Newly qualified primary care nurses' preparedness to make sound clinical judgements in practice.

Mavis Ndlela, Charlené Downing
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Abstract

Background:  The public health sector in South Africa provides care to more than 40 million people, with primary health care (PHC) clinics acting as most patients' first contact with healthcare services; 80% of patients are treated by primary care nurses. Primary care nurses' poor clinical judgment can result in poor patient care, complications and death. However, newly qualified primary care (NQPC) nurses' preparedness for making sound clinical judgements in practice has not been evaluated in Gauteng province, South Africa.

Objectives:  To determine NQPC nurses' level of preparedness in making sound clinical judgements in practice.

Method:  A quantitative, non-experimental, descriptive design was used. The target population was NQPC nurses. A census method was used to select all NQPC nurses in public PHC facilities in three health districts of Gauteng. The sample size comprised 77 NQPC nurses, and data were collected using a self-administered questionnaire.

Results:  The findings indicated that 83% of NQPC nurses were able to notice salient changes in patients' conditions, 43% were able to correctly interpret the changes that were noticed, but only 42% prioritised the correct patient care.

Conclusion:  The results reflect that 50.2% of the NQPC nurses in public PHC facilities in the three districts in Gauteng were functioning at exemplary levels.Contribution: This article highlighted NQPC nurses' level of preparedness to make sound clinical judgements within a year after qualifying.

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新晋初级护理护士在实践中做出正确临床判断的准备情况。
背景: 南非的公共卫生部门为 4000 多万人提供医疗服务,其中初级卫生保健(PHC)诊所是大多数患者接触医疗服务的第一站;80% 的患者由初级保健护士负责治疗。初级保健护士的临床判断能力较差,可能导致病人护理不善、并发症和死亡。然而,南非豪登省尚未对新获得资格的初级护理(NQPC)护士在实践中做出正确临床判断的准备情况进行评估: 确定新获得初级护理资格的护士在实践中做出正确临床判断的准备程度: 方法:采用定量、非实验、描述性设计。目标人群为国家质控中心护士。研究采用普查方法,在豪滕省三个卫生区的公立初级保健设施中选取了所有 NQPC 护士。样本量为 77 名 NQPC 护士,采用自填式问卷收集数据: 结果:研究结果表明,83% 的国家质控中心护士能够注意到患者病情的显著变化,43% 的护士能够正确解释所注意到的变化,但只有 42% 的护士能够优先考虑正确的患者护理: 结果反映出,在豪滕省三个地区的公立初级保健设施中,50.2% 的国家质控中心护士的工作达到了模范水平:这篇文章强调了国家合格初级保健中心护士在获得资格后一年内做出正确临床判断的准备程度。
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