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. 2024 Jul 15;58(12):56-69.
doi: 10.47895/amp.v58i12.10045. eCollection 2024.

Leadership Development Program for Public Health Nurses: An Evaluation of Workplace Application

John Joseph B Posadas  1 , Peter James B Abad  1   2 , Jazryl R Gayeta  1 , Christian Joshua V Cacatian  1 , Kristoffer Dan Patrick B Reveche  1 , Kristine Joy L Tomanan  1
Affiliations

Leadership Development Program for Public Health Nurses: An Evaluation of Workplace Application

John Joseph B Posadas et al. Acta Med Philipp. .

Abstract

Background and objective: Public health nurses (PHNs) are vital in the local implementation of the provisions of the Universal Healthcare (UHC) Act of 2019. However, they need adequate competencies in health systems approach to successfully implement the provisions of the law. In response to this, a leadership development course for public health nurses (LDC-PHN), anchored on the building blocks of health systems, was developed and implemented. This paper aims to describe the extent to which training participants have applied the competencies acquired from the LDC-PHN as manifested by the workplace application of their capstone projects.

Methods: Following Kirkpatrick's Model of Evaluation, we used a multi-method study design to evaluate the extent of the participants' workplace application of acquired competencies. Sources of data included the Workplace Application Plan (WAP) accomplished by each participant, a questionnaire to determine the perceived implementation status of the participants' capstone project, interviews, and focus group discussions (FGDs) conducted with selected participants and their supervisors, and observation visits. Data were collected from May to December 2022. Data from the semistructured interviews and FGDs were analyzed through content analysis, while the participants' perceived status of their capstone project implementation was summarized as frequencies.

Results: Majority of the participants (61.9%) reported partial implementation of their capstone project while 16.77% reported full implementation. Capstone project implementation was facilitated by the support received from their supervisors and local chief executives. Barriers identified included the demands of the COVID-19 pandemic and the challenges imposed by the events before and after the 2022 Philippine National elections. Major themes emerged from the interviews conducted among participants and their supervisors. The workplace application of the training program outcomes, based on participants' perspectives, yielded increased capacity to lead and innovate, improved ability to advocate for capstone project implementation, transferability of acquired skill sets, and improved population outcomes. From supervisors' perspectives, workplace application of training program outcomes include increased ability of PHNs to deliver health services, and visible enhancement of leadership and supervision skills among PHNs.

Conclusion: Given ample support and opportunities, and despite the barriers and challenges they faced, LDC-PHN participants, in general, utilized and applied the competencies they gained from the course in their actual work setting. Course graduates participated in health systems strengthening at various capacities by acting upon their capstone projects that addressed UHC challenges within their particular work settings.

Keywords: community health nurses; leadership; nurse’s role; public health nurses; universal health care.

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Conflict of interest statement

All authors declared no conflicts of interest.

References

    1. Congress of the Republic of the Philippines . Republic Act No. 11223: an act instituting Universal Health Care for all Filipinos, prescribing reforms in the health care system, and appropriating funds therefor [Internet]. 2019. [cited 2024 Jan]. Available from: https://www.officialgazette.gov.ph/2019/02/20/republic-act-no-11223/
    1. Rumsey M, Leong M, Brown D, Larui M, Capelle M, Rodrigues N. Achieving Universal Health Care in the Pacific: the need for nursing and midwifery leadership. Lancet Reg Health West Pac. 2021. Dec 22;19:100340. doi:10.1016/j.lanwpc.2021.100340. PMID: 35024665; PMCID: . - DOI - PMC - PubMed
    1. Department of Health, Commission on Higher Education, Professional Regulation Commission . Joint Administrative Order No. 2024-0001: guidelines for the reorientation of health professions education curricula and training programs to primary health care (PHC) [Internet]. 2021. [cited 2024 Apr]. Available from: https://ched.gov.ph/wp-content/uploads/Joint-Administrative-Order-JAO-no...
    1. Tomanan KJL, Posadas JJB, Fernandez MCA, Abad PJB, Bonito SR. Building capacities for Universal Health Care in the Philippines: development and implementation of a leadership training program for public health nurses. Philipp J Nurs. 2022. Jul-Dec;92(2):3–17.
    1. Guevarra JP, Ongkeko AM Jr., Antonio CAT, Bermudez ANC, Fernandez–Marcelo PH. The application of the ADDIE model and the training cycle in the development, implementation and evaluation of training program on data use for decision-making among end-users of electronic health information system in geographically isolated and disadvantaged areas. Acta Med Philipp [Internet]. 2021. Jul 28;55(4):398–405. doi: 10.47895/amp.vi0.2449. - DOI

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