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Int J Health Plann Manage. 2018 Oct;33(4):e1147-e1159. doi: 10.1002/hpm.2600. Epub 2018 Aug 9.

The roles of, activities of, and competencies for, community nursing services in rural Vietnam: Implications for policy decisions.

Author information

1
Department of Health Management and Organization, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
2
College of Nursing, Seoul National University, Seoul, Republic of Korea.
3
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
4
School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
5
Department of Vaccination, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
6
Department of Environmental Health, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
7
College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea.
8
Department of Biostatistics and Medical Informatics, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
9
Hanoi University of Public Health, Hanoi, Vietnam.
10
Department of Biostatistics and Medical Informatics, Institute for Preventive Medicine and Public Health, Former Deputy President of Hanoi Medical University, Hanoi, Vietnam.

Abstract

Community health workforce plays a vital role in providing primary health care services as per the needs of residents; however, few studies have examined how nurses work within commune health centers (CHCs). Using qualitative methods including interviews and focus group discussions with key stakeholders, this study explores the roles, activities, and competencies required of community nursing services in rural districts within Vietnam. Two primary roles were identified: CHC nursing and family nursing. For the latter, in addition to providing people with general health care and health communication, they were expected to also deliver psychological care. CHC nursing fulfilled more roles and required four specific competencies: clinical care, communication, management, and planning/coordination activities. Despite these various roles serving people within a community, few ongoing efforts at either the local or national level are aimed at supporting these nurses. The study highlights the need for policy decisions via either developing a new job position policy or adapting the existing policy by integrating new roles into the existing positions of CHC nurses in Vietnam.

KEYWORDS:

Vietnam; commune health center (CHC); community health nurse; community nurse; nursing

PMID:
30091477
DOI:
10.1002/hpm.2600
[Indexed for MEDLINE]

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