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11 November 2022 | Story Leonie Bolleurs | Photo Supplied
Community Psychology students engage with the teaching and support staff at Lettie Fouché School
Community Psychology students engage with the teaching and support staff at Lettie Fouché School as part of their recent community service-learning project.

Transforming lives through quality, impact, and care – reads the essence of the University of the Free State (UFS). However, this phrase can also be used to describe the work of honours students in the Department of Psychology’s Community Psychology module with the Lettie Fouché School. 
 
The Department of Psychology has a long-standing relationship with the Lettie Fouché School in Bloemfontein through the former therapeutic horse-riding programme with foundation phrase learners at the school. However, due to the COVID-19 pandemic, the project was put on hold. 

Promoting teacher well-being

Lecturer in the Department of Psychology, Dr Pravani Naidoo, says that community partners at Lettie Fouché have expressed a desire to continue their partnership with the university. This resulted in students seeking alternative ways to meaningfully interact with the school.

They have embraced podcasts as a form of e-service learning to promote the well-being of teachers and support staff, including hostel caregivers and therapists. The podcasts allowed the students to present their interventions in a practical and easily accessible way.

To determine the needs of the staff, the students engaged in a face-to-face needs assessment process with key stakeholders from the school, including Liana van Heerden, the Head of Occupational Therapy, and Charmaine de Waal, the Social Worker. This was followed by a needs assessment process on Google Forms, where staff answered questions related to their needs. They found that staff is experiencing challenges such as poor communication skills and conflict, which can often result in low levels of productivity and job satisfaction.

The students – informed by what they have learned in class theoretically and based on the needs assessment outcomes as part of their community intervention programme – identified self-compassion, character strengths, effective communication, and self-regulation towards conflict management as topics to address via their podcasts. These strategies are aimed at equipping and empowering the group of teachers to uphold good mental health and a healthy working environment.

The students prepared podcast transcripts, which were recorded in the new KovsieFM recording studio by Gerben van Niekerk from Kovsie Support Services. The podcasts were shared with the Lettie Fouché staff group via email. After receiving a request, they also made the recordings more widely available to occupational therapists and social workers at other schools in the Free State. The Lettie Fouché staff felt that the podcasts were of such high quality and relevance that it should be shared with their colleagues.

This initiative had the support of the school principal, Alexander Jordaan. 

Via Google Forms and informal focus groups, the staff group provided their feedback on the podcasts to students. The focus groups, where Jordaan indicated his and the school’s support for the partnership, were arranged by the school. 

During these sessions, the students were commended for producing professionally recorded podcasts, which were not too long and were easy to listen to. The staff also indicated that they had started practising many of the tools that the students shared with them to promote their well-being.

Students learning valuable lessons 

One of the students, Felicia Sibambo, reported that she herself picked up many valuable lessons during this learning opportunity. “Participating in this community project improved my knowledge, skills, and experience. I am now more careful about what I say and how I say it, and I can pause before I speak, because I am aware that communication is one of the factors that affect conflict.”

Regarding her interactions with the school group, Felicia says, “I have acquired from them the qualities they portray, such as being kind, joyful, united, compassionate – the list is endless. I hope that they maintain that wonderful energy. It has been a lovely experience.”

Eden-Lee Mohr, who believes that it is important to be considerate and kind, was a member of the group that focused on communication skills and conflict management. She says the podcast not only helped the teachers; it also helped her. She says she also learned a lot about herself in this process.

According to Konaye Masiba, who learned to see things from different perspectives, this project has facilitated her personal growth. She states: “Working on this project was an advantage for me, because I gained knowledge concerning teamwork, time management, and the importance of communication.” 

Rihani Lombard, who felt out of her comfort zone during the project, says she was once again reminded of the importance of prioritising her mental health. She also implemented the information that she shared with the Lettie Fouché work group in her own life.

Delmariè Cilliers says the project has made her more aware of the community and how to assess their needs. “Don’t assume their needs. It is very important to hear the community's voice and then act on their voice,” she says. 

Podcasts adding value in e-service learning

Despite being a teaching tool equipping students in the Community Psychology module, the project greatly benefited the Lettie Fouché work group. They only had positive feedback to share with the students, especially about the format in which the information was shared. Van Heerden says the podcasts helped them to listen to the information at any time in any place. The topics covered were also relevant, they indicated. They also felt that the strategies shared with them, including self-regulation, practising self-compassion and mindfulness, were easy to learn. 

She adds: “Besides equipping us to deal with day-to-day communication and conflict challenges, the Lettie Fouché staff appreciated the podcasts as it also reminded us about the importance of taking care of our own well-being. The group has without a doubt succeeded in their goal: promoting teacher wellness.”

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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