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PubMedDate not supplied

Integrating nursing diagnosis for population groups within community health nursing practice.

Conflicting views exist about the utility of nursing diagnosis in community health nursing, particularly in relation to its use with population groups. Until recently, this application of nursing diagnosis received limited consideration by the North American Nursing Diagnosis Association. As a result, discussion is needed regarding the ways in which use of nursing diagnosis with population groups in community settings may be different from the use of nursing diagnosis with individuals. In this article several distinctive characteristics of the use of nursing diagnosis for health promotion with various population groups are addressed. Thoughtful consideration of these distinctive characteristics can provide a foundation for effective use of nursing diagnosis with population groups in community settings.

Community Health Nursing↗
PubMed1998

[Implementation and evaluation of supportive approach of the psychiatric nurse specialist and psychiatric community health nurse. Part III].

The psychiatric community nurse takes on the role of an expert in her interaction with the psychiatric patient and others because she feels unprepared to manage therapeutic interaction. She measures her own abilities against the patient's progress and this makes it important for therapeutic interaction to succeed. This is accomplished when she exercises control over the interaction, manipulates the interaction by describing or reformulating the negative experiences or meanings verbalised by patients. She also distances herself from the psychiatric patient by stigmatising the psychiatric patient or if she feels that she cannot solve the problem, she refers the psychiatric patient to an external resource. The above narration indicates that this action by the psychiatric community nurse is not facilitative for patient interaction. In order to facilitate patient interaction, a supportive approach was generated and described by Van Wyk (1995: 99-116) whereby the advanced psychiatric nurse (a person with a masters degree or an advanced diploma in psychiatric nursing), creates a context where the psychiatric community nurse can sacrifice her objective observing position for an observed position where she forms part of the story of interaction between herself and the psychiatric patient. The objective of this study was to describe the implementation and evaluation of Van Wyk's (1995: 99-116) supportive approach to the psychiatric community nurse in interaction with the psychiatric patient by utilizing multiple descriptive case studies.

Community Health Nursing↗
PubMed1989

Community health nurses. Their most significant ethical decision-making problems.

Community health staff nurses confront a variety of significant ethical problems in practice that require focused attention in nursing education programs and in community nursing agencies. All community health nurses need to learn to identify ethical problems and to learn a process for resolving these problems that incorporates ethical perspectives. This is particularly critical because nursing colleagues depend on one another for help in dealing with ethical problems in practice. To ignore the ethical problems in community health nursing practice and to neglect to teach the knowledge and skills required to deal with them is to fail to provide nurses with essential skills for providing nursing and health care in community settings.

Beneficence↗
PubMed2000

Watson's philosophy, science, and theory of human caring as a conceptual framework for guiding community health nursing practice.

Criticisms of existing nursing theories in relation to community health nursing practice are that they focus on individuals and have been developed primarily for practice within the context of infirmity and disease, making them inadequate to guide community health nursing practice. Despite being developed for individuals, Watson's theory is proposed as a nursing framework that is philosophically congruent with contemporary global approaches to community health and health promotion. An overview of her theory identifies the centrality of caring, holism, and ecology in the theory as it has evolved over the past 20 years. Concepts developed for individual-nurse interactions are extrapolated to the community in a discussion of the suitability of the theory to guide community health nursing practice. A community assessment tool based on Watson's theory is provided.

Community Health Nursing↗
PubMed1994

Environmental and occupational health education: a survey of community health nurses' need for educational programs.

1. Community health nurses address a wide variety of environmental issues, including problems with air and water quality, hazardous waste, and pesticide exposure. 2. Many community health nurses do not feel competent in identifying resources among health professionals and regulatory agencies to address environmental health issues. 3. Most community health nurses (79%) are interested in learning more about environmental health issues, with continuing education as the preferred format. 4. Major conceptual areas of occupational health and environmental health overlap, and qualified occupational health nurses may serve as resources in these particular areas.

Clinical Competence↗
PubMed1989

A description of community health nursing practice with the community-based elderly.

Current Medicare policy does not reimburse for the maintenance and prevention services provided by community health nurses (CHNs) in the management of those community-based elderly who are at risk of institutionalization due to chronic disease and/or functional dependence. Before CHNs can legitimately expand their practice into the area of management of chronic disease in the elderly, they must develop a better understanding of the relationship between the needs of this population and community health nursing practice. This study is one effort to build the desired data base to demonstrate the value of CHN involvement with the community-based elderly.

Aged↗
PubMedDate not supplied

Community health nurses' preferences for systems of protection.

This study examined community staff nurses' and nursing students' preferences for escort protection in areas in which they would refuse to go alone and investigated the nurses' comfort in performing tasks in the presence of a protector. Influence of type of agency, student--staff status, role performance, and evasion on preferences were made for health care delivery based on the findings.

Attitude of Health Personnel↗
PubMed1991

[Profile of the community health nurse].

This article highlights the profile of the community health nurse in the South African context. Our changing society and also the move in emphasis to primary health care services places great emphasis on the important role of the community health nurse in the health services of the future. A brief historical overview gives the development of the training for community health nurses in this country from the traditional health visitor, to the present day comprehensive basic training where community health is seen as part of the basic training for nurses. The answer to questions such as who and what is the community health nurse in South Africa is discussed and some essential characteristics of this nurse are described. Recent South African Nursing Council statistics reveal that only 7 percent of all registered nurses have the additional qualification in community health. Other statistics provide a view on numbers of registered nurses with the additional qualification in the different race groups.

Community Health Nursing↗