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Creating positive practice environments in a primary health care setting
Author(s) -
Rabie Tinda,
Klopper Hester C.,
Coetzee Siedine K.
Publication year - 2017
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12555
Subject(s) - nursing , teamwork , competence (human resources) , primary health care , health care , community health , medicine , organizational culture , medical education , psychology , public relations , public health , political science , population , environmental health , social psychology , law
Aim The aim of this study was to explore and describe the perceptions of nurse managers, nurses, and a physician in the community health centre with the most positive practice environment in a province of South Africa. Methods Ten (N = 10) semistructured individual interviews were conducted with personnel of the community health centre with the most positive practice environment. Results Personnel cited the following as the most important characteristics of a positive practice environment in a primary health care setting: support, leadership and governance, collegial nurse‐physician relationships, and quality of care. Conclusion In a primary health care setting, it is important to train, appoint, and support managers who in turn will be able to train and support their personnel. Furthermore, reciprocal community involvement must be encouraged between personnel of the community health centre and stakeholders in the community to improve the health status of the community. Finally, group cohesions between all health care workers and managers at different organisational levels should be encouraged, as this enhances teamwork and a culture of teaching‐learning and improves the competence of all staff.