Public Health Nurses' Primary Health Care Practice: Strategies for Fostering Citizen Participation

Aston, Megan; Meagher‐Stewart, Donna; Edwards, Nancy; Young, Linda M.

doi:10.1080/07370010802605762

Cited by 21 publications

(30 citation statements)

References 22 publications

(28 reference statements)

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“…These nurses may foster citizen participation by acting on the determinants of health and implementing strategies to achieve longer-term health outcomes. Here, the relational work between clients and public health nurses created empowering processes whereby vulnerable citizens were supported to participate in assessing, planning, implementing, and evaluating their health and health care (Aston & Meagher-Stewart, 2009). The present study is in accordance with Hansson (2004), who defined empowerment as a process of enhancing people's abilities to meet their own needs, solve their own problems, and mobilize the necessary resources to take control over their life.…”

Section: Reflectionsmentioning

confidence: 99%

How community-dwelling seniors with multimorbidity conceive the concept of mental health and factors that may influence it: A phenomenographic study

Grundberg

Ebbeskog

Dahlgren

et al. 2012

International Journal of Qualitative Studies on Health and Well

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Multimorbidity, that is, the coexistence of chronic diseases, is associated with mental health issues among elderly people. In Sweden, seniors with multimorbidity often live at home and receive care from nursing aides and district nurses. The aim of this study was to describe the variation in how community-dwelling seniors with multimorbidity perceive the concept of mental health and what may influence it. Thirteen semi-structured interviews were analysed using a phenomenographic approach. Six qualitatively different ways of understanding the concept of mental health and factors that may influence it, reflecting key variations of meaning, were identified. The discerned categories were: mental health is dependent on desirable feelings and social contacts, mental health is dependent on undesirable feelings and social isolation, mental health is dependent on power of the mind and ability to control thoughts, mental health is dependent on powerlessness of the mind and inability to control thoughts, mental health is dependent on active behaviour and a healthy lifestyle, and mental health is dependent on passive behaviour and physical inactivity. According to the respondents’ view, the concept of mental health can be defined as how an individual feels, thinks, and acts and also includes a positive as well as a negative aspect. Social contacts, physical activity, and optimism may improve mental health while social isolation, ageing, and chronic pain may worsen it. Findings highlight the importance of individually definitions of mental health and that community-dwelling seniors with multimorbidity may describe how multiple chronic conditions can affect their life situation. It is essential to organize the health care system to provide individual health promotion dialogues, and future research should address the prerequisites for conducting mental health promotion dialogues.

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Section: Reflectionsmentioning

confidence: 99%

How community-dwelling seniors with multimorbidity conceive the concept of mental health and factors that may influence it: A phenomenographic study

Grundberg

Ebbeskog

Dahlgren

et al. 2012

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…In this regard, a Canadian study shows that nurses working in public health are recognized for developing activities focused on building individual and group potential, providing educational support and leadership. 20 The initiatives to develop potential in other team members match with what the participants of the study envisioned as a phenomenon of the consequences 'Revealing the nursing leadership practices in the complex context of Primary Health Care'.…”

Section: Discussionmentioning

confidence: 99%

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

Lanzoni

Meirelles

Cummings

2016

Texto contexto - enferm.

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This is a qualitative study and its aim was to understand the meaning of nurse leadership exercised in the services of Primary Health Care in a municipality located in Southern Region of Brazil. Grounded Theory was used as methodological framework. Data collection was carried out with semi-structured interviews applied to 30 nurses who worked in Primary Health Care and nursing professors, divided into four groups, between 2011 and 2012. After the analysis process, nine categories emerged and sustained the phenomenon 'Revealing the nursing leadership practices in the complex context of Primary Health Care'. Leadership was understood as a resource in the process of caring/managing people and developing a team of leaders, intending the organization and qualification of health work. It is important to rescue the clinical work of nurses, in order to keep their investment in the health team and to strengthen the binomial leader/caregiver.

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“…To be successful, the plan should be developed through a participatory approach involving community organizers: government, business, health, and community-based organizations. Participatory community health planning and development creates opportunities for citizens to be part of the conceptualization, planning, implementation, and evaluation of community health programs (Aston, Meagher-Stewart, Edwards, & Young, 2009;World Health Organization [WHO], 2003). Participation also leads to empowerment (Kretzman & McKnight, 1993) and stimulates critical consciousness and trusting relationships (Freire, 1970) and can trigger policy development and systems change (Rose, Gomez, & Valencia-Garcia, 2003).…”

Section: Community Health Campusmentioning

confidence: 99%

A Two-Dimensional Equity Proposal for Self-Sufficiency in Municipal Safety-Net Hospitals

Tataw

2011

Social Work in Public Health

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This article advances a two-dimensional equity approach for self-sufficiency in municipal safety-net hospitals that will strengthen provider self-sufficiency and protect the safety-net mission of providing a dignified floor of health services to the most disadvantaged members of the society. The model responds to the failure of current delivery strategies to effectively cope with the changing market configurations in safety-net systems that have eliminated the possibility of cross-subsidization which has long been the mainstay of safety-net systems. The identified pathway to self sufficiency is made up of (1) a differential service delivery framework which includes a two-tier patient system, uniform standards of care and service levels, and the creation of a community health campus; (2) independent sector ownership; and (3) intergovernmental policy actions restricting ownership of safety-net hospitals to nonprofit entities. Although this model is explained by demonstrating potential application in safety-net hospitals, it is believed that the model is applicable in ambulatory care settings. Future work can focus on the construction of an ambulatory variation of the model and the empirical testing of the hospital and ambulatory models.

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Public Health Nurses' Primary Health Care Practice: Strategies for Fostering Citizen Participation

Cited by 21 publications

References 22 publications

How community-dwelling seniors with multimorbidity conceive the concept of mental health and factors that may influence it: A phenomenographic study

How community-dwelling seniors with multimorbidity conceive the concept of mental health and factors that may influence it: A phenomenographic study

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

A Two-Dimensional Equity Proposal for Self-Sufficiency in Municipal Safety-Net Hospitals

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