Health SA GesondheidPub Date : 2024-11-18eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2416
Barbara M Dube, Ntombifikile G Mtshali
{"title":"Stakeholders' perspectives on competency-based education program in Africa: A qualitative study.","authors":"Barbara M Dube, Ntombifikile G Mtshali","doi":"10.4102/hsag.v29i0.2416","DOIUrl":"10.4102/hsag.v29i0.2416","url":null,"abstract":"<p><strong>Background: </strong>Competency-based education (CBE) is adopted to reform health professionals' education. The goal is to produce graduates who are not only competent in their fields but also equipped with the necessary social accountability skills for safe practice.</p><p><strong>Aim: </strong>The study aimed to explore nursing education stakeholders' perspectives on competency-based primary healthcare (PHC)-oriented nursing education programmes in the South African context.</p><p><strong>Setting: </strong>The setting for this study was a higher education institution in South Africa.</p><p><strong>Methods: </strong>A descriptive qualitative method was used in this study. After taking ethical clearance from the university ethics committee, data were purposively collected and theoretically sampled from 40 participants through focus group discussion, individual interviews and document analysis.</p><p><strong>Results: </strong>The data findings reported categories that emerged from this study, which include the attributes of a competency-based PHC-oriented programme and the outcomes of a competency-based PHC-oriented programme.</p><p><strong>Conclusion: </strong>In the context of this study, the concept of CBE was portrayed as a programme with strong social accountability that aims at addressing priority health needs surrounding communities and ensuring that the health needs of the community are met while providing health delivery service to communities in their natural environment.</p><p><strong>Contribution: </strong>These findings add to the growing evidence base around CBE as an approach to strengthen PHC-oriented health services in low- and middle-income countries, a key aspect of which is providing service within communities. This enables the accessibility of quality healthcare closer to where people live and work to achieve Sustainable Development Goal number three.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2416"},"PeriodicalIF":1.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-11-15eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2724
Vuyisile J Ginindza, Fortunate S Shabalala, Bonisile S Nsibandze, Makandwe Nyirenda, Themba G Ginindza
{"title":"The experiences of women diagnosed with uterine fibroids in the Kingdom of Eswatini.","authors":"Vuyisile J Ginindza, Fortunate S Shabalala, Bonisile S Nsibandze, Makandwe Nyirenda, Themba G Ginindza","doi":"10.4102/hsag.v29i0.2724","DOIUrl":"10.4102/hsag.v29i0.2724","url":null,"abstract":"<p><strong>Background: </strong>Uterine fibroids (UFs) are benign uterine growths that significantly impact women's daily activities, quality of life, fertility and expenditure.</p><p><strong>Aim: </strong>This study aimed to provide in-depth insights into the lived experiences of women diagnosed with UFs.</p><p><strong>Setting: </strong>The study was conducted in Eswatini health facilities across the four geographic regions.</p><p><strong>Methods: </strong>An explorative qualitative design was used; participants with confirmed UFs diagnoses or surgery related to UFs were purposively recruited for focus group discussions. Data collection was guided by the revised Wilson and Cleary model of health-related quality of life (HRQOL), which was iteratively analysed using Braun and Clark's thematic analysis framework.</p><p><strong>Results: </strong>Sixty participants with confirmed UFs diagnoses or surgery related to UFs were included in this study. Five themes emerged: awareness of the disease, symptoms experienced, treatment and care, perceptions and beliefs and health-seeking behaviour. Most participants experienced physical symptoms, abdominal pain and vaginal bleeding. Among the emotional and psychological consequences experienced by the majority of participants were fear, worry, tension and (perceived) disrupted body image. The majority of the participants lacked knowledge of UFs, and their perceptions and health-seeking behaviour differed.</p><p><strong>Conclusion: </strong>Findings showed that most participants experienced physical, psychological, emotional and social challenges.</p><p><strong>Contribution: </strong>These experiences were influenced by lack of knowledge, symptoms experienced, poor treatment and care and perceptions and beliefs about UFs. Health education, client involvement, early diagnosis and effective treatment are recommended to improve the experiences of UFs.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2724"},"PeriodicalIF":1.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-11-14eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2608
Ruby V Kodom, Robert T Netangaheni
{"title":"Considering patient-centred care and patient empowerment as essential to quality health care delivery in Ghana.","authors":"Ruby V Kodom, Robert T Netangaheni","doi":"10.4102/hsag.v29i0.2608","DOIUrl":"10.4102/hsag.v29i0.2608","url":null,"abstract":"<p><strong>Background: </strong>Rising cases of non-communicable diseases (NCDs), poor health choices, mistrust of the health system, self-medication, resistance of diseases to medication and dissatisfaction with the service experience serve as red flags on the path to Universal Health Coverage (UHC).</p><p><strong>Aim: </strong>This study explored the importance of patient-centred care (PCC) and patient empowerment (PE) within the context of healthcare service delivery in Ghana.</p><p><strong>Setting: </strong>The study considered PCC and PE from the perspective of three public healthcare facilities within the Greater Accra region.</p><p><strong>Methods: </strong>The researcher adopted a qualitative exploratory research approach. The study employed purposive sampling for the selection of healthcare facilities and healthcare providers. Convenience sampling was applied to select patient participants. A total of 33 in-depth interviews and 4 focus group discussions (FGDs) were conducted across the three sampled facilities as part of the data collection process.</p><p><strong>Results: </strong>Healthcare providers and patients unanimously view quality as essential for effective healthcare delivery. The application of the capacitating role of PE and PCC is inexact and largely left to subjective interpretation.</p><p><strong>Conclusion: </strong>The Ministry of Health (MOH) has recognised that patient experiences, a key indicator of care quality, have often been suboptimal and is actively working to address these weaknesses.</p><p><strong>Contribution: </strong>This study supports the call for health systems to remain committed to efforts to achieve UHC, with a focus on PCC and PE.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2608"},"PeriodicalIF":1.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-11-08eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2771
Robyn Anderson, Janice Pellow, Tebogo Tsele-Tebakang, Elizabeth Solomon
{"title":"A Delphi Study on the Management of Female Infertility by Homeopaths in South Africa.","authors":"Robyn Anderson, Janice Pellow, Tebogo Tsele-Tebakang, Elizabeth Solomon","doi":"10.4102/hsag.v29i0.2771","DOIUrl":"10.4102/hsag.v29i0.2771","url":null,"abstract":"<p><strong>Background: </strong>Infertility affects millions of people worldwide and has a negative social and psychological impact on the lives of infertile couples. Homeopathy offers an alternative treatment option for female infertility; however, there is currently no research describing how homeopaths manage this condition in their practice.</p><p><strong>Aim: </strong>To determine homeopathic practitioners' approaches to managing female infertility.</p><p><strong>Method: </strong>The electronic Delphi technique consisting of three rounds was used to establish consensus among homeopaths. Twelve registered homeopaths with a minimum of 5 years of clinical experience in managing female infertility participated, 11 of whom completed the study. In round one, participants elaborated on interventions found beneficial in clinical practice for female infertility. Responses were qualitatively analysed to create a structured list of items; participants rated their level of agreement with these items on a 5-point Likert scale in the second and third rounds. Consensus was determined for items that reached an agreement level of 75% or more.</p><p><strong>Results: </strong>Thirty-two statements achieved expert consensus, which were placed into the following categories: homeopathic treatment, dietary and lifestyle modifications, supplementation and referrals.</p><p><strong>Conclusion: </strong>The results of this study provide a baseline depicting the homeopathic approach to treating female infertility. Several research gaps have been identified and further studies are necessary to explore these interventions to improve future patient care.</p><p><strong>Contribution: </strong>This study highlights the various approaches used by homeopathic practitioners in the management of female infertility.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2771"},"PeriodicalIF":1.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-11-06eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2746
Morentho C Phetla, Linda Skaal, Kiprano P Chelule
{"title":"Dietary habits among primary school learners in the Tshwane West District of Gauteng, South Africa.","authors":"Morentho C Phetla, Linda Skaal, Kiprano P Chelule","doi":"10.4102/hsag.v29i0.2746","DOIUrl":"10.4102/hsag.v29i0.2746","url":null,"abstract":"<p><strong>Background: </strong>Poor dietary habits are major contributors to malnutrition globally, particularly in children living in African countries. The widespread transition from African diet of healthy indigenous foods to a nutrient-poor Western-style diet is well-documented in global societal culture.</p><p><strong>Aim: </strong>This study aimed to assess the dietary habits and their nutritional implications among learners in public primary schools.</p><p><strong>Setting: </strong>City of Tshwane, located in the Gauteng province of South Africa.</p><p><strong>Methods: </strong>This was a quantitative cross-sectional study where researcher-administered questionnaire was used to collect data from 814 primary school learners in grades 4-7. Anthropometric data were also collected. The study was conducted in 10 primary schools in the City of Tshwane.</p><p><strong>Results: </strong>Unhealthy dietary practices were observed where consumption of refined carbohydrates, sugar-filled beverages and limited protein was prevalent. The prevalence rates for overweight and obesity were 15.1% and 11.3%, respectively. Most learners (77.4%) purchased foods from street vendors and tuckshops. Also, learners who knew about healthy eating were less likely to be underweight than those who did not (OR: 0.35; 95% CI: 0.14-0.85; <i>p</i> = 0.020).</p><p><strong>Conclusion: </strong>Poor dietary habits are demonstrated in this study and may be associated with the rising levels of overweight and obesity among the learners. The findings also showed that the school environment is the main source of exposure to unhealthy diet.</p><p><strong>Contribution: </strong>Intervention strategies, such as amendment of the national school nutrition policy, need to be implemented.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2746"},"PeriodicalIF":1.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-11-06eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2789
Mari-Louise Joubert, Neltjie C van Wyk, Ronell Leech
{"title":"Implementation facilitators and barriers of person and family-centred emergency care.","authors":"Mari-Louise Joubert, Neltjie C van Wyk, Ronell Leech","doi":"10.4102/hsag.v29i0.2789","DOIUrl":"10.4102/hsag.v29i0.2789","url":null,"abstract":"<p><strong>Background: </strong>At the time of the research, the nurses in the designated hospital's emergency department did not implement person- and family-centred care to the detriment of patients and families. They were, however, eager to embark on the implementation of the recommendations of the Registered Nurses Association of Ontario for person- and family-centred care.</p><p><strong>Aim: </strong>This study therefore aimed to explore and describe the possible implementation facilitators and barriers prior to the use of the association's recommendations.</p><p><strong>Setting: </strong>The study included eight nurses with different specialisation fields and more than 5 years of experience in an emergency department.</p><p><strong>Methods: </strong>During focus group interviews with nurse participants, the domains of the Consolidated Framework for Implementation Research were used to explore whether the recommendations of the Registered Nurses Association of Ontario could be used to structure person- and family-centred care in the emergency department of the designated hospital in the Mpumalanga province in South Africa. The framework guided the deductive data analysis.</p><p><strong>Results: </strong>The identified facilitators referred to a positive match between the recommendations and existing practice in the department. The barriers referred to the department's fast-paced work environment in which a combination of emergency and primary care is delivered.</p><p><strong>Conclusion: </strong>One of the facilitators referred to the participants being used to ongoing training by and communication from management to support their adjustment to improvements. One of the barriers referred to the department's fast-paced work environment.</p><p><strong>Contributions: </strong>The article contributes to practice improvement with a description of the use of frameworks to explore possible facilitators and barriers prior to endeavours to implement recommendations.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2789"},"PeriodicalIF":1.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-10-28eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2675
Waheedha Emmamally, Dorien Wentzel, Petra Brysiewicz
{"title":"Describing Zoom exhaustion and fatigue in nursing students at a university in South Africa.","authors":"Waheedha Emmamally, Dorien Wentzel, Petra Brysiewicz","doi":"10.4102/hsag.v29i0.2675","DOIUrl":"10.4102/hsag.v29i0.2675","url":null,"abstract":"<p><strong>Background: </strong>Online platforms have gained considerable support from students and lecturers post COVID-19, however they are associated with student exhaustion and fatigue.</p><p><strong>Aim: </strong>To determine Zoom exhaustion and fatigue in nursing students at a selected university in South Africa.</p><p><strong>Methods: </strong>A quantitative cross - sectional study was conducted in KwaZulu-Natal to collect data from 146 nursing students registered at the selected university for the 4-year Bachelor of Nursing programme. The Zoom Exhaustion and Fatigue Scale collected data on responses to domains of general fatigue, visual fatigue, social fatigue, motivational fatigue, and emotional fatigue. The data were analysed using the International Business Machines, Statistical Package for Social Sciences, version 26.0. Descriptive statistics were calculated for demographics, a total score was calculated and mean scores and 95% confidence intervals for the different domains were calculated. Mann Whitney U and Kruskal Wallis Independent Tests were calculated to determine associations between demographics and Zoom usage.</p><p><strong>Results: </strong>The overall Zoom exhaustion and fatigue score was 46.71 (s.d. = 10.50). The motivational fatigue construct had the highest mean score of 3.29 (s.d. = 0.83), followed by general (3.18 s.d. = 0.81), social (3.11, s.d. = 0.88), emotional (3.06, s.d. = 0.99) and visual fatigue (2.92, s.d. = 0.94).</p><p><strong>Conclusion: </strong>The study concluded that while the overall mean score indicated moderate levels of Zoom exhaustion and fatigue among respondents, majority of the respondents scored high levels (> 48) of Zoom fatigue. Students reported higher levels of motivational fatigue compared to the other 4 constructs.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2675"},"PeriodicalIF":1.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-10-25eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2707
Ragosebo P Sekopa, Robert T Netangaheni
{"title":"Challenges related to the implementation of the CCMDD programme in Sekhukhune clinics.","authors":"Ragosebo P Sekopa, Robert T Netangaheni","doi":"10.4102/hsag.v29i0.2707","DOIUrl":"10.4102/hsag.v29i0.2707","url":null,"abstract":"<p><strong>Background: </strong>Implementation of the central chronic medicines dispensing and distribution (CCMDD) programme in most of Sekhukhune primary health care (PHC) has been challenging. This raised questions as to reasons for the CCMDD programme and its good intentions and benefits eventually creating challenges in the Sekhukhune district PHC facilities.</p><p><strong>Aim: </strong>This study aims to describe the challenges related to the implementation of the CCMDD programme in Sekhukhune district clinics.</p><p><strong>Method: </strong>The qualitative research approach and its explorative and descriptive research designs were used in this study. Data were acquired through one-on-one semi-structured interviews and then analysed thematically.</p><p><strong>Results: </strong>Findings of the study revealed that shortage of staff, lack of communication, defaulters, negative impact of the CCMDD programme and lack of training as challenges to the implementation of the CCMDD programme in Sekhukhune district clinics.</p><p><strong>Conclusion: </strong>Sekhukhune public clinics have challenges concerning the implementation of the CCMDD programme; therefore, it is very crucial to provide proper training about the programme to all PHC facility staff members to improve the CCMDD implementation.</p><p><strong>Contribution: </strong>The study would provide suggestions to implement the CCMDD programme by correcting the process of enrolling clients, the methods of packaging and dispensing the medications, sending SMSs, as well as delivery to the pick-up points.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2707"},"PeriodicalIF":1.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2759
Furaha Akimanimpaye, Million S Bimerew, Isaiah D Owoeye, Deliwe R Phetlhu
{"title":"Perceptions of the MDT towards the health needs and support for grandparents caring for AIDS orphans.","authors":"Furaha Akimanimpaye, Million S Bimerew, Isaiah D Owoeye, Deliwe R Phetlhu","doi":"10.4102/hsag.v29i0.2759","DOIUrl":"10.4102/hsag.v29i0.2759","url":null,"abstract":"<p><strong>Background: </strong>The acquired immunodeficiency syndrome (AIDS) crisis has orphaned many children, shifting care giving duties to grandparents. This has challenged the health of the grandparents, underscoring the need for support in caring for both the grandparents and the children orphaned due to AIDS.</p><p><strong>Aim: </strong>This study investigated the multidisciplinary team's (MDT) perceptions of health needs and support for grandparents caring for children orphaned due to AIDS.</p><p><strong>Setting: </strong>The study took place within Metropolitan area in the Western Cape Province, South Africa.</p><p><strong>Methods: </strong>A cross-sectional descriptive survey was used to assess health needs and support for grandparents caring for children orphaned due of AIDS. A sample of 65 MDT members comprising professional nurses, psychologists and social workers participated in the study.</p><p><strong>Results: </strong>The assessment revealed moderate awareness (mean 2.79) among MDT regarding the health needs of grandparents caring for the orphans. Key concerns were a lack of income (mean = 4.9) and no access to health services (mean = 4.8), with low awareness and involvement in organisational support (mean = 1.8).</p><p><strong>Conclusion: </strong>Despite an awareness of the health needs and support perceptions among grandparents, there remains a significant gap in the availability of support structures to address these needs. The study highlights the critical necessity for developing robust support systems to enhance the well-being of grandparents, especially those caring for AIDS orphans, ensuring they receive the comprehensive care and assistance required.</p><p><strong>Contribution: </strong>The study's findings provide key insights for supporting grandparents who are caring for AIDS orphans via a MDT approach.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2759"},"PeriodicalIF":1.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SA GesondheidPub Date : 2024-10-15eCollection Date: 2024-01-01DOI: 10.4102/hsag.v29i0.2595
Sibonelo Ndlovu, Neltjie C van Wyk, Ronell Leech
{"title":"Professional nurses' perspectives of an ideal performance management process.","authors":"Sibonelo Ndlovu, Neltjie C van Wyk, Ronell Leech","doi":"10.4102/hsag.v29i0.2595","DOIUrl":"10.4102/hsag.v29i0.2595","url":null,"abstract":"<p><strong>Background: </strong>A well-managed performance management process can significantly influence professional nurses' job satisfaction and improve patient outcomes. Conversely, ineffective management of the process can lead to demotivation of the nursing staff.</p><p><strong>Aim: </strong>This study aimed to understand professional nurses' perspectives on an ideal performance management process.</p><p><strong>Setting: </strong>The study was conducted in a designated hospital in South Africa owned by a private healthcare group. The study population consisted of professional nurses involved in a performance management cycle.</p><p><strong>Methods: </strong>A descriptive qualitative research design with an appreciative inquiry approach was employed. Participants were selected through purposive sampling. Five focus groups of five professional nurses each were used to conduct interviews. The interviews lasted between 60 min and 80 min. The number of interviews conducted provided sufficient data for data saturation. The data were analysed using thematic analysis and the 5-D model of appreciative inquiry.</p><p><strong>Results: </strong>Trusting relationships between management and professional nurses play an essential role in ensuring a tailored performance management process. Training of both professional nurses and managers, a sound reward system for high-performing employees, and a fair and transparent process that addresses challenges and promotes opportunities can promote a positive work environment.</p><p><strong>Conclusion: </strong>Professional nurses require support from their managers and top management. Involving professional nurses in the planning and implementation can ensure proper relationships exist and that constraints are appropriately addressed.</p><p><strong>Contribution: </strong>Implementing the findings can improve the competencies of both managers and professional nurses to maintain a positive performance management process.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":"29 ","pages":"2595"},"PeriodicalIF":1.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}