Department of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2023 Jan 31;15(1):e1-e9. doi: 10.4102/phcfm.v15i1.3553.
Primary health care (PHC) focuses on health promotion and disease prevention; however, acute episodes and emergencies still occur at this level of care. The World Health Organization (WHO) proposes strengthening emergency care at a PHC level as a way of lessening the burden of disease on the overall health system. It is not known how health care practitioners at the PHC level experience management of emergencies.
To explore and describe the experiences of PHC practitioners dealing with emergencies at PHC facilities in Gauteng, South Africa.
The study was conducted in the District Health Services of Gauteng province in South Africa, including clinics, community health care centres and district hospitals.
Using a qualitative approach, semi-structured interviews were conducted with a purposively selected sample of professional nurses and doctors from various levels of the district health care system. Data were transcribed and analysed using qualitative thematic analysis.
Various themes were identified related to the individual confidence and competence of the PHC practitioner, the team approach, the process of role and task allocation and the need for training.
The study provided a voice for the needs of health care practitioners dealing with emergencies at the PHC level. The designing of a targeted and contextually appropriate approach to emergency care training of health care practitioners in the PHC setting that improves team dynamics and team performance, is recommended.Contribution: The insights of PHC practitioners dealing with emergencies contribute contextual relevance to any strategic improvement of care at this level.
初级卫生保健（PHC）侧重于健康促进和疾病预防；然而，在这一级别的保健中仍会发生急性发作和紧急情况。世界卫生组织（WHO）提议加强 PHC 一级的紧急护理，以减轻整个卫生系统的疾病负担。目前尚不清楚 PHC 级别的医疗保健从业者如何体验紧急情况的管理。
探索和描述南非豪登省初级卫生保健设施中初级卫生保健从业者处理紧急情况的经验。
该研究在南非豪登省的地区卫生服务部门进行，包括诊所、社区保健中心和地区医院。
采用定性方法，对来自地区卫生保健系统各个层面的专业护士和医生进行了有针对性的半结构化访谈。使用定性主题分析对转录的数据进行分析。
确定了与 PHC 从业者的个人信心和能力、团队方法、角色和任务分配过程以及培训需求相关的各种主题。
该研究为处理 PHC 一级紧急情况的医疗保健从业者的需求提供了一个声音。建议针对 PHC 环境中的医疗保健从业者进行有针对性和切合实际的紧急护理培训，以改善团队动态和团队绩效。
处理紧急情况的 PHC 从业者的观点为这一级别的护理任何战略改进提供了背景相关性。
