Roles of the Nurse in Caring for Communities and Population Groups
1. Roles of the Nurse in Caring for Communities and Population Groups
1. Clinician â Focus on the health of individuals in the larger context of community.
2. Advocate- Advocates self-care, peopleâs ability to be active participant in their
own health, and self-determination, the right to make their own decision.
3. Collaborator- Bring together strengths and resources of people involved toward a
common goal.
4. Educator- Provide knowledge, skill, and attitude that the people need to make
appropriate choices or decision.
5. Hospice Care- Providing care skills in a home or other setting.
Brief History of Community Health/ Public Health Nursing Practice in
the Philippines
ERA OF THE REP. OF THE PHILIPPINES (1946 to present)
ď 1947 â Bureau of Public welfare was renamed DOH
ď June 1957 â Rep Act 1891 (An act Strengthening Health and dental Services in
the Rural Areas
ď 1975 â Formulation of the National Health Plan and the restructured Health Care
delivery system
ď 1982 â E.O 851 Health Educ. And Manpower Dev. Service was created and
Bureau of Food and Drugs assumed the functions of the Food and Drug Admin.
ď 1986 â Min. of Health became DOH again
ď 1987 â Reorganization E.O â 119.
ď Secretary Of Health covered 5 offices: Chief of Staff Public Health Services
Hospital & Facilities Services Standard & regulations Management Service
ď Rep. Act 7160 Local Government Code passed & implemented
ď 1992 â Full implementation of rep. Act No. 7160 DOH Changed role from one of
implementation to one of governance
ď Significant Changed: branching out of the office of Public health services to form
the office of special concern.
ď Nat. Immunization Day Nat. Micronutrient Campaign (Araw ng Sangkap Pinoy)
Disaster Magt.
ď Urban Health and Nutrition project
ď Traditional Medicine Doctors to the Barrios Program Letâs DOH it became a
national battle cry.
ď 1996 â Primary Health Care as strategy to attain Health for All by the year 2000
2. ď 1999 â Creation of the National Health Planning Committee (NHPC) And
establishment of Inter-Local Health Zone
ď 1999 â 2004 = Health Sector Reform Agenda of the Phils. Was launched
ď 2005 â DOH launched Fourmula One for Health to ensure speed, precision and
effective coordination towards improving the efficiency, effectiveness and equity
of Health Care delivery.
Before mid 1800- Early home care with focus in sick and poor individuals.
ďˇ Orientation : creative
ďˇ Agencies: lay and religion orders
ďˇ St. Phoebe
Mid 1800s to 1900- District nursing with focus in sick and poor individual.
ďˇ Orientation: vreative less in prevention
ďˇ Agencies: Voluntary ans some government
ďˇ William Rathbone
1970 to present- Community Health Nursing focus in total community and
oriented to population health services, address health promotion , illness
prevention.
ďˇ Agencies: many kinds, some independent practice
ďˇ Ruth freedman
Public Health Nursing Development in China
Early Stages
ďˇ 1975- Beijing Union Hospital- Public Agency
ďˇ Dr. Gland
ďˇ 1930 Rural Health Education
ďˇ 2000 Pay attention to city and rural areas community center development and
practice model.
ďˇ 2006-2007- Government emphasizes the importance of community health,
improve community health centers, functions, farmer health insurance.
Reference: http://www.authorstream.com/Presentation/yumiko-1246410-community-health-
nursing/