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International Journal of Advanced Research and Publications (2456-9992)

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Greatness In Distal Area (GIDA): Exploring the Lives of Community Health Nurses in Geographically-Isolated and Disadvantaged Areas for Health

Volume 7 - Issue 4, April 2024 Edition
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Author(s)
Kyle Patrick Odarve, Michael Kyle Audrex V. Exaltacion, Vee jay B. Marquez, Cheryl Moana Marie Fedelis, Daisy Joy C. Carin, RN, MAN
Keywords
Barangay, Community health nurses, GIDA, Health challenges
Abstract
In the realm of healthcare, where the focus extends beyond individual well-being to encompass the health of entire communities, Community Health Nursing arises as an essential aspect. Individuals, families, demographic groups, and communities rely on these committed healthcare professionals to promote health, prevent disease, and facilitate recovery. However, in the Philippines, specifically in geographically isolated and disadvantaged areas (GIDA) like Butuan City, community health nurses grapple with formidable challenges. The study aimed to develop a deeper understanding of the lived experiences of community health nurses assigned in Geographically Isolated and Disadvantaged Areas for health in Butuan City. Purposive sampling was used which included 15 Community Health Nurses in 12 Barangays in Butuan City. The study utilized a qualitative design through interviews, specifically, phenomenological, through the use of an interview questionnaire. The research delves into the lived experiences of CHNs working in GIDAs, aiming to understand their specific challenges characterized by constrained healthcare access and resource scarcity, and how they collaboratively navigate these obstacles to deliver adaptable healthcare services that cater to a wide spectrum of life stages, encompassing infancy, childhood, adolescence, adulthood, and older adulthood. This study emphasizes the necessity of collaboration among multiple stakeholders which are critical to enhancing healthcare delivery, assisting nurses in underprivileged regions, and promoting GIDA communities' overall health results, building a more equitable and resilient healthcare system.
References
[1]. AAbou Hashish, E. A., & Atalla, A. D. G. (2023). The Relationship Between Coping Strategies, Compassion Satisfaction, and Compassion Fatigue During the COVID-19 Pandemic. SAGE Open Nursing, 9. https://doi.org/10.1177/23779608231160463

[2]. Alderwick, H., Hutchings, A., Briggs, A., Mays, N. (2022). The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: a systematic review of reviews. Retrieved on June 3, 2023 from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-10630-1

[3]. Cramm, J. M., Hoeijmakers, M., & Nieboer, A. P. (2013). Relational coordination between community health nurses and other professionals in delivering care to community dwelling frail people. Journal of Nursing Management, 22(2), 170–176.https://doi.org/10.1111/jonm.12041

[4]. Collado, Z. (2019). Challenges in public health facilities and services: evidence from a geographically isolated and disadvantaged area in the Philippines. Journal of Global Health Reports. Retrieved on 14, January 2023 from: https://www.joghr.org/article/11962-challengesin-public-health-facilities-and-services-evidence-from-a-geographically-isolated-and-disadvantaged-area-inthe-philippines

[5]. De Groot, K., De Veer, A. J. E., Munster, A. M., Francke, A. L., & Paans, W. (2022). Nursing documentation and its relationship with perceived nursing workload: a mixed-methods study among community nurses. BMC Nursing, 21(34). https://doi.org/10.1186/s12912-022-00811-7

[6]. Department of Health (2023) Geographically Isolated and Disadvantaged Areas (GIDA). Retrieved on 07 January, 2023 from: https://doh.gov.ph/book/export/html/1153

[7]. Department of Health (2022). Guidelines on Identifying Geographically-Isolated and Disadvantaged Areas and Strengthening their Health Systems I. RATIONALE. Retrieved from: https://law.upd.edu.ph/wpcontent/uploads/2020/06/DOH-AO-No-2020-0023.p

[8]. Donabedian, A. (1988). ‘The quality of care: How can it be assessed?’, JAMA 260(12), 1743-1748 https://doi.org/10.1001/jama.260.12.174

[9]. Ericson-Lidman, E., & Åhlin, J. (2017). Assessments of stress of conscience, perceptions of conscience, burnout, and social support before and after implementation of a participatory action-research-based intervention. Clinical Nursing Research, 26(2), 205– 223. https://doi.org/10.1177/1054773815618607

[10]. Evans, M., Andréambeloson, T., Randriamihaja, M., Ihantamalala, F. A., Cordier, L. F., Cowley, G., Finnegan, K. E., F, H., Miller, A. C., Ralantomalala, L. M., Randriamahasoa, A., Razafinjato, B., Razanahanitriniaina, E., Rakotonanahary, R. J. L., Andriamiandra, I. J., Bonds, M. H., & Garchitorena, A. (2022). Geographic barriers to care persist at the community healthcare level: Evidence from rural Madagascar. PLOS Global Public Health, 2(12), e0001028. https://doi.org/10.1371/journal.pgph.0001028

[11]. Huber C., (2022). [Interprofessional Collaboration in Health Care]. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/34983202/

[12]. Irandoost, S., et al. (2022). Explaining the challenges and adaptation strategies of nurses in caring for patients with COVID-19: a qualitative study in Iran. BMC Nurs 21, 170 (2022). https://doi.org/10.1186/s12912-022-00937-8

[13]. Jennings, B. M. (2018) Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions. Patient Safety and Quality - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK2668/

[14]. Labrague, L. J., McEnroe – Petitte, D. M., Tsaras, K., Cruz, J. P., Colet, P. C., & Gloe, D. S. (2018). Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. International Journal of Nursing Sciences, 5(4), 403–408. https://doi.org/10.1016/j.ijnss.2018.09.001

[15]. Lenthall, S., McCullough, K., Williams, A., & Andrew, L.(2015). Reducing the risk of violence towards remote area nurses: A violence management toolbox. Australian Journal of Rural Health. Retrived on 04, January 2023 from: https://web.s.ebscohost.com/ehost/detail/detail?vid=2&sid=9f622227-9422-4122-b13c-2e336ed42563%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=83598186&db=aph

[16]. Mallari, E., Lasco, G., Sayman, D. J., Amit, A. M. L., Balabanova, D., McKee, M., Mendoza, J., PalileoVillanueva, L., Renedo, A., Seguin, M., & Palafox, B. (2020). Connecting communities to primary care: A qualitative study on the roles, motivations and lived experiences of community health workers in the Philippines - BMC health services research. BioMed Central. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05699-0

[17]. May, S. Y., Clara, N., Khin, O. K., Mar, W. W., Han, A. N., & Maw, S. S. (2021). Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study. International Journal of Nursing Sciences, 8(3), 271–278. https://doi.org/10.1016/j.ijnss.2021.05.003

[18]. Moran, M. (2021, June 23). Qualitative Sampling Techniques.Statistics Solutions. https://www.statisticssolutions.com/qualitativesampling-techniques/

[19]. Muntean, A., Tomita, M., & Ungureanu, R. (2018). The Role of the Community Nurse in Promoting Health and Human Dignity-Narrative Review Article. Iranian Journal of Public Health, 42(10), 1077-1084.

[20]. Shahzad, M., Upshur, R., Donnelly, P., Bharmal, A., Wei, X., Feng, P., Brown, A. (2019). A population-based approach to integrated healthcare delivery: a scoping review of clinical care and public health collaboration. Retrieved on June 3, 2023 from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7002-z

[21]. Terry, D., Le, Q., Nguyen, U., & Hoang, H. (2015). Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers. Retrieved on 04, January 2023 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4538262/

[22]. Tonnessen, S., Scott, A., Nortvedt, P. (2020). Safe and Competent nursing care: An argument for minimum standard? Retrieved on June 3, 2023 from: https://journals.sagepub.com/doi/full/10.1177/0969733020919137

[23]. Touhy D., (2019). Effective intercultural communication in nursing. Nurs Stand. Retrieved on June 3, 2023 from : https://pubmed.ncbi.nlm.nih.gov/31468842/

[24]. Woods, R. C. A.-B. (2022, November 22). Safety: A Priority for our Workplace and our Patients.Nursing Center. Retrieved June 3, 2023, from https://www.nursingcenter.com/ncblog/november-2022/prioritize-safety

[25]. Wundersitz, L. N., Hutchinson, T., & Woolley, J. (2019). Best practice in road safety mass media campaigns: A literature review. ResearchGate. https://www.researchgate.net/publication/265047891_Best_practice_in_road_safety_mass_media_campaigns_A_literat

[26]. Zhao, S., Yin, P., Xiao, L.D., Wu, S., Li, M., Yang, X. et al.., 2021, ‘Nursing home staff perceptions of challenges and coping strategies during COVID-19 pandemic in China’, Geriatric Nursing 42(4), 887–893. https://doi.org/10.1016/j.gerinurse.2021.04.024