Positioning Nurses in Primary Health Care in Bhutan

Introduction: Nursing in Bhutan had its beginning in the early 1960s, approximately 20 years prior to the Alma Ata Conference. From basic nursing care and housekeeping roles, Bhutanese nurses have now occupied central place in nursing service, administration and management and education. Nursing edu...

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Main Authors: Diki Wangmo, Carol Windosr, Michele Clark
Format: Article
Language:English
Published: Khesar Gyalpo University of Medical Sciences of Bh 2018-05-01
Series:Bhutan Health Journal
Online Access:https://bhj.com.bt/index.php/bhj/article/view/55
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author Diki Wangmo
Carol Windosr
Michele Clark
author_facet Diki Wangmo
Carol Windosr
Michele Clark
author_sort Diki Wangmo
collection DOAJ
description Introduction: Nursing in Bhutan had its beginning in the early 1960s, approximately 20 years prior to the Alma Ata Conference. From basic nursing care and housekeeping roles, Bhutanese nurses have now occupied central place in nursing service, administration and management and education. Nursing education has progressed from certificate level in the 1960s to bachelor, master and PhD levels in 2014. Although nurses have been closely associated with Primary Health Care development in Bhutan, apart from the role of the Auxiliary Nurse Midwives, nurses have rarely been explicitly associated with this area of practice. Therefore, the objective of this study was to find out the role of Bhutanese Nurses in PHC. Methods: qualitative case study method was used to carry out focus group and in-depth interviews with 66 respondents that included policy makers, planners, educators, regulators and implementers. Data were analyzed through manifest and latent content analysis. Results: The centrality of the nursing role in the area of PHC has not been realized. Discharge of the PHC role was identified more in terms of the place of work and by title or designation of the nurses. Primary Health Care momentum appeared to have slowed down and nurses differed in their understanding of PHC concept. Conclusion: Although Nursing in Bhutan has made much progress, the uneven development of the nurses’ role in PHC in Bhutan and globally suggests a need to identify and implement strategies such as standardizing, role profiling, curricula review and leadership improvement to ensure progress in this area.
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spelling doaj.art-b2d4984a1aa54abfb17a366c982c1f612023-10-25T10:10:30ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142018-05-0141334110.47811/bhj.5455Positioning Nurses in Primary Health Care in BhutanDiki Wangmo0Carol Windosr1Michele Clark2Faculty of Nursing and Public Health, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan.Faculty of Health, School of Nursing, Queensland University of Technology, Australia.Faculty of Health, School of Clinical Sciences, Queensland University of Technology, Australia.Introduction: Nursing in Bhutan had its beginning in the early 1960s, approximately 20 years prior to the Alma Ata Conference. From basic nursing care and housekeeping roles, Bhutanese nurses have now occupied central place in nursing service, administration and management and education. Nursing education has progressed from certificate level in the 1960s to bachelor, master and PhD levels in 2014. Although nurses have been closely associated with Primary Health Care development in Bhutan, apart from the role of the Auxiliary Nurse Midwives, nurses have rarely been explicitly associated with this area of practice. Therefore, the objective of this study was to find out the role of Bhutanese Nurses in PHC. Methods: qualitative case study method was used to carry out focus group and in-depth interviews with 66 respondents that included policy makers, planners, educators, regulators and implementers. Data were analyzed through manifest and latent content analysis. Results: The centrality of the nursing role in the area of PHC has not been realized. Discharge of the PHC role was identified more in terms of the place of work and by title or designation of the nurses. Primary Health Care momentum appeared to have slowed down and nurses differed in their understanding of PHC concept. Conclusion: Although Nursing in Bhutan has made much progress, the uneven development of the nurses’ role in PHC in Bhutan and globally suggests a need to identify and implement strategies such as standardizing, role profiling, curricula review and leadership improvement to ensure progress in this area.https://bhj.com.bt/index.php/bhj/article/view/55
spellingShingle Diki Wangmo
Carol Windosr
Michele Clark
Positioning Nurses in Primary Health Care in Bhutan
Bhutan Health Journal
title Positioning Nurses in Primary Health Care in Bhutan
title_full Positioning Nurses in Primary Health Care in Bhutan
title_fullStr Positioning Nurses in Primary Health Care in Bhutan
title_full_unstemmed Positioning Nurses in Primary Health Care in Bhutan
title_short Positioning Nurses in Primary Health Care in Bhutan
title_sort positioning nurses in primary health care in bhutan
url https://bhj.com.bt/index.php/bhj/article/view/55
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