ORIGINAL RESEARCH

 

Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting

 

 

Nnoi A. Xaba^I; Mapheko D. Peu^II; Salaminah S. Phiri^II

^IS.G. Lourens Nursing College, South Africa
^IIDepartment of Nursing Science, University of Pretoria, South Africa

Correspondence

 

 

---

ABSTRACT

The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.

---

OPSOMMING

Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die faktore wat dienslewering van die uitbreidingsprogramme in 'n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. 'n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. 'n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X.) in 'n neutrale opset uitgevoer. Data is deur die navorser en 'n onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme deurlopend deur middel van indiensopleiding gedoen word.

---

 

 

“Full text available only in PDF format”

 

 

References

African National Congress, 1994, Reconstruction and development program, Umanyano, Johannesburg.         [ Links ]

Allen, R.C., 1990, The Concise Oxford Dictionary of Current English, 8th edn., Oxford University, NY.         [ Links ]

Botma, Y., Motiki, Z.D. & Viljoen, M.C., 2007, 'Learners' knowledge and perceptions of voluntary counseling and testing for HIV & AIDS in the Free State Province', Curationis 30(2), 48-57.         [ Links ]

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

Buys, R. & Muller, M., 2000, 'The experiences and perceptions of nursing service managers regarding transformation of health services in selected provincial academic health complexes', Curationis 23(2), 50-56.         [ Links ]

Carson, V.B., 2000, Mental health nursing: The nurse-patient journey, 2nd edn., W.B. Saunders, Tokyo.         [ Links ]

Cormack, D.F.S., 2000, The research process in nursing, 4th edn., Blackwell Science, Boston.         [ Links ]

Creswell, J.W., 1994, Research design: Qualitative and quantitative approaches, Sage, Thousand Oaks.         [ Links ]

De Haan, M., Dennill, K. & Vasuthevan, S., 2005, The health of southern Africa, 9th edn., Juta Academics, Pretoria.         [ Links ]

Dennill, K., King, L. & Swanepoel, T.T., 1999, Aspects of primary health care: Community healthcare in South Africa, 2nd edn., Oxford University Press, London.         [ Links ]

Department of Health, 1996, Department of Health policy: Restructuring the national healthcare system for universal primary healthcare, Government Printers, Pretoria.         [ Links ]

Department of Health, 2001, Comprehensive primary healthcare service package for South Africa, Government Printers, Pretoria.         [ Links ]

De Vos, A.S., Strydom, H., Fouché, C.B. & Delport, C.S.L., 2005, Research at grassroots: For the social science and service professions, 3rd edn., Van Schaik, Pretoria.         [ Links ]

Gauteng Department of Health, 2004-2006, The Gauteng Health Strategic Plan, Programme 2: District Health Services report document, Government Printers, Pretoria.         [ Links ]

Greeff, M. & Phetlhu, R., 2007, 'The meaning and effect of HIV/AIDS stigma for people living with AIDS and nurses involved in their care in the North West Province, S.A.', Curationis 30(2), 12-23.         [ Links ]

Hattingh, S.P., Dreyer, M. & Roos, S., 2006, Aspects of community health, 3rd edn., Oxford University Press, Cape Town.         [ Links ]

Heunis, J.C., Van Rensburg, H.C.J. & Claassen, D.L., 2006, 'Assessment of the implementation of the primary healthcare package at selected sites in South Africa', Curationis 29(4), 37-46. PMid:17310743        [ Links ]

Ijumba, P., 2002, Voice of primary healthcare facility workers, South African Health Review, Health Systems Trust, Durban.         [ Links ]

Kenyon, C., Heywood, M. & Conway S., 2002, 'Mainstreaming HIV and AIDS: Progress and challenges', in SA Health Review, University of Witwatersrand/Health Systems Trust, Johannesburg.         [ Links ]

Leon, N., Bhunu, F. & Kenyon, C., 2002, Voices of facility managers, South African Health Review 2002, Health Systems Trust, Johannesburg.         [ Links ]

Lincoln, Y.S. & Guba, E.G., 1985, Naturalistic inquiry, Sage, Lendos.         [ Links ]

Masilela, T., Molefakgotla, P. & Visser, R., 2001, 'Voices of district managers', in South African Health Review 2001, University of the Witwatersrand/Health Systems Trust, Johannesburg.         [ Links ]

Mashego, T. & Peltzer, K., 2005, 'Community perceptions of quality of care (primary) healthcare services in a rural area of Limpopo Province, South Africa: A qualitative study', Curationis 28(2), 13-21.         [ Links ]

Meyer, K., Heunis, C., Janse van Rensburg-Bonthuyzen, E., Engelbrecht, M. & Summerton, J., 2003, PHC delivery in the Alexandra urban renewal site, Gauteng: Mapping gaps in the maternal health, IMCI, TB, STI's, HIV & AIDS and EDL programmes, Centre for Health Systems Research & Development, Bloemfontein.         [ Links ]

Modiba, P., Gilson, L. & Schneider, H., 2001, Voices of service users, South African Health Review, Health Systems Trust, Johannesburg.         [ Links ]

Mugyenyi, P., 2007, 'Collaboration to kill: HIV/AIDS and TB, Science and Development Network' viewed 30 June 2008, from, http://www.scidev.net/en/opinions/collaboration-to-kill-hivaids-and-tb.html        [ Links ]

Muller, M., 2000, 'The quality of Nursing Management in South African Hospitals', Curationis 10(1), 63-69.         [ Links ]

Netshandane, V.O., Nemathaga, L. & Shai-Mahoko, S.N., 2005, 'Experiences of primary healthcare nurses regarding the provision of the healthcare services in the northern region of the Limpopo Province', Curationis 28(1), 59-68. PMid:15850154        [ Links ]

Peltzer, K., Skinner, D., Mfecane, S., Shisana, O., Nqeketo, A., Mosala, et al., 2005, Factors influencing the utilization of prevention of mother-to-child-transmission (PMTCT) services by pregnant women in the Eastern Cape, Health SA Gesondheid 10(1), 26-40.         [ Links ]

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

Polit, D.F. & Hungler, B.P., 1995, Nursing research: Principles and methods, 5th edn., J.B. Lippincott Company, London.         [ Links ]

Rall, M. & Meyer, S.M., 2006, The role of the registered nurse in the marketing of primary healthcare services as part of health promotion, Curationis 29(1), 10-24. PMid:16817488        [ Links ]

Schneider, H. & Gilson, L., 2000, Review of South African experiences of free maternal healthcare and its impact on maternal health, Centre for Health Policy, University of the Witwatersrand, Johannesburg.         [ Links ]

Shapiro, R.L., Lockman, S., Thior, I., Stocking, L., Kebarabetswe, P., Wester, C., et al., 2003, 'Low adherence to recommended infant feeding strategies among HIV-infected women: Results from the pilot phase of a randomized trial to PMTCT in Botswana', AIDS Education and Prevention 15(30), 201-230.         [ Links ]

Tesch, R., 1990, Qualitative research: Analysis, types and software tools, The Falmer Press, Bristol, PA.         [ Links ]

Uys, L. & Cameron, S., 2003, Home-based HIV and AIDS care, Oxford University Press, Cape Town.         [ Links ]

Van Rensburg, H.C.J., 2004, Health and health care in South Africa, Van Schaik, Pretoria.         [ Links ]

Welman, C., Kruger, F. & Mitchell, B., 2005, Research methodology, 3rd edn., Oxford University Press, NY.         [ Links ]

World Health Organisation & United Nations Children's Fund, 2003, Report of IMCI health facility survey in Gauteng Province conducted in July 2002, Department of Health, Pretoria.         [ Links ]

 

 

Correspondence:
Mapheko Peu
PO Box 667
Pretoria, 0001
South Africa
Email: doriccah.peu@up.ac.za

Received: 14 Jan. 2010
Accepted: 13 July 2012
Published: 22 Nov. 2012