Department of Nursing, Faculty of Health Science, University of Johannesburg, Johannesburg.
Afr J Prim Health Care Fam Med. 2021 Feb 18;13(1):e1-e9. doi: 10.4102/phcfm.v13i1.2652.
Caring in nursing helps patients feel better, whilst the absence of caring will affect patients psychologically, emotionally and physically.
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.
This study was conducted in two PHC clinics in Ekurhuleni, an area east of the Gauteng province, South Africa.
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.
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.
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.
护理中的关怀有助于患者感觉更好，而缺乏关怀会在心理、情感和身体上影响患者。
本文旨在探讨和描述初级保健（PHC）专业护士和 PHC 护士长对促进 PHC 诊所患者有效护理的既定策略的看法。
这项研究在南非豪登省东部的埃库鲁莱尼的两个 PHC 诊所进行。
该研究采用了定性、探索性、描述性和情境设计。对埃库鲁莱尼的 PHC 诊所工作的八名有目的选择的 PHC 专业护士和两名 PHC 护士长进行了深入的个体现象学访谈。使用 Giorgi 的编码方法对数据进行分析。
从 PHC 专业护士和 PHC 护士长对既定策略的看法的探索和描述的结果中确定了三个主题。使用积极倾听技巧、对所说的话表示兴趣、提问和提供关注问题的建设性反馈是改善 PHC 护士长和 PHC 专业护士之间有效沟通的最有效策略。鼓励 PHC 专业护士在遵守护理伦理原则的同时将患者的利益放在首位。
尽管关怀被认为是护理实践的核心，但 PHC 专业护士和 PHC 护士长认为，需要通过使用能够改变和改善 PHC 诊所临床实践的策略来加强对患者的有效关怀。
