Roles of the Nurse in Caring for Communities and Population Groups

1. Clinician – Focus on the health of individuals in the larger context of community.

2. Advocate- Advocates self-care, people’s 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)

1947 – Bureau of Public welfare was renamed DOH

June 1957 – Rep Act 1891 (An act Strengthening Health and dental Services in

the Rural Areas

1975 – Formulation of the National Health Plan and the restructured Health Care

delivery system

1982 – 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.

1986 – Min. of Health became DOH again

1987 – Reorganization E.O – 119.

Secretary Of Health covered 5 offices: Chief of Staff Public Health Services

Hospital & Facilities Services Standard & regulations Management Service

Rep. Act 7160 Local Government Code passed & implemented

1992 – Full implementation of rep. Act No. 7160 DOH Changed role from one of

implementation to one of governance

Significant Changed: branching out of the office of Public health services to form

the office of special concern.

Nat. Immunization Day Nat. Micronutrient Campaign (Araw ng Sangkap Pinoy)

Disaster Magt.

Urban Health and Nutrition project

Traditional Medicine Doctors to the Barrios Program Let’s DOH it became a

national battle cry.

1996 – Primary Health Care as strategy to attain Health for All by the year 2000

1999 – Creation of the National Health Planning Committee (NHPC) And

establishment of Inter-Local Health Zone

1999 – 2004 = Health Sector Reform Agenda of the Phils. Was launched

2005 – 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.

Orientation : creative

Agencies: lay and religion orders

St. Phoebe

Mid 1800s to 1900- District nursing with focus in sick and poor individual.

Orientation: vreative less in prevention

Agencies: Voluntary ans some government

William Rathbone

1970 to present- Community Health Nursing focus in total community and oriented to population health services, address health promotion , illness prevention.

Agencies: many kinds, some independent practice

Ruth freedman

Public Health Nursing Development in China

Early Stages

1975- Beijing Union Hospital- Public Agency

Dr. Gland

1930 Rural Health Education

2000 Pay attention to city and rural areas community center development and practice model.

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/