Positive Practice Environments in South African Critical Care Units: A Grounded Theory

Tuesday, November 3, 2009: 1:35 PM

Ronel Pretorius, MCur, RN
Hester C. Klopper, PhD, MBA, RN, RM, BACUR, MCUR
School of Nursing Science, North-West University, Potchefstroom, South Africa

Learning Objective 1: identify the concepts related to the theory.

Learning Objective 2: identify the relationship between the concepts.

Background: The shortage of nurses is a concern shared by the healthcare industry globally and the reasons for these shortages seem varied and complex.    The critical care environment is a demanding and stress-filled surrounding where care involves the highest level of assessment and intervention.  A healthy practice environment that will encourage nurses to work in critical care units was identified as an essential component in nurse job satisfaction and turnover rates.   Little evidence exists of research conducted to explore and describe the practice environment of the critical care nurse in South Africa. 
Objective:  The aim of this study is to construct a theory for positive practice environments in critical care units, grounded in the data collected within a South African context.       
Method: Data collection (using qualitative and quantitative methods) will occur in three phases.  Data will be collected by means of unstructured interviews, a checklist developed by the researcher and the Practice Environment Scale of the Nursing Work Index (PES-NWI) developed by Lake (2006). 
Results: The results of the study are in the process of being analysed and the theory will be presented at the conference.
Conclusion: The phenomenon of positive practice environments is a relatively unfamiliar concept to South African critical care units.  The environment of the critical care nurse is unique and context-specific and a solution to the current shortage of nurses in critical care units must developed from those practicing in these environments.