Browsing by Author "De Silva, Rene Zureen"

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    Factors that influence the attendance of in-service training by nurses in district hospitals in the Cape Winelands District
    (Stellenbosch : Stellenbosch University, 2023-03) De Silva, Rene Zureen; Anthonie, Ramona; Van der Heever, Mariana; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.
    ENGLISH SUMMARY: Background - The provision and attendance of in-service training of nurses are important to ensure skilled and competent nurses to provide quality patient care. The attendance or participation of nurses in in-service training appears to be compromised due to heavy workloads, lack of time, and the availability of resources. The aim of this study was to investigate the factors that influenced the attendance of in-service training by nurses in district hospitals in the Cape Winelands District and the objectives were to determine the individual, organisational and patient related factors and to assess associations between demographic or career-related factors and the attendance of in-service training by nurses. Methods - A quantitative approach with a descriptive design was used. A total of 122 nurses comprising different nursing categories (registered, enrolled, and enrolled auxiliary nurses) employed at four rural district hospitals in the Cape Winelands District in the Western Cape participated in the study. Participants were sampled by means of stratified random sampling. Ethical clearance to conduct the study was obtained from the Health Research Ethics Committee of Stellenbosch University and institutional permission was obtained from the management of each hospital. Throughout this study ethical principles such as the right to autonomy, confidentiality, anonymity, justice, benevolence, and non-maleficence were maintained to protect participants. Data was collected over a seven-week period (25 April to 9 June 2022) using a structured self-administered questionnaire. The main study was preceded by a pilot test with 25 participants. The data of the pilot test was excluded from the findings of the main study. The data was analysed with the assistance of a biostatistician using the Statistical Package for the Social Sciences Software (SPSS), version 28. Results - The individual factors influencing the attendance of in-service training of nurses is the importance of in-service training for nurses (61% n=71 of participants strongly agreed that it was important), and relevant in-service training that would improve their knowledge, skills, and qualifications (72.5% n=87 strongly agreed) to provide better patient care (69% n=83 of participants strongly agreed). Adequate resources for in-service training and reimbursement of traveling expenses (32% n=38 of participants strongly agreed) were also identified as factors influencing participation in in-service training. The attendance of in-service training seemed to be influenced by organisational factors such as the lack of a nurse education and training department with a designated nurse trainer (33% n=37 strongly disagreed that they had one) to impact direct patient care, ensure induction and orientation of new staff (37% n=43 agreed), logistical and resource support for in-service training of nurses (43% n=50 agreed). The patient factors identified to influence the attendance of in-service training were complaints received about care (30% n=36 agreed), patient safety incidents (63% n=75 agreed) and patient diseases and conditions (50%n=60 agreed) to be used as topics for in-service training. Conclusion - To ensure participation in in-service training, regular training needs analyses and analyses of complaints and patient safety incidents must be conducted to identify the specific skills and clinical competence nurses need to provide appropriate care for their patients and their training needs for career advancement. Practical implications: Hospital management need to establish a nurse education and training department with designated nurse eduators at the hospitals to coordinate and communicate in-service programmes and assist with logistical support that would improve nurses’ participation in in-service training.