Social accountability and nursing education in South Africa

Published on Dec 1, 2015in Global Health Action 1.91
· 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)
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following: the lack of national staffing norms; sub-optimal governance by both the SANC and the Department of Health; outdated curricula that are unresponsive to population and health system needs; lack of preparedness of nurse educators; and the unsuitability of the majority of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
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References45
Published on Apr 3, 2015in Qualitative Research in Psychology 1.67
Joanna Brooks10
Estimated H-index: 10
(University of Huddersfield),
Serena McCluskey8
Estimated H-index: 8
(University of Huddersfield)
+ 1 AuthorsNigel King21
Estimated H-index: 21
(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...
141 Citations Source Cite
Published on May 1, 1998
Marilyn H. Oermann27
Estimated H-index: 27
,
Kathleen B. Gaberson3
Estimated H-index: 3
Praise for the 3rd Edition: "Without question, this book should be on every nurse educator's bookshelf." --Nursing Education Perspectives "An invaluable resource for theoretical and practical application of evaluation and testing of clinical nursing students. Graduate students and veteran nurses preparing for their roles as nurse educators will want to add this book to their library." Score: 93, 4 stars --Doody's " has again given us philosophical, theoretical and social/ethical frameworks for u...
118 Citations
Published on Nov 1, 2010in Nursing education perspectives
Christine A Tanner22
Estimated H-index: 22
THE CARNEGIE FOUNDATION FOR THE ADVANCEMENT OF TEACHING joins a chorus of calls for transformation of prdicensure nursing education (Benner, Sutphen, Leonard, & Day, 2009). Citing the shift of significant responsibility to nurses for managing complex medical regimens, as well as the increasing complexity of community-based practices, Benner and colleagues concluded that nurses entering the field are not equipped with the essential knowledge and skills for today's practice nor prepared to continu...
1,638 Citations Source Cite
Published on Oct 1, 2010in Nursing Forum
Susan H. Lane1
Estimated H-index: 1
(University of North Carolina at Greensboro),
Eileen Mieras Kohlenberg5
Estimated H-index: 5
(University of North Carolina at Greensboro)
PROBLEM. Unlike other professional healthcare disciplines, the profession of nursing has multiple levels of entry. Recently, several states have proposed legislation to mandate completion of baccalaureate education after 10 years of nursing licensure. METHODS. This article examines the proposals, statistics, strategies, and other relevant literature on baccalaureate education for nurses and the positive outcomes associated with a more highly educated nursing workforce. FINDINGS. The proposal rec...
14 Citations Source Cite
Published on Dec 1, 2014in Global Health Action 1.91
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 Jun 1, 2015in Nurse Education Today 2.07
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...
18 Citations Source Cite
Published on Apr 1, 2006in Medical Education 4.41
Robert Woollard12
Estimated H-index: 12
(University of British Columbia)
Origins and context The concept of ‘the social accountability of medical schools’ is moving from the peripheral preoccupation of a few to a more central concern of medical schools themselves. Born of concerns about the professionalism and relevance of both the institutions and their graduates, it is seen increasingly as an urgent call to focus the considerable social resources vested in academic health science institutions on addressing the priority health concerns of the societies they serve. F...
102 Citations Source Cite
Published on Nov 1, 2002in International Journal of Nursing Studies 3.66
Elizabeth Manias39
Estimated H-index: 39
(University of Melbourne),
Shane Bullock4
Estimated H-index: 4
(Australian Catholic University)
Abstract This paper explores clinical nurses' perceptions and experiences of graduate nurses' pharmacology knowledge. Six focus group interviews were conducted with clinical nurses of various appointment levels at two metropolitan public and two regional public hospitals in Victoria, Australia. Four major themes emerged from the study. First, participants indicated that graduate nurses had an overall lack of depth of pharmacology knowledge. While clinical nurses indicated that graduate nurses ha...
69 Citations Source Cite
Published on Jun 1, 1989in Nurse Education Today 2.07
Leana R. Uys8
Estimated H-index: 8
(University of Natal)
Abstract Basic nursing education in South Africa has recently changed from a series of single registrations to a 4 year integrated programme. Diploma nursing education has also been moved into the mainstream of post-secondary education by the establishment of Nursing Colleges affiliated to Universities. These structural changes have put nursing education on a healthy footing, which should serve it well for the next decade.
3 Citations Source Cite
Published on Dec 1, 2010in The Lancet 53.25
Julio Frenk Mora44
Estimated H-index: 44
(Harvard University),
Lincoln Chen32
Estimated H-index: 32
(China Medical Board)
+ 16 AuthorsPatrick Kelley3
Estimated H-index: 3
100 years ago a series of studies about the education of health professionals led by the 1910 Flexner report sparked groundbreaking reforms. Through integration of modern science into the curricula at university-based schools the reforms equipped health professionals with the knowledge that contributed to the doubling of life span during the 20th century. By the beginning of the 21st century however all is not well. Glaring gaps and inequities in health persist both within and between countries ...
2,088 Citations Source Cite
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Cited By8
Published on Dec 1, 2015in Global Health Action 1.91
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
2 Citations Source Cite
Published on May 11, 2015in Global Health Action 1.91
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
Published on Apr 1, 2017in Journal of Community Genetics
Helen Louise Malherbe3
Estimated H-index: 3
(University of KwaZulu-Natal),
Arnold L. Christianson4
Estimated H-index: 4
(University of the Witwatersrand)
+ 1 AuthorsColleen Aldous13
Estimated H-index: 13
(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...
Source Cite
Tanya van de Water2
Estimated H-index: 2
(University of Cape Town),
Jaco Rossouw1
Estimated H-index: 1
(University of Cape Town)
+ 1 AuthorsSoraya Seedat9
Estimated H-index: 9
(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 Oct 1, 2018in Advances in Health Sciences Education 2.55
William Ventres10
Estimated H-index: 10
(University of Arkansas),
Charles Boelen1
Estimated H-index: 1
,
Cynthia Haq12
Estimated H-index: 12
(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
Ghahraman Mahmoudi1
Estimated H-index: 1
(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 Dec 1, 2018in BMC Nursing
Thokozani Bvumbwe3
Estimated H-index: 3
(Mzuzu University),
Ntombifikile G. Mtshali4
Estimated H-index: 4
(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...
1 Citations Source Cite
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