Browsing by Author "Van der Merwe, Anita"

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    Die verklaring kultuurlandskappe : voor- en nadele
    (Stellenbosch : University of Stellenbosch, 2007-03) Van der Merwe, Anita; Burden, M.; University of Stellenbosch. Faculty of Arts and Social Sciences. Dept. of History.
    A cultural landscape is a geographical area that includes the associations of cultural and natural resources of historic events, actions, person or groups of people. A cultural landscape gives one a sense of belonging. It explains relationships between man and land over time; it is part of a national heritage and part of every person’s life. The value of cultural landscapes is vested in the fact that they include a variety of diverse environments. The motive of selecting this subject for search is the prominent disregard of existing culture in certain cultural landscapes and creation of new artificial cultural landscapes with profit exclusively as its main goal. One of the aims of the study is to look at the threats of cultural landscapes. The concept cultural landscapes is extensively explained in context of its advantages and disadvantages. Sustainable tourism development is closely connected to sustainable development of heritage sites. Local government should therefore develop a cultural tourism policy in collaboration with private stakeholders and local residents as a matter of priority. The focus is on the balance between values of cultural heritage and potential economic opportunities for local communities. The procedure of the declaration of World Heritages sites is also dealt with. The purpose of the case studies is to use local examples in order to reflect the situation in the Western Cape with respect to cultural landscapes. Two cases of cultural landscapes were researched, namely the Karoo Heritage Landscape’s upgrading of the golf course in Oudtshoorn with a proposed new housing development, and a proposed development and extension at the Boschendal Farmers Estate in the Franschhoek district. Guidelines and examples for managing the models for conservation of cultural landscapes are given, which include natural and cultural resources as well as the concerns of the local communities. The need for a global strategy is strongly emphasized. UNESCO’S World Heritage List of Cultural Landscapes is attached as an appendix.
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    Factors influencing patient falls in a private hospital group in the Cape Metropole of the Western Cape
    (AOSIS, 2020) Janse van Rensburg, Renee; Van der Merwe, Anita; Crowley, Talitha
    Background: The fall rate of patients in hospitals is a worldwide concern due to the impact falls have on patients, the family or relatives, as well as the healthcare setting. Factors influencing patient falls are categorised as intrinsic and extrinsic. Intrinsic factors refers to physical conditions and the extrinsic factors include the environment of the patient, nursing staffing levels and skill mix. Aim: The study aimed to determine the factors that influence patient falls. Setting: A private hospital group in the Cape Metropole of the Western Cape. Methods: A quantitative retrospective descriptive research approach was used by analysing 134 records of patients that have fallen from October 2016 to February 2018. Data was collected using a data extraction sheet and analysed using the Statistical Package for the Social Sciences (SPSS). Results: Intrinsic factors contributing to patient falls includedthe patient’s age, hypertension, co-morbidities and the use of benzodiazepines as a sedative. Extrinsic factors were the incorrect use of bed rails and the skill mix of the staff. In over half of the cases (n = 68; 50.7%), risk assessments were not performed according to the protocol. Only 5 (3.7%) patients sustained major injuries due to the falls. However, the risk of more severe falls increased 2.4 times with the lack of risk assessment. Conclusion: The lack of accurate and consistent patient fall risk assessments, use of benzodiazepines as a sedative and the staff skill mix were contributors to the fall rate in these hospitals.
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    Struikelblokke in kruislinguistiese en -kulturele pediatriese spraak-taalterapie en strategiee vir die bevordering van kultuurveilige praktyke : 'n omvangsbepaling
    (LitNet, 2021) Botha, Mariette; Gerber, Berna; Van der Merwe, Anita
    In ’n kultureel en linguisties diverse land soos Suid-Afrika bestaan daar ’n belangrike behoefte om spraak-taalterapiedienste te lewer wat kultuurveilig van aard is. ’n Omvattende lys van strategiee wat terapeute kan volg om hierdie behoefte te vervul, ontbreek egter. ’n Lys van verwagte struikelblokke in kruislinguistiese en -kulturele praktyke kan spraak-taalterapeute (STT’s) help om voor te berei vir kruislinguistiese en -kulturele interaksies en om begrip, eerbied en empatie vir hul kliente te ontwikkel. Met die doel om ’n raamwerk vir kultuurveilige spraak-taalterapie-praktyke voor te stel, het hierdie omvangsbepaling internasionale en plaaslike literatuur deursoek vir die struikelblokke wat verwag kan word asook doeltreffende strategiee wat STT’s wereldwyd ontwikkel het waar hulle kruislinguisties en -kultureel praktiseer. Die aard en omvang van die navorsing wat reeds op die gebied van kruislinguistiese en -kulturele pediatriese spraak-taalterapie gedoen is, is ook bepaal. ’n Soekstrategie is as metode ontwikkel om toepaslike artikelsin elektroniese databasisse uit te wys. Twaalf artikels is in die omvangsbepaling ingesluit. Primere struikelblokke tydens kruislinguistiese en -kulturele spraak-taalterapie wat geidentifiseer is, het taal- en kommunikasiestruikelblokke, tekorte aan toepaslike evaluasie- en terapiemateriaal, en tekort aan toepaslike opleiding behels. Voorgestelde strategiee vir goeie kruislinguistiese en -kulturele spraak-taalterapie het bestaan uit die uitbreiding tot ’n meer diverse werkerskorps, die vestiging van goeie verstandhoudings met versorgers, en aanpassings in kommunikasie. Hierdie omvangsbepaling bied die enigste opsomming van die strategiee vir kruislinguistiese en -kulturele pediatriese spraak-taalterapie wat STT’s wereldwyd in die afgelope twintig jaar ontwikkel het, asook moontlike struikelblokke wat verwag kan word. Die bydrae word vergroot deur verwysing na die Suid-Afrikaanse konteks. Bevindinge aangaande die aard en omvang van die literatuur stel ook ’n basislyn as vertrekpunt vir die beplanning van verdere navorsing.