Assessing factors influencing professional nurses' attrition in South Africa : a case study of private hospitals in Johannesburg
- Authors: Mbobo, Angelina Pretty
- Date: 2018
- Subjects: Intensive care nursing
- Language: English
- Type: Thesis , Masters , Public Health Leadership
- Identifier: http://hdl.handle.net/10353/11181 , vital:37200
- Description: South Africa faces an immense shortage of healthcare professionals, especially trained and experienced critical care nurses. This thesis assesses factors influencing professional nurses ‘attrition in two selected private hospitals. This results in an HR risk; loss of skills, task shifting and the use of less skilled nurses, and not limited to the high workloads in intensive care units together with the job dissatisfaction consequently. To confirm this, a case study making use of a qualitative approach, follows the definition of a social constructivism framework. The study assessed 40 trained and experienced critical care nurses in focus groups of 5, with which a stratified purposive sampling technique was used and the focus group interviews were 90 minutes Seven structured interviews were undertaken, (using a narrative summary) with hospital operational managers working directly with the critical care nurses. Audio-recorded data were analysed by thematic content analysis using Creswell’s steps content analysis method. Multiple reasons, as given by nurses, to discontinue their services in private hospitals emerged. These were: Heavy workloads, shortage of trained staff, medico-legal risks; lack of supervision, support and teamwork, physical and emotional exhaustion, fatigue, stress and burnout, differential salary scales, non-competitive retirement packages role ambiguity, inadequate equipment, unresolved conflict with colleagues or management, personal financial crisis, lack of recognition and Lack of career development or promotion. These factors make use of themes, which include issues related to line management, administration, subjective and uncertainty of roles. Operational managers confirmed such reasons for the discontinuation of services offered by critical care nurses in private hospitals. Management views to the attrition of critical care nurses were that: (a) The staffing crisis was a serious matter of concern, (b) the use of less skilled staff resulted in negative effects on patient care and (c) the low number of critical care nursing staff negatively affected organisational goals.
- Full Text:
- Date Issued: 2018
- Authors: Mbobo, Angelina Pretty
- Date: 2018
- Subjects: Intensive care nursing
- Language: English
- Type: Thesis , Masters , Public Health Leadership
- Identifier: http://hdl.handle.net/10353/11181 , vital:37200
- Description: South Africa faces an immense shortage of healthcare professionals, especially trained and experienced critical care nurses. This thesis assesses factors influencing professional nurses ‘attrition in two selected private hospitals. This results in an HR risk; loss of skills, task shifting and the use of less skilled nurses, and not limited to the high workloads in intensive care units together with the job dissatisfaction consequently. To confirm this, a case study making use of a qualitative approach, follows the definition of a social constructivism framework. The study assessed 40 trained and experienced critical care nurses in focus groups of 5, with which a stratified purposive sampling technique was used and the focus group interviews were 90 minutes Seven structured interviews were undertaken, (using a narrative summary) with hospital operational managers working directly with the critical care nurses. Audio-recorded data were analysed by thematic content analysis using Creswell’s steps content analysis method. Multiple reasons, as given by nurses, to discontinue their services in private hospitals emerged. These were: Heavy workloads, shortage of trained staff, medico-legal risks; lack of supervision, support and teamwork, physical and emotional exhaustion, fatigue, stress and burnout, differential salary scales, non-competitive retirement packages role ambiguity, inadequate equipment, unresolved conflict with colleagues or management, personal financial crisis, lack of recognition and Lack of career development or promotion. These factors make use of themes, which include issues related to line management, administration, subjective and uncertainty of roles. Operational managers confirmed such reasons for the discontinuation of services offered by critical care nurses in private hospitals. Management views to the attrition of critical care nurses were that: (a) The staffing crisis was a serious matter of concern, (b) the use of less skilled staff resulted in negative effects on patient care and (c) the low number of critical care nursing staff negatively affected organisational goals.
- Full Text:
- Date Issued: 2018
Articulating the nature of clinical nurse specialist practice
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
- Authors: Bell, Janet Deanne
- Date: 2015
- Subjects: Nurse practitioners , Intensive care nursing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:10057 , http://hdl.handle.net/10948/d1018623
- Description: Critical care nursing is a clinical specialist nursing practice discipline. The critical care nurse provides a constant presence in the care of a critically ill patient. She/he creates a thread of continuity in care through the myriad of other health care professionals and activities that form part of a patient’s stay in the critical care environment (World Federation of Critical Care Nurses [WFCCN], 2007). During conversations with people who have had intimate experience of the critical care environment, they have offered anecdotes that describe their interaction with critical care nurses who they perceive to be different from and better than other critical care nurses they encountered. Despite having met common professional requirements to be registered as a clinical specialist nurse, these distinctive, unique abilities that seem to be influential in meeting the complex needs and expectations of critically ill patients, their significant others as well as nursing and medical colleagues, are not displayed by all critical care nurses. While students of accredited postgraduate nursing programmes are required to advance their nursing knowledge and skill competence, many students do not seem to develop other, perhaps more tacit, qualities that utilisers characterise in their anecdotes of ‘different and better’ nursing practice. The overarching research question guiding this study was how can ‘different and better’ critical care nursing practice as recognised by a utiliser be explained? The purpose of this study was to develop an understanding of the qualities that those people who use critical care nursing practice recognise as ‘different and better’ to the norm of nursing practice they encounter in this discipline. The participant sample included patients’ significant others, nursing colleagues and medical colleagues of critical care nurses, collectively identified as utilisers. The stated aim of this work was to construct a grounded theory to elucidate an understanding of the qualities that a utiliser of critical care nursing recognises as ‘different and better’ critical care nursing practice in order to enhance the teaching and learning encounters between nurse educators and postgraduate students in learning programmes aiming to develop clinical specialist nurses. The method processes of grounded theory are designed to reveal and confirm concepts from within the data as well as the connections between these concepts, supporting the researcher in crafting a substantive theory that is definitively grounded in the participants’ views and stories (Streubert & Carpenter, 2011: 123, 128-129). Two data collection tools were employed in this study, namely in-depth unstructured individual interviews and naïve sketch. Constant comparative analysis, memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation as fundamental methods of data generation in grounded theory were applied. The study unfolded through three broad parts, namely: Forming & shaping this grounded theory through exploration and co-creation; Assimilating & situating this grounded theory through understanding and enfolding; Reflecting on this grounded theory through contemplating and reconnecting. The outcome of the first part of the study was my initial proposition of a grounded theory co-created in the interactions between the participants and myself. This was then challenged, developed and assimilated through a focussed literature review through the second part of the study. Through these two parts of this study, an inductively derived explanation was formed and shaped to produce an assimilated and situated substantive grounded theory named Being at Ease. This grounded theory articulates how ‘better and different’ nursing is recognised from the point of view of those who use the nursing ability of critical care nurses through the core concern ‘being at ease’ and its four categories ‘knowing self’, ‘skilled being’, connecting with intention’ and’ anchoring’. The final part of this study unfolded in my reflections on what this grounded theory had revealed about nurses and elements of nursing practice that are important to a utiliser in recognising ‘different and better’ critical care nursing. I suggest that as nurses we need to develop a language that enables us to reveal with clarity these intangible and tacit elements recognised within the being and doing of ‘different and better’ nursing. I reflected on the pivotal space of influence a teacher has with a student, and on how the elements essential in being and doing ‘different and better’ nursing need to be evident in her/his own ways of being a teacher of nursing. Teaching and learning encounters may be enhanced through drawing what this theory has shown as necessary elements that shape ‘different and better’ nurses through the moments of influence a teacher has in each encounter with a student.
- Full Text:
- Date Issued: 2015
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