14 research outputs found
Artificial fertilization with donor gametes : a medical social work perspective
English: Artificial fertilization with donor gametes is becoming more popular
amongst infertile couples as an alternative to childlessness. It
allows the couple the opportunity to experience a pregnancy and the
birth of their child, who is fifty percent blood-related. This form
of treatment involves various medical, legal, ethical-moral,
religious and psycho-social aspects, and couples requesting this form
of treatment usually have limited knowledge of these aspects, are
unable to make an informed decision and are unaware of the possible
long-term implications.
Applied and developmental research was implemented in this study.
The research designs were exploratory and descriptive and the nature
of this research was both quantitative and qualitative. The research
population of 30 respondents were all included in this study.
The hypotheses for this study were formulated as follows:
Hypothesis 1:
When couples request artificial fertilization with donor gametes,
they have limited knowledge of all the medical, legal, ethical-moral,
religious and psycho-social aspects related to this treatment.
Hypothesis 2:
If couples are prepared for artificial fertilization with donor
gametes by means of a holistic preparation session, they will gain
more knowledge regarding all the aspects related to this treatment.
Hypothesis 3:
If couples undergo artificial fertilization with donor gametes, they
will experience long-term psycho-social implications.
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The aims of this study included:
Aim 1:
To develop, implement, evaluate and describe a guideline for the
holistic preparation of couples for artificial fertilization with
donor gametes.
Aim 2:
To do a longitudinal study of the same respondents to determine the
long-term psycho-social implications of successful or unsuccessful
artificial fertilization with donor gametes.
Aim 3:
To provide a medical social work guideline for the counselling of
couples undergoing artificial fertilization with donor gametes.
These aims were all met by means of this study.
In the first empirical study, the preparation session which was
developed in this study, was implemented over a half-day session,
individually with each couple using the A-B-A single system design
and a questionnaire. A pre-test prior to and post-test after
completion of the session was conducted. These respondents'
knowledge on all the aspects related to this form of treatment, which
was limited in the pre-test, had increased after completion of the
session in the post-test. The session was evaluated to be of high
value on the short-term, as it had increased their knowledge and
provided them with a thorough perspective, supporting hypothesis 1
and 2.
The second empirical study was conducted with the same respondents
7 years later, by means of a longitudinal survey, using personal
interviews and a questionnaire. Respondents had either donor,
adopted or own biological children or were childless and had
experienced
successful
long-term psycho-social implications as a result of
or unsuccessful artificial fertilization with donor
gametes, supporting hypothesis 3. Respondents valued the preparation
session highly on the long-term, as it had increased their knowledge
and enabled them to make an informed decision. A preparation session
was recommended as a necessity for all couples undergoing this form
of treatment, as well as a need for long-term counselling. Recommendations
included a preparation session being a prerequisite for all
couples undergoing this form of treatment and the need for long-term
counselling. A guideline was provided for this purpose.Afrikaans: Kunsmatige bevrugting met donor gamete, word steeds gewilder by
onvrugbare egpare, as alternatief tot kinderloosheid. Dit bied 'n
egpaar die geleentheid om 'n swangerskap en die geboorte van hulle
kind, wat vyftig persent bloedverwant is, te ervaar. Hierdie soort
behandeling behels verskillende mediese, wetlike, eties-morele,
godsdienstige en psigososiale aspekte en egpare wat hierdie soort
behandeling versoek, dra gewoonlik slegs beperkte kennis van hierdie
aspekte, is nie daartoe instaat om 'n ingeligte besluit te neem nie
en is onbewus van die moontlike langtermyn implikasies.
Toegepaste en ontwikkelingsnavorsing is in hierdie studie aangewend.
Die navorsingsontwerpe was verkennend en beskrywend en die aard van
die navorsing was sowel kwantitatief as kwalitatief. Die universum
van 30 respondente is in hierdie studie ingesluit.
Die hipoteses vir die studie is as volg geformuleer:
Hipotese 1:
Wanneer egpare kunsmatige bevrugting met donor gamete versoek, het
hulle slegs beperkte kennis van al die mediese, wetlike, etiesmorele,
godsdienstige en psigososiale aspekte wat verband hou met
hierdie behandeling.
Hipotese 2:
Indien egpare deur middel van 'n holistiese voorbereidingsessie vir
kunsmatige bevrugting met donor gamete voorberei word, sal hulle meer
kennis opdoen ten opsigte van al die aspekte wat verband hou met die
behandeling.
Hipotese 3:
Indien egpare kunsmatige bevrugting met donor gamete ondergaan, sal
hulle langtermyn psigososiale implikasies ervaar. Die doelstellings van die studie het die volgende ingesluit:
Doelstelling 1:
Om 'n riglyn vir die holistiese voorbereiding van egpare vir
kunsmatige bevrugting met donor gamete te ontwikkel, implementeer,
evalueer en beskryf.
Doelstelling 2:
Om 'n longitudinale studie van dieselfde respondente te onderneem,
om die langtermyn psigososiale implikasies van suksesvolle of
onsuksesvolle kunsmatige bevrugting met donor gamete te bepaal.
Doelstelling 3:
Om 'n geneeskundige maatskaplikewerk-riglyn vir die berading van
egpare wat kunsmatige bevrugting met donor gamete ondergaan, te
verskaf. Hierdie doelstellings is almal deur middel van hierdie
studie bereik.
In die eerste empiriese studie is die voorbereidingsessie individueel
met elke egpaar oor 'n half-dag geimplementeer en die A-B-A enkelstelselontwerp
en 'n vraelys is benut. 'n Voortoets asook 'n natoets
is ui tgevoer, voor en na vol tooiing van die sessie. Die
respondente het v66r die voorbereidingsessie, oor beperkte kennis van
al die aspekte wat met die behandeling verband hou beskik, en het na
die sessie vermeerderde kennis getoon. Die sessie is van hoe waarde
beskou op die korttermyn, want hulle kennis is aangevul en 'n
deeglike perspektief is voorsien, wat hipoteses 1 en 2 ondersteun
het.
Die tweede empiriese studie is sewe jaar later met dieselfde respondente
ui tgevoer, deur middel van 'n longi tudinale opname, met
gebruikmaking van persoonlike onderhoude en 'n vraelys. Die
respondente het donor, aangenome, of eie biologiese kinders gehad,
of was kinderloos en het langtermyn psigososiale implikasies ervaar
as gevolg van suksesvolle of onsuksesvolle kunsmatige bevrugting met
donor gamete. Hipotese 3 is deur hierdie bevindinge ondersteun. 'n
Hoe waarde is aan die sessie geheg met die langtermyn evaluasie van
die voorbereidingsessie, omdat dit hulle met kennis toegerus het, en
hulle in staat gestel het om 'n ingeligte besluit te neem. Aanbevelings
het sowel die voorbereidingsessie as vereiste vir alle egpare
wat hierdie behandeling ondergaan, ingesluit, asook die behoefte aan
langtermyn berading. 'n Riglyn is vir hierdie doel voorsien.Thesis (DPhil (Social Work))--University of Pretoria, 1996.Social Work and CriminologyDPhil (Social Work)Unrestricte
Abortion : guidelines for social work intervention
This article is based on the research that was done at the TOP Clinic at Kalafong Hospital near Pretoria. The study was intended to investigate the psychosocial aspects related to termination of pregnancy on the woman, as well as the service that is provided at the TOP facilities, so that improvements could be made for the women to receive a comprehensive service. It has been established that the team who renders the service at the state TOP facilities is not well-composed, as it consists of medical personnel only, namely, the nurses and doctors. As a result, women who request termination of pregnancy at these facilities, because they are unable to afford the service at the private facility, are not provided with a comprehensive service. Guidelines for social work intervention at the TOP Clinic is provided, for an improved service delivery, regarding women who opt for termination of pregnancy.https://journals-co-za.uplib.idm.oclc.org/content/journal/socworkhj2020Social Work and Criminolog
"A license to leave South Africaâ : a qualitative study of South African parentsâ narratives of their childrenâs reasons for emigration
The number of South Africans citizens emigrating abroad has increased dramatically, resulting in a multitude of parents remaining behind. This qualitative phenomenological study explored and described the reasons for the emigration of adult children of predominantly white South African parents. Multiple motivating factors validated the emigration, namely the South African political climate, violent crime, lack of employment opportunities and high skill mobility. In an attempt to justify the emigration, parents subsequently provided their children with a âlicense to leaveâ. Each parent was affected uniquely in this complex psychosocial journey. Social workers can assist in the reconstruction of meaning by guiding the parent through this life-altering decision.http://socialwork.journals.ac.za/pubhj2020Social Work and Criminolog
THE NEEDS OF CAREGIVERS OF BIPOLAR PATIENTS
Bipolar disorder (BD) is a mental health disorder that affects not only the person living with this chronic disease, but also the family and caregiver. Caregivers, often family members, do not realise how caregiving will impact on them and the rest of the family, until they experience it first-hand. This qualitative study used a collective case study and one-to-one interviews. Non-probability purposive sampling was used with selection criteria. One of the themes generated from the study was the needs of caregivers of patients with BD. Sub-themes included: acknowledgement, sacrificing their own needs, support (emotional and financial), information/knowledge, skills, tools and coping mechanisms, space/freedom/day off, order and stability, need for a programme and future plans. It was found that it is essential to address the needs of caregiver
KEY INFORMANTSâ PERSPECTIVES ON FOOD SECURITY AMONG FEMALE-HEADED HOUSEHOLDS IN KENYA
Social connectedness plays an important role in protecting food security, which requires multidisciplinary input from fields such as nutrition, agriculture, public health, social work and community development. This qualitative study explored food security among female-headed households (FHHs) in Kenya, as part of a larger mixed methods doctoral study. Fifteen key informants monitoring food security were interviewed in the qualitative phase and the thematic analysis generated nine themes, of which two are discussed. Results reveal that dietary diversity in FHHs is poor: they often experience severe food insecurity. Recommendations for practice, policy, and future research are provided
EVALUATION OF AN HIV AND AIDS SOCIAL INTERVENTION PROGRAMME FOR THE YOUTH IN THE NORTHERN CAPE, SOUTH AFRICA
The study focuses on a qualitative evaluation of the Soul City Social Intervention Programme (SCP) on HIV and AIDS targeted at the youth in the Northern Cape province, South Africa. The evaluation was implemented through a qualitative study, operationalised through an instrumental case study design. Data were collected through semi-structured interviews with 13 SCP field workers. Thematic analysis crystallised into two themes. Theme 1 focuses on the limitations regarding the implementation of the SCP, while theme 2 highlights the evaluation of the SCP from the field workersâ perspective. Recommendations are made to improve the effectiveness of the programme
The relevance of the content of an HIV and AIDS social intervention programme for the youth in the Northern Cape, South Africa
The numbers of people infected with HIV and living with AIDS remain high in South Africa. The youth of the Northern Cape province in South Africa are a vulnerable population in this regard. However, there seems to be a dearth of rigorous evaluations of HIV and AIDS social intervention programmes targeted at the youth. This study aimed to evaluate the relevance of the content of an HIV and AIDS social intervention programme for the youth in the Northern Cape as well as to collect attendeesâ recommendations with regards to programme content. The data collection method comprised a group-administered questionnaire completed by youth (N = 172) who participated in the Soul City social intervention programme (SCP) implemented for the youth in the Northern Cape, and recruited through stratified random sampling. Based on specific criteria, the results showed that the SCP programmeâs content was relevant to the communities it served. The youth also forwarded recommendations for the programme content. Recommendations from the study include that youth support should be beyond dialogues; womenâs rights should be promoted within the context of HIV prevention strategies; the SCP should intensify its condom promotion efforts because it is relevant to the South African governmentâs macro-level plan; relevant community leaders should be visited to explain the rationale for the youthâs involvement in programmes; and the programme should focus more pertinently on poverty alleviation strategies.http://www.www.tandfonline.com/toc/raar202020-10-01hj2019Social Work and Criminolog
Working with black SLE patients : a challenge to medical social work
Please read abstract in the articlehttp://socialwork.journals.ac.za/pubhj2020Social Work and Criminolog
MultidissiplinĂȘre benadering t.o.v. die HIV/VIGS pasiĂ«nt : ân geneeskundige maatskaplikewerk-ondersoek
The aim of this study is to explore the psychosocial implications of HIV/AIDS on the patient and his family to determine the need for multi-disciplinary involvement from a medical social work perspective. Specific reference is made to the psychosocial implications and needs, which were identified. A guideline for intervention by medical social workers is proposed. The major needs that were identified were for counselling, information, support and medication. The respondents showed a need for multi-disciplinary intervention on an individual level. The experiences of the patients were used as a basis for the conclusions and recommendations.https://journals-co-za.uplib.idm.oclc.org/content/journal/socworkhj2020Social Work and Criminolog
âMy granny lives in a computerâ : experiences of transnational grandparenthood
Emigration is increasingly becoming a reality for South Africans. To date, research on emigration has largely focused on the economic effect and the associated loss of expertise on the country. To a lesser degree research has focused on the devastating effects of distance and the lower intimacy levels on intergenerational relationships of transnational families. The relationship as it was known has changed, face to face communication is replaced by technology-mediated communication (TMC). Using open-ended interviews, this qualitative study used a thematic analysis to explore the personal experiences of South African grandparents, as they transitioned into their role as transnational grandparents (TNGs). The theoretical framework underpinning this research was ambiguous loss. âMissing outâ was a central theme identified, which featured throughout the study like a golden thread.https://www.tandfonline.com/loi/upil202024-08-24hj2023Social Work and Criminolog