Evidence map›Paper›PMID 40022067›Full record

ArticleBMC nursing2025

Barriers to effective patient care as experienced by nurses in primary healthcare clinics in African countries: a systematic review of qualitative studies.

Tintswalo Victoria Nesengani, Charlené Downing, Wilma Ten Ham-Baloyi

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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  8. Review
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  11. Missed preoperative nursing care in dentistry.Frontiers in oral health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tintswalo Victoria NesenganiDepartment of Nursing, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Charlené DowningDepartment of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Wilma Ten Ham-BaloyiFaculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa. wilma.tenham-baloyi@mandela.ac.za.ORCID http://orcid.org/0000-0002-2253-6354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe essence of adopting the Alma-Ata Declaration (1978) was to ensure that essential and acceptable healthcare services are accessible to individuals and families in the community. However, existing literature points that various factors pose as barriers towards effective caring for patients by nurses in primary healthcare clinics. Identifying factors that pose as barriers in effective caring for patients can assist in using strategies that can help in improving the provision of healthcare services.

methodsA qualitative systematic review was conducted in accordance with the Joanna Briggs Institute's approach, including the search and selection, critical appraisal, data extraction and synthesis. An extensive literature search was undertaken to identify relevant qualitative research studies research with substantive findings that reflected nurses' challenges in PHC clinics, conducted in African countries from 2010 to 2024, in the following databases: CINAHL and Medline (through EBSCOhost), BioMed Central, ScienceDirect and Scopus (Elsevier), followed by a manual search in Google Scholar, and a citation search.

resultsFollowing the data extraction and analysis of nine articles, three themes were identified: (1) Shortage of nurses; (2) High workloads for nurses; and (3) Shortage of medicines. A majority of articles were from South Africa (n = 7).

conclusionsThe identified barriers may be addressed at different healthcare system levels in various African countries to improve the provision of healthcare services.

Indexed as

BarriersCaringNursesPatientsPrimary health care

Identifiers

PMID40022067
PMCPMC11869662

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.