A framework to address the shortage of registered nurses in South Africa in alignment with the national health insurance requirement
- Authors: Venturini, Ronwyn
- Date: 2018
- Subjects: Nursing -- South Africa , Nursing -- Manpower -- South Africa Nursing services -- South Africa -- Administration Skilled labor -- South Africa Labor supply -- South Africa Manpower planning -- South Africa
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: http://hdl.handle.net/10948/36782 , vital:34054
- Description: In South Africa, there is a dire need for good quality healthcare in the public and private sectors. To achieve the aforementioned, the shortage of medical personnel is of utmost concern and the ability to retain these qualified individuals an even greater dilemma. The Department of Health in South Africa has embarked on a National Health Insurance model they want to introduce similar to the first world countries such as the British and American systems whereby medical insurance is free for all and not a single citizen is left unattended in their time of need. The primary purpose of this study was to identify a framework that will enable the South African government to implement a successful National Health Insurance system. Key theoretical factors (remuneration and rewards, work climate, stress, job satisfaction, recognition and bedside nursing) were investigated to ascertain what the key contributors are regarding the shortage of registered nurses. The identification of pertinent factors will promote the retention of nurses, which represent the population of this study. A questionnaire was designed by the researcher to collect the data from the sample, which consisted of 99 registered nurses in both public and the private sectors in South Africa across the provinces namely Gauteng, Eastern Cape, Western Cape Kwa-Zulu Natal, Free State, Limpopo and North West. The data collection process included electronic and hard copies of the questionnaires that were administered using the self-selected sampling and snowball non-probability sampling strategies. Descriptive statistics were conducted on the empirical data collected; and inferential statistics in the form of multiple regression analysis was used to test the hypotheses formulated. The study found that recognition is the only contributor that is directly related to the shortage of registered nurses. The framework established should assist policy makers and government to understand the contributing factors exacerbating the shortage of registered nurses.
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- Date Issued: 2018
An (auto)-biographical account of nursing transformation: 1970-2018
- Authors: Ricks, Esmeralda Jennifer
- Subjects: Nursing -- Study and teaching , Nursing -- South Africa
- Language: English
- Type: text , An (auto)-biographical account of nursing transformation: 1970-2018 , Lectures
- Identifier: http://hdl.handle.net/10948/21055 , vital:29434
- Description: This lecture provides a description of how nursing education and practice, research and technology has transformed over the past 48 years. The information provided in this lecture is based on personal experience and own research, and research of various other authors. The first part of the lecture provides an overview of the era in which I trained and is used as a benchmark to compare current day practices. The changes in nursing education and practice with regard to the Nursing Act and regulations over the past 48 years are highlighted, depicting the number of times that the different nursing acts and regulations were amended with regard to all basic nursing qualification programmes. This lecture also includes a brief discussion of the new nursing education programme that will be implemented soon, as well as its opportunities and challenges. A detailed description is provided with regard to how nursing research has evolved over the past 48 years because of the dedication and vision that nurse leaders have for the profession. A national nursing strategy has been developed to enhance collaborative, rigorous scientific enquiry that builds a significant body of knowledge in order to improve the health of the people of South Africa. It is envisaged that the research strategy will contribute significantly to directing future nursing research development in South Africa. It is evident in this lecture that the use of technology in nursing has truly evolved and can be seen as a major driver of changes in the nursing profession. There are huge shifts in how patient records are maintained, how medications are tracked and ordered, how care is passed from one provider to another, how blood and X-ray results are retrieved and how information is being accessed at the point of care in nursing. In today’s healthcare system technology is the foundation of the future. Today’s nurses must not only know how to care for patients, but how to use technology safely and appropriately in their day-to-day work. It is evident that nursing has transformed in many ways since 1970 and that nurses have always been the drivers of nursing transformation.
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