Professional nurses’ perspectives on the implementation of the integrated chronic disease management model in Mogale Local Municipality, Gauteng Province, South Africa

Abstract

The implementation of the Integrated Chronic Disease Management model has gained greater recognition and significance within healthcare settings. The purpose of the study was to determine professional nurses’ perspectives on the implementation of the Integrated Chronic Disease Management model at the Primary Health Care facility of Mogale Local Municipality in Gauteng Province, South Africa. A descriptive qualitative design was used to explore professional nurses’ perspectives on the implementation of the ICDM model. Data was collected through semi-structured interviews with nine professional nurses from three selected PHC facilities using purposive sampling. Data were analysed using thematic analysis and NVivo computer software. The study revealed these themes: professional nurses' perceived benefits, challenges, and recommendations on ICDM model implementation. The challenges included shortage of staff, poor infrastructure, and patients missing scheduled appointments. The study noted the need for adequate staff, infrastructure, and ongoing training to provide professional nurses with the right skills and knowledge to implement the ICDM model.

Ho kengwa tshebetsong ha mokgwa o kopantsweng wa taolo ya mafu a moshwelella (ICDM) e fumane tlhokomelo e kgolwanyane le bohlokwa ka hara maemo a tlhokomelo ya bophelo bo botle. Sepheo sa phuputso e ne e le ho fumana maikutlo a baoki ba ditsebi mabapi le ho kengwa tshebetsong ha motlolo wa ICDM setsing sa tlhokomelo ya bophelo ya mantlha (PHC) sa Masepala wa Lehae sa Mogale City profinseng ya Gauteng, Afrika Borwa. Moralo o hlalosang wa boleng o ile wa sebediswa ho hlahloba maikutlo a baoki ba ditsebi mabapi le tshebetso ya motlolo wa ICDM. Dintlha di ile tsa bokellwa ka tsela ya dipuisano tse hlophisitsweng hantle le baoki ba profeshenale ba robong ho tswa ditsing tse tharo tse kgethilweng tsa PHC ho sebediswa disampole tse reretsweng. Dintlha di ile tsa hlahlojwa ho sebediswa hlahlobo ya thematic le software ya komporo ya NVivo. Melemo ya baoki ba profeshenale, diphephetso le dikgothaletso mabapi le tshebetso ya motlolo wa ICDM di ile tsa totobatswa e le dihlooho. Melemo ya baoki ba profeshenale, diphephetso le dikgothaletso mabapi le tshebetso ya motlolo wa ICDM di ile tsa totobatswa e le dihlooho. Diqholotso di ne di kenyeletsa kgaello ya basebetsi, meaho e sa sebetseng hantle le bakudi ba siyo ditulong tse rerilweng. Phuputso e hlokometse tlhokahalo ya basebetsi ba lekaneng, mekgwa ya motheo le kwetliso e tswelang pele ho fana ka baoki ba ditsebi ka tsebo e nepahetseng le tsebo ya ho kenya tshebetsong motlolo wa ICDM.

Ukusetshenziswa kwemodeli ehlanganisiwe yokulawulwa kwezifo ezingamahlalakhona (i-ICDM) kuye kwaqashelwa kakhudlwana futhi kwabaluleka kakhulu ezindaweni zokunakekelwa kwezempilo. Inhloso yalolu cwaningo bekuwukunquma imibono yabahlengikazi abangochwepheshe ekusetshenzisweni kwemodeli ye-ICDM esikhungweni sezempilo esiyinhloko (i-PHC) sikaMasipala Wendawo Wedolobhakazi LaseMogale esifundazweni saseGauteng, eNingizimu Afrika. Umklamo ochazayo wezingahle wasetshenziselwa ukuhlola imibono yabahlengikazi abangochwepheshe ekusetshenzisweni kwemodeli ye-ICDM. Imininingo yaqoqwa ngezingxoxo ezihleliwe nabahlengikazi abayisishiyagalolunye abangochwepheshe abavela ezikhungweni ezintathu ezikhethiwe zePHC kusetshenziswa amasampula enhloso. Imininingo yahlaziywa kusetshenziswa ukuhlaziya okuhlelwe ngokwezihloko kanye nohlelo lwekhompuyutha i-NVivo. Izinzuzo, izinselelo nezincomo zabahlengikazi abangochwepheshe ekusetshenzisweni kwemodeli ye-ICDM kwaqokonyiswa njengezihloko. Izinselelo zazihlanganisa ukuntuleka kwezisebenzi, ingqalasizinda embi kanye neziguli ezingafiki ngezinsuku okufanele zibonwe ngazo. Ucwaningo luphawule ngesidingo sezisebenzi ezanele, ingqalasizinda kanye nokuqeqeshwa okuqhubekayo ukuhlinzeka abahlengikazi abangochwepheshe ngamakhono afanele nolwazi lokusebenzisa imodeli ye-ICDM.