Experiences of Community Health Nurses in the Delivery of Healthcare Services to the GIDA Population

Authors

  • Mary Joyce M. Riego Southern Luzon State University – Gumaca Campus Extension Author
  • Ana Libabel U. Ferreras St. Paul University Manila Author

DOI:

https://doi.org/10.5281/zenodo.22970319

Keywords:

community health nurses, experiences, GIDA Population, healthcare services

Abstract

The research study described the experiences of community health nurses in delivering healthcare services to Geographically Isolated and Disadvantaged Areas (GIDA) population. Also, the research aimed to inform current practitioners, aspiring community health nurses, local health units, and the Department of Health. Utilizing a qualitative narrative inquiry approach, 16 community health nurses from a municipality in Quezon Province underwent semi-structured face-to-face interviews.  The findings revealed four themes regarding their experiences – adapting to new roles, meaningful work despite hardships, physical demands, and having purpose and passion to help. The challenges they encountered revealed themes such as geographic barriers, mobility issues, financial constraints, inaccessible healthcare services, limited experienced healthcare professionals, inclement weather conditions, long travel time, and supply shortages. Additional themes concerning their coping strategies include personal motivation and commitment to service, support system and community appreciation as sources of strength that the local government support through communication and coordination and being resourceful. Furthermore, themes from nurses’ perceived roles include healthcare provider, advocate for health equity, health educator, and community health and program implementer.  Based on these insights, the researcher developed a journal guide entitled “Community Health: Shaping Stories, Shaping Lives,” which compiles narratives of experiences, challenges, coping strategies, and professional roles. This guide aims to serve as a reflective and practical tool for community health nursing practice in GIDA settings.

Downloads

Download data is not yet available.

References

Ahmed, S., Chase, L. E., Wagnild, J., Akhter, N., Sturridge, S., Clarke, A., Chowdhary, P., Mukami, D., Kasim, A., & Hampshire, K. (2022). Community health workers and health equity in low- and middle-income countries: Systematic review and recommendations for policy and practice. International Journal for Equity in Health, 21, Article 49. https://doi.org/10.1186/s12939-021-01615-y

Allgood, S. D. (2019). Active ingredients of community health worker delivered interventions to reduce cardiovascular disease risks [Doctoral dissertation, University of North Carolina].

Anglin, A. H., Kincaid, P. A., Short, J. C., & Allen, D. G. (2022). Role theory perspectives: Past, present, and future applications of role theories in management research. Journal of Management, 48(6), 1468–1494. https://doi.org/10.1177/01492063221081442

Balita. (2024). Ratio of the population to a public health nurse in the Philippines 2019–2022. Statista.

Caponnetto, V., Dante, A., Aoufy, K. E., Melis, M. R., Ottonello, G., Napolitano, D., Ferraiuolo, F., Camero, F., Cuoco, A., Erba, E., Rasero, L., Sasso, L., Bagnasco, A., Alvaro, R., Manara, D. F., Rocco, G., Zega, M., Mazzoleni, B., & Lancia, L. (2024). Community health services in European literature: A systematic review of their features, outcomes, and nursing contribution to care. International Nursing Review, 71, 716–728. https://doi.org/10.1111/inr.13033

Cariaso, J. E., Bonito, S. R., Dones, L. B. P., Melendres, J. C. N., & Sebastian, C. J. B. (2024). Perceived competencies and training needs of public health nurses in the Philippines: Basis for the development of NurseLEAD: A leadership course on advanced practice nursing in public health. Acta Medica Philippina, 58(12). https://doi.org/10.47895/amp.v58i12.9301

Chavez-Nicer, D. J. B., & Faller, E. M. (2024). Rural nurses’ work-life balance and home-life satisfaction in a Level 1 government hospital in Leyte: A qualitative study. International Journal of Research Publication and Reviews, 5(9), 2203–2209. https://doi.org/10.55248/gengpi.5.0924.2631

Collado, Z. C. (2019). Challenges in public health facilities and services: Evidence from a geographically isolated and disadvantaged area in the Philippines. Journal of Global Health Reports, 3. https://doi.org/10.29392/joghr.3.e2019059

Corley, A. G., Thornton, C. P., & Glass, N. E. (2016). The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: A systematic review. PLoS Neglected Tropical Diseases, 10(9), e0004914. https://doi.org/10.1371/journal.pntd.0004914

Community Health Nursing Services in the Philippines: Reaching underserved population. (n.d.). Department of Health.

Congress of the Philippines. (2019). Republic Act No. 11223: An act instituting universal health care for all Filipinos, prescribing reforms in the health care system, and appropriating funds therefor. https://www.officialgazette.gov.ph/2019/02/20/republic-act-no-11223/

Davis, K., & Newstrom, J. W. (1989). Human behavior at work: Organizational behavior (8th ed.). McGraw-Hill.

Department of Health. (2023). Community health nursing services in the Philippines: Reaching underserved populations. Department of Health, Republic of the Philippines.

Department of Health. (2024). National objectives for health: Philippines 2023–2028. Department of Health, Republic of the Philippines.

Dela Cruz, J. P., & Santos, M. A. (2022). Challenges and coping mechanisms of community health nurses in geographically isolated and disadvantaged areas. Philippine Journal of Nursing, 92(2), 45–56.

Dizon, M. R., & Garcia, P. A. (2021). Public health nursing practice and healthcare access among underserved communities in the Philippines. Journal of Health Research and Development, 15(1), 23–35.

Dulin, A. J., & Campos, C. (2020). Strengthening community-based healthcare delivery through primary health care initiatives. Asia Pacific Journal of Public Health, 32(6–7), 389–396.

Faller, E. M., & Balangitao, C. R. (2021). Rural healthcare challenges and the experiences of public health nurses in geographically isolated communities. International Journal of Nursing Studies Advances, 3, Article 100040. https://doi.org/10.1016/j.ijnsa.2021.100040

Farrington, A., & Tieman, J. (2022). Community nursing and the role of nurses in improving population health outcomes. Journal of Clinical Nursing, 31(15–16), 2201–2212.

Fernandez, M. E., & Cruz, J. A. (2023). Healthcare delivery challenges in geographically isolated and disadvantaged areas: Perspectives from frontline healthcare workers. BMC Health Services Research, 23, Article 1124.

Flick, U. (2018). An introduction to qualitative research (6th ed.). SAGE Publications.

Gerrish, K., & Lathlean, J. (2015). The research process in nursing (7th ed.). Wiley-Blackwell.

Glenton, C., Colvin, C. J., Carlsen, B., Swartz, A., Lewin, S., Noyes, J., & Rashidian, A. (2013). Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: Qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 2013(10), Article CD010414. https://doi.org/10.1002/14651858.CD010414.pub2

Gonzales, R. R., & Villanueva, M. C. (2022). Community health nurses’ experiences in providing healthcare services in rural communities. Philippine Journal of Nursing, 92(1), 12–24.

Haddad, L. M., & Geiger, R. A. (2023). Nursing shortage. In StatPearls. StatPearls Publishing.

Holloway, I., & Galvin, K. (2017). Qualitative research in nursing and healthcare (4th ed.). Wiley-Blackwell.

International Council of Nurses. (2021). The ICN code of ethics for nurses. International Council of Nurses.

Jenkins, C., & Mullen, K. (2022). Community nursing practice and healthcare equity: Addressing barriers among vulnerable populations. Journal of Advanced Nursing, 78(9), 2864–2875.

Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131. Medical Teacher, 42(8), 846–854. https://doi.org/10.1080/0142159X.2020.1755030

Leininger, M. (2002). Culture care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing, 13(3), 189–192.

Maben, J., & Bridges, J. (2020). Covid-19: Supporting nurses’ psychological and mental health. Journal of Clinical Nursing, 29(15–16), 2742–2750. https://doi.org/10.1111/jocn.15307

Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Routledge.

National Academies of Sciences, Engineering, and Medicine. (2021). The future of nursing 2020–2030: Charting a path to achieve health equity. The National Academies Press. https://doi.org/10.17226/25982

Nies, M. A., & McEwen, M. (2023). Community/public health nursing: Promoting the health of populations (8th ed.). Elsevier.

Nordin, S., & Rosendahl, S. (2022). Nurses’ experiences of providing healthcare services in rural and underserved communities: A qualitative study. BMC Nursing, 21, Article 286. https://doi.org/10.1186/s12912-022-01044-9

Olaniran, A., Smith, H., Unkels, R., & Turner, J. (2017). Who is a community health worker? A systematic review of definitions. Global Health Action, 10(1), Article 1272223. https://doi.org/10.1080/16549716.2017.1272223

Ostergaard, L., & Bøttcher, B. (2021). Community-based healthcare and the role of nurses in improving access to health services. Nursing Outlook, 69(5), 789–798.

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Republic of the Philippines. (2019). Republic Act No. 11223: Universal Health Care Act. Official Gazette of the Republic of the Philippines. https://www.officialgazette.gov.ph/2019/02/20/republic-act-no-11223/

Republic of the Philippines. (1991). Republic Act No. 7160: Local Government Code of 1991. Official Gazette of the Republic of the Philippines.

Ritchie, J., Lewis, J., McNaughton Nicholls, C., & Ormston, R. (2014). Qualitative research practice: A guide for social science students and researchers (2nd ed.). SAGE Publications.

Rosser, E. A., & Taylor, B. (2021). The experiences of nurses delivering healthcare in remote and underserved settings: A qualitative evidence synthesis. Journal of Advanced Nursing, 77(10), 4115–4128.

Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

Scharff, D. P., Mathews, K. J., Jackson, P., Hoffsuemmer, J., Martin, E., & Edwards, D. (2010). More than Tuskegee: Understanding mistrust about research participation. Journal of Health Care for the Poor and Underserved, 21(3), 879–897. https://doi.org/10.1353/hpu.0.0323

Schoon, C., & Motohashi, T. (2022). Healthcare access and service delivery challenges in geographically isolated communities. International Journal of Environmental Research and Public Health, 19(14), Article 8500. https://doi.org/10.3390/ijerph19148500

Smith, J. A., Flowers, P., & Larkin, M. (2022). Interpretative phenomenological analysis: Theory, method and research (2nd ed.). SAGE Publications.

Streubert, H. J., & Carpenter, D. R. (2011). Qualitative research in nursing: Advancing the humanistic imperative (5th ed.). Wolters Kluwer/Lippincott Williams & Wilkins.

Terry, G., & Hayfield, N. (2021). Essentials of thematic analysis. American Psychological Association.

Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237–246. https://doi.org/10.1177/1098214005283748

World Health Organization. (2017). WHO guideline on health policy and system support to optimize community health worker programmes. World Health Organization.

World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. World Health Organization.

World Health Organization. (2021). Global strategic directions for nursing and midwifery 2021–2025. World Health Organization.

World Health Organization. (2022). Primary health care. World Health Organization. https://www.who.int/health-topics/primary-health-care

World Health Organization. (2023). Universal health coverage. World Health Organization. https://www.who.int/health-topics/universal-health-coverage

Downloads

Published

2026-09-26

How to Cite

Riego, M. J., & Ferreras, A. L. (2026). Experiences of Community Health Nurses in the Delivery of Healthcare Services to the GIDA Population. International Journal of Education, Research, and Innovation Perspectives, 2(9), 2110-2152. https://doi.org/10.5281/zenodo.22970319

Similar Articles

91-100 of 452

You may also start an advanced similarity search for this article.