Exploring presence practices: a study of unit managers in a selected Provincial Hospital in Free State Province.

BMC Nurs

Lifestyle Diseases Research Focus Area, Faculty of Health Sciences, North-West University, Mafikeng, North West Province, South Africa.

Published: May 2024

AI Article Synopsis

  • - The study investigates the presence practices of unit managers in a provincial hospital in Free State Province, highlighting how their beliefs, skills, and active listening contribute to compassionate patient care.
  • - Using qualitative research methods, the study gathered data through semi-structured interviews and identified four main themes related to the impact of these practices on hospital dynamics and the challenges faced by unit managers.
  • - Findings show that unit managers promote supportive work environments, effective communication, and resilience among staff, emphasizing the importance of relational care and the need for ongoing support from higher management.

Article Abstract

Background: Nursing presence depends on an individual's belief system, truths, sensory experience, professional skills, and active listening. Thus, one may assume that presence occurs when nurses care for patients in a kind and compassionate way. This study aimed to explore and describe presence practices amongst unit managers in a selected provincial hospital in Free State Province.

Methods: A qualitative research approach with an exploratory descriptive contextual research design was employed in this study. A purposive nonprobability sampling technique was utilised to select participants. Data were collected through semi-structured interviews and analysed using the six steps of thematic qualitative data analysis. The study's trustworthiness was ensured through ascertaining credibility, dependability, confirmability, transferability, and authenticity. Approval to conduct the study was obtained from the North-West University Health Research Ethics Committee (NWU-HREC), DoH in the Free State Province, and the CEO (the gatekeeper) of the selected hospital.

Results: Four themes were generated, namely, presence practices amongst unit managers in a selected provincial hospital in Free State, the impact of presence practices on hospital dynamics in a selected provincial hospital in Free State, unit managers' practices of relational care and human connectedness in the unit, and the perceptions of unit managers on barriers to presence practices in a selected provincial hospital in Free State. Each of these themes presents categories and sub-categories. Unit managers actively foster supportive work cultures, effective management, human connectedness and relational care, and effective communication to yield team cohesion and positive impacts on patient care. Unit managers also display resilience and highlight the need for ongoing support from colleagues and top management.

Conclusion: Unit managers exhibit diverse presence practices which emphasise their commitment through visibility and accessibility despite staff shortages and resource constraints.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11140984PMC
http://dx.doi.org/10.1186/s12912-024-02023-7DOI Listing

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