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19 April 2024 | Story André Damons | Photo Charl Devenish
Dr Nashua Naicker
Dr Nashua Naicker, lecturer and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, graduated on Thursday (April 18) with the degree Doctor of Philosophy in Health Professions Education.

A strong need to improve the general standing of optometry as a profession and to create lifelong learning opportunities for locally trained optometrists beyond what currently exists, is what led Dr Nashua Naicker to pursue a PhD in this field.

Dr Naicker, lecturer, and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, says he feels an overwhelming sense of relief with a keen sense accomplishment by achieving what he set out to through persistence in the face of adversity.

He graduated on Thursday (18 April) at the Faculty of Health Sciences April graduation ceremony with the degree Doctor of Philosophy in Health Professions Education through the Division of Health Sciences Education. “I am pleased and hope to change the narrative on this new path as an accredited researcher from ‘how long are you going to take to finish?’ to ‘what have you learnt in this journey?’. We are far too focused on chasing a timeline rather than focusing on the contribution that one makes and the self-development in this journey of discovery,” says Dr Naicker. 

His supervisor was Prof Alvin J Munsamy from University of KwaZulu-Natal (UKZN) and co-supervisor Dr CB Written from the UFS.  

Need for educational expansion

His research was focused on establishing a framework for postgraduate programmes in specialty fields of optometry for South Africa. The investigation was carried out with practising optometrists as the primary stakeholders and with optometric academics as the custodians for education and training in the country.

“With an overwhelming need for educational expansion found in this investigation, a conceptual framework was proposed as the innovation to take the profession forward in South Africa. Improving patient care from being upskilled and receiving professional recognition for the additional competencies and proficiencies that would be gained, was the motivating factors identified by optometrists to consider further education and training,” says Dr Naicker.

According to him, being in the educational fraternity for almost two decades and as a former education committee member of the professional board of optometry, he was able to see where the shortcomings were in the profession which set him on this path to pursue this research. With most optometrists in clinical practice and no clinical postgraduate qualifications available except pure research-based qualifications in SA, Dr Naicker explains that this hindered optometrists’ professional trajectory and career path opportunities into various special interest areas. 

“By developing a framework for horizontal articulation pathways towards coursework postgraduate qualifications in various clinical specialty fields, this would be the contribution in addressing the educational gap that would guide higher education institutions in their programme development process. The beneficiaries of this expansion would not only be the health professionals but the patients who access optometric care from the optometrists who would have advanced skills and competencies to deliver comprehensive eye care services.”

Stayed motivated

Dr Naicker says the journey to his PhD was challenging from the outset as the country went into hard lockdown due the COVID-19 pandemic just five weeks after he registered for his PhD. Working on a PhD was not a priority at the time when your survival and that of your loved ones was uncertain as thousands of people fell victim to the coronavirus. Further to this, he continues, multiple changes to his supervisory team and the overhaul and revitalisation of the administration and management of the UFS Division of Health Sciences Education, also impacted his progress in his doctoral research at that time. He had felt despondent after a year of being registered when stability arrived with supervisory assistance that re-ignited his drive to pick up the slack and keep moving forward.

“The words ‘push through it’ were verbalised to me by a stranger I met in passing.  While chatting about research I found those three words to be so profound and with such depth that they resonated with my experience of facing adversity but remaining vigilant to preservere and not drop the baton in the race against time to conclude my research. Gaslighting yourself and questioning your potential to complete a PhD only compounds your procrastination which was all too apparent. The goal is to rise above the self-doubt, brush off the devil with the fork sitting on your shoulder and just ‘push through it’.”

Dr Naicker, who is currently supervising four master’s of optometry students in their research undertaking, as well as undergraduate research projects, says he is in the process of publishing the research manuscripts generated from his PhD and is also part of a task team with the professional Board of Optometry for setting up the board exams for foreign-qualified optometrists. He would also like to work on research involving educating the educators of visually impaired learners.

News Archive

First Dementia Care Mapper in Africa receives international award
2015-11-17

The first Dementia Care Mapper from Africa,
Dr Sanet du Toit.

Photo: iFlair Photography

“In one facility, four elders who needed minimal assistance to eat were provided with an opportunity to sit at a separate table, and enjoy their breakfast as preferred – that is, to spread bread with butter, jam or marmite; to add their own milk and sugar to their tea.”

Dr Sanet du Toit
described a scenario where staff members at an old-age home implemented recommendations she made following an observation she conducted.

“We do not think twice about doing this but, within institutional care settings, these ’normal’ routines are often replaced with practices that could be viewed as ‘time savers’. For example: everyone gets milky, sweet tea to drink,” she explains.

Yet, by creating an environment where the elderly living with dementia were at liberty to determine the amount of milk in their tea, active participation meant an improved well-being.

She was honoured with the International Association of Homes and Services for the Aging (IAHSA) Award for Excellence in Applied Research on 1 September 2015, at a joint conference held by the Aged & Community Services Australia (ACSA) and IAHSA in Perth.

This exceptional Occupational Therapist from the University of the Free State (UFS) emerged as the first Dementia Mapper from Africa. Dementia Care Mapping is a method used internationally to assess with the purpose of improving the quality of care given to residents in institutionalised settings.

The IAHSA award acknowledged her person-centered care training and research in South African residential care facilities while working at the UFS as a senior lecturer from 2003 to 2013. Currently, she is based at the University of Sydney, but remains an affiliated lecturer at the UFS Department of Occupational Therapy.

In 1992, she graduated with a BA in Occupational Therapy at the UFS, and went on to further her studies at various institutions. Also, she is one of the founding directors of the Eden Alternative South Africa, an advocacy for older persons’ rights within old-age homes. Over the years, Dr du Toit has won numerous awards for her research.

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