Primary healthcare nurses' experiences in managing chronic diseases during COVID-19 in the North West province.

Journal: African journal of primary health care & family medicine

Volume: 16

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Health Studies, College of Health Sciences, School of Social Sciences, University of South Africa, Pretoria. mbowesh@unisa.ac.za.

Abstract summary 

 The World Health Organization, stated that the coronavirus disease 2019 (COVID-19) pandemic not only affected the socioeconomic well-being of millions but also had adverse effects on public health, particularly in the management of chronic diseases at the primary healthcare (PHC) level. What remained unknown was the experiences of professional nurses(PNs) working in PHC regarding this issue. The study aimed to explore and describe the lived experiences of PHC nurses in managing chronic diseases during the COVID-19 pandemic. The study was conducted in the North West province, South Africa. A qualitative descriptive phenomenological design was employed to collect and analyse data. Face-to-face interviews were conducted and audio recorded with 16 PNs from five high-volume PHC facilities selected purposively. The study's findings reveal four themes: suboptimal care for patients with chronic disease, a lack of resources, mental health challenges experienced by PHC nurses, and stigma and discrimination from both family and community members. The neglect of PHC and its frontline healthcare staff has impeded the mental health of PHC workers and the management of chronic diseases thus any progress made in reducing the burden of chronic diseases is likely to have regressed during the COVID-19 pandemic.Contribution: Policymakers should prioritise strengthening PHC by implementing integrated disease management policies, ensuring ethical clinical standards, providing supportive supervision, fair resource allocation and capacity building for PHC staff. In addition, addressing stigma and discrimination, and raising awareness among families and communities is crucial for future pandemics to effectively manage both chronic and infectious diseases.

Authors & Co-authors:  Mboweni Sheillah H SH

Study Outcome 

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Statistics
Citations : 
Authors :  1
Identifiers
Doi : 10.4102/phcfm.v16i1.4491
SSN : 2071-2936
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
COVID-19;experiences;management;patient with chronic disease;primary healthcare;professional nurses
Study Design
Phenomenological Study,Descriptive Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
South Africa