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Table 4 Solutions agreed at workshop six

From: Conflicting priorities: evaluation of an intervention to improve nurse-parent relationships on a Tanzanian paediatric ward

 

Solution action points

Implemented by follow-up visit at 6 weeks

Improvements internal to nursing group

Maintain cooperation

• Arrange a meeting with doctors to explain the importance of working together and respect for each other.

• Have regular meetings together to maintain respect and address issues.

• Meetings had taken place weekly with nurses and doctors, identifying respect as an issue particularly with nursing attendants. Used as a forum for problems with work.

Prevent infections

• Staff training on disease prevention.

• Disseminate education on disease prevention to patients and mothers.

• 3/4 nursing staff had attended disease prevention training run by the MoH at the hospital.

Respect each other

• Be close to fellow staff.

• Help each other on job allocation.

• Observe punctuality.

• Improved assistance between staff was reported, although shortages persisted.

Work conscientiously

• Be active at work without thinking of low salaries.

 

Improvements via external forces

Low salary

Request from employer at staff meeting with Regional Administrative Secretary.

• Incremental increase agreed to be paid.

Allowances

 

• Not agreed. No budget.

Shortage of staff

 

• Problem persists.

Risk allowance

 

• Not agreed as not in MoH plan.

Inadequate equipment

 

• Request taken forward, but no action at this point.

Transport for staff

 

• Not agreed. Not allocated in government budget.

Staff house

 

• Not affordable for all staff, attributed to government budget.