scholarly journals Turnover of professional nurses at Mokopane Hospital in the Limpopo Province, South Africa: Experiences of nursing unit managers

Curationis ◽  
2015 ◽  
Vol 38 (2) ◽  
Author(s):  
Mogale L. Mmamma ◽  
Tebogo M. Mothiba ◽  
Malema R. Nancy
Keyword(s):  
Limpopo Province ◽  
Top Management ◽  
Staff Turnover ◽  
Public And Private ◽  
Nursing Unit ◽  
Staff Members ◽  
Healthy Environment ◽  
Patient Dissatisfaction ◽  
Professional Nurses ◽  
Working Day

Background: Staff turnover of professional nurses remains a concern for public and private hospitals management because it has an impact on the morale of nurses and it may also lead to poor patient care.Objectives: The objectives of this study were to explore and describe the experiences of nursing unit managers with regard to the turnover of professional nurses who were under their supervision.Method: A qualitative, explorative, descriptive research design was used to determine the experiences of nursing unit managers related to the turnover of professional nurses. Data collection was done by using semi-structured one-to-one interviews with professional nurses .Two groups of participants were interviewed: Those working day duty (n = 9) and those working night duty (n = 3) who were at work on the anticipated days for data collection.Results: The findings revealed that every unit was experiencing a shortage of professional nurses, which caused other nurses to work overtime with an inevitable increase in workload. That led to tiredness, conflict amongst professional nurses, job dissatisfaction, and absenteeism which compromised nursing care. This resulted in patient dissatisfaction and sometimes led to deaths that could have been prevented.Conclusion: It is recommended that staff turnover should be addressed by the hospital top management implementing several strategies. For example, top management could ensure that staff members work in a healthy environment with resources that they need during the provision of care, address the effects of the staff turnover, support the staff members and refrain from putting pressure on nursing unit managers whilst they are attending to problems.

scholarly journals A holistic approach to the productivity paradox

2007 ◽  
Vol 26 (2) ◽  
pp. 85-97
Author(s):  
Rune Wigblad ◽  
John Lewer ◽  
Magnus Hansson
Keyword(s):  
Holistic Approach ◽  
Management Control ◽  
New Order ◽  
Public And Private ◽  
Psychological Reactions ◽  
The Public ◽  
Time Period ◽  
Plant Level ◽  
Working Day ◽  
Or Organization

Both the public and private sectors have since the 1980s relentlessly cut the size of their workforces. The downsizing has regularly been reported to lead to closure of a whole or a part of a corporation or organization. Some studies which have analyzed the closures have reported that remarkable, counterintuitive improvements in labor productivity occurred during the time-period between the closure announcement and the final working day. Testing an elaborated cybernetic model on a Swedish case study, and on an exploratory basis, this paper proposes a holistic approach to generate a better understanding of this phenomenon. The main holistic pattern is a new order where management control is replaced by more “Self-management” on the plant level, and very strong psychological reactions based on feelings of unfairness.

scholarly journals Transmission of COVID-19 in Public and Private Schools in Benghazi, Libya: 13th -28th February 2021

2021 ◽  
pp. 32-37
Author(s):  
Naeima Houssein ◽  
Alsalihin Majeed ◽  
Emad Amkhatirha ◽  
Abdelghffar F. Abdelghffar ◽  
Asma Abubakr Mustafa ◽  
...  
Keyword(s):  
Private Schools ◽  
Viral Antigen ◽  
School Setting ◽  
Nasopharyngeal Swab ◽  
Eastern Region ◽  
Antigen Test ◽  
Prevention Measures ◽  
Public And Private ◽  
Staff Members ◽  
Pcr Test

The aim of the present study was to provide a national estimate for transmission of COVID-19 Cases in public and private schools in Benghazi city in the Eastern region of Libya. A multistage procedure was followed to obtain a representative sample of students and teaching staffs at randomly selected schools across the Eastern region of Libya. The resultant sample consisted of 101 schools, 808 students, and 202 staff members. Data were collected on age, sex, class, and symptoms of COVID19. Rapid antigen test was performed as a diagnostic test for SARS-CoV-2 to detect the presence of a viral antigen. Specimen was taken from the upper nasopharyngeal swab. Out of 808 students tested, 5 specimens were positive. Every positive rapid antigen test was further confirmed by PCR test.  All Specimens taken from staff members were negative. This survey highlights epidemiological concern on COVID-19 among students and staff members in school setting in Benghazi. Implementation and compliance with prevention measures are crucial.

THE PHYSICIAN, THE BATTERED CHILD, AND THE LAW

PEDIATRICS ◽  
1963 ◽  
Vol 31 (6) ◽  
pp. 899-902
Author(s):  
Fowler V. Harper
Keyword(s):  
Social Workers ◽  
Juvenile Court ◽  
Hospital Staff ◽  
Abused Children ◽  
Public And Private ◽  
State Legislation ◽  
After Effects ◽  
Staff Members ◽  
Battered Child ◽  
Welfare Workers

THE PROBLEM of physical and mental injuries inflicted on infants and small children has increasingly attracted the attention of physicians and welfare workers within the past few years. A bibliography prepared by the Children's Bureau in August of last year compiled a substantial number of scholarly articles in scientific journals dealing with abused children. Careful case studies reveal the seriousness of the problem, and several surveys, its extent. What informed persons have suspected and what many doctors and social workers have believed, has been demonstrated, viz., that parents too often are their children's worst enemies. It may be because one or more parent is psychotic, of extremely low intelligence, of uncontrollable temper, or was himself an abused child with serious psychiatric after-effects. The assumption that, generally, a child is "better off" in the home, surrounded by the loving care of his parents is no doubt sound enough, but the exceptions are sufficiently numerous to warrant more attention by appropriate agencies and professional individuals, public and private, than they have received. The Children's Bureau held two conferences devoted to this matter during the year 1962. Participants included well-qualified pediatricians, social workers, psychiatrists, lawyers, judges, juvenile court staff personnel, administrative and professional hospital staff members, and others concerned with child health and welfare. There was general agreement that the physician is perhaps the first person who will obtain knowledge of a situation involving inflicted injuries on a child, that he should report his findings to an appropriate investigating authority for further action, and that state legislation is necessary to impose a legal obligation on the physician in this regard.

Implementation of a COVID-19 Screening Testing Program in a Rural, Tribal Nation: Experience of the San Carlos Apache Tribe, January–February 2021

2022 ◽  
pp. 003335492110617
Author(s):  
Natsai Zhou ◽  
Nickolas Agathis ◽  
Yvonne Lees ◽  
Heidi Stevens ◽  
James Clark ◽  
...  
Keyword(s):  
Lessons Learned ◽  
Indian Reservation ◽  
Public And Private ◽  
Detention Center ◽  
Testing Program ◽  
Laboratory Staff ◽  
Staff Members ◽  
Antigen Tests ◽  
Real Time Identification ◽  
San Carlos

The COVID-19 pandemic has disproportionately affected tribal populations, including the San Carlos Apache Tribe. Universal screening testing in a community using rapid antigen tests could allow for near–real-time identification of COVID-19 cases and result in reduced SARS-CoV-2 transmission. Published experiences of such testing strategies in tribal communities are lacking. Accordingly, tribal partners, with support from the Centers for Disease Control and Prevention, implemented a serial testing program using the Abbott BinaxNOW rapid antigen test in 2 tribal casinos and 1 detention center on the San Carlos Apache Indian Reservation for a 4-week pilot period from January to February 2021. Staff members at each setting, and incarcerated adults at the detention center, were tested every 3 or 4 days with BinaxNOW. During the 4-week period, 3834 tests were performed among 716 participants at the sites. Lessons learned from implementing this program included demonstrating (1) the plausibility of screening testing programs in casino and prison settings, (2) the utility of training non–laboratory personnel in rapid testing protocols that allow task shifting and reduce the workload on public health employees and laboratory staff, (3) the importance of building and strengthening partnerships with representatives from the community and public and private sectors, and (4) the need to implement systems that ensure confidentiality of test results and promote compliance among participants. Our experience and the lessons learned demonstrate that a serial rapid antigen testing strategy may be useful in work settings during the COVID-19 pandemic as schools and businesses are open for service.

scholarly journals Laboratory Staff Turnover: A College of American Pathologists Q-Probes Study of 23 Clinical Laboratories

2019 ◽  
Vol 144 (3) ◽  
pp. 350-355 ◽  
Author(s):  
David A. Novis ◽  
Suzanne Nelson ◽  
Barbara J. Blond ◽  
Anthony J. Guidi ◽  
Michael L. Talbert ◽  
...  
Keyword(s):  
Human Resource ◽  
Clinical Laboratory ◽  
Staff Turnover ◽  
Human Resource Practices ◽  
Full Time ◽  
Turnover Rates ◽  
Full Time Equivalent ◽  
Laboratory Staff ◽  
Staff Members ◽  
Clinical Laboratories

Context.— Knowledge of laboratory staff turnover rates are important to laboratory medical directors and hospital administrators who are responsible for ensuring adequate staffing of their clinical laboratories. The current turnover rates for laboratory employees are unknown. Objective.— To determine the 3-year average employee turnover rates for clinical laboratory staff and to survey the types of institutional human resource practices that may be associated with lower turnover rates. Design.— We collected data from participating laboratories spanning a 3-year period of 2015–2017, which included the number of full-time equivalent (FTE) staff members that their laboratories employed in several personnel and departmental categories, and the number of laboratory staff FTEs who vacated each of those categories that institutions intended to refill. We calculated the 3-year average turnover rates for all laboratory employees, for several personnel categories, and for major laboratory departmental categories, and assessed the potential associations between 3-year average all laboratory staff turnover rates with institutional human resource practices. Results.— A total of 23 (20 US and 3 international) participating institutions were included in the analysis. Among the 21 participants providing adequate turnover data, the median of the 3-year average turnover rate for all laboratory staff was 16.2%. Among personnel categories, ancillary staff had the lowest median (11.1% among 21 institutions) and phlebotomist staff had the highest median (24.9% among 20 institutions) of the 3-year average turnover rates. Among laboratory departments, microbiology had the lowest median (7.8% among 18 institutions) and anatomic pathology had the highest median (14.3% among 14 institutions) of the 3-year average turnover rates. Laboratories that developed and communicated clear career paths to their employees and that funded external laboratory continuing education activities had significantly lower 3-year average turnover rates than laboratories that did not implement these strategies. Conclusions.— Laboratory staff turnover rates among institutions varied widely. Two human resource practices were associated with lower laboratory staff turnover rates.

scholarly journals Student nurses’ perceptions of guidance and support in rural hospitals

Curationis ◽  
2014 ◽  
Vol 37 (1) ◽  
Author(s):  
Steppies R. Rikhotso ◽  
Martha J.S. Williams ◽  
Gedina De Wet
Keyword(s):  
Nursing Students ◽  
Qualitative Content Analysis ◽  
Rural Hospitals ◽  
Limpopo Province ◽  
Rural Hospital ◽  
Hospital Environment ◽  
Clinical Exposure ◽  
Clinical Guidance ◽  
Contextual Design ◽  
Professional Nurses

Background: Clinical guidance and support of nursing students in rural hospitals is a challenge for novice nurses, who rotate amongst accredited hospitals throughout the province for clinical exposure, and fid themselves in an unfamiliar environment. Theory learned at the training college is integrated with clinical exposure at hospitals and supplemented through teaching by hospital staff. Nursing students complain about lack of support and guidance from professional nurses within the hospital, some feeling restricted in execution of their nursing tasks by professional nurses and other staff. Students perceived negative attitudes from clinical staff, a lack of clinical resources, inadequate learning opportunities and a lack of support and mentoring during their clinical exposure.Objectives: This article describes perceptions of guidance and support of nursing students by professional nurses in a rural hospital and suggests guidelines for clinical guidance and support of nursing students.Method: A qualitative, explorative, descriptive and contextual design was used. Two focus group interviews were employed to collect data from a sample drawn from level II nursing students from one training college in Limpopo Province, South Africa, on different days (n = 13; n = 10). Qualitative content analysis was used to analyse data.Results: Three themes (mutual distrust and disrespect, hospital environment, and clinical guidance and support) and subthemes (student behaviour and staff behaviour) emerged.Conclusion: Failure to support and guide nursing students professionally may lead to high turnover and absenteeism, resulting in students’ refusal to be allocated to a rural hospital for clinical exposure. Proposed guidelines have been formulated for clinical guidance and support of nursing students at the selected rural hospital. The college and hospital management should foster collaboration between the college tutors and professional nurses to ensure adequateguidance and support of nursing students.

scholarly journals Professional nurses' understanding of clinical judgement: A contextual inquiry

2016 ◽  
Vol 21 ◽  
pp. 280-293 ◽  
Author(s):  
Anna C. Van Graan ◽  
Martha J.S. Williams ◽  
Magdalena P. Koen
Keyword(s):  
Health Care ◽  
Nursing Care ◽  
Cognitive Skills ◽  
Relevant Literature ◽  
Clinical Judgement ◽  
Clinical Environment ◽  
Health Care Environment ◽  
Public And Private ◽  
Health Care Clinics ◽  
Professional Nurses

Higher cognitive skills are essential competencies for nurses joining the technologically and increasingly complex health care environment to provide safe and effective nursing care. Educators and clinical facilitators have recognised that newly qualified nurses do not meet the expectations for entry level clinical judgement and are held accountable for finding adequate learning experiences as preparation for such practice demands. An explorative and descriptive qualitative design was followed in this study to reach an understanding of clinical judgement in the clinical nursing environment from the perspective of professional nurses. Eleven professional nurses (n = 11) working at primary health care clinics, public and private hospitals participated voluntarily. Data was collected by means of the “World Cafe” method, incorporating a combination of techniques such as interviewing, discussions, drawings, narratives and reflection. The focus was on professional nurses' knowledge of the meaning of clinical judgement and factors influencing the development of clinical judgement in the clinical environment. Qualitative thematic content analysis principles were applied during data analysis. The findings were integrated with the relevant literature to culminate in conclusions that should add to the knowledge base of clinical judgement as an essential skill for improving autonomous and accountable nursing care.

Active shooter in educational facility

2015 ◽  
Vol 13 (4) ◽  
pp. 303 ◽  
Author(s):  
Scott Downs, AA, BA, MS, CAS
Keyword(s):  
National Security ◽  
Private School ◽  
Public Safety ◽  
Educational Institutions ◽  
Educational Facilities ◽  
Student Body ◽  
Public And Private ◽  
Staff Members ◽  
Educational Personnel ◽  
Sandy Hook Elementary School

The last decade has seen several of the most heinous acts imaginable committed against our educational facilities. In light of the recent shooting in Sandy Hook Elementary School in Monroe (Newtown), CT, which took the lives of 20 children and six employees, a new heightened sense of awareness for safety and security among our educational facilities was created.1 The law enforcement and public-safety community is now looking to work together with many of the educational representatives across the nation to address this issue, which affects the educational environment now and in the future. The US public and private elementary and secondary school systems’ population is approximately 55.2 million students with an additional 19.1 million students attending a 2- and 4-year college or university. These same public and private school and degree-granting institutions employ approximately 7.6 million staff members who can be an enormous threshold of potential targets.2 A terrorist's act, whether domestic, international, or the actions of a Lone Wolf against one of our educational facilities, would create a major rippling effect throughout our nation. Terrorists will stop at nothing to advance their ideology and they must continue to advance their most powerful tool—fear—to further their agenda and mission of destroying our liberty and the advanced civilization of the Western hemisphere.To provide the safety and security for our children and those who are employed to educate them, educational institutions must address this issue as well as nullify the possible threat to our national security. This thesis used official government reports and data interview methodologies to address various concerns from within our nation's educational system. Educational personnel along with safety and security experts identified, describe, and pinpointed the recommended measures that our educational institutions should include to secure our nation from within. These modifications of evaluating and updating their current emergency operations plan, if implemented correctly, will bring heightened awareness, as well as define roles and responsibilities, to everyone involved. In addition, these implementations will assist in coordinating and strengthening a multiagency partnership's among the public-safety community that will mitigate the risk to our student body, faculty, and staff, and strengthen our national security.

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

Curationis ◽  
2008 ◽  
Vol 31 (2) ◽  
Author(s):  
MP Mohale
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Limpopo Province ◽  
Health Care Setting ◽  
Health Care Settings ◽  
Primary Health Care Setting ◽  
Primary Health ◽  
Professional Nurses ◽  
Primary Health Care Settings

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.

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