A Community Health Nursing Perspective of Home Health Care Management and Practice within the Zimbabwean Health Care System

Abstract

A community health nursing perspective of home health care management and practice is hereby conceptualized within the context of the Zimbabwean health care system and primary health care approach. Home health care, known as community home-based care, is an integral component of community health nursing practice. A framework is developed to depict the main goal of community health nursing practice as enhancing client empowerment in independent functioning through cognitive and skill development, cumulating in client participation as a health outcome. Client participation is conceptualized as the extent of self-initiated engagement in activities contributing to health and well-being. Community health nursing practice incorporates family members, significant others, and village health workers in enhancing client participation as a health outcome in the home scenario.

Get full access to this article

View all access options for this article.

References

Delaune, S. C., & Ladner, P. K. (1998). Fundamentals of nursing: Standards and practice. Albany, NY: Delmar.

Donaldson, S. K., & Crowley, D. M. (1978). The discipline of nursing. Nursing Outlook, 26, 113-120.

Ellis, R. (1982). Conceptual issues in nursing. Nursing Outlook, 30, 406-410.

King, I. M. (1992). King's theory of goal attainment. Nursing Science Quarterly, 5, 19-26.

Labonte, R. (1989). Community and professional empowerment. The Canadian Nurse, 85, 23-28.

Mason, D. J., Backer, C., & Georges, A. (1991). Towards a feminist model for the political empowerment of nurses. Image: Journal of Nursing Scholarship, 23, 72-77.

National AIDS Coordination Programme. (2000). Speak out: Break the silence: Talk about HIV/AIDS/STDs. Harare, Zimbabwe: National AIDS Coordination Programme.

Orem, D. (1991). Nursing: Concepts of practice (4th ed.). St Louis, MO: C.V. Mosby.

Phipps, W. J., Sands, J. K., & Marek, J. F. (1999). Medical-surgical nursing: Concepts and clinical practice (6th ed.). St Louis, MO: C.V. Mosby.

10.

Potter, P. A., & Perry, A. G. (1997). Fundamentals of nursing: Concepts, process and practice. St Louis, MO: C.V. Mosby.

11.

Roper, N., Logan, W. W., & Tierney, A. J. (1996). The elements of nursing: A model of living. Edinburgh: Churchill Livingstone.

12.

Roy, C., Sr., & Andrews, H. (1991). The Roy adaptation model: The definitive statement. Norwalk, CT: Appleton & Lange.

13.

Spradley, B. W., & Allender, J. A. (1996). Community health nursing: Concepts and practice. Philadelphia: J.B. Lippincott.

14.

Wagnild, G., & Young, H. M. (1990). Resilience among older women. Image: Journal of Nursing Scholarship, 22, 252-255.

15.

Woodward, J. C., & Kaylan-Masih, V. (1990). Loneliness, coping strategies and cognitive styles of the gifted rural adolescent. Adolescence, 25, 977-988.

16.

World Health Organization. (1978). Alma Ata: Primary health care: Health for all (Series number 1). Geneva: Author.

17.

World Health Organization. (1985). A guide to curriculum review for basic nursing education: Orientation to primary health care and community health. Geneva: Author.

18.

Zimbabwe Ministry of Health & Child Welfare. (1997). Proposals for health sector reform: Decentralization: Roles and relationships. Harare, Zimbabwe: Government Printers.

19.

Zimbabwe Ministry of Health & Child Welfare. (1998). Discharge plan guidelines for the chronically/terminally ill patients. Harare, Zimbabwe: National AIDS Coordination Programme.

20.

Zimbabwe Ministry of Health & Child Welfare. (1999). National health strategy for Zimbabwe 1997-2007: Working/or quality and equity in health. Harare, Zimbabwe: Screen Litho.

21.

Zimbabwe Ministry of Health & Child Welfare. (2001). National policy on community home based care for the Republic of Zimbabwe. Harare, Zimbabwe: National AIDS Coordination Programme.

22.

Zimbabwe Ministry of Health & Child Welfare and Consumer Council of Zimbabwe. (1996). Patient's charter. Harare, Zimbabwe: Government Printers.