Barriers to community healthcare delivery in urban China: a nurse perspective
Purpose There is considerable research on China’s community healthcare, but little examining its delivery from a nurse perspective. This article, set in the context of Shenzhen, elicits community nurses’ views on barriers to healthcare delivery, providing an initial evidence framework to improve com...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Qualitative Studies on Health & Well-Being |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17482631.2023.2220524 |
| _version_ | 1797401401405472768 |
|---|---|
| author | Bo Li Juan Chen |
| author_facet | Bo Li Juan Chen |
| author_sort | Bo Li |
| collection | DOAJ |
| description | Purpose There is considerable research on China’s community healthcare, but little examining its delivery from a nurse perspective. This article, set in the context of Shenzhen, elicits community nurses’ views on barriers to healthcare delivery, providing an initial evidence framework to improve community nursing practice at organizational and policy levels. Methods We used qualitative methods. Data from semi-structured interviews with 42 community nurses in Shenzhen underwent inductive content analysis. Consolidated criteria for reporting qualitative research were consulted to structure our reporting. Results Our analysis suggests four elements discouraging community nurses in care delivery: lack of equipment, stressful work environments, staff incompetence, and patient distrust. Centralized means of procurement, management indifference to nurses’ well-being, unsystematic training and reluctance to enter the community healthcare sector, and public prejudices against nursing contributed to these constraints, preventing community nurses from performing patient-centred care, devoting energy to caring, freeing themselves from heavy workloads, and building trust-based care relationships. Conclusions Delivery barriers devalued community health services systematically and undermined nurses’ professional advancement and psychological well-being. Targeted management and policy inputs are necessary to reduce caring barriers and enhance the ability of community nursing to safeguard population health. |
| first_indexed | 2024-03-09T02:08:33Z |
| format | Article |
| id | doaj.art-27ca4e2408ee40148bd80f4ba9ec3192 |
| institution | Directory Open Access Journal |
| issn | 1748-2623 1748-2631 |
| language | English |
| last_indexed | 2024-03-09T02:08:33Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Qualitative Studies on Health & Well-Being |
| spelling | doaj.art-27ca4e2408ee40148bd80f4ba9ec31922023-12-07T15:12:03ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312023-12-0118110.1080/17482631.2023.22205242220524Barriers to community healthcare delivery in urban China: a nurse perspectiveBo Li0Juan Chen1The Hong Kong Polytechnic University, Hung HomThe Hong Kong Polytechnic University, Hung HomPurpose There is considerable research on China’s community healthcare, but little examining its delivery from a nurse perspective. This article, set in the context of Shenzhen, elicits community nurses’ views on barriers to healthcare delivery, providing an initial evidence framework to improve community nursing practice at organizational and policy levels. Methods We used qualitative methods. Data from semi-structured interviews with 42 community nurses in Shenzhen underwent inductive content analysis. Consolidated criteria for reporting qualitative research were consulted to structure our reporting. Results Our analysis suggests four elements discouraging community nurses in care delivery: lack of equipment, stressful work environments, staff incompetence, and patient distrust. Centralized means of procurement, management indifference to nurses’ well-being, unsystematic training and reluctance to enter the community healthcare sector, and public prejudices against nursing contributed to these constraints, preventing community nurses from performing patient-centred care, devoting energy to caring, freeing themselves from heavy workloads, and building trust-based care relationships. Conclusions Delivery barriers devalued community health services systematically and undermined nurses’ professional advancement and psychological well-being. Targeted management and policy inputs are necessary to reduce caring barriers and enhance the ability of community nursing to safeguard population health.http://dx.doi.org/10.1080/17482631.2023.2220524community healthcarehealthcare deliverycommunity nursinginductive content analysischina |
| spellingShingle | Bo Li Juan Chen Barriers to community healthcare delivery in urban China: a nurse perspective International Journal of Qualitative Studies on Health & Well-Being community healthcare healthcare delivery community nursing inductive content analysis china |
| title | Barriers to community healthcare delivery in urban China: a nurse perspective |
| title_full | Barriers to community healthcare delivery in urban China: a nurse perspective |
| title_fullStr | Barriers to community healthcare delivery in urban China: a nurse perspective |
| title_full_unstemmed | Barriers to community healthcare delivery in urban China: a nurse perspective |
| title_short | Barriers to community healthcare delivery in urban China: a nurse perspective |
| title_sort | barriers to community healthcare delivery in urban china a nurse perspective |
| topic | community healthcare healthcare delivery community nursing inductive content analysis china |
| url | http://dx.doi.org/10.1080/17482631.2023.2220524 |
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