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Primary Care: Nursing’s Contributions to Improving Access and Quality of Care

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 1 August 2026 | Viewed by 168

Special Issue Editor


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Guest Editor
Faculty of Health Sciences, Darcy Ribeiro University Campus, University of Brasilia, Brasilia 70910-900, Brazil
Interests: primary health care; evaluation of health policy; nursing care; health social inequalities; bioethics

Special Issue Information

Dear Colleagues,

Health systems in which Primary Care plays a coordinating role tend to achieve better population health outcomes. Nursing has contributed significantly to both the management of health systems and services, as well as to direct patient care. However, considerable challenges remain in ensuring equitable access to services that are essential for comprehensive and continuous care. Furthermore, advancements in nursing practice are necessary to enhance supported self-care, as well as to foster user and community participation and engagement aimed at improving well-being and quality of life.

Prof. Dr. Helena Eri Shimizu
Guest Editor

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Keywords

  • primary care
  • quality of care
  • integrality
  • patient safety
  • access to health services
  • longitudinality

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Published Papers (1 paper)

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Research

15 pages, 288 KB  
Article
A Phenomenological Study of Primary Healthcare Nurses’ Experiences in Assessing and Managing Diabetic Foot Complications
by Simiso Ntuli
Int. J. Environ. Res. Public Health 2025, 22(12), 1799; https://doi.org/10.3390/ijerph22121799 - 28 Nov 2025
Abstract
Background: In South Africa, diabetic foot complications (DFC) often present for the first time at the primary healthcare (PHC) level, where nurses are central to diabetes management and prevention. Despite their key role, there are limited data on nurses’ experiences in managing DFC, [...] Read more.
Background: In South Africa, diabetic foot complications (DFC) often present for the first time at the primary healthcare (PHC) level, where nurses are central to diabetes management and prevention. Despite their key role, there are limited data on nurses’ experiences in managing DFC, particularly in resource-constrained primary healthcare (PHC) settings. This study’s objective was to explore and describe nurses’ experiences in managing DFC at the PHC level, with the aim of informing future interventions and policy development. Methods: A descriptive phenomenological study was conducted with 21 PHC nurses working in community healthcare centres to explore their experiences in managing DFC within PHC facilities. Results: Five key themes emerged: limited knowledge, time and workload constraints, lack of referral feedback, need for targeted training, and resource constraints. These reflect systemic and practical barriers that hinder effective care and contribute to inconsistent patient outcomes. Nurses are vital to early detection and intervention but face structural challenges that limit their capacity to deliver optimal care. Conclusions: Nurses encounter significant challenges when implementing routine diabetic foot screening at the primary healthcare level. These challenges include limited training, inadequate resources, and poor interprofessional collaboration. To overcome these barriers, targeted capacity-building initiatives, improved referral and communication pathways, and the provision of essential tools and support are needed. Additionally, integrating podiatrists into primary healthcare teams and establishing multidisciplinary foot care services are crucial steps to enhance care quality and reduce complications in resource-limited settings. Full article
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