Attitudes of Nurses Towards Patient Care at a Rural District Hospital in the Kwazulunatal Province of South Africa

Haskins, Lyn; Phakathi, Sifiso A.; Grant, Merridy; Horwood, Christiane

doi:10.25159/2520-5293/1485

Cited by 18 publications

(15 citation statements)

References 11 publications

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“…They verbally abuse patients, and in some cases, they neglected patients by withholding care. 29 In support, the NDoH, the Minister of Health, has identified the staff’s attitude as a key health system challenge in the country and has therefore included it in the six ministerial priority areas for patient-centred care in striving towards the goal to achieve rendering of quality health care services. 9…”

Section: Discussionmentioning

confidence: 99%

The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

Matlala

Malema

Bopape

et al. 2021

African Journal of Primary Health Care & Family Medicine

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Background: Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.Aim: The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Setting: The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Methods: This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.Results: The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.Conclusion: Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.

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Section: Discussionmentioning

confidence: 99%

The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

Matlala

Malema

Bopape

et al. 2021

African Journal of Primary Health Care & Family Medicine

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“…Research confirms that South African hospitals and clinics are reported to experience these negative incidents. 32 Previous studies illustrate ‘attitude’ in a person’s tone of voice but which is often communicated loudly and clearly through non-verbal communication. Considering a negative or a poor attitude conjures up a picture of a person who looks miserable.…”

Section: Discussionmentioning

confidence: 99%

Professional nurses’ experiences of caring for patients in public health clinics in Ekurhuleni, South Africa

Nesengani

Downing

Poggenpoel

et al. 2019

African Journal of Primary Health Care & Family Medicine

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Background Caring for patients is the core aspect of nursing and a cornerstone of all nursing duties. Although caring is seen as a critical component of nursing delivery and an essential characteristic of nursing, there seems to be a gap between theory and practice. Aim The aim of this article was to explore and describe the experiences of caring for patients by professional nurses in public health clinics in Ekurhuleni. Setting The study was conducted in Ekurhuleni, an area east of the Gauteng Province in two public health clinics. Methods A qualitative, exploratory, descriptive phenomenological and contextual research design was used. In-depth, individual phenomenological interviews were conducted with eight purposefully sampled professional nurses to explore their experiences of caring for patients in public health clinics in Ekurhuleni. Data were analysed using Giorgi’s coding method. Results Two themes were revealed in the study findings. The first theme was the experienced empowering aspects of caring while the second theme was the experienced disempowering aspects of caring. The experienced empowering aspects of caring had two categories: empowering interpersonal experiences and the empowering experiences through client affirmation. These were identified by the participants as enabling effective caring for patients. The experienced disempowering aspects of caring also had two categories: disempowering interpersonal experiences and the disempowering experiences resulting from public health clinic system challenges. The disempowering aspects were identified by participants as disenabling effective caring for patients. Conclusion The study findings reveal that the professional nurses had empowering and disempowering experiences while caring for patients in the public health clinics.

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“…That is, there is a need for greater involvement of patients in the decision-making process and that they are given adequate information to make informed decisions in collaboration with their healthcare providers and thus be more empowered in the management of their illness. This would reduce the patriarchal nature of healthcare delivery which characterizes the African context and especially the Ghanaian healthcare delivery system (Haskins, Phakathi, Grant, & Horwood, 2014). This implies that shared decision making is the very foundation of patient-centred care.…”

Section: Discussionmentioning

confidence: 99%

Doctor–patient relationship mediates the effects of shared decision making on health-related quality of life among women living with breast cancer

Kugbey

Asante

Meyer-Weitz

2018

South African Journal of Psychology

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Decreased quality of life is a major challenge among women living with breast cancer due to treatment effects and other psychosocial comorbidities. However, shared decision making and doctor–patient relationship have been linked to improved quality of life, but the mechanism linking shared decision making and quality of life is poorly understood. This study therefore examined both the direct and indirect influences of shared decision making on quality of life through doctor–patient relationship among 205 women living with breast cancer in Ghana with a mean age of 52.49 years. Using a cross-sectional design, participants were administered questionnaires which measured quality of life, doctor–patient relationship, and shared decision making. Results showed that shared decision making had significant indirect influence on overall quality of life via doctor–patient relationships ( b = 4.69, 95% confidence interval = [0.006, 9.555]). Shared decision making had a significant effect on doctor–patient relationships ( b = 7.63, t = 6.76, p < .001) but no significant direct effect on quality of life ( b = 2.72, t = 0.510, p = .61). Findings suggest that shared decision making results in improved doctor–patient relationships which probably lead to better quality of life among women living with breast cancer. These findings underscore the need for increased patient involvement in medical decisions to improve interpersonal relationships and consequently quality of life.

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Attitudes of Nurses Towards Patient Care at a Rural District Hospital in the Kwazulunatal Province of South Africa

Cited by 18 publications

References 11 publications

The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

Professional nurses’ experiences of caring for patients in public health clinics in Ekurhuleni, South Africa

Doctor–patient relationship mediates the effects of shared decision making on health-related quality of life among women living with breast cancer

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