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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Performance management in primary healthcare: Nurses' experiences.

Cynthia Z Madlabana1, Inge Petersen

  • 1School of Applied Human Sciences, Discipline of Psychology, University of KwaZulu-Natal, Durban. madlabana@ukzn.ac.za.

Curationis
|May 7, 2020
PubMed
Summary

Performance management in South African primary healthcare facilities is inadequately applied. Realigning the performance management (PM) system is crucial for integrated, person-centred care amidst evolving health needs.

Keywords:
human resources for health professional nurseintegrated clinical services managementnational health insuranceperformance appraisalsperformance managementperson-centred careprimary health care

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Area of Science:

  • Healthcare Management
  • Public Health Policy
  • Nursing Studies

Background:

  • The performance management (PM) system in South Africa faces significant contestation from public servants.
  • Despite challenges, PM is recognized as essential for staff appraisal and management.

Purpose of the Study:

  • To explore nurses' perceptions and experiences of the PM system.
  • To assess the PM system's alignment with current primary healthcare (PHC) reforms in South Africa.

Main Methods:

  • Qualitative, exploratory, and descriptive research design.
  • Purposive sampling of 18 nurses from four sub-districts.
  • Semi-structured interviews and thematic analysis of collected data.

Main Results:

  • PM is partially implemented, but loopholes affect accuracy, transparency, and perceived fairness.
  • The current PM system lacks alignment with reforms emphasizing person-centred, integrated care.
  • The system's utility for career progression, performance improvement, and rewards is questioned.

Conclusions:

  • Performance management is inadequately applied in district-level PHC facilities.
  • The PM system requires realignment to support comprehensive, integrated, and person-centred care.
  • Realigned PM is vital for addressing South Africa's changing disease profile, including multi-morbidity.