Makua Solly Ratsietsi, Khunou Sisinyana Hannah
Primary Health Care Services & Quality Assurance, Gauteng Department of Health, South Africa.
Health Studies Department, University of South Africa, South Africa.
Belitung Nurs J. 2022 Aug 18;8(4):325-332. doi: 10.33546/bnj.2096. eCollection 2022.
Patients' long waiting time still exceeds the set target of 120 minutes. As a result, the volume of complaints remains a concern that points to systems inefficiencies. Minimal attention has been given to the experiences of nurse managers regarding patients' long waiting time.
To explore and describe the experiences of nurse managers regarding patients' long waiting time at Community Health Centers (CHCs) in Gauteng Province, South Africa.
The research applied qualitative exploratory descriptive and contextual design. Non-probability purposive sampling techniques were used to select eight nurse managers. Individual semi-structured interviews were conducted and captured with an audio tape. Tesch's 8-steps of data analysis were followed to analyze the data.
Three themes and seven categories emerged from the study: (1) The adverse effects of patients' long waiting time (early birds to evade long queues, increased patients' complaints and compromised quality care), (2) Factors that contribute to patients' long waiting time (records and patient administration system deficiencies, poor time management, patients' lack of adherence to booking system), (3) Measures to mitigate patients' long waiting time (embracing decongestion systems to mitigate patients' overflow at CHC).
The study recommends the optimal implementation of an appointment system to avert long waiting times. Collaboration between CHCs' management and clinic committees is encouraged to provide the best solutions to the reduction of patients' long waiting times. In addition, time management is one area that needs to be improved. A digital record management system can assist in better-sought problems related to filling. Studies are encouraged on a model to enhance collaboration in reduction of patients' long waiting time.
患者漫长的等待时间仍超过设定的120分钟目标。因此，投诉量仍是一个令人担忧的问题，这表明系统存在低效问题。对于护士长在患者漫长等待时间方面的经历关注甚少。
探讨并描述南非豪登省社区卫生中心护士长在患者漫长等待时间方面的经历。
本研究采用定性探索性描述性和情境设计。使用非概率目的抽样技术选取了8名护士长。进行了个人半结构化访谈，并用录音带记录。遵循泰施的8步数据分析方法对数据进行分析。
该研究得出了三个主题和七个类别：（1）患者漫长等待时间的不利影响（早起以避开长队、患者投诉增加以及护理质量受损），（2）导致患者漫长等待时间的因素（记录和患者管理系统缺陷、时间管理不善、患者不遵守预约系统），（3）减轻患者漫长等待时间的措施（采用缓解拥堵系统以减轻社区卫生中心患者的积压）。
该研究建议优化预约系统的实施以避免漫长的等待时间。鼓励社区卫生中心管理层与诊所委员会合作，以提供减少患者漫长等待时间的最佳解决方案。此外，时间管理是需要改进的一个方面。数字记录管理系统有助于更好地解决与填写相关的问题。鼓励开展关于加强合作以减少患者漫长等待时间的模式的研究。
