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District nursing in Dominica

P M Kolkman1, A J Luteijn, R S Nasiiro

  • 1Department of Family Medicine, University of Groningen, The Netherlands.

International Journal of Nursing Studies
|December 5, 1998
PubMed
Summary

District nurses in Dominica manage most primary health care encounters, including hypertension and diabetes check-ups. Enhancing training and wages could boost nurse motivation and job satisfaction.

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Area of Science:

  • Primary Health Care
  • Nursing Services
  • Public Health

Background:

  • District nurses are fundamental to Dominica's primary health care system.
  • Understanding their roles and challenges is crucial for service improvement.

Purpose of the Study:

  • To analyze the scope of practice and patient contact for district nurses in Dominica.
  • To identify factors affecting nurse motivation and job satisfaction.

Main Methods:

  • Encounter data from three district nurses were logged using the International Classification for Primary Care.
  • Participating observation and questionnaires gathered additional data on district nursing.

Main Results:

  • Check-ups for hypertension, diabetes, pregnancy, and immunizations accounted for 40% of encounters.

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  • District nurses managed 80% of patient contacts, with only 20% referred to medical officers.
  • Nurses cited family obligations and other commitments as demotivating factors.

    • Conclusions:

    • District nurses play a vital role in managing common health conditions and reducing referrals.
    • Postgraduate training, diversified certifications, and wage increases are recommended to improve motivation and job satisfaction.