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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!