PubMed · 6902223
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P Slack. 1980-07-31. Bricks without mortar.. https://pubmed.ncbi.nlm.nih.gov/6902223/
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Proactive health visiting refers to a model of health visiting practice which involves actively seeking and meeting the health needs of a defined community. In Fife a working group was established to draw up an operational definition of this concept. Training for health visitors was introduced on a patch-by-patch basis in Fife between December 1992 and May 1993 and an evaluation was subsequently carried out to assess whether or not the proactive concept was being implemented and practised throughout Fife. The survey results suggest that the proactive training has been successful in bringing about a change in health visitor practice over a relatively short time period. With an increasing amount of health visiting work taking place in clinic settings it will be important to define the relative roles of general practitioners, practice nurses and health visitors. A number of operational constraints were identified by the survey and these tended to limit the implementation of the proactive approach. However, we believe that the initiatives which have been successfully introduced should be encouraged and supported, and recommend that this approach be more widely adopted.
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A community health nursing experience with a complex aggregate client was developed for B.S.N. completion students at a private university. Working in collaboration with the neighborhood group, a survey based on Spradley's notion of healthy neighborhoods and Cottrell's idea of community competence was developed. Community health nursing students drew a representative sample of neighborhood dwellers and interviewed them to assess their concerns. Data were summarized, inferences drawn, and problems amenable to nursing intervention identified and prioritized. Students presented their findings to the neighborhood group, city service providers, and various volunteer agencies. This experience provided service to the community client, public service for faculty, and an exceptional learning opportunity for students.