Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg.
Curationis. 2021 Aug 10;44(1):e1-e7. doi: 10.4102/curationis.v44i1.2196.
The challenges in leadership roles hinder the rendering of quality primary healthcare service in the mines. Mining, the heart of the South African economy, requires good health to its personnel to carry out operations. However, nurse managers, the leaders in a mining primary healthcare setting experience difficulties in their leadership roles.
The aim of this study was to explore and describe the challenges in leadership roles experienced by nurse managers in a mining primary healthcare setting in South Africa.
The study was conducted in a mining primary healthcare setting in West Rand, Gauteng province, South Africa. A qualitative, exploratory, descriptive design that is contextual in nature, using a phenomenological approach, was adopted. Data from nurse managers in the mine were collected and data saturation was reached by the seventh participant. The study followed Giorgi's four stages of the phenomenological descriptive data analysis. An expert independent coder in qualitative research coded the data, and consensus on the findings was reached with the researcher.
Three subthemes emerged from the study: mining management and unions interfere with nurse managers' leadership roles, incongruent mining primary healthcare policies and communication gap between nurse managers and mining management.
The triangulation of nurse managers, mining management and unions requires a collective fusion to directly tackle the challenges in leadership roles in mining primary healthcare.
领导角色的挑战阻碍了矿山优质初级卫生保健服务的提供。采矿业是南非经济的核心，其人员需要良好的健康状况才能开展业务。然而，在矿山初级卫生保健环境中担任领导角色的护士经理在领导角色方面遇到了困难。
本研究旨在探讨和描述南非矿山初级卫生保健环境中护士经理在领导角色方面所面临的挑战。
该研究在南非豪登省兰德西部的一个矿山初级卫生保健环境中进行。采用了一种定性、探索性、描述性的设计，本质上具有语境性，并采用现象学方法。从矿山的护士经理那里收集数据，第七位参与者达到了数据饱和。研究遵循了 Giorgi 的现象学描述性数据分析的四个阶段。一位定性研究的专家独立编码员对数据进行了编码，并与研究人员达成了对研究结果的共识。
研究中出现了三个副标题：矿业管理层和工会干扰护士经理的领导角色、矿山初级卫生保健政策不一致以及护士经理和矿业管理层之间的沟通差距。
护士经理、矿业管理层和工会的三角关系需要集体融合，以直接解决矿山初级卫生保健中的领导角色挑战。
