ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2021
Reorganisation of primary care services during COVID-19 in the Western Cape, South Africa: Perspectives of primary care nurses.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Experiences of nurses in managing HIV and Tuberculosis in rural clinics, South Africa.Health SA = SA Gesondheid · 2025Article
- Supporting a rapid primary care response to emergent communicable disease threats with PACK (Practical Approach to Care Kit) in Florianópolis, Brazil.BMJ global health · 2024Article
- Roles and experiences of nurses in primary health care during the COVID-19 pandemic: a scoping review.BMC nursing · 2024Article
- Primary healthcare nurses' experiences in managing chronic diseases during COVID-19 in the North West province.African journal of primary health care & family medicine · 2024Article
- Lived Experiences of Intensive Care Professional Nurses Caring for COVID-19 Patients in Private Hospitals in Gauteng, South Africa: A Phenomenological Study.Journal of nursing management · 2024Article
- Resilience and preparedness of hospitals for pandemics: Lessons learned from COVID-19.Jamba (Potchefstroom, South Africa) · 2024Article
- The impact of the COVID-19 pandemic on HIV healthcare delivery for females in sub-Saharan Africa: A scoping review.PLOS global public health · 2024Article
- Training needs of professional nurses in primary health care in the Cape Metropole, South Africa.African journal of primary health care & family medicine · 2023Article
- Evaluating COVID-19-Related Disruptions to Effective Malaria Case Management in 2020-2021 and Its Potential Effects on Malaria Burden in Sub-Saharan Africa.Tropical medicine and infectious disease · 2023Article
- Reflections of volunteer counselors working remotely during the COVID-19 pandemic-Implications for policy and practice.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023Article
- Measuring the impact of community-based interventions on type 2 diabetes control during the COVID-19 pandemic in Cape Town - A mixed methods study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Technical-assistance arrangements in coping with the COVID-19 pandemic from the managers' perspective.Revista latino-americana de enfermagem · 2022Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care nurses play a pivotal role in the response to disasters and pandemics. The coronavirus diseases 2019 (COVID-19) pandemic required preventative, diagnostic, and curative measures for persons presenting with symptoms of COVID-19 by healthcare providers, whilst continuing other essential services. We aimed to investigate the reorganisation of primary care services during COVID-19 from the perspectives of primary care nurses in the Western Cape province of South Africa.
methodsWe administered an online survey with closed and open-ended questions to professional nurses enrolled for a Postgraduate Diploma in Primary Care Nursing at Stellenbosch University (2020) and alumni (2017-2019) working in the Western Cape. Eighty-three participants completed the questionnaire.
resultsThe majority of the participants (74.4%) reported that they were reorganising services using a multitude of initiatives in response to the diverse infrastructure, logistics and services of the various healthcare facilities. Despite this, 48.2% of the participants expressed concerns, which mainly related to possible non-adherence of patients with chronic conditions, the lack of promotive and preventative services, challenges with facility infrastructure, and staff time devoted to triage and screening. More than half of the participants (57.8%) indicated that other services were affected by COVID-19, whilst 44.6% indicated that these services were worse than before.
conclusionOur findings suggest that the very necessary reorganisation of services that took place at the start of the COVID-19 pandemic in South Africa enabled effective management of patients infected with COVID-19. However, the reorganisation of services may have longer-term consequences for primary care services in terms of lack of care for patients with other conditions, as well as preventive and promotive care.
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