scholarly journals Strategies to facilitate effective caring for patients in primary health care clinics

Curationis ◽  
2021 ◽  
Vol 44 (1) ◽  
Author(s):  
Tinswalo Nesengani ◽  
Charlene Downing ◽  
Marie Poggenpoel ◽  
Chris Stein
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conceptual Framework ◽  
Care Provider ◽  
Phase 1 ◽  
Phase 2 ◽  
Care Clinic ◽  
Health Care Clinics ◽  
Primary Health ◽  
Professional Nurses

Background: Caring is described as the innermost core of nursing which occurs in a relationship between the patient and the care provider. Although caring in nursing is associated with maintaining and strengthening of the patient’s sense of dignity and being a person, there seems to be a gap between caring theories in nursing, healthcare policies and caring for patients by professional nurses in primary health care clinics. Developing strategies that will facilitate effective caring for patients by professional nurses in primary health care clinics within an ethical and mindful manner became an area of focus in this study.Objectives: To develop strategies to facilitate effective caring for patients by professional nurses in primary health care clinics in South Africa.Method: Strategies were developed based on the conceptual framework developed in Phase 2, which was derived from synthesis of the results of Phase 1 of the previously conducted study and supported by literature. The conceptual framework reflects the survey list of Dickoff, James and Wiedenbach’s practice theory.Results: Three strategies were developed: 1) facilitating maintaining of the empowering experiences; 2) facilitating addressing the disempowering experiences by professional nurses, and 3) facilitating addressing of the disempowering primary health care clinic systems.Conclusion: The developed strategies, being the proposed actions, procedures and behaviours, could facilitate effective caring for patients by professional nurses in primary health care clinics.

scholarly journals Conceptual framework for the formulation of strategies to support registered nurses in their utilisation of the nursing process when executing their roles and functions in local-level Primary health care (PHC) practicein Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conceptual Framework ◽  
Registered Nurses ◽  
Local Level ◽  
Phase 1 ◽  
Care Practice ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>This paper describes the conceptual framework upon which the development of strategies to support use of the nursing process by registered nurses in local-level Primary health care practice in Namibia was based. The conceptual framework was developed based on the findings of phase 1 of this study, which was a situational analysis to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia and to identify constraints that registered nurses in local level Primary health care practice face as they implement the nursing process in their daily practice. The study was conducted in four phases namely as follow: Phase1: Needs assessment quantitative survey; Phase 2: Conceptualisation of findings from phase 1; Phase 3: Development of strategies to support the roles and functions of the registered nurse in local level PHC and Phase 4: Validation of these strategies. This article focusses on Phase 2: Conceptualisation of findings from phase 1 and it describes objectives 4 of the study namely, to develop a conceptual framework on which to base the formulation of relevant strategies.</p><p>From phase 1 which focused on needs assessment, findings indicate that registered nurses in local level Primary health care practice in Namibia fulfill most of their expected role functions. However, five main problem areas were identified. The challenges identified were categorised according to the five elements of PHC and management, namely, water and sanitation and related environmental health issues; nutrition and food supply; health education and communication; community diagnosis and care; and management support or administration, including research.</p><p>It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice.</p><p>The development of the conceptual framework, which guided the development of strategies to support registered nurses use the nursing process in local level Primary health care practice, makes this study an original contribution to the body on knowledge.</p>

scholarly journals Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Michelle Grunauer ◽  
David Schrock ◽  
Eric Fabara ◽  
Gabriela Jimenez ◽  
Aimee Miller ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Symptom Severity ◽  
Depression Symptoms ◽  
Health Questionnaire ◽  
Care Clinic ◽  
Health Care Clinics ◽  
Primary Health

Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gathering, storing, and assessing data that includes self-reported symptom severity from the patients themselves as well as clinician recorded information. In a suburban primary health care clinic in Quito, Ecuador, we tested the feasibility and utility of computer tablet-based assessments to evaluate clinic attendees for depression symptoms with the goal of developing effective screening and monitoring tools in the primary care clinics. We assessed individuals using the 9-item Patient Health Questionnaire, the Quick Inventory of Depressive Symptoms-Self-Report, the 12-item General Health Questionnaire, the Clinical Global Impression Severity, and a DSM-IV checklist of symptoms. We found that 20% of individuals had a PHQ9 of 8 or greater. There was good correlation between the symptom severity assessments. We conclude that the tablet-based PHQ9 is an excellent and efficient method of screening for depression in attendees at primary health care clinics and that one in five people should be assessed further for depressive illness and possible intervention.

scholarly journals Perceptions of strategies to facilitate caring for patients in primary health care clinics

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Tintswalo V. Nesengani ◽  
Charlene Downing ◽  
Marie Poggenpoel ◽  
Chris Stein
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nurse Managers ◽  
Active Listening ◽  
Constructive Feedback ◽  
Health Care Clinics ◽  
Primary Health ◽  
Contextual Design ◽  
Asking Questions ◽  
Professional Nurses

Background: Caring in nursing helps patients feel better, whilst the absence of caring will affect patients psychologically, emotionally and physically.Aim: The aim of this article was to explore and describe primary health care (PHC) professional nurses’ and PHC nurse managers’ perceptions of the developed strategies to facilitate effective caring for patients in PHC clinics.Setting: This study was conducted in two PHC clinics in Ekurhuleni, an area east of the Gauteng province, South Africa.Methods: The study used a qualitative, exploratory, descriptive and contextual design. In-depth individual phenomenological interviews were conducted with eight purposively selected PHC professional nurses working in PHC clinics and two PHC nurse managers supervising PHC clinics in Ekurhuleni. Giorgi’s coding method was used to analyse the data.Results: Three themes were identified from the results of the exploration and description of PHC professional nurses’ and PHC nurse managers’ perceptions of the developed strategies. The use of active listening skills, showing interest in what is being said, asking questions and providing constructive feedback that focuses on the issue were the most effective strategies in improving effective communication between PHC nurse managers and PHC professional nurses. The PHC professional nurses were encouraged to put patients’ interests first whilst adhering to the ethical principles of nursing.Conclusion: Although caring is considered as the core of nursing practice, PHC professional nurses and PHC nurse managers perceive that rendering effective caring for patients needs to be reinforced through the use of strategies that will enable change and improve clinical practice in PHC clinics.

scholarly journals Nationwide Seroprevalence of SARS-CoV-2 IgG Antibodies among Four Groups of Primary Health-Care Workers and Their Household Contacts 6 Months after the Initiation of the COVID-19 Vaccination Campaign in France: SeroPRIM Study Protocol

Pathogens ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 911
Author(s):  
Marie Pouquet ◽  
Dorine Decarreaux ◽  
Pol Prévot-Monsacré ◽  
Corentin Hervé ◽  
Andréas Werner ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Phase 1 ◽  
Vaccination Campaign ◽  
Igg Antibodies ◽  
Household Contacts ◽  
Primary Health ◽  
Care Workers ◽  
Natural Protection

Background: The protocol study will focus on the seroprevalence of IgG antibodies to SARS-CoV-2 achieved by vaccination and/or natural protection as well as the history, symptoms, and risk factors for SARS-CoV-2 in four primary health-care workers (PHCWs) and their household contacts in metropolitan France. Methods: Here, we propose a protocol for a nationwide survey to determine the seroprevalence of IgG antibodies to SARS-CoV-2 achieved by vaccination and/or natural protection in four PHCW populations (general practitioners, pediatricians, pharmacists and assistants, and dentists and assistants) and their household contacts. Participants will be included from June to July 2021 (Phase 1) among PHCW populations located throughout metropolitan France. They will be asked to provide a range of demographic and behavioral information since the first SARS-CoV-2 wave and a self-sampled dried blood spot. Phase 1 will involve also a questionnaire and serological study of PHCWs’ household contacts. Seroprevalence will be estimated using two ELISAs designed to detect specific IgG antibodies to SARS-CoV-2 in humoral fluid, and these results will be confirmed using a virus neutralization test. This study will be repeated from November to December 2021 (Phase 2) to evaluate the evolution of immune status achieved by vaccination and/or natural protection of PHCWs and to describe the history of exposure to SARS-CoV-2.

Quality of life and adherence to mediterranean diet among type 2 diabetes mellitus patients of a primary health care clinic in Hebron city, Palestine

2021 ◽  
pp. 1-10
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Mediterranean Diet ◽  
Well Being ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

scholarly journals Antimicrobial prescribing patterns in a group of private primary health care clinics in South Africa

2007 ◽  
Vol 12 (1) ◽  
Author(s):  
Norah L Katende-Kyenda ◽  
Martie S Lubbe ◽  
Jan HP Serfontein ◽  
Ilse Truter
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Prescribing Patterns ◽  
Antimicrobial Prescribing ◽  
Health Care Clinics ◽  
Primary Health

The aim of this study was to investigate the prescribing of antimicrobials in private primary health care in South Africa. ABSTRAK Die doel met hierdie studie was om die voorskryfpatrone van antimikrobiese middels in private primêre gesondheidsorginrigtings in Suid-Afrika te ondersoek.

scholarly journals The provision of Primary Health Care in two rural districts of the Eastern Cape Province with particular reference to human resources and accessibility - Part 2: The results and recommendations

Curationis ◽  
1998 ◽  
Vol 21 (2) ◽  
Author(s):  
M. Thipanyana ◽  
T.R. Mavundla
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Phase Iii ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Problem Statement ◽  
Rural Districts ◽  
Primary Health ◽  
Community People ◽  
Professional Nurses

Part 1 of this article dealt with the introduction, problem statement and the research methods. This article details the results and the recommendations with the aim of improving the provision of primary health care in rural districts of the Eastern Cape Province. This article is dealt with in three phases: phase I gives the results of interviews of community people, phase II deals with the results of the questionnaire administered to professional nurses and phase III entails the recommendations.

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