Case Study: Primary Healthcare Clinical Placements during Nursing and Midwifery Education in Lesotho

Christensen, Alice; Phafoli, Semakaleng; Butler, J R; Nyangu, Isabel; Skolnik, Laura; Stender, Stacie C.

doi:10.12927/whp.2016.24493

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…Community professional practicums aim to increase students’ experience in upstream, population-based health promotion actions. Although practical learning experiences are generally accepted as strong ways to gain knowledge and skills, there is a lack of practical experience in primary care settings (Betony & Yarwood, 2013; Christensen et al., 2015; Peters et al., 2015). Gaining experience in primary care is particularly important given the WHO-UNICEF call for care delivery that is “proactive rather than reactive, comprehensive and continuous rather than episodic and disease-specific, and that is built on sustainable patient-provider relationships rather than incidental, provider-led care” (World Health Organization, 2018, p. 1).…”

Section: Discussionmentioning

confidence: 99%

“…U.K. nursing students exposed to brief learning experiences in public health and primary care learned how health care was being delivered in areas that they knew little about, strategies for health promotion and prevention, and different roles nurses could play in these fields (Anderson, 2009). Overall, nursing students tend to enjoy practical learning experiences outside of hospitals (Bjork et al., 2014; Christensen et al., 2015; Peters et al., 2015).…”

Section: Discussionmentioning

confidence: 99%

“…This was likely related to the absence of a primary care baccalaureate-prepared RN preceptor. Studies have shown that a primary care nurse preceptor, supervisor, or role model is an enabler in primary care nursing placements as seen in Australia (McInnes et al., 2015; Peters et al., 2015), Spain (Serrano-Gallardo et al., 2016), Sweden (Bos et al., 2015), and Lesotho (Christensen et al., 2015). Baldwin et al.’s (2014) integrative review validates the value of preceptors in supporting clinical nursing education.…”

Section: Discussionmentioning

confidence: 99%

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Health TAPESTRY: Exploring the Potential of a Nursing Student Placement Within a Primary Care Intervention for Community-Dwelling Older Adults

et al. 2020

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The increasing prevalence of chronic diseases in aging places demands on primary care. Nurses are the major nonphysician primary care workforce. Baccalaureate nursing programs should expose students to primary care and older adults to support these demands and help recruit new graduates to this setting. However, many baccalaureate nursing programs focus on acute care and placements aimed at older adults are viewed negatively. To address these curriculum challenges, third-year Canadian baccalaureate nursing students were placed in an innovative primary care program-Health TAPESTRY-for community-dwelling older adults. Health TAPESTRY involves an interprofessional primary care team, trained lay volunteers conducting home visits, system navigation, and an online software application. The goal of this study was to explore third-year baccalaureate nursing students' perceptions of this unique clinical primary care placement. This qualitative descriptive study explored students' perceptions of this placement's strengths, weaknesses, opportunities, threats (SWOT), and outcomes. Nursing students participated in focus groups (n ¼ 14) or an interview (n ¼ 1) and five completed narrative summaries following visits. Qualitative content analysis was supported by NVivo 10. Strengths of the clinical placement included training for the intervention; new insights about older adults; and experience with home visiting, interprofessional team functions, and community resources. Weaknesses included limited exposure to older adult clients, lack of role clarity, lack of registered nurse role models, and technology challenges. Opportunities included more exposure to primary care, interprofessional teams, and community resources. No threats were described. Nursing students' clinical experiences can be enhanced through engagement in innovative primary care programs. Adequate exposure to clients, including older adults; interprofessional teams; mentoring by registered nurses or advanced practice nurse preceptors; and role clarity for students in the primary care team should be considered in supporting baccalaureate nursing students in primary care clinical placements.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Health TAPESTRY: Exploring the Potential of a Nursing Student Placement Within a Primary Care Intervention for Community-Dwelling Older Adults

et al. 2020

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“…Aggar et al (2017) state that not exposing the new nurse to diverse clinical experience makes them feel unchallenged and could lead to a lack of job satisfaction. Primary health care clinical rotations enhance learners' knowledge and skills as well as demonstrate the realities of healthcare(Christensen et al 2015).…”

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confidence: 99%

Community service nurses in primary healthcare clinics: Experiences of supervision and support from professional nurses

Zambodla

Williams²,

Ricks³

2022

Health SA Gesondheid

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Background: Newly qualified nurses in South Africa are required to undertake a compulsory 1-year community service (CS) in a public healthcare facility. They are not yet competent to work alone and require supervision and support from senior professional nurses.Aim: This study aimed to explore and describe the experiences of community service nurses (CSNs) regarding supervision and support from professional nurses at primary healthcare clinics (PHC).Setting: The study was conducted with CSNs who were working in PHC clinics in Nelson Mandela Bay (NMB).Methods: A qualitative, explorative, descriptive and contextual study was conducted using semi-structured interviews with 10 CSNs. Purposive sampling was used. Data were analysed using Tesch’s coding method of content analysis.Results: Two themes and six sub-themes emerged, the key themes being participants’ diverse needs related to CS placement at PHC clinics and participants’ social interaction with the professional nurses during CS.Conclusion: Supervision and support for the CSNs during their CS rotation was inadequate at most clinics in this study. Recommendations, based on findings, were made for an improved CS experience and further research.Contribution: The CSNs require supervision and support in the CS year, particularly in PHC clinics, clearly presented in this study. The findings of the study can be used to improve the experience of CS for CSNs in the PHC setting in NMB.

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Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

Ramathebane¹,

Maja²,

Molungoa³

2022

Primary Health Care

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Hospitalisation of chronic diseases can be costly and time-consuming to patients with chronic diseases, and success of management of chronic diseases is in the primary care. This chapter gives a detailed description of primary health and its role in the management of chronic diseases. Hypertension as a chronic disease of interest and its management in the primary healthcare (PHC) context are also to be discussed in detail. However, to give this chapter clarity, a brief description of the country Lesotho will be given. The summary of the country will highlight major barriers to health care which mainly include poverty, difficult topography with no or poor infrastructure which hinder access to primary health care. Situational analysis is made with regard to current practice. The potential role of a pharmacist in the care and treatment of hypertension is explored. Best practices, need for policy change, guidelines and implementation plans will be highlighted. The aim of the chapter is to evaluate how chronic diseases are managed at the primary health care. The objectives include: a) to explore primary health care concept, b) to critically evaluate PHC concept in an African country and c) to describe human resource needs to meet the demands of PHC chronic diseases management.

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Case Study: Primary Healthcare Clinical Placements during Nursing and Midwifery Education in Lesotho

Cited by 3 publications

References 3 publications

Health TAPESTRY: Exploring the Potential of a Nursing Student Placement Within a Primary Care Intervention for Community-Dwelling Older Adults

Health TAPESTRY: Exploring the Potential of a Nursing Student Placement Within a Primary Care Intervention for Community-Dwelling Older Adults

Community service nurses in primary healthcare clinics: Experiences of supervision and support from professional nurses

Use of Primary Healthcare Facilities for Care and Support of Chronic Diseases: Hypertension

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