Nurses can take a leadership role in the process of helping rural Americans to recognize and implement their vision of a healthy community.
This necessitates an understanding of rural communities'perceptions of health and health care and allows nurses to more appropriately provide primary health care.
As defined by the World Health Organization, primary health care is comprised of concepts of essentiality, community participation, intersectoral collaboration, access, and empowerment (Barnes et al., 1995).
A focused ethnography involving 150 residents was conducted in a midwestern rural community and included 56 personal and 8 focus group interviews.
A qualitative analysis of responses to the question, « What is your vision of a healthy community ? » was conducted using Leininger's (1985) categories of economics, social-kinship, cultural, political-legal, religion, technology, and education.
An eighth category of environmental concern emerged from the data.
Responses were further assimilated into descriptive statements reflecting the community's vision of a healthy community, including issues of accessible and technologically adequate healthcare, job availability, strong community support by schools and churches, a caring community membership, and an attractive, pollution-free environment.
This analysis demonstrates the need for application of primary health care at the level of community in designing services to achieve healthy rural communities.
Mots-clés Pascal : Santé communautaire, Service santé, Zone rurale, Soin santé primaire, Participation, Perception sociale, Evaluation, Homme, Système santé, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Community health, Health service, Rural area, Primary health care, Participation, Social perception, Evaluation, Human, Health system, Health policy, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0512525
Code Inist : 002B30A01B. Création : 23/03/1999.