Gulzar Saleema Aziz, Faheem Zahid Ali, Somani Rozina Karim
Aga Khan University School of Nursing and Midwifery, Karachi.
J Pak Med Assoc. 2012 Oct;62(10):1083-6.
The role of Community Health Nurses (CHNs) outside the traditional hospital setting is meant to provide and promote the health care needs of the community. Such nurses can play a substantial role in the community setting including emergencies like disasters. This became evident after the earthquake of October 8, 2005 in Pakistan. The objective was to address the issues, faced by primary healthcare providers working in earthquake-affected areas focusing on participatory approach. The experience of the interventions done by CHN by a guided frame work (assessment, planning, implementation and evaluation components) is described. Issues identified by CHN included: lack of training of health care providers, lack of collaboration, communication between the medical and management staff due to poor infrastructure of the healthcare facilities. The interventions were carried out, utilizing existing resources. Efforts were directed to build capacity of health care providers at grass root level to fill in gaps of health care delivery system for sustainable change. Overall, working in the earthquake affected areas is challenging. Health leadership should foresee role of CHN in emergencies where quality healthcare interventions are essential.
社区健康护士（CHNs）在传统医院环境之外的作用是满足并促进社区的医疗保健需求。这类护士在社区环境中能发挥重要作用，包括在诸如灾难等紧急情况中。2005年10月8日巴基斯坦地震后，这一点变得很明显。其目标是解决在地震受灾地区工作的初级医疗保健提供者所面临的问题，重点是采用参与式方法。描述了社区健康护士在一个指导性框架（评估、规划、实施和评估部分）下所开展干预措施的经验。社区健康护士发现的问题包括：医疗保健提供者缺乏培训、缺乏协作，以及由于医疗设施基础设施差导致医护人员与管理人员之间沟通不畅。干预措施利用现有资源开展。努力致力于在基层培养医疗保健提供者的能力，以填补医疗保健提供系统的空白，实现可持续变革。总体而言，在地震受灾地区工作具有挑战性。卫生领导应预见到社区健康护士在紧急情况中的作用，在这些紧急情况中，高质量的医疗保健干预措施至关重要。
