School of Nursing
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Browsing School of Nursing by Author "Botha, D. E."
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Item Open Access Kwaliteit verpleegsorg: pasiënte se belewenisse(University of the Free State, 2009-11) Geldenhuys, Hester Gertruida; Botha, D. E.English: The purpose of the study was to describe patients’ experience of nursing care as an indicator of the quality of nursing care that they received. Patients evaluate the quality of nursing care according to their own experience and perceptions. A qualitative, phenomenological and contextual research was done to explore and describe fifteen patients’ experiences of nursing care. Data collection was done by means of in-depth interviews. In this study a positive experience of nursing care experience by the patients indicated patient satisfaction and therefore that quality nursing care was rendered. Negative experiences indicate that the patients were not satisfied with the nursing care and therefore quality nursing care was not rendered. The data was analysed according to the steps described by Tesch. The following characteristics that describe quality nursing care were identified: applicability, professional knowledge and competence, therapeutic environment, acceptability, accessibility and patient satisfaction. The respondents experienced the professional behaviour of nurses as well as their dedication in doing nursing procedures as positive. Communication and pain management that forms part of professional behaviour, were negatively experienced by most of the respondents. Accessibility was also positively experienced by the majority of the respondents. The therapeutic environment as part of quality care was experienced as both positive and negative by an equal number of respondents. Acceptability of nursing care was experienced as positive, meaning that quality nursing care was rendered. Respondents experienced applicability negatively due to the fact that they experienced that the personnel was short staffed. Respondents experienced that this lead to a high working load. The majority of respondents experienced patient satisfaction. It is indicated through this study that the experience of the patient of the most important role player in health care, the patient, could differ from the information obtained through questionnaires or surveys. This finding should not merely be ignored if rendering of quality care is an important focus of a company or department.Item Open Access Strategieë om die studieleiding van nagraadse studente in die Skool vir Verpleegkunde aan die Universiteit van die Vrystaat te bevorder(University of the Free State, 2013-07) Van Vuuren, Leana; Botha, D. E.English: The purpose of this study was to identify the problems that study leaders from the School of Nursing, at the University of the Free State encountered with giving study guidance to students and thereafter to develop strategies to improve study guidance. The implementation of these strategies would then improve the through put of postgraduate students. A qualitative, descriptive study design was used and information was gathered through the nominal group technique. The findings were that study leaders experienced a deficit in their training as study leaders, as well as a deficit in experience of providing study guidance. Study leaders also experienced uncertainty with regard to administrative procedures and a challenge to stay abreast of the development regarding research methodologies as well as development concerning the different sub-disciplines. A high workload was also identified as being problematic. Further problems experienced were students’ deficit regarding skills needed to complete research studies. Students also do not keep appointments and reacted negatively on feedback that were given to them. It is recommended that study leaders receive training with regard to giving of study guidance. Other strategies that were formulated are that study leaders be exposed to group study guidance before they embark on giving individual study guidance. Group study guidance can also diminish study leaders’ workload. New study leaders can also initially be allocated as co-study leaders to provide them with experience . With regard to the students, it is suggested that a contract should be implemented at the commencement of their studies. Such a contract could address what is expected from the students as well as the study leaders; it can guide the study guidance process and may diminish possible conflict. The lack of identified skills of the students can be addressed by implementing a more strict selection process and implementation of a pre-study module. If other skills deficits are identified during the study guidance process, it should be addressed either by the study leader or by referring the students to applicable resources. More emphasis should also be directed towards the development of research skills in undergraduate programs. Some of the identified study guidance problems in this study are universal, while others were unique to the specific institution and situation. Some of the proposed strategies, such as training of study leader are universal, while others such as administrative issues are specific to the institution.Item Open Access Strategies to improve the work environment of professional nurses working at a private hospital in Bloemfontein(University of the Free State, 2013) Ruder, Jacoba Christina; Botha, D. E.Nursing as a profession is currently facing a multitude of difficulties and adversaries. Some of the difficulties and adversaries are poor planning within the managerial top structure of the profession, general negative opinion of the nursing profession, managed patient care by medical schemes, privatisation of hospital care and an ever changing patient profile. These factors lead to the professional nurses of today feeling overwhelmed and frustrated, who will easily leave the profession causing high rate of turnover and a loss of talent and expertise. During the course of this study the current situation within a specific private hospital was evaluated by using the Nominal Group Technique. Characteristics of a negative and a positive work environment were specified and the advantages of creating and maintaining a positive work environment were emphasised. The recommendations gathered during the nominal group sessions were categorised and prioritised to ascertain the most important and critical factors that could improve the work environment of the professional nurses. Strategies were formulated based on the recommendations generated by the professional nurses themselves to improve their work environment. These strategies could be used by the management of the hospital to improve the work environment of the professional nurses to be able to retain the existing staff and recruit interested candidates to fill the vacant positions. The hierarchical needs theory of Maslow was used during the study to indicate the importance of creating and sustaining a positive work environment for the professional nurse by first concentrating on the attainment of the lower order needs. Once the lower order needs are met, the higher order needs will become priority and once that is met, self-actualisation and fulfilment of the professional nurses will follow. Fulfilled staff working in a motivating, positive work environment will not think of leaving the profession and will deliver good quality nursing care leaving the patients feeling satisfied and well cared for.