Vol. 2 No. 2 (2023): Promoting Integrative Healthcare: Education, Policy, and Management

Original Research Article

Understanding the issues and challenges in the implementation of nursing services in primary health care: A qualitative study in Garut, West Java, Indonesia

Iwan Wahyudi
Faculty of Nursing, University of Indonesia, Depok, West Java, Indonesia | College of Health Sciences Karsa Husada, Garut, West Java, Indonesia
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Junaiti Sahar
Faculty of Nursing, University of Indonesia, Depok, West Java, Indonesia
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Hanny Handiyani
Faculty of Nursing, University of Indonesia, Depok, West Java, Indonesia
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Dian Ayubi
Faculty of Public Health University of Indonesia, Depok, West Java, Indonesia
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Keywords

challenges, issues, nurse, nursing services, primary health care center, Indonesia

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Accepted for publication: 2023-09-07
Peer reviewed: Yes


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Abstract

Background: Primary healthcare centers provide a wide range of healthcare services, with nurses playing pivotal roles in maintaining the quality of care. To enhance nurse performance, it is essential to gain insights into their experiences regarding the implementation of nursing services in these institutions.

Objective: This study aimed to explore the issues and challenges related to nursing services in primary health care centers through the perspectives of Indonesian nurses.

Methods: Qualitative research using a phenomenological approach was conducted. Twelve nurses from primary health care centers were purposively selected as study participants. Data were collected through face-to-face, semi-structured interviews between January 2022 and March 2022. Thematic analysis was employed for data analysis.

Results: The analysis yielded five main themes: 1) Working with additional roles and duties, 2) Uncertainty regarding nurses’ roles and functions, 3) Nurses' concerns about the nursing profession, 4) Barriers to implementing nursing services, and 5) Nurses' expectations concerning nursing services.

Conclusion: Nurses in primary health care centers face challenges in fully carrying out nursing services. Numerous issues and obstacles exist in the provision of nursing services at primary healthcare facilities. Therefore, it is essential to strengthen the authority and autonomy of nurses working in primary health care settings.


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Funding Description

This study was supported by the Indonesia Endowment Funds for Education (LPDP) Ministry of Finance of the Republic of Indonesia

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Declaration of Conflicting Interest

The authors declared no conflict of interest in this research.

Acknowledgment

The authors would like to thank all participants for their time and effort in contributing to this study.

Authors’ Contributions

Authors (IW, JS, HH, DA) participated in the concept, study design, and analysis. The first author (IW) conducted the interviews, data collection, and writing. All authors approved the final version of the article to be published.

Data Availability Statement

All datasets generated and analyzed during the study process are not made public but available from the corresponding author upon reasonable request.

Declaration of the Use of AI in Scientific Writing

Nothing to declare.

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