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An evaluation of neonatal nursing care in selected hospitals in the Western Cape

Thesis (MCUR)--University of Stellenbosch, 2003.

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Main Author: Barlow, Hilary Joan
Other Authors: Bester, M. E.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2011
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access_status_str Open Access
author Barlow, Hilary Joan
author2 Bester, M. E.
author_browse Barlow, Hilary Joan
Bester, M. E.
author_facet Bester, M. E.
Barlow, Hilary Joan
author_sort Barlow, Hilary Joan
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MCUR)--University of Stellenbosch, 2003.
format Thesis
id oai:scholar.sun.ac.za:10019.1/16253
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:38.662Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2011
publishDateRange 2011
publishDateSort 2011
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/16253 An evaluation of neonatal nursing care in selected hospitals in the Western Cape Barlow, Hilary Joan Bester, M. E. University of Stellenbosch. Faculty of Health. Dept. of Interdisciplinary Health Sciences. Nursing Science. Maternity nursing -- South Africa -- Western Cape -- Quality control -- Case studies Neonatal intensive care -- South Africa -- Western Cape -- Quality control -- Case studies Neonatal intensive care -- South Africa -- Western Cape -- Evaluation -- Case Studies Neonatal intensive care -- Standards -- South Africa -- Western Cape -- Case studies Theses -- Nursing Dissertations -- Nursing Thesis (MCUR)--University of Stellenbosch, 2003. ENGLISH ABSTRACT: South Africa has a proud history of a high standard of health care delivery in State funded hospitals. This implies that high standards of education and care in both medical and nursing training have been achieved. The care of sick and premature newborn infants by nurses is a speciality that has evolved worldwide over the last forty years as a result of various technological developments. In order to ensure the standard of care delivered, protocols of care should be available for nurses to refer to and to measure their work against. There were no protocols of care available in the two Neonatal Units (NICUs) used in this study. Using a non-experimental, exploratory descriptive design, the researcher set about measuring the quality of nursing care in the NICUs. Standards (structure, process and outcome) were written by the researcher, and validated. The results showed that the standards were not met at an acceptable level in various areas. One of the areas of great concern was the lack of effective hand washing. Outcome standards which reflect the consequences of care indicated serious shortages of staff in some cases and insufficient staff training. Recommendations are that a Quality Assurance Program should be introduced with training and education of the nurses working in the NICUs and the introduction of evidencebased practice. Future research should aim at showing the way to improve the service delivered. AFRIKAANSE OPSOMMING: Suid-Afrika het ‘n trotse geskiedenis van ‘n hoë standard van gesondheidsorgdienslewering in Staatsbefondsde hospitale. Dit impliseer dat hoë standaarde in mediese en verpleegopleiding bereik is. Die versorging van siek en premature pasgebore babas deur verpleegkundiges is ‘n spesialiteit wat oor die afgelope veertig jaar wêreldwyd ontwikkel het as gevolg van verskeie tegnologiese ontwikkelings. Ten einde te verseker dat ‘n hoë standard van sorg gelewer word, moet protokolle beskikbaar wees vir verpleegkundiges om te gebruik en hulle werkverrigting teen te meet. Daar was geen protokolle beskikbaar in die twee neonatale eenhede wat in hierdie studie gebruik is nie. ‘n Nie-eksperimentele, verkennende, beskrywende ontwerp is deur die navorser gebruik om die gehalte van verpleegsorg in die neonatale eenhede te evalueer. Standaarde (struktuur, proses en uitkoms) is deur die navorser opgestel en gevalideer. Die resultate toon aan dat die standaarde in verskeie areas nie aanvaarbaar nagekom word nie. ‘n Kommerwekkende bevinding was die afwesigheid van effektiewe was van hande. Uitkomsstandaarde wat die resultaat van sorg weerspieël, het aangedui dat daar ernstige tekorte aan personeel in sommige gevalle bestaan het asook onvoldoende opleiding van personeel. Aanbevelings is dat ‘n Gehalteversekeringsprogram ingestel behoort te word en met die opleiding van verpleegkundiges werksaam in die neonatale eenhede en evidence-based practice aangespreek moet word. Toekomstige navorsing behoort aan te dui hoe om die diens wat gelewer word, te verbeter. 2011-08-22T12:56:09Z 2011-08-22T12:56:09Z 2003-12 Thesis http://hdl.handle.net/10019.1/16253 en_ZA University of Stellenbosch xi, 117 leaves : ill. application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Maternity nursing -- South Africa -- Western Cape -- Quality control -- Case studies
Neonatal intensive care -- South Africa -- Western Cape -- Quality control -- Case studies
Neonatal intensive care -- South Africa -- Western Cape -- Evaluation -- Case Studies
Neonatal intensive care -- Standards -- South Africa -- Western Cape -- Case studies
Theses -- Nursing
Dissertations -- Nursing
Barlow, Hilary Joan
An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title_full An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title_fullStr An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title_full_unstemmed An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title_short An evaluation of neonatal nursing care in selected hospitals in the Western Cape
title_sort evaluation of neonatal nursing care in selected hospitals in the western cape
topic Maternity nursing -- South Africa -- Western Cape -- Quality control -- Case studies
Neonatal intensive care -- South Africa -- Western Cape -- Quality control -- Case studies
Neonatal intensive care -- South Africa -- Western Cape -- Evaluation -- Case Studies
Neonatal intensive care -- Standards -- South Africa -- Western Cape -- Case studies
Theses -- Nursing
Dissertations -- Nursing
url http://hdl.handle.net/10019.1/16253
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