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36403180 Nurses Leading PHC

Apr 07, 2018

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    NURSES LEADING

    PRIMARY HEALTH CARE

    DIRECTIONSAND

    OPTIONS DR. ARACELI MAGLAYA

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    Enhancing the Empowering Potential of People

    to Assume Responsibility for Health

    Promotion & Disease Prevention

    and Management

    Generate New

    Insights/Solutions to Health

    Problems

    Ensure a Competent Public

    Health and Personal Health

    Care Workforce

    Link People to Needed

    Personal Health Services

    Ensure the Provision ofHealth Care/implemen-

    tation of Health Programs

    that address health

    problems/

    hazards

    Monitor Health Status

    to Identify Community

    Health Problems

    Diagnose and InvestigateHealth Problems/Hazards

    in the Community

    Mobilize Partnerships to

    Identify and Solve

    Health Problems

    Nursing Practice:

    Art: Caring Towards

    Human BecomingScience: Practice-Based Evidence

    Evidenced-based

    Methods and Tools

    Develop Policies that

    Support Individual and

    Community Efforts

    Enforce Laws and

    Regulations that Protect

    Health and Ensure Safety

    Quality

    Assurance

    (Core Community HealthFunctions)

    Policy/Program

    Development/

    Advocacy/

    Implementation

    Assessment

    Formulate Plans that

    Support Individual/Family

    and Community Health Efforts

    Evaluate Effectiveness, Accessibility,

    and Quality of Personal

    and Population-based Health Services

    (Essential Community Health Services)

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    A. Nurses can become MODELS of how

    to deliver quality health care service

    to enhance the empowering potentialof clients in the communities to address

    barriers to health and wellness, prompt

    and appropriate management of diseasesand disability reduction to achieve

    psychosocial and economic

    productivity and enhanced humanresponses to handle stresses and change.

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    Motivation to use Practice-basedEvidence and Evidence-based

    Methods and Tools

    Discipline in carrying out

    Standards of Care to Guide

    Nursing Practice.

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    Competence in the use of

    Participatory Approach tounderstand clients human

    responses to health and illness

    realities; and analyze with

    clients realistic and effective

    options to improve attitudes orsituations/resources.

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    In a participatory approach, weengage the community in an

    egalitarian relationship to look,

    think and act, given the peopleslived experiences on health, illness,

    health service access and

    understand why status quo is a

    mainstay.

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    By enhancing the competence of

    clients to understand, analyze andcarry out options to address

    hopelessness, helplessness,

    hardiness - they can sustainmotivation to change the current

    reality, in order to put Health and

    Health Care in their hands!

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    B. Nurses as leaders can make

    plans for and prepare

    personnel in sufficient

    numbers to meet thenursing service needs of

    individuals, families and

    communities.

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    Nurses can link clients to

    needed services (e.g. setting up

    effective two-way referral

    system from the

    community/home to an acutehealth care facility and back,

    ensuring adequate hospital

    discharge instructions foraccurate/effective home care)

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    Nurse leaders can activelyparticipate in Health Human

    Resources Analysis Projection

    and Development/Enhancement

    (e.g. professional growth in

    nursing career path)

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    They need to take the lead indeveloping policies, options

    and systems to address inequities,

    accessibility problems,unresponsive/incompetent nurse

    service providers.

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    C. Nurses should create socialsystems in which Models of

    nursing care/practice, excellent

    education and significant

    scientific inquiry are

    demonstrated and can flourish.

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    Staff Nurses/Practitioners can

    demonstrate competence in

    addressing health and health caredelivery issues/problems/gaps

    using participatory approaches;

    sustained interest for professional

    growth via formal/degree

    programs or short-term practice-based training.

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    Administratorsdemonstrate

    a passion for/commitment to do

    periodic and effective audits

    to ensure quality and efficient

    services.

    Educatorsadvance own

    competence thru nursingpractice and practice-based

    research.

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    D. Advance knowledge in nursingscience through researches on

    improving clients human

    responses to handle inequities,

    poverty and behavior change.

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    Researches:

    Enhance Disciplined Action in

    Client Care Situation

    Generate New

    Insights/Solutions to Health

    Care Delivery Gaps/Problems

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    E. Foster development of

    innovative and creative nurses as

    future leaders/successors for

    articulating values that unify

    efforts to deliver quality servicein partnership with communities,

    ensuring effective

    linkages/teamwork with partnerinstitutions, change agents and

    policy-makers.

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    CONCLUSION

    The PNA Convention theme -Delivering Quality Service, Serving

    Communities with Nurses leading

    Primary Health Care - is about givingof self, heart, values, ideals. It requires

    risk-taking, overcoming resistance,

    challenging the norm, using the creation

    paradigm to change status quo.

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    Nurse leaders need to reinventthemselves by thinking and behavingin new ways. Deep change istransformative, involving creativeexperimentation, collaboration and aview to the future. Leadership requiresall of us to . . .

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    . . .dare

    tocare!