In the South African Military Health Service (SAMHS) clinical supervision is the
responsibility of both the nurse educator and the professional nurse. However,
the insufficiency of clinical departments in the military service triggered the
researcherâs interest in how clinical supervision is experienced by the different
nursing categories.
The objectives of the study were to determine the views of nurse educators,
professional nurses, nursing students and pupil enrolled nurses with regard to
clinical supervision in the SAMHS and to formulate recommendations for
improving clinical supervision based on the results.
The following research question was evaluated: How do the different categories
of nurses view clinical supervision in the South African Military Health Services?
The research methodology constituted a non-experimental descriptive
exploratory design with a quantitative approach. Self-administered
questionnaires were used for data collection. The population comprised of nurse
educators, professional nurses, nursing students and pupil enrolled nurses
employed in the SAMHS. A random sampling technique was used and all
students available at the time of data collection were included in the study. The
final sample of nursing students and pupil enrolled nurses was n=148 (56%:264)
of a total population of 264 students and the sample size of nurse educators and
professional nurses was n=136 (20%:691).
Prior to commencement of the research, approval for conducting the study was
obtained from the Ethics Committee of the Faculty of Health Sciences at the
University of the Free State (UFS), the Military Health Ethics Committee, the
Chief Executive Officers of the various military hospitals, the Commanding
Officer of the SAMHS nursing colleges, the Officers in Charge of each nursing
college as well as the respondents who participated in the study. Data for the study was collected in a four-week period, the first of which took place at 3
Military Hospital. The second week saw data collection at 2 Military Hospital and
the nursing college in Cape Town. The last two weeks were spent at 1 Military
Hospital and the nursing college in Thaba Tshwane.
The ethical principles stated in the proposal were strictly adhered to as the
research involved human respondents. The respondents were asked to complete
questionnaires voluntarily and they were assured that their participation and the
information they provided would not be used against them. They were also
assured of their right to confidentiality and anonymity. Anonymity was preserved
by not revealing any of the names of the respondents who took part in the
research study. Confidentiality was ensured by denying unauthorised access to
data. Respondents were informed of their right to withdraw from the study at any
stage.
Each complete questionnaire was coded, before a biostatistician of the UFSâs
Department of Biostatistics assisted with the data analysis. Descriptive statistics
measures such as frequency and percentage distributions were obtained.
A conceptual framework of three dimensions, namely the clinical supervision
prerequisites, the core of clinical supervision and the outcomes of clinical
supervision were used to guide the discussion in Chapter 2 on clinical
supervision.
Certain recommendations were made. Some of these included that clinical
supervision should be given priority and that the appointment of clinical mentors
and preceptors and the establishment of clinical departments in the SAMHS
should be investigated. Nurse educators and professional nurses should be
jointly responsible for clinical teaching and support of students in the clinical
learning environment. Furthermore, it is recommended that nurse educators
should provide professional nurses with a structured clinical supervision programme and that formal written contracts between nurse educators and
students be drawn up. The supernumerary status of students needs to be
maintained, and, lastly, the nurse-educator student ratio needs to be adjusted.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:ufs/oai:etd.uovs.ac.za:etd-10162013-114251 |
| Date | 16 October 2013 |
| Creators | Coetzee, Aleshia |
| Contributors | Prof A Joubert |
| Publisher | University of the Free State |
| Source Sets | South African National ETD Portal |
| Language | en-uk |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.uovs.ac.za//theses/available/etd-10162013-114251/restricted/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University Free State or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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