Download Facilitator’s Guide: Primary Health Care in Community Health Nursing and more Study notes Community Health in PDF only on Docsity! Facilitator’s Guide: Primary Health Care in Community Health Nursing The exercises and discussion questions in this Guide are meant to complement the viewing of this video program. Facilitators can select various exercises/questions to suit the particular context. Exercises can be completed individually or discussed in groups. 1. Read the Alma Ata Declaration which endorsed primary health care as the chosen strategy to achieve the goal of “Health for All” (http://www.who.int/hpr/NPH/docs/declaration_almata.pdf). Research factors which were instrumental in the World Health Organization (WHO) making this declaration. 2. Review any documents which advocate for a primary health care-oriented approach to health care in your province/state. Interview key health officials (for example, a medical officer of health, provincial/state nursing association professionals, provincial/state health department officials) to ascertain where the province/state is in relation to moving towards this goal. Ask what obstacles they have encountered along the way and how they have dealt with/plan to deal with these obstacles. 3. In the video program, Rosemarie Goodyear, a nurse manager, states that “Primary health care really is the way that we’re going to reform and sustain the current health system”: a). What is it about primary health care that enables Rosemarie to make this statement with such conviction? b). In groups of six, debate this statement, with three people speaking for a movement of the health care system towards primary health care and three people speaking against a movement of the health care system towards primary health care. 4. There is an emphasis in the video program on the belief that it is critical to build on peoples’ strengths when trying to improve and maintain their health. Why is this so? 5. In the video, Bonnie Rowsell, a community member, states that “primary health care is health for the people by the people”. What does this statement mean? 6. How do the roles and responsibilities of community health nurses working from a primary health care-oriented practice compare with traditional roles and responsibilities of community health nurses? 7. Review the eight essential elements of “essential health care” identified by the World Health Organization (WHO) (http://www.who.int/hpr/NPH/docs/declaration_almata.pdf - VI, #3): a). Give examples of community health nursing activities for each of the elements that are a direct responsibility of the community health nurse. b). Discuss factors impacting on the variation in the provision of the eight essential elements of essential health care in developed countries compared to developing countries. How might a primary health care -oriented health system deal with such disparities? 8. Discuss how the values of social justice and equity inform a primary health care- oriented practice. What are some examples of community health nursing activities which reflect these values (in your local area or in the nursing literature)? 9. Reflect on the unique nature and values of community health nursing which ideally positions this area of nursing to move forward a primary health care-oriented health system. How are community health nurses similar to and distinct from other nurses? Is there a place for a primary health care-oriented practice in areas of nursing other than community health? Explain your answer. 10. Think of a particular health problem in your community: a). Using the five principles of primary health care as a framework to guide you, identify how you might address this problem. b). I you were to form an Advisory Committee to help to address this problem, who would you want on this committee and why? 11. Which people in society have the least access to health care and why? What are some creative ways in which community health nurses can increase access to health care for such people? 12. Do you really believe that people have the right and that they have the responsibility to participate in their own health care? If so, how does your nursing practice reflect this belief? Can you think of examples where your nursing practice negated this belief?
