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Primary health care as a philosophical and practical framework for nursing education : Rhetoric or reality?

journal contribution
posted on 06.12.2017, 00:00 by S Mackey, D Hatcher, Brenda Happell, M Cleary
Abstract: At least three decades after primary health care (PHC) took nursing by storm it is time to re-examine the philosophical shift to a PHC framework in pre-registration nursing curricula and overview factors which may hinder or promote full integration of PHC as a course philosophy and a contemporary approach to professional practice. Whilst nurse education has traditionally focused on preparing graduates for practice in the acute care setting, there is continuing emphasis on preparing nurses for community based primary health roles, with a focus on illness prevention and health promotion. This is driven by growing evidence that health systems are not responding adequately to the needs and challenges of diverse populations, as well as economic imperatives to reduce the burden of disease associated with the growth of chronic and complex diseases and to reduce the costs associated with the provision of health care. Nursing pre-registration programs in Australia and internationally have philosophically adopted PHC as a curriculum model fo rpreparing graduates with the necessary competencies to function effectively across a range of settings. Anecdotal evidence, however, suggests that when adopted as a program philosophy PHC is not always well integrated across the curriculum. In order to develop a strong and resilient contemporary nursing workforce prepared for practice in both acute and community settings, pre-registration nursing programs need to comprehensively consider and address the factors impacting on the curricula integration of PHC philosophy.

History

Volume

45

Issue

1

Start Page

79

End Page

84

Number of Pages

6

eISSN

1839-3535

ISSN

1037-6178

Location

Australia

Publisher

eContent Management Pty Ltd

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Mental Health Nursing Innovation; Institute for Health and Social Science Research (IHSSR); School of Nursing and Midwifery;

Era Eligible

Yes

Journal

Contemporary nurse.

Exports

CQUniversity

Exports