Clinical staff reported knowledge on the existence of clinical governance protocols or tools utilised in selected South African hospitals.

Autor: Sithole N; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Chitha WW; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Mnyaka OR; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Ncinitwa ABA; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Nomatshila SC; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Ntlongweni X; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Maake K; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Mkabela BE; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Khosa NV; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Ngcobo ZB; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Chitha N; Department of Public Health, Walter Sisulu University, Mthatha, South Africa., Masuku K; Mpumalanga Department of Health, Rob Ferreira Hospital, Mbombela, South Africa., Mabunda SA; Department of Public Health, Walter Sisulu University, Mthatha, South Africa.; School of Population Health, University of New South Wales, Sydney, Australia.; George Institute for Global Health, University of New South Wales, Sydney, Australia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Nov 21; Vol. 19 (11), pp. e0312340. Date of Electronic Publication: 2024 Nov 21 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0312340
Abstrakt: Introduction: Clinical governance outlines duties and responsibilities as well as indicators of the actions towards best possible patient outcomes. However, evidence of outcomes on clinical governance interventions is limited in South Africa. This study determined knowledge of clinical staff about the existence of clinical governance protocols/tools that are utilised in selected South African hospitals.
Methods: A cross-sectional study conducted among randomly sampled clinical staff at Nelson Mandela Academic (NMAH), St Elizabeth in the Eastern Cape Province and, Rob Ferreira (RFH) and Themba Hospitals in the Mpumalanga Province of South Africa. A self-administered survey questionnaire was used to collect demographic information and quality improvement protocols/tools in existence at the hospitals. Data were captured in Excel spreadsheet and analysed with STATA. Knowledge was generated based on the staff member's score for the 12 questions assessed.
Results: A total of 720 participants were recruited of which 377 gave consent to participate. Overall, 8.5% (32/377) of the participants got none or only one correct out of the 12 protocols/tools; and 65.5% (247/377) got between two and five correct. The median knowledge scores were 41.7% (interquartile range (IQR) = 16.7%) in three of the hospitals and 33.3% (IQR = 16.7%) at NMAH (p-value = 0.002). Factors associated with good knowledge included more than five years of experience, being a professional nurse compared to other nurses, not working at NMAH as well as being a medical doctor or pharmacist compared to other staff. Overall, 74.0% (279/377) of the respondents scored below 50%; this was 84.4% (92/109) at NMAH and 66.3% (55/83) at RFH and this difference was statistically significant (p-value = 0.017).
Conclusion: Despite clinical governance implementation, there was low knowledge of clinical governance protocols/tools among clinical staff. Therefore, providing more effective, relevant training workshops with an emphasis on importance of local ownership of the concept of clinical governance, by both management and clinical staff is of great importance.
Competing Interests: The authors confirm that there are no competing interests for this study.
(Copyright: © 2024 Sithole et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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