豪登省医院护理质量的影响因素。
Factors contributing to the quality of nursing care in Gauteng province hospitals.
作者信息
Sabelo Nomali S, Zuma Sibusiso M
机构信息
Department of Health Studies, School of Social Sciences, University of South Africa, Pretoria.
出版信息
Curationis. 2025 Mar 25;48(1):e1-e9. doi: 10.4102/curationis.v48i1.2653.
BACKGROUND
The South African public is not satisfied with the level of healthcare rendered by South African health institutions, particularly in Gauteng province; this is evidenced by the concerns raised by the South African Health Ombudsman, who, as of 2021, received more than 2000 complaints from the public, of which 40% were from Gauteng province. This is supported by South African Nursing Council (SANC)'s unprofessional report, which reflected the increase in poor nursing care cases.
OBJECTIVES
The objectives of the study were to identify the factors contributing to the quality of nursing care at the provincial hospitals of Gauteng province and to make recommendations for improving the quality of nursing care in hospitals.
METHOD
The study utilised an exploratory descriptive qualitative design. The data were analysed following Colaizzi's steps of data analysis, during which 4 themes and 9 sub-themes emerged. The study population consisted of registered professional nurses working in the two hospitals. The sample consisted of 12 registered professional nurses.
RESULTS
The study identified three positive factors, namely, nursing as a calling, supervision rounds and staff appreciation. Six negative factors that contribute to the quality of nursing care were identified as the lack of human and material resources, administrative challenges, unsupportive management, nurse-related factors, attitudes of patients, and private versus public health institutions.
CONCLUSION
The study revealed the positive factors that promote the quality of nursing care. The negative factors affecting the quality of nursing care were found to be more than the positive factors.Contribution: The study presented factors affecting the quality of nursing care and makes recommendations that can be utilised as basis for improving the quality of nursing care. The study findings and recommendations can be used to develop programmes to support nurses to provide dignified and quality patient care in the hospital.
背景
南非公众对南非医疗机构提供的医疗服务水平不满意，尤其是在豪登省；南非卫生监察员提出的担忧证明了这一点，截至2021年，该监察员收到了公众超过2000起投诉，其中40%来自豪登省。南非护理理事会（SANC）的非专业报告也支持了这一点，该报告反映了护理不善案例的增加。
目的
本研究的目的是确定影响豪登省省级医院护理质量的因素，并为提高医院护理质量提出建议。
方法
本研究采用探索性描述性定性设计。按照科莱齐的数据分析步骤对数据进行分析，在此过程中出现了4个主题和9个子主题。研究人群包括在两家医院工作的注册专业护士。样本包括12名注册专业护士。
结果
该研究确定了三个积极因素，即护理是一种使命、监督巡查和员工赏识。确定了六个影响护理质量的消极因素，即人力和物力资源短缺、行政挑战、管理不力、与护士相关的因素、患者态度以及私立与公立医疗机构。
结论
该研究揭示了促进护理质量的积极因素。发现影响护理质量的消极因素多于积极因素。
贡献
该研究提出了影响护理质量的因素，并提出了可作为提高护理质量基础的建议。研究结果和建议可用于制定方案，以支持护士在医院提供有尊严和高质量的患者护理。
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