Tshwane区一家公立医院助产士对员工短缺和留用的看法。

Mosehle S Matlala, Thanyani G Lumadi
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引用次数: 33

摘要

背景:助产是妇女和儿童保健的支柱。产科病房工作人员短缺是包括南非在内的世界许多国家面临的危机。目的:本研究旨在探讨助产士对公共机构工作人员短缺和留用的看法。方法:该研究在豪登省茨瓦内区的一家三级医院进行。共有11名助产士接受了面对面和焦点小组访谈。遵循探索性、描述性的通用定性设计方法,并使用非概率、有目的的抽样技术。对数据进行了专题编码分析。结果:据报道,助产士短缺的影响与工作量增加导致士气低落和倦怠而导致的优质护理提供不足直接相关。产科高度依赖单位的助产士自主权受损,降低了助产士的地位。结论:助产士对自己的工作充满热情,尽管他们的日常工作环境存在障碍。他们因长期人手短缺而士气低落,感到工作过度。工作人员参与决策过程是促使助产士继续从事这一职业的一个因素。助产士需要处于与其职业相关的决策过程的中心。南非护理委员会(SANC)将助产专业的执业范围和分类从普通护理综合体中删除,可以使助产处于其合法地位。
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Perceptions of midwives on shortage and retention of staff at a public hospital in Tshwane District.

Background:  Midwifery is the backbone of women and child healthcare. The shortage of staff in maternity units is a crisis faced by many countries worldwide, including South Africa.

Objectives:  This study aims to explore the perceptions of midwives on the shortage and retention of staff at a public institution.

Method:  The study was conducted at one of the tertiary hospitals in Tshwane District, Gauteng Province. A total of 11 midwives were interviewed through face-to-face and focus group interviews. An explorative, descriptive generic qualitative design method was followed, and a non-probability, purposive sampling technique was used. Thematic coding analysis was followed for analysing data.

Results:  The impact of shortage of midwives was reported to be directly related to poor provision of quality care as a result of increased workload, leading to low morale and burnout. The compromised autonomy of midwives in the high obstetrics dependency units devalues the status of midwives.

Conclusion:  Midwives are passionate about their job, despite the hurdles related to their day-to-day work environment. They are demoralised by chronic shortage of staff and feel overworked. Staff involvement in decision-making processes is a motivational factor for midwives to stay in the profession. The midwives need to be in the centre of the decision-making processes related to their profession. The revision of the scope of practice and classification of midwifery profession away from general nursing complex by the South African Nursing Council (SANC) could place midwifery in its rightful status.

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