Opinions of supervisors of clinical associates in South African district hospitals. Issue 8 (August 2020)

• Record Type: Journal Article
• Authors: Smalley, Scott; Mlambo, Motlatso Gladys; Gibbs, Audrey; Couper, Ian
• Is Part Of: JAAPA. Volume 33:Issue 8(2020)
• Publication Date: 2020-08
• Subjects: Medicine -- Periodicals; Physicians' assistants -- Periodicals; Medicine -- Periodicals; Physician Assistants -- Periodicals; Medicine; Physicians' assistants; Periodicals; 610.7372069
• DOI: 10.1097/01.JAA.0000684132.51346.9b
• Languages: English
• ISSNs: 0893-7400

Abstract

ABSTRACT: Objective: To determine the opinions of supervising physicians about the introduction of clinical associates at South African district hospitals in 2012. Methods: Twenty-four healthcare professionals in Gauteng and North West provinces were selected to participate in cross-sectional qualitative interviews exploring their opinions on the clinical practice of clinical associates, the effect of the new cadre, their achievements, and the concerns of the supervisors. The inductive content analysis process generated several themes. Results: Three positive themes related to clinical associate practice were identified: professionalism, skill level, and efficiencies in patient management. Themes of concern included overtime and calls, writing prescriptions, and supervision. Conclusions: Interview results highlighted acceptance and appreciation for the introduction of clinical associates. Baseline opinions enhanced curriculum development and will inform further research on the effect of clinical associates on healthcare delivery in South Africa.