Article Gold Open Access 2019

Positioning public nursing colleges in South African higher education: Stakeholders’ perspectives

Curationis
Journal · Vol. 42 · Issue 1 · Art. a1885
Abstract

Background: Public nursing colleges (PNCs) are currently redeploying from provincial departments of health to higher education to become part of a unified higher education system in South Africa. As primary producers of nurses, this migration process needs to be managed carefully, with stakeholders having a common understanding of this process. Objectives: This study aimed to explore the stakeholders’ perspectives on the positioning of PNCs in higher education. Method: The study followed a qualitative grounded theory design. Purposive and theoretical sampling were utilised to achieve a sample size of 40 participants, including representatives from the Department of Higher Education and Training; professional associates; nursing educators; student leaders; nursing leaders; and nurses from the healthcare setting. Data were collected through observations, interviews and document analysis. Results: It emerged from the study that the integration of PNCs into higher education is a result of the country’s political and legal context. A number of policy and legal frameworks emerged as contextual conditions that provided a basis for the change. The integration of PNCs into higher education was conceptualised as a functional shift in the governance of colleges; a political tool to transform nursing education; a means to enhance the quality of college-based nursing programmes, and a vehicle for the greater professionalisation of nursing. Conflicting legislation and funding emerged as two issues of concern. Conclusion: Integrating PNCs with higher education came about because of political changes and the resolution of the ruling party to improve the quality of graduates produced, who will in turn improve the quality of healthcare service delivery offered. © 2019. The Authors. Licensee: AOSIS.

Keywords

Author Keywords

Higher education Nursing education university nursing profession process of integration public nursing colleges

Index Keywords

human procedures Humans qualitative research university Universities nursing education organization and management Education, Nursing, Baccalaureate South Africa grounded theory classification Schools, Nursing
Author Affiliations
School of Nursing and Public Health, University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa
Funding & Acknowledgements
District of Columbia Department of Health, DCDH
Funding text 1: Funding of PNCs emerged as another area of concern, because colleges are currently fully funded by the provincial DOH, including student funding. The higher education system, with its funding framework, may not be able to cater for the large numbers of student nurses required by the DOH in line with its HRH plan. This, according to the study respondents, may compromise the supply of the number of nurses needed.; Funding text 2: The authors would like to thank Prof. Chimbari, College Dean Research, Acting college Dean of research, Faculty of Health Sciences, University of KwaZulu-Natal, for technical and editorial preparation of article.
Inyuvesi Yakwazulu-Natali, UKZN
Funding text 1: Funding of PNCs emerged as another area of concern, because colleges are currently fully funded by the provincial DOH, including student funding. The higher education system, with its funding framework, may not be able to cater for the large numbers of student nurses required by the DOH in line with its HRH plan. This, according to the study respondents, may compromise the supply of the number of nurses needed.; Funding text 2: The authors would like to thank Prof. Chimbari, College Dean Research, Acting college Dean of research, Faculty of Health Sciences, University of KwaZulu-Natal, for technical and editorial preparation of article.
References 10 References
1 Open Journal of Nursing, (2012)
2 Aiken, Linda H., Educational Levels of Hospital Nurses and Surgical Patient Mortality, JAMA, 290, 12, pp. 1617-1623, (2003)
3 Baloyi, Olivia Baorapetse, Developing clinical reasoning skills in an undergraduate midwifery program: A grounded theory inquiry, International Journal of Africa Nursing Sciences, 8, pp. 98-106, (2018)
4 Barton, Thomas David, The integration of nursing and midwifery education within higher education: Implications for teachers - A qualitative research study, Journal of Advanced Nursing, 27, 6, pp. 1278-1286, (1998)
5 Chronicle of Higher Education, (2015)
6 Trends in Nursing, (2014)
7 Blaauw, Duane, Nursing education reform in South Africa--lessons from a policy analysis study, Global health action, 7, (2014)
8 Botma, Yvonne, Implications of accreditation criteria when transforming a traditional nursing curriculum to a competency-based curriculum, International Journal of Africa Nursing Sciences, 1, pp. 23-28, (2014)
9 Burke, Linda M., Integration into higher education: Key implementers' views on why nurse education moved into higher education, Journal of Advanced Nursing, 42, 4, pp. 382-389, (2003)
10 Burke, Linda M., The process of integration of schools of nursing into higher education, Nurse Education Today, 26, 1, pp. 63-70, (2006)
Quick Actions
Full Text via DOI
Citation Metrics
21
Times Cited (Scopus)

References 10
Document Identifiers