Healthcare-associated infections (HAIs) remain a major challenge in maternity
units, where mothers and newborns are highly vulnerable. Infection Prevention and
Control (IPC) practices are crucial for reducing maternal and neonatal morbidity and
mortality; however, adherence among nurses is inconsistent. Understanding the
factors that influence nurses’ self-motivation in following IPC guidelines is critical for
improving compliance and patient safety.
This study aimed to explore nurses’ perceptions and experiences of self-motivation
and how these relate to their implementation of IPC practices in a maternity unit of
a hospital in Limpopo Province, South Africa. Guided by Self-Determination Theory,
the research examined intrinsic motivators, such as autonomy, competence, and
relatedness, as well as extrinsic influences, including institutional oversight and the
fear of blame.
A qualitative, exploratory, descriptive, and contextual design was employed. Data
were collected through twelve in-depth, semi-structured interviews with nurses se
lected via purposive sampling. Reflexive thematic analysis was used to identify pat
terns and themes. Findings revealed that while nurses demonstrate an intrinsic
commitment to patient safety and professional integrity, systemic barriers, such as
resource shortages, inadequate training, and poor policy dissemination, undermine
their motivation. Six major themes emerged, highlighting intrinsic and extrinsic driv
ers, institutional challenges, psychological impacts, and strategies for adherence. The study recommends contextually relevant interventions that strengthen both in
ternal and external motivational ecosystems to enhance IPC compliance. Findings
reveal that while nurses display an intrinsic commitment to protecting patients and
upholding professional integrity, systemic challenges, including resource shortages,
inadequate training, and limited policy awareness, undermine their motivation to do
so. Thematic analysis identified six key themes: intrinsic and extrinsic drivers of
motivation, institutional barriers, psychological impact, training needs in IPC, and
strategic adherence behaviours.
The study emphasises the necessity of nurturing both internal and external motiva
tional ecosystems to sustain IPC compliance. It recommends that healthcare insti
tutions adopt psychologically informed and contextually relevant interventions to en
hance nurses’ adherence to IPC.
Mavabyi lama vangiwaka hi ku khathalela rihanyo (HAIs) ma ha ri ntlhontlho
lowukulu eka tindzawulo ta vutswedyana, laha vamanana ni tincece va hlaselekaka
hi ku olova. Ku sivela ni ku lawula vuvabyi (IPC) i swa nkoka eku hunguteni ka
mavabyi ni ku fa ka vamanana ni tincece; kambe, ku landzeleriwa ka yona hi vaon
gori a swi endliwi hi ku hetiseka. Ku twisisa swivangelo leswi susumetaka ku
tiyimisela ka vaongori ku landzela swiletelo swa IPC i swa nkoka leswaku ku
antswisiwa ku landzeleriwa ka swiletelo ni vuhlayiseki bya vavabyi.
Nkambisiso lowu a wu ri ni xikongomelo xo kambisisa ndlela leyi vaongori va titwaka
ha yona ni mintokoto ya vona malunghana ni ku va susumeteleka ku endla swo
karhi ni ndlela leyi sweswo swi fambisanaka ha yona ni ku tirhisiwa ka tindlela ta
IPC exibedlhele xa tincece xa le Xifundzheni xa Limpopo, eAfrika Dzonga. Hi ku
kongomisiwa hi Self-Determination Theory, ndzavisiso lowu wu kambisise
nhlonhlotelo wa le ndzeni, swo fana ni ku tilawula, vuswikoti ni vuxaka, swin'we ni
minkucetelo leyi nga le handle, ku katsa ni vulanguteri bya minhlangano ni ku chava
ku soriwa. Ku tirhisiwe endlelo ra nkoka, leri kambisisaka, leri hlamuselaka ni leri twisisekaka.
Tinhlayo ti hlengeletiwe hi ku tirhisa mimbulavurisano leyi enteke ya 12 leyi hleri
weke ya vaongori lava hlawuriweke hi ku tirhisa endlelo ra ku hlawula hi xikongom
elo. Nkambisiso wa tinhloko-mhaka wu tirhisiwile ku kumisisa maendlelo na tin
hloko-mhaka.
Leswi kumiweke swi paluxe leswaku hambileswi vaongori va kombisaka ku tinyi
ketela ka xiviri eka vuhlayiseki bya vavabyi ni ku tshembeka entirhweni, swihinga
swa mafambiselo, swo fana ni ku kayivela ka switirhisiwa, ku nga leteriwi hi ndlela
leyi faneleke ni ku hangalasiwa ka milawu hi ndlela leyi nga hoxeka, swi tsanisa
nsusumeto wa vona. Tinhloko-mhaka ta tsevu letikulu ti humelerile, ti kandziyisa
swivangelo swa le ndzeni ni swa le handle, mintlhontlho ya le xikolweni, mimbuyelo
ya le mintlhavekweni ni maendlelo ya ku landzelela swiletelo. Ndzavisiso lowu wu
bumabumela ku nghenelela loku fambisanaka ni xiyimo lexi, loku tiyisaka fambiselo
ra le ndzeni ni ra le handle ra nsusumeto leswaku ku antswisiwa ku fambisana ni
IPC.
Leswi kumiweke swi kombisa leswaku hambileswi vaongori va tiyimiseleke ku sir
helela vavabyi ni ku hlayisa vutshembeki entirhweni wa vona, swiphiqo leswi va
langutanaka na swona, ku katsa ni ku kayivela ka switirhisiwa, ku nga leteriwi hi
ndlela leyi faneleke ni ku ka va nga tivi milawu ya vutshunguri, swi va endla va nga
ha swi koti ku endla ntirho lowu. Nkambisiso wa the-matic wu boxe tinhloko-mhaka
ta tsevu ta nkoka: swivangelo swa le ndzeni ni swa le handle swa nsusumeto,
swihinga swa mavandla, nkucetelo wa swa miehleketo, swilaveko swa vuleteri eka
IPC, ni mahanyelo ya ku namarhela eka maendlelo.
Ndzavisiso lowu wu tshikelela xilaveko xa ku kurisa mafambiselo ya le ndzeni ni ya
le handle ya nsusumeto ku tiyisisa ku landzeleriwa ka IPC. Yi bumabumela leswaku
mavandla ya swa rihanyo ma tirhisa tindlela leti sekeriweke eka ntivo-miehleketo ni
leti fambisanaka ni swiyimo leswaku vaongori va ta landzelela swiletelo swa IPC.
Gesondheidsorg-geassosieerde infeksies (GSGI's) bly 'n groot uitdaging in kraam
eenhede, waar moeders en pasgeborenes hoogs kwesbaar is. Infeksiebeheer- en
voorkomingspraktyke (IBP) is noodsaaklik vir die vermindering van moeder en ne
onatale morbiditeit en mortaliteit; die nakoming daarvan onder verpleegsters is eg
ter inkonsekwent. Om die faktore te verstaan wat verpleegsters se selfmotivering
beïnvloed om IBP-riglyne te volg, is van kritieke belang vir die verbetering van
nakoming en pasiëntveiligheid.
Hierdie studie het ten doel gehad om verpleegsters se persepsies en ervarings van
selfmotivering te ondersoek en hoe dit verband hou met hul implementering van
IBP-praktyke in 'n kraam-eenheid van 'n hospitaal in Limpopo Provinsie, Suid-Af
rika. Die navorsing is gelei deur die Selfbeslissingsteorie en het intrinsieke mo
tiveerders soos outonomie, bevoegdheid en verwantskap sowel as ekstrinsieke
invloede, insluitend institusionele toesig en die vrees vir blaam, ondersoek.
'n Kwalitatiewe, eksploratiewe, beskrywende en kontekstuele ontwerp is gebruik.
Data is ingesamel deur twaalf diepgaande, semi-gestruktureerde onderhoude met
verpleegsters wat via doelgerigte steekproefneming gekies is. Refleksiewe temat
iese analise is gebruik om patrone en temas te identifiseer.
Bevindinge het getoon dat terwyl verpleegsters 'n intrinsieke verbintenis tot
pasiëntveiligheid en professionele integriteit toon, sistemiese struikelblokke soos
hulpbronne tekorte, onvoldoende opleiding en swak beleidsverspreiding hul mo
tivering ondermyn. Ses hoof-temas het na vore gekom, wat intrinsieke en ekstrin
sieke drywers, institusionele uitdagings, sielkundige impakte en strategieë vir
nakoming beklemtoon. Die studie beveel kontekstueel relevante intervensies aan
wat beide interne en eksterne motiverings-ekosisteme versterk om IBP-nakoming
te verbeter.
