社区护士的作用和他们在西孟加拉邦选定街区提供妇幼保健服务所面临的挑战:一项横断面研究

Swatilekha Pradhan, U. Adhikari
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引用次数: 0

摘要

背景和目的:几十年来,社区护士一直在为社区提供卫生保健服务,并承担了各种角色,包括社区赋权、提供服务以及将社区与卫生设施联系起来。他们在提供社区服务的同时面临着许多挑战。本研究旨在评估社区护士在妇幼保健服务中的作用,并找出提供妇幼保健服务的挑战。材料与方法:经机构伦理委员会批准,采用多阶段抽样法对100名社区护士进行数据采集。数据通过半结构化和结构化访谈时间表收集。在收集数据之前,对所有工具进行了有效性和可靠性测试。数据分析通过描述统计和推理统计进行。结果:社区护士对妇幼保健服务的角色分别为教育者(98.43%)、管理者(97.63%)、监督者(95.5%)和协调者(93.63%);然而,分别只有84.9%和80%的人扮演了护理提供者和合作者的角色。社区护士面临的最常见挑战是负担过重,原因是门诊病人大量涌入(78%),处理书面文件和在线数据输入超负荷(69%)。结论:管理人员应采取适当措施减少社区护士面临的挑战,并对社区护士进行持续的监督和及时的培训。
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A role of community nurses and challenges faced by them toward providing MCH services in selected blocks in West Bengal: A cross-sectional study
Background and Aims: Community nurses have been providing health care to communities for many decades and have assumed a variety of roles, including community empowerment, the provision of services, and linking communities with health facilities. They face many challenges while providing community service. The present study has been conducted to assess the role of community nurses toward maternal and child health (MCH) services and to find out the challenges toward providing MCH services. Materials and Methods: After Institutional Ethics Committee approval, data were collected from 100 community nurses through multistage sampling. Data were collected through semi-structured and structured interview schedules. All tools were tested for validity and reliability before data collection. Data analysis was done through descriptive and inferential statistics. Results: Most of the community nurses adopted the role of educator (98.43%), administrator (97.63%), supervisor (95.5%), and coordinator (93.63%), respectively, toward MCH services; however, only 84.9% and 80%, respectively, performed a care provider’s and a collaborator’s role. The most common challenges faced by the community nurses were overburden, due to a high inflow of patients at the OPD (78%), the overload of handling written documents, and online data entry (69%). Conclusion: Administrators need to take proper steps to reduce the challenges faced by the community nurses, and there is a need for constant supervision and timely training for the community nurses.
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