Effects of nursing work loads on patients safety in the selected public hospitals in Vhembe District of Limpopo Province, South Africa

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dc.contributor.advisor Netshikweta, M. L.
dc.contributor.advisor Netshikweta, M. L.
dc.contributor.advisor Maputle, M. S.
dc.contributor.author Mphephu, Avhapfani Gladys
dc.date 2019
dc.date.accessioned 2019-10-15T09:34:19Z
dc.date.available 2019-10-15T09:34:19Z
dc.date.issued 2019-09-20
dc.identifier.citation Mphephu, Avhapfani Gladys (2019) Effects of nursing work loads on patients safety in the selected public hospitals in Vhembe District of Limpopo Province, South Africa, University of Venda, South Africa.<http://hdl.handle.net/11602/1458>.
dc.identifier.uri http://hdl.handle.net/11602/1458
dc.description MCur en_US
dc.description Department of Advanced Nursing Science
dc.description.abstract Background: The heavy workload of hospital nurses is a major problem globally. Nurses are experiencing higher workloads than ever before due to four main reasons, increased demand for nurses, inadequate appointment of new nurses, reduced staffing and increased overtime and reduction in patient length of stay. It is necessary for South Africa to find ways to reduce nursing workload and improve patient safety particularly in rural areas, to understand these effects of nursing workload on patient safety, the study was conducted with professional nurses from selected hospitals in Vhembe district, Limpopo Province. Purpose: The purpose of this study was to determine and to assess the effects of nurses‘ workloads on patient safety in the selected public hospitals, Vhembe District, Limpopo Province, South Africa. Methodology: Quantitative, exploratory descriptive design was adopted. Self-administered questionnaires were used for data collection from the sampled hospitals in Vhembe district. Hospitals were sampled based on the statistics of admitted patients in medical and surgical wards. Target population were professional nurses with at least two years working in the sampled wards. Ethical considerations were maintained. Results: There are several important consequences of high nursing workload. Findings show that a heavy nursing workload adversely affects patient safety. The study also shows that majority 80 (79.0%) of the respondents were overloaded by nursing responsibilities and this negatively affects nursing job satisfaction. As many as 55 (54.4%) indicated that such v workload contributes to high turnover and the nursing shortage. In addition to the higher patient acuity, work system factors and expectations also contribute to the nurses‘ workload: nurses are expected to perform non-professional tasks such as delivering and retrieving food trays; housekeeping duties; transporting patients; and ordering, coordinating, or performing ancillary services Conclusion: Nursing workload is affected by staffing levels and the patients‘ conditions, but also by the design of the nurses‘ work system. The study showed that a work situation above the assumed optimal level increases the risk for adverse events and patient mortality. However, the resources for nursing staff are limited in all public hospitals where the study focused. Professional nurses, therefore, must use available resources in the most optimal way. The study also recommended that there should be a creation of the nursing posts and the filling of all vacant positions in South Africa. Continuity of in-service training to empower professional nurses on patient safety was emphasised. en_US
dc.description.sponsorship NRF en_US
dc.format.extent 1 online resource (xiii, 129 leaves : color illustrations, color map)
dc.language.iso en en_US
dc.subject Nursing workload en_US
dc.subject Patient safety en_US
dc.subject Staffing levels en_US
dc.subject.ddc 331.2560968257
dc.subject.lcsh Job stress -- South Africa -- Limpopo.
dc.subject.lcsh Burn out (Psychology).
dc.subject.lcsh Employees -- Job stress.
dc.subject.lcsh Stress (Psychology).
dc.subject.lcsh Nurses -- South Africa -- Limpopo.
dc.subject.lcsh Public hospitals -- South Africa -- Limpopo.
dc.subject.lcsh Hospitals -- South Africa -- Limpopo.
dc.subject.lcsh Hospitals -- South Africa -- Limpopo.
dc.title Effects of nursing work loads on patients safety in the selected public hospitals in Vhembe District of Limpopo Province, South Africa en_US
dc.type Dissertation en_US

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