Perceptions of registered nurses regarding implementation of clinical practice guidelines in intensive care units in public hospitals
- Nondywana, Precious Nosindiso
- Authors: Nondywana, Precious Nosindiso
- Date: 2018
- Subjects: Intensive care nursing -- South Africa , Intensive care units Nurses -- South Africa -- Attitudes Hospitals -- Employees
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33464 , vital:32876
- Description: An intensive care unit (ICU) is a specialised section of the hospital that provides comprehensive and continuous care for people who are critically ill and can be admitted for more individualised and intense monitoring. The decision-making process in the intensive care unit requires clinical practice guidelines (CPGs) to assist practitioners’ and patients’ decisions about the appropriate healthcare for specific clinical circumstances. The major benefit of CPGs is to improve the quality of care received by patients and has a potential to reduce morbidity and mortality. Although CPGs are popular for health care decision making by health care providers, there is a general lack of implementation in the nursing sphere. The aim of this study therefore, was to explore and describe the perceptions of registered nurses with regard to the implementation of CPGs in intensive care units in public hospitals and to make recommendations for the implementation thereof. A qualitative, explorative, descriptive and contextual study was conducted. The research population were registered nurses who are employed in intensive care units in three public hospitals in Nelson Mandela Bay in Port Elizabeth. Purposive sampling was utilised. Semi-structured interviews were used to collect the data and Tesch’s steps of data analysis were used. An independent coder analysed the raw data. Themes were identified and grouped together to form new categories. The researcher ensured the trustworthiness of the study by adhering to Lincoln and Guba’s model of trustworthiness, which consists of the following four constructs, namely: credibility, transferability, dependability and conformability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, beneficence, non-maleficence, confidentiality and justice.
- Full Text:
- Date Issued: 2018
- Authors: Nondywana, Precious Nosindiso
- Date: 2018
- Subjects: Intensive care nursing -- South Africa , Intensive care units Nurses -- South Africa -- Attitudes Hospitals -- Employees
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/33464 , vital:32876
- Description: An intensive care unit (ICU) is a specialised section of the hospital that provides comprehensive and continuous care for people who are critically ill and can be admitted for more individualised and intense monitoring. The decision-making process in the intensive care unit requires clinical practice guidelines (CPGs) to assist practitioners’ and patients’ decisions about the appropriate healthcare for specific clinical circumstances. The major benefit of CPGs is to improve the quality of care received by patients and has a potential to reduce morbidity and mortality. Although CPGs are popular for health care decision making by health care providers, there is a general lack of implementation in the nursing sphere. The aim of this study therefore, was to explore and describe the perceptions of registered nurses with regard to the implementation of CPGs in intensive care units in public hospitals and to make recommendations for the implementation thereof. A qualitative, explorative, descriptive and contextual study was conducted. The research population were registered nurses who are employed in intensive care units in three public hospitals in Nelson Mandela Bay in Port Elizabeth. Purposive sampling was utilised. Semi-structured interviews were used to collect the data and Tesch’s steps of data analysis were used. An independent coder analysed the raw data. Themes were identified and grouped together to form new categories. The researcher ensured the trustworthiness of the study by adhering to Lincoln and Guba’s model of trustworthiness, which consists of the following four constructs, namely: credibility, transferability, dependability and conformability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as autonomy, beneficence, non-maleficence, confidentiality and justice.
- Full Text:
- Date Issued: 2018
Professional nurses experiences of a team nursing care framework in critical care units in a private healthcare group
- Authors: Dunsdon, Jeananne
- Date: 2011
- Subjects: Intensive care nursing -- South Africa , Intensive care units -- South Africa , Team nursing -- South Africa , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10022 , http://hdl.handle.net/10948/1444 , Intensive care nursing -- South Africa , Intensive care units -- South Africa , Team nursing -- South Africa , Nurses -- Job stress -- South Africa
- Description: A critical care unit is a dynamic and highly technological environment. Professional nurses who have been working in the critical care unit for a period of time are passionate about the environment in which they work. They find their on duty time challenging and stimulating. The critical care environment is slowly changing. Due to the fact that there are fewer professional nurses with an additional qualification in critical care available to work in the critical care units. The utilisation of an increasing number of agency nurses leads to an increase in sub-standard nursing care as well as dissatisfied doctors and patients. The shortage of critical care staff has resulted in the need to find an alternative human resources framework and still provide cost effective, safe quality patient care. This leads to the design and implementation of a team nursing care framework for critical care. The research objectives for this study were: - To explore and describe the experiences of professional nurses with regard to a team nursing care framework in private critical care units. - Develop guidelines to optimize the team nursing care framework in critical care units in a private hospital group. The research is based on a qualitative, explorative, descriptive and contextual research design. The study is based on a phenomenological approach to inquiry. Eleven in-depth semi structured face-to-face phenomenological interviews were utilized as the main means of collecting data. A purposive, criterion based, sampling method was used. Specific inclusion criteria were met and consent was obtained from the participants and from the management of the private clinic where the research was conducted. Two central themes were identified:- Theme One: The professional nurses experienced the team nursing care framework in the critical care unit as a burden. Six sub-themes were identified. - Theme Two: Professional nurses made recommendations for improvement of the team nursing care framework in the critical care unit. By describing the lived experiences of the professional nurses in the critical care units, based on research interviews, the researcher painted a clear picture of the team nursing care framework in the critical care unit. Guidelines were developed based on the identified themes. The broad guidelines are aimed at ensuring that the nurses are competent to care for critical care patients prior to them commencing work in the critical care unit. The researcher concludes this study by making recommendations for Nursing practice, education and research.
- Full Text:
- Date Issued: 2011
- Authors: Dunsdon, Jeananne
- Date: 2011
- Subjects: Intensive care nursing -- South Africa , Intensive care units -- South Africa , Team nursing -- South Africa , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10022 , http://hdl.handle.net/10948/1444 , Intensive care nursing -- South Africa , Intensive care units -- South Africa , Team nursing -- South Africa , Nurses -- Job stress -- South Africa
- Description: A critical care unit is a dynamic and highly technological environment. Professional nurses who have been working in the critical care unit for a period of time are passionate about the environment in which they work. They find their on duty time challenging and stimulating. The critical care environment is slowly changing. Due to the fact that there are fewer professional nurses with an additional qualification in critical care available to work in the critical care units. The utilisation of an increasing number of agency nurses leads to an increase in sub-standard nursing care as well as dissatisfied doctors and patients. The shortage of critical care staff has resulted in the need to find an alternative human resources framework and still provide cost effective, safe quality patient care. This leads to the design and implementation of a team nursing care framework for critical care. The research objectives for this study were: - To explore and describe the experiences of professional nurses with regard to a team nursing care framework in private critical care units. - Develop guidelines to optimize the team nursing care framework in critical care units in a private hospital group. The research is based on a qualitative, explorative, descriptive and contextual research design. The study is based on a phenomenological approach to inquiry. Eleven in-depth semi structured face-to-face phenomenological interviews were utilized as the main means of collecting data. A purposive, criterion based, sampling method was used. Specific inclusion criteria were met and consent was obtained from the participants and from the management of the private clinic where the research was conducted. Two central themes were identified:- Theme One: The professional nurses experienced the team nursing care framework in the critical care unit as a burden. Six sub-themes were identified. - Theme Two: Professional nurses made recommendations for improvement of the team nursing care framework in the critical care unit. By describing the lived experiences of the professional nurses in the critical care units, based on research interviews, the researcher painted a clear picture of the team nursing care framework in the critical care unit. Guidelines were developed based on the identified themes. The broad guidelines are aimed at ensuring that the nurses are competent to care for critical care patients prior to them commencing work in the critical care unit. The researcher concludes this study by making recommendations for Nursing practice, education and research.
- Full Text:
- Date Issued: 2011
The experiences of registered nurses' of their work environment in a critical care unit
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
- Authors: Adams, Bernardene Lucreshia
- Date: 2009
- Subjects: Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10013 , http://hdl.handle.net/10948/1057 , Intensive care nursing -- South Africa , Intensive care units , Nurses -- Job stress -- South Africa
- Description: Critical care nursing is a vital and significant part of health care provision to critically ill patients. It is a specialty area of nursing that requires registered nurses who are highly motivated, knowledgeable and skilled to provide optimal care to critically ill patients. These patients are nursed in a complex environment consisting of specialised equipment (such as ventilators, defibrillators, intravenous pumps, and cardiac monitors) that is not found in any other field of nursing. Collegial support and an adequate registered nurse: patient ratio is vital in critical care units in order to provide optimal quality care to critically ill patients. However, an understaffed work environment, the demands of critical care nursing and other work-related problems, such as conflict with physicians, inadequate remuneration packages and an increased workload can cause serious distress and dissatisfaction amongst registered nurses in this specific environment (Carayon & Gürses, 2005:287). The objectives of this study therefore are to explore and describe the experiences of registered nurses of their work environment in a critical care unit and to make recommendations that will assist registered nurses working in a critical care unit. A qualitative, explorative, descriptive and contextual research design will be utilised. Data will be collected by means of semi-structured interviews and analysed according to the framework provided by Tesch (in Cresswell, 2003:192). Purposive sampling will be used to select a sample of registered nurses working in a critical care environment. Guba’s model (in Krefting, 1991) will be utilised to verify data and to ensure trustworthiness of the study. Ethical considerations will be adhered to throughout the study. Once data has been analysed, recommendations will be made that will assist registered nurses working in a critical care unit.
- Full Text:
- Date Issued: 2009
Registered nurses' perceptions of factors causing stress in the intensive care environment in state hospitals
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
- Authors: Beau, S P
- Date: 2006
- Subjects: Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10044 , http://hdl.handle.net/10948/457 , Intensive care nursing -- South Africa , Nurses -- Job stress -- South Africa , Stress management -- South Africa
- Description: The complex environment of an intensive care unit is associated with a considerable amount of stress. Intensive care nurses are confronted daily with increasing work demands, emanating from the growing numbers of critically-ill patients; the introduction of highly sophisticated technologies in the intensive care environment; increasing competition between health care institutions; increased work loads; and limited career opportunities caused by, among other things, budget cuts by the government (Janssen, De Jonge & Bakker, 1999:1360). Research has shown that such stressors can result in mental, physical and behavioural stress reactions among nurses (Demerouti, Bakker, Nachreiner and Schaufeli, 2000:454). The objective of this study is to explore and describe registered nurses’ perceptions of factors causing stress in intensive care environments of state hospitals. The main purpose of the study is to develop guidelines for a stress management programme, to assist registered nurses to cope with the stressors in an intensive care environment. The research design is placed within a quantitative, explorative and descriptive contextual framework. Validity and reliability in testing and evaluating the research questionnaire are discussed, as well as the ethical and legal considerations relating to this research study. Findings of the research study will be utilized to assist the researcher in developing guidelines for a stress management programme to assist registered nurses in coping with stress in an intensive care environment
- Full Text:
- Date Issued: 2006
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