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PubMed1990

The life span perspective: a developmental approach to community health nursing.

Following the nursing theorists' tradition of using an interdisciplinary approach to community health model building, the concepts of the life span perspective on human development were applied to the practice of community health nursing. As with the perception of individual development from this perspective, communities are viewed as evolving over time, with changes occurring across levels of influence--human, societal, historical, and cultural. These levels are interdependent, and factors from any one or more can affect the growth and functioning of the community. Implied in this interdependence is the ability not only to intervene in a community's development, but to go beyond this and recognize that a community has a degree of control over its own development. To be accurate and thorough in working with communities, the community health nurse who takes a life span perspective must be cognizant of the fact that communities do exist in a continual, multilevel, interactive manner that develops through time. Demonstrating the practical use of this perspective, a model for the assessment phase of the nursing process as applied to community study was developed. A pilot study was performed using this model, and initial results suggest that taking a life span perspective toward community health is both valid and practical, and warrants further scholarly investigation.

Community Health Nursing↗
PubMedDate not supplied

Community health nurses.

Explore the source record for details and available documents.

Community Health Nursing↗
PubMed1997

Demonstrating the added value of community health nursing for clients with insulin-dependent diabetes.

The importance of demonstrating that nursing care adds value to client outcomes is discussed broadly as well as within the dimensions of a community health nursing outcomes study. The study examined the effect of a community health nursing intervention on the health behaviors and health status of adults with insulin-treated diabetes as measured by client outcomes using a two-group repeated measures experimental design. The findings indicate that the community health nursing intervention significantly enhanced the self-reported self-care behaviors of blood glucose testing, complication management, nutrition regimen adherence, and reporting foot change in the experimental group. No differences were found between the groups in outcomes for dietary adherence, foot care, blood glucose levels and overall diabetes knowledge, metabolic control, or functional health status. Challenges for community health nurse researchers engaging in client outcome studies are delineated and discussed.

Aged↗
PubMed1997

Role identity and job satisfaction of community health nurses.

Although many efforts have been made to articulate the nature of community health nursing practice, there continues to be a great deal of confusion about the roles and functions of community health nurses. This article reports a descriptive research study of the role identity and job satisfaction of 43 staff community health nurses practicing in home health care, generalized public health nursing, combined public health/home health care (PH/HHC), and specialized programmes. Although differences were found, the home health, generalized public health, and PH/HHC nurses shared a similar core identity. The major differences were seen for the nurses working in specialized programmes. No significant differences were found in job satisfaction among the four groups.

Adult↗
PubMed1989

Ethical dimensions of leadership in community health nursing.

This article deals with ethical leadership. Community health nurse (CHN) leaders are confronted with ethical problems in increasing numbers and complexity. To deal successfully with these dilemmas, nurse leaders must be aware of leadership qualities, know the ethical obligations of leaders, and use actions that produce the best decisions in tough financial times. The main purpose of the article is to present several helpful strategies for CHN leaders to use for ethical decision making. Types of ethical decisions that nurse leaders make are given. Six recommendations for action to be taken for ethical decisions in today's changing health-care climate are explored.

Beneficence↗