Quality of Patient Care and the Activities of Hospital Nursing Unit Managers in South Africa: A Paradox?

2.50
Hdl Handle:
http://hdl.handle.net/10755/304401
Category:
Full-text
Type:
Presentation
Title:
Quality of Patient Care and the Activities of Hospital Nursing Unit Managers in South Africa: A Paradox?
Author(s):
Rispel, Laetitia C.
Lead Author STTI Affiliation:
Tau Lambda
Author Details:
Laetitia Rispel, PhD, RN, RM, laetitia.rispel@wits.ac.za
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose:

Improving the quality of'patient care is central to the proposed health care reforms in South Africa. This paper examines whether quality of care is supported by the activities of hospital nursing unit managers in South Africa, done as part of a larger project to examine the relationship between the quality of nursing unit management and quality of care in hospitals.

Methods: '

The overall project combined in-depth qualitative and quantitative methods, including reflective diaries, semi-structure interviews, record reviews and observation. As part of the latter, the activities of 36 unit managers in private and public hospitals in two South African provinces were recorded. Each unit manager was observed for a period of two hours a day and their activities recorded on a minute by minute basis. The data was coded into categories and analysed according to the time spent on activities in each category. Data validation was done through a workshop with unit managers and examining data from other the components'

Results:

The study found that nursing unit managers spent 22% of their time on patient care. The remainder of the time was spent on patient administration (16%); staff management (15%), stock management (13%), support and communication (12%) and education (5%).' Of concern was that nursing managers spent 17% of their time on miscellaneous activities, including tidying the ward, maintenance & support services; and meetings.

Conclusion:

Although nursing unit managers are held responsible for the quality of patient care, their workloads, the range and diversity of activities as well as current work organisation, make it difficult for them to meet this responsibility. A combination of leadership training, better use of unit managers' time, internal agency and supportive supervision from executive nursing management is needed to enable the provision of consistent and high quality patient care.

Keywords:
nursing management; quality of care; hospital unit
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleQuality of Patient Care and the Activities of Hospital Nursing Unit Managers in South Africa: A Paradox?en
dc.contributor.authorRispel, Laetitia C.en
dc.contributor.departmentTau Lambdaen
dc.author.detailsLaetitia Rispel, PhD, RN, RM, laetitia.rispel@wits.ac.zaen
dc.identifier.urihttp://hdl.handle.net/10755/304401-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> <p>Improving the quality of'patient care is central to the proposed health care reforms in South Africa. This paper examines whether quality of care is supported by the activities of hospital nursing unit managers in South Africa, done as part of a larger project to examine the relationship between the quality of nursing unit management and quality of care in hospitals. <p><b>Methods: </b>' <p>The overall project combined in-depth qualitative and quantitative methods, including reflective diaries, semi-structure interviews, record reviews and observation. As part of the latter, the activities of 36 unit managers in private and public hospitals in two South African provinces were recorded. Each unit manager was observed for a period of two hours a day and their activities recorded on a minute by minute basis. The data was coded into categories and analysed according to the time spent on activities in each category. Data validation was done through a workshop with unit managers and examining data from other the components' <p><b>Results: </b> <p>The study found that nursing unit managers spent 22% of their time on patient care. The remainder of the time was spent on patient administration (16%); staff management (15%), stock management (13%), support and communication (12%) and education (5%).' Of concern was that nursing managers spent 17% of their time on miscellaneous activities, including tidying the ward, maintenance & support services; and meetings. <p><b>Conclusion: </b> <p>Although nursing unit managers are held responsible for the quality of patient care, their workloads, the range and diversity of activities as well as current work organisation, make it difficult for them to meet this responsibility. A combination of leadership training, better use of unit managers' time, internal agency and supportive supervision from executive nursing management is needed to enable the provision of consistent and high quality patient care.en
dc.subjectnursing managementen
dc.subjectquality of careen
dc.subjecthospital uniten
dc.date.available2013-10-22T20:35:08Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:35:08Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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