Factors contributing to the quality of nursing care in Gauteng province hospitals.

Nomali S Sabelo, Sibusiso M Zuma
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Abstract

Background:  The South African public is not satisfied with the level of healthcare rendered by South African health institutions, particularly in Gauteng province; this is evidenced by the concerns raised by the South African Health Ombudsman, who, as of 2021, received more than 2000 complaints from the public, of which 40% were from Gauteng province. This is supported by South African Nursing Council (SANC)'s unprofessional report, which reflected the increase in poor nursing care cases.

Objectives:  The objectives of the study were to identify the factors contributing to the quality of nursing care at the provincial hospitals of Gauteng province and to make recommendations for improving the quality of nursing care in hospitals.

Method:  The study utilised an exploratory descriptive qualitative design. The data were analysed following Colaizzi's steps of data analysis, during which 4 themes and 9 sub-themes emerged. The study population consisted of registered professional nurses working in the two hospitals. The sample consisted of 12 registered professional nurses.

Results:  The study identified three positive factors, namely, nursing as a calling, supervision rounds and staff appreciation. Six negative factors that contribute to the quality of nursing care were identified as the lack of human and material resources, administrative challenges, unsupportive management, nurse-related factors, attitudes of patients, and private versus public health institutions.

Conclusion:  The study revealed the positive factors that promote the quality of nursing care. The negative factors affecting the quality of nursing care were found to be more than the positive factors.Contribution: The study presented factors affecting the quality of nursing care and makes recommendations that can be utilised as basis for improving the quality of nursing care. The study findings and recommendations can be used to develop programmes to support nurses to provide dignified and quality patient care in the hospital.

影响豪登省医院护理质量的因素。
背景:南非公众对南非卫生机构提供的保健水平不满意,特别是在豪登省;南非卫生监察员提出的关切证明了这一点,截至2021年,他收到了2000多起公众投诉,其中40%来自豪登省。南非护理委员会(SANC)的一份不专业的报告支持了这一观点,该报告反映了不良护理案例的增加。目的:研究的目的是确定影响豪登省省级医院护理质量的因素,并为提高医院护理质量提出建议。方法:本研究采用探索性描述性定性设计。按照Colaizzi的数据分析步骤对数据进行分析,其中出现了4个主题和9个子主题。研究人群包括在两家医院工作的注册专业护士。样本包括12名注册专业护士。结果:研究确定了三个积极因素,即护理作为一种呼唤、监督查房和员工赞赏。确定了影响护理质量的六个负面因素:人力和物质资源的缺乏、行政挑战、不支持性管理、护士相关因素、患者态度以及私立与公立卫生机构的比较。结论:本研究揭示了促进护理质量的积极因素。影响护理质量的消极因素多于积极因素。贡献:本研究提出了影响护理质量的因素,并提出了可作为提高护理质量依据的建议。研究结果和建议可用于制定方案,以支持护士在医院为病人提供有尊严和高质量的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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