Challenges encountered by critical care unit managers in the large intensive care units

Background: Nurses in intensive care units (ICUs) are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leadi...

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Main Authors: Mokgadi C. Matlakala, Martie C. Bezuidenhout, Annali D.H. Botha
Format: Article
Language:English
Published: AOSIS 2014-04-01
Series:Curationis
Subjects:
Online Access:https://curationis.org.za/index.php/curationis/article/view/1146
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author Mokgadi C. Matlakala
Martie C. Bezuidenhout
Annali D.H. Botha
author_facet Mokgadi C. Matlakala
Martie C. Bezuidenhout
Annali D.H. Botha
author_sort Mokgadi C. Matlakala
collection DOAJ
description Background: Nurses in intensive care units (ICUs) are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. Objectives: The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. Method: A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Results: Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Conclusion: Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.
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spelling doaj.art-9f85d26dae234fa49a64dfeb77efe63b2022-12-21T19:27:16ZengAOSISCurationis0379-85772223-62792014-04-01371e1e710.4102/curationis.v37i1.11461185Challenges encountered by critical care unit managers in the large intensive care unitsMokgadi C. Matlakala0Martie C. Bezuidenhout1Annali D.H. Botha2Department of Health Studies, University of South AfricaDepartment of Health Studies, University of South AfricaDepartment of Health Studies, University of South AfricaBackground: Nurses in intensive care units (ICUs) are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives. Objectives: The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs. Method: A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding. Results: Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU. Conclusion: Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.https://curationis.org.za/index.php/curationis/article/view/1146challenges, critical care nurse, management, intensive care unit
spellingShingle Mokgadi C. Matlakala
Martie C. Bezuidenhout
Annali D.H. Botha
Challenges encountered by critical care unit managers in the large intensive care units
Curationis
challenges, critical care nurse, management, intensive care unit
title Challenges encountered by critical care unit managers in the large intensive care units
title_full Challenges encountered by critical care unit managers in the large intensive care units
title_fullStr Challenges encountered by critical care unit managers in the large intensive care units
title_full_unstemmed Challenges encountered by critical care unit managers in the large intensive care units
title_short Challenges encountered by critical care unit managers in the large intensive care units
title_sort challenges encountered by critical care unit managers in the large intensive care units
topic challenges, critical care nurse, management, intensive care unit
url https://curationis.org.za/index.php/curationis/article/view/1146
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AT annalidhbotha challengesencounteredbycriticalcareunitmanagersinthelargeintensivecareunits