Category Archives: English

Community Health Nursing (Methods of Population Need Analysis)

Future workforce planning in the light of needs analysis within the context of public health, is required to address holistic community health needs including the promotion of a well population (Appleton and Cowley,
2000). One of the key features of locality needs investigations is that they provide the structure to develop an indepth profile of the designated area. Community needs assessment activities may be carried out by health professionals or voluntary or community groups all working together as a means of investigating the unmet need of that community. Rapid Appraisal (RA) is an evaluated method of seeking community participation in health service planning and needs assessment (Murray et al. 1994). It is a multi-faceted research approach that has been applied to a number of settings and covers a variety of methods and techniques (Scrimshaw & Hutardo, 1988; Thies & Grady, 1991; Ong, 1991; Shamian & Kupe, 1993;
Varkevissor, 1993). Used within the context of health it can provide an insight into a community’s perspective
of its priority needs which is a picture of the strength of feeling rather than a quantifiable measure of a particular problem.

Viewing Decentralization as an Opportunity: In Improving Availability of Health Workers in Underserved Areas

Providing health care to underserved communities in Indonesia has long been a major concern. Lack of health workers particularly in rural remote and very remote areas has hampered community access to good quality of health services, which in turn leads to a poor health status of the people.
Implementation of the decentralization policy in health has affected human resources for health. Employment of health workers in public facilities has been transferred to the responsibility of the local government, especially at the district level. To some districts with shortage of certain type of health professional, difficulties in recruiting health workers have been answered through opening of new health workforce education institutions, provision of scholarship, and provision of financial incentives in return to serve in the underserved areas for certain period. However, disparity in financial capacity and geographical condition among districts creates favorable and non favorable areas to health workers.
Another consequence of this decentralization policy is the break-down of health personnel information system as the local level thinks there is no more obligations in sending data to the upper level.
This paper aims to assess the impacts of decentralization policy in Indonesia and what opportunities can be taken by each government level to improve the health workforce situation particularly in underserved areas. Continue reading Viewing Decentralization as an Opportunity: In Improving Availability of Health Workers in Underserved Areas

Don’t Just Do It, Be It!

Always document the care you deliver
Legal Requirements Your documentation must reflect the patient’s care status (condition/treatment) and include nursing interventions and outcomes of care. Documentation must demonstrate accountability of practice. Remember: The Clinical Record provides proof of the quality of care given to a patient and is admissible in court as a legal document. If it isn’t documented it didn’t happen.
The Process Clinical notes must meet the following criteria:
• they must be legible.
• they must be dated, timed and followed by author’s signature and designation.
• they must be a clearly identified signature. If your signature looks like spaghetti, print your name in brackets afterwards.
• each page must be labelled correctly,
• you must use only approved abbreviations as per hospital protocols. Continue reading Don’t Just Do It, Be It!