What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

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Community health nurses’ role in implementing the program spans from protecting, promoting and preserving the children’s health. As per Barbero et al (2021), their roles are based on various fundamental principles including educating patients on making healthy choices and maintaining healthy lifestyles and providing direct care.  the nurses primarily focus on delivering the children’s health needs. They coordinate with physicians and other health workers to ensure the children receive care that is equally as good as what they would receive in the hospital.

When they make home visits, they assess the children’s health conditions, deliver wound care, check vital signs (e.g. blood pressure) and manage prescription medicine when a child needs it. Furthermore, they are responsible for educating families and other community members on maintaining the children’s health and wellbeing (Assefa et al, 2019). Nurses also act as the gatekeepers for the children’s rights and protection, primarily protecting them from child abuse, sexual harassment, poor nutrition and teen pregnancy. 

These roles are different from their program design roles in many senses. For instance, their program design roles involve identifying when to visit each home and how long they should take in each home. Contrastingly, the implementation role involves determining what they do in every visit, including conducting medical checks on the patients.  In short, program design mainly entails the where, how and when the services are delivered, while program implementation roles entail what services are delivered and by who.

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