护理深耕社区引领健康照护.pptVIP

Training Needs of Public Health Nurses Working in Primary Health Care Settings Ching-Min Chen, RN, DNS Professor, College of Nursing Taipei Medical University Development of Public Health Nursing in Taiwan Health status of Taiwanese citizens have greatly improved Life expectancy: 1961?62.3?66.8 ?2007?75.9?81.9 Leading causes of death: from acute and communicable diseases to chronic diseases Health Centers / clinics have been the basic unit for public health and diseases control since 1945 Manpower of Public Health Nursing Largest segment of the public health workforce (almost 60%), public health nurses are critical to the functioning of the overall public health system There are 2,573 PHNs worked in health centers (DoH, 2005) as center directors, head nurses, professional registered nurses and registered nurses, public health nurse specialists midwives. Tasks of PHNs working in Health Centers Many Changes and Challenges Public Health Nurses are Facing Key forces affect health and contribute to challenges in service planning and delivery: poverty, increased globalization, climate change, political unrest. These challenges shape the environments include: The rising costs of health care Increasing consumer expectations and demands Changing demographics and ageing populations Nursing and other health worker shortages Legislation and/or political will to fully utilize nursing’s potential Social conflict and unrest which destabilize services and constrain resources Natural and manmade disasters Endemic and pandemic disease, as well as new and reemerging ones The surge in chronic diseases Making the shift to community-based care. International Nurses Day 2008 – Delivering Quality, Serving Communities Nurses Leading Primary Health Care We hope they will help you see where you are leading and where and how you might further lead in strengthening PHC and serving your community – whether it is a community of the public or a practice, education, research or management c