Uys L R, Minnaar A, Reid S, Naidoo J R
School of Nursing, University of Natal.
Curationis. 2004 May;27(2):50-6. doi: 10.4102/curationis.v27i2.976.
Supervision has been identified as a major issue in quality of care. Although increasing attention is being given to supervision in the District Health System, there have been no studies describing the current situation. This article describes a survey done in two health districts in KwaZulu-Natal involving 319 nurses from all types of government health care settings.
This was a quantitative descriptive study that described the current supervision, job satisfaction and self-esteem in two (2) health districts, that is the Ugu and the uThukela health districts. The three variables were described using a mailed questionnaire. A total 319 nurses participated in this study.
The majority of the nurses (53%) felt that positive supervision behaviours listed in a rating scale, occurred never or seldom. The average self-esteem score was very positive (83%), and the average job satisfaction score was 60%. Nurses were most satisfied with the factor reflecting "personal satisfaction about their contribution to the work" (72%) and the least satisfaction with the factor that has to do with "pay and prospects" (50%). While there was no relationship between any of the demographic variables and supervision, there was a low but significant relationship between supervision and job-satisfaction. A significant relationship was also found between the personal satisfaction factor of job satisfaction and self-esteem.
As nurses form the backbone of the health services, it is incumbent that health service managers safeguard the nursing workforce. Targeted strategies are necessary to ensure retention of the nurses for the health care of the South African population.
监督已被视为医疗服务质量的一个主要问题。尽管地区卫生系统对监督的关注日益增加，但尚无研究描述当前的情况。本文描述了在夸祖鲁 - 纳塔尔省两个卫生区进行的一项调查，涉及来自各类政府医疗机构的319名护士。
这是一项定量描述性研究，描述了乌古（Ugu）和图盖拉（uThukela）两个卫生区当前的监督情况、工作满意度和自尊水平。使用邮寄问卷对这三个变量进行描述。共有319名护士参与了本研究。
大多数护士（53%）认为量表中列出的积极监督行为从未或很少发生。自尊平均得分非常积极（83%），工作满意度平均得分是60%。护士对反映“对自己工作贡献的个人满意度”的因素最满意（72%），对与“薪酬和前景”相关的因素最不满意（50%）。虽然任何人口统计学变量与监督之间均无关联，但监督与工作满意度之间存在低但显著的关联。工作满意度的个人满意度因素与自尊之间也发现了显著关联。
由于护士是卫生服务的中坚力量，卫生服务管理者有责任保障护理人员队伍。需要有针对性的策略来确保留住护士，以便为南非民众提供医疗服务。
