Paradigmatic perspective for a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

Authors

  • Hans Justus Amukugo University of Namibia
  • Julia Paul Nangombe 1Quality Assurances and Quality Improvement. Office of Vice President, Veterans Affairs, Republic of Namibia

DOI:

https://doi.org/10.14419/ijh.v4i2.6164

Published:

2016-06-04

Keywords:

Paradigmatic Perspective, Quality Improvement Training Programme, Health Professionals.

Abstract

This article focuses on the paradigmatic perspective facilitate the development of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia. The study of this nature requires a paradigmatic perspective; this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific. Assumptions are useful in directing research decisions during the research process.

The study adopted a constructivism and interpretivism approach, since it involved understand the current situation of quality health care/service delivery at health care facilities, and explore and describe the of the health professionals; experiences at the health care facilities. The study was based on the specific information that was accepted as true, as obtained from those lived the experiences of challenges and constraints of providing quality health care at the health care facilities.

The paradigm perspectives in this study include Meta – theoretical assumption which consisted ontological, epistemological, axiological, methodological and rhetorical assumptions. Theoretical basis of the study includes Dickoff (1968), Practice Oriented Theory; Programme development by Meyer and Van Niekerk; Kolb’s Theory of experiential learning; Demining’s model of quality improvement, Quality improvement policy of the Ministry of Health and Social Services (MoHSS) and Centre for Diseases control (CDC) framework for programme education.

Author Biography

Hans Justus Amukugo, University of Namibia

Dr Hans Justus Amukugo holds a PhD in Nursing Science from the University of Namibia.  He is specializing in Nursing science, education and health service management. Currently he is a lecturer, member of Unam postgraduate committee, supervisor for master and PhD students teach research methodology, co- coordinator of undergraduate and postgraduate research activities at the School of nursing and Public health. His research interests are qualitative research, model, and theory and programme development in health perspectives. E – Mail address: hamukugo@unam.na

References

[1] Meyer, S. & Van Niekerk, S. (2008). Nurse educator in practice. Cape Town. Juta &

[2] Agency for Healthcare Research and Quality. Understanding Quality Measurement. Rockville,MD. September 2012. Retrieved September 26, 2014 from http://www.ahrq.gov/professionals/quality-patient-safety/qualityresources/tools/chtoolbx/understand/index.html.

[3] National Leadership and Innovation Agency for Health (2008). Engaging Clinicians in a QualityAgenda. Resource Paper. Retrieved July 28, 2014 from http://www.nliah.wales.nhs.uk.

[4] Sottas, B., Höppner, H., Kickbusch, I., Pelikan, J. & Probst, J. (2013). Thinking about the futureof health and care. Educating Health Professionals: An Intersectoral Policy.

[5] National Leadership and Innovation Agency for Health (2008). Engaging Clinicians in a QualityAgenda. Resource Paper. Retrieved July 28, 2014 from http://www.nliah.wales.nhs.uk.

[6] Williamson, K. (2006). Research in Constructivist Frameworks Using EthnographicTechnique. Research Methods, (Eds., Lynda M. Baker). Library Trends, Vol. 55 (1), 2006, pp. 83–101. The Board of Trustees, University of Illinois. Retrieved September 12, 2013fromhttps://muse.jhu.edu/login?auth=0&type=summary&url=/journals/library_trends/v055/55.1williamson.html.

[7] Babbie, E. (2008). The Basic of Social Research. International Student Edition. U S A.Thomson Wadsworth.

[8] Olsen, M.E., Lodwick, D.G., Dunlop, R.E. (1992). Viewing the world Ecologicaly. oulder, CO: Westview Press.

[9] World Health Organisation (2000). Design and implementation of health information systems. (Theo Lippeveld, Rainer Sauerborn, Claude Bodart, Eds.). Geneva. Retrieved June 5, 2015 from http://www.who.org.

[10] World Health Organisation (2000). Issues in health services delivery. Improving Provide Skills. Strategies for assisting health workers to modify and improve skill: Developing quality health care – a process of change. Discussion paper No.1. Retrieved August 20, 2014 from www.who.org.

[11] Amukugo, H.J. (2002). Effective leadership skills of nursing service manager in Namibia. Unpublished Master’s thesis: Medical University of Southern Africa.

[12] Naude, M. (1995). A model for Transformational Leadership by Nursing Unit Manager. Unpublished doctoral thesis. Johannesburg: Randse Afrikaans Universteit.

[13] Ulin, P.R., Robinson, E. T., Tolley, E. E., & McNeill, E. T. (2002). Qualitative methods:

[14] Deming, W. E. (1994). The New Economics. (2nd ed.). SPC Press.

[15] U. S. Department of Health and Human Services (2011). Developing and Implementing a QI Plan. Health Resources and Services Administration. Retrieved June, 12, 2012 from http://www.nap.edu/catalog/10027.htm.

[16] Botes, A.C. (1995). Intergated approaches to ethical decision – making in the health team. Journal of Advanced Nursing, 32(5), 1-7

[17] Creswell, J. W. (2009). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. (3rd ed.). Los Angeles: Sage Publications, Inc.

[18] Mouton, J. & Marais, H. C. (1996). Basic Concepts in the methodology of social sciences. Pretoria: Auroria Printers

[19] Crotty, M. (2003). The Foundations of Social Research: Meaning and Perspectives in the Research Process. (3rd ed.). London: Sage Publications.

[20] Guba, E. G. and Lincoln, Y. A. S. (1989). Fourth Generation Evaluation. London: SAGE Publications.

[21] Jackson, J. (2007). World Views, Paradigms, and the Practice of Social Science Research. Retrieved November 21, 2014 from http://www.Sagepub.com/upmdta/ 13885_chapter

[22] Culbertson, J. A. (1981). Three Epistemologies and the Study of Educational Administration. University of California Education Administration Review, 22, (1).6.

[23] Huitt, W. (2011). Analyzing paradigms used in education and schooling. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved November 22, 2014 from http://www.edpsycinteractive.org/topics/intro/paradigm.html.

[24] Encyclopaedia of Qualitative Research Methods. (2008). (L. M. Given, Ed). Vol. 1-2. SAGE Publications, Inc. Retrieved May 22, 2014 from http://www.stibamalang. com/.../QUALITATIVE%20METHOD%20SAGE%2.

[25] Hartman, R. S. (1999). The Science of Axiology. Insight Consulting, Inc. Retrieved November 22, 2014 from http://www.valueinsights.com/axiology3.html.

[26] Chilisa, B. (2005). Educational research within a postcolonial Africa: a critique of HIV/AIDS research in Botswana, International Journal of Qualitative studies in Education, Vol. 18 (6). 675. http://dx.doi.org/10.1080/09518390500298170.

[27] Ahmed, A. (2008). Ontological, Epistemological and Methodological Assumptions: Qualitative Versus Quantitative. Retrieved November 22, 2014 from http://www.files.eric.ed.gov/full-text/ED504903.

[28] Kielmann, K. Cataldo, F. & Seeley, J. (2011). Introduction to Qualitative Research Methodology. Retrieved November 22, 2014 from http://www.write-arm.com.

[29] Oxford Pocket Dictionary of Current English (2009). Oxford University Press. Retrieved 8 September 2015 from http://www.encyclopedia.com/doc/1O999-plenary.htm l.

[30] Woods, P. (2006). Successful Writing for Qualitative Researchers. (2nd ed.). Routledge Falmer: U.S.A.

[31] Tomey, A.M. (1998). The elements of nursing: A model for nursing based on a model of Chinn, P. & Kramer, M. (1991). Theory and nursing: A systematic approach. (3rd ed.). Mosby Year Book, St. Louis.

[32] Mothiba, T. M. (2012). A Training Programme for Cost Centre Management with a Dual Role at a Tertiary Hospital Complex in the Limpopo Province. PhD Thesis. 461 University of Johannesburg. Retrieved October 3, 2014 from http://content.healthaffairs.org/content/22/2/103.full.html .

[33] Kolb, A. & Kolb D. A. (2001). Experiential Learning Theory Bibliography. Boston, MA: McBer and Co. Retrieved 23, 2014 from http://trgmcber.haygroup.com/Products/learningbibliography.htm.

[34] Kolb, D. A. (1984). Experiential Learning. Englewood Cliffs, NJ: Prentice Hall.

[35] Lieb, S. (1991). Principles of adult learning, Phoenix, AZ: Vision – South Mountain Community College. Retrieved September 24, 2014 from http://honolulu.hawaii.edu/intranet/committees/.

[36] Goodland, J. (2005a). Principles of Adult Learning. Best Practice Resources. Retrieved November 20, 2014 from http://www.wcwpds.wisc.edu/…resources/adult_learning.pdf.

[37] Goodland, R. (2005b). Strategic Environmental Assessment and the World Bank Group Sustainable Development Law and Policy. International Journal of Sustainable Development & World Ecology. Retrieved November 16, 2014 from http://cmsdata.iucn.org/.

View Full Article: