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dc.contributor.authorRispel, Laetitia C.en
dc.date.accessioned2013-10-22T20:35:08Z
dc.date.available2013-10-22T20:35:08Z
dc.date.issued2013-10-22
dc.identifier.urihttp://hdl.handle.net/10755/304401
dc.description<p>24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.</p>en
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013:</p> <p><strong>Purpose:</strong> 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> <p><strong>Methods:</strong> 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> <p><strong>Results:</strong> 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 &amp; support services; and meetings.</p> <p><strong>Conclusion:</strong> 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.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectNursing Managementen
dc.subjectQuality of Careen
dc.subjectHospital Unitsen
dc.titleQuality of patient care and the activities of hospital nursing unit managers in South Africa: A paradox?en
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentTau Lambda at-Largeen
dc.author.detailsLaetitia Rispel, PhD, RN, RMen
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationPrague, Czech Republicen
dc.date.conferenceyear2013
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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