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ROLES AND FUNCTIONS of HEALTH COMMUNITY NURSES

ROLES AND FUNCTIONS of HEALTH COMMUNITY NURSESMadyo Maryoto.MNS

Perawat belum mampu melaksanakan fungsi dan peran perawat , saat ini masih banyak kita jumpai bahwa perawat belum mampu melaksanakan fungsi dan peran mereka sebagaimana yang di harapkan di pelayanan baik mereka yang bekerja di rumah sakit maupun pusat pelayanan di masyarakat.

Fenomena

A. Client Oriented Roles

B. Delivery Oriented Roles

C. Population oriented RolesRoles

A. Client Oriented Roles

Mencakup penggunaan prinsip-prinsip epidemiologi dan proses keperawatan dalam pelayanan klien di berbagai level yaitu:IndividuKeluargaKelompok Masyarakat

1. Caregiver

Process of facilitating learning that lead to positive health behavior

eg: educate individuals and they families about adequate nutrition2. Educator

Process of helping the client to choose viable solution to health problems

3. Counselor

Identify problems

Community NursesClients(Indiv, family dan community)Identify SolutionsDevelop criteria of acceptable solutionsEvaluate efect of solutions on problemImplement chosen solutionsEvaluate proposed solutions in term of criteria

Process of directing clients to resources required to meet their needs4. Referral Resource

Someone who consciously or unconsciously demonstrates behavior to others who will perform similar role.5. Role Model

A health case manager is a health professional who coordinates and directs the selection and use of health care to meet clients needs services, maximize resource utilization and minimize the expense of care. 6. Case Manager

The case menejemen society of America (1995) define case management as a collaborative process which asses, plan, implement, monitor, and evaluate option and services to meet an individuals health need trough communication and available resources to promote quality cost-effective outcome.

Tujuan case management adalah mengidentifikasi klien dengan resiko tinggi atau dengan potensi untuk tingginya biaya kebutuhan pelayanan, membuat pilihan yang tepat diantara ketersediaan pelayanan dan mengontrol biaya serta mengkoordinasikan perawatan untuk mencapai kepuasan optimal klien.

B. Delivery Oriented Role

Coordination is the process of organizing and integrating services to best meet client needs in the most efficient manner possible. 1. Coordinator/Care Manager

Dynamic, transforming process of creating a power sharing partnership (Sulivan, 1998)2. Collaborator

The liaison role of community health nurse incorporates facets of the coordinator and referral resource roles and may even incorporate the advocacy role, depending on the client situation.

A liaison provides a connection, relationships, or intercommunication3. Liaison

C. Pupulation Oriented Role

Case finding community health nurse involves identifying individual case or occurrences of specific diseases or other health related condition requiring services1. Case Finder

Requisite skill for community health nurses. Ability to influences the behavior of other2. Leader

A one who initiates and brings about change.Perawat komunitas memberikan pelayanan sebagai change agent3. Change Agent

Process by which community groups identify common goals and mobilize assets to implement strategies that address local concerns (Berkowitz et al 2001)4 Community Mobilizer

Process of creating temporary or permanent alliance of individuals or groups to achieves a specific purpose5. Coalition Builder

A person or group people who work for and argue on behalf policy formation or changes in policy that influence the health of population groups.6. Policy Advocate

Community health nursing function related to the social marketer role include identifying a needed change in societal behavior, analyzing behavior motivation and perceived benefits and barriers to action, identifying particular target markets for intervention and determining the unique features of those market, developing and testing strategies to promote the desired change, implementing those strategies, and evaluating their effecti.veness7. Social Marketer

Explore phenomena obesrved in the world with the intent of understanding , explaining and ultimatly controling them8. Researcher

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