Practice environments of community health centres in South Africa

2.50
Hdl Handle:
http://hdl.handle.net/10755/308013
Category:
Abstract
Type:
Presentation
Title:
Practice environments of community health centres in South Africa
Author(s):
Rabie, Tinda; Coetzee, Siedine; Klopper, Hester C.
Lead Author STTI Affiliation:
Non-member
Author Details:
Tinda Rabie, PhD (c), M.Cur, RN, RM, Tinda.Rabie@nwu.ac.za; Siedine Coetzee, PhD, RN, RM; Hester C. Klopper, PhD, MBA, RN, RM, FANSA
Abstract:

Session presented on: Monday, November 18, 2013

BACKGROUND: The National Department of Health has recommitted themselves through the "revitalization of PHC" that the South African (SA) public health sector will be a Primary Health Care (PHC) approach focusing on accessible and equitable health care for all. In the PHC context nurses are the front line healthcare providers who must first assess patients, before they can be referred to the secondary level of care (hospital). The nurses within the PHC context are greatly affected by nursing shortages, heavy workloads and limited resources. The practice environment within the PHC context of the SA public health sector has not yet been explored. 

OBJECTIVE: To explore and describe the practice environment of community health centres (CHC) in the North West Province of SA

METHODS: This study was an extension of the Nurse Forecasting (RN4CAST) study. Data was collected using the Practice Environment Scale of the Nursing Work Index (PES-NWI). The PES-NWI was revised for the PHC context. 195 questionnaires (response rate = 67%) were completed by professional nurses from 26 CHCs in two districts of the North-West Province in SA.

RESULTS: The confirmatory factor analysis and reliability testing revealed that the revised PES-NWI was valid and reliable.  The sub-scales staffing and resource adequacy and nurse participation in CHC affairs had means below 2.5, indicating that nurses were not in agreement that these sub-scales were present in their practice environment. However, nurse manager ability, leadership and support; collegial nurse-physician relationships and nursing foundations for quality of care were regarded positively in their practice environment.

CONCLUSIONS: CHC nurses experience their practice environment as positive, except for staffing and resource adequacy and nurse participation in CHC affairs.  Therefore strategies must focus on improving each of these factors in the PHC context of the public health care sector of SA.

Keywords:
Practice Environment; South Africa; Primary Health Care
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePractice environments of community health centres in South Africaen_GB
dc.contributor.authorRabie, Tindaen_GB
dc.contributor.authorCoetzee, Siedineen_GB
dc.contributor.authorKlopper, Hester C.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsTinda Rabie, PhD (c), M.Cur, RN, RM, Tinda.Rabie@nwu.ac.za; Siedine Coetzee, PhD, RN, RM; Hester C. Klopper, PhD, MBA, RN, RM, FANSAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308013-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>BACKGROUND: The National Department of Health has recommitted themselves through the "revitalization of PHC" that the South African (SA) public health sector will be a Primary Health Care (PHC) approach focusing on accessible and equitable health care for all. In the PHC context nurses are the front line healthcare providers who must first assess patients, before they can be referred to the secondary level of care (hospital). The nurses within the PHC context are greatly affected by nursing shortages, heavy workloads and limited resources. The practice environment within the PHC context of the SA public health sector has not yet been explored.  <p>OBJECTIVE: To explore and describe the practice environment of community health centres (CHC) in the North West Province of SA <p>METHODS: This study was an extension of the Nurse Forecasting (RN4CAST) study. Data was collected using the Practice Environment Scale of the Nursing Work Index (PES-NWI). The PES-NWI was revised for the PHC context. 195 questionnaires (response rate = 67%) were completed by professional nurses from 26 CHCs in two districts of the North-West Province in SA. <p>RESULTS: The confirmatory factor analysis and reliability testing revealed that the revised PES-NWI was valid and reliable.  The sub-scales staffing and resource adequacy and nurse participation in CHC affairs had means below 2.5, indicating that nurses were not in agreement that these sub-scales were present in their practice environment. However, nurse manager ability, leadership and support; collegial nurse-physician relationships and nursing foundations for quality of care were regarded positively in their practice environment. <p>CONCLUSIONS: CHC nurses experience their practice environment as positive, except for staffing and resource adequacy and nurse participation in CHC affairs.  Therefore strategies must focus on improving each of these factors in the PHC context of the public health care sector of SA.en_GB
dc.subjectPractice Environmenten_GB
dc.subjectSouth Africaen_GB
dc.subjectPrimary Health Careen_GB
dc.date.available2013-12-19T17:25:24Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:24Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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