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Building Community Participation in Health Care: A Model and Example from South Africa
Author(s) -
Hildebrandt Eugenie
Publication year - 1996
Publication title -
image: the journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 0743-5150
DOI - 10.1111/j.1547-5069.1996.tb01209.x
Subject(s) - conceptual model , empowerment , nursing , community health , focus group , public relations , intervention (counseling) , public health , sociology , medicine , economic growth , political science , business , marketing , computer science , economics , database
A conceptual model was developed for a community‐based intervention study in a Black township in South Africa. The model shows a useful way to structure the complex role public health nurses play as they meet community health needs using a community's priorities and building toward community involvement in health and self‐care. The model was applied over a 2‐yearperiod in an under‐developed community of 100,00 people where the unemployment rate was over 50%, fewer than 10% of the homes had electricity, and only one‐third had access to the sewage removal system. Over half of older adults interviewed were illiterate. The residents, in collaboration with the nurse researcher, gathered data, prioritized needs, and chose projects to produce solutions. The model guided activities for community empowerment through a deliberate transfer of information and expertise from the nurse to members of the community. Conceptual models or paradigms are useful to focus nursing strategies, to guide professional nursing practice, and to support interdisciplinary goals for cooperative efforts. The principles are also applicable in the United States and other developed countries as more effective ways to achieve health goals are sought.