EXPERIENCES OF COMMUNITY NURSES IN THE DELIVERY OF OBSTETRICS CARE IN RURAL AREAS

Maria Camila Julia Q. Palma Gil, Alra Mae C. Zambrano, Trisha Ericka A. Surigao, Mary Carmilyn G. Enriquez
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Abstract

This research employed a generic qualitative approach to investigate the experiences of community nurses in the delivery of obstetrics care in rural areas and in addressing the limitations inherent to their respective localities. The research was carried out within the locality of Davao del Norte, with the participation of a total of fourteen community nurses: seven of them were involved in the in-depth interviews, while the remaining seven took part in the focused group discussion. Thematic analysis was employed to analyze the data. The findings of the study indicate that community nurses in rural locations hold diverse experiences regarding obstetrics care. These are lacking medical equipment and resources, and dealing with patients’ irresponsibility and reluctance to avail services. To cope with the limitations, community nurses implemented the following strategies: utilizing supplement intake alternative methods, and offering insights into the importance of prenatal care. Their recommendations to enhance obstetrics care are fostering collaboration for effective healthcare, enhancing community healthcare through education, and securing funds and medical supplies. This research endeavor has the potential to provide valuable insights for healthcare authorities and other relevant stakeholders to improve rural obstetrics care systems. Through the viewpoints of community nurses, it becomes possible to identify aspects of healthcare, design initiatives, and implement programs that can effectively increase the provision of maternal healthcare services in rural areas. KEYWORDS: Obstetrics care, community nurses, rural areas, generic qualitative study, Davao del Norte, Philippines
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社区护士在农村地区提供产科护理的经验
本研究采用了一种通用的定性方法,以调查社区护士在农村地区提供产科护理以及解决其各自地区固有的局限性方面的经验。研究在北达沃地区进行,共有 14 名社区护士参加:其中 7 人参加了深入访谈,其余 7 人参加了重点小组讨论。研究采用主题分析法对数据进行分析。研究结果表明,农村地区的社区护士在产科护理方面有着不同的经历。这些经历包括缺乏医疗设备和资源、病人不负责任和不愿接受服务。为了应对这些限制因素,社区护士实施了以下策略:利用补充摄入替代方法,并就产前护理的重要性提供见解。她们提出的加强产科护理的建议包括:促进合作以提供有效的医疗保健、通过教育加强社区医疗保健以及确保资金和医疗用品的供应。这项研究工作有可能为医疗机构和其他相关利益方提供宝贵的见解,以改善农村产科护理系统。通过社区护士的观点,有可能确定医疗保健的各个方面、设计倡议和实施计划,从而有效增加农村地区的孕产妇医疗保健服务。关键词:产科护理、社区护士、农村地区、通用定性研究、菲律宾北达沃省
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