Abstract
BackgroundThe challenges in leadership roles hinder the rendering of quality primary healthcare service in the mines. Mining, the heart of the South African economy, requires good health to its personnel to carry out operations. However, nurse managers, the leaders in a mining primary healthcare setting experience difficulties in their leadership roles.ObjectivesThe aim of this study was to explore and describe the challenges in leadership roles experienced by nurse managers in a mining primary healthcare setting in South Africa.MethodThe study was conducted in a mining primary healthcare setting in West Rand, Gauteng province, South Africa. A qualitative, exploratory, descriptive design that is contextual in nature, using a phenomenological approach, was adopted. Data from nurse managers in the mine were collected and data saturation was reached by the seventh participant. The study followed Giorgi’s four stages of the phenomenological descriptive data analysis. An expert independent coder in qualitative research coded the data, and consensus on the findings was reached with the researcher.ResultsThree subthemes emerged from the study: mining management and unions interfere with nurse managers’ leadership roles, incongruent mining primary healthcare policies and communication gap between nurse managers and mining management.ConclusionThe triangulation of nurse managers, mining management and unions requires a collective fusion to directly tackle the challenges in leadership roles in mining primary healthcare.
Highlights
Challenges in leadership roles affect the quality of primary healthcare service rendered in the mining industry (Britton 2020; Du Plessis 2018; Wohlgemuth 2017)
Three themes emerged as challenges in leadership roles experienced by the nurse managers, namely, mining management and unions interfere with nurse managers’ leadership roles, incongruent mining primary healthcare policies and communication gap between the nurse managers and mining management
This statement is confirmed by the following quotations from the participants: ‘You know one experience that the mining management don’t get informed from the operations to say these are the challenges that we sit with; they just sit at the strategic level making decisions for us, interfering with primary healthcare activities.’ [Taking a deep breath]. (Participant 4, Male, 38 years)
Summary
Challenges in leadership roles affect the quality of primary healthcare service rendered in the mining industry (Britton 2020; Du Plessis 2018; Wohlgemuth 2017). It is essential to ensure that health problems of mine workers that are at primary healthcare level are managed in a mining primary healthcare setting (South African National Health Insurance Bill 2019). If health problems of mine workers are not managed at primary healthcare level, this will result in an increase in hospital stay and long sick leaves, and the worker’s performance will be affected, reducing the mining production. The management role of a nurse manager in a primary healthcare setting is to ensure that the resources required to execute daily activities are available, safe and fairly distributed. Nurse managers, the leaders in a mining primary healthcare setting experience difficulties in their leadership roles
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