Factors that influence the attendance of in-service training by nurses in district hospitals in the Cape Winelands District

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dc.contributor.advisorAnthonie, Ramonaen_ZA
dc.contributor.advisorVan der Heever, Marianaen_ZA
dc.contributor.authorDe Silva, Rene Zureenen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.en_ZA
dc.date.accessioned2023-03-02T14:07:55Z
dc.date.accessioned2023-05-18T07:12:14Z
dc.date.available2023-03-02T14:07:55Z
dc.date.available2023-05-18T07:12:14Z
dc.date.issued2023-03
dc.descriptionThesis (MNur)--Stellenbosch University, 2023.en_ZA
dc.description.abstractENGLISH 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.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Agtergrond – Die voorsiening en bywoning van indiensopleiding vir verpleegsters is belangrik om te verseker dat vaardige en bekwame verpleegsters kwaliteit sorg aan pasiente verskaf. Die bywoning of deelname van verpleegsters aan indiensopleiding blyk deur swaar werklading, gebrek aan tyd en die beskikbaarheid van hulpbronne gekelder te word. Doel – Die doel van hierdie studie was om die faktore wat die bywoning van indiensopleiding van verpleegsters in distrikshospitale in die Kaapse Wynlanddistrik affekteer te ondersoek. Die doelwitte was om die individuele, organisatoriese en pasientverwante faktore te bepaal en om assosiasies tussen demografiese of loopbaanverwante faktore en die bywoning van indiensopleiding deur verpleegkundiges te assesseer. Metodes – ‘n Kwantitatiewe benadering met ‘n beskrywende ontwerp was gebruik. ‘n Totaal van 122 verpleegsters bestaande uit verskillende verpleegkategoriee (geregistreerde en ingeskrewe verpleegkundiges, asook ingeskrewe hulpverpleegkundigese) en werksaam was by vier landelike distrikshospitale in die Kaapse Wynlandstreek in die Wes-Kaap, het aan die studie deelgeneem. Deelnemers was by wyse van gestratifiseerde ewekansige steekproefneming betrek. Etieke goedkeuring om die studie te onderneem, is deur die Stellenbosch Universiteit se Gesondheidsnavorsingsetiekkomitee goedgekeur, asook die institusionele toestemming van die bestuur by elke hospitaal. Regdeur die studie is etiese beginsels soos die reg op outonomie, vertroulikheid, anonimiteit, geregtigheid, welwillendheid en om nie kwaad te doen nie gehandhaaf om deelnemers te beskerm. Data was ingesamel oor ‘n tydperk van sewe weke (25 April tot 9 Junie 2022) deur van ‘n gestruktureerde self-geadministreerde vraelys gebruik te maak. Die hoofstudie was deur ‘n loodstoets, bestaande uit 25 deelnemers, voorafgegaan. Die data van die loodstoets was van die bevindinge van die hoofstudie uitgesluit. Die data was ontleed met die hulp van 'n biostatistikus deur van die Statistiese Pakket vir die Sosiale Wetenskap Sagteware (SWSW), weergawe 28, gebruik te maak. Resultate – Die individuele faktore wat die bywoning van indiensopleiding van verpleegkundiges beinvloed, is die belangrikheid van indiensopleiding vir verpleegkundiges (61% n=71 van die deelnemers het sterk saamgestem), relevante indiensopleiding wat hul kennis, vaardighede en kwalifikasies sal verbeter(72.5% n=87 sterk saamgestem) vir die veilige versorging van pasiente (69% n=83 van die deelnemers het sterk saamgestem). Voldoende hulpbronne vir indiensopleiding en vergoeding van reiskoste (32% n=38 van die deelnemers het sterk saamgestem) is ook geidentifiseer as faktore wat deelname aan indiensopleiding beinvloed. Die bywoning van indiensopleiding skyn beinvloed te word deur organisatoriese faktore soos die gebrek aan 'n verpleegonderrig- en opleidingsdepartement met 'n aangestelde verpleegopvoeder (33% n=37 het sterk saam gestem en 21% het saam gestem dat hul nie een het nie) om die direkte versorging van pasiente te beinvloed, die induksie en orientering van nuwe personeel te verseker (37% n=43 het saamgestem), en te help met logistieke ondersteuning en befondsing vir opleiding (43% n=50 het saamgestem). Die pasient faktore wat geidentifiseer was en die bywoning van indiensopleiding beinvloed, was klagtes wat ontvang was oor versorging (30% n=36 het saamgestem), veiligheidsinsidente van pasiente (63% n=75 het saamgestem) asook hul siektes en toestande (50% n=60 het saam gestem) wat as onderwerpe vir indiensopleiding gebruik kan word. Gevolgtrekking – Om deelname aan indiensopleiding te verseker, is gereelde opleidingsbehoefte-bepalings en analise van klagtes oor sorg en pasient veiligheidsinsidente nodig om spesifieke vaardighede en kliniese bevoegdhede van verpleegsters te bepaal, om geskikte versorging aan pasiente te verskaf, en indiensopleidingbehoeftes vir beroeps bevordering. Praktiese implikasies – Hospitaalbesture moet ‘n verpleegonderrrig- en opleidingsdepartement met aangestelde verpleegonderrigpersoneel by die hospitale vestig om indiensopleiding programme te koördineer, te kommunikeer en bystand te verleen met logistiese ondersteuning, om verpleegsters se deelname aan indiensopleiding te verbeter.af_ZA
dc.description.versionMasters
dc.format.extentxiv, 76 pages : illustrations (some color), maps, includes annexures
dc.identifier.urihttp://hdl.handle.net/10019.1/127254
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.rights.holderStellenbosch University
dc.subject.lcshNurses -- In-service training -- Western Cape (South Africa)en_ZA
dc.subject.lcshNursing -- Study and teaching -- Western Cape (South Africa)en_ZA
dc.subject.lcshNursing students -- Education (Continuing education) -- Western Cape (South Africa)en_ZA
dc.subject.nameUCTD
dc.titleFactors that influence the attendance of in-service training by nurses in district hospitals in the Cape Winelands Districten_ZA
dc.typeThesisen_ZA
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