Febana Busisiwe M, Mulondo Mutshidzi
Department of Public Health, Faculty of Health Sciences, University of Free State, Bloemfontein, South Africa.
Health SA. 2025 Feb 28;30:2878. doi: 10.4102/hsag.v30i0.2878. eCollection 2025.
This review mapped the perceptions of nurses on the integration of mental health services into primary health care (PHC) in low- and middle-income countries (LMICs).
The study focused on perceptions related to mental health service integration to determine barriers and facilitators from the perspective of nurses.
A scoping review was conducted across relevant databases and search engines, resulting in the identification of 120 studies. Four studies met the inclusion criteria for synthesis.
The findings indicated that nurses perceived a significant lack of resources and training in mental health care. Barriers such as stigma and workload were prevalent barriers to integration. However, facilitators included support from leadership and multidisciplinary collaboration. Successful integration led to improved patient access to mental health services and reduced stigma.
The integration of mental health services into PHC is a complex process influenced by multiple factors. Nurses play a critical role in this integration, and their insights are essential for developing effective strategies for integration. For proper integration of mental health services, it is recommended that resources and training for nurses to integrate mental health services into PHC in LMICs be increased. Addressing barriers like stigma and heavy workloads, along with support from leadership and multidisciplinary collaboration, is essential for improving patient outcomes.
This study contributes to the knowledge base on integrating mental health services into PHC, offering insights for policymakers and healthcare providers to enhance mental health care delivery in LMICs and similar settings.
本综述梳理了低收入和中等收入国家（LMICs）护士对将心理健康服务纳入初级卫生保健（PHC）的看法。
该研究聚焦于与心理健康服务整合相关的看法，从护士的角度确定障碍和促进因素。
在相关数据库和搜索引擎中进行了一项范围综述，共识别出120项研究。四项研究符合综合分析的纳入标准。
研究结果表明，护士认为心理健康护理方面严重缺乏资源和培训。诸如耻辱感和工作量等障碍是整合过程中的普遍障碍。然而，促进因素包括领导层的支持和多学科协作。成功的整合使患者更容易获得心理健康服务，并减少了耻辱感。
将心理健康服务纳入初级卫生保健是一个受多种因素影响的复杂过程。护士在这一整合过程中发挥着关键作用，他们的见解对于制定有效的整合策略至关重要。为了实现心理健康服务的适当整合，建议增加为低收入和中等收入国家护士提供的将心理健康服务纳入初级卫生保健的资源和培训。消除耻辱感和繁重工作量等障碍，同时获得领导层的支持和多学科协作，对于改善患者结局至关重要。
本研究为将心理健康服务纳入初级卫生保健的知识库做出了贡献，为政策制定者和医疗服务提供者提供了见解，以加强低收入和中等收入国家及类似环境中的心理健康服务提供。
