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At least 19 recordsLinked to original sources

Ethical challenge in community health nursing.

Community health nurses frequently face situations involving ethical conflicts, but little research has been carried out in this area. This paper, based on a study of dilemmas defined by 30 practising community health nurses in urban and rural British Columbia, Canada, presents an analysis of the situations that contain the most serious ethical conflicts for nurses working in the community. Although issues related to client's rights, nurses' interactions with colleagues and the system, and nurses' rights were explored, nurses in the study reported that situations involving high-risk parenting provided the most serious ethical challenges. Strategies to help nurses caring for such vulnerable clients are described. As well, this paper offers some discussion on implications for community health nursing practice and education in light of current changes and challenges.

Beneficence↗

Epidemiology and biostatistics content in baccalaureate education for community health nursing.

Community health nursing leaders recommend including epidemiology and biostatistics in baccalaureate curricula but do not define essential content. Topic coverage and emphasis vary across schools; students differ in academic achievement and in readiness for an epidemiologic approach to nursing. A review of textbooks showed wide variance in topic presentation. A survey of baccalaureate community health nursing faculty in a southeastern state uncovered a core of epidemiology course work comparable to that in graduate programs. Biostatistical content was sparse, and participatory learning strategies were seldom noted. Definition of essential introductory epidemiology and biostatistics content and greater linkage between knowledge and application is necessary to show their congruence with community health nursing practice, and enable differentiation between the level and scope of learning appropriate for undergraduate and graduate education.

Biometry↗

The consequences of welfare reform for women's health: issues of concern for community health nursing.

Community health nurses confront the health effects of public policies on a daily basis, particularly with respect to low-income populations. Despite this, the effects of public policies are often attributed to problems that are more proximal in the environment than the broad-ranging scope of "public policy." This article argues the need for a broader perspective of environment that encompasses public policies, and provides an example of how specific aspects (time limits and the Medicaid eligibility process) of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 may have harmful consequences for the health of low-income women. Finally, implications for community health nursing practice and the need for further nursing research are reviewed.

Child↗

Advocacy for elderly autonomy: a challenge for community health nurses.

Community health nursing practice has always been directed by a genuine concern for other persons. Flaherty (1980) wrote that the profession now, perhaps more than ever before, requires that nurses go beyond direct care and be involved with the nature and shape of the health-care system, the practice of all team members, and "the changing roles of consumers in the maintenance of their own health" (p.8). The ethics of care in a society that no longer values old age is a challenge that must be met head on by CHNs.

Aged↗

Advanced practice community health nursing in community nursing centers: a holistic approach to the community as client.

Community nursing centers are unique arenas for advanced practice community health nursing. These innovative nurse-managed delivery models are grounded in a holistic approach to the community-as-client. They provide the public with direct access to a range of advanced practice professional nursing services that are not otherwise available. Community Nursing Centers are collaborative with other health professions and organizations. They aim to meet the assessed needs of underserved populations using extant resources to achieve optimal health for all members of the community. This article discusses the underlying conceptual basis for development of community nursing centers and provides a case study example.

Community Health Centers↗

Making the fit: orienting new employees to community health nursing agencies.

Community health nurse managers require tested orientation methods to fit new employees into the rapidly changing conditions of professional practice, increase nursing productivity, and reduce turnover. The clinical competencies for community health nursing provide a workable framework for applying orientation principles to the special demands of community health nursing.

Community Health Nursing↗

Validity and community-health-nursing sensitivity of six outcomes for community health nursing with older clients.

A survey research design was used to assess the importance, sensitivity to nursing interventions, and content validity of six client outcomes from the Nursing Outcomes Classification (NOC)). Outcomes relevant for elderly community residents and caregivers were included in a questionnaire mailed to American Nurses Credentialing Center-certified expert community health nurses. Two hundred thirty-nine experts rated specific indicators of the six outcomes for their importance in determining the outcomes and the contribution of nursing to their achievement. Outcomes also were rated for their importance for community health nursing clients and responsiveness to community health nursing intervention. Results strongly support the content validity and nursing sensitivity of outcomes and specific indicators. Experts judged all six outcomes to be important and 90% of indicators as important in determining the outcome. All outcomes and 78% of indicators were judged to be responsive to community health nursing intervention. Recommendations include the testing of NOC outcomes in community health nursing clinical practice and inclusion in community health nursing curricula. Areas for further research include development and validation of community-level outcomes, validation of outcomes with rural and home health nursing experts, and exploration of the community health nursing-sensitivity of one study outcome.

Activities of Daily Living↗