University of Cape Town

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2 The copyright of th thes vests the uthor. No quottion from it or formtion derived from it to be publhed without full cknowledgement of the source. The thes to be used for privte study or noncommercil reserch purposes only. Publhed by the (UCT) terms of the non-exclusive license grnted to UCT by the uthor.

3 I, WI'1c:t:>;;.~nnID on I mnner or ii.f"

4 To w Toeril To ;:,nj"lra'"j;;;i'#:> DeLI[, to To np~'urnlv or r.orippn"lj{:ltr/ to nr"".:::or,.,,,,,,,,, esier I!::,'I:;Ql,./:.t:: you Wldo Emerson iii

5 cre me III III e1'",,",i't.c,11 me on me me s me s I"rn:;;..;;:c,...::lIner".. 1 enormous own. or :;or""",,,,.,, errors or iv

6 cre nurses cre nurse cre on ""',,,,.,,.,,'"' nurses nr.r;:.n/ll"'iji/c were s s cre cre nurses rnl"lt"r,nl over or vn...,,",,;;1<"- s it ext)osl:!s nurse v

7 s oftoom-h./o or cre nurse on A + + ressurnce were s re +. + cre nurses cn vi

8 A&E on ws ex[)ecreo nor or

9 ii iii iv v cre nurse. cre nurse

10 1 1 or or ""::'1",=,0,,::, or nd.'dr.n ix

11 1 A 1 1 or x

12 s res "\I",rc ill re nurses nurses cre res & s sve more nc:;orr,c it re nrrow cre 1

13 nurses 1: It reson nurses re occur cn re ex[lecre nurses re reson wreness rlo:~rl"'c cn one cre cre cre nurse on cre nurses nurses OVlno,",or,,'o 2

14 & nnl"lnl"lc re l. nurses nurses I n co- I nurses 3

15 I sme. ws ws or cre I it or someone cre nurses s.. ",r,qnt-lu I 'Aln,... "","" s cre ws wre me 4

16 were I on I re nurses were us I s nurse some 't':lil"t:i'~ ensure re cre 5

17 cre I'\ol"~rn I ws c,"",.rv.::,n cre ws more norm.... 1"I."i""'.,t-.,.,"'....0.,..,.,.,... nurse concerns to 0"... 11"1. 0 cre nurses II II II... '", cre nurses I"I'IClnnrln 6

18 cre 7

19 ",,,,,,,,,,,:,,,-rh,qi"c were commence It n".. """",,,,- re s it cre one ill t-""r-t"n.." re re m:::lrici'.11 s 8

20 III III cn or if nt-i'l,!"nr'",t-c:: it s more re or overcome cn r"'::li~ro"'i'l.1"i s or 9

21 cre & l. It were res,,,,r,,nne were nurses. cre nurses re n;;;;"~r1i"'" res. nurses re. nurses s nurses were more were more more some

22 cre cn cre nurses re more cre nurse. & 1 cre nurses & cre nurses occurs s.. <;>"',.'''''' resources nurses use c:tr,pc:c:fl C'1".. ::1"".n,<:~e were on r.. n.r"" cre nurse were 11

23 ,"0""""',0" s n... '.. 'r:::11 cre nurses s cre nurses nurses nurses cre res. rr,..,r:::o, cre nurses.. o..,nl"1~o".,.""t ie+.,.r+in were reson nurses no were

24 A cuses cre nurses use seven were A more cre nurses 1'101"lO":::U nurses s &... "... <:... cn re s s or & &

25 oelole use It ssumes own & Hn/'\no s s

26 It re s nurses 1'\,.,IFII'\,,,,, re cre nurse. not one QV."ol"lr", occurs s re cuses nurses.

27 s ICnl::lo\IC nurse rnn,ri:::ll-", cre. A sense nurse cre. re n re or " nurses 1 re woven nurses own

28 nurse ","v"""ro"""n,,.,,,,.,,,rnr''''rlrc new own use on or,,,"rnru":::ti.,,,,n one l'io:::lirp",'" cn Clss«:~ s ;:)Y\JIY1;;;' ws cre nurses cre nurses. some

29 nurses. n::.t'ion'i-c' re cre nurses cre nurses Oe(]SIOle scene s n cre nurses were cre nurses were more Irn."tnrnC' re cre nurses & nurses own n.cn overcome one were nurses were "'....1"'0;;;.;\.1

30 nurses were cre were ex[)ecre t1o:~t'h,c: own were ';:'''''1.1\.1'1:;1 nurses nurses or ex[)ecre ws some cses were

31 so ws concur on,un,ii'--... nurses re & ''''''''1.1'''';;';> ws one cre nurse nurses on some nurses cre nurse. cre nurses cre cse cre nurses. n

32 nurses were r<>r.nnrcn nurses were nurses were & cre nurses re nurses re re

33 cre nurses. recover ovr,o,.i,on.,...oc or or cre nurse. severe n venue or & nurses come or

34 & cre nurse cre nurses re s it cre nurse

35 s II II II rl"l'i",r::lo1 cre nurses cre nurses l"oclnnl".ri rr".n.allr." A A...,.,.,.'"... re re

36 & re 1 1 ides on which reserch...,...",... n re &

37 nl"l'\iol"1" ws A re: cre nurses over

38 nurses It ws "'""'1"'11"\/... nr,r"'''''tl ws cre nurses ""'" '''''11 I me!tnc)ooiiociv n & TnO,""'''1 on s

39 s :.rrn.. 1'1 sme & re

40 s or move over mn,\/ocitloclnr re one re essences rn\i\j:;:i!"nc;: n nmes. or own &

41 ws s vn & n ws & n.. """... '1H & we re I'IYr"IJrl'l,c:cil"\nc on it

42 & & ( re no I Cr.... ",,, 1'""',"" s essence III III III III were nurses re new

43 more c(:essl re u:;;."ien s ill n::::orlonlrc e)(ooses cre nurse nurses 0""'01'";0,-,"0 ws sel,eeo. s re re. IC'-O,I'"OI"l nurses. I"l'",r'l"::::Ol cre,unl'"li'<:.1"i s were I...,-",,1'"..,,"0'-:,,-,1",'-' s I "'I""""...,ern re ws one ws '-'::::01"10"''- cre. were no

44 s someone & nurses were ws no new s if were omo!"t'1llnn ws s were A were were I.II;:'\..U~);:' if n Inn:>"",,,,,,,, nurse

45 ws ws s s course more common some were

46 me see tiif'~".. '~ntll" or more were were sellecr1ec, on were cre ws more s it ws

47 cuse were lor so nmes on ensure ws own s s s it

48 rose InnelV'leVVeE!S were rr::;nc:":.iin... n... "".". & The rtlr"n~>nr one.ov.'\ir\lr"'r... 1 Wht lm you Wht he do you, with fter him or.ov'... ln'.."'i-..., on more

49 n the cute sudden th to prepre the but you cn to crry or not our culture to we re...'...1 you need to p, olo'2i1!:e you tht wht our But you cn l1... u-1tn,,.., re not C4~eIlIUIlIe: sort whtever UE~stll:ms re to sve It resolve some with burden to sve then you But the tht the I'm it When you sy you nd nolpelies~r; your you cn't urn, you you

50 cn nr,c.n/l,o\a1 '-CrICrT on re essence & cre nurses were cre nurses see if own ovr,,,,,.. i,,,,n,r"oc were 1\... "",...

51 re F'\1'",c.conr,c.n some were I memo memos & if COllle]Qn I ",tt,,,nl1 if ws on I I ws or nl""""1"'...,,'"... l'"orlort'lnn n enormous mens it it

52 ws h... '''''1"1 s were It rt'lnnr1":::linf" nunces were 1'\...;t+".1"1 nunces were nunces re sense errors sense so ws I nh'::<:>l"u:::iit-r,c were were memo. ws n

53 were sme memo 27 -Some 1. if cme to me were text I ws ws enormous it to... "... '1"'01"1 memo..,,,,,non.n s now ws or tone ws.. ",t'!o/"t'",1"i out :20-21]

54 ws me u~estlon ws it

55 ws were one or more were I!"OI"'.O::lllrOrll\J mnner cn seen JlnnOlnrlllV 5 were were common were seven re none were rnrrnc.ri were it ws ern!"orl,nn:>""",,,,,,,, were

56 ... nlln".,.~" & or & I'"oc~o:::l'"rh ws ws Cl"lr"",n own ovr\ol"lont'o re common wrn

57 on or re & it ws it own re re It

58 on I U"I.lV""U or, or I or concerns... so you cn I'm wre more ",1"1",,,,('1",,,," me IS ren't wre concerns I'm s wre my it even worse. But not.. not cn more re cre nurses it comes

59 nurses & Consii~E!nC~Orelcer,lbll ensure I I It ws 7 """"~<>,,,'h seems to """~"F,'"' I'm IS nture s very not seem to nswer I wnt to know. I seem to

60 my ws too t now I nurses ~~:@~ rrests nurses 9 ws too wy too.nl'pi"'lilp'llj to I ws & re rr,,::on,ru ws use & sme ws

61 cre nurses s mens it n cv,'\cl'"llcn,/"cri cre nurse once cre nurse

62 it cre nurse OVlnOlrIOlr"lr'3C: sme ill re recover n Becuse nmmh:e you re the you re. Even ptllent them to... your re SUl'CKt:,I">lll'"

63 occur occur cre nurses. s rlo:::ltl"lc occur IJ,.;;... "...,.;; nn".n,.,ntli"n 1/IIl1rnrll":::IIJl/n or UIIT'nn,OII"l "c:;;orr,.:: re cn cn n:::l't-io,nt-c re I evleloloeo to nrp'n<>,rp s sort it you it you re... I we it to nurse 40 yer coronry cnnot it!! more

64 you if ===",. "u... ",, me more... nurse...'...",... cuses enormous... I IS to IS I'\<>..,..,pn sort you must lm to it, re ex[)ecre or seem me it sort cre nurse s or more

65 you to cre nurse mpcton you must to I I cn never to re re nurse i"oc:nr,nl"llc cre nurses on cn nurse IS n"'r,,",t it i"i..,ro.. r.rlc on i...,,,"',..t,, on you tomorrow you it or it so to

66 re It even It nurse nurses were so nurse were so more wy oelculse, I men we to some we were. nurse more or... my vu. v,-,,,, my... or nurse re re nurses own I I it we if you it

67 on ri.-."",,..., nurse to crry onto You use with cre nurse m I I if occur t I m not sure. it ulor""',, re "'U~'IJV"''''U not to I nurse n some more

68 no,,,,,,,,.,n n It you cn nurse one one not even s ptlenlt. it n it person wsn't one not "'''<I'''''''"', n "...,,..,,... I cn to ws very sort nymore. it not to we to nurse more sense I never sw IS on. it nurse

69 or ex[)ecte own very... Becuse so ill urn, I more me. it sme it it ws urn young it must s my Isort no I cn't ws own tht. nd it ws must go thr,n'hyh sme nurse own. I know I would cope; J

70 m to one nurses t it comes to it. I ever wnt to I ws not wnt to wnt to see I wnt to see ill :;;on,,,,,,'..,, nurse if... I to or I cn't. occurs rlih;......,. cre nurse no 11.0'''''1",,,,,0.11 it ws

71 one: cre cre nurse n vle:j>we;'n s it very it it. you re ".",..., it Urn, I it it it riplnpr'ri" on where you re it you or whtever to ssess it seems messge

72 re it you out cn nurse on US(:IUiltlcm """n... ",, or In mnner... I or DIOCKE!C it r""lnrr''''''' on... it d.. "",,,P it ws very everyone not it to cope. nurse cn

73 you you re more or IS you cn nurse sense nurse so "VOJ"'".,,,,. remorse s... ""CIO'",'-... you cn't urn, one so nurse person no go... on one you becuse person been our cre... it over nurse some cn on

74 mens re I I I nurse sense re,,,,,-r,nn or IJC'i..OI.I::OC or nn'''"..,'nui~ule or if or A nurse sense

75 ... to I'"'"... n... cre I t so or or... I I rrl'l"lr:01 cre nurse nn,-rnr It ssess

76 I so t more nre'n~'l"prl it hijd<:med. not it wsn't wsn't us e.o""",,, nurse n occur... even if it not my nurse... you nurse nc'r;::rrll"u;.n t-h'::i... 'o cre n if it my tht you cre nurse one I re... "',.. ".,l". with I

77 come re even more re or news. I lm I cn't s s no,"\:"",o or rn'... t-,n,...,. so I lm concern on nurses s I nurses we to sy. cre ws ny sort

78 u,,",,,,,,,..,,,,,,,.. or more re not to you; re not to '" once I ws some comment to me..,.,~ were... I men I wsn't out my ters ws I'm not it use ""'nt"" ws me to some re nurse. I to them to come. re vu'.'''u"'', sy to sve not sve to

79 nurse no nswers. nurse if you re IS it hl'lr~n~," now". you nswer "",,,... n,,,... "",.,,,,...,.-,,,, s nswers, now it sort go to it you go to sy IS there no-one to cn't go to "} m sorry you sort of

80 re nurse own on or... you or it... not I wnt to on nurse nurse own s I once we hve wlk wy nd sort to re nd you to "''''... n1tc: nd you must one.

81 ... """n-", You sy it you someone me. I men you sy not or cre But must lm nurse you ~mg~to re it out. me. over s no wnt, I sort goes on you to

82 concerns cn't me. J OVlnOIr"IOlnrlnn I... you re I wy, wy cre nurse re no one so I re not re it not so ws you sme s you... so

83 or or s.. o" n"'... "'1,",erncr,,..,,,, s... it me n ressurnce over """,,",ec' no cn or cre nurse nurse you tht you A... "'...,,'" s soon s remove some

84 s SClJSSIOrlS re on on if it me. I cn I s if we we you cn if we \JV111~T"'vp,,' nd resons. you never your not ~m pplno' too we nurse it goes you never sy 'I m you never sy' I now you wnt to. But not cn cn never or 'It so to me re nurse rnmt'nl"l,:::ii

85 nurses re wre... we were super, super In to tem UO;;;\.'.u;)o;; when sme wy, cme it out nurse nurses wht to not tht you cn, if wht to sy to oec:wie urn, no-one the I the n<)thj~r person tht we to to cope.. J nr''\t~c:c:n:::ll cc:ept:ed, s ressurnce

86 s n ::.n,l"\rr'",r ws were someone I not to someone to cope or it Becuse most re source me to to us. But no-one, we it I m lm or 0""'"'0. ' go to it no-one to me, me no u... v"".. "" no re I cn on TV or if nurse

87 ... [1 n dy cope ws so... if h"'1in"np,r! or we on... ""'-""''''... UIULI..:> on I never me cornplete I sw or own my own I work how I... we our we we

88 cn ressurnce come... I... I go sy it your rest nurse it to or on... then I go I I kd m it on my own. to go on the I you... I to on it go l'hr,,,,.. cyh it I to to me I I I I m to it never or person hs to cope it so I cut

89 it J cn it it. I uses cuse I I to out my '" I crry on it t IS my wy it I so J

90 t it out my memory, on it memory it so cut nurse you re cn. You sort re to your it some one wy m)thc;r wy I to to it I

91 to I I ws nlr'''"vlln one cre nurse s I men nurse ov,.. orlo more I your tem you cn on, cn you... your most "",nn!..,..n it most I cre to hnrhni<t out to cre nurse I or

92 Re,flec':t;t.ms on I own cre nurse I on or cre I s vn

93 or A cre nurse. more some one cre cre nurse on cre

94 one OVl"rOr"l"lOII\l ill n::llti<>n't'c cre nurse. n cn comes r""... t-.. '... I n"!fun, re cre nurse

95 cre nurse r... n... ",.. or s...,...'" or ro... t-.. :::. cre nurses nic::lt"lr,n occurs s

96 one cre nurse & so ensure cre cre nurses re cre nurses re it l"of'lon'... one you "AmI now I m to sort t not use cre nurse

97 or one ws n A cre ""r",r"r"," cre nurse uses if It if cre nurse or ",'I",.,,,or''I" cre

98 on nurse no nl"':'n::lli"::litlnn or cre nurse ''''r',..'''',..'... it even s were "0,,.\10" more more,"'... "...,..& nurses. It s one nurses re cre nurse it nurse come

99 or s.,;;;o""nn own our wreness s cre Dr[)VI(]ES s Tn"'fT... "., one our nurses re

100 nurses re on s n mens ;:'\.1''''''1..,'\.1, cre nurses & cre ovlnol ior~rt:.c sense s nclne",",,:>n..- on were on

101 re no nurse ensure re re nurse s n nurse. re cre nurse on

102 Inl<:ICls & wrn some...,...' cre nurse. nurses unsure u,h,ot-t,\o.. or were more re

103 re IUClllce re re s "1'\."1"1'\1...,. re men. s nurses were on s some own.i"ionl'".,.ol"l s

104 s s rnll"',.-,," nurses if cre nurses it now cre u... 'rll'o',..., core cuse over ill cre & re

105 cre n::n"iorlt nurses re so OVln&:>I"I&:>r,ro s s [)[)~isi[)le or re cre nurse ( or ;;o,,,-.n,,,nh-' even more ws one ws cre nurses re

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107 or cre nurses were r... <:.I'T'I"'C on one oc(:slon were ws ws even more It it reson s occurs

108 nurses re re s n nurse 'l"oolllnn reson nurses re rn'~'i"'rlo seen s CoYT,nn cn L.lCI~CII.j;:)C once more... "'... ''''1

109 cre nurse... 1'"...,..."" cre nurses nurses re re nurses s one over nurses.,...1'",...,... "', cre on nurses

110 occurs nurses re now re now nurses now more common. nurses s re cre nurse..."c,... "... were It cre nurses cn cse n own

111 res comes nurses cre. cre nurses nurses cre nurse sme cre nurses on res were cre nurse sees noi-'::oii" ~nr,\~i"i!:int"

112 nurses. were come women nurses re I"or\",.. t-oti I or ressurnce sources it ovlnol-iof"lt"lcic re nurse s cre

113 e!)[)ecicj cre come over common nurse cn cre nurses re or

114 so s use cre nurse so ensure ws s rlg:,t'g:,nr'g:, & cre nurses come it nurse use rrlrlr:;:ol cre nurses or I m I see

115 on nurses cre nurse or re some on nurse

116 more even t1.oi~.ol"il"::lit-i...\n cre r+i... i... "'... t-.,..aln... "'." cn occur if were now nee:!oe!o ensure.off.o"",,-j\l'::> re one re

117 re it s worsens & occurs n s cues

118 nurses use res or s vn on nurses use re re

119 ,,,,...,,,,,,,... come or or more off'",rl"h if reson on

120 eh-:::lot-':'i'1\1 ws nurse cre nurses. cre nurses own

121 ws rec:ltere!d nurses mrrow were source nurses. ""'''''''''.- it nurses were more wre ws retlrosoel:t it on cre cre nurses. re

122 re own nurses on cn nol'tn,.. rn mnner cre nurses cn r...,ntii'''''''-''' 111

123 rl"'1",r::>, cre cre nurses.. ""ennnet~e cn 1. nurses on It It now nurse nurses re more or cre so nurses nurses re cre nurses 1

124 cn cre nurses ensure re I rrit,r:;o, cre nurses s rl"itir::lll cre nurse cre nurse. nurse vn cre ill cre nurse.

125 cre

126 &

127 L & n cre or nonit & & & cre Il'1r,OII'1C'/I/;Oi cre nurses. cre res no.l,

128 & Inn"n.. IVP cre 'nr'"nc II... ''' cre nurses TrfeJlnf-iIFl/irll"l Si'TdireU'It:1:::." nurses use

129 L.& J. cre nurses - TOI/,OW-un.rr.TjIArU cre Processes f"h&<vlr,,'f"ir::l1

130 & & A flonc~il/ J cre & non- 1, no.l, cre nurses.

131 tio\ives & tec.f7nc'/oo'lcl & & &

132 & 1. r"i".r~1 cre nurses. & nurses. rec,7isterf'd nurses. Re~~err:h cre rn.,f-",.."",

133 rpn'::'lvp cre nurses & nurses

134 M nurses 1 cre nurses. 1, cre nurses cre nurses. & cre

135 & & ru:;:j''1n'::.t.::i1 nurses. & Inr,::onC'/I,,,,, cre nurses.

136 nurses. req',snere'o nurses cre nurses.ovl"i.or.i&ji"i.f",oc' A Ont?no'mfmlo01cJ & '!Jtr.C1te'gle's over rrttlr:.41 cre & 1.

137 on I{pc:;p~r("n & use I{pc:;p~r("n l",::inc'ii/1t3 cre. rrlrlr::u cre nurses: Re5:;erch Re~;erch h::lnc'/i/1t3 cre. & & & & nurses: nit3jn:'nlt3"""ii/""c no.

138 n rtltlr-"", cre nurses. nurse s cre n Inn:>nC'II''''' cre

139 & "'''''.lii... cre cre nurses IMrI'IT/e..n s nurses. & cre n,.,.,,.',,.':>, cre

140 &

141 .. A V..

142 B No. 69/09218/06 BURNHAM ROADIWEG, PLUMSTEAD PO 179, PLUM STEAD 7800 TEL (021) TELEFAX/TELEFAKS (021) June 17, 1999 Rosenne E Turner Rosenne where you reserch...,,,,,,,,..,. sudden it nd es[lecll worthwhile if we t Medi-Clic cn lern new methods to reduce the stress ICU, Plese us to dte. You re welcome to come nd dcuss Kd Yours c:f"p,r'p,lv rp001j99 D!R CT\JRS;DIREKTEUR~: DR E. A.E.M,M, HOSPITAl MANAGEA/HOSPITAAlBESTUyROER: C.K.W LME WET, S,L,.. ORINK-ROW; G.e, HATTINGH. DR T.T. KOORTS, VELOSMAN, E!.J. VERSUR

143 c n:;;",,,,,..,, It

144 I,.riti,.:::!1 cre nurses DVJ"ID,"icJru".o me. me re I lm own lm no reson.

145 D I

146 LU.... U'l c:.q I~

147 w Ii:: ~ N

148 E 4. Trumtic Emotionl on coctor n nurse

149 E III III III III III III III III w" III tuonlno oout it III It on own III III III t III III III I lkino oour it vllotlon III tnetem III III III to to

150 w

151 w II...!!:! III It! Q).!:!.! c:

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