将乌班图原则纳入儿童疾病综合管理的障碍与促进因素
Barriers and facilitators of incorporating Ubuntu principles in the integrated management of childhood illness.
作者信息
Meno Felicia O, Mulaudzi Fhumulani M, Sepeng Nombulelo V
机构信息
Department of Nursing, Faculty of Health Sciences, University of Pretoria, Pretoria.
出版信息
Afr J Prim Health Care Fam Med. 2025 Jun 3;17(1):e1-e8. doi: 10.4102/phcfm.v17i1.4802.
BACKGROUND
Success in incorporating Ubuntu principles in the integrated management of childhood illness (IMCI) requires collaboration between health professionals and families and assistance from their communities. Despite this, the literature reviewed is silent about exploring caregivers' perspectives regarding the barriers and facilitators of incorporating Ubuntu principles in managing childhood illness.
AIM
The study explored and described the barriers and facilitators of incorporating Ubuntu principles in managing childhood illness.
SETTING
The study was conducted in selected primary healthcare settings, community health centres and clinics in the Mafikeng sub-district of the North West province.
METHODS
The study was conducted using exploratory descriptive contextual, qualitative design. The 36 participants were selected using purposeful sampling. Data were collected through focus group discussions, and thematic analysis was used to analyse the data.
RESULTS
The study revealed three themes: the negative attitude of professional nurses, communication barriers and facilitators enhancing the incorporation of Ubuntu into IMCI. The findings indicated that health education of caregivers is crucial, the right allocation of nurses will facilitate the inclusion of Ubuntu into IMCI and the unannounced visit of government authorities will also facilitate the incorporation.
CONCLUSION
The study illustrated that caregivers face several barriers hindering the incorporation of Ubuntu in IMCI. These findings support the need for healthcare providers to prioritise the incorporation of Ubuntu principles for better management of childhood illness for children under the age of five.Contribution: This is the first study to report the barriers and facilitators of incorporating Ubuntu principles into IMCI.
背景
将乌班图原则纳入儿童疾病综合管理（IMCI）的成功需要卫生专业人员与家庭之间的合作以及社区的协助。尽管如此，所查阅的文献对于探索照顾者关于在儿童疾病管理中纳入乌班图原则的障碍和促进因素的观点却未置一词。
目的
本研究探索并描述了在儿童疾病管理中纳入乌班图原则的障碍和促进因素。
背景
本研究在西北省马菲肯分区选定的初级卫生保健机构、社区卫生中心和诊所开展。
方法
本研究采用探索性描述性情境定性设计。通过目的抽样选取36名参与者。通过焦点小组讨论收集数据，并采用主题分析法进行数据分析。
结果
本研究揭示了三个主题：专业护士的消极态度、沟通障碍以及促进乌班图原则纳入IMCI的因素。研究结果表明，对照顾者进行健康教育至关重要，合理分配护士将有助于将乌班图原则纳入IMCI，政府部门的突击检查也将促进其纳入。
结论
本研究表明，照顾者在将乌班图原则纳入IMCI方面面临若干障碍。这些研究结果支持医疗服务提供者需要优先考虑纳入乌班图原则，以便更好地管理五岁以下儿童的疾病。贡献：这是第一项报告将乌班图原则纳入IMCI的障碍和促进因素的研究。
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