'n Sisteem vir gehaltebesluitneming in verpleging
- Authors: Arries, Eben Jacobus
- Date: 2010-11-22T07:40:08Z
- Subjects: Nursing decision making , Nursing standards
- Type: Thesis
- Identifier: uj:6998 , http://hdl.handle.net/10210/3507
- Description: D.Cur. , With the dawn of the new democratic dispensation in South Africa, numerous structural changes in the form of new legislation on health care were introduced by government. The purpose hereof is to transform health care delivery in order to bring about equality, accessibility, availability and applicability of health care to the citizens of South Africa. However, such changes have given rise to rationalization and the restructuring of health care services and health care personnel. Against the background of the so-called brain drain of health care personnel, it possibly contributed to a situation where numerous health care services find themselves with a shortage of expert human and material resources. These changes have influenced the quality of decisionmaking in health care services in general, and nursing in particular. Furthermore, based on an investigation of disciplinary case studies of the SANe, it appears that there is an increase in the number of disciplinary cases against nurses. These disciplinary cases reflect the nature of the decisions made by nurses. From these disciplinary case studies, it appears that decision-making by nurses do not comply with the reasonable expectations as stipulated in the legal-ethical framework of the nursing profession. Furthermore, it appears that decisions made by nurses in order to promote the health of the individual, group and/or community, are unsafe, ineffective and unacceptable in terms of the reasonable expectations as stipulated in the legal-ethical framework of the nursing profession. It can be concluded, that decision-making by these nurses no longer complies with the regulation in terms of the Nursing Act (Act 50 of 1978, as ammended), namely to deliver safe nursing to the citizens of South Africa. As a possible solution to the aforementioned problem, the researcher sees the description of a system for quality decision-making as being necessary in nursing. This goal can be achieved by the following objectives: the exploration and description of the expectations of the stakeholders with regard to quality decision-making in nursing, the integration of these expectations during iv the conceptualization of quality decision-making in nursing, as well as the formulation of standards for quality decision-making in nursing.Based on a qualitative, explorative, descriptive and standard-generation design, the study was conducted in four phases to achieve the objectives of the study. During the first phase, the expectations ofthe stakeholders with regard to quality decision-making in nursing were explored and described. In phase two, the identified themes on quality decision-making were conceptualized. In phase three standards for quality decision-making in nursing were formulated through inductive and deductive reasoning from the results of the previous two phases. In phase four a system for quality decision-making in nursing was described based on a theoretical foundation of the systems theory.
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Intuïsie in kliniese besluitneming deur die verpleegkundige in intensiewesorgeenhede
- Authors: Arries, Eben Jacobus
- Date: 2012-08-15
- Subjects: Intensive care nursing -- Decision-making -- Research , Intensive care nursing -- Research
- Type: Mini-Dissertation
- Identifier: uj:9388 , http://hdl.handle.net/10210/5825
- Description: M.Cur. , From experience and observation of decision-making in intensive care units, it has been observed that nurses in intensive care units make clinical decisions, which they can justified, and other decisions which they cannot justified. The last type of clinical decisions are sometimes referred to as gut-feelings or intuition by nurses in intensive care units. It seem further from the observation in respect to clinical decision-making, that clinical decision-making based on intuition are effective, and contribute to better and more complete problemsolving in intensive care units. From the afore-mentioned problemstatement the following two questions were asked in this study, namely: * What is intuition? * What is the role of intuition in clinical decision-making by the nurse in intensive care units? The objectives of the study is, namely in phase one of the study to analyse the concept intuition, and in phase two to explore and describe the role if intuition in clinical decision-making by the nurse in intensive care units. a Philosophical analytical research design were implemented in order to reach these two objectives. The concept intuition was analyse by the method of concept-analysis in order to describe the characteristics of intuition, and to describe a theoretical definition for the study with regards to these characteristics. In order to answer the second objective, a literature study on decisionmaking was undertake. The goal here-of was to describe the role of intuition in clinical decision-making by the nurse in intensive care units.
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