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A Survey of the quality of nursing care in several health districts in South Africa.

BACKGROUND: South Africa is currently focusing strongly on human resource development. The purpose of this study was to describe and compare the quality of nursing service and care in three health districts in the KwaZulu Natal Province. To identify deficiencies which could be addressed by education...

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Detalles Bibliográficos
Autores principales: Uys, Leana R, Naidoo, Joanne R
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC368441/
https://www.ncbi.nlm.nih.gov/pubmed/15028123
http://dx.doi.org/10.1186/1472-6955-3-1
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author Uys, Leana R
Naidoo, Joanne R
author_facet Uys, Leana R
Naidoo, Joanne R
author_sort Uys, Leana R
collection PubMed
description BACKGROUND: South Africa is currently focusing strongly on human resource development. The purpose of this study was to describe and compare the quality of nursing service and care in three health districts in the KwaZulu Natal Province. To identify deficiencies which could be addressed by education and training, it might be useful to measure the quality of care given by nurses. METHODS: From March to August 2002 a survey was done in six hospitals and six clinics in three health districts of the KwaZulu-Natal province of South Africa. Five different aspects of care was evaluated; hand-over from one nursing shift to another, implementation of universal precautions, patient satisfaction, nursing records, management of chronic illnesses. All these aspects were evaluated using checklists based on record reviews or direct observation, except for patient satisfaction, which was evaluated by questionnaires. RESULTS: The average scores on the different aspects varied from 11% (for nursing records) to 73% (for management of chronic diseases). Specific problems became evident. In one district three out of four hand-overs between shifts of nurses scored less than 50%. In all three districts the use of protective gear scored low (43%). While the average score for management of chronic illnesses were high at 73%, the blood pressures of only 23% was within the target range, and the blood sugar of only 38% of patients were controlled. Patient satisfaction averaged 72% across the three districts. CONCLUSION: The quality of care measurements identified specific training needs, but other management strategies are probably also indicated.
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spelling pubmed-3684412004-03-14 A Survey of the quality of nursing care in several health districts in South Africa. Uys, Leana R Naidoo, Joanne R BMC Nurs Research Article BACKGROUND: South Africa is currently focusing strongly on human resource development. The purpose of this study was to describe and compare the quality of nursing service and care in three health districts in the KwaZulu Natal Province. To identify deficiencies which could be addressed by education and training, it might be useful to measure the quality of care given by nurses. METHODS: From March to August 2002 a survey was done in six hospitals and six clinics in three health districts of the KwaZulu-Natal province of South Africa. Five different aspects of care was evaluated; hand-over from one nursing shift to another, implementation of universal precautions, patient satisfaction, nursing records, management of chronic illnesses. All these aspects were evaluated using checklists based on record reviews or direct observation, except for patient satisfaction, which was evaluated by questionnaires. RESULTS: The average scores on the different aspects varied from 11% (for nursing records) to 73% (for management of chronic diseases). Specific problems became evident. In one district three out of four hand-overs between shifts of nurses scored less than 50%. In all three districts the use of protective gear scored low (43%). While the average score for management of chronic illnesses were high at 73%, the blood pressures of only 23% was within the target range, and the blood sugar of only 38% of patients were controlled. Patient satisfaction averaged 72% across the three districts. CONCLUSION: The quality of care measurements identified specific training needs, but other management strategies are probably also indicated. BioMed Central 2004-02-03 /pmc/articles/PMC368441/ /pubmed/15028123 http://dx.doi.org/10.1186/1472-6955-3-1 Text en Copyright © 2004 Uys and Naidoo; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Research Article
Uys, Leana R
Naidoo, Joanne R
A Survey of the quality of nursing care in several health districts in South Africa.
title A Survey of the quality of nursing care in several health districts in South Africa.
title_full A Survey of the quality of nursing care in several health districts in South Africa.
title_fullStr A Survey of the quality of nursing care in several health districts in South Africa.
title_full_unstemmed A Survey of the quality of nursing care in several health districts in South Africa.
title_short A Survey of the quality of nursing care in several health districts in South Africa.
title_sort survey of the quality of nursing care in several health districts in south africa.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC368441/
https://www.ncbi.nlm.nih.gov/pubmed/15028123
http://dx.doi.org/10.1186/1472-6955-3-1
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