{"id":{"repo_id":"pretoria","oai_identifier":"oai:repository.up.ac.za:2263/91897"},"canonical_url":"https://search.dev.ndltd.org/etd/pretoria/oai:repository.up.ac.za:2263/91897","repository":{"repo_id":"pretoria","name":"University of Pretoria","base_url":"https://repository.up.ac.za/server/oai/request"},"display":{"title":"Communication guidelines to support grandparent headed families regarding sexual and reproductive health in Tshwane District","abstract":"English: ABSTRACT Grandparenting is a new global social phenomenon emerging whereby grandparents take part in caring for their grandchildren. Grandparent headed families occur due to various societal factors, including the death of parents due to accidents, teenage parenting and other limitations that prevent parents from raising their children. The grandparents are then responsible for being primary caregivers to their grandchildren when they also have their challenges. The aim and objectives of the study were to develop communication guidelines to support grandparent headed families regarding sexual and reproductive health. This study was conducted in two phases. Phase 1: a qualitative, descriptive phenomenological and contextual research design was conducted to explore and describe the experiences of the grandparents, grandchildren and primary health nurses regarding sexual and reproductive health in the Tshwane District of the Gauteng Province, South Africa. A non-probability, purposive and snowballing sampling method was used to select twelve (12) Primary Healthcare nurses, eleven (11) grandparents and thirteen (13) grandchildren. Data was collected through in-depth interviews and analysed using Giorgio’s five steps. Ethical consideration was adhered to by ensuring anonymity, confidentiality, privacy and signed consent to participate in the study. Measures to ensure trustworthiness adhered to were credibility, confirmability, transferability, dependability, authenticity, reflexivity and bracketing. The findings of the study revealed: Four (4) essences (themes) and twelve (12) constituents (categories) emerged from the transcribed data when PHCNs shared their lived experiences. The four themes are PHCNs' experiences of SRH communication, PHCNs' experiences of factors facilitating SRH communication, PHCNs' experiences of SRH communication barriers and PHCNs' recommendations for SRH communication promotion. Four (4) essences and ten (10) constituents emerged from the transcribed data, emanating from the grandparents' shared experiences. The four themes were Grandparents' experiences of SRH communication, Grandparents’ experiences of factors facilitating SRH communication and Grandparents’ experiences of SRH family communication barriers. Grandparents’ experiences of SRH family communication barriers and Grandparents’ recommendations for SRH communication promotion. Four (4) main essences and nine (9) constituents emerged from the transcribed data The four essences from the grandchildren were: Grandchildren’s experiences of SRH communication, Grandchildren’s experiences of factors facilitating SRH communication, Grandchildren’s experiences of SRH family communication barriers and Grandchildren’s recommendations for SRH communication promotion. The findings for Phase 1 formed the basis of the development of guidelines. In Phase 2, the Delphi technique was used, and experts in the field were identified to provide information regarding the development of guidelines that will be used to support grandparent headed families regarding sexual reproductive communication. A non-probability sampling method was used to identify the panel of experts knowledgeable about SRH, including academics, policymakers and other stakeholders. The development and validation of the guidelines were done based on the AGREE II (2010) instrument. A consensus was reached in round 2. Round 3 was used for validation and as a form of feedback. Sepedi: KAKARETŠO Tlhokomelo ka bomakgolo ke ponagalo ye mpsha ya leago ya lefase ka bophara yeo e tšwelelago moo bomakgolo ba tšeago karolo go hlokomeleng ditlogolo tša bona. Malapa ao a eteletšwego pele ke bomakgolo a direga ka lebaka la mabaka a go fapafapana a setšhaba, go akaretšwa lehu la batswadi ka lebaka la dikotsi, go godiša bafsa le mellwane ye mengwe yeo e thibelago batswadi go godiša bana ba bona. Ke moka bomakgolo ba na le maikarabelo a go ba bahlokomedi ba mathomo go ditlogolo tša bona mola le bona ba na le ditlhohlo tša bona. Nepo le maikemišetšo a nyakišišo ye e be e le go hlama ditlhahlo tša kgokagano go thekga malapa ao a eteletšwego pele ke borakgolo le bomakgolo mabapi le maphelo a thobalano le a pelego. Dinyakišišo tše di dirilwe ka dikgato tše pedi. Kgato ya 1: go dirilwe tlhamo ya dinyakišišo tša boleng, go hlaloša ditiragalo le tša diteng go hlohlomiša le go hlaloša maitemogelo a bomakgolo, ditlogolo le baoki ba maphelo a matheo mabapi le tša thobalano le a pelego ka Seleteng sa Tshwane sa Profense ya Gauteng, Afrika Borwa. Mokgwa wa go dira sampole wo e sego wa kgonagalo, wa morero le wa go oketšega ge nako e eya o šomišitšwe go kgetha baoki ba lesomepedi (12) ba Tlhokomelo ya Maphelo ya Matheo, bomakgolo ba lesometee (11) le ditlogolo tše lesometharo (13). Data e ile ya kgoboketšwa ka dipoledišano tše di tseneletšego gomme ya sekasekwa ka go šomiša megato ye mehlano ya Giorgio. Go naganelwa ga boitshwaro go ile gwa kgomarelwa ka go netefatša gore ga go tsebje, sephiri, sephiri le tumelelo ye e saennwego ya go tšea karolo nyakišišong. Magato a go netefatša gore go botega mo go kgomaretšwego e be e le go botega, go tiišetšwa, go fetišetšwa, go ithekga, bonnete, go naganišiša le go beakanya maswaodikga. Diphihlelelo tša dinyakišišo di utollotše: Dikokwane tše nne (4) (dihlohlo) le dikarolo tše lesomepedi (12) (dihlopha) di tšweletše go tšwa go datha ye e ngwadilwego ge di-PHCN di abelana maitemogelo a tšona ao a phetšego. Mrero ye mene ke maitemogelo a di-PHCN a kgokagano ya SRH, maitemogelo a di-PHCN a mabaka ao a nolofatšago kgokagano ya SRH, maitemogelo a di-PHCN a mapheko a kgokagano ya SRH le ditšhišinyo tša di-PHCN tša tšwetšopele ya kgokagano ya SRH. Dikokwane tše nne (4) le dikarolo tše lesome (10) di tšweletše go tšwa go datha ye e ngwadilwego, yeo e tšwago maitemogelong ao a abelanwago a borakgolo le bomakgolo. Merero ye mene e be e le maitemogelo a Bomakgolo a kgokagano ya SRH, maitemogelo a Bogologolo a mabaka ao a nolofatšago kgokagano ya SRH le maitemogelo a Borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH. Maitemogelo a borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH le ditšhišinyo tša Borakgolo le bomakgolo tša tšwetšopele ya kgokagano ya SRH. Dilo tše nne (4) tše kgolo le dikarolo tše senyane (9) di tšweletše go tšwa go datha ye e ngwadilwego Dikokwane tše nne go tšwa go ditlogolo e be e le: Maitemogelo a ditlogolo a kgokagano ya SRH, Maitemogelo a ditlogolo a mabaka ao a nolofatšago kgokagano ya SRH, Maitemogelo a ditlogolo a mapheko a kgokagano ya lapa la SRH le ditigelo tša Ditlogolo tša tšwetšopele ya kgokagano ya SRH. Diphihlelo tša Kgato ya 1 di bopile motheo wa tlhabollo ya ditlhahli. Mo Kgatong ya 2, go šomišitšwe thekniki ya Delphi, gomme ditsebi tša lefapha di ile tša laetšwa go fa tshedimošo mabapi le tlhabollo ya ditlhahli tšeo di tlago šomišwa go thekga malapa ao a eteletšwego pele ke bagologolo mabapi le kgokagano ya pelego ya thobalano. Mokgwa wa go dira sampole wo e sego wa kgonagalo o šomišitšwe go šupa phanele ya ditsebi tšeo di nago le tsebo ka ga SRH, go akaretšwa dirutegi, bahlami ba dipholisi le bakgathatema ba bangwe. Tlhabollo le netefatšo ya ditlhahli e dirilwe go ya ka sedirišwa sa AGREE II (2010). Go fihleletšwe kwano mo tikologong ya 2. Tikologo ya 3 e šomišitšwe go netefatša le bjalo ka mokgwa wa maikutlo. Afrikaans: OPSOMMING: Grootouerskap is 'n nuwe wêreldwye sosiale verskynsel wat ontstaan ​​waar grootouers deel het aan die versorging van hul kleinkinders. Gesinne met 'n grootouer aan die hoof ontstaan as gevolg van verskeie maatskaplike faktore, waaronder die dood van ouers weens ongelukke, tienerouerskap, en ander beperkings wat ouers verhinder om self hul kinders groot te maak. Die grootouers het dan die verantwoordelik heid om primêre versorgers van hul kleinkinders te wees wanneer hulle self ook uitdagings ervaar. Die doel en doelwitte van die studie was om kommunikasieriglyne te ontwikkel om grootouergeleide gesinne te ondersteun rakende seksuele en reproduktiewe gesondheid. Hierdie studie is in twee fases uitgevoer. Fase 1: 'n kwalitatiewe, beskrywende fenomenologiese en kontekstuele navorsingsontwerp is toegepas om die ervarings van grootouers, kleinkinders en primêregesondheidsorg-verpleegkundiges (PGV's) rakende seksuele en reproduktiewe gesondheid in die Tshwane-distrik in Gauteng, Suid-Afrika, te ondersoek en te beskryf. n Niewaarskynlikheids-, doelgerigte en sneeubalsteekproefmetode is gebruik om twaalf (12) PGV's, elf (11) grootouers en dertien (13) kleinkinders te kies. Data is by wyse van indringende onderhoude ingesamel en aan die hand van Giorgio se vyf stappe ontleed. Daar is aan etiese oorwegings voldoen deur anonimiteit, vertroulikheid, privaatheid en ondertekende toestemming vir deelname aan die studie te verseker. Maatreëls om betroubaarheid te verseker, was geloofwaardigheid, bevestigbaarheid, oordraagbaarheid, betroubaarheid, outentisiteit, refleksiwiteit en tussen-hakies-plassing. Die bevindinge van die studie het aan die lig gebring: Vier (4) kernkwessies (temas) en twaalf (12) komponente (kategorieë) het uit die getranskribeerde data na vore gekom toe PGV's hul lewenservarings gedeel het. Die vier temas is: PGV's se ervarings van kommunikasie oor seksuele en reproduktiewe gesondheid (SRG), PGV's se ervarings van faktore wat SRG-kommunikasie aanhelp, PGV's se ervarings van SRG-kommunikasiehindernisse, en PGV's se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) kernkwessies en tien (10) komponente het uit die getranskribeerde data na vore gekom, voortspruitend uit die grootouers se gedeelde ervarings. Die vier temas was grootouers se ervarings van SRG-kommunikasie, grootouers se ervarings van faktore wat SRG-kommunikasie aanhelp, en grootouers se ervarings van SRG-gesinskommunikasiehindernisse. Grootouers se ervarings van SRG-gesinskommunikasiehindernisse en grootouers se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) opperste kernkwessies en nege (9) komponente het uit die getranskribeerde data na vore gekom. Die kleinkinders se vier kernkwessies was: kleinkinders se ervarings van SRG-kommunikasie, kleinkinders se ervarings van faktore wat SRG-kommunikasie aanhelp, kleinkinders se ervarings van SRG-gesinskommunikasiehindernisse, en kleinkinders se aanbevelings vir die bevordering van SRG-kommunikasie. Die bevindinge van Fase 1 het die grondslag vir die ontwikkeling van riglyne gevorm. In Fase 2 is die Delphi-tegniek gebruik, en kundiges op hierdie terrein is geïdentifiseer om inligting te verskaf omtrent die ontwikkeling van riglyne wat gebruik sal word om grootouergeleide gesinne insake seksuele reproduktiewe kommunikasie te ondersteun. n Niewaarskynlikheidsteekproefmetode is gebruik om die paneel kundiges te identifiseer wat kenners van seksuele reproduktiewe kommunikasie is, en akademici, beleidmakers en ander belanghebbendes insluit. Die ontwikkeling en validering van die riglyne is op grond van die AGREE II (2010)-instrument gedoen. Konsensus is in Rondte 2 bereik. Rondte 3 is gebruik vir validering en as 'n vorm van terugvoer. IsiZulu: OKUNGUMQONDO Ukukhulisa abazukulu kuyinto entsha eyenzeka emphakathini yomhlaba wonke evelayo lapho ogogo nomkhulu behlanganyela khona ekunakekeleni abazukulu babo. Imindeni eholwa ogogo nomkhulu yenzeka ngenxa yezici ezihlukahlukene zomphakathi, ezihlanganisa ukushona kwabazali ngenxa yezingozi, ukuba ngumzali osemusha kanye nezinye izithiyo ezivimbela abazali ukuthi bakhulise izingane zabo. Khona-ke ogogo nomkhulu banesibopho sokuba abanakekeli abayinhloko kubazukulu babo lapho nabo benezinselele zabo. Inhloso kanye nemigomo yocwaningo kwakuwukusungula imihlahlandlela yokuxhumana ukuze kusekelwe imindeni eholwa ogogo nomkhulu ngokuphathelene nempilo yocansi neyokuzalana. Lolu cwaningo lwenziwe ezigabeni ezimbili. Isigaba 1: idizayini yocwaningo oluthola ukuthi kwenzeke kanjani futhi ngobani, oluchazayo nolunomongo lwenziwa ukuze kuhlolwe futhi kuchazwe okuhlangenwe nakho ngokuphathelene nogogo nomkhulu, abazukulu kanye nabahlengikazi bezempilo eyinhloko mayelana nempilo yocansi kanye neyokuzalana Esifundeni saseTshwane District Esifundazweni saseGauteng, eNingizimu Afrika. Indlela yokuthatha amasampula angenakwenzeka, enenhloso neye-snowballing yasetshenziselwa ukukhetha abahlengikazi abayishumi nambili (12) Bezokunakekela Kwezempilo Eziyinhloko, ogogo nomkhulu abayishumi nanye (11) nabazukulu abayishumi nantathu (13). Idatha yaqoqwa ngezingxoxo ezijulile futhi yahlaziywa kusetshenziswa izinyathelo ezinhlanu zika-Giorgio. Ukucatshangelwa kokuziphatha kwalandelwa ngokuqinisekisa ukungaziwa, imfihlo, ubumfihlo kanye nemvume esayiniwe yokubamba iqhaza ocwaningweni. Izinyathelo zokuqinisekisa ukuthi kuhambiswane nokwethembeka ngokuphathelene nokwethembeka, ukuqinisekiswa, ukudluliselwa, okungathenjelwa kuko, ubuqiniso, ukucabanga kanye nokuzibopha. Okutholakele ocwaningweni kwaveza: Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishumi nambili (12) zavela emininingwaneni ebhaliwe (izigaba) lapho ama-PHCN abelana ngokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni zama-PHCN kokuxhumana kwe-SRH, okwenzeke empilweni kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, okwenzeke ezimpilweni kwe-PHCN kwezithiyo zokuxhumana ze-SRH kanye nezincomo zama-PHCN zokukhuthazelwa kokuxhumana kwe-SRH. Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishum (10) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe, evela kulokho okwabelanwe ngakho ogogo nomkhulu mayela nokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zogogo Nomkhulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zogogo Nomkhulu kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, kanye nokwenzeke ezimpilweni Zogogo Nomkhulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni. Okuhlangenwe nakho wogogo nomkhulu ngezithiyo zokuxhumana nomndeni we-SRH kanye neziphakamiso zogogo nomkhulu ngokuphathelene nokukhuthazela ukuxhumana kwe-SRH. Izingqikithi eziyinhloko ezine (4) kanye nezakhi eziyisishiyagalolunye (9) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe. Lezi zingqikithi ezine ezivela kubazukulu kwakuyilezi: Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zabazukulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zabazukulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni kanye nezincomo zokukhuthazelwa kokuxhumana kwe-SRH. Okutholakele Esigabeni 1 kwaba yisisekelo sokusungulwa kweziqondiso. Esigabeni 2, inqubo ye-Delphi yasetshenziswa, futhi kwahlonzwa ochwepheshe emkhakheni ukuze banikeze imininingwane ephathelene nokusungulwa kweziqondiso ezizosetshenziselwa ukusekela imindeni eholwa ogogo nomkhulu mayelana nokuxoxisana ngokuphathelene nokuzala kanye nangokocansi. Kusetshenziswe indlela yokuthatha amasampula okungenakwenzeka ukuze kuhlonzwe iphaneli yochwepheshe abanolwazi nge-SRH, okuhlanganisa izifundiswa, abenzi bezinqubomgomo kanye nabanye ababambiqhaza. Ukusungulwa nokuqinisekiswa kwemihlahlandlela kwenziwa ngokusekelwe kuthuluzi le-AGREE II (2010). Kwafinyelelwa esivumelanweni emzuliswaneni 2. Umzuliswano 3 usetshenziselwe ukuqinisekisa kanye nanjengendlela yombiko.","abstract_html":"English: ABSTRACT Grandparenting is a new global social phenomenon emerging whereby grandparents take part in caring for their grandchildren. Grandparent headed families occur due to various societal factors, including the death of parents due to accidents, teenage parenting and other limitations that prevent parents from raising their children. The grandparents are then responsible for being primary caregivers to their grandchildren when they also have their challenges. The aim and objectives of the study were to develop communication guidelines to support grandparent headed families regarding sexual and reproductive health. This study was conducted in two phases. Phase 1: a qualitative, descriptive phenomenological and contextual research design was conducted to explore and describe the experiences of the grandparents, grandchildren and primary health nurses regarding sexual and reproductive health in the Tshwane District of the Gauteng Province, South Africa. A non-probability, purposive and snowballing sampling method was used to select twelve (12) Primary Healthcare nurses, eleven (11) grandparents and thirteen (13) grandchildren. Data was collected through in-depth interviews and analysed using Giorgio’s five steps. Ethical consideration was adhered to by ensuring anonymity, confidentiality, privacy and signed consent to participate in the study. Measures to ensure trustworthiness adhered to were credibility, confirmability, transferability, dependability, authenticity, reflexivity and bracketing. The findings of the study revealed: Four (4) essences (themes) and twelve (12) constituents (categories) emerged from the transcribed data when PHCNs shared their lived experiences. The four themes are PHCNs' experiences of SRH communication, PHCNs' experiences of factors facilitating SRH communication, PHCNs' experiences of SRH communication barriers and PHCNs' recommendations for SRH communication promotion. Four (4) essences and ten (10) constituents emerged from the transcribed data, emanating from the grandparents' shared experiences. The four themes were Grandparents' experiences of SRH communication, Grandparents’ experiences of factors facilitating SRH communication and Grandparents’ experiences of SRH family communication barriers. Grandparents’ experiences of SRH family communication barriers and Grandparents’ recommendations for SRH communication promotion. Four (4) main essences and nine (9) constituents emerged from the transcribed data The four essences from the grandchildren were: Grandchildren’s experiences of SRH communication, Grandchildren’s experiences of factors facilitating SRH communication, Grandchildren’s experiences of SRH family communication barriers and Grandchildren’s recommendations for SRH communication promotion. The findings for Phase 1 formed the basis of the development of guidelines. In Phase 2, the Delphi technique was used, and experts in the field were identified to provide information regarding the development of guidelines that will be used to support grandparent headed families regarding sexual reproductive communication. A non-probability sampling method was used to identify the panel of experts knowledgeable about SRH, including academics, policymakers and other stakeholders. The development and validation of the guidelines were done based on the AGREE II (2010) instrument. A consensus was reached in round 2. Round 3 was used for validation and as a form of feedback. Sepedi: KAKARETŠO Tlhokomelo ka bomakgolo ke ponagalo ye mpsha ya leago ya lefase ka bophara yeo e tšwelelago moo bomakgolo ba tšeago karolo go hlokomeleng ditlogolo tša bona. Malapa ao a eteletšwego pele ke bomakgolo a direga ka lebaka la mabaka a go fapafapana a setšhaba, go akaretšwa lehu la batswadi ka lebaka la dikotsi, go godiša bafsa le mellwane ye mengwe yeo e thibelago batswadi go godiša bana ba bona. Ke moka bomakgolo ba na le maikarabelo a go ba bahlokomedi ba mathomo go ditlogolo tša bona mola le bona ba na le ditlhohlo tša bona. Nepo le maikemišetšo a nyakišišo ye e be e le go hlama ditlhahlo tša kgokagano go thekga malapa ao a eteletšwego pele ke borakgolo le bomakgolo mabapi le maphelo a thobalano le a pelego. Dinyakišišo tše di dirilwe ka dikgato tše pedi. Kgato ya 1: go dirilwe tlhamo ya dinyakišišo tša boleng, go hlaloša ditiragalo le tša diteng go hlohlomiša le go hlaloša maitemogelo a bomakgolo, ditlogolo le baoki ba maphelo a matheo mabapi le tša thobalano le a pelego ka Seleteng sa Tshwane sa Profense ya Gauteng, Afrika Borwa. Mokgwa wa go dira sampole wo e sego wa kgonagalo, wa morero le wa go oketšega ge nako e eya o šomišitšwe go kgetha baoki ba lesomepedi (12) ba Tlhokomelo ya Maphelo ya Matheo, bomakgolo ba lesometee (11) le ditlogolo tše lesometharo (13). Data e ile ya kgoboketšwa ka dipoledišano tše di tseneletšego gomme ya sekasekwa ka go šomiša megato ye mehlano ya Giorgio. Go naganelwa ga boitshwaro go ile gwa kgomarelwa ka go netefatša gore ga go tsebje, sephiri, sephiri le tumelelo ye e saennwego ya go tšea karolo nyakišišong. Magato a go netefatša gore go botega mo go kgomaretšwego e be e le go botega, go tiišetšwa, go fetišetšwa, go ithekga, bonnete, go naganišiša le go beakanya maswaodikga. Diphihlelelo tša dinyakišišo di utollotše: Dikokwane tše nne (4) (dihlohlo) le dikarolo tše lesomepedi (12) (dihlopha) di tšweletše go tšwa go datha ye e ngwadilwego ge di-PHCN di abelana maitemogelo a tšona ao a phetšego. Mrero ye mene ke maitemogelo a di-PHCN a kgokagano ya SRH, maitemogelo a di-PHCN a mabaka ao a nolofatšago kgokagano ya SRH, maitemogelo a di-PHCN a mapheko a kgokagano ya SRH le ditšhišinyo tša di-PHCN tša tšwetšopele ya kgokagano ya SRH. Dikokwane tše nne (4) le dikarolo tše lesome (10) di tšweletše go tšwa go datha ye e ngwadilwego, yeo e tšwago maitemogelong ao a abelanwago a borakgolo le bomakgolo. Merero ye mene e be e le maitemogelo a Bomakgolo a kgokagano ya SRH, maitemogelo a Bogologolo a mabaka ao a nolofatšago kgokagano ya SRH le maitemogelo a Borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH. Maitemogelo a borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH le ditšhišinyo tša Borakgolo le bomakgolo tša tšwetšopele ya kgokagano ya SRH. Dilo tše nne (4) tše kgolo le dikarolo tše senyane (9) di tšweletše go tšwa go datha ye e ngwadilwego Dikokwane tše nne go tšwa go ditlogolo e be e le: Maitemogelo a ditlogolo a kgokagano ya SRH, Maitemogelo a ditlogolo a mabaka ao a nolofatšago kgokagano ya SRH, Maitemogelo a ditlogolo a mapheko a kgokagano ya lapa la SRH le ditigelo tša Ditlogolo tša tšwetšopele ya kgokagano ya SRH. Diphihlelo tša Kgato ya 1 di bopile motheo wa tlhabollo ya ditlhahli. Mo Kgatong ya 2, go šomišitšwe thekniki ya Delphi, gomme ditsebi tša lefapha di ile tša laetšwa go fa tshedimošo mabapi le tlhabollo ya ditlhahli tšeo di tlago šomišwa go thekga malapa ao a eteletšwego pele ke bagologolo mabapi le kgokagano ya pelego ya thobalano. Mokgwa wa go dira sampole wo e sego wa kgonagalo o šomišitšwe go šupa phanele ya ditsebi tšeo di nago le tsebo ka ga SRH, go akaretšwa dirutegi, bahlami ba dipholisi le bakgathatema ba bangwe. Tlhabollo le netefatšo ya ditlhahli e dirilwe go ya ka sedirišwa sa AGREE II (2010). Go fihleletšwe kwano mo tikologong ya 2. Tikologo ya 3 e šomišitšwe go netefatša le bjalo ka mokgwa wa maikutlo. Afrikaans: OPSOMMING: Grootouerskap is 'n nuwe wêreldwye sosiale verskynsel wat ontstaan ​​waar grootouers deel het aan die versorging van hul kleinkinders. Gesinne met 'n grootouer aan die hoof ontstaan as gevolg van verskeie maatskaplike faktore, waaronder die dood van ouers weens ongelukke, tienerouerskap, en ander beperkings wat ouers verhinder om self hul kinders groot te maak. Die grootouers het dan die verantwoordelik heid om primêre versorgers van hul kleinkinders te wees wanneer hulle self ook uitdagings ervaar. Die doel en doelwitte van die studie was om kommunikasieriglyne te ontwikkel om grootouergeleide gesinne te ondersteun rakende seksuele en reproduktiewe gesondheid. Hierdie studie is in twee fases uitgevoer. Fase 1: 'n kwalitatiewe, beskrywende fenomenologiese en kontekstuele navorsingsontwerp is toegepas om die ervarings van grootouers, kleinkinders en primêregesondheidsorg-verpleegkundiges (PGV's) rakende seksuele en reproduktiewe gesondheid in die Tshwane-distrik in Gauteng, Suid-Afrika, te ondersoek en te beskryf. n Niewaarskynlikheids-, doelgerigte en sneeubalsteekproefmetode is gebruik om twaalf (12) PGV's, elf (11) grootouers en dertien (13) kleinkinders te kies. Data is by wyse van indringende onderhoude ingesamel en aan die hand van Giorgio se vyf stappe ontleed. Daar is aan etiese oorwegings voldoen deur anonimiteit, vertroulikheid, privaatheid en ondertekende toestemming vir deelname aan die studie te verseker. Maatreëls om betroubaarheid te verseker, was geloofwaardigheid, bevestigbaarheid, oordraagbaarheid, betroubaarheid, outentisiteit, refleksiwiteit en tussen-hakies-plassing. Die bevindinge van die studie het aan die lig gebring: Vier (4) kernkwessies (temas) en twaalf (12) komponente (kategorieë) het uit die getranskribeerde data na vore gekom toe PGV's hul lewenservarings gedeel het. Die vier temas is: PGV's se ervarings van kommunikasie oor seksuele en reproduktiewe gesondheid (SRG), PGV's se ervarings van faktore wat SRG-kommunikasie aanhelp, PGV's se ervarings van SRG-kommunikasiehindernisse, en PGV's se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) kernkwessies en tien (10) komponente het uit die getranskribeerde data na vore gekom, voortspruitend uit die grootouers se gedeelde ervarings. Die vier temas was grootouers se ervarings van SRG-kommunikasie, grootouers se ervarings van faktore wat SRG-kommunikasie aanhelp, en grootouers se ervarings van SRG-gesinskommunikasiehindernisse. Grootouers se ervarings van SRG-gesinskommunikasiehindernisse en grootouers se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) opperste kernkwessies en nege (9) komponente het uit die getranskribeerde data na vore gekom. Die kleinkinders se vier kernkwessies was: kleinkinders se ervarings van SRG-kommunikasie, kleinkinders se ervarings van faktore wat SRG-kommunikasie aanhelp, kleinkinders se ervarings van SRG-gesinskommunikasiehindernisse, en kleinkinders se aanbevelings vir die bevordering van SRG-kommunikasie. Die bevindinge van Fase 1 het die grondslag vir die ontwikkeling van riglyne gevorm. In Fase 2 is die Delphi-tegniek gebruik, en kundiges op hierdie terrein is geïdentifiseer om inligting te verskaf omtrent die ontwikkeling van riglyne wat gebruik sal word om grootouergeleide gesinne insake seksuele reproduktiewe kommunikasie te ondersteun. n Niewaarskynlikheidsteekproefmetode is gebruik om die paneel kundiges te identifiseer wat kenners van seksuele reproduktiewe kommunikasie is, en akademici, beleidmakers en ander belanghebbendes insluit. Die ontwikkeling en validering van die riglyne is op grond van die AGREE II (2010)-instrument gedoen. Konsensus is in Rondte 2 bereik. Rondte 3 is gebruik vir validering en as 'n vorm van terugvoer. IsiZulu: OKUNGUMQONDO Ukukhulisa abazukulu kuyinto entsha eyenzeka emphakathini yomhlaba wonke evelayo lapho ogogo nomkhulu behlanganyela khona ekunakekeleni abazukulu babo. Imindeni eholwa ogogo nomkhulu yenzeka ngenxa yezici ezihlukahlukene zomphakathi, ezihlanganisa ukushona kwabazali ngenxa yezingozi, ukuba ngumzali osemusha kanye nezinye izithiyo ezivimbela abazali ukuthi bakhulise izingane zabo. Khona-ke ogogo nomkhulu banesibopho sokuba abanakekeli abayinhloko kubazukulu babo lapho nabo benezinselele zabo. Inhloso kanye nemigomo yocwaningo kwakuwukusungula imihlahlandlela yokuxhumana ukuze kusekelwe imindeni eholwa ogogo nomkhulu ngokuphathelene nempilo yocansi neyokuzalana. Lolu cwaningo lwenziwe ezigabeni ezimbili. Isigaba 1: idizayini yocwaningo oluthola ukuthi kwenzeke kanjani futhi ngobani, oluchazayo nolunomongo lwenziwa ukuze kuhlolwe futhi kuchazwe okuhlangenwe nakho ngokuphathelene nogogo nomkhulu, abazukulu kanye nabahlengikazi bezempilo eyinhloko mayelana nempilo yocansi kanye neyokuzalana Esifundeni saseTshwane District Esifundazweni saseGauteng, eNingizimu Afrika. Indlela yokuthatha amasampula angenakwenzeka, enenhloso neye-snowballing yasetshenziselwa ukukhetha abahlengikazi abayishumi nambili (12) Bezokunakekela Kwezempilo Eziyinhloko, ogogo nomkhulu abayishumi nanye (11) nabazukulu abayishumi nantathu (13). Idatha yaqoqwa ngezingxoxo ezijulile futhi yahlaziywa kusetshenziswa izinyathelo ezinhlanu zika-Giorgio. Ukucatshangelwa kokuziphatha kwalandelwa ngokuqinisekisa ukungaziwa, imfihlo, ubumfihlo kanye nemvume esayiniwe yokubamba iqhaza ocwaningweni. Izinyathelo zokuqinisekisa ukuthi kuhambiswane nokwethembeka ngokuphathelene nokwethembeka, ukuqinisekiswa, ukudluliselwa, okungathenjelwa kuko, ubuqiniso, ukucabanga kanye nokuzibopha. Okutholakele ocwaningweni kwaveza: Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishumi nambili (12) zavela emininingwaneni ebhaliwe (izigaba) lapho ama-PHCN abelana ngokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni zama-PHCN kokuxhumana kwe-SRH, okwenzeke empilweni kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, okwenzeke ezimpilweni kwe-PHCN kwezithiyo zokuxhumana ze-SRH kanye nezincomo zama-PHCN zokukhuthazelwa kokuxhumana kwe-SRH. Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishum (10) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe, evela kulokho okwabelanwe ngakho ogogo nomkhulu mayela nokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zogogo Nomkhulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zogogo Nomkhulu kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, kanye nokwenzeke ezimpilweni Zogogo Nomkhulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni. Okuhlangenwe nakho wogogo nomkhulu ngezithiyo zokuxhumana nomndeni we-SRH kanye neziphakamiso zogogo nomkhulu ngokuphathelene nokukhuthazela ukuxhumana kwe-SRH. Izingqikithi eziyinhloko ezine (4) kanye nezakhi eziyisishiyagalolunye (9) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe. Lezi zingqikithi ezine ezivela kubazukulu kwakuyilezi: Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zabazukulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zabazukulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni kanye nezincomo zokukhuthazelwa kokuxhumana kwe-SRH. Okutholakele Esigabeni 1 kwaba yisisekelo sokusungulwa kweziqondiso. Esigabeni 2, inqubo ye-Delphi yasetshenziswa, futhi kwahlonzwa ochwepheshe emkhakheni ukuze banikeze imininingwane ephathelene nokusungulwa kweziqondiso ezizosetshenziselwa ukusekela imindeni eholwa ogogo nomkhulu mayelana nokuxoxisana ngokuphathelene nokuzala kanye nangokocansi. Kusetshenziswe indlela yokuthatha amasampula okungenakwenzeka ukuze kuhlonzwe iphaneli yochwepheshe abanolwazi nge-SRH, okuhlanganisa izifundiswa, abenzi bezinqubomgomo kanye nabanye ababambiqhaza. Ukusungulwa nokuqinisekiswa kwemihlahlandlela kwenziwa ngokusekelwe kuthuluzi le-AGREE II (2010). Kwafinyelelwa esivumelanweni emzuliswaneni 2. Umzuliswano 3 usetshenziselwe ukuqinisekisa kanye nanjengendlela yombiko.","abstract_has_math":false,"creators":[],"institution":"University of Pretoria","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Peu, Mmapheko Doriccah"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-24T03:52:50Z","subjects":["UCTD","Community nursing","Grandparent headed families"],"languages":["en"],"rights":["© 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.25403/UPresearchdata.23931735"],"render_values":[{"text":"https://doi.org/10.25403/UPresearchdata.23931735","href":"https://doi.org/10.25403/UPresearchdata.23931735","code":true}]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["DOI: https://doi.org/10.25403/UPresearchdata.23931735.v1"],"render_values":[{"text":"DOI: https://doi.org/10.25403/UPresearchdata.23931735.v1","href":"https://doi.org/10.25403/UPresearchdata.23931735.v1","code":true}]},{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["S2023"],"render_values":[{"text":"S2023","href":null,"code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/2263/91897","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Peu, Mmapheko Doriccah"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-08-11T12:48:24Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-08-11T12:48:24Z"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:publisher","label":"Institution","values":["University of Pretoria"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["UCTD","Community nursing","Grandparent headed families"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["© 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.doi","label":"DOI","values":["https://doi.org/10.25403/UPresearchdata.23931735"]},{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["S2023"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/2263/91897","DOI: https://doi.org/10.25403/UPresearchdata.23931735.v1"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Thesis (PhD (Nursing Science))--University of Pretoria, 2023."]},{"key":"dc:description.abstract","label":"Abstract","values":["English: ABSTRACT Grandparenting is a new global social phenomenon emerging whereby grandparents take part in caring for their grandchildren. Grandparent headed families occur due to various societal factors, including the death of parents due to accidents, teenage parenting and other limitations that prevent parents from raising their children. The grandparents are then responsible for being primary caregivers to their grandchildren when they also have their challenges. The aim and objectives of the study were to develop communication guidelines to support grandparent headed families regarding sexual and reproductive health. This study was conducted in two phases. Phase 1: a qualitative, descriptive phenomenological and contextual research design was conducted to explore and describe the experiences of the grandparents, grandchildren and primary health nurses regarding sexual and reproductive health in the Tshwane District of the Gauteng Province, South Africa. A non-probability, purposive and snowballing sampling method was used to select twelve (12) Primary Healthcare nurses, eleven (11) grandparents and thirteen (13) grandchildren. Data was collected through in-depth interviews and analysed using Giorgio’s five steps. Ethical consideration was adhered to by ensuring anonymity, confidentiality, privacy and signed consent to participate in the study. Measures to ensure trustworthiness adhered to were credibility, confirmability, transferability, dependability, authenticity, reflexivity and bracketing. The findings of the study revealed: Four (4) essences (themes) and twelve (12) constituents (categories) emerged from the transcribed data when PHCNs shared their lived experiences. The four themes are PHCNs' experiences of SRH communication, PHCNs' experiences of factors facilitating SRH communication, PHCNs' experiences of SRH communication barriers and PHCNs' recommendations for SRH communication promotion. Four (4) essences and ten (10) constituents emerged from the transcribed data, emanating from the grandparents' shared experiences. The four themes were Grandparents' experiences of SRH communication, Grandparents’ experiences of factors facilitating SRH communication and Grandparents’ experiences of SRH family communication barriers. Grandparents’ experiences of SRH family communication barriers and Grandparents’ recommendations for SRH communication promotion. Four (4) main essences and nine (9) constituents emerged from the transcribed data The four essences from the grandchildren were: Grandchildren’s experiences of SRH communication, Grandchildren’s experiences of factors facilitating SRH communication, Grandchildren’s experiences of SRH family communication barriers and Grandchildren’s recommendations for SRH communication promotion. The findings for Phase 1 formed the basis of the development of guidelines. In Phase 2, the Delphi technique was used, and experts in the field were identified to provide information regarding the development of guidelines that will be used to support grandparent headed families regarding sexual reproductive communication. A non-probability sampling method was used to identify the panel of experts knowledgeable about SRH, including academics, policymakers and other stakeholders. The development and validation of the guidelines were done based on the AGREE II (2010) instrument. A consensus was reached in round 2. Round 3 was used for validation and as a form of feedback. Sepedi: KAKARETŠO Tlhokomelo ka bomakgolo ke ponagalo ye mpsha ya leago ya lefase ka bophara yeo e tšwelelago moo bomakgolo ba tšeago karolo go hlokomeleng ditlogolo tša bona. Malapa ao a eteletšwego pele ke bomakgolo a direga ka lebaka la mabaka a go fapafapana a setšhaba, go akaretšwa lehu la batswadi ka lebaka la dikotsi, go godiša bafsa le mellwane ye mengwe yeo e thibelago batswadi go godiša bana ba bona. Ke moka bomakgolo ba na le maikarabelo a go ba bahlokomedi ba mathomo go ditlogolo tša bona mola le bona ba na le ditlhohlo tša bona. Nepo le maikemišetšo a nyakišišo ye e be e le go hlama ditlhahlo tša kgokagano go thekga malapa ao a eteletšwego pele ke borakgolo le bomakgolo mabapi le maphelo a thobalano le a pelego. Dinyakišišo tše di dirilwe ka dikgato tše pedi. Kgato ya 1: go dirilwe tlhamo ya dinyakišišo tša boleng, go hlaloša ditiragalo le tša diteng go hlohlomiša le go hlaloša maitemogelo a bomakgolo, ditlogolo le baoki ba maphelo a matheo mabapi le tša thobalano le a pelego ka Seleteng sa Tshwane sa Profense ya Gauteng, Afrika Borwa. Mokgwa wa go dira sampole wo e sego wa kgonagalo, wa morero le wa go oketšega ge nako e eya o šomišitšwe go kgetha baoki ba lesomepedi (12) ba Tlhokomelo ya Maphelo ya Matheo, bomakgolo ba lesometee (11) le ditlogolo tše lesometharo (13). Data e ile ya kgoboketšwa ka dipoledišano tše di tseneletšego gomme ya sekasekwa ka go šomiša megato ye mehlano ya Giorgio. Go naganelwa ga boitshwaro go ile gwa kgomarelwa ka go netefatša gore ga go tsebje, sephiri, sephiri le tumelelo ye e saennwego ya go tšea karolo nyakišišong. Magato a go netefatša gore go botega mo go kgomaretšwego e be e le go botega, go tiišetšwa, go fetišetšwa, go ithekga, bonnete, go naganišiša le go beakanya maswaodikga. Diphihlelelo tša dinyakišišo di utollotše: Dikokwane tše nne (4) (dihlohlo) le dikarolo tše lesomepedi (12) (dihlopha) di tšweletše go tšwa go datha ye e ngwadilwego ge di-PHCN di abelana maitemogelo a tšona ao a phetšego. Mrero ye mene ke maitemogelo a di-PHCN a kgokagano ya SRH, maitemogelo a di-PHCN a mabaka ao a nolofatšago kgokagano ya SRH, maitemogelo a di-PHCN a mapheko a kgokagano ya SRH le ditšhišinyo tša di-PHCN tša tšwetšopele ya kgokagano ya SRH. Dikokwane tše nne (4) le dikarolo tše lesome (10) di tšweletše go tšwa go datha ye e ngwadilwego, yeo e tšwago maitemogelong ao a abelanwago a borakgolo le bomakgolo. Merero ye mene e be e le maitemogelo a Bomakgolo a kgokagano ya SRH, maitemogelo a Bogologolo a mabaka ao a nolofatšago kgokagano ya SRH le maitemogelo a Borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH. Maitemogelo a borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH le ditšhišinyo tša Borakgolo le bomakgolo tša tšwetšopele ya kgokagano ya SRH. Dilo tše nne (4) tše kgolo le dikarolo tše senyane (9) di tšweletše go tšwa go datha ye e ngwadilwego Dikokwane tše nne go tšwa go ditlogolo e be e le: Maitemogelo a ditlogolo a kgokagano ya SRH, Maitemogelo a ditlogolo a mabaka ao a nolofatšago kgokagano ya SRH, Maitemogelo a ditlogolo a mapheko a kgokagano ya lapa la SRH le ditigelo tša Ditlogolo tša tšwetšopele ya kgokagano ya SRH. Diphihlelo tša Kgato ya 1 di bopile motheo wa tlhabollo ya ditlhahli. Mo Kgatong ya 2, go šomišitšwe thekniki ya Delphi, gomme ditsebi tša lefapha di ile tša laetšwa go fa tshedimošo mabapi le tlhabollo ya ditlhahli tšeo di tlago šomišwa go thekga malapa ao a eteletšwego pele ke bagologolo mabapi le kgokagano ya pelego ya thobalano. Mokgwa wa go dira sampole wo e sego wa kgonagalo o šomišitšwe go šupa phanele ya ditsebi tšeo di nago le tsebo ka ga SRH, go akaretšwa dirutegi, bahlami ba dipholisi le bakgathatema ba bangwe. Tlhabollo le netefatšo ya ditlhahli e dirilwe go ya ka sedirišwa sa AGREE II (2010). Go fihleletšwe kwano mo tikologong ya 2. Tikologo ya 3 e šomišitšwe go netefatša le bjalo ka mokgwa wa maikutlo. Afrikaans: OPSOMMING: Grootouerskap is 'n nuwe wêreldwye sosiale verskynsel wat ontstaan ​​waar grootouers deel het aan die versorging van hul kleinkinders. Gesinne met 'n grootouer aan die hoof ontstaan as gevolg van verskeie maatskaplike faktore, waaronder die dood van ouers weens ongelukke, tienerouerskap, en ander beperkings wat ouers verhinder om self hul kinders groot te maak. Die grootouers het dan die verantwoordelik heid om primêre versorgers van hul kleinkinders te wees wanneer hulle self ook uitdagings ervaar. Die doel en doelwitte van die studie was om kommunikasieriglyne te ontwikkel om grootouergeleide gesinne te ondersteun rakende seksuele en reproduktiewe gesondheid. Hierdie studie is in twee fases uitgevoer. Fase 1: 'n kwalitatiewe, beskrywende fenomenologiese en kontekstuele navorsingsontwerp is toegepas om die ervarings van grootouers, kleinkinders en primêregesondheidsorg-verpleegkundiges (PGV's) rakende seksuele en reproduktiewe gesondheid in die Tshwane-distrik in Gauteng, Suid-Afrika, te ondersoek en te beskryf. n Niewaarskynlikheids-, doelgerigte en sneeubalsteekproefmetode is gebruik om twaalf (12) PGV's, elf (11) grootouers en dertien (13) kleinkinders te kies. Data is by wyse van indringende onderhoude ingesamel en aan die hand van Giorgio se vyf stappe ontleed. Daar is aan etiese oorwegings voldoen deur anonimiteit, vertroulikheid, privaatheid en ondertekende toestemming vir deelname aan die studie te verseker. Maatreëls om betroubaarheid te verseker, was geloofwaardigheid, bevestigbaarheid, oordraagbaarheid, betroubaarheid, outentisiteit, refleksiwiteit en tussen-hakies-plassing. Die bevindinge van die studie het aan die lig gebring: Vier (4) kernkwessies (temas) en twaalf (12) komponente (kategorieë) het uit die getranskribeerde data na vore gekom toe PGV's hul lewenservarings gedeel het. Die vier temas is: PGV's se ervarings van kommunikasie oor seksuele en reproduktiewe gesondheid (SRG), PGV's se ervarings van faktore wat SRG-kommunikasie aanhelp, PGV's se ervarings van SRG-kommunikasiehindernisse, en PGV's se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) kernkwessies en tien (10) komponente het uit die getranskribeerde data na vore gekom, voortspruitend uit die grootouers se gedeelde ervarings. Die vier temas was grootouers se ervarings van SRG-kommunikasie, grootouers se ervarings van faktore wat SRG-kommunikasie aanhelp, en grootouers se ervarings van SRG-gesinskommunikasiehindernisse. Grootouers se ervarings van SRG-gesinskommunikasiehindernisse en grootouers se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) opperste kernkwessies en nege (9) komponente het uit die getranskribeerde data na vore gekom. Die kleinkinders se vier kernkwessies was: kleinkinders se ervarings van SRG-kommunikasie, kleinkinders se ervarings van faktore wat SRG-kommunikasie aanhelp, kleinkinders se ervarings van SRG-gesinskommunikasiehindernisse, en kleinkinders se aanbevelings vir die bevordering van SRG-kommunikasie. Die bevindinge van Fase 1 het die grondslag vir die ontwikkeling van riglyne gevorm. In Fase 2 is die Delphi-tegniek gebruik, en kundiges op hierdie terrein is geïdentifiseer om inligting te verskaf omtrent die ontwikkeling van riglyne wat gebruik sal word om grootouergeleide gesinne insake seksuele reproduktiewe kommunikasie te ondersteun. n Niewaarskynlikheidsteekproefmetode is gebruik om die paneel kundiges te identifiseer wat kenners van seksuele reproduktiewe kommunikasie is, en akademici, beleidmakers en ander belanghebbendes insluit. Die ontwikkeling en validering van die riglyne is op grond van die AGREE II (2010)-instrument gedoen. Konsensus is in Rondte 2 bereik. Rondte 3 is gebruik vir validering en as 'n vorm van terugvoer. IsiZulu: OKUNGUMQONDO Ukukhulisa abazukulu kuyinto entsha eyenzeka emphakathini yomhlaba wonke evelayo lapho ogogo nomkhulu behlanganyela khona ekunakekeleni abazukulu babo. Imindeni eholwa ogogo nomkhulu yenzeka ngenxa yezici ezihlukahlukene zomphakathi, ezihlanganisa ukushona kwabazali ngenxa yezingozi, ukuba ngumzali osemusha kanye nezinye izithiyo ezivimbela abazali ukuthi bakhulise izingane zabo. Khona-ke ogogo nomkhulu banesibopho sokuba abanakekeli abayinhloko kubazukulu babo lapho nabo benezinselele zabo. Inhloso kanye nemigomo yocwaningo kwakuwukusungula imihlahlandlela yokuxhumana ukuze kusekelwe imindeni eholwa ogogo nomkhulu ngokuphathelene nempilo yocansi neyokuzalana. Lolu cwaningo lwenziwe ezigabeni ezimbili. Isigaba 1: idizayini yocwaningo oluthola ukuthi kwenzeke kanjani futhi ngobani, oluchazayo nolunomongo lwenziwa ukuze kuhlolwe futhi kuchazwe okuhlangenwe nakho ngokuphathelene nogogo nomkhulu, abazukulu kanye nabahlengikazi bezempilo eyinhloko mayelana nempilo yocansi kanye neyokuzalana Esifundeni saseTshwane District Esifundazweni saseGauteng, eNingizimu Afrika. Indlela yokuthatha amasampula angenakwenzeka, enenhloso neye-snowballing yasetshenziselwa ukukhetha abahlengikazi abayishumi nambili (12) Bezokunakekela Kwezempilo Eziyinhloko, ogogo nomkhulu abayishumi nanye (11) nabazukulu abayishumi nantathu (13). Idatha yaqoqwa ngezingxoxo ezijulile futhi yahlaziywa kusetshenziswa izinyathelo ezinhlanu zika-Giorgio. Ukucatshangelwa kokuziphatha kwalandelwa ngokuqinisekisa ukungaziwa, imfihlo, ubumfihlo kanye nemvume esayiniwe yokubamba iqhaza ocwaningweni. Izinyathelo zokuqinisekisa ukuthi kuhambiswane nokwethembeka ngokuphathelene nokwethembeka, ukuqinisekiswa, ukudluliselwa, okungathenjelwa kuko, ubuqiniso, ukucabanga kanye nokuzibopha. Okutholakele ocwaningweni kwaveza: Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishumi nambili (12) zavela emininingwaneni ebhaliwe (izigaba) lapho ama-PHCN abelana ngokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni zama-PHCN kokuxhumana kwe-SRH, okwenzeke empilweni kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, okwenzeke ezimpilweni kwe-PHCN kwezithiyo zokuxhumana ze-SRH kanye nezincomo zama-PHCN zokukhuthazelwa kokuxhumana kwe-SRH. Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishum (10) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe, evela kulokho okwabelanwe ngakho ogogo nomkhulu mayela nokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zogogo Nomkhulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zogogo Nomkhulu kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, kanye nokwenzeke ezimpilweni Zogogo Nomkhulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni. Okuhlangenwe nakho wogogo nomkhulu ngezithiyo zokuxhumana nomndeni we-SRH kanye neziphakamiso zogogo nomkhulu ngokuphathelene nokukhuthazela ukuxhumana kwe-SRH. Izingqikithi eziyinhloko ezine (4) kanye nezakhi eziyisishiyagalolunye (9) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe. Lezi zingqikithi ezine ezivela kubazukulu kwakuyilezi: Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zabazukulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zabazukulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni kanye nezincomo zokukhuthazelwa kokuxhumana kwe-SRH. Okutholakele Esigabeni 1 kwaba yisisekelo sokusungulwa kweziqondiso. Esigabeni 2, inqubo ye-Delphi yasetshenziswa, futhi kwahlonzwa ochwepheshe emkhakheni ukuze banikeze imininingwane ephathelene nokusungulwa kweziqondiso ezizosetshenziselwa ukusekela imindeni eholwa ogogo nomkhulu mayelana nokuxoxisana ngokuphathelene nokuzala kanye nangokocansi. Kusetshenziswe indlela yokuthatha amasampula okungenakwenzeka ukuze kuhlonzwe iphaneli yochwepheshe abanolwazi nge-SRH, okuhlanganisa izifundiswa, abenzi bezinqubomgomo kanye nabanye ababambiqhaza. Ukusungulwa nokuqinisekiswa kwemihlahlandlela kwenziwa ngokusekelwe kuthuluzi le-AGREE II (2010). Kwafinyelelwa esivumelanweni emzuliswaneni 2. Umzuliswano 3 usetshenziselwe ukuqinisekisa kanye nanjengendlela yombiko."]},{"key":"dc:description.degree","label":"Dc Description Degree","values":["PhD (Nursing Science)"]},{"key":"dc:title","label":"Title","values":["Communication guidelines to support grandparent headed families regarding sexual and reproductive health in Tshwane District"]}]}],"canonical_facts":{"dc:contributor.advisor":["Peu, Mmapheko Doriccah"],"dc:date.accessioned":["2023-08-11T12:48:24Z"],"dc:date.available":["2023-08-11T12:48:24Z"],"dc:date.issued":["2023"],"dc:description":["Thesis (PhD (Nursing Science))--University of Pretoria, 2023."],"dc:description.abstract":["English: ABSTRACT Grandparenting is a new global social phenomenon emerging whereby grandparents take part in caring for their grandchildren. Grandparent headed families occur due to various societal factors, including the death of parents due to accidents, teenage parenting and other limitations that prevent parents from raising their children. The grandparents are then responsible for being primary caregivers to their grandchildren when they also have their challenges. The aim and objectives of the study were to develop communication guidelines to support grandparent headed families regarding sexual and reproductive health. This study was conducted in two phases. Phase 1: a qualitative, descriptive phenomenological and contextual research design was conducted to explore and describe the experiences of the grandparents, grandchildren and primary health nurses regarding sexual and reproductive health in the Tshwane District of the Gauteng Province, South Africa. A non-probability, purposive and snowballing sampling method was used to select twelve (12) Primary Healthcare nurses, eleven (11) grandparents and thirteen (13) grandchildren. Data was collected through in-depth interviews and analysed using Giorgio’s five steps. Ethical consideration was adhered to by ensuring anonymity, confidentiality, privacy and signed consent to participate in the study. Measures to ensure trustworthiness adhered to were credibility, confirmability, transferability, dependability, authenticity, reflexivity and bracketing. The findings of the study revealed: Four (4) essences (themes) and twelve (12) constituents (categories) emerged from the transcribed data when PHCNs shared their lived experiences. The four themes are PHCNs' experiences of SRH communication, PHCNs' experiences of factors facilitating SRH communication, PHCNs' experiences of SRH communication barriers and PHCNs' recommendations for SRH communication promotion. Four (4) essences and ten (10) constituents emerged from the transcribed data, emanating from the grandparents' shared experiences. The four themes were Grandparents' experiences of SRH communication, Grandparents’ experiences of factors facilitating SRH communication and Grandparents’ experiences of SRH family communication barriers. Grandparents’ experiences of SRH family communication barriers and Grandparents’ recommendations for SRH communication promotion. Four (4) main essences and nine (9) constituents emerged from the transcribed data The four essences from the grandchildren were: Grandchildren’s experiences of SRH communication, Grandchildren’s experiences of factors facilitating SRH communication, Grandchildren’s experiences of SRH family communication barriers and Grandchildren’s recommendations for SRH communication promotion. The findings for Phase 1 formed the basis of the development of guidelines. In Phase 2, the Delphi technique was used, and experts in the field were identified to provide information regarding the development of guidelines that will be used to support grandparent headed families regarding sexual reproductive communication. A non-probability sampling method was used to identify the panel of experts knowledgeable about SRH, including academics, policymakers and other stakeholders. The development and validation of the guidelines were done based on the AGREE II (2010) instrument. A consensus was reached in round 2. Round 3 was used for validation and as a form of feedback. Sepedi: KAKARETŠO Tlhokomelo ka bomakgolo ke ponagalo ye mpsha ya leago ya lefase ka bophara yeo e tšwelelago moo bomakgolo ba tšeago karolo go hlokomeleng ditlogolo tša bona. Malapa ao a eteletšwego pele ke bomakgolo a direga ka lebaka la mabaka a go fapafapana a setšhaba, go akaretšwa lehu la batswadi ka lebaka la dikotsi, go godiša bafsa le mellwane ye mengwe yeo e thibelago batswadi go godiša bana ba bona. Ke moka bomakgolo ba na le maikarabelo a go ba bahlokomedi ba mathomo go ditlogolo tša bona mola le bona ba na le ditlhohlo tša bona. Nepo le maikemišetšo a nyakišišo ye e be e le go hlama ditlhahlo tša kgokagano go thekga malapa ao a eteletšwego pele ke borakgolo le bomakgolo mabapi le maphelo a thobalano le a pelego. Dinyakišišo tše di dirilwe ka dikgato tše pedi. Kgato ya 1: go dirilwe tlhamo ya dinyakišišo tša boleng, go hlaloša ditiragalo le tša diteng go hlohlomiša le go hlaloša maitemogelo a bomakgolo, ditlogolo le baoki ba maphelo a matheo mabapi le tša thobalano le a pelego ka Seleteng sa Tshwane sa Profense ya Gauteng, Afrika Borwa. Mokgwa wa go dira sampole wo e sego wa kgonagalo, wa morero le wa go oketšega ge nako e eya o šomišitšwe go kgetha baoki ba lesomepedi (12) ba Tlhokomelo ya Maphelo ya Matheo, bomakgolo ba lesometee (11) le ditlogolo tše lesometharo (13). Data e ile ya kgoboketšwa ka dipoledišano tše di tseneletšego gomme ya sekasekwa ka go šomiša megato ye mehlano ya Giorgio. Go naganelwa ga boitshwaro go ile gwa kgomarelwa ka go netefatša gore ga go tsebje, sephiri, sephiri le tumelelo ye e saennwego ya go tšea karolo nyakišišong. Magato a go netefatša gore go botega mo go kgomaretšwego e be e le go botega, go tiišetšwa, go fetišetšwa, go ithekga, bonnete, go naganišiša le go beakanya maswaodikga. Diphihlelelo tša dinyakišišo di utollotše: Dikokwane tše nne (4) (dihlohlo) le dikarolo tše lesomepedi (12) (dihlopha) di tšweletše go tšwa go datha ye e ngwadilwego ge di-PHCN di abelana maitemogelo a tšona ao a phetšego. Mrero ye mene ke maitemogelo a di-PHCN a kgokagano ya SRH, maitemogelo a di-PHCN a mabaka ao a nolofatšago kgokagano ya SRH, maitemogelo a di-PHCN a mapheko a kgokagano ya SRH le ditšhišinyo tša di-PHCN tša tšwetšopele ya kgokagano ya SRH. Dikokwane tše nne (4) le dikarolo tše lesome (10) di tšweletše go tšwa go datha ye e ngwadilwego, yeo e tšwago maitemogelong ao a abelanwago a borakgolo le bomakgolo. Merero ye mene e be e le maitemogelo a Bomakgolo a kgokagano ya SRH, maitemogelo a Bogologolo a mabaka ao a nolofatšago kgokagano ya SRH le maitemogelo a Borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH. Maitemogelo a borakgolo le bomakgolo a mapheko a kgokagano ya lapa la SRH le ditšhišinyo tša Borakgolo le bomakgolo tša tšwetšopele ya kgokagano ya SRH. Dilo tše nne (4) tše kgolo le dikarolo tše senyane (9) di tšweletše go tšwa go datha ye e ngwadilwego Dikokwane tše nne go tšwa go ditlogolo e be e le: Maitemogelo a ditlogolo a kgokagano ya SRH, Maitemogelo a ditlogolo a mabaka ao a nolofatšago kgokagano ya SRH, Maitemogelo a ditlogolo a mapheko a kgokagano ya lapa la SRH le ditigelo tša Ditlogolo tša tšwetšopele ya kgokagano ya SRH. Diphihlelo tša Kgato ya 1 di bopile motheo wa tlhabollo ya ditlhahli. Mo Kgatong ya 2, go šomišitšwe thekniki ya Delphi, gomme ditsebi tša lefapha di ile tša laetšwa go fa tshedimošo mabapi le tlhabollo ya ditlhahli tšeo di tlago šomišwa go thekga malapa ao a eteletšwego pele ke bagologolo mabapi le kgokagano ya pelego ya thobalano. Mokgwa wa go dira sampole wo e sego wa kgonagalo o šomišitšwe go šupa phanele ya ditsebi tšeo di nago le tsebo ka ga SRH, go akaretšwa dirutegi, bahlami ba dipholisi le bakgathatema ba bangwe. Tlhabollo le netefatšo ya ditlhahli e dirilwe go ya ka sedirišwa sa AGREE II (2010). Go fihleletšwe kwano mo tikologong ya 2. Tikologo ya 3 e šomišitšwe go netefatša le bjalo ka mokgwa wa maikutlo. Afrikaans: OPSOMMING: Grootouerskap is 'n nuwe wêreldwye sosiale verskynsel wat ontstaan ​​waar grootouers deel het aan die versorging van hul kleinkinders. Gesinne met 'n grootouer aan die hoof ontstaan as gevolg van verskeie maatskaplike faktore, waaronder die dood van ouers weens ongelukke, tienerouerskap, en ander beperkings wat ouers verhinder om self hul kinders groot te maak. Die grootouers het dan die verantwoordelik heid om primêre versorgers van hul kleinkinders te wees wanneer hulle self ook uitdagings ervaar. Die doel en doelwitte van die studie was om kommunikasieriglyne te ontwikkel om grootouergeleide gesinne te ondersteun rakende seksuele en reproduktiewe gesondheid. Hierdie studie is in twee fases uitgevoer. Fase 1: 'n kwalitatiewe, beskrywende fenomenologiese en kontekstuele navorsingsontwerp is toegepas om die ervarings van grootouers, kleinkinders en primêregesondheidsorg-verpleegkundiges (PGV's) rakende seksuele en reproduktiewe gesondheid in die Tshwane-distrik in Gauteng, Suid-Afrika, te ondersoek en te beskryf. n Niewaarskynlikheids-, doelgerigte en sneeubalsteekproefmetode is gebruik om twaalf (12) PGV's, elf (11) grootouers en dertien (13) kleinkinders te kies. Data is by wyse van indringende onderhoude ingesamel en aan die hand van Giorgio se vyf stappe ontleed. Daar is aan etiese oorwegings voldoen deur anonimiteit, vertroulikheid, privaatheid en ondertekende toestemming vir deelname aan die studie te verseker. Maatreëls om betroubaarheid te verseker, was geloofwaardigheid, bevestigbaarheid, oordraagbaarheid, betroubaarheid, outentisiteit, refleksiwiteit en tussen-hakies-plassing. Die bevindinge van die studie het aan die lig gebring: Vier (4) kernkwessies (temas) en twaalf (12) komponente (kategorieë) het uit die getranskribeerde data na vore gekom toe PGV's hul lewenservarings gedeel het. Die vier temas is: PGV's se ervarings van kommunikasie oor seksuele en reproduktiewe gesondheid (SRG), PGV's se ervarings van faktore wat SRG-kommunikasie aanhelp, PGV's se ervarings van SRG-kommunikasiehindernisse, en PGV's se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) kernkwessies en tien (10) komponente het uit die getranskribeerde data na vore gekom, voortspruitend uit die grootouers se gedeelde ervarings. Die vier temas was grootouers se ervarings van SRG-kommunikasie, grootouers se ervarings van faktore wat SRG-kommunikasie aanhelp, en grootouers se ervarings van SRG-gesinskommunikasiehindernisse. Grootouers se ervarings van SRG-gesinskommunikasiehindernisse en grootouers se aanbevelings vir die bevordering van SRG-kommunikasie. Vier (4) opperste kernkwessies en nege (9) komponente het uit die getranskribeerde data na vore gekom. Die kleinkinders se vier kernkwessies was: kleinkinders se ervarings van SRG-kommunikasie, kleinkinders se ervarings van faktore wat SRG-kommunikasie aanhelp, kleinkinders se ervarings van SRG-gesinskommunikasiehindernisse, en kleinkinders se aanbevelings vir die bevordering van SRG-kommunikasie. Die bevindinge van Fase 1 het die grondslag vir die ontwikkeling van riglyne gevorm. In Fase 2 is die Delphi-tegniek gebruik, en kundiges op hierdie terrein is geïdentifiseer om inligting te verskaf omtrent die ontwikkeling van riglyne wat gebruik sal word om grootouergeleide gesinne insake seksuele reproduktiewe kommunikasie te ondersteun. n Niewaarskynlikheidsteekproefmetode is gebruik om die paneel kundiges te identifiseer wat kenners van seksuele reproduktiewe kommunikasie is, en akademici, beleidmakers en ander belanghebbendes insluit. Die ontwikkeling en validering van die riglyne is op grond van die AGREE II (2010)-instrument gedoen. Konsensus is in Rondte 2 bereik. Rondte 3 is gebruik vir validering en as 'n vorm van terugvoer. IsiZulu: OKUNGUMQONDO Ukukhulisa abazukulu kuyinto entsha eyenzeka emphakathini yomhlaba wonke evelayo lapho ogogo nomkhulu behlanganyela khona ekunakekeleni abazukulu babo. Imindeni eholwa ogogo nomkhulu yenzeka ngenxa yezici ezihlukahlukene zomphakathi, ezihlanganisa ukushona kwabazali ngenxa yezingozi, ukuba ngumzali osemusha kanye nezinye izithiyo ezivimbela abazali ukuthi bakhulise izingane zabo. Khona-ke ogogo nomkhulu banesibopho sokuba abanakekeli abayinhloko kubazukulu babo lapho nabo benezinselele zabo. Inhloso kanye nemigomo yocwaningo kwakuwukusungula imihlahlandlela yokuxhumana ukuze kusekelwe imindeni eholwa ogogo nomkhulu ngokuphathelene nempilo yocansi neyokuzalana. Lolu cwaningo lwenziwe ezigabeni ezimbili. Isigaba 1: idizayini yocwaningo oluthola ukuthi kwenzeke kanjani futhi ngobani, oluchazayo nolunomongo lwenziwa ukuze kuhlolwe futhi kuchazwe okuhlangenwe nakho ngokuphathelene nogogo nomkhulu, abazukulu kanye nabahlengikazi bezempilo eyinhloko mayelana nempilo yocansi kanye neyokuzalana Esifundeni saseTshwane District Esifundazweni saseGauteng, eNingizimu Afrika. Indlela yokuthatha amasampula angenakwenzeka, enenhloso neye-snowballing yasetshenziselwa ukukhetha abahlengikazi abayishumi nambili (12) Bezokunakekela Kwezempilo Eziyinhloko, ogogo nomkhulu abayishumi nanye (11) nabazukulu abayishumi nantathu (13). Idatha yaqoqwa ngezingxoxo ezijulile futhi yahlaziywa kusetshenziswa izinyathelo ezinhlanu zika-Giorgio. Ukucatshangelwa kokuziphatha kwalandelwa ngokuqinisekisa ukungaziwa, imfihlo, ubumfihlo kanye nemvume esayiniwe yokubamba iqhaza ocwaningweni. Izinyathelo zokuqinisekisa ukuthi kuhambiswane nokwethembeka ngokuphathelene nokwethembeka, ukuqinisekiswa, ukudluliselwa, okungathenjelwa kuko, ubuqiniso, ukucabanga kanye nokuzibopha. Okutholakele ocwaningweni kwaveza: Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishumi nambili (12) zavela emininingwaneni ebhaliwe (izigaba) lapho ama-PHCN abelana ngokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni zama-PHCN kokuxhumana kwe-SRH, okwenzeke empilweni kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, okwenzeke ezimpilweni kwe-PHCN kwezithiyo zokuxhumana ze-SRH kanye nezincomo zama-PHCN zokukhuthazelwa kokuxhumana kwe-SRH. Izingqikithi ezine (4) (izindikimba) kanye nezakhi eziyishum (10) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe, evela kulokho okwabelanwe ngakho ogogo nomkhulu mayela nokwenzeke ezimpilweni zabo. Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zogogo Nomkhulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zogogo Nomkhulu kwama-PHCN kwezici ezenza ukuxhumana kwe-SRH kube lula, kanye nokwenzeke ezimpilweni Zogogo Nomkhulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni. Okuhlangenwe nakho wogogo nomkhulu ngezithiyo zokuxhumana nomndeni we-SRH kanye neziphakamiso zogogo nomkhulu ngokuphathelene nokukhuthazela ukuxhumana kwe-SRH. Izingqikithi eziyinhloko ezine (4) kanye nezakhi eziyisishiyagalolunye (9) zavela emininingwaneni ebhaliwe esuselwa kokuqoshiwe. Lezi zingqikithi ezine ezivela kubazukulu kwakuyilezi: Lezi zingqikithi ezine zingokwenzeke ezimpilweni Zabazukulu ngokuphathelene nokuxhumana kwe-SRH, okwenzeke ezimpilweni Zabazukulu kwe-SRH kwezithiyo zokuxhumana ngokuphathelene nomndeni kanye nezincomo zokukhuthazelwa kokuxhumana kwe-SRH. Okutholakele Esigabeni 1 kwaba yisisekelo sokusungulwa kweziqondiso. Esigabeni 2, inqubo ye-Delphi yasetshenziswa, futhi kwahlonzwa ochwepheshe emkhakheni ukuze banikeze imininingwane ephathelene nokusungulwa kweziqondiso ezizosetshenziselwa ukusekela imindeni eholwa ogogo nomkhulu mayelana nokuxoxisana ngokuphathelene nokuzala kanye nangokocansi. Kusetshenziswe indlela yokuthatha amasampula okungenakwenzeka ukuze kuhlonzwe iphaneli yochwepheshe abanolwazi nge-SRH, okuhlanganisa izifundiswa, abenzi bezinqubomgomo kanye nabanye ababambiqhaza. Ukusungulwa nokuqinisekiswa kwemihlahlandlela kwenziwa ngokusekelwe kuthuluzi le-AGREE II (2010). Kwafinyelelwa esivumelanweni emzuliswaneni 2. Umzuliswano 3 usetshenziselwe ukuqinisekisa kanye nanjengendlela yombiko."],"dc:description.degree":["PhD (Nursing Science)"],"dc:identifier.doi":["https://doi.org/10.25403/UPresearchdata.23931735"],"dc:identifier.other":["S2023"],"dc:identifier.uri":["http://hdl.handle.net/2263/91897","DOI: https://doi.org/10.25403/UPresearchdata.23931735.v1"],"dc:language.iso":["en"],"dc:publisher":["University of Pretoria"],"dc:rights":["© 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria."],"dc:subject":["UCTD","Community nursing","Grandparent headed families"],"dc:title":["Communication guidelines to support grandparent headed families regarding sexual and reproductive health in Tshwane District"],"dc:type":["Thesis"]},"updated_at":"2026-07-24T03:52:50Z"}