| dc.description.abstract | Background: Public Healthcare Services (PHCs) provide health care activities, including home visits
by public health nurses (PHNs), as part of the Indonesian nursing care program. The present study
aimed to evaluate the performance of PHNs and the coverage of the nursing care program by CHCs in
Jember (East Java, Indonesia).
Methods: A cross-sectional study based on secondary analysis, obtained from the Health Department
of Jember District (East Java, Indonesia), was conducted in 2016. The data included quality
improvement initiatives and outcomes of the nursing care program, which had been collected from 50
CHCs in Jember. The performance of PHNs and the coverage of the nursing care program by CHCs
were evaluated based on three categories, namely nursing care for vulnerable families, nursing care
for community groups, and family self-care empowerment. The data were analyzed using the SPSS
statistical software (version 22.0).
Results: The coverage of the nursing care program by PHCs in the category of vulnerable families,
community groups, and self-care empowerment was 48.28%, 44.87%, and 49.50%, respectively. The
average coverage (low vs. high) by CHCs in the category of vulnerable families, community groups,
and self-care empowerment was 50.0% versus 50.0%, 52.0% versus 48.0%, and 52.0% versus 48.0%,
respectively. A signiicant correlation was found between the pre-deined targets and the coverage
of the nursing care program by PHCs in vulnerable families (r=0.488; P<0.001), nursing care in
communities’ groups (r=0.316; P=0.026), and empowerment of families’ self-care (r=0.531; P<0.001).
Conclusion: The results showed that 50% of the CHCs did not meet the required program coverage.
The performance of PHN to achieve target of PHCs was correlated with the program coverage of
PHCs. The competence of PHNs in providing care to the families and the community, particularly in
rural areas, should be improved through an integrated training program. | en_US |
