{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T19:01:00Z","timestamp":1785438060656,"version":"3.56.0"},"reference-count":35,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0The South African National Department of Health introduced the ideal clinic realisation and maintenance (ICRM) programme in response to primary health care (PHC) services and to lay a strong foundation for the National Health Insurance implementation. The progress report 2015\u20132016 on the implementation of this programme indicated that achieving the 50% target in selected vital areas such as staffing, resource allocation, and utilisation was not achieved.\n\nAim:\u00a0The study aimed to explore and describe nurses\u2019 experiences regarding the ideal clinic project (ICP) implementation.\n\nSetting:\u00a0The study was conducted in 18 PHC clinics in eThekwini district, KwaZulu-Natal.\n\nMethods:\u00a0An exploratory descriptive, contextual qualitative design was employed guided by Donabedian\u2019s structure, process, and outcomes model. Data were collected using semi-structured interviews with 24 nurses between 15 September and 25 October 2020 following receipt of ethics and analysed using Tesch\u2019s open coding approach.\n\nResults:\u00a0The three themes that emerged included structural limitations, processes involved in running the clinic, and support offered to the PHC clinics. These were highlighted as challenges experienced by nurses during the implementation of an ICP.\n\nConclusion:\u00a0Nurses\u2019 negative experiences and perceptions made it difficult for them to accomplish the ICP standards.\n\nContribution:\u00a0The findings from the study highlighted critical actions by the health care institution management which if instituted, could facilitate improved implementation of the ICP and achievement of the 50% target in selected vital areas.<\/jats:p>","DOI":"10.4102\/hsag.v29i0.2407","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T09:00:36Z","timestamp":1710147636000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses experiences regarding ideal clinic project implementation in eThekwini district"],"prefix":"10.4102","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-5480","authenticated-orcid":false,"given":"Thembelihle S.P.","family":"Ngxongo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0303y7a51","id-type":"ROR","asserted-by":"publisher"}],"name":"Durban University of Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0430-2440","authenticated-orcid":false,"given":"Mthokozisi","family":"Zulu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0303y7a51","id-type":"ROR","asserted-by":"publisher"}],"name":"Durban University of Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"ref0","unstructured":"Abrahams, G.L., Thani, X.C. & Kahn, S.B., 2022, \u2018South African public primary healthcare services and challenges considerations during the COVID-19 pandemic\u2019, Administratio Publica 30(2), 63\u201385, https:\/\/doi:10.10520\/ejc-adminpub_v30_n2_a7"},{"key":"ref1","unstructured":"Anon, 2018, \u2018Are community nurses spending too much time on admin?\u2019, Journal of Community Nursing 32(5), 8\u201311."},{"key":"ref2","unstructured":"Botma, Y., Greef, M., Mulaudzi, F.M. & Wright S.C.D., 2010, Research in health science, Heinemann, Cape Town."},{"key":"ref3","unstructured":"Creswell, J.W., 2014, Research design: Qualitative, quantitative and mixed method approaches, 4th edn., SAGE publications, Lincoln, NE."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"De Villiers, K., 2021, \u2018Bridging the health inequality gap: An examination of South Africa\u2019s social innovation in health landscape\u2019, Infectious Diseases of Poverty 10, 19. https:\/\/doi.org\/10.1186\/s40249-021-00804-9","DOI":"10.1186\/s40249-021-00804-9"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Dimunov\u00e1, L., B\u00e9re\u0161ov\u00e1, A., Rakov\u00e1, J., R\u00f3nyov\u00e1, I. & Ferta\u013eov\u00e1, T., 2020, \u2018The relationship between self-esteem of nurses and their choice of strategies to cope with workload burden\u2019, Central European Journal of Nursing and Midwifery 11(3), 130\u2013135. https:\/\/doi.org\/10.15452\/cejnm.2020.11.0023","DOI":"10.15452\/cejnm.2020.11.0023"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Donabedian, A., 2003, An introduction to quality assurance in health care, Oxford University Press, New York, NY.","DOI":"10.1093\/oso\/9780195158090.001.0001"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Donabedian, A.V.E.D.I.S., 1996, \u2018The effectiveness of quality assurance\u2019, International Journal for Quality in Health Care 8(4), 401\u2013407. https:\/\/doi.org\/10.1093\/intqhc\/8.4.401","DOI":"10.1093\/intqhc\/8.4.401"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Fagerstr\u00f6m, L., Kinnunen, M. & Saarela, J., 2018, \u2018Nursing workload, patient safety incidents and mortality: An observational study from Finland\u2019, BMJ Open 8(4), e016367. https:\/\/doi.org\/10.1136\/bmjopen-2017-016367","DOI":"10.1136\/bmjopen-2017-016367"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Harfield, S.G., Davy, C., McArthur, A., Munn, Z., Brown, A. & Brown, N., 2018, \u2018Characteristics of indigenous primary health care service delivery models: A systematic scope review\u2019, Globalization and Health 14(1), 12. https:\/\/doi.org\/10.1186\/s12992-018-0332-2","DOI":"10.1186\/s12992-018-0332-2"},{"key":"ref10","unstructured":"Hunter, J.R., Asmall, S., Ravhengani, N.M., Chandran, T.M., Tucker, J. & Mokgaladi, Y., 2017, \u2018The ideal clinic in South Africa. 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