NURSES LEADING

PRIMARY HEALTH
CARE DIRECTIONS
AND OPTIONS
DR. ARACELI MAGLAYA
 Enhancing the Empowering Potential of People
Formulate Plans that to Assume Responsibility for Health
Support Individual/Family Promotion & Disease Prevention
and Community Health Efforts and Management

Mobilize Partnerships to
Identify and Solve
Monitor Health Status Health Problems
to Identify Community
Health Problems
Policy/Program Develop Policies that
Development/ Support Individual and
Nursing Practice:
Community Efforts
Assessment Art: Caring Towards Advocacy/
Diagnose and Investigate Human Becoming Implementation
Health Problems/Hazards Science: Practice-Based Evidence  
in the Community Evidenced-based Enforce Laws and
Methods and Tools Regulations that Protect
Health and Ensure Safety
Generate New
Insights/Solutions to Health
Problems
Quality Link People to Needed
Assurance Personal Health Services
(Core Community Health Ensure the Provision of
Health Care/implemen-
Functions)
Ensure a Competent Public tation of Health Programs
Health and Personal Health that address health
Care Workforce problems/
hazards
Evaluate Effectiveness, Accessibility,
and Quality of Personal
and Population-based Health Services
 (Essential Community Health Services)
A. Nurses can become MODELS of how
to deliver quality health care service
to enhance the empowering potential
of clients in the communities to address
barriers to health and wellness, prompt
and appropriate management of diseases
and disability reduction to achieve
psychosocial and economic
productivity and enhanced human
responses to handle stresses and change.
 Motivation to use Practice-based
Evidence and Evidence-based
Methods and Tools
 Discipline in carrying out
Standards of Care to Guide
Nursing Practice.
 Competence in the use of
Participatory Approach to
understand clients’ human
responses to health and illness
realities; and analyze with
clients realistic and effective
options to improve attitudes or
situations/resources.
In a participatory approach, we
engage the community in an
egalitarian relationship to look,
think and act, given the people’s
lived experiences on health, illness,
health service access and
understand why status quo is a
mainstay.
By enhancing the competence of
clients to understand, analyze and
carry out options to address
hopelessness, helplessness,
hardiness - they can sustain
motivation to change the current
reality, in order to put Health and
Health Care in their hands!
B. Nurses as leaders can make
plans for and prepare
personnel in sufficient
numbers to meet the
nursing service needs of
individuals, families and
communities.
 Nurses can link clients to
needed services (e.g. setting up
effective two-way referral
system from the
community/home to an acute
health care facility and back,
ensuring adequate hospital
discharge instructions for
accurate/effective home care)
 Nurse leaders can actively
participate in Health Human
Resources Analysis Projection
and
Development/Enhancement
(e.g. professional growth
in nursing career path)
 They need to take the lead in
developing policies, options
and systems to address
inequities, accessibility problems,
unresponsive/incompetent nurse
service providers.
C. Nurses should create social
systems in which Models of
nursing care/practice, excellent
education and significant
scientific inquiry are
demonstrated and can flourish.
 Staff Nurses/Practitioners can
demonstrate competence in
addressing health and health care
delivery issues/problems/gaps
using participatory approaches;
sustained interest for professional
growth via formal/degree
programs or short-term practice-
based training.
 Administrators – demonstrate
a passion
for/commitment to do periodic
and effective audits
to ensure quality and efficient
services.

 Educators – advance own

competence thru nursing
practice and practice-based
D. Advance knowledge in nursing
science through researches on
improving clients’ human
responses to handle inequities,
poverty and behavior change.
Researches:
 Enhance Disciplined Action in
Client Care Situation
 Generate New
Insights/Solutions to Health
Care Delivery Gaps/Problems
E. Foster development of
innovative and creative nurses as
future leaders/successors for
articulating values that unify
efforts to deliver quality service
in partnership with communities,
ensuring effective
linkages/teamwork with partner
institutions, change agents and
policy-makers.
CONCLUSION
The PNA Convention theme -
“Delivering Quality Service, Serving
Communities with Nurses leading
Primary Health Care” - is about giving
of self, heart, values, ideals. It requires
risk-taking, overcoming resistance,
challenging the norm, using the creation
paradigm to change status quo.
Nurse leaders need to reinvent
themselves by thinking and behaving
in new ways. Deep change is
transformative, involving creative
experimentation, collaboration and a
view to the future. Leadership requires
all of us to . . .
. . .dare
to
care!