Primary health care and primary care: A confusion of philosophies

Barnes, Donelle M.; Eribes, Carmen; Juarbe, Teresa; Nelson, Martha A.; Proctor, Susan; Sawyer, Linda M.; Shaul, Muriel; Meleis, Afaf Ibrahim

doi:10.1016/s0029-6554(95)80038-7

Cited by 27 publications

(24 citation statements)

References 21 publications

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“…Client self‐control, through self‐determination, can only take place within a mutual or equitable relationship between nurses and clients, where the relationship is based on an alliance between agents rather than an asymmetric expert/lay relationship. An alliance implies shared understanding in decisions about care (Barker 1999), an approach supported by Barnes et al . (1995) and Holloway (1998).…”

Section: Introductionmentioning

confidence: 99%

Advancing self‐determination with young adults who have schizophrenia

McCann

Clark

2004

Psychiatric Ment Health Nurs

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The research examined how community mental health nurses promote self-determination with clients who are experiencing an early episode of schizophrenia. The study used grounded theory methodology incorporating interviews and observations. The study took place in the community, in rural and regional New South Wales, Australia, and involved clients and community mental health nurses. The findings show that the promotion of self-determination is dependent on nurses educating clients about their illness and well-being, and fostering self-control. The development of a reciprocal relationship, or alliance, between nurses and clients is implicit in advancing self-determination. The implications of the promotion of client self-determination for education, clinical practice and research and these are discussed.

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Section: Introductionmentioning

confidence: 99%

Advancing self‐determination with young adults who have schizophrenia

McCann

Clark

2004

Psychiatric Ment Health Nurs

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“…The primary health care perspective described by access, essentiality, community participation, empowerment, and intersectoral collaboration (Barnes et al, 1995) was validated by the Horton community's responses to the question, "What is your vision of a healthy community?" Barnes et al (1995) describe access to health care services at the community level, rather than at the individual level. Access includes (1) equal cost experiences for all groups, (2) service availability based upon needs and geographic distribution, (3) equality of health care encounter quality, and (4) positive perceptions of health care services by all clients.…”

Section: Discussionmentioning

confidence: 99%

“…As developed by the WHO, the concepts of primary health care include: (1) access, (2) essentiality, (3) community participation, (4) empowerment, and (5) intersectoral collaboration (Barnes et al, 1995;WHO 1981).…”

Section: Primary Care Versus Primary Health Carementioning

confidence: 99%

A Rural Vision of a Healthy Community

Hornberger

Cobb

1998

Public Health Nursing

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Nurses can take a leadership role in the process of helping rural Americans to recognize and implement their vision of a healthy community. This necessitates an understanding of rural communities' perceptions of health and health care and allows nurses to more appropriately provide primary health care. As defined by the World Health Organization, primary health care is comprised of concepts of essentiality, community participation, intersectorial collaboration, access, and empowerment (Barnes et al., 1995). A focused ethnography involving 150 residents was conducted in a midwestern rural community and included 56 personal and 8 focus group interviews. A qualitative analysis of responses to the question, "What is your vision of a healthy community?" was conducted using Leininger's (1985) categories of economics, social-kinship, cultural, political-legal, religion, technology, and education. An eighth category of environmental concern emerged from the data. Responses were further assimilated into descriptive statements reflecting the community's vision of a healthy community, including issues of accessible and technologically adequate healthcare, job availability, strong community support by schools and churches, a caring community membership, and an attractive, pollution-free environment. This analysis demonstrates the need for application of primary health care at the level of community in designing services to achieve healthy rural communities.

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“…The nursing and community-based focus in these settings highlight a model of care that can be labeled primary health care (PHC). Primary health care embodies principles of primary care as well as principles of public health (Barnes et al, 1995). Unfortunately, the emphasis on the distinct conceptualizations of NMCs as sites for PHC delivery has not been clarified with the exception of an evaluation of their mission statements (Barger, & Bridges, 1990).…”

Section: Nursing Center Researchmentioning

confidence: 99%

Hypertension Outcomes In an Urban Nurse‐Managed Center

Benkert

Buchholz

Poole

2001

Journal of the American Academy of Nurse Practitioners

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Nurse practitioners in this NMC were able to manage HTN in a high-risk population despite a lack of insurance coverage for anti-hypertensive prescriptions. The finding that the uninsured group had more clinic visits per year than the insured group is significant in that it increases the cost of providing care for these patients and the health care system. The patient cost in time, transportation and burden needs further assessment.

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Primary health care and primary care: A confusion of philosophies

Cited by 27 publications

References 21 publications

Advancing self‐determination with young adults who have schizophrenia

Advancing self‐determination with young adults who have schizophrenia

A Rural Vision of a Healthy Community

Hypertension Outcomes In an Urban Nurse‐Managed Center

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