Faculty of Community and Health Sciences, School of Nursing, University of the Western Cape, Cape Town, South Africa.
J Nurs Manag. 2012 Jan;20(1):56-64. doi: 10.1111/j.1365-2834.2011.01342.x. Epub 2011 Dec 13.
The present study discusses the current context of South African nurse managers' working environment, exploring the challenges of disease demographics, service change and development, and educating a nursing workforce to meet healthcare delivery demands.
Post-apartheid South Africa has a legacy of inequalities in access to healthcare; increasingly poor morbidity and mortality demographics; and inadequate numbers of qualified nurses to provide a service to meet the Millennium Development Goals outlined by the Government in 2010.
The present study discusses the current position and developments pertaining to nursing management relating to both healthcare challenges and educating a nursing workforce.
Collaborative action by various stakeholders in the development of nursing management will ensure a nursing workforce and service environment fit-for-purpose in delivering the healthcare outcomes envisaged in the transformed South Africa in the future.
Different role players are involved in critical issues regarding the management and education of nursing in South Africa. Nurse managers are central to the success of service redesign, delivery and education.
Nurse managers need to influence policy decisions regarding nursing service design and delivery, and the education required to prepare the next generation of practitioners for these new services.
本研究讨论了南非护士管理者当前的工作环境背景，探讨了疾病人口统计学、服务变革和发展的挑战，并探讨了如何教育护理人员队伍以满足医疗保健服务需求。
后种族隔离时代的南非在获得医疗保健方面存在着不平等的遗留问题；发病率和死亡率的人口统计学数据越来越差；以及合格护士的数量不足以为满足 2010 年政府制定的千年发展目标而提供服务。
本研究讨论了与护理管理相关的当前状况和发展，涉及医疗保健挑战和教育护理人员队伍。
各利益攸关方在护理管理的发展方面的协作行动，将确保护理人员队伍和服务环境适合于在未来转型后的南非实现预期的医疗保健成果。
南非的护理管理涉及到不同的角色扮演者，涉及到护理管理和教育的关键问题。护士长是服务重新设计、交付和教育成功的核心。
护士长需要影响有关护理服务设计和交付的政策决策，以及为这些新服务培养下一代从业者所需的教育。
