Nurses experiences regarding staffing patterns in the surgical wards of a private hospital in Gauteng South Africa

Moloko Malatji,Hafisa Ally,Agnes Makhene

doi:10.1016/j.hsag.2017.04.002

Abstract

BackgroundStaffing patterns refers to the number and types or categories of staff assigned to the particular wards in a hospital. Staffing patterns that accommodate imbalanced patient to nurse ratios can affect nursing staff negatively. The negative experiences increased emotional stress, physical exhaustion, high nurse turnover and consequences of poor patient outcomes. The high patient to nurse ratios and the profitability factor of private hospitals virtually dictates the type of staffing patterns that are used in these wards. As such, the current staffing patterns appear to require nursing staff to work longer shifts as well as overtime work without a choice, the consequences of which are the effects highlighted above. PurposeThe purpose of this study was to explore and describe nurses' experiences regarding staffing patterns in the surgical wards of a private hospital in Gauteng in order to develop recommendations for staffing patterns in these wards. MethodologyA qualitative, exploratory, descriptive and contextual research design was used. Data was collected by means of in-depth semi structured individual interviews from a purposive sample of professional nurses working in the surgical wards of this hospital. Data was analysed using Tesch's method of qualitative thematic analysis. Principles of trustworthiness and ethical principles to ensure the protection of human rights were applied throughout the study. ResultsThe findings of the study revealed one central theme which reflected that participants experienced the staffing patterns of the surgical wards negatively. Two main themes emerged as, nurses had negative experiences in the surgical wards as well as negative emotional experiences related to the staffing patterns. ConclusionIt is evident from the findings of the study that nurses are experiencing staffing patterns negatively.

Highlights

Staffing in the context of staffing patterns is a function of providing a team of nursing staff who can fulfil the nursing needs and demands of patients in a nursing unit (Meyer, Nuade, Shangase, & Van Niekerk, 2009: 216)
The high patient to nurse ratios and the profitability factor of private hospitals virtually dictates the type of staffing patterns that are used in these wards
The two main themes that emerged during analysis of data were nurses have negative experiences regarding the staffing patterns in the surgical wards and negative emotional experiences related to staffing patterns

Summary

Introduction

Staffing in the context of staffing patterns is a function of providing a team of nursing staff who can fulfil the nursing needs and demands of patients in a nursing unit (Meyer, Nuade, Shangase, & Van Niekerk, 2009: 216). Roussel, Russell, Swansburg, and Swansburg (2006: 264) concurs that current literature confirms that staffing patterns that accommodate higher patient to nurse ratios affect nursing staff negatively. This is demonstrated by increased emotional stress, physical exhaustion and high nurse turnover. The high patient to nurse ratios and the profitability factor of private hospitals virtually dictates the type of staffing patterns that are used in these wards. Results: The findings of the study revealed one central theme which reflected that participants experienced the staffing patterns of the surgical wards negatively. Conclusion: It is evident from the findings of the study that nurses are experiencing staffing patterns negatively

Objectives

Findings

Discussion

Conclusion