Perceptions of Nurse Managers regarding Clinical Relicensing Audits at Private Hospitals

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Jamila Chellan
Keyword(s):  
South Africa ◽  
Patient Safety ◽  
Public Sector ◽  
Nurse Managers ◽  
Clinical Care ◽  
National Audit ◽  
Audit Process ◽  
Private Hospitals ◽  
Safety Standards ◽  
The Public

The National Health Insurance (NHI) in South Africa aims to provide access to quality health services for all South Africans. The NHI will only accredit and contract eligible health facilities that meet nationally approved quality standards both in the public and private sector. Detailed tools for measuring compliance with the National Core Standards (NCS) and Batho Pele principles have been developed and implemented in the public sector. To date and since its implementation in the public sector, very little is known about the national audit tool and the method used to evaluate quality and patient safety standards in private hospitals in the eThekwini district, South Africa. The aim of the study was therefore to assess nurse managers’ perceptions regarding the clinical relicensing audits performed at selected private hospitals in the eThekwini district. A qualitative, exploratory, descriptive design using an interview guide was used to conduct the study. The group of hospitals (N = 4) studied has approximately 40 clinical managers who were sampled for the study. A total of 24 nurse managers were interviewed, guided by data saturation. The results of the study showed that the selected private hospitals in the eThekwini district have not fully implemented the approach to clinical practice standards and healthcare audits in relation to the three clinical domains of the NCS, namely patient rights, patient safety and clinical care, and clinical support services, and the Batho Pele principles. Recommendations are for the internal and external factors influencing the national audit process to be dealt with based on the results of the study.

scholarly journals An audit tool for relicensing inspection for private hospitals in eThekwini district, South Africa

2020 ◽  
Vol 20 (2) ◽  
pp. 936-947
Author(s):  
Jamila Chellan ◽  
Maureen Nokuthula Sibiya
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Care Patient ◽  
Mixed Method Research ◽  
Health Coverage ◽  
Audit Tool ◽  
Private Hospitals ◽  
Safety Standards ◽  
The Public ◽  
Public And Private Sector

Background: South Africa is moving towards National Health Insurance (NHI), which aims to provide access to universal health coverage for all South Africans. The NHI will only accredit and contract eligible health facilities that meet nationally approved quality standards in the public and private sector. Detailed tools for measuring compliance with the National Core Standards (NCS) and Batho Pele principles have been developed and implemented in the public sector. To date and since its implementation in the public sector, very little is known about the national audit tool and the method used to evaluate quality and patient safety standards in private hospitals in eThekwini district. Objective: The aim of the study was to develop an audit tool for relicensing inspection of private hospitals in eThekwini district based on the clinical domains of the NCS and Batho Pele principles. Methodology: An exploratory sequential mixed method research design was used with a qualitative first phase involving 24 nurse managers through purposive sampling. This was followed by a quantitative phase in which a structured questionnaire was administered to 270 nurses who were randomly sampled for the study from 4 hospitals. Results: The results revealed that the NCS and the Batho Pele principles are not fully implemented or evaluated in the se- lected hospitals in eThekwini district. Conclusion: These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district. Keywords: Audit tool; best practices; patient care; patient rights;, support services.

scholarly journals An audit tool for relicensing inspection to assess quality and patient safety in eThekwini private hospitals

2018 ◽  
Author(s):  
◽  
Jamila Chellan
Keyword(s):  
South Africa ◽  
Patient Safety ◽  
Nursing Staff ◽  
Best Practice ◽  
Sampling Technique ◽  
Audit Tool ◽  
Audit Process ◽  
Private Hospitals ◽  
Quality And Patient Safety ◽  
Assess Quality

Background In South Africa, the National Core Standards are advocated as the cornerstone for improving quality and patient safety in health care organisations. To align to the Department of Health’s legislative and policy mandates, the Office of Health Standards Compliance developed the National Core Standards for Health Establishments in South Africa that provide a benchmark of quality of care against which the delivery of health services can be monitored. Through the implementation of the National Core Standards (NCS), an assessment of a health facility’s compliance to service standards can be measured. Aim The aim of this study was to develop an audit tool for relicensing inspection to assess quality and patient safety in eThekwini private hospitals Methodology An exploratory sequential mixed methods research design was used to assess nursing staff perceptions regarding the current relicensing audit process and the existence of best practice standards in (n=4) private hospitals in eThekwini district. A purposive sampling technique was employed to recruit clinical managers in the qualitative phase of the study. A total of (n=24) participants were interviewed from approximately 40 clinical managers, guided by data saturation; (n=9) from Hospital A, (n=7) from Hospital B, (n=5) from Hospital C and (n=3) from Hospital D. The clinical managers are the unit managers (middle management) and nursing services managers (higher management) in charge of all clinical services in the hospital and are directly involved in relicensing inspections. In the quantitative phase of the study, a simple random sampling technique was employed to include nursing staff in direct contact with the patients. The total population of nurses was 569 of which 270 were sampled for the study. The approach adopted for qualitative data analysis was an inductive approach. The concepts identified were translated into codes, then codes translated into themes and categories. The themes according to which data was organised were based on the conceptual framework that guided the study. The quantitative data was analysed using version 23.0 of the Statistical Package of Social Services. In the documentation review phase a total of 59 documents were reviewed from each hospital, amounting to 236 documents.Quantitative content analysis was used to analyse the documentation using a deductive approach. The goal was to identify important themes or categories within the content of the documents that corroborated with findings of both phases of the study and as related to the NCS and the Batho Pele principles. Results The results of the study showed that the participant private hospitals in eThekwini district have not fully implemented the approach to practice standards and healthcare audits in relation to three clinical domains of the National Core Standards and the Batho Pele Principles. Although best practice policies and procedures exist in private hospitals in eThekwini district, the results of the study showed that there is inconsistent checking of the clinical domains in the participant hospitals during relicensing inspections. Recommendations from participants for a standardised audit process led to the development of an audit tool for relicensing inspections based on the National Core Standards and the Batho Pele Principles for private hospitals in eThekwini district

Leadership of change in South Africa public sector turnarounds

2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mampe Kumalo ◽  
Caren Brenda Scheepers
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Current Literature ◽  
Organisational Change ◽  
Director General ◽  
Change Processes ◽  
Structured Interviews ◽  
Content Type ◽  
The Public ◽  
Financial Consequences

PurposeOrganisational decline has far-reaching, negative emotional and financial consequences for staff and customers, generating academic and practitioner interest in turnaround change processes. Despite numerous studies to identify the stages during turnarounds, the findings have been inconclusive. The purpose of this paper is to address the gap by defining these stages, or episodes. The characteristics of leaders affect the outcome of organisational change towards turnarounds. This paper focusses, therefore, on the leadership requirements during specific episodes, from the initial crisis to the full recovery phases.Design/methodology/approachA total of 11 semi-structured interviews were conducted with executives from the public sector in South Africa who went through or were going through turnaround change processes and 3 with experts consulting to these organisations.FindingsContrary to current literature in organisational change, this study found that, in these turnaround situations, leadership in the form of either an individual CEO or director general was preferable to shared leadership or leadership distributed throughout the organisation. This study found four critical episodes that occurred during all the public service turnarounds explored, and established that key leadership requirements differ across these episodes. The study shows how these requirements relate to the current literature on transactional, transformational and authentic leadership.Practical implicationsThe findings on the leadership requirements ultimately inform the selection and development of leaders tasked with high-risk turnaround change processes.Originality/valueFour episodes with corresponding leadership requirements were established in the particular context of public sector turnaround change processes.

Public sector entrepreneurship in South Africa

2019 ◽  
Vol 8 (4) ◽  
pp. 500-512
Author(s):  
Boris Urban ◽  
Mmapoulo Lindah Nkhumishe
Keyword(s):  
South Africa ◽  
Public Sector ◽  
South African ◽  
Middle Level ◽  
Primary Data ◽  
Content Type ◽  
The Public ◽  
Provision Of Services ◽  
Efficiency And Effectiveness ◽  
Organisational Factors

Purpose Many unanswered questions remain regarding the authors’ understanding of how entrepreneurship can be fostered in the public sector. To fill this knowledge gap, the purpose of this paper is to conduct an empirical investigation to determine the relationship between different organisational factors and entrepreneurial orientation (EO) in the South African public sector. Design/methodology/approach Primary data are sourced from middle-level managers at municipalities in the three largest provinces across South Africa. Hypotheses are statistically tested using regression analyses. Findings Results reveal that the organisational antecedents of structure and culture explain a significant amount of variation in the EO dimensions of innovativeness, risk taking and proactiveness. Additionally, the findings on organisational rewards converge with an emerging stream of research which highlights that while rewards works well to motivate individuals in the private sector, they are negatively correlated with entrepreneurship in the public sector. Research limitations/implications The study implications relate to the efficiency and effectiveness of service delivery of municipalities in South Africa. Due to increases in community protest actions, it is necessary not only to maximise efficiency in the provision of services, but also to innovate and be proactive in order to achieve more with less resources. Originality/value By investigating previously unrelated factors in the public sector, the authors create closer conceptual and empirical links between the role of organisational factors and each of the EO dimensions. Furthermore, the study takes place in a relatively under-researched entrepreneurship and public sector context.

scholarly journals Work as a central life interest for legal professionals

2005 ◽  
Vol 31 (1) ◽  
Author(s):  
Jacques Genis ◽  
Taryn Wallis
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Law Firms ◽  
Work Centrality ◽  
Public And Private ◽  
Legal Professionals ◽  
The Public ◽  
Public Sector Employees ◽  
Private And Public ◽  
Two Sectors

Dubin’s theory of Central Life Interests (CLIs) was used to investigate whether work is a CLI for legal professionals in South Africa. The research also served as a comparative exploration between the public and private sectors based on their work centrality and work orientation. 59 employees from three public sector organisations and 27 employees from various private sector law firms completed questionnaires. Contrary to Dubin’s theory, results indicated that two-thirds of respondents did not have work as a CLI. Also, contrary to previous work on private and public sector employees, some interesting similarities emerged between the two sectors. Opsomming Dubin (1992) se teorie van Sentrale Lewensbelangstellings was gebruik om te ondersoek of werk ’n sentrale lewensbelangstelling is vir individue in die Suid-Afrikaanse regsprofessie. Die navorsing was ook ’n vergelykende ondersoek tussen die publieke en privaat sektore met betrekking tot hul werk sentraliteit en werk orientasie. 59 werknemers van drie publieke organisasies en 27 werknemers van verskeie privaat firmas het vraelyse beantwoord. Teenstellig met Dubin se teorie het resultate gewys dat vir twee-derdes van die deelnemers werk nie ’n sentrale lewensbelangstelling was nie. Daar was ook interessante resultate wat te voorskyn gekom het, wat teenstrydig was met vorige navorsing op werknemers in die privaat en publieke sektore.

scholarly journals Aggregate Public-Private Remuneration Patterns in South Africa

2020 ◽  
Author(s):  
Andreas Wörgötter ◽  
Sihle Nomdebevana
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Private Sector ◽  
Inflation Targeting ◽  
Public And Private ◽  
The Public ◽  
Causal Direction ◽  
Long Run ◽  
Causality Tests ◽  
Public And Private Sector

AbstractThis paper investigates the public-private remuneration patterns in South Africa with time-series methods for the first time since the introduction of an inflation-targeting framework in 2000. Co-integration tests and analysis confirm that there is a stable, long-run relationship between nominal and real remuneration in the public and private sector. The adjustment to the deviations from this long-run relationship is strong and significant for public-sector remuneration, while private-sector wages neither respond to deviations from the long-run relationship nor lagged changes in public-sector remuneration. The causal direction from private- to public-sector remuneration does not change if real earnings are calculated with the gross domestic product deflator. This is confirmed by simple Granger-causality tests.

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