Abstract
The aims of this research work is to analyse the level of
implication of the nursing auxiliaries in the nursing cares given to patients
within the sanitation system of the peripheral area of Tanguiéta on the
one hand and to discover the factors on the other.
It is based on a mixed approach of quantitative and qualitative
research, which combined several methods of data collection and sources
including :
· Interviewing 47 nursing auxiliaries (first aid
workers, matrons, nursing auxiliaries), 49 qualified workers (nurses,
midwives), 9 medicine doctors and 7 numbers of the management teams ;
· Systematic analysis of the childbirth data, consultations
and advanced strategies' sheets ;
· Exploitation of documents.
Through the analysis of the results it clearly appears that
besides their traditional duties, nursing auxiliaries also perform, in an
autonomous way, most of the nursing cares (preventive, curative and
promotional) normally devoted to qualified workers ; though they had no
professional qualification before their recruitment.
This situation is due to three (03) major factors :
· The health care workers perform in deprived areas
within the framework of such a restricting work organisation that does not
allow them to deal with their own occupations ;
· As they are few in number, unstable but very much in
demand, qualified workers are obliged to train nursing auxiliaries so that they
can help them keep on with the day-today care activities ;
· The nursing auxiliaries are natives of the areas where
they work. They are experienced as well as they are of certain level that
allows them to perform repetitive nursing care.
To optimise their usefulness, it is to be hoped that :
· The corporation of the nursing auxiliary becomes
professional ;
· A good policy of management by objectives of competence
and employment must be
put in place in order to guaranty a constant and permanent
suitability between employments and needs ;
· The living and working conditions in rural areas are
improved ;
· The practice of nursing care is regulated.
The nursing quality and their constant production depend on the
above mentioned.
Keywords : nursing auxiliaries, qualified
workers, nursing cares.
Sommaire
Pages
Introduction 1
1. Cadre théorique de l'étude 3
1.1. Problématique 3
1.2. Objectifs 8
1.3. Revue de littérature 8
1.4. Cadre conceptuel 23
1.5. Hypothèses ... 26
2. Cadre physique et méthode d'étude . 27
2.1. Cadre physique .. 27
2.2. Méthode d'étude 38
3. Résultats et analyse des données 48
3.1. Caractéristiques de la population
enquêtée 48
3.2. Présentation des résultats 49
3.3. Analyse des données .. 61
3.4. Vérification des hypothèses ... 66
3.5. Diagnostic . 68
4. Suggestions et responsabilités des acteurs 69
4.1. Suggestions à l'issue de l'enquête 69
4.2. Suggestions relatives au diagnostic 70
4.3. Responsabilités des acteurs 79
Conclusion .. 81
Bibliographie 83
Annexes
Table des matières
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