RESEARCH ARTICLE

 

Experiences of nurses working in a rural primary health-care setting in Mopani District, Limpopo Province

 

 

MP Mohale^I; FM Mulaudzi^II

^IMCur. University of Pretoria
^IID Litt et Phil, RN. North West University (Potchefstroom Campus)

Correspondence

 

 

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ABSTRACT

Professional nurses working in rural primary health-care settings are experiencing burnout due to serious shortages of personnel. This is exacerbated by the brain drain of nurses leaving the country. Rural settings are resource constrained in terms of personnel and equipment. This results in dissatisfaction among nurses due to the unbearable working conditions which result in stress and frustration. A qualitative, explorative, descriptive study was conducted to explore and describe the experiences of nurses working in a rural primary health-care setting in the greater Letaba sub-district in Limpopo Province. Purposive sampling was used to identify the participants. Data was collected in the form of in-depth interviews. The study revealed that nurses working in primary health-care settings were experiencing emotional and physical strain as a result of the shortage of human resources. It was recommended that policies that meet the health-care needs of rural communities be developed, and that strategies to retain professional nurses in primary health-care settings be formulated.

Key words: primary health care, experience, rural

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List of references

AKISOLA, HY & NCUBE, E 2000: Rural health care provision in Botswana: The context of nursing, a practice and the expanded role of the nurse. Africa Journal of Nursing and Midwifery. 1:49-55.         [ Links ]

AVERILL, JB 2002: Voices from the Gila: Health care issues for rural elders in south-western Mexico. Journal of Advanced Nursing. 40(6):654-62.         [ Links ]

BRINK, HI 1996: Fundamentals of research methodology for health professionals. Cape Town: Juta.         [ Links ]

BUSBY, A & BUSBY, A 2001: Critical access hospitals: Rural nursing issues, jona, 31(6):301-10.         [ Links ]

BUSBY, A & RAUH, JR 1991: Implementing an ethics committee in rural institutions. Jona, 21 (12): 18-25.         [ Links ]

CHALMERS, KI; BRAMADAT, U & ANDRUSYSZYN, MA 1998: The changing environment of community health practice and education: Perceptions of staff nurses, administrators and educators. Journal of Nursing Education, 37(3): 109-117.         [ Links ]

DENNILL, K; KING, L; LOCK, M & SWANEPOEL, K 1995: Aspects of primary health care. Halfway House: Thomson.         [ Links ]

DE VOS, AS 1998: Research at grassroots level: A primer for the caring profession. Pretoria: Van Schaik.         [ Links ]

DOHERTY, J & PRICE, M 1998: Evaluation of rural ambulance service. World Health Forum. 19(3):315-8.         [ Links ]

FUSZARD, B, GREEN, E; KUJALA, E & TALLEY, B. 1994b: Rural magnet hospital of excellence (part 2). Jona. 24(2):35-41.         [ Links ]

GATTUSO, S & BEVAN, C 2000: Mother, patient, nurse: Women's emotion work in aged care. Journal of Advanced Nursing. 31(4): 892-99.         [ Links ]

HEGNEY, D & MCCARTHY, A 2000: Job satisfaction and nurses in rural Australia. Jona. 30(7/8):347-50.         [ Links ]

HEGNEY, D; MCCARTHY,A; CLARK, CR & GORMAN, D 2002: Retaining rural and remote area nurses: The Queensland, Australia experience, jona. 32(3): 128-35.         [ Links ]

KLOPPER, H 1998: Nursing research.Potchefstroom: Potchefstroom University.         [ Links ]

LINCOLN, SY & GUBA, EG 1985: Naturalistic inquiry. New Delhi: Sage.         [ Links ]

LIPINGE, SN & BOTES, AC.2002: Expectations of stakeholders regarding home care provision in rural Namibia. Curationis.: 25 (4).:21-31.         [ Links ]

MOSZCZYNSKI, AB; HANEY, CJ & VANCOUVER, BC 2002: Stress and coping of Canadian rural nurses caring for trauma patients who are transferred out. Journal of Emergency Nursing. 28(6): 496-504.         [ Links ]

MUUS, KJ; STRATTON, TJ; DUNKIN, JW & JUHL, N 1993: Retaining registered nurses in rural community hospitals, jona. 23(3):38-43.         [ Links ]

NEMATHAGA, LH 2002: Experiences of primary health care nurses on free health services in Vhembe region of the Limpopo Province Thohoyandou: UNIVEN. (MCur dissertation).         [ Links ]

POLIT, DF & BECK, CT 2004: Nursing research: Principles and methods . Philadelphia: Lippincott, Williams & Wilkins.         [ Links ]

POLIT, DF & HUNGLER, BP 1991: Nursing research: Principles and methods. Philadelphia: Lippincott.         [ Links ]

PURNELL, MJ; HORNER, D; GONZALEZ, J & WESTMAN, N 2001: The Nursing shortage: Revisioning the future. jana.31(4): 179-186.         [ Links ]

DEPARTMENT OF HEALTH. 2001: Primary health care package. Pretoria: Government Printers.         [ Links ]

STRATTON, TD; DUNKIN, JW; JUHL, N; LUDTKE, RI & GELLER, JM1991: Recruiting and retaining registered nurses in rural community hospitals, jona. 21(11):304.         [ Links ]

THORNTON, CL 1996: Nurse practitioner in a rural setting. Advanced Practice Nursing. 31(3):495-505.         [ Links ]

VAN DER MERWE, AS 1999: The power of women as nurses in South Africa. Journal of Advanced Nursing. 30(6): 1272 9.         [ Links ]

WIENS, AG 1990: Expanded nurse autonomy: Model for small rural hospital, jona, 20(12):15-22        [ Links ]

 

 

Correspondence:
FM Mulaudzi
North West University
(Potchefstroom Campus)
Tel: (018)299-2396; Fax:(018)299-2399
Email: mavis.mulaudzi@nwu.ac.za