Abstract

The recent migration of public nursing colleges from the Department of Health to the higher education sector in South Africa has compelled nursing institutions to ensure that their programs meet the Council of Higher Education requirements. One of these requirements is comprehensive student support services in line with the prerogative to widen access and success in higher education. Public Nursing Colleges have reported having systems to provide academic and non-academic support to their students. However, there is limited empirical research on lecturers’ and students’ perspectives on conditions that influence the utilization of available student support services in nursing colleges. Hence, this research explores organisational conditions that influence the utilization of student support services from the perspectives of lecturers and students at three selected campuses in the province of KwaZulu-Natal in South Africa. The research methodology is qualitative, in which a purposive sampling of 21 participants involved individual interviews. The interview of lecturers was due to their expected role in identifying and implementing some of the student support services. The students were involved in the study because they are the ones who benefit from the existence of such services and should therefore be in a better position to report on organisational conditions that enable utilization. Data analysis was thematic as guided by the academic and non-academic areas of student support services expected of nursing colleges. There was high agreement on the availability of systems to provide academic and non-academic student support services. However, there were limited coordinated, standardized, and structured efforts to implement them at different colleges. More so, lecturers reported a shortage of critical resources. The findings suggest improving conditions to utilize student support services effectively. It should help ensure that student support activities are well-coordinated, comprehensive, and aligned with policy.

Keywords: academic success, conditions, holistic support approach, lecturers, nursing colleges, student support.

JEL Classification: I18, I23, I28.

Cite as: Skakane-Masango, T.P., Mtshali, N.G., & Ngcobo, S. (2023). Exploration of the Organisational Conditions that Influence the Utilization of Student Support Services in South African Nursing Colleges. Business Ethics and Leadership, 7(1), 50-62. https://doi.org/10.21272/bel.7(1).50-62.2023

This work is licensed under a Creative Commons Attribution 4.0 International License

References

1. Adi Badiozaman, I.F.B., Leong, H., & Jikus, O. (2020). Investigating student engagement in Malaysian higher education: A self-determination theory approach. Journal of Further and Higher Education, 44(10), 1364-1378. [Google Scholar] [CrossRef]
2. Arifin, M.H. (2018). Role of student support services in enhancing student persistence in the open university context: Lesson from Indonesia Open University. Turkish Online Journal of Distance Education, 19(3), 156-168. [Google Scholar] [CrossRef] 
3. Akinla, O., Hagan, P., & Atiomo, W. (2018). A systematic review of the literature describing the outcomes of near-peer mentoring programs for first year medical students. BMC medical education, 18(1), 1-10. [Google Scholar] [CrossRef]
4. Atinaf, W., & Petros, P. (2016). Socio economic factors affecting female students’ academic performance at higher education. Health Care: Current Reviews, 1-3. [Google Scholar]
5. Aulck, L., Velagapudi, N., Blumenstock, J., & West, J. (2016). Predicting student dropout in higher education. ArXiv preprint arXiv:1606.06364. [Google Scholar]
6. Baik, C., Larcombe, W., & Brooker, A. (2019). How universities can enhance student mental wellbeing: The student perspective. Higher Education Research & Development, 38(4), 674-687. [Google Scholar] [CrossRef]
7. Bekelepi, N., & Martin, P. (2022). Experience of violence, coping and support for nurses working in acute psychiatric wards. South African Journal of Psychiatry, 28(0), a1700. [Google Scholar] [CrossRef]
8. Calcagno, J., Bailey, T., Jenkins, D., Kienzl, G., & Leinbach, T. (2008). Community college student success: What institutional characteristics make a difference? Economics of Education Review, 27(6), 632-645. [Google Scholar] [CrossRef]
9. Carragher, J., & McGaughey, J. (2016). The effectiveness of peer mentoring in promoting a positive transition to higher education for first-year undergraduate students: a mixed methods systematic review protocol. Systematic reviews, 5(1), 1-9. [Google Scholar] [CrossRef]
10. Coelho, C., Zahra, D., Ali, K., & Tredwin, C. (2019). To accept or decline academic remediation: what difference does it make? Medical Teacher, 41(7), 824-829. [Google Scholar] [CrossRef]
11. Corbin, J., & Strauss, A. (2008). Strategies for qualitative data analysis. Basics of Qualitative Research. Techniques and procedures for developing grounded theory, 3, 9781452230153. Available at: [Link]
12. Council on Higher Education (CHE) (2010). Access and throughput in South African higher education: Three case studies. Higher Education Monitor 9. South Africa, Pretoria: Council on Higher Education. Available at: [Link]
13. Council on Higher Education (2014a). Framework for Institutional Quality Enhancement in the Second Period of Quality Assurance. CHE: Pretoria. Available at: [Link]
14. Council on Higher Education (2021). A Quality Assurance Framework (QAF) For Higher Education in South Africa. CHE: Pretoria. Available at: [Link]
15. Creswell, J.W., & Creswell, J.D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications. Available at: [Link]
16. Darling-Hammond, L., & Cook-Harvey, C.M. (2019). Educating the Whole Child: Improving School Climate to Support Student Success. Learning Policy Institute. Available at: [Link]
17. Department of Education (DoE) (2020). Language Policy for Higher Education. Pretoria: Government Press. Available at: [Link]
18. Department of Higher Education and Training (DHET) (2013). White paper for post-school education and training. Pretoria, South Africa. Available at: [Link]
19. Degtjarjova, I., Lapina, I., & Freidenfelds, D. (2018). Student as stakeholder: “voice of customer” in higher education quality development. Marketing and Management of Innovations, 2, 388-398. [Google Scholar] [CrossRef]
20. Du Plessis, P., & Mestry, R. (2019). Teachers for rural schools–a challenge for South Africa. South African Journal of Education, 39. [Google Scholar] [CrossRef]  
21. Edenfield, C. & McBrayer, J.S. (2021). Institutional Conditions that Matter to Community College Students’ Success. Community College Journal of Research and Practice, 45(10), 718-734. [Google Scholar] [CrossRef] 
22. Ertem, H.Y., & Gokalp, G. (2022). Role of personal and organizational factors on student attrition from graduate education: A mixed-model research. Journal of College Student Retention: Research, Theory & Practice, 23(4), 903-928. [Google Scholar] [CrossRef]
23. Gaffoor, A., & van der Bijl, A. (2019). Factors influencing the intention of students at a selected TVET college in the Western Cape to complete their National Certificate (Vocational) Business Studies programme. Journal of Vocational, Adult and Continuing Education and Training, 2(2), 23. [Google Scholar] [CrossRef]
24. Glendinning, I., Orim, S., & King, A. (2019). Policies and actions of accreditation and quality assurance bodies to counter corruption in higher education: Project report. Council for Higher Education Accreditation. Available at: [Link]
25. Hutchinson, F. (2016). Attrition of under-graduate male nursing students at a private nursing education institution in Gauteng (Doctoral dissertation, Stellenbosch: Stellenbosch University). Available at: [Link]  
26. Jacobs, S. (2017). A scoping review examining nursing student peer mentorship. Journal of Professional Nursing, 33(3), 212-223. [Google Scholar] [CrossRef]
27. Jun, J. & Rosemberg, M.A.S. (2022). I am a nurse, not a martyr: Qualitative investigation of nurses’ experiences during onset of the Coronavirus Pandemic. Policy, Politics, & Nursing Practice, 23(1), 48-55. [Google Scholar] [CrossRef]
28. Kramer, D., Hillman, S.M., & Zavala, M. (2018). Developing a culture of caring and support through a peer mentorship program. Journal of Nursing Education, 57(7), 430-435. [Google Scholar] [CrossRef]
29. Kuh, G.D. (2005). Promoting student success: What campus leaders can do. Indiana University Center for Postsecondary Research: USA. Available at: [Link]  
30. Kuh, G.D., Kinzie, J., Buckley, J., Bridges, B., & Hayek, J.C. (2007). Piecing together the student success puzzle: Research, propositions, and recommendations. ASHE Higher Education Report, 32(5), 1-182. [Google Scholar] [CrossRef]
31. Langtree, E.M., Razak, A., & Haffejee, F. (2018). Factors causing stress among first-year students attending a nursing college in KwaZulu-Natal, South Africa. African Journal of Health Professions Education, 10(2), 90-95. [Google Scholar] [CrossRef]
32. Liu, C.H., Pinder-Amaker, S., Hahm, H.C. & Chen, J.A. (2022). Priorities for addressing the impact of the COVID-19 pandemic on college student mental health. Journal of American College Health, 70(5), 1356-1358. [Google Scholar] [CrossRef]
33. Iwu, C.G., Udekwe, E., de la Harpe, A.C., & Daramola, J.O. (2021). Descriptive literature review of human resource information systems (HRIS) adoption issues in the health sector, South Africa. International Journal of Research in Business and Social Science (2147-4478), 10(5), 261-275. [Google Scholar] [CrossRef]
34. Malatji, H., Griffiths, F., & Goudge, J. (2022). Supportive supervision from a roving nurse mentor in a community health worker programme: a process evaluation in South Africa. BMC Health Services Research, 22, 323. [Google Scholar] [CrossRef]
35. Mansour, E.A., Gemeay, E.M., Behilak, S., & Albarrak, M. (2016). Factors affecting attrition rate among nursing students college of health sciences, Taibah university, Saudi Arabia.  International Journal of Nursing, 3(1), 65-72. [Google Scholar] [CrossRef]
36. McGhie, V. (2017). Entering university studies: identifying enabling factors for a successful transition from school to university. Higher Education, 73(3), 407-422. [Google Scholar] [CrossRef]
37. McIntyre, J.C., Worsley, J., Corcoran, R., Harrison Woods, P., & Bentall, R.P. (2018). Academic and non-academic predictors of student psychological distress: The role of social identity and loneliness. Journal of Mental Health, 27(3), 230-239. [Google Scholar] [CrossRef]
38. Mhlongo, X.L., & Masango, T.E. (2020). Factors contributing to poor performance of student nurses in anatomy and physiology. African Journal of Health Professions Education, 12(3), 140-143. [Google Scholar] [CrossRef]
39. Mlaba, Z.P., & Emmamally, W. (2019). Describing the perceptions of student nurses regarding barriers and benefits of a peer-mentorship programme in a clinical setting in KwaZulu-Natal. Health SA Gesondheid, 24. [Google Scholar] [CrossRef]
40. Mohamedbhai, G. (2014). Massification in higher education institutions in Africa: Causes, consequences and responses. International Journal of African Higher Education, 1(1). [Google Scholar] [CrossRef]
41. Morison, A., & Cowley, K. (2017). An exploration of factors associated with student attrition and success in enabling programs. Issues in Educational Research, 27(2), 330-346. [Google Scholar]
42. Mtshali, N.G., & Zwane, Z.P. (2019). Positioning public nursing colleges in South African higher education: Stakeholders’ perspectives. Curationis, 42(1), 1-11. [Google Scholar] [CrossRef] 
43. Muchineripi, M. (2017). Exploring the effectiveness of psychological support services provided to students at Majuba TVET College, Kwazulu-Natal Province. Masters’ dissertation, University of South Africa, Pretoria. Available at: [Link]
44. Mudaly, P.D., & Mtshali, N.G. (2018). Academic monitoring and support of undergraduate nursing education programme: A middle-range theory. Curationis, 41(1), 1-11. [Google Scholar] [CrossRef]
45. Republic of South Africa (2022). National Strategic plan. NDOH. Pretoria. Available at: [Link]
46. Ndawo, G. (2019). The influence of language of instruction in the facilitation of academic activities: Nurse educators’ experiences. Health SA Gesondheid 24(0), a1261. [Google Scholar] [CrossRef]
47. Ndlela, N.N.T. (2017). Students’ perceptions of student support services at a selected nursing campus in the EThekwini District (Doctoral dissertation). University of KwaZulu-Natal, South Africa. Available at: [Link]
48. Ngcobo, S., Ndebele, H., & Bryant, K. (2021). Translanguaging: A tool to decolonise students’ experiences of learning to write for academic purposes in the South African university context. Journal for Language Teaching, 55(1), 77-99. [Google Scholar] [CrossRef] 
49. Otu, M.N., & Mkhize, Z. (2018). Understanding black African student attrition in the context of transformation in South African Higher Education institutions. Journal of African Foreign Affairs, 5(1), 149-171. [Google Scholar] [CrossRef]
50. Sánchez-Elvira Paniagua, A., & Simpson, O. (2018). Developing student support for open and distance learning: The EMPOWER project. Journal of Interactive Media in Education, 1(9), 1-10. [CrossRef] 
51. Pather, S., & Chetty, R. (2016). A conceptual framework for understanding pre-entry factors influencing first-year university experience: leading article. South African Journal of Higher Education, 30(1), 1-21. [Google Scholar] [CrossRef]
52. Polit, D., & Beck, C. (2020). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins. Available at: [Link]
53. Ramkilowan, S. (2014). Exploring the attrition of student nurses from a four-year comprehensive basic nursing education programme in a selected college of nursing in KwaZulu-Natal: a case study approach. Masters in Nursing. University of KwaZulu-Natal, South Africa. Available at: [Link]
54. Roestenburg, W.J.H., Strydom, H., & Fouché, C.B. (Eds.). (2021). Research at Grass Roots: For the Social Sciences and Human Services Professions. Van Schaik Publishers. Available at: [Link]
55. Roos, E., Fichardt, A.E., MacKenzie, M.J., & Raubenheimer, J. (2016). Attrition of undergraduate nursing students at selected South African universities. Curationis, 39(1), 1-8. [Google Scholar] [CrossRef]
56. Schreiber, B., Luescher-Mamashela, T., & Moja, T. (2014). Tinto in South Africa: Student integration, persistence and success, and the role of student affairs. Journal of Student Affairs in Africa, 2(2). [Google Scholar] [CrossRef]
57. Seleka, N. (2019). Matric results: Where are the missing 400 000 pupils who started Grade 1 in 2007? News24. Available at: [Link]
58. Shikulo, L., & Lekhetho, M. (2020). Exploring student support services of a distance learning centre at a Namibian university. Cogent Social Sciences, 6(1), 1737401. [Google Scholar] [CrossRef] 
59. Sibiya, M.N., & Mahlanze, H.T. (2018). Experiences of facilitators regarding the extended curriculum programme offered at a higher education institution in the province of KwaZulu-Natal in South Africa. Curationis, 41(1), 1-6. [Google Scholar] [CrossRef]
60. Sineke, N., Yako, E.M., & Elliott, R.M. (2015). Perceived academic support of student nurses at a public nursing college in the Eastern Cape Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, December (Supplement 2:1), 151-163. [Google Scholar]
61. Skakane-Masango, T.P., Mtshali, N.G., & Ngcobo, S. (2022). Utilization of student support services by undergraduate students in Nursing Education Institutions in South Africa. International Journal of Research in Business and Social Science (2147-4478), 11(8), 335-343. [Google Scholar] [CrossRef]
62. South African Nursing Council (SANC) (2005). Nursing Education and Training Standards [Online]. Republic of South Africa SANC. Available at: [Link]
63. Speckman, M., & Mandew, M. (Eds.). (2014). Perspectives on student affairs in South Africa. African Minds. Project MUSE. Available at: [Link]
64. Tait, A. (2000). Planning student support for open and distance learning. Open learning: The Journal of open, distance and e-learning, 15(3), 287-299. [Google Scholar] [CrossRef]
65. Ten Hoeve, Y., Castelein, S., Jansen, W., Jansen, G.J., & Roodbol, P.F. (2017). Nursing students’ changing orientation and attitudes towards nursing during education: A two-year longitudinal study. Nurse education today, 48, 19-24. [Google Scholar] [CrossRef]
66. Tinto, V. (1975). Dropout from higher education: A theoretical synthesis of recent research. Review of educational research, 45, 89-125. [Google Scholar] [CrossRef]
67. Tinto, V. (2006). Research and practice of student retention: What Next? Journal of College Student Retention: Research, Theory & Practice, 8(1), 1-19. [Google Scholar] [CrossRef]
68. Tinto, V. (2012). Completing college: Rethinking institutional action, University of Chicago Press. Available at: [Link]
69. Tinto, V. (2014). Tinto’s South Africa lectures. Journal of Student Affairs in Africa, 2(2), 5-28. [Google Scholar] [CrossRef]
70. Tinto, V., & Pusser, B. (2006). Moving from theory to action: Building a model of institutional action for student success. National Postsecondary Education Cooperative, Department of Education, Washington, D.C. Available at: [Link]
71. Vera-Alanis, Y., Aranda-Sanchez, D., Cano-Verdugo, G., Gonzalez-Angulo, P., Rueda-Sanchez, C.B., & Rojas-Martinez, A. (2022). Nursing staff mortality during the Covid-19 Pandemic, Scoping Review. SAGE Open Nursing, 8. [CrossRef]
72. Whitt, E.J., Kinzie, J., Schuh, J.H., & Kuh, G.D. (2008). Assessing conditions to enhance student success: How six campuses got started. About Campus, 13(3), 9-18. [Google Scholar] [CrossRef]
73. Willans, J., & Seary, K. (2018). Why did we lose them and what could we have done? Student Success, 9(1), 47-60. [Google Scholar] [CrossRef]
74. Yomtov, D., Plunkett, S.W., Efrat, R., & Marin, A.G. (2017). Can peer mentors improve first-year experiences of university students?  Journal of College Student Retention: Research, Theory & Practice, 19(1), 25-44. [Google Scholar] [CrossRef]  
75. Zewotir, T., & North, D. (2015). Analysis of attrition and retention rates using the generalized linear model. South African Statistical Journal, 49(2), 257-271. [Google Scholar]
76. Zulu, W.V., & Mutereko, S. (2020). Exploring the causes of student attrition in South African TVET Colleges: A case of one KwaZulu-Natal Technical and Vocational Education and Training College. Interchange, 51(4), 385-407. [Google Scholar][CrossRef]