Nursing Workforce: Assessing Workplace Policy for Potential Nurse Lead Change

Thursday, 15 July 2010

Catherina Muller, MS
School of nursing science, North-West University, Potchefstroom, South Africa
Hester C. Klopper, PhD, MBA, RN, RM, BACUR, MCUR
School of Nursing Science, North-West University, Potchefstroom, South Africa
Nancy Edwards, RN, PhD
Nursing/Health Sciences, University of Ottawa, Ottawa, ON, Canada
Eulalia Kahwa, PhD, RN
The UWI School of Nursing, Mona, University of the West Indies, Kingston 7, Jamaica

Learning Objective 1: establish that nurses who are in leadership roles, their voices in health policy development become dominant to improve health service delivery.

Learning Objective 2: use bottom-up HIV/AIDS workplace policy innovations to enhance HIV/AIDS workplace policy formulation and implementation.

Background: 

Nurses, metaphorically are the bodies’ white blood cells, they are the sick-and-wearies first line of defense, working in harmony with the body in alleviating all risks. This metaphor if taken into consideration places nurses in frontline leadership roles. When nurses are in leadership roles, their voices in health policy development become dominant which results in positive change in health service delivery.  The researcher used HIV/AIDS workplace policies to lead nurses to change, to emphasize their role in the formulation and implementation of workplace policies to ensure efficient and effective service delivery to HIV/AIDS clients. 

Purpose: To illustrate how nurses use bottom-up HIV/AIDS workplace policy innovations to enhance HIV/AIDS workplace policy formulation and implementation. 
Methods: Data was obtained by a mixed method design during 2008/9, whereby fifteen public health institutions within in three districts in South Africa participated. Forty eight questionnaires and twelfth in-depth interviews were completed.  
Results: Data generated were conceptualized generating insight on how bottom-up HIV/AIDS workplace policy and their genesis can enhance nurses in providing care for individuals and families living with HIV/AIDS. This is done by using the professional nurses’ hands on experience at “grass root” level to bridge the “know how to do gap.” The study highlighted different nurse orientated needs for personnel policy training and development, practice development and the need for training in the affective addressing of the HIV/AIDS pandemic.
Conclusion: Nursing and nurses in practice procreates effective health service delivery. This statement highlights the need for change - change incorporating nurses voices’ in readdressing HIV/AIDS workplace policy and practice.