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The Implementation of Project Nars in The Government Hospitals in Pangasinan for The Calendar Year 2009

THE IMPLEMENTATION OF PROJECT NARS IN THE GOVERNMENT HOSPITALS IN PANGASINAN FOR THE CALENDAR YEAR 2009.

 

THE IMPLEMENTATION OF PROJECT NARS IN THE GOVERNMENT HOSPITALS IN PANGASINAN FOR THE CALENDAR YEAR 2009

ABSTRACT

Working with and serving the people has always carried with it be expectation that the roles taken on by the rural health nurse be relevant. Since health problems have complex social, political, cultural and economic etiologies, the appropriate role of the rural health nurse is to be able to effect planned social change. This demands him/her to take on the role of a change agent with special skills in health care. This broad role as a change agent can be dissected into more specific roles which usually come in the combination of any or all of the following: catalyst/enabler, advocate, educator, organizer, teacher, researcher, conscientizer, learner, supervisor and health worker. The role of the rural health nurse as a catalyst means fostering critical consciousness among community members and promoting collective action to address the political and economic forces that affect health. This implies not only breaking the ties of dependence between the RHN and the community, but also becoming partners in their efforts to improve community living conditions and well-being.

 

As a member of the health care team working in the community, the nurse is frequently identified as a potentially significant and influential practitioner in the delivery of health services and health educator in health promotion and prevention activities. Fostering public participation, coordinating healthy public policy and, in particular, strengthening community health services are strategies for these activities.

 

A commitment to community development requires an emphasis on the roles of advocate, consultant and negotiator. The RHN would also be involved in evaluating the impact of healthy public policies on the health of communities to find unique solutions to present obstacles to health for all and adapt creatively to health care issues. Greater emphasis would be placed on facilitative and collaborative roles for the RHN. Successful planning for community programs and solutions requires the pulling together of partnerships through greater interaction between the RHN and community member, leaders and groups.

 

Thus, these multifaceted roles indicate that the RHN has to learn how to arouse and organize the people, systematize their experiences, their feelings, their skills and action as well as their dreams so that they can mobilize themselves to move out their dehumanized conditions. The RHN is in a unique and excellent position to acknowledge and challenge the situation that the people are experiencing. She/He is situated in such a way that she/he can help the people identify their problems and common goals, develop strategies. Mobilize resources and collectively address their shared concerns. The experiences of the rural health nurse have illustrated that with the various roles she/he has played, she/he can elicit high-level community participation in the aspects of program planning, implementation and evaluation. She/he can build leadership skills and increase community competence. She/he can help the communities identify those specific issues they fell are of greatest relevance within this broader framework. She/He can help members of the community and other community workers understand the importance of working in a partnership towards empowerment of the community.

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