District nursing in Dominica

District nurses constitute the basis of the primary health care services in Dominica. All encounters of three district nurses were registered using the international classification of primary care. Information on other aspects of district nursing was collected by participating observation and the us...

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Bibliographic Details
Published in:International journal of nursing studies 1998-10, Vol.35 (5), p.259-264
Main Authors: Kolkman, P.m.e., Luteijn, A.j., Nasiiro, R.S., Nassiiro, R.s., Bruney, V., Smith, R.j.a., Jong, B.Meyboom-de
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Child
Child, Preschool
Community Health Nursing - statistics & numerical data
District nurses
District nursing
Dominica
Female
Health participants
Humans
Infant
Infant, Newborn
International classification of primary care
Job Satisfaction
Male
Medical sciences
Middle Aged
Nursing
Primary health care
Primary Health Care - statistics & numerical data
Public health. Hygiene
Public health. Hygiene-occupational medicine
Sex Distribution
Surveys and Questionnaires
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Summary:District nurses constitute the basis of the primary health care services in Dominica. All encounters of three district nurses were registered using the international classification of primary care. Information on other aspects of district nursing was collected by participating observation and the use of a questionnaire. Check-ups for hypertension, diabetes, pregnancy and immunisations constituted 40% of all reasons for encounter. The district nurses dealt with 80% of all contacts; only 20% of all patients were referred to the district medical officer. There are several discouragements to the motivation of the nurses. In addition to being a nurse, all have their family and other obligations. Postgraduate training with diversified certification and upgrading of wages could contribute to a continued high motivation and increased job satisfaction.
ISSN:0020-7489
1873-491X
DOI:10.1016/S0020-7489(98)00038-8