Abstract

The World Health Organization (WHO) primary health care model emphasizes intervention at the home and family level, partnerships with the community, collaboration with lay community health workers, and prevention. Thus, the model has significance for nursing. Among the population groups in the United States, American Indians show the greatest disparity from the norm in access to health care and outcomes of care.* This study addresses the primary health care principle of community involvement in health using an empowerment model, with a participatory action research approach, informed by the ethnonursing method of Madeleine Leininger. The population of interest is American Indian community health representatives of the Northern Plains. Group interviews and individual interviews of community health representatives (CHRs) were analyzed for culture care values, beliefs and practices, which reflect empowerment of CHRs to care for their people. The implications of nurses working with indigenous outreach workers to improve the health of communities were identified. Relevant research from the social and health sciences is critiqued. * The terms American Indian, Native, and Indian are used instead of Native American, as is common in the language of the Northern Plains tribes.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3261326; ProQuest document ID: 304848801. The author still retains copyright.

Author Details

Elizabeth A. Tyree, PhD, MPH, RN

Sigma Membership

Eta Upsilon

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Ethnography

Research Approach

Qualitative Research

Keywords:

Minority Health Care, Minority Access to Healthcare, Community Nursing

Advisor

Gloria Jacobson

Degree

PhD

Degree Grantor

Loyola University Chicago

Degree Year

2007

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-12-05

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