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Task orientated nursing in a tuberculosis control programme in South Africa: : where does it come from and what keeps it going?

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  • van der Walt, Hester M.
  • Swartz, Leslie

Abstract

Task oriented nursing is associated with traditional hospital ward organisational practice. This paper describes task orientation in a tuberculosis control programme which forms part of the public health system in Cape Town, South Africa. Task oriented practice is illustrated with clinical data from a focused ethnography on the work of nurses in a tuberculosis control programme. The origins of task orientation are traced to the colonial history of nursing in South Africa. The authors explore both the explicit and more functional reasons for maintaining task orientation, as well as the implicit and mostly unconscious socially structured defences which contribute to the continuation of this form of practice. Unless attention is given to the complexities of this phenomenon, initiatives to change task oriented practice may continue to fail.

Suggested Citation

  • van der Walt, Hester M. & Swartz, Leslie, 2002. "Task orientated nursing in a tuberculosis control programme in South Africa: : where does it come from and what keeps it going?," Social Science & Medicine, Elsevier, vol. 54(7), pages 1001-1009, April.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:7:p:1001-1009
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    Cited by:

    1. Macq, Jean & Solis, Alejandro & Martinez, Guillermo & Martiny, Patrick & Dujardin, Bruno, 2005. "An exploration of the social stigma of tuberculosis in five "municipios" of Nicaragua to reflect on local interventions," Health Policy, Elsevier, vol. 74(2), pages 205-217, October.
    2. Fassin, Didier, 2008. "The elementary forms of care: An empirical approach to ethics in a South African Hospital," Social Science & Medicine, Elsevier, vol. 67(2), pages 262-270, July.
    3. Stein, Joanne & Lewin, Simon & Fairall, Lara, 2007. "Hope is the pillar of the universe: Health-care providers' experiences of delivering anti-retroviral therapy in primary health-care clinics in the Free State province of South Africa," Social Science & Medicine, Elsevier, vol. 64(4), pages 954-964, February.

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