Department of Advanced Nursing Science
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Browsing Department of Advanced Nursing Science by Subject "362.1730968257"
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Item Open Access Factors affecting quality nursing documentation of patient information at selected primary health care facilities in Vhembe District, Limpopo Province(2015-08-05) Shihundla, Caroline Rhulani; Maputle, M. S.; Lebese, R. T.Nursing documentation arises from actual happenings or events where a true picture of an incident that has happened is recorded. However, for nursing documentation to serve their provision of reliable evidence, patient information must be complete, accurate, legible and comprehensive. This study explored and described factors affecting quality nursing documentation of patient information at selected Primary Health Care (PHC) facilities in Vhembe District, Limpopo Province. The study sought to achieve the following objectives: explore factors affecting quality nursing documentation of patient information on Antiretroviral Therapy (ART) files, forms, and registers; describe factors affecting quality nursing documentation of patient information on ART files, forms, and registers. The research design in this study was qualitative, explorative, des criptive and contextual in nature. The study population consisted of professional nurse working at PHC facilities in Vhembe District, Limpopo Province. on-probability purposive sampling was used to select PHC facilities and professional nurses. The objectives of the study were met during data collection which was conducted through the u e of individua] face-to-face, in-depth interviews. Permission to conduct study was obtained from relevant stakeholders. The ethical considerations adhered to were confidentiality maintained and informed consent obtained from participants. Trustworthiness was ensured throughout by employing the principles of credibility, dependability, conformability and transferability. Data col lection was done up to 10 participants as no new information was forthcoming from professional nurse . Professional nurses were 3 males and 7 females. Their ages ranged from 24 to 49 year . Tesch's open-coding methodology was used to analyze data. Data from participant were collated into themes and sub-themes. The following themes emerged from raw data: increased professional nurses' workload, knowledge deficit, Jack of resources and unavailability, illegible and incomplete documents. It is recommended that health care executives develop responsible actions for delivering quality patient care through working towards ensuring good supply of professional nurses to PHC facilities, by recruiting, attracting and thriving to retain required staff to deal with issues of professional nurses' workload. Professional nurses should undergo sufficient (comprehensive) short course training in relation to quality nursing documentation of patient information. It is recommended that quality nursing documentation of patient information be fully presented and emphasized in the nursing workshops. It was proposed that each individual professional nurse should receive full support and mentoring after workshop training at bis/her respective facility by programme supervisors and managers. Each patient's document at PHC facilities must be assessed with a tool designed for that programme. Research should be conducted in other districts in Limpopo Province in order to compare the findings. The study suggested that dates for ordering and delivery of stationery should be drafted, agreed upon and adhered to between supervisors and facilities' staff members. Facilities' infrastructures should be modified and maintained continuously. The study also suggested that policy in relation to PHC facilities' documents must include control measures to be followed if documents are not well created and updated by individual professional nurses.Item Open Access Factors contributing to staff turnover among professional nurses in selected hospitals of Vhembe District(2015-01-30) Ramarope, Johannah; Maputle, M. S.; Lebese, R. T.Nurses constituted the largest group in South African health care services and form the backbone of nursing care. There had been a significant increase in the number of professional nurses leaving the district hospitals either to other hospitals, primary health care services, private hospitals or other countries. The purpose of this study was to determined factors contributing to staff turnover among professional nurses in selected hospitals of Vhembe District. The design of this study was qualitative, descriptive and contexture. The population of the tudy included all professional nurses in Vhembe District, who had moved from one hospital to other health care facilities during the period 2005-2009. The research participant were selected by means of purposive sampling. Data was obtained by means of unstructured interview that was audio-taped and later transcribed. Collected data was analysed through the use of open coding method. The following themes were revealed from raw data: main theme: institutional related factors with the following themes push and pull factor related to staff turnover and personal related factors with the following themes: financial aspects, family related aspects to staff turnover. Informed permission for conducting the study was obtained from the Department of Health of Limpopo Province. Trustworthiness was ensured by applying the four strategies proposed by Lincoln and Guba (1994:120) namely credibility, transferability, dependability and conformability.Item Open Access Patient satisfaction with the quality of nursing care rendered in public hospitals within Makhado Municipality of Limpopo Provicne: South Africa(2015-02-18) Mureri, Musingadi Magdeline; Netshikweta, M. L.; Shilubane, N. H.Background: Patient satisfaction has become an important indicator to measure the quality of care rendered to the patients while in hospital. Patient satisfaction surveys can help identify ways of improving nursing and health care services. The purpose of this study was to assess the patient satisfaction with nursing care in selected public hospitals. Methods: A non-experimental, exploratory, descriptive design was used to obtain data by means of questionnaires. The population of this study consisted of all patients admitted in all two sampled hospitals of Vhembe district in Limpopo province. Respondents were selected by probability, systematic random sampling of 200 men and women who were admitted in the sampled public hospital at the time of data collections were recruited to participate in this study. A questionnaire with open and close ended questions was used to collect data. Results: This study found that mean patient satisfaction with nursing care rendered score was significantly low at public hospitals (49.3%), the majority of the respondents (71.8%) reported that nurses do not respond on calls, helpless patients were not fed by (63.7%) respondents. However, communication and offering emotional support dimensions of nursing care had lowest score (9.3%). Conclusion: Therefore, it is recommended to plan and implement the training programmes needed for nurses to improve their knowledge and skills of communication and use of emotional support measures for the patients.