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Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study
BACKGROUND: Considering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can b...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174629/ https://www.ncbi.nlm.nih.gov/pubmed/35676683 http://dx.doi.org/10.1186/s12912-022-00908-z |
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author | Hosseinnejad, Aazam Rassouli, Maryam Jahani, Simin Elahi, Nasrin Molavynejad, Shahram |
author_facet | Hosseinnejad, Aazam Rassouli, Maryam Jahani, Simin Elahi, Nasrin Molavynejad, Shahram |
author_sort | Hosseinnejad, Aazam |
collection | PubMed |
description | BACKGROUND: Considering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can be provided by community health nurses from the perspective of the mangers and nurses. METHODS: The present qualitative study was conducted with the approach of contract content analysis in Iran in 2020. This study was conducted through in-depth and semi-structured interviews with 22 participants, including community health nursing faculty members, health deputies and managers, community health nurses working in health centers, and the care seekers visiting comprehensive health centers. The samples were selected through purposeful sampling. The interviews continued until data saturation. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim & Lundman’s content analysis method, and data management was done using MAXQDA software. To achieve data trustworthiness, the criteria presented by Lincoln and Guba were used. RESULTS: The obtained data were classified into the two main categories of service provision settings and service provision domains. The category service provision settings covered 7 subcategories including participation in the family physician plan, activities at the centers for vulnerable groups of the community, establishing private community health clinics, leading health promotion programs in the 3rd generation hospitals, activities in comprehensive health centers, follow-ups and home visits, and activities in schools’ health units. Service provision domains consisted of 6 subcategories including participation in health planning, decision-making, and policymaking, research on the health system, health promotion, monitoring and coordination, providing care for the patients with non-communicable diseases and high-risk groups, and eldercare. CONCLUSIONS: From the participants’ perspective, important services that can be provided by the community health nurse are health promotion, the management of chronic patients and the elderly, follow-ups, and home visits. Therefore, it is recommended that health policy makers pay attention to the service provision areas and the services providable by the community health nurse in their macro-planning, and to provide primary health care in comprehensive health centers using inter-professional care models, integrating the community health nurse into the care team. |
format | Online Article Text |
id | pubmed-9174629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91746292022-06-08 Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study Hosseinnejad, Aazam Rassouli, Maryam Jahani, Simin Elahi, Nasrin Molavynejad, Shahram BMC Nurs Research BACKGROUND: Considering the need for nurses specializing in community health and in order to define professional duties for future planning towards creating the position of community health nurses in the primary health care system of Iran, this study aims to explain the range of services which can be provided by community health nurses from the perspective of the mangers and nurses. METHODS: The present qualitative study was conducted with the approach of contract content analysis in Iran in 2020. This study was conducted through in-depth and semi-structured interviews with 22 participants, including community health nursing faculty members, health deputies and managers, community health nurses working in health centers, and the care seekers visiting comprehensive health centers. The samples were selected through purposeful sampling. The interviews continued until data saturation. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim & Lundman’s content analysis method, and data management was done using MAXQDA software. To achieve data trustworthiness, the criteria presented by Lincoln and Guba were used. RESULTS: The obtained data were classified into the two main categories of service provision settings and service provision domains. The category service provision settings covered 7 subcategories including participation in the family physician plan, activities at the centers for vulnerable groups of the community, establishing private community health clinics, leading health promotion programs in the 3rd generation hospitals, activities in comprehensive health centers, follow-ups and home visits, and activities in schools’ health units. Service provision domains consisted of 6 subcategories including participation in health planning, decision-making, and policymaking, research on the health system, health promotion, monitoring and coordination, providing care for the patients with non-communicable diseases and high-risk groups, and eldercare. CONCLUSIONS: From the participants’ perspective, important services that can be provided by the community health nurse are health promotion, the management of chronic patients and the elderly, follow-ups, and home visits. Therefore, it is recommended that health policy makers pay attention to the service provision areas and the services providable by the community health nurse in their macro-planning, and to provide primary health care in comprehensive health centers using inter-professional care models, integrating the community health nurse into the care team. BioMed Central 2022-06-08 /pmc/articles/PMC9174629/ /pubmed/35676683 http://dx.doi.org/10.1186/s12912-022-00908-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hosseinnejad, Aazam Rassouli, Maryam Jahani, Simin Elahi, Nasrin Molavynejad, Shahram Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title | Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title_full | Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title_fullStr | Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title_full_unstemmed | Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title_short | Scope of Iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
title_sort | scope of iranian community health nurses ‘services from the viewpoint of the managers and nurses: a content analysis study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174629/ https://www.ncbi.nlm.nih.gov/pubmed/35676683 http://dx.doi.org/10.1186/s12912-022-00908-z |
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