Department of Nursing Science, School of Health Care Sciences, University of Limpopo, Polokwane.
Afr J Prim Health Care Fam Med. 2021 Aug 5;13(1):e1-e8. doi: 10.4102/phcfm.v13i1.2830.
Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.
The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.
The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.
This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.
The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.
Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.
尽管国家卫生部通过卫生部长采取了许多举措，但在南非，尤其是在农村地区的公立诊所，提供高质量的医疗服务仍然是一项严峻的挑战。
本研究旨在确定专业护士对影响在林波波省卡普里维采地区农村地区选定公立初级保健诊所提供优质医疗服务的因素的看法。
本研究在林波波省卡普里维采地区农村地区的选定公立初级保健诊所进行。
本研究采用定量方法、描述性和横断面研究，在选定的公立初级保健诊所进行了为期三个月的研究。使用结构化的自我管理问卷从符合选择标准的 155 名专业护士中收集数据。使用统计软件包 26.0 对数据进行分析。
只有 155 名专业护士中的 116 名（74%）报告说，使用电子血压计、超声机和脉搏读数计算机等现代技术可以提高医疗服务质量。此外，129 名（84%）、124 名（77%）和 118 名（76%）的护士分别报告说，工作量过大、员工态度和诊所清洁度影响医疗服务质量。此外，只有约 29 名（19%）对他们的工资收入感到满意。
尽管卫生部在理想诊所实现和维护方面做出了努力和干预，以应对初级保健服务质量目前存在的不足，并为实施全民健康保险奠定坚实基础，但医疗服务质量仍然受到多种因素的阻碍，如工作量过大、员工态度和工作环境清洁度差、基础设施差以及护士认为环境缺乏设备等。
