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Social accountability and nursing education in South Africa

Published on Dec 1, 2015in Global Health Action
· DOI :10.3402/gha.v8.27879
Susan J. Armstrong2
Estimated H-index: 2
(University of the Witwatersrand),
Laetitia C. Rispel14
Estimated H-index: 14
(University of the Witwatersrand)
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Abstract
Background : There is global emphasis on transforming health workforce education in support of universal health coverage. Objective : This paper uses a social accountability framework, specifically the World Health Organization’s six building blocks for transformative education, to explore key informants’ perspectives on nursing education in South Africa. Methods : Using a snowballing sampling technique, 44 key informants were selected purposively on the basis of their expertise or knowledge of the research area. Semi-structured interviews were conducted with the key informants after informed consent had been obtained. The interviews were analysed using template analysis. Results : South Africa has strategic plans on human resources for health and nursing education, training, and practice and has a well-established system of regulation and accreditation of nursing education through the South African Nursing Council (SANC). Key informants criticised the following: the lack of national staffing norms; sub-optimal governance by both the SANC and the Department of Health; outdated curricula that are unresponsive to population and health system needs; lack of preparedness of nurse educators; and the unsuitability of the majority of nursing students. These problems are exacerbated by a perceived lack of prioritisation of nursing, resource constraints in both the nursing education institutions and the health training facilities, and general implementation inertia. Conclusion : Social accountability, which is an essential component of transformative education, necessitates that attention be paid to the issues of governance, responsive curricula, educator preparedness, and appropriate student recruitment and selection. Keywords : nursing education; social accountability; nurses; transformative education; South Africa (Published: 11 May 2015) Citation : Glob Health Action 2015,  8 : 27879 -  http://dx.doi.org/10.3402/gha.v8.27879 SPECIAL ISSUE: This paper is part of the Special Issue:  Transforming Nursing in South Africa . More papers from this issue can be found at  http://www.globalhealthaction.net
  • References (45)
  • Citations (8)
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References45
Newest
Published on Jun 1, 2015in Nurse Education Today 2.44
Melba Sheila D'Souza4
Estimated H-index: 4
(Sultan Qaboos University),
Subrahmanya Nairy Karkada5
Estimated H-index: 5
(Higher Colleges of Technology)
+ 1 AuthorsRamesh Venkatesaperumal5
Estimated H-index: 5
(Sultan Qaboos University)
Summary Background Clinical nursing education provides baccalaureate nursing students an opportunity to combine cognitive, psychomotor, and affective skills in the Middle East. Objective The aim of the paper is to assess the satisfaction with and effectiveness of the clinical learning environment among nursing students in Oman. Design A cross-sectional descriptive design was used. Setting and Participants A convenience sample consisting of 310 undergraduate nursing students was selected in a pub...
20 Citations Source Cite
Published on Apr 3, 2015in Qualitative Research in Psychology 1.52
Joanna Brooks11
Estimated H-index: 11
(University of Huddersfield),
Serena McCluskey8
Estimated H-index: 8
(University of Huddersfield)
+ 1 AuthorsNigel King25
Estimated H-index: 25
(University of Huddersfield)
Thematic analysis is widely used in qualitative psychology research, and in this article, we present a particular style of thematic analysis known as Template Analysis. We outline the technique and consider its epistemological position, then describe three case studies of research projects which employed Template Analysis to illustrate the diverse ways it can be used. Our first case study illustrates how the technique was employed in data analysis undertaken by a team of researchers in a large-s...
114 Citations Source Cite
Published on Dec 1, 2014in Global Health Action
Laetitia C. Rispel14
Estimated H-index: 14
(University of the Witwatersrand),
Tobias Chirwa16
Estimated H-index: 16
(University of the Witwatersrand),
Duane Blaauw18
Estimated H-index: 18
(University of the Witwatersrand)
Background : Staff retention and turnover have risen in prominence in the global discourse on the health workforce. Moonlighting, having a second job in addition to a primary job, has not featured in debates on turnover. Objective : This paper examines whether moonlighting is a determinant of South African nurses’ intention to leave their primary jobs. Design : During 2010, a one-stage cluster random sample of 80 hospitals was selected in four South African provinces. On the survey day, all nurs...
10 Citations Source Cite
Published on Dec 1, 2014in Global Health Action
Duane Blaauw18
Estimated H-index: 18
(University of the Witwatersrand),
Prudence Ditlopo6
Estimated H-index: 6
(University of the Witwatersrand),
Laetitia C. Rispel14
Estimated H-index: 14
(University of the Witwatersrand)
Background : Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. Objective : We undertook a policy analysis study of the development of the new Nursing Qual...
15 Citations Source Cite
Published on Dec 1, 2014in Global Health Action
Laetitia C. Rispel14
Estimated H-index: 14
(University of the Witwatersrand),
Duane Blaauw18
Estimated H-index: 18
(University of the Witwatersrand)
+ 1 AuthorsKatinka de Wet5
Estimated H-index: 5
(University of the Free State)
Background: In South Africa, nurses are the largest category of the health care providers. Their optimal performance is critical for the successful implementation of impending health sector reforms. Objective: This paper examines the occurrence of agency nursing, moonlighting, and overtime among nurses in South Africa, and the factors influencing moonlighting. Design: This cross-sectional survey was a one-stage cluster random sample of 80 hospitals in four South African provinces, selected with ...
10 Citations Source Cite
Published on Mar 1, 2014in Nurse Education Today 2.44
Miyuki Takase13
Estimated H-index: 13
(Hiroshima University),
Yoko Nakayoshi3
Estimated H-index: 3
(International University, Cambodia)
+ 2 AuthorsTakiko Imai1
Estimated H-index: 1
(Prefectural University of Hiroshima)
Summary Background A degree programme is believed to prepare graduates with a higher level of competence than their diploma counterparts. However, there have been inconsistent findings reported as to whether or not degree-graduates outperformed those who take diplomas. Objectives This study aimed to identify graduates' perceptions of competence development in their first year of employment, and to compare the competence levels of graduates with different educational backgrounds. Design This stud...
7 Citations Source Cite
Published on May 1, 2012in Nurse Education Today 2.44
Michael Sabin2
Estimated H-index: 2
,
Ruth Taylor7
Estimated H-index: 7
(RGU: Robert Gordon University),
Colin Tilley1
Estimated H-index: 1
Summary The reasons behind attrition rates in nursing and midwifery are many and complex. However, of the four UK countries, Scotland has been consistently cited as having the highest attrition rate from its pre-registration nursing and midwifery education programmes. This paper provides an overview of a nationally coordinated programme of work to support evidence-based intervention and identifies both opportunities for further national and international initiatives and presents early indicators...
13 Citations Source Cite
Published on Oct 18, 2011in PLOS Medicine
Francesca Celletti6
Estimated H-index: 6
(WHO: World Health Organization),
Teri A. Reynolds12
Estimated H-index: 12
(UCSF: University of California, San Francisco)
+ 2 AuthorsManuel Dayrit6
Estimated H-index: 6
(WHO: World Health Organization)
1 Department of Human Resources for Health, World Health Organization, Geneva, Switzerland, 2 Department of Human Resources for Health, World Health Organization, Geneva, Switzerland, and Department of Emergency Medicine and Division of Global Health, University of California San Francisco, San Francisco, California, United States of America, 3 Independent Contributor, London, United Kingdom, 4 Duke Global Health Institute, Duke University, Durham, North Carolina, United States of America
38 Citations Source Cite
Published on Oct 1, 2011in The Lancet 59.10
Fitzhugh Mullan26
Estimated H-index: 26
(GW: George Washington University),
Seble Frehywot10
Estimated H-index: 10
(GW: George Washington University)
+ 30 AuthorsCharles Boelen3
Estimated H-index: 3
Summary Small numbers of graduates from few medical schools, and emigration of graduates to other countries, contribute to low physician presence in sub-Saharan Africa. The Sub-Saharan African Medical School Study examined the challenges, innovations, and emerging trends in medical education in the region. We identified 168 medical schools; of the 146 surveyed, 105 (72%) responded. Findings from the study showed that countries are prioritising medical education scale-up as part of health-system ...
204 Citations Source Cite
Cited By8
Newest
Published on Dec 1, 2018in BMC Nursing
Thokozani Bvumbwe3
Estimated H-index: 3
(Mzuzu University),
Ntombifikile G. Mtshali4
Estimated H-index: 4
(UKZN: University of KwaZulu-Natal)
Background The Lancet Commission and the Global Health Workforce Alliance reported that professional education has generally not kept up the pace of health care challenges. Sub Saharan Africa needs an effective and efficient nursing education system to build an adequate, competent and relevant nursing workforce necessary for the achievement of Sustainable Development Goals. The Plan of Action for Scaling up Quality Nursing and Midwifery Education and Practice for the African Region 2012 - 2022 p...
3 Citations Source Cite
Ghahraman Mahmoudi1
Estimated H-index: 1
(IAU: Islamic Azad University),
Mohammad Ali Jahani2
Estimated H-index: 2
(Babol University of Medical Sciences)
+ 2 AuthorsHoseinali Nikbakht1
Estimated H-index: 1
(Babol University of Medical Sciences)
ABSTRACTBackground and objective: Social accountability is an effective strategy for improving the quality and performance of health-care service providers. This research aimed to compare the social accountability levels of hospitals based on the kind of their ownership.Material and methods: This applied research was conducted in 2016. Research population included hospitalized patients in different selected hospitals located in Golestan province, Iran. 361 patients were selected as the study sam...
1 Citations Source Cite
Published on Oct 1, 2018in Advances in Health Sciences Education 2.76
William Ventres10
Estimated H-index: 10
(University of El Salvador),
Charles Boelen5
Estimated H-index: 5
(WHO: World Health Organization),
Cynthia Haq12
Estimated H-index: 12
(UW: University of Wisconsin-Madison)
Within health professional education around the world, there exists a growing awareness of the professional duty to be socially responsible, being attentive to the needs of all members of communities, regions, and nations, especially those who disproportionately suffer from the adverse influence of social determinants. However, much work still remains to progress beyond such good intentions. Moving from contemplation to action means embracing social accountability as a key guiding principle for ...
2 Citations Source Cite
Tanya van de Water2
Estimated H-index: 2
(UCT: University of Cape Town),
Jaco Rossouw1
Estimated H-index: 1
(UCT: University of Cape Town)
+ 1 AuthorsSoraya Seedat64
Estimated H-index: 64
(UCT: University of Cape Town)
Background This qualitative study was nested within a randomized controlled trial (RCT) where two psychotherapeutic interventions (supportive counselling and prolonged exposure for adolescents) were provided by supervised nurses (who served as ‘nurse counsellors’) to adolescents with PTSD in school settings. This paper describes the perspectives of nurse counsellors (NCs) and school liaisons (SLs). SLs were teachers or administrative personnel at the schools who coordinated the study visits of p...
2 Citations Source Cite
Published on Apr 1, 2017in Journal of Community Genetics
Helen Louise Malherbe3
Estimated H-index: 3
(UKZN: University of KwaZulu-Natal),
Arnold L. Christianson4
Estimated H-index: 4
(University of the Witwatersrand)
+ 1 AuthorsColleen Aldous13
Estimated H-index: 13
(UKZN: University of KwaZulu-Natal)
The care and prevention of congenital disorders (CDs) is an emerging but unprioritised health need in South Africa (SA). Inadequate empirical data and underreporting conceal the true burden of CDs while medical genetic services to confront the problem have regressed. Positive epidemiological transition in the country now demands these services are improved to significantly further reduce child mortality. Current sector capacity in SA is inadequate and required personnel targets will not be reach...
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Published on Dec 1, 2015in Global Health Action
Laetitia C. Rispel14
Estimated H-index: 14
(University of the Witwatersrand)
None available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005 SPECIAL ISSUE : This paper is part of the Special Issue: Transforming Nursing in South Africa . More papers from this issue can be found at http://www.globalhealthaction.net
3 Citations Source Cite
Published on May 11, 2015in Global Health Action
Laetitia C. Rispel14
Estimated H-index: 14
No abstact available. (Published: 11 May 2015) Citation : Glob Health Action 2015, 8 : 28005 - http://dx.doi.org/10.3402/gha.v8.28005
3 Citations Source Cite