The Continuing Challenge: Nursing's Response to Primary Health Care

1997 ◽  
Vol 3 (3) ◽  
pp. 56
Author(s):  
Judith Clare ◽  
Susan Mann ◽  
Charmaine Power ◽  
Tess Byrnes ◽  
Ailsa n'ha Winifreyda

An innovative project which aims to balance acute care and community health care in the clinical experience for students in a generic baccalaureate nursing program, is outlined. The ways in which nurses in community practice and academia can work together to ensure that primary health care (PHC) becomes a philosophy used for guiding nursing practice, is demonstrated. The aims of the project are to gather sufficient information on which to base curricula change to the undergraduate baccalaureate nursing program, as well as to assess the employment outcomes for this group of graduate nurses. The paper sets the context for the project by providing a brief historical review that highlights the relevance and necessity of PHC as a framework for nursing. The ways in which nurses in community practice and nurses in academia can work together to ensure that primary health care (PHC) becomes a philosophy used for guiding nursing practice is discussed. Through an innovative partnership between the School of Nursing, Flinders University of South Australia (FUSA) and Noarlunga Health Services, curriculum changes ensure that nursing students experience a balance of theory and practice in both the community and acute clinical fields, and that the curriculum is underpinned by PHC philosophy and principles.

2002 ◽  
Vol 7 (2) ◽  
pp. 11 ◽  
Author(s):  
H. Lita ◽  
U. Alberts ◽  
A. Van Dyk ◽  
L F Small

T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely: • Managerial constraints • Educational constraints Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.


Author(s):  
Lara Arcipreti Boel Souza ◽  
Heliny Carneiro Cunha Neves ◽  
Natália Del Angelo Aredes ◽  
Isabel Cristina Lima Jobim Medeiros ◽  
George Oliveira Silva ◽  
...  

ABSTRACT Objective: To report the experience of the nursing supervised curricular internship in the program “O Brasil Conta Comigo” carried out in the Covid-19 pandemic. Method: Experience report of activities developed in Primary Health Care in a municipality in the southern region of the state of Goiás during the Covid-19 pandemic, from April to November 2020. Results: The inclusion in the government program allowed the strengthening of the student’s active role in the teaching-learning process and teaching-service approximation, with the student as the point of connection, which resulted in the implementation of actions for the fight against the pandemic in the municipality, such as elaboration, implementation, and evaluation of the service flowchart for people with suspected Covid-19. Conclusion: The experience was successful, as it consolidated knowledge regarding leadership and autonomy, integration between theory and practice, critical thinking, and evidence-based problem solving. The participation in the program allowed for contributions to assistance and management in the actions to combat the new coronavirus in the scope of primary care, as well as for the contribution to the training of the student tutored by nurses in the field and supervised by professors from the federal university of origin.


2021 ◽  
Author(s):  
◽  
Gillian D Alcorn

<p>The purpose of this thesis is to give voice to school nursing as a primary health care specialty, and to promote the development of school nursing in New Zealand. School nursing is an invisible practice specialty that is largely funded from within the education sector, to address the health needs of student clients. School nursing is a significant primary health care initiative that can positively influence student health outcomes. My school nursing practice experience and philosophy is presented prior to reflecting upon the history of school nursing, and the health concerns present within the student population. The work then moves to review and critique school nursing literature from New Zealand, Australia, the United Kingdom, and the United States. This thesis highlights the need for collaborative policy and practice development initiatives including a legislative requirement for school nurses, school nursing competencies and standards, school nurse to student ratios, postgraduate training, professional liaison, practice funding, and research. A discourse on the reflective topical autobiographical method introduces autobiographical poetry from school nursing practice and reflective inquiry, as the central research endeavour of this thesis. Autobiographical poetry is offered as a window to this specialty practice, and accompanying reflections allow access to a further layer of practice knowledge. Student health needs, the scope of nursing intewentions, and the essences of school nursing practice have been distilled from the poetry. Poetic representation and subsequent reflection has facilitated the development of a school nursing framework for use within the New Zealand context, entitled Health Mediation in School Nursing. School nursing is presented throughout this thesis as an important child and adolescent primary health care initiative, which has the potential to reduce health barriers to learning, improve student health outcomes, and build student success in the social, emotional, and educational domains.</p>


2020 ◽  
Vol 9 (3) ◽  
pp. 176-183
Author(s):  
Gökmen Özceylan

Aim: The aim of this study is to examine the behaviors of patients who are members of the hemophilia association due to bleeding disorder, and due to health problems related to their diseases preferring primary health care institutions first, and to determine the reasons if they do not. Methods: The study was a descriptive cross-sectional study. The universe of the study was composed of hemophilia patients who are members of the hemophilia association living in Tekirdağ province (n=48). In the study face to face questionnaire was applied. People were asked about their first medical institutions in their complaints about their illness. The patients were asked about their age, gender, working status, educational status, types of bleeding disorders, severity and history of diseases. Results: Nobody preferred the primary health care institution for his complaints about bleeding disorder. Of the participants, 42.9% (n=18) stated that family physicians do not have sufficient information about this disease as the reason for not choosing primary health care institution. Conclusion: The trust of patients with bleeding disorders to family physicians is not sufficient. Regardless of the severity, type and prophylactic drug use of their disease, they do not prefer primary health care institution for their follow-up and treatment. Keywords: hemophilia, bleeding, family practice


2021 ◽  
Vol 7 (12) ◽  
pp. 114212-114227
Author(s):  
Juscimara de Oliveira Aguilar Catapan ◽  
Ana Cecília Lima Godin Silva ◽  
Cíntia Maria Rodrigues ◽  
Daisy de Rezende Figueiredo Fernandes ◽  
Maria da Penha Rodrigues Firmes ◽  
...  

Author(s):  
Toni M. Vezeau

Values are core to the practice of nursing, determining priorities in healthcare and forming the foundation of relationships with clients. Specific values have been recognized as essential to professional nursing practice and are considered central content within a baccalaureate nursing program. While these professional values are identified and defined, there is little guidance in nursing pedagogical literature as to teaching approaches, range and depth of content, and evaluative methods in this area. Clear discussion of an effective educational approach to professional values would be a significant contribution to the discipline of nursing.The paper expands on the brief summary of the five professional values identified by AACN as essential to professional nursing practice. It is easy to understand these values on a superficial level, but these values have many layers and are very difficult to live out in nursing practice. The discussion moves beyond definition and gives specific examples to lend clarity and depth to the topic. The discussion includes common areas in which students have difficulty, noting the inherent challenges for each of the values.


2019 ◽  
Vol 72 (3) ◽  
pp. 687-691
Author(s):  
Robriane Prosdocimi Menegat ◽  
Regina Rigatto Witt

ABSTRACT Objective: To identify critical requirements for nursing practice when responding to hydrological disasters in the rural area. Method: A descriptive, exploratory and qualitative study was developed. The Critical Incidents Technique was adopted. Twenty public health nurses who worked during the flood season in the years of 2014 and 2015 in a rural area in Southern Brazil were interviewed. Content analysis of the data was developed. Results: Critical requirements for nurses’ practice were derived from the situations (n=78), critical behaviors (n=98) and consequences to the population (n=43) and to the nurses (n=38) identified. Conclusion / Final considerations: Although the requirements could be related to the established international referential for nurses’ practice in disasters, some were described only in this study. They can contribute to the education and practice of nurses in primary health care, strengthening its capacity to face disaster situations by flood in the rural area.


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