ArticleJournal of primary care & community health
Community Nurses' Perceptions of Their Role as Health Promoters in Collective Prevention: A Qualitative Study in Dutch Community Nursing Care.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionAddressing the demands of an ageing population requires a shift from individualised to collective prevention. Collective prevention adopts a socio-ecological approach, mobilising communities to improve population health. This study explores community nurses' (CNs) perceptions of their role as health promoters.
methodsA qualitative study using participatory action research was conducted among 58 CNs from 18 community nursing care teams over 3 years. Data collection included 11 focus groups, a World Café session, and participant observations. Data were analysed through iterative thematic content analysis.
findingsFrom the analysis, 3 themes emerged: (1) CNs understanding of prevention, (2) their views on their roles and competencies, and (3)what are the facilitating and hindering factors to implement collective prevention. CNs' understanding of prevention evolved from individual "aversion" of disease to a community-based vision centred on social connection. Four key roles for CNs were identified: detector, motivator, facilitator, and organiser. While a shared vision within teams facilitated progress, significant barriers included time pressure, productivity-based funding, and a lack of training in nursing curricula.
conclusionCNs role in collective prevention is important, transitioning from task-oriented nursing care to community empowerment. However, sustainable implementation requires integrating collective prevention into national policy funding, and nursing education.
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