Balton Sadna, Pillay Mershen, Armien Rizqa, Vallabhjee Annika L, Muller Elani, Heywood Mark J, van der Linde Jeannie
Department of Speech Therapy and Audiology, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa.
Department of Speech, Language Pathology, Faculty of Health Sciences, University of KwaZulu-Natal, Westville, South Africa.
Afr J Disabil. 2024 Jan 12;13:1229. doi: 10.4102/ajod.v13i0.1229. eCollection 2024.
In South Africa, the sharp rise in people with severe illness because of coronavirus disease 2019 (COVID-19) in early 2020, meant that health systems needed to adapt services and operations, including rehabilitation services. Important insights into the lived experiences of rehabilitation personnel enacting these adaptations in an African context are limited.
The aim of this study was to explore the lived experiences of rehabilitation practitioners working in the public sector in South Africa during the COVID-19 pandemic.
A phenomenological approach and a duo-ethnographic design were used. A recruitment letter was circulated requesting volunteers. Maximum variation sampling was used to select the 12 participants of this study. Data were collected through interviews via Zoom, and critical conversations were facilitated by a non-rehabilitation partner who is known for challenging health inequities. The interviews were audio-recorded and transcribed verbatim. Data were analysed through elements of qualitative content and thematic analysis. Data were coded, categorised, clustered into concepts and formulated into themes.
Three themes were identified: (1) 'Management became the enemy', (2) 'Tired of being resilient' and (3) 'Think out of the box…think on our feet'.
The results of this study highlighted new ways of practice, innovative adaptations, and usage of resources and platforms.
This study highlights the re-imagining of accessible rehabilitation services that could lead to deeper onto-epistemological shifts amongst the rehabilitation practitioners.
在南非,2020年初因2019冠状病毒病(COVID-19)导致的重症患者人数急剧上升,这意味着卫生系统需要调整服务和运营,包括康复服务。关于在非洲背景下实施这些调整的康复人员的生活经历的重要见解有限。
本研究的目的是探讨在COVID-19大流行期间,南非公共部门工作的康复从业者的生活经历。
采用现象学方法和双民族志设计。分发了一封招募信,招募志愿者。采用最大变异抽样法选择本研究的12名参与者。通过Zoom进行访谈收集数据,并由一位以挑战健康不平等而闻名的非康复领域合作伙伴促进关键对话。访谈进行了录音,并逐字转录。通过定性内容和主题分析的要素对数据进行分析。对数据进行编码、分类、聚类成概念并形成主题。
确定了三个主题:(1)“管理层成了敌人”,(2)“厌倦了保持韧性”,(3)“跳出框框思考……随机应变”。
本研究结果突出了新的实践方式、创新的调整以及资源和平台的使用。
本研究强调了对可及康复服务的重新构想,这可能会在康复从业者中引发更深层次的本体认识论转变。