Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Mental Health Challenges during COVID-19 Pandemic: Experiences of Primary Healthcare Nurses in Durban, South Africa

Version 1 : Received: 5 August 2023 / Approved: 7 August 2023 / Online: 7 August 2023 (05:28:56 CEST)

A peer-reviewed article of this Preprint also exists.

Onwubu, S.C.; Sibiya, M.N.; Makgobole, M.U. Mental Health Challenges during COVID-19 Pandemic: Experiences of Primary Healthcare Nurses in Durban, South Africa. Int. J. Environ. Res. Public Health 2023, 20, 6683. Onwubu, S.C.; Sibiya, M.N.; Makgobole, M.U. Mental Health Challenges during COVID-19 Pandemic: Experiences of Primary Healthcare Nurses in Durban, South Africa. Int. J. Environ. Res. Public Health 2023, 20, 6683.

Abstract

The COVID-19 pandemic had a significant impact on the mental health of individuals globally, and primary healthcare (PHC) nurses play a critical role in providing mental healthcare services. However, limited research has explored the experiences of PHC nurses in providing mental healthcare services during the COVID-19 pandemic. This study explored the experiences of PHC nurses in providing mental healthcare services during the pandemic in Durban, South Africa. The aim was to identify the challenges faced by healthcare providers and the potential for innovative approaches to improve access to care. A qualitative, exploratory design guided the study, and data were collected through in-depth interviews with twelve PHC nurses purposively selected. Thematic analysis was used to analyse the data. Findings from interviews with primary healthcare nurses reveal that the pandemic exacerbated existing challenges, including medication adherence issues, fear and uncertainty among patients, vaccine hesitancy, decreased clinic visits, and the mental and emotional toll on both patients and healthcare workers. PHC nurses adapted their services by increasing outreach efforts, prioritising patient care, and utilising technology and non-governmental organisations’ (NGO) support. Challenges included reduced patient visits, complexities in healthcare provision, and lack of adequate support. Positive changes observed include increased mental health awareness among healthcare professionals and younger generations. Recommendations include implementing outreach and awareness campaigns, providing accurate information about COVID-19 and vaccinations, and promoting cultural sensitivity in mental healthcare provision.

Keywords

COVID-19; mental healthcare; primary healthcare nurses; Sub-Saharan Africa; challenges; adaptation; outreach; telehealth; vaccine hesitancy; mental health awareness

Subject

Public Health and Healthcare, Public Health and Health Services

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