Bass Report

  Reflections on Community Health Nursing in Shomron (2002-2023) Introduction My experience as a community health nurse in Shomron from 2002 to 2023 has provided me with deep insights into the role of culturally competent care, trust-building, personal contact, and evidence-based practice in public health. Throughout my tenure, I observed the effects of different management styles , the importance of local engagement , and the damage that the a paternalistic attitude does to healthcare delivery.  This essay explores these themes while emphasizing the impact of culturally competent nursing on vaccination compliance and overall health outcomes, incorporating research on culturally congruent care (Schim, Doorenbos, Benkert, & Miller, 2007) and the role of religious nurses in healthcare systems (Héliot et al., 2019). The Role of Trust and Culturally Competent Care in Public Health Imanuel is a largely haredi (ultra-orthodox) community, founded in the late 1980's. It is u...

  The school nurse in Israel used to be present once a week in a school. This means, if she vaccinated on a Thursday, the following Thursday she could check in with the pupils to see if they experienced any side effects form the vaccine.       I was a school nurse in Israel for 21 years. In about 2005, we started traveling among more schools, and were not present weekly to check on the children, instead, we were told to tell the school if their teachers noticed any side effects. How can teachers be the ones to report side effects? What happened was that we only heard about side effects if there was a crisis, such as many children absent, or many complaining of pain, fever, rash, etc. Teachers in turn became more stressed. They were under increasing pressure to complete their curriculum, they had little time for vaccines and I doubt if they were able to recognize subtle side effects of vaccines. One way to run a business is to overwork the employees until they cannot ...