this study different theoretical points of view, namely reader-response criticism, developmental psychology, general needs and reading-related needs are used to determine the representation of identity in poems. Specific theories of poetry are used as instruments in text studies and analyses with regard to representation of identity in anthologies for adolescents. Poems in Versreise (Vermaak et al.) and Met gekleurde billen zou her gelukkiger leven zijn (Van Coillie) are analysed focusing on the representation of time and space, speaker and perspective, atmosphere and metaphorical language. For the purposes of this study analyses were conducted to evaluate and interpret the representation of identity in the texts of both anthologies. The differences and similarities between the Afrikaans and Dutch poetry texts for the adolescent had to be identified. The differences were used to determine which type of text would support the Afrikaans identity, the Dutch identity or the Flemish identity. The similarities, on the other hand, were used to determine the type of text that would not appeal to the Afrikaans, Dutch or Flemish adolescents only, but to adolescents in general. In this study method-pluralism is scientifically unavoidable. Different methods were systematically combined to support the specific methods of approach. The research was done in accordance with four methods: a synopsis of existing and appropriate theory of literature and forming of theory with regard to relevant concepts and terms; the analyses of texts in two anthologies; a summary of critical opinions stated in different reviews as well as surveys and interviews based on consultations via e-mail with the different role players, i.e. the anthology composers, illustrators and publishers. Thesis (MA (Afrikaans en Nederlands))--North-West University, Potchefstroom Campus, 2004.

The setting for the research is the urban areas of Cape Town, South Africa where the notification rate of tuberculosis is the highest in the world. Despite the availability of modern drugs, the cure rate is low and approximately 40% of diagnosed patients do not adhere to treatment. This has serious implications for the spread of multiple drug-resistant tuberculosis. The relationship between the patient and health care providers is one of the main determinants of compliance to medical treatment. The main aim of the thesis is to develop an understanding of how nurses experience their work with patients who have pulmonary tuberculosis. The research explores how nurses interact with patients, how nurses perceive their relationship with patients and the processes and organisational arrangements which contribute to the patterns of nurse-patient interaction. The interpretive research design was largely informed by an ethnographic approach. The iterative research process led to several sub-studies; the analysis of each sub-study led to a further cycle of data collection. Data collection techniques include participant observation of nurse-patient interaction and depth interviews with nurses and key informants. An exploration of opportunities to change the prevailing work patterns yielded data on nurses' responses to change. The data were captured as field notes or audio taped and analysed thematically by using qualitative methods and by the application of psychodynamic theory. The research identifies task orientation and patient-centredness as the main patterns of nurse-patient interaction. Task orientation was found to be the dominant work pattern. Its origins are traced to the colonial history and to the influence of Taylorist labour practices. Task orientated work patterns are maintained because of complex mechanisms which operate at both intrapersonal and interpersonal levels. It is argued that the history of racial politics and racial identity has influenced the ways in which nurses manage the degree of distance between themselves and patients. The findings suggest that the closer the nurses identify with patients in terms of ethnic background, the more the nurses may feel the need to distance themselves from the patients. The notion of tuberculosis as a stigmatised disease, the concept of compliance, and the implementation of control measures such as directly observed therapy are critically examined. An exploration of the illness experiences of nurses who become infected with tuberculosis, provides an opportunity to explore how nurses perceive the role of the caregiver when they are in the unfamiliar position of being patients. The findings have implications for public health interventions aimed at transforming nurse-patient interaction. It is recommended that change management processes explicitly acknowledge the consequences of decades of apartheid policies and practices on the behaviour of health professionals and the users of health services. In the years to come change agents will need to address the emotional pain of the past, as well as the more well-known sources of organisational resistance to change.

This dissertation reports on an evaluation of the home visiting programme of the SACLA Rehabilitation Worker project against the background of the socio-economic context of the community and the history of the project. The evaluation had two aims. Firstly, it aimed to highlight the programme's strengths and weaknesses so that the work could become both more efficient and more effective. Secondly, it aimed to establish whether the SACLA rehabilitation project is an effective model of a community based rehabilitation project on which other local projects could be based. Quantitative data was collected by interviewing the caregivers of disabled children who were involved in the project. In-depth interviews with the rehabilitation workers provided qualitative data which was used to confirm the validity of some of the quantitative data. The foremost findings were that the mothers were very positive about the support received from the RWs. The majority of the caregivers remembered the activities that they had been taught by the RWs and performed them well. Poor communication with the caregivers and a lack of skills on the part of the RWs gave rise to a number of problems. A number of changes highlighted by the evaluation were suggested. In conclusion, the project was found to be an effective model of local community based rehabilitation on which other projects could be based.

In the following chapters, I will discuss the effectiveness of radio and audiotapes as appropriate tools for health communication particularly suited to reaching deprived and isolated communities. I will refer to the striking achievements in radio and audiotape projects by drawing on the experiences of more than sixty radio and cassette projects concerned with primary health care in developing countries. I will present a detailed description of my Argentinean and South African radio experiences, focussing on how the two programmes came into existence, the different stages they have gone through, the problems and constraints encountered as well as their strengths and successes. I will describe the audiotape project I am involved in, and demonstrate how audiotapes can be used alone or in conjunction with radio for primary health education.