The aim of this study was to explore and describe the perceptions of registered nurses regarding
factors influencing service delivery regarding expansion programmes in a primary healthcare
setting, using a qualitative approach. The registered nurses, who have been working in the
clinics for more than two years and have been exposed to the expansion programmes there,
were purposively sampled. Two focus group interviews were conducted in a neutral place
and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the
researcher and an independent co-coder using the Tesch method. Categories, subcategories
and themes were identified; those that formed the basis of discussion were disabling factors,
enabling factors, client-related factors, service-related factors and solutions to problems. It
is recommended that integration of programmes and coordination be done at a provincial
level and planned together with the training centres in order to alleviate problems in service
delivery. Training on expansion programmes in the form of in-service education should be
carried out continually in the region.
Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met
betrekking tot die faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre
gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg
in die uitvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde
verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is
aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi
A. Xaba (N.A.X.) in ‘n neutrale opset uitgevoer. Data is deur die navorser en ʼn onafhanklike
kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en
temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende
faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van
probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale
vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem
te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme
deurlopend deur middel van indiensopleiding gedoen word.
