Measures to Strengthen the Role of Primary Care Nurses During the COVID-19 Pandemic: A Concept Analysis

Authors

  • Aigerim Mukhamedyarova Department of Medical Law and Ethics, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan
  • Tolebay Rakhypbekov National Association Primary Health Care, Nur-Sultan, Kazakhstan https://orcid.org/0000-0002-3170-9712
  • Marzhan Dauletyarova NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan
  • Dinara Zhunussova Department of General Medical Practice and Evidence, NJSC “Astana Medical University”, Nur-Sultan, Kazakhstan https://orcid.org/0000-0002-3170-9712
  • Oxana Tsigengagel Department of Epidemiology and Biostatistics, NCJSC “Semey Medical University”, Semey, Kazakhstan https://orcid.org/0000-0002-3170-9712
  • Zaituna Khismetova Department of Public Health, NJSC “Semey Medical University”, Semey, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2021.7204

Keywords:

COVID-19, Primary care, Health systems strengthening

Abstract

Abstract

The difficult epidemiological situation of COVID 19 infection in the world and in the country requires drastic measures to strengthen the material, technical and staffing of primary health care (PHC). Under these circumstances, the preparedness of PHC systems in providing safe patient-centered care and meeting the current health needs of the population while preventing further transmission infection is crucial. Nurses play a crucial role in this process. This article reviews and summarize latest findings of explore the role of primary care nurses and their support measures in response to COVID-19 and to identify challenges to achieving universal health coverage. The study revealed that there is vast panoply of strategic reforms. There are a number of differences and similarities such as mandatory political commitment and leadership, governance and policy, funding and allocation of resources, and engagement of communities and role of other stakeholders.

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References

World Health Organization and United Nations Children’s Fund. A Vision for Primary Health Care in the 21st Century: Towards Universal Health Coverage and the Sustainable Development Goals. Geneva: World Health Organization and the United Nations Children’s Fund; 2018.

World Health Organization and United Nations Children’s Fund. Operational Framework for Primary Health Care: Transforming Vision into Action. Geneva: World Health Organization and the United Nations Children’s Fund; 2020.

World Health Organization. Role of Primary Care in the COVID-19 Response: Interim Guidance. Geneva: World Health Organization, Western Pacific Region; 2020. Available form: https://www.apps.who.int/iris/bitstream/handle/10665/331921/Primary-care-COVID-19-eng.pdf?sequence=1&isAllowed=y. [Last accessed on 2021 Aug 30].

Ghebreyesus TA. Strengthening our resolve for primary health care. Bull World Health Organ. 2020;98(11):726A. https://doi.org/10.2471/BLT.20.279489 PMid:33177764 DOI: https://doi.org/10.2471/BLT.20.279489

United National General Assembly. Political Declaration of the High-level Meeting on University Health Coverage. Geneva: United National General Assembly; 2019. Available from: http://www.un.org/pga/73/wp-content/uploads/sites/53/2019/07/FINAL-draft-UHC-Political-Declaration.pdf. [Last accessed on 2021 Aug 25].

Halcomb EJ, Salamonson Y, Davidson PM, Kaur R, Young SA. The evolution of nursing in Australian general practice: A comparative analysis of workforce surveys ten years on. BMC Family Pract. 2014;15:52. https://doi.org/10.1186/1471-2296-15-52 PMid:24666420 DOI: https://doi.org/10.1186/1471-2296-15-52

Loewenson R, Colvin C, Rome N, Nolan E, Coelho VS, Szabzon F, et al. We are subjects, not objects in Health: Communities Taking Action on COVID-19. Zimbabwe: Training and Research Support Centre in the Regional Network for Equity in Health in East and Southern Africa (EQUINET) and Shaping Health; 2020a.

Yoshida S. Approaches, tools and methods used for setting priorities in health research in the 21st century. J Glob Health. 2016;6(1):010507. https://doi.org/10.7189/jogh.06.010507 PMid:26401271 DOI: https://doi.org/10.7189/jogh.06.010507

State of Commitment to Universal Health Coverage: Synthesis, 2020. UHC2030; 2020. Available form: https://www.uhc2030.org/fileadmin/uploads/uhc2030/Documents/Key_Issues/State_of_UHC/SoUHCC_synthesis_2020_final_web.pdf. [Last accessed on 2020 Dec 24].

Bhaumik S, Moola S, Tyagi J, Nambiar D, Kakoti M. Community health workers for pandemic response: A rapid evidence synthesis. BMJ Glob Health. 2020;5(6):e002769. https://doi.org/10.1136/bmjgh-2020-002769 PMid:32522738 DOI: https://doi.org/10.1136/bmjgh-2020-002769

Jenkins LS, Von Pressentin KB, Naidoo K, Schaefer R. The evolving role of family physicians during the coronavirus disease 2019 crisis: An appreciative reflection. Afr J Prim Health Care Fam Med. 2020;12(1):e1-4. https://doi.org/10.4102/phcfm.v12i1.2478 PMid:32634002 DOI: https://doi.org/10.4102/phcfm.v12i1.2478

Available from: https://www.oecd.org/coronavirus/policy-responses/strengthening-the-frontline-how-primary-health-care-helps-health-systems-adapt-during-thecovid-19-pandemic-9a5ae6da. [Last accessed on 2021 Aug 14].

Marston C, Renedo A, Miles S. Community participation is crucial in a pandemic. Lancet. 2020;395(10238):1676-8. https://doi.org/10.1016/S0140-6736(20)31054-0 PMid:32380042 DOI: https://doi.org/10.1016/S0140-6736(20)31054-0

Seale H, Wang Q, Yang P, Dwyer D, Zhang Y, Wang X, et al. Hospital health care workers understanding of and attitudes toward pandemic influenza in Beijing. Asia Pac J Public Health. 2012;24(1):39-47. http://doi.org/10.1177/1010539510365097 PMid:20460279 DOI: https://doi.org/10.1177/1010539510365097

Jordan RE, Adab P, Cheng KK. Covid-19: Risk factors for severe disease and death. BMJ. 2020;368:m1198. https://doi.org/10.1136/bmj.m1198 DOI: https://doi.org/10.1136/bmj.m1198

Corless IB, Nardi D, Milstead JA, Larson E, Nokes KM, Orsega S, et al. Expanding nursing’s role in responding to global pandemics 5/14/2018. Nurs Outlook. 2018;66(4):412-5. https://doi.org/10.1016/j.outlook.2018.06.003 PMid:30031544 DOI: https://doi.org/10.1016/j.outlook.2018.06.003

Halcomb E, McInnes S, Williams A, Ashley C, James S, Fernandez R, et al. The experiences of primary health care nurses during the COVID-19 pandemic in Australia. J Nurs Scholarsh. 2020;52(5):553-63. https://doi.org/10.1111/jnu.12589 PMid:32735758 DOI: https://doi.org/10.22541/au.158931132.20227658

Guzys D, Whitehead D, Brown R, Halcomb EJ. An Introduction to Community and Primary Health Care. 2nd ed. Melbourne, VIC, Australia: Cambridge University Press; 2017. DOI: https://doi.org/10.1017/9781316711873

Suandika M, Tang WR, Ulfah M, Cahyaningrum ED. Selfconfidence of nurses philosophy: A concept analysis. Open Access Maced J Med Sci. 2021;9(4):206-11. DOI: https://doi.org/10.3889/oamjms.2021.5788

Anton N, Hornbeck T, Modlin S, Haque MM, Crites M, Yu D. Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic. PLoS One. 2021;16(7):e0254077. https://doi.org/10.1371/journal.pone.0254077 PMid:34214122 DOI: https://doi.org/10.1371/journal.pone.0254077

Livingston E, Desai A, Berkwits M. Sourcing personal protective equipment during the COVID-19 pandemic. J Am Med Assoc. 2020;323(19):1912. https://doi.org/10.1001/jama.2020.5317 PMid:32221579 DOI: https://doi.org/10.1001/jama.2020.5317

Ehrlich H, McKenney M, Elkbuli A. Protecting our healthcare workers during the COVID-19 pandemic. Am J Emerg Med. 2020;38(7):1527-8. https://doi.org/10.1016/j.ajem.2020.04.024 PMid:32336585 DOI: https://doi.org/10.1016/j.ajem.2020.04.024

Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020;4(4):CD011621. https://doi.org/10.1002/14651858.CD011621.pub4 PMid:32293717 DOI: https://doi.org/10.1002/14651858.CD011621.pub5

Fernandez R, Lord H, Halcomb EJ, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111:103637. https://doi.org/10.1016/j.ijnurstu.2020.103637 PMid:32919358 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103637

Halcomb E, Ashley C, James S, Smyth E. Employment conditions of Australian primary health care nurses. Collegian. 2018;25(1):65-71. https://doi.org/10.1016/j.colegn.2017.03.008 DOI: https://doi.org/10.1016/j.colegn.2017.03.008

Hader R, Ne-Bc R, Officer C. The power of appreciation. Nurs Manage. 2013;44(3):6. https://doi.org/10.1097/01.NUMA.0000427187.49930.77 PMid:23392284 DOI: https://doi.org/10.1097/01.NUMA.0000427187.49930.77

Du S, Cao Y, Zhou T, Setiawan A, Thandar M, Koy V, et al. The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional study. BMC Health Serv Res. 2019;19(1):602. https://doi.org/10.1186/s12913-019-4402-9 DOI: https://doi.org/10.1186/s12913-019-4402-9

Shah K, Kamrai D, Mekala H, Mann B, Desai K, Patel RS. Focus on mental health during the coronavirus (COVID-19) pandemic: Applying learnings from the past outbreaks. Cureus. 2020;12(3):e7405. PMid:32337131 DOI: https://doi.org/10.7759/cureus.7405

Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV Outbreak. Clin Med Res. 2016;14(1):7-14. https://doi.org/10.3121/cmr.2016.1303 PMid:26847480 DOI: https://doi.org/10.3121/cmr.2016.1303

Duncan DL. What the COVID-19 pandemic tells us about the need to develop resilience in the nursing workforce. Nurs Manage. 2020;27(3):22-7. https://doi.org/10.7748/nm.2020.e1933 PMid:32400142 DOI: https://doi.org/10.7748/nm.2020.e1933

Desborough J, Dykgraaf SH, Phillips C, Wright M, Maddox R, Davis S, et al. Lessons for the global primary care response to COVID-19: A rapid review of evidence from past epidemics. Fam Pract. 2021;2021:cmaa142. https://doi.org/10.1093/fampra/cmaa142 PMid:33586769 DOI: https://doi.org/10.1093/fampra/cmaa142

Ballard M, Bancroft E, Nesbit J, Johnson A, Holeman I, Foth J, et al. Prioritising the role of community health workers in the COVID-19 response. BMJ Global Health. 2020;5(6):e002550. http://doi.org/10.1136/bmjgh-2020-002550 PMid:32503889 DOI: https://doi.org/10.1136/bmjgh-2020-002550

Sadeghi Bazargani H, Saadati M, Tabrizi JS, Farahbakhsh M, Golestani M. Forty years after Alma-Ata: How people trust primary health care? BMC Public Health. 2020;20(1):942. https://doi.org/10.1186/s12889-020-09082-w PMid:32539779 DOI: https://doi.org/10.1186/s12889-020-09082-w

World Health Organization. WHO Global Strategy on Peoplecentred and Integrated Health Services: Interim Report. Geneva, Switzerland: World Health Organization; 2015.

Bitton A, Fifield J, Ratcliffe H, Karlage A, Wang H, Veillard JH, et al. Primary healthcare system performance in low-income and middle- income countries: A scoping review of the evidence from 2010 to 2017. BMJ Glob Health. 2019;4(8):e001551. https://doi.org/10.1136/bmjgh-2019-001551 DOI: https://doi.org/10.1136/bmjgh-2019-001551

Angell B, Dodd R, Palagyi A, Gadsden T, Abimbola S, Prinja S, et al. Primary health care financing interventions: A systematic review and stakeholder-driven research agenda for the Asia-Pacific region. BMJ Glob Health. 2019;4(8):e001481. https://doi.org/10.1136/bmjgh-2019-001481 DOI: https://doi.org/10.1136/bmjgh-2019-001481

Basu S. Non-communicable disease management in vulnerable patients during Covid-19. Indian J Med Ethics. 2020;5(2):103-5. https://doi.org/10.20529/IJME.2020.041 PMid:32393447 DOI: https://doi.org/10.20529/IJME.2020.041

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Published

2021-10-14

How to Cite

1.
Mukhamedyarova A, Rakhypbekov T, Dauletyarova M, Zhunussova D, Tsigengagel O, Khismetova Z. Measures to Strengthen the Role of Primary Care Nurses During the COVID-19 Pandemic: A Concept Analysis. Open Access Maced J Med Sci [Internet]. 2021 Oct. 14 [cited 2024 Mar. 29];9(F):534-40. Available from: https://oamjms.eu/index.php/mjms/article/view/7204

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Narrative Review Article

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