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The impact of care competency training for primary care nurses in South Africa

Includes bibliographical references (leaves 184-200).

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Main Author: Michaels-Strasser, Susan D
Other Authors: Kortenbout, Elma
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2014
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access_status_str Open Access
author Michaels-Strasser, Susan D
author2 Kortenbout, Elma
author_browse Kortenbout, Elma
Michaels-Strasser, Susan D
author_facet Kortenbout, Elma
Michaels-Strasser, Susan D
author_sort Michaels-Strasser, Susan D
collection Thesis
description Includes bibliographical references (leaves 184-200).
format Thesis
id oai:open.uct.ac.za:11427/7440
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:51:27.356Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/7440 The impact of care competency training for primary care nurses in South Africa Michaels-Strasser, Susan D Kortenbout, Elma Public Health and Family Medicine Includes bibliographical references (leaves 184-200). To effectively support the primary health care transformation of the South African health system, human resource development is needed. Nurses, at the forefront of primary care service delivery, urgently need support and advancement to fulfill their role. This study aimed to investigate the impact of core competency training on primary care nurse competence. To begin this investigation, a framework or core competencies was generated through two reference group meetings. This work was followed by a Delphi study to further define core competence in primary care nursing and how best to measure such competence. Nine core competencies were defined which led to the development and piloting of a core competency evaluation tool including a self-lest and observation tool. This early work was followed by the implementation and evaluation of a novel core-competency training program. This program was implemented within district health systems with working clinic nurses. It involved tour distinct sites in three different provinces. A total of 162 nurses took part in the study, including an intervention and reference group. The goal was to assess the impact of training in a real world setting. Using the self-lest and observation tools, this study showed that competence does improve with this type of training. Additionally, competence is most reliably assessed through observation since test familiarity and possible contamination decrease the usefulness of repeated self-test measures. Further assessment or this novel training program and ref1nement of the measurement tool are recommended. This study can serve to inform health policies, particularly regarding human resource development within emerging district health systems. It provides a practical and effective training approach for increasing nurse performance of primary care core competencies. 2014-09-12T07:07:13Z 2014-09-12T07:07:13Z 2006 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/7440 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Public Health and Family Medicine
Michaels-Strasser, Susan D
The impact of care competency training for primary care nurses in South Africa
thesis_degree_str Doctoral
title The impact of care competency training for primary care nurses in South Africa
title_full The impact of care competency training for primary care nurses in South Africa
title_fullStr The impact of care competency training for primary care nurses in South Africa
title_full_unstemmed The impact of care competency training for primary care nurses in South Africa
title_short The impact of care competency training for primary care nurses in South Africa
title_sort impact of care competency training for primary care nurses in south africa
topic Public Health and Family Medicine
url http://hdl.handle.net/11427/7440
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