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Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.16 no.1 Cape Town  2011




The emotional well-being of the nurse within the multi-skill setting



Heleen French; Emmerentia du Plessis; Belinda Scrooby

School of Nursing Science, North-West University, Potchefstroom campus, South Africa





The emotional well-being of nurses working in a multi-skill setting may be negatively influenced by their challenging work environment. A qualitative, explorative, descriptive and contextual study was conducted to investigate this phenomenon. The purpose of this study was to explore and describe the experience, as well as perceptions of coping mechanisms, of nurses working in the multi-skill setting, and to formulate recommendations to promote their emotional well-being. The population consisted of nurses working in a multi-skill setting (a Level-2 hospital) and included professional nurses, enrolled nurses and nurse assistants. An all-inclusive sample was used. Semi-structured interviews were conducted with three professional nurses, six enrolled nurses and one nurse assistant. These interviews were analysed according to the method described by Creswell (2003:192). The findings indicated that nurses have positive as well as negative experiences of the multi-skill setup. They cope by means of prioritising tasks, faith, self-motivation and mutual support. They also made suggestions for the promotion of their emotional well-being, on personal as well as managerial levels. Recommendations for further research, nurse education and practice were formulated. Recommendations for practice include 'on-the-spot' in-service training, appropriate task allocation, clearly defined scope of practice, time for rest and debriefing, strengthened relationships with management, promotion of strengths and creating a support system.


Die emosionele welstand van verpleegkundiges werksaam in 'n multivaardigheidsopset kan moontlik negatief beïnvloed word deur die uitdagende werksomgewing. 'n Kwalitatiewe, verkennende, beskrywende en kontekstuele studie is uitgevoer om hierdie verskynsel te ondersoek. Die doel van hierdie studie was om die ervaring van verpleegkundiges, asook hul persepsies van hanteringsmeganismes, in 'n multi-vaardigheidsopset te verken en beskryf, sowel as om aanbevelings vir die bevordering van hulle emosionele welstand te formuleer. Die populasie het bestaan uit verpleegkundiges werksaam in 'n multivaardigheidsopset ('n Vlak-2 hospitaal) en het professionele verpleegkundiges, ingeskrewe verpleegkundiges en verpleegassistente ingesluit. 'n Alles-insluitende steekproef is gebruik. Semi-gestruktureerde onderhoude is met drie professionele verpleegkundiges, ses ingeskrewe verpleegkundiges en een verpleegassistent gevoer. Hierdie onderhoude is volgens die metode deur Creswell (2003:192) beskryf, geanaliseer. Die bevindinge het getoon dat verpleegkundiges positiewe sowel as negatiewe ervaringe van die multivaardigheidsopset het. Hulle gebruik taakprioritisering, geloof, selfmotivering en wedersydse ondersteuning as hanteringsmeganismes. Hulle het ook voorstelle gemaak vir die bevordering van hul emosionele welstand, op persoonlike sowel as bestuursvlak. Aanbevelings vir verdere navorsing, verpleegonderwys en die praktyk is geformuleer. Aanbevelings vir die praktyk sluit in 'in-die-oomblik' indiensopleiding, toepaslike taaktoewysing, duidelikheid oor bestek van praktyk, tyd vir rus en ontlading, verbeterde verhoudings met bestuur, bevordering van sterk karaktereienskappe en die skep van 'n ondersteuningsnetwerk.



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Ablett, J.R. & Jones, R.S.P., 2007, 'Resilience and well-being in palliative care staff: A qualitative study of hospice nurses' experience of work', Psycho-Oncology 16, 733-740.         [ Links ]

Adamovich, B., Davis-McFarland, E., Green, W.W. & Pietranton, A.A., 1996, 'Multiskilled personnel', Audiology and Speech-Language Pathology 4, 205-213.         [ Links ]

American Nurses Association, 2007, Staff nurses, viewed 22 December 2007, from        [ Links ]

Aucamp, J.M., 2003, 'Occupational stress of professional and enrolled nurses in South Africa', MA mini-dissertation, Department of Nursing, Potchefstroom University for Christian Higher Education.         [ Links ]

Babbie, E. & Mouton, J., 2004, The practice of social research, 2nd edn., Oxford University Press, Cape Town.         [ Links ]

Bégat, I., Ellefsen, B. & Severinsson, 2005, 'Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experiences of well-being - A Norwegian study', Journal of Nursing Management 13, 221-230.         [ Links ]

Bégat, I. & Severinsson, E., 2006, 'Reflection on how clinical nursing supervision enhances nurses' experiences of well-being related to their psychosocial work environment', Journal of Nursing Management 14, 610-616.         [ Links ]

Boswell, M., 2004, 'The effect of closed versus more liberal visitation policies on work satisfaction, beliefs, and nurse retention', MSc thesis, Department of Nursing, East Tennessee State University.         [ Links ]

Brink, H., Van der Walt, C. & Van Rensburg, G., 2006, Fundamentals of research methodology for health care professionals, 2nd edn., Juta, Cape Town.         [ Links ]

Burns, N. & Grove, S.K., 2005, The practice of nursing research: conduct, critique, and utilization, 5th edn., Elsevier Saunders, St. Louis.         [ Links ]

Cameron, S., 1997, 'Finding the perfect mix: Role-redesign initiatives', in Ontarion Hospital Association, viewed 14 August 2007, from        [ Links ]

Canadian Association of Social Workers, 1998, CASW statement on multi-skilling, viewed 02 March 2008, from        [ Links ]

Coon, D., 1998, Introduction to psychology, 8th edn., Brooks/Cole, Washington.         [ Links ]

Creswell, J.W., 2003, Research design: qualitative and quantitative approaches, 2nd edn., Sage, Thousand Oaks.         [ Links ]

Csikszentmihalyi, I.S. & Csikszentmihalyi, M., 2006, A life worth living: Contributions to positive psychology, Oxford University Press, New York.         [ Links ]

De Haan, M., 2006, The health of Southern Africa, 9th edn., Juta, Cape Town.         [ Links ]

De Kock, J. & Van der Walt, C., 2004, Maternal and newborn care. A complete guide for midwives and other health professionals, Juta, Pretoria.         [ Links ]

Demir, A., Ulusoy, M. & Ulusoy, M.F., 2003, 'Investigation of factors influencing burnout levels in the professional and private lives of nurses', International Journal of Nursing Studies 40(8), 807-827.         [ Links ]

Hall, E.J., 2004, 'Nursing attrition and the work environment in South African health facilities', Curationis 27(4), 28-36.         [ Links ]

Hek, G. & Moule, P., 2006, Making sense of research: an introduction for health and social care practitioners, 3rd edn., Sage, London.         [ Links ]

Jooste, K., 2003, 'Promoting a motivational workforce in nursing practice', Health SA Gesondheid 8(1), 89-98.         [ Links ]

Khumalo, G., 2008, 'Wellness centres to help workers deal with stress', HOSPERSA Today 14(2), 9.         [ Links ]

Kozier, B., Erb, G., Berman, A.J. & Burke, K., 2000, Fundamentals of nursing: concepts, process, and practice, 6th edn., Prentice Hall, Upper Saddle River, N.J.         [ Links ]

Levert, T., Lucas, M. & Ortlepp, K., 2000, 'Burnout in psychiatric nurses: Contributions of the work environment and a sense of coherence', South African Journal of Psychology 30(2), 36-43.         [ Links ]

Mathijs, F.F., 2008, 'Task shifting: an old practice with a new name', Nursing Update 32(1), 34-35.         [ Links ]

Mostert, K. & Oosthuizen, B., 2006, 'Job characteristics and coping strategies associated with negative and positive work-home interference in a nursing environment', South African Journal of Economic and Management Sciences 9(6), 429-443.         [ Links ]

Muller, M., 2005, Nursing dynamics, 3rd edn., Heinemann, Sandown.         [ Links ]

Mynhardt, J.C., 2006, South African supplement to social psychology, 2nd edn., Pearson, Cape Town.         [ Links ]

Pera, S.A. & Van Tonder, S., 2004, Ethics in nursing practice, 4th edn., Juta, Cape Town.         [ Links ]

Polit, D.F. & Beck, C.T., 2006, Essentials of nursing research: methods, appraisal, and utilization, 6th edn., Lippincott Williams & Wilkins, Philadelphia.         [ Links ]

Richards, R., 2003, 'The health professional brain drain', Education for Health 16(3), 262-264.         [ Links ]

Searle, C., 2007, Professional practice: a South African nursing perspective, 4th edn., Heinemann, Sandton.         [ Links ]

Smeltzer, S.C. & Bare, B.G., 2004, Brunner & Suddarth's textbook of medical-surgical nursing, 10th edn., Lippincott Williams & Wilkins, Philadelphia.         [ Links ]

South Africa, 2005, Nursing Act 33 of 2005, Government printer, Pretoria.         [ Links ]

Stewart, M.J. & Arklie, M., 1994, 'Work satisfaction, stressors and support experienced by community health nurses', Canadian Journal of Public Health 85(3), 180-184.         [ Links ]

Subedar, H., 2005, The nursing profession: production of nurses and proposed scope of practice, South African Nursing Council, Pretoria.         [ Links ]

Triolo, P.K., Kazzaz, Y. & Wood, G.L., 2005, 'Developing clinical nurse leaders at the unit level', Nurse Leader 3(2), 45-48.         [ Links ]

Uys, L.R. & Middleton, L., 2004, Mental health nursing: a South African perspective, 4th edn., Juta, Cape Town.         [ Links ]

Van Rhyn, W.J. & Gontsana, R., 2004, 'Experiences by student nurses during clinical placement in psychiatric units in a hospital', Curationis 27(4), 18-27.         [ Links ]

Van Vuren, A, 2006, Psychology for nurses, Van Schaik, Pretoria.         [ Links ]

Verschoor, T., Fick, G.H., Jansen, R. & Viljoen, D.J., 1996, Verpleegkunde en die reg, Juta, Kaapstad.         [ Links ]



Emmerentia du Plessis
Private Bag X6001
Potchefstroom 2520
South Africa

Received: 24 Mar. 2010
Accepted: 18 Nov. 2010
Published: 16 May 2011

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