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Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals

Thesis (MNur)--Stellenbosch University, 2022.

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Main Author: Kunz, Thalita Yvonne
Other Authors: Cohen, Mary A.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2022
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access_status_str Open Access
author Kunz, Thalita Yvonne
author2 Cohen, Mary A.
author_browse Cohen, Mary A.
Kunz, Thalita Yvonne
author_facet Cohen, Mary A.
Kunz, Thalita Yvonne
author_sort Kunz, Thalita Yvonne
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MNur)--Stellenbosch University, 2022.
format Thesis
id oai:scholar.sun.ac.za:10019.1/124305
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:25.190Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2022
publishDateRange 2022
publishDateSort 2022
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/124305 Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals Kunz, Thalita Yvonne Cohen, Mary A. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Operating room personnel -- Job satisfaction -- Western Cape (South Africa) Operating room personnel -- Attitudes -- Western Cape (South Africa) Operating room personnel -- Employment -- Western Cape (South Africa) Personnel management -- Hospitals -- Western Cape (South Africa) UCTD Thesis (MNur)--Stellenbosch University, 2022. ENGLISH SUMMARY: Specialist trained operating room nurses (ORNs) are a scarce resource and the diminishing number of skilled employees has affected the quality and safety of patient care in South Africa (Washeya, 2018:29). The shortage impacts on the ability of hospitals to cope with the burden of surgery that is attributed to violence, road accidents and disease (Dell & Kahn, 2017:4). The aim of this study was to explore and describe the perceptions of ORNs and operating department assistants (ODAs) of their job demands, resources and turnover intentions in the Western Cape metropolitan district provincial hospitals. A self-administered paper and pen survey was used to collect data. Two non-proprietary questionnaires were combined and the respondent’s demographics were included. Cluster sampling of hospitals (n=15) in the geographical area were invited to participate, namely, District hospitals (n=4); Regional hospitals (n=8) and Academic hospitals (n=3). The census of all ORNs and ODAs employed in the OR departments on both day and night duty were included. Ethical approval was obtained from the Health Research Ethics Committee (HREC) of the University of Stellenbosch (S20/07/177) and the ethical research department of the Department of Health Western Cape (WC_202101_017). Permission was also sought from the nursing managers of each hospital. Anonymity, confidentiality, and secrecy were assured for both the institutions and the participants. Furthermore, measures to prevent cross infection of Covid-19 on the surveys were meticulously observed. The majority of the participants indicated that they always have too much work to do, that requires them to be highly attentive and that some tasks affect them personally. For autonomy in the workplace few participants indicated that their job offered them the possibility of independent thought and action. Collegial relationships interfered with the team climate, as did clear communication and indications of appreciation from the supervisor. Training course opportunities were indicated to be almost never provided. The findings may contribute to an alternative understanding of the effects of the current job demands and resources on ORNs wellbeing at work for managers of provincial hospitals. It may further raise awareness of the factors identified in the study that if addressed may contribute to alleviating the shortage of ORNs in provincial hospitals in the Western Cape. AFRIKAANSE OPSOMMING: Gespesialiseerde opgeleide operasiekamerverpleegkundiges (ORN'e) is 'n skaars hulpbron en die dalende aantal geskoolde werknemers het die kwaliteit en veiligheid van pasientsorg in Suid-Afrika beïnvloed (Washeya, 2018:29). Die tekort het 'n impak op die vermoe van hospitale om die las van chirurgie wat aan geweld, padongelukke en siektes toegeskryf word, te hanteer (Dell & Kahn, 2017:4). Die doel van hierdie studie was om die persepsies van ORN'e en bedryfs-ODA's (operasiedepartement assistente) van hul werksvereistes, hulpbronne en omsetvoornemens in die Wes-Kaapse metropolitaanse distriks hospitale te verken en te beskryf. ’n Selfgeadministreerde papier- en pen opname is gebruik om data in te samel. Twee nie-eiendomsvraelyste is gekombineer en die respondent se demografie is ingesluit. Groepsteekproefneming van hospitale (n=15) in die geografiese gebied is genooi om deel te neem, naamlik: Distrikshospitale (n=4); streekhospitale (n=8) en akademiese hospitale (n=3). Die sensus het ingesluit alle ORN'e en ODA's wat in die departemente werksaam was op beide dag- en nagdiens. Etiese goedkeuring is verkry van die Gesondheidsnavorsingsetiekkomitee (HREC) van die Universiteit van Stellenbosch (S20/07/177) en die etiese navorsingsafdeling van die Departement van Gesondheid Wes-Kaap (WC_202101_017). Toestemming is ook by die verpleegbestuurders van elke hospitaal gevra. Anonimiteit, vertroulikheid en geheimhouding is vir beide die instansies en die deelnemers verseker. Verder is voorsorgmaatreels, om kruisbesmetting van Covid-19 te voorkom, gedurende die opnames noukeurig nagekom. Die meerderheid van die deelnemers het aangedui dat hulle altyd te veel werk het om te doen. Dit vereis dat hulle baie oplettend moet wees en dat sommige take hulle persoonlik raak. Vir outonomie in die werkplek het min deelnemers aangedui dat hul werk hulle die moontlikheid van onafhanklike denke en optrede bied. Werksverhoudings het inmeng met die spanklimaat, asook onduidelike kommunikasie en aanduiding van waardering van die toesighouer. Opleidingsgeleenthede, bv. Kursusse, is aangedui dat dit byna nooit verskaf word nie. Die bevindinge kan, vir bestuurders van provinsiale hospitale, bydra tot 'n alternatiewe begrip van die uitwerking van die huidige werkseise en hulpbronne op ORN’s se welstand by die werk. Dit kan verder bewustheid verhoog van die faktore wat in die studie geidentifiseer is wat, indien aangespreek, kan bydra om die tekort aan ORN'e in provinsiale hospitale in die Wes-Kaap te verlig. Masters 2022-02-28T13:06:28Z 2022-02-28T13:06:28Z 2022-03 Thesis http://hdl.handle.net/10019.1/124305 en_ZA Stellenbosch University xxi, 100 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Operating room personnel -- Job satisfaction -- Western Cape (South Africa)
Operating room personnel -- Attitudes -- Western Cape (South Africa)
Operating room personnel -- Employment -- Western Cape (South Africa)
Personnel management -- Hospitals -- Western Cape (South Africa)
UCTD
Kunz, Thalita Yvonne
Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title_full Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title_fullStr Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title_full_unstemmed Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title_short Perceptions of operating room staff of their job demands and turnover intentions in Western Cape Metropolitan provincial hospitals
title_sort perceptions of operating room staff of their job demands and turnover intentions in western cape metropolitan provincial hospitals
topic Operating room personnel -- Job satisfaction -- Western Cape (South Africa)
Operating room personnel -- Attitudes -- Western Cape (South Africa)
Operating room personnel -- Employment -- Western Cape (South Africa)
Personnel management -- Hospitals -- Western Cape (South Africa)
UCTD
url http://hdl.handle.net/10019.1/124305
work_keys_str_mv AT kunzthalitayvonne perceptionsofoperatingroomstaffoftheirjobdemandsandturnoverintentionsinwesterncapemetropolitanprovincialhospitals