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      Experiences of nurses working in a rural primary health-care setting in Mopani District, Limpopo Province

      research-article
      1 , 2
      Curationis
      AOSIS Publishing
      primary health care, experience, rural

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          Abstract

          Professional nurses working in rural primary health-care settings are experiencing burnout due to serious shortages of personnel. This is exacerbated by the brain drain of nurses leaving the country. Rural settings are resource constrained in terms of personnel and equipment. This results in dissatisfaction among nurses due to the unbearable working conditions which result in stress and frustration. A qualitative, explorative, descriptive study was conducted to explore and describe the experiences of nurses working in a rural primary health-care setting in the greater Letaba sub-district in Limpopo Province. Purposive sampling was used to identify the participants. Data was collected in the form of in-depth interviews. The study revealed that nurses working in primary health-care settings were experiencing emotional and physical strain as a result of the shortage of human resources. It was recommended that policies that meet the health-care needs of rural communities be developed, and that strategies to retain professional nurses in primary health-care settings be formulated.

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          Most cited references30

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          Fundamentals of research methodology for health professionals

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            Retaining rural and remote area nurses. The Queensland, Australia experience.

            Because higher-than-average turnover rates for nurses who work in remote and rural areas are the norm, the authors conducted a study to identify professional and personal factors that influenced rural nurses' decisions to resign. Using a mail survey, the authors gathered qualitative and quantitative data from nurses who had resigned from rural and remote areas in Queensland, Australia. Their findings, categorized into professional and rural influences, highlight the importance of work force planning strategies that capitalize on the positive aspects of rural and remote area practice, to retain nurses in nonmetropolitan areas.
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              The power of women as nurses in South Africa.

              An epistemological analysis of the power of women as nurses in one of the larger and more deprived regions of South Africa, KwaZulu-Natal, was carried out. The premises of the standpoint theory were used as a justificatory strategy for participant selection. A fourth premise of rurality was added to the existing three premises of race, class and gender. A phenomenological research approach incorporating two to three in-depth interviews with each participant following a flexible guideline was utilized. Key concepts and realities such as powerlessness, powerfulness and empowerment were explored and a total of 44 audio-taped interviews was transcribed. Data analysis was aided by a software programme for qualitative data analysis (NUD. IST) and focused on the exploration and development of themes, categories, relationships and condensed forms of outcomes. Detailed attention was given to ethical considerations such as anonymity, freedom of expression and rapport. The credibility of the study was enhanced through prolonged engagement, thick descriptions and the input of three experienced researchers. In reflecting on powerlessness, women as nurses belonging to the enrolled category were alienated as they were severed from the nursing profession and from the ruling gender of men. They were lost in routine activities, were misused, maternalized and domesticated at home and at work. These phenomena were voiced more strongly by the rural group of women. Registered nurses created their own freedom, often away from their men as in divorce, and sought solutions concerning powerlessness in more distant terms. They communicated a sense of empowerment in terms of education and personal qualities. Culture rather than race was emphasized as an essence of women's oppression. Recommendations of the study focused on ways to limit categorial division, of aligning scope of practices with current health care practices in South Africa and further research regarding the value of the fourth premise of the standpoint theory is suggested.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                cura
                Curationis
                Curationis
                AOSIS Publishing (Pretoria )
                0379-8577
                2008
                : 31
                : 2
                : 60-66
                Affiliations
                [1 ] University of Pretoria
                [2 ] North West University
                Article
                S2223-62792008000200007
                10.4102/curationis.v31i2.984
                4111ca14-b296-4a73-8c9e-b2285a0137a9

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO South Africa

                Self URI (journal page): http://www.scielo.org.za/scielo.php?script=sci_serial&pid=2223-6279&lng=en
                Categories
                Biology
                Health Care Sciences & Services
                Health Policy & Services
                Nursing

                Nursing,General life sciences,Health & Social care,Public health
                primary health care,rural,experience
                Nursing, General life sciences, Health & Social care, Public health
                primary health care, rural, experience

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