Neighborhood nursing in the community••••7 Community Neighborhood Nursing in the US Costa Rica is the origin of neighborhood nursing The voices of local people Hello! I am Nanami Nishiyama, and I am currently back in Japan from Seattle for the summer vacation. When I was watching the fireworks, I felt more like summer was in full swing. How are you spending this hot summer? I have been playing with the kids at camps and my skin is already In Baltimore, a city in Maryland, USA, the program called neighborhood nursing have been expanding in these days. It aims to equalize access to healthcare among racial groups and also focuses on preventing and promoting people’s health.•involves door-to-door visits by nurses and communityworkers.All people ought to have access to a compassionatesomeone who visits their community prepared to listen totheir most important concerns, from birth to death, fromillness prevention to illness management.Special teams in nursing care have multiple strategies,capacities, and skills to provide holistic care on the spotand link to critical treatments.All residents receive in-person visits if they wish, and aredigitally connected to the healthcare team for telemedicinevisits and additional in-person visits, depending on The central American country, Costa Rica is the birthplace of neighborhood nursing. Teams of health workers visit residents’ homes at least once a year, whether in urban areas, on banana farms, or in remote villages that can only be reached by boat. The results of 30 years of this approach have been remarkable. Deaths from communicable diseases such as tuberculosis Although there is only anecdotal evidence to support the strategy, the Neighborhood Nursing initiative is now in its pilot phase and is aimed at establishing trust and obtaining community feedback. Nevertheless, the team reports that they have already noticed a change in the degree of trust among neighborhood members. Also, studies have shown that a trustworthy relationship between the patient and the practitioner is essential. Community health worker Terry Lindsay stated, “It was like, ‘Who are they?’” during the first turning golden brown...! I have also been benefiting from the community in recent years and feeling grateful for the community this summer too. In this article, I would like to introduce you to community-based healthcare.individual needs.Residents with multiple chronic conditions, youngchildren, and other high-risk residents will receive morefrequent visits if they wish, and so on. The attractions of neighborhood nursing are many.Access to the above listed for all members of the community is expected to reduce infant mortality, reduce premature mortality, increase immunization rates, and reduce depression and anxiety. The project began in Johnston Square, a predominantly black neighborhood disadvantaged by decades of discriminatory housing policies. Sarah Szanton, Dean of the Johns Hopkins University School of Nursing and leader of the project, remarks. ‘Sick or healthy, rich or poor, young or old, insured or uninsured, this is a policy for everyone.’and hepatitis have been reduced by 94%. The nation’s healthcare inequalities have also improved, and the treatment of chronic diseases such as diabetes and heart disease is also showing positive results. Costa Rica has achieved this progress while keeping per capita healthcare costs below 10% of those in the United States.few weeks after their arrival. “People are now inviting others inside their houses and saying, ‘Come on in and sit down.’”According to Sarah Szanton, the fact that the community is taking charge of the project and influencing its direction is another indication of success. Regina Hammond, a longtime Baltimore resident, and a handful of her neighbors informed the team that they required safer workout options. They came up with the idea to launch a weekly walking group in the area.Nanami Nishiyama Wilderness Awareness School
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