Challenges experienced by primary health nurses in sustaining ideal clinic status post implementation in Ilembe District, KwaZulu-Natal
Dubru-Odayar, Leeanna
This study aimed to explore and gain more insight into the challenges experienced by
primary healthcare (PHC) nurses in maintaining ideal clinic status, where previously
achieved. Qualitative, phenomenological research was conducted to gain a
perspective on challenges experienced by nurses. Data were collected through semistructured
in-depth interviews from the study sample of 13 clinical nurse practitioners
from two clinics in the sub-district of Kwa-Dukuza. The findings revealed a nonmaintenance
or no improvement of Ideal Clinic (ideal clinic) status, with the current
trend of working towards the ideal clinic assessment only at the time nearing the
assessment, giving a false interpretation of the maintenance of the ideal clinic. This
revealed several challenges experienced by PHC nurses, namely, the absence of vital
resources, deficient emergency equipment and supplies, unsuitable infrastructure,
substandard procurement processes and poor working conditions. Also, PHC clinics
are far from fitting the description of an ideal clinic. Further investment is imperative in
monitoring and evaluating the Ideal Clinic Realisation and Maintenance Programme
(ICRM).
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