Thesis (MCur)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: Nurses are being held responsible and accountable for the quality of
nursing care, which includes quality infection control nursing, they
provide. This change in accountability has been brought about by the
need to reduce the ever escalating costs of health care. During the
1980's, health care services created a demand for high-quality, efficient,
cost-effective and competitively priced health services. In order to
provide these services, health care organisations are forced to consider
new strategies. This is a process that produces outcomes. Quality
improvement methods, which include infection control, help organisations
to produce these outcomes.
Donabedian (1980) defined high-quality care as "that kind of care which
is expected to maximise an inclusive measure of patient welfare, after
one has taken account of the balance of expected gains and losses that
attend the process of care in all its parts" (Grossman, 1998: 43).
Quality improvement in infection control relates to the activities
employed to improve the performance of a process, and includes the
process of planning and control.
Management is responsible and accountable for providing resources In
order to implement quality infection control nursing care.
The purpose of the study was to identify factors influencing the
implementation of an effective infection control process in aNICU.
An exploratory and descriptive design with a qualitative orientation was
implemented. It consisted of a narrative and a literature study by means
of which factors have been identified to influence the implementation of
an infection control process in a NICU. The case study design, an indepth
analysis of a single unit of study, was utilised in this study as part
of the data-gathering process.
Recommendctions were made on the macro, meso and micro levels, which
included quality circles, hand hygiene and antibiotic usage, in-service
education, recognition of personnel, mission statement and the infection control manual. The shortage of human and physical resources in nursing
is a global problem. In S.A. there has been no previous study to
emphasise the importance of an effective infection control process, and
therefore no solutions to the problem have been suggested. The
Japanese view with regard to quality circles is recommended. / AFRIKAANSE OPSOMMING: Verpleegkundiges is verantwoordelik en aanspreeklik vir die gehalte van
verpleging wat gelewer word, insluitende gehalte infeksiebeheer
verpleging. Hierdie verandering in aanspreeklikheid het voortgespruit uit
die behoefte om die voortdurende styging in gesondheidskoste te
verminder. Gedurende die 1980s, het 'n aanvraag vir hoë gehalte, kosteeffektiewe
en kompeterende gesondheidsorgdienste ontstaan.
Gesondheidsorg dienste moes nuwe strategieë oorweeg om in hierdie
dienste te kan voorsien. Uitkomste word op hierdie proses gebaseer. Om
hierdie uitkomste te bereik, behoort organisasies gehalteverbetering
metodes, wat infeksie beheer insluit, te implemeteer.
Donabedian (1980) definieer hoë gehalte as "that kind of care which is
expected to maximise an inclusive measure of patient welfare, after one
has taken account of the balance of expected gains and losses that
attend the process of care in all its parts" (Grossman, 1998: 43).
Gehalteverbetering in infeksiebeheer , verwys na die aktiwitieite wat
geimplementeer word om die uitvoer van In proses te verbeter,
insluitende beplanning en beheer.
Bestuur is verantwoordelik en aanspreeklik vir die voorsiening van
hulpbronne, om gehalte infeksiebeheer verpleegsorg te implementeer.
Die doel van die studie was om faktore wat die implementering van 'n
effektiewe infeksie beheer proses in 'n NICU beinvloed, te identifiseer.
In Verkennende en beskrywende ontwerp, met 'n kwalitatiewe orientering,
is geimplementeer. Dit het bestaan uit In narratief en In literatuur
studie, waardeur faktore wat die implementering van In effektiewe
infeksie beheer proses in 'n NICU beinvloed, geidentifiseer word. Die
gevallestudie ontwerp, wat 'n in-diepte ondersoek van In enkele eenheid
van studie is, is in hierdie studie gebruik as deel van die data-insamelings
proses.
Aanbevelings is gemaak of makro, meso en mikro vlak, en sluit in gehalte
sirkels, handhigiëne en antibiotika gebruik, indiensopleiding, erkenning van
personeel, In missieverklarin~ en ten opsigte van die infeksiebeheerhand- leiding in. Die tekort aan menslike en fisiese hulpbronne in verpleging is
I n globale probleem.
Aangesien daar nog nie voorheen In studie in S.A. gedoen is om die belang
van I n effektiewe infeksiebeheerproses te beklemtoon nie, is daar nog
nooit oplossings vir die probleem voorgestel nie. Die Japanese siening van
gehalte sirkels word aanbeveel.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/51757 |
| Date | 03 1900 |
| Creators | Bernhardt, Lizelle |
| Contributors | Van der Merwe. T. D., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | English |
| Type | Thesis |
| Format | 167 p. : ill. |
| Rights | Stellenbosch University |
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