Workplace violence among professional nurses in a private healthcare facility
- Authors: Schlebusch-Marie, Linda
- Date: 2016
- Subjects: Violence in the workplace -- Nursing -- South Africa Nurses -- Violence against -- South Africa , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/12801 , vital:27122
- Description: Workplace violence is an international problem and has negative consequences for individuals, organizations and communities. For individuals, the effect includes symptoms of fear, stress, irritability, feelings of isolation, insecurity, and low selfesteem. Healthcare organizations incur increased cost due to litigation due to poor quality of care, high staff turnovers and absenteeism, and their brands are negatively affected. Community members, who are the recipients of care, are placed in danger and are indirectly the victims of such workplace violence, which in turn affects their trust in private healthcare organizations or professions to provide the quality health care that they expect and deserve. Workplace violence takes many forms such as incivility, horizontal violence and bullying to name but a few. The perpetrators of such violence are doctors, nurses, patients and relatives. Workplace violence takes place in South Africa however, paucity in research was found by the researcher. The aim of the study was to explore and describe the experiences of professional nurses regarding workplace violence in a private healthcare facility in order to develop guidelines to address workplace violence in such a facility. A qualitative, explorative, contextual and descriptive study was conducted, using the Critical Social Theory as the paradigm. Data were gathered from professional nurses that have experienced workplace violence utilizing narratives. Fourteen narrative interviews were done until data was saturated. The data was transcribed verbatim and Tesch’s method of thematic synthesis was used to analyse the data. The three themes that emerged from the data were: Professional nurses acknowledge the existence of workplace violence where they work, Participants described the effect of workplace violence on themselves, others and the work environment, and Participants discussed their views regarding management of violence in the workplace. A thick description of the data with a literature control was provided. Thereafter inferences were made regarding the main themes of the guidelines and these focussed on: Preventing and addressing workplace violence by Nursing Service Managers; Preventing and addressing workplace violence by Nurse Unit Managers and Empowering professional nurses to address workplace violence. To ensure rigour and trustworthiness of the study, the researcher used Lincoln and Guba’s criteria namely: credibility, dependability, conformability and transferability. To protect the right and dignity of the participants and to safeguard the integrity of the study the researcher complied with the following ethical principles: beneficence, non- maleficence, autonomy, justice, veracity, privacy, and confidentiality. The limitations of this study were that data was collected from only one category of nurses and only one private healthcare facility was used. Recommendations from this study include implementation of the guidelines to establish their effectiveness. The findings of this study can be used to empower professional nurses to deal with workplace violence and to prevent the short and long term effects of workplace violence on the individual, the organization and the community. Nursing education institutions can also incorporate workplace violence into their curriculum to increase the awareness of students regarding this phenomenon.
- Full Text:
- Date Issued: 2016
- Authors: Schlebusch-Marie, Linda
- Date: 2016
- Subjects: Violence in the workplace -- Nursing -- South Africa Nurses -- Violence against -- South Africa , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/12801 , vital:27122
- Description: Workplace violence is an international problem and has negative consequences for individuals, organizations and communities. For individuals, the effect includes symptoms of fear, stress, irritability, feelings of isolation, insecurity, and low selfesteem. Healthcare organizations incur increased cost due to litigation due to poor quality of care, high staff turnovers and absenteeism, and their brands are negatively affected. Community members, who are the recipients of care, are placed in danger and are indirectly the victims of such workplace violence, which in turn affects their trust in private healthcare organizations or professions to provide the quality health care that they expect and deserve. Workplace violence takes many forms such as incivility, horizontal violence and bullying to name but a few. The perpetrators of such violence are doctors, nurses, patients and relatives. Workplace violence takes place in South Africa however, paucity in research was found by the researcher. The aim of the study was to explore and describe the experiences of professional nurses regarding workplace violence in a private healthcare facility in order to develop guidelines to address workplace violence in such a facility. A qualitative, explorative, contextual and descriptive study was conducted, using the Critical Social Theory as the paradigm. Data were gathered from professional nurses that have experienced workplace violence utilizing narratives. Fourteen narrative interviews were done until data was saturated. The data was transcribed verbatim and Tesch’s method of thematic synthesis was used to analyse the data. The three themes that emerged from the data were: Professional nurses acknowledge the existence of workplace violence where they work, Participants described the effect of workplace violence on themselves, others and the work environment, and Participants discussed their views regarding management of violence in the workplace. A thick description of the data with a literature control was provided. Thereafter inferences were made regarding the main themes of the guidelines and these focussed on: Preventing and addressing workplace violence by Nursing Service Managers; Preventing and addressing workplace violence by Nurse Unit Managers and Empowering professional nurses to address workplace violence. To ensure rigour and trustworthiness of the study, the researcher used Lincoln and Guba’s criteria namely: credibility, dependability, conformability and transferability. To protect the right and dignity of the participants and to safeguard the integrity of the study the researcher complied with the following ethical principles: beneficence, non- maleficence, autonomy, justice, veracity, privacy, and confidentiality. The limitations of this study were that data was collected from only one category of nurses and only one private healthcare facility was used. Recommendations from this study include implementation of the guidelines to establish their effectiveness. The findings of this study can be used to empower professional nurses to deal with workplace violence and to prevent the short and long term effects of workplace violence on the individual, the organization and the community. Nursing education institutions can also incorporate workplace violence into their curriculum to increase the awareness of students regarding this phenomenon.
- Full Text:
- Date Issued: 2016
The development of an integrated management model for occupational health and safety in medical institutions
- Authors: Du Toit, Willem Johannes
- Date: 2005
- Subjects: Industrial safety -- South Africa -- Management , Industrial hygiene -- South Africa -- Management , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8551 , http://hdl.handle.net/10948/1300 , Industrial safety -- South Africa -- Management , Industrial hygiene -- South Africa -- Management , Health facilities -- South Africa
- Description: Health and safety management forms part of the overall risk management of medical institutions, and deals with the responsibility of an organisation to provide a risk free environment for all who are exposed to the activities of such medical institutions. Affected people include health care workers, contractors, visitors, and patients. Medical institutions, and hospitals specifically, are uniquely distinct from other industries in that they employ highly skilled staff with specific specialised knowledge. These institutions are also increasingly making use of complex technology that requires specialist staff to operate medical machines and equipment. These specific aspects are accounted for in this research. The overall purpose of this research is to determine the need for an alternative approach to the management of health and safety in medical institutions. An appropriate model will be developed that can be integrated into the existing health and safety management system. The research methodology for this study comprises the following steps: Firstly, the health and safety environment was researched in relation to all stakeholders, external and internal, that are affected by medical institutions’ activities. The effect of these activities, and how it influences health and safety management, was evaluated in a South African context. Secondly, the overall risk management approach of medical institutions and the effect of organisational culture were researched to determine the effect on health and safety performance. Thirdly, a questionnaire was sent to selected staff of five hospitals in the Eastern and Western Cape to determine their perception and experience of health and safety management. Quantitative data on incidents in Netcare Hospitals were obtained, and a comparison of the questionnaire studies was done to determine the need for a health and safety model. The final step of this study entailed the development of a health and safety model using legislative requirements and the needs identified in the research. A proposal is made to integrate specialist functions and departments into the existing health and safety management system, in order to strengthen the managerial capabilities of such a system. The importance of improving the safety and compliance culture is indicated.
- Full Text:
- Date Issued: 2005
- Authors: Du Toit, Willem Johannes
- Date: 2005
- Subjects: Industrial safety -- South Africa -- Management , Industrial hygiene -- South Africa -- Management , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8551 , http://hdl.handle.net/10948/1300 , Industrial safety -- South Africa -- Management , Industrial hygiene -- South Africa -- Management , Health facilities -- South Africa
- Description: Health and safety management forms part of the overall risk management of medical institutions, and deals with the responsibility of an organisation to provide a risk free environment for all who are exposed to the activities of such medical institutions. Affected people include health care workers, contractors, visitors, and patients. Medical institutions, and hospitals specifically, are uniquely distinct from other industries in that they employ highly skilled staff with specific specialised knowledge. These institutions are also increasingly making use of complex technology that requires specialist staff to operate medical machines and equipment. These specific aspects are accounted for in this research. The overall purpose of this research is to determine the need for an alternative approach to the management of health and safety in medical institutions. An appropriate model will be developed that can be integrated into the existing health and safety management system. The research methodology for this study comprises the following steps: Firstly, the health and safety environment was researched in relation to all stakeholders, external and internal, that are affected by medical institutions’ activities. The effect of these activities, and how it influences health and safety management, was evaluated in a South African context. Secondly, the overall risk management approach of medical institutions and the effect of organisational culture were researched to determine the effect on health and safety performance. Thirdly, a questionnaire was sent to selected staff of five hospitals in the Eastern and Western Cape to determine their perception and experience of health and safety management. Quantitative data on incidents in Netcare Hospitals were obtained, and a comparison of the questionnaire studies was done to determine the need for a health and safety model. The final step of this study entailed the development of a health and safety model using legislative requirements and the needs identified in the research. A proposal is made to integrate specialist functions and departments into the existing health and safety management system, in order to strengthen the managerial capabilities of such a system. The importance of improving the safety and compliance culture is indicated.
- Full Text:
- Date Issued: 2005
The development of a marketing plan for an emergency medical service
- Authors: Barley, Kim Wayne
- Date: 2002
- Subjects: Market -- Planning , Emergency medical services , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:10853 , http://hdl.handle.net/10948/120 , Market -- Planning , Emergency medical services , Health facilities -- South Africa
- Description: The research problem addressed in this study was to develop a comprehensive marketing plan that would help an emergency medical service (EMS) in the Nelson Mandela Metropolitan Municipality (NMMM), capture a significant market share and gain a competitive advantage over competitors. To achieve this object, a literature study to determine the key components of a marketing plan was undertaken and used as a theoretical model in developing an actual marketing plan. In addition to the literature study, an empirical study was conducted to identify the key issues critical to the development of a marketing plan for the EMS. The survey method used, based on the key components gained from the literature study, consisted of an in-depth scan of the macro-environment and thorough market investigation of the target industry. The investigation involved the general management and senior personnel from the local emergency medical industry, medical aid schemes and private hospitals and clinics delimited in the study. The results of the above literature study were finally combined with the results of the empirical study and a marketing plan for an emergency medical service was developed. This study concludes with recommendations applicable for the implementation of the actual marketing plan.
- Full Text:
- Date Issued: 2002
- Authors: Barley, Kim Wayne
- Date: 2002
- Subjects: Market -- Planning , Emergency medical services , Health facilities -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:10853 , http://hdl.handle.net/10948/120 , Market -- Planning , Emergency medical services , Health facilities -- South Africa
- Description: The research problem addressed in this study was to develop a comprehensive marketing plan that would help an emergency medical service (EMS) in the Nelson Mandela Metropolitan Municipality (NMMM), capture a significant market share and gain a competitive advantage over competitors. To achieve this object, a literature study to determine the key components of a marketing plan was undertaken and used as a theoretical model in developing an actual marketing plan. In addition to the literature study, an empirical study was conducted to identify the key issues critical to the development of a marketing plan for the EMS. The survey method used, based on the key components gained from the literature study, consisted of an in-depth scan of the macro-environment and thorough market investigation of the target industry. The investigation involved the general management and senior personnel from the local emergency medical industry, medical aid schemes and private hospitals and clinics delimited in the study. The results of the above literature study were finally combined with the results of the empirical study and a marketing plan for an emergency medical service was developed. This study concludes with recommendations applicable for the implementation of the actual marketing plan.
- Full Text:
- Date Issued: 2002
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