Evidence map›Paper›PMID 42071176›Full record

ArticleJournal of nursing management2026

Nurse and Patient Outcomes in Private and Public Hospitals in South Africa During the COVID-19 Pandemic: A Cross-Sectional Study.

Siedine K Coetzee, Linda H Aiken, Alwiena J Blignaut, Anelle Erasmus, Nicholin Scheepers, Babalwa Tau, Nokwanda Edith Bam, Erika Fourie

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Siedine K CoetzeeNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0002-6042-0926
Linda H AikenCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-8004-3630
Alwiena J BlignautNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0002-0590-2148
Anelle ErasmusNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0002-6855-1031
Nicholin ScheepersNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0001-6952-7060
Babalwa TauNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0002-0196-6611
Nokwanda Edith BamNuMIQ Research Focus Area, North-West University, Potchefstroom, 2520, South Africa, nwu.ac.za.ORCID https://orcid.org/0009-0008-1270-3711
Erika FourieSchool of Mathematical and Statistical Sciences, Pure and Applied Analytics, North-West University, Potchefstroom, South Africa, nwu.ac.za.ORCID https://orcid.org/0000-0003-3321-0576

Funding

National Research Foundation 123541
6 · The paper itself

Abstract

backgroundNurse and patient outcomes in South Africa were poor before COVID-19 and are believed to have worsened during and after the pandemic. Limited evidence exists on modifiable organisational factors contributing to these outcomes hindering targeted interventions. PURPOSE: This paper aims to develop a better understanding of potentially modifiable organisational factors of hospitals that, if addressed, would likely contribute to improving nurse wellbeing and retention, and quality and safety of patient care.

methodsData were collected from 143 private and public hospitals (n = 4298 nurses) across South Africa using a cross-sectional survey. Independent variables included working time with COVID-19 patients, incidence of death and dying, resources, staffing, and the practice environment; dependent variables focused on nurse outcomes (job satisfaction, intent to leave, burnout, mental and physical health) and patient outcomes (quality of care and patient safety).

resultsNurse and patient outcomes were worse in public compared to private hospitals. Favourable practice environments had the strongest association with nurse and patient outcomes, followed by staffing and resources. Within the practice environment, nurse management, leadership and support of nurses showed the greatest association with job satisfaction (OR = 4.71

conclusionInterventions to improve nurse wellbeing and retention as well as quality and safety of care should focus on improving hospital practice environments, specifically nurse manager expertise, nurse leadership, nurse participation in hospital affairs, and adequate staffing and resources.

Indexed as

COVID-19Hospitals, PrivateHospitals, PublicNursing Staff, HospitalOutcome Assessment, Health CareAdultBurnout, ProfessionalCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedQuality of Health CareSouth AfricaSurveys and Questionnaireshospitalsnurse outcomespatient outcomespractice environmentSouth Africasurvey

Identifiers

PMID42071176
PMCPMC13136065

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.