South African Family Practice最新文献_第2页

An integrated support model for lay health care workers to improve clients' retention in HIV care. 非专业卫生保健工作者的综合支持模式，以提高客户对艾滋病毒护理的保留。

IF 1.4

South African Family Practice Pub Date : 2025-08-13 DOI: 10.4102/safp.v67i1.6115

Sarah B Pitse, Patrone R Risenga

{"title":"An integrated support model for lay health care workers to improve clients' retention in HIV care.","authors":"Sarah B Pitse, Patrone R Risenga","doi":"10.4102/safp.v67i1.6115","DOIUrl":"10.4102/safp.v67i1.6115","url":null,"abstract":"Background: Retention in care is vital for the successful management of human immunodeficiency virus (HIV). About 20% of clients interrupt their HIV therapy within 6 months of starting it. Lay healthcare workers complement the healthcare professionals to provide services across the HIV care continuum. However, there is limited support for lay healthcare workers as compared to healthcare professionals. Therefore, this study was conducted at a primary healthcare centre in South Africa to develop a support model for lay healthcare workers to improve clients' retention in HIV care.Methods: Interviews were conducted with the lay healthcare workers, their supervisors, nurses and clients on antiretroviral therapy. The support model was then developed by following Dickoff's survey list of a theoretical framework and the theory development processes of Chinn et al. Results: The context, agent, recipient, dynamics, procedure and outcomes of support were described in the support model. To nurture lay healthcare workers, the nurses, supervisors and department of health must provide a good environment, recognise each person's needs, offer both practical and emotional support, encourage mutual reliance and provide feedback.Conclusion: Support is an ongoing, mutually beneficial action that is essential to the efficient operation of lay healthcare workers. Contribution: Improved motivation, job satisfaction, competence and thriving are possible outcomes of the support for lay healthcare workers. This would increase the number of clients retained in HIV care, improve viral suppression and reduce transmission.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e12"},"PeriodicalIF":1.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

South African midwives' knowledge of the benefits of delayed umbilical cord clamping. 南非助产士对延迟脐带夹紧的好处的了解。

IF 1.4

South African Family Practice Pub Date : 2025-08-08 DOI: 10.4102/safp.v67i1.6154

Akhona Shosha, Wanda Jacobs, Zelda Janse van Rensburg

{"title":"South African midwives' knowledge of the benefits of delayed umbilical cord clamping.","authors":"Akhona Shosha, Wanda Jacobs, Zelda Janse van Rensburg","doi":"10.4102/safp.v67i1.6154","DOIUrl":"10.4102/safp.v67i1.6154","url":null,"abstract":" Background: Immediate umbilical cord clamping has been part of the active management of the third stage of labour for centuries. Despite the benefits of delayed cord clamping, immediate cord clamping remains the routine practice in many countries, including South Africa. The aim of this study was to determine South African midwives' knowledge of the benefits of delayed umbilical cord clamping.Methods: Employing a quantitative, descriptive, cross-sectional design, 150 midwives from three Midwifery Obstetric Units (MOUs) in a district in one South African province were sampled through a stratified sampling method to complete the survey with an adapted self-administered questionnaire.Results: The majority of midwives lacked knowledge of the benefits of delayed umbilical cord clamping or were unsure of their knowledge.Conclusion: There is documented evidence on the benefits of delayed umbilical cord clamping for both mother and newborn. Midwives who participated in the research lacked knowledge of these benefits. Identification of the knowledge deficits of midwives regarding the benefits of delayed umbilical cord clamping may inform future midwifery education pertaining to delayed umbilical cord clamping and its benefits and may improve the practice thereof. Contribution: This is the first study in South Africa to report on midwives' knowledge of the benefits of delayed umbilical cord clamping.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Point-of-care ultrasound competency of doctors working in Cape Town emergency departments. 开普敦急诊科医生的点护理超声能力。

IF 1.4

South African Family Practice Pub Date : 2025-07-16 DOI: 10.4102/safp.v67i1.6151

Karen Ferreira, Clint Hendrikse, Heinri Zaayman, Elaine Erasmus, Daniël J Van Hoving

{"title":"Point-of-care ultrasound competency of doctors working in Cape Town emergency departments.","authors":"Karen Ferreira, Clint Hendrikse, Heinri Zaayman, Elaine Erasmus, Daniël J Van Hoving","doi":"10.4102/safp.v67i1.6151","DOIUrl":"10.4102/safp.v67i1.6151","url":null,"abstract":"Background: Point-of-care ultrasound (PoCUS) is a core competency in emergency medicine, and its use in other primary healthcare settings is growing. The study investigates the PoCUS competency, training and qualifications of doctors working in public emergency departments.Methods: An online survey was distributed to doctors at five public Cape Town emergency departments, followed by a practical assessment of an Extended Focused Assessment with Sonography in Trauma (eFAST) and a basic cardiac ultrasound examination. Descriptive and inferential statistics are presented.Results: All participants had attended an in-person PoCUS course before, and 45 (83.3%) were trained by supervisors at work. Eleven participants (20.4%) were credentialled. In the practical assessment, 73.5% were rated as competent in eFAST and 55.9% in basic cardiac ultrasound. The median scores were 80.4% (eFAST) and 76.9% (cardiac ultrasound). Credentialled participants were more likely to achieve a pass mark ( 60%) in eFAST (p 0.001) and cardiac ultrasound (p 0.001).Conclusion: All the emergency department doctors who use PoCUS had received formal PoCUS training, and the majority of PoCUS providers had an adequate skill level in the applications tested. The credentialled providers performed better overall. There is a need for further research to investigate the persistently low credentialling rate and potential solutions, not only among practitioners in emergency departments but also generalists and primary care practitioners.Contribution: Our study provides a unique snapshot of the PoCUS skills of junior doctors and trainees in public Cape Town emergency departments.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e7"},"PeriodicalIF":1.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participants' perspectives on the medical practitioner compassion competency questionnaire. 被试对医师同情心胜任力问卷的看法。

IF 1.4

South African Family Practice Pub Date : 2025-07-15 DOI: 10.4102/safp.v67i1.6141

Willem E Botha, Michelle Jäckel-Visser, Callie Theron

{"title":"Participants' perspectives on the medical practitioner compassion competency questionnaire.","authors":"Willem E Botha, Michelle Jäckel-Visser, Callie Theron","doi":"10.4102/safp.v67i1.6141","DOIUrl":"10.4102/safp.v67i1.6141","url":null,"abstract":"Background: The study qualitatively reviewed the Medical Practitioner Compassion Competency Questionnaire (MPCCQ). The revision aimed to extend the questionnaire and address the factor fission found within three subscales of the MPCCQ, namely, mindfulness, emotion recognition, and compassion action orientation.Methods: A literature review was conducted to inform the development of additional items for the questionnaire. Thereafter, 14 subject matter experts (SMEs) were asked to assess the items in the mindfulness, emotion recognition, and compassion action orientation subscales. Experts provided feedback in an open-ended format, allowing them to freely express any concerns or comments about each item. In addition, they rated each item's clarity and validity on a scale from 1 (not clear or valid) to 3 (clear and valid). Lawshe's content validity ratios were calculated to assess the level of consensus among the SMEs and to quantify the need for revision.Results: Eight items showed statistically significant disapproval from SMEs and were rewritten based on the qualitative feedback from the SMEs. In total, 30 items were amended according to SME suggestions along with previous qualitative data collected by Visser.Conclusion: The revised questionnaire aims to more accurately and comprehensively capture compassion competency in medical practitioners on the sub-dimensions identified by the original author, ultimately supporting the ongoing development of compassion competency measurement in medical practitioners.Contribution: In addition, this study contributes to the body of knowledge on qualitative methods for constructing behavioural observation scales.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influences of Western Cape community service doctors' choice regarding public, rural practice. 西开普省社区服务医生对公共、农村执业选择的影响。

IF 1.4

South African Family Practice Pub Date : 2025-07-15 DOI: 10.4102/safp.v67i1.6125

Tamryn J Baytopp, Vanessa Lomas-Marais, Ts'epo Motsohi

{"title":"Influences of Western Cape community service doctors' choice regarding public, rural practice.","authors":"Tamryn J Baytopp, Vanessa Lomas-Marais, Ts'epo Motsohi","doi":"10.4102/safp.v67i1.6125","DOIUrl":"10.4102/safp.v67i1.6125","url":null,"abstract":"Background: Staff shortages in rural areas have led to unequal healthcare access in South Africa. The compulsory community service programme aims to address this disparity; but to be effective, it must encourage doctors to remain in rural facilities beyond their service periods. Identifying factors that influence their decisions to stay is crucial for developing strategies to improve rural doctor retention. The aim is to describe the important factors influencing Western Cape community service doctors' choice of whether they will seek employment in public rural practice.Methods: An observational cross-sectional study with correlational analysis was conducted using an internet-based questionnaire. This study was conducted on community service doctors who were employed in the Western Cape in 2022.Results: Eighty-six doctors participated, with 8% intending to work in rural practice in 2023 and 21% considering it in the future. Significant factors associated with rural practice intentions included rural upbringing (6.5 times more likely), rural internship placement (7.7 times more likely) and rural community service (3.5 times more likely). Key influences were personal safety, job satisfaction and mental health.Conclusion: The proportion of doctors considering rural practice remains low. Policy revisions should focus on preferentially enrolling medical students with rural backgrounds and placing community service doctors in rural areas, alongside efforts to create safe, satisfying work environments that support mental health.Contribution: This study enhances the understanding of retaining healthcare professionals in underserved rural areas, addressing primary healthcare challenges in the African context.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e9"},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Myelodysplastic syndromes: A primary care perspective. 骨髓增生异常综合征：初级保健视角。

IF 1.4

South African Family Practice Pub Date : 2025-07-14 DOI: 10.4102/safp.v67i1.6118

Keshena Naidoo, Sharlene Parasnath

{"title":"Myelodysplastic syndromes: A primary care perspective.","authors":"Keshena Naidoo, Sharlene Parasnath","doi":"10.4102/safp.v67i1.6118","DOIUrl":"10.4102/safp.v67i1.6118","url":null,"abstract":"Myelodysplastic syndromes (MDS) are a group of blood disorders affecting the bone marrow resulting in cytopenia, blood cell dysplasia and an increased risk of progressing to acute myeloid leukaemia (AML). Myelodysplastic syndromes are more common in individuals older than 60 years, and those who have undergone radiation or chemotherapy in the past. Patients may be asymptomatic in the initial stages and can later develop fatigue, dyspnoea, frequent infections, petechiae, bruising and bleeding. Patients with persistent cytopenia (6 months) should be investigated further and referred to a haematologist if at high risk for MDS. The definitive diagnostic test for MDS is a bone marrow biopsy. Individuals with lower-risk MDS can be managed with blood transfusions, erythropoiesis stimulating agents, growth factors and lenalidomide (an immunomodulatory drug). Higher risk MDS patients have a median survival of less than three years, with stem cell transplant as the only cure. However, less than 10% of MDS patients receive this treatment because of the scarcity of donors. Primary care providers should also be aware of long-term side effects following a stem cell transplant. This article aims to increase awareness of MDS and stem cell transplants.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e6"},"PeriodicalIF":1.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of vitamin C on the skin. 维生素C对皮肤的作用。

IF 1.4

South African Family Practice Pub Date : 2025-07-14 DOI: 10.4102/safp.v67i1.6098

Lehlohonolo Makhakhe

引用次数: 0

Physical activity in rehabilitation practice: Policy, infrastructure and development perspectives. 康复实践中的身体活动：政策、基础设施和发展前景。

IF 1.2

South African Family Practice Pub Date : 2025-06-30 DOI: 10.4102/safp.v67i1.6137

Onika Makaula, Ntandoyenkosi L Msomi, Andrew J Ross

{"title":"Physical activity in rehabilitation practice: Policy, infrastructure and development perspectives.","authors":"Onika Makaula, Ntandoyenkosi L Msomi, Andrew J Ross","doi":"10.4102/safp.v67i1.6137","DOIUrl":"10.4102/safp.v67i1.6137","url":null,"abstract":"Background: Integrating physical activity (PA) into rehabilitation practice is critical for promoting patient recovery and high quality of life. However, policy gaps, infrastructure constraints and resource limitations often hinder its effective implementation, particularly in public health care settings.Methods: An inductive thematic analysis of virtual individual semi-structured interviews with therapists was conducted via NVivo. Participants (N = 10) shared insights on their perspectives of integrating PA into rehabilitation practices regarding policy, infrastructure and development.Results: Ten subthemes emerged related to policy (two subthemes), infrastructure (four subthemes) and development (four subthemes) of PA in rehabilitation practice.Conclusion: While PA is essential for holistic patient care, therapists face systemic barriers that require policy reforms, interprofessional collaboration and investment in resources and infrastructure. Creative strategies currently mitigate these challenges but remain limited in scope of practice.Contribution: This article documents the need for policy development and resource allocation to better integrate PA into rehabilitation, whilst addressing key developmental and infrastructure gaps.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency contraception in primary health care. 初级卫生保健中的紧急避孕。

IF 1.2

South African Family Practice Pub Date : 2025-06-17 DOI: 10.4102/safp.v67i1.6146

Indiran Govender, Olukayode A Adeleke, Lusayn L Govender, Olufemi B Omole

引用次数: 0

An approach to heart failure for the public-sector primary care clinician. 公共部门初级保健临床医生治疗心力衰竭的方法。

IF 1.2

South African Family Practice Pub Date : 2025-06-13 DOI: 10.4102/safp.v67i1.6126

Liezel Rossouw, Anthony S Lachman, Klaus B Von Pressentin

{"title":"An approach to heart failure for the public-sector primary care clinician.","authors":"Liezel Rossouw, Anthony S Lachman, Klaus B Von Pressentin","doi":"10.4102/safp.v67i1.6126","DOIUrl":"10.4102/safp.v67i1.6126","url":null,"abstract":"Heart failure poses a significant global health challenge, with a considerable burden in Africa, where the annual mortality rate stands at 34%, twice the global average. Patients suffering from acute heart failure occupy numerous beds at the district level, and only a limited number can be referred for further evaluation and imaging at secondary or tertiary care facilities. Patients rely on their primary care physicians for the diagnosis and management of heart failure, as well as for identifying those who would benefit from referral to cardiology and formal echocardiography. This article discusses the significance of the new heart failure guidelines within the South African primary care public setting. It emphasises the importance of identifying risk factors and considers the value of access to family physicians, outreach clinic doctors, training on available adult primary care guidelines and telemedicine-supported cardiac ultrasound. Optimal medical therapy, which includes angiotensin-converting enzyme (ACE) inhibitors, beta-blockers and spironolactone, has been shown to reduce readmissions and mortality rates. Sodium-glucose cotransporter-2 (SGLT2) inhibitors are a potent addition to conventional therapy and are currently being considered for inclusion in the National Essential Medicines List. Patients admitted to the hospital should not be discharged while experiencing persistent congestion, as this is associated with an increased risk of rehospitalisation, mortality and higher healthcare costs. Comprehensive patient education regarding medications, thorough follow-up during the six weeks post-discharge and linkage to primary healthcare are associated with decreased hospitalisation rates and improved outcomes.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0