Perceptions of psychiatric-trained nurses on integrating mental health into primary health care in Africa

被引：0
作者：
Febana, Busisiwe M. [1 ]
Mulondo, Mutshidzi [1 ]
机构：
[1] Univ Free State, Fac Hlth Sci, Dept Publ Hlth, Bloemfontein, South Africa
来源：
HEALTH SA GESONDHEID | 2025年 / 30卷
关键词：
mental health services; integration; primary health care; nurses' perceptions; healthcare services; SERVICES; EXPERIENCES; SETTINGS;
D O I：
10.4102/hsag.v30i0.2878
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Background: This review mapped the perceptions of nurses on the integration of mental health services into primary health care (PHC) in low- and middle-income countries (LMICs). Aim: The study focused on perceptions related to mental health service integration to determine barriers and facilitators from the perspective of nurses. Method: A scoping review was conducted across relevant databases and search engines, resulting in the identification of 120 studies. Four studies met the inclusion criteria for synthesis. Results: The findings indicated that nurses perceived a significant lack of resources and training in mental health care. Barriers such as stigma and workload were prevalent barriers to integration. However, facilitators included support from leadership and multidisciplinary collaboration. Successful integration led to improved patient access to mental health services and reduced stigma. Conclusion: The integration of mental health services into PHC is a complex process influenced by multiple factors. Nurses play a critical role in this integration, and their insights are essential for developing effective strategies for integration. For proper integration of mental health services, it is recommended that resources and training for nurses to integrate mental health services into PHC in LMICs be increased. Addressing barriers like stigma and heavy workloads, along with support from leadership and multidisciplinary collaboration, is essential for improving patient outcomes. Contribution: This study contributes to the knowledge base on integrating mental health services into PHC, offering insights for policymakers and healthcare providers to enhance mental health care delivery in LMICs and similar settings.
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页数：7
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  • [1] Abdulla S., Robertson L., Kramer S., Goudge J., Do integrated community psychiatry services in primary health care settings improve continuity of care? A mixed-methods study of health care users’ experiences in South Africa, International Journal of Integrated Care, 24, 3, (2024)
  • [2] Abera M., Tesfaye M., Belachew T., Hanlon C., Perceived challenges and opportunities arising from integration of mental health into primary care: A cross-sectional survey of primary health care workers in south-west Ethiopia, BMC Health Services Research, 14, (2014)
  • [3] Abi Hana R., Arnous M., Heim E., Aeschlimann A., Koschorke M., Hamadeh R.S., Et al., Mental health stigma at primary health care centres in Lebanon: Qualitative study, International Journal of Mental Health Systems, 16, 1, (2022)
  • [4] Carrara B.S., Ventura C.A.A., Bobbili S.J., Jacobina O.M.P., Khenti A., Mendes I.A.C., Stigma in health professionals towards people with mental illness: An integrative review, Archives of Psychiatric Nursing, 33, 4, pp. 311-318, (2019)
  • [5] Cheating B., Rosie M., Weigel J., State of mental healt and illness in South Africa, South African Journal of Psychology, 49, 4, pp. 463-466, (2018)
  • [6] Chee G.L., Wynaden D., Heslop K., The provision of physical health care by nurses to young people with first episode psychosis: A cross‐sectional study, Journal of Psychiatric and Mental Health Nursing, 25, 7, pp. 411-422, (2018)
  • [7] Dotsenko T., Kolomiiets S., Bibliometric analysis of research of the behavioral and social dimension of the public health system of the world, SocioEconomic Challenges (SEC), 6, 3, pp. 97-106, (2022)
  • [8] Duncan A., Stergiopoulos V., Dainty K.N., Wodchis W.P., Kirst M., Community mental health funding, stakeholder engagement and outcomes: A realist synthesis, BMJ Open, 13, 2, (2023)
  • [9] Fortin M., Bamvita J.M., Fleury M.J., Patient satisfaction with mental health services based on Andersen’s behavioral model, The Canadian Journal of Psychiatry, 63, 2, pp. 103-114, (2018)
  • [10] Gigaba S.G., Luvuno Z., Bhana A., Janse Van Rensburg A., Mthethwa L., Rao D., Et al., Collaborative implementation of an evidence‐based package of integrated primary mental healthcare using quality improvement within a learning health systems approach: Lessons from the mental health INTegration programme in South Africa, Learning Health Systems, 8, 2, (2024)
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