Browsing by Author "Daniels, Ruth Carol"
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- ItemFactors influencing safe patient care provided by professional nurses in a private healthcare organisation in the Western Cape(Stellenbosch : Stellenbosch University, 2020-03) Daniels, Ruth Carol; Damons, Anneleen; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.ENGLISH SUMMARY : Background: As the evolution of nursing takes place, professional nurses (PNs) are confronted with factors in the clinical field of healthcare organisations such as inadequate leadership, punitive cultures, insufficient learning and challenging demographic information which are influencing their provision of safe, patient care. The aim of the study was to determine the factors, which influence the safe patient care provided by PNs in a private healthcare organisation of the Western Cape, South Africa. The objectives of the study were to determine whether leadership, just culture, and organisational learning influence the PNs providing safe patient care and whether the personal background information of the PNs related to the PNs providing safe patient care in a private healthcare organisation of the Western Cape, South Africa. Methods: A quantitative descriptive design was applied to the study. The target population were all the PNs working in one private healthcare organisation of the Western Cape, South Africa. The researcher conducted a pilot test to refine the research methodology. The researcher collected the data with the assistance of a trained field worker. A reliable and validated questionnaire, designed by the Agency for Healthcare Quality and Research, the Hospital Survey on Patient Safety (United States of America), Version 1.0 was applied. Permission to conduct the study was obtained from the Health Research Ethics Committee (HREC) at Stellenbosch University [S19/02/046], the healthcare organisation and the participants by way of informed consent. Results: The results showed that leadership, just culture, and organisational learning influenced safe patient care provided by the PNs. Furthermore, the study found that the personal background information of the PN related to the safe patient care, which was provided by the PNs. The study found that the participants who held a Two Year General Diploma qualification were more inclined to agree with the items in the questionnaire even when items were negatively phrased. Most participants found that the management support for patient safety was inadequate (mean=59) and that management only became interested in patient safety after an adverse event happened (mean=41.8). Further results showed that the hospitals and units had a mean score of only m=46.50 for the non-punitive response to errors. Recommendations: Leadership of the organisation should be alluded to the factors influencing the safe patient care provided by the PNs. The development and implementation of a non-punitive culture is strongly suggested. Conclusion: The study identified that leadership, just culture and organisational learning were factors, which influenced the safe, patient care provided by the PNs, and in addition, that the personal background information related to safe patient care provided by the PNs in a private healthcare organisation of the Western Cape.