PDF(Pubmed)
Abstract：
UNASSIGNED: Primary healthcare is the first point of entry into the healthcare system. Scaling up primary mental healthcare is recommended in South African mental health policy. However, there is a paucity of data exploring the views of primary healthcare nurses (PHCNs) with regards to caring for people living with mental illness (PLWMI) in South Africa.
UNASSIGNED: To explore the views of PHCNs around caring for PLWMI and task shifting.
UNASSIGNED: A community health centre in Gauteng province, South Africa.
UNASSIGNED: A qualitative study design using the framework approach was employed. Semi-structured individual interviews were conducted among a convenient sample of PHCNs in a community health centre in Gauteng. Interviews were transcribed and data analysed thematically.
UNASSIGNED: Eight PHCNs were interviewed in June 2022. Five themes emerged: (1) participants highlighted their current practice which excludes mental healthcare; (2) participants described feeling fearful of caring for PLWMI; (3) participants ascribed their lack of confidence in caring for PLWMI largely due to insufficient under- and post-graduate mental healthcare training. (4) task shifting was not welcome due to inadequate mental healthcare training and preexisting challenges in the healthcare system; and (5) recommendations to prioritise mental healthcare training prior to implementing task shifting were made.
UNASSIGNED: Primary healthcare nurses, although empathic towards PLWMI, expressed discomfort with caring for them. This is influenced by multiple factors, some of which may be addressed by improved training and support.
UNASSIGNED: This study provides insight into how PHCNs feel about caring for PLWMI and task shifting.
UNASSIGNED: To explore the views of PHCNs around caring for PLWMI and task shifting.
UNASSIGNED: A community health centre in Gauteng province, South Africa.
UNASSIGNED: A qualitative study design using the framework approach was employed. Semi-structured individual interviews were conducted among a convenient sample of PHCNs in a community health centre in Gauteng. Interviews were transcribed and data analysed thematically.
UNASSIGNED: Eight PHCNs were interviewed in June 2022. Five themes emerged: (1) participants highlighted their current practice which excludes mental healthcare; (2) participants described feeling fearful of caring for PLWMI; (3) participants ascribed their lack of confidence in caring for PLWMI largely due to insufficient under- and post-graduate mental healthcare training. (4) task shifting was not welcome due to inadequate mental healthcare training and preexisting challenges in the healthcare system; and (5) recommendations to prioritise mental healthcare training prior to implementing task shifting were made.
UNASSIGNED: Primary healthcare nurses, although empathic towards PLWMI, expressed discomfort with caring for them. This is influenced by multiple factors, some of which may be addressed by improved training and support.
UNASSIGNED: This study provides insight into how PHCNs feel about caring for PLWMI and task shifting.
摘要：
■初级医疗保健是进入医疗保健系统的第一个切入点。南非精神卫生政策建议扩大初级精神卫生保健。然而,在南非，缺乏关于初级保健护士（PHCN）在照顾精神疾病患者（PLWMI）方面的观点的数据。
■探索PHCN围绕PLWMI和任务转移的观点。
■豪登省的一个社区卫生中心，南非。
■采用了使用框架方法的定性研究设计。在豪登省社区卫生中心的一个方便的PHCN样本中进行了半结构化个人访谈。对访谈进行了转录，并对数据进行了主题分析。
■2022年6月采访了8个PHCN。出现了五个主题：（1）参与者强调了他们目前的做法，其中不包括精神保健；（2）参与者描述了对照顾PLWMI的恐惧；（3）参与者归因于他们对照顾PLWMI缺乏信心，这主要是由于缺乏研究生和研究生精神保健培训。（4）由于心理健康培训不足和医疗保健系统中预先存在的挑战，任务转移不受欢迎；（5）建议在实施任务转移之前优先进行心理健康培训。
■初级保健护士，虽然对PLWMI感同身受，对照顾他们表示不满。这受到多种因素的影响,其中一些问题可以通过改进培训和支持来解决。
■这项研究提供了深入了解PHCN对关心PLWMI和任务转移的感受。
■探索PHCN围绕PLWMI和任务转移的观点。
■豪登省的一个社区卫生中心，南非。
■采用了使用框架方法的定性研究设计。在豪登省社区卫生中心的一个方便的PHCN样本中进行了半结构化个人访谈。对访谈进行了转录，并对数据进行了主题分析。
■2022年6月采访了8个PHCN。出现了五个主题：（1）参与者强调了他们目前的做法，其中不包括精神保健；（2）参与者描述了对照顾PLWMI的恐惧；（3）参与者归因于他们对照顾PLWMI缺乏信心，这主要是由于缺乏研究生和研究生精神保健培训。（4）由于心理健康培训不足和医疗保健系统中预先存在的挑战，任务转移不受欢迎；（5）建议在实施任务转移之前优先进行心理健康培训。
■初级保健护士，虽然对PLWMI感同身受，对照顾他们表示不满。这受到多种因素的影响,其中一些问题可以通过改进培训和支持来解决。
■这项研究提供了深入了解PHCN对关心PLWMI和任务转移的感受。
