The Community as a Field of Inquiry in Nursing

Sills, Grayce M.; Goeppinger, Jean

doi:10.1891/0739-6686.3.1.3

Cited by 4 publications

(7 citation statements)

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Section: Introductionmentioning

confidence: 99%

“…Community as Client applies the nursing process to the community and its aggregates: groups, organizations, social networks, families, and individuals (ANA, 1986;APHA, 1980). The Community as Client model has been used inconsistently in the public health nursing literature for two primary reasons: a lack of conceptual clarity in relation to the term "community," and, consequently, an underdeveloped articulation of the Paul L. Kuehnert units and targets of public health nursing practice (Schultz, 1987;Hamilton & Bush, 1988;Sills & Goeppinger, 1985).…”

Section: Introductionmentioning

confidence: 99%

“…A number of scholars have noted that a poor understanding of community may be endemic in U.S. culture and politics, with their emphasis on individualism (Beauchamp, 1985;Bellah et al, 1985;Bellah et al, 1991;Fry, 1983). In public health nursing, community is most often treated unidimensionally as a setting in which services are delivered to individuals and families (Sills & Goeppinger, 1985). But identification of "community as client" implies the community as a whole (Schultz, 1987) and necessitates approaching community multidimensionally as setting, unit, and target of practice (Sills & Goeppinger, 1985).…”

Section: Introductionmentioning

confidence: 99%

“…In public health nursing, community is most often treated unidimensionally as a setting in which services are delivered to individuals and families (Sills & Goeppinger, 1985). But identification of "community as client" implies the community as a whole (Schultz, 1987) and necessitates approaching community multidimensionally as setting, unit, and target of practice (Sills & Goeppinger, 1985). Interaction between public health nurses and various components of the community, with the unit and target of practice being the community as a whole, has been labeled "community-focused nursing" (Anderson, 1983;Storfjell & Cruise, 1984;Sills & Goeppinger, 1985).…”

Section: Introductionmentioning

confidence: 99%

“…But identification of "community as client" implies the community as a whole (Schultz, 1987) and necessitates approaching community multidimensionally as setting, unit, and target of practice (Sills & Goeppinger, 1985). Interaction between public health nurses and various components of the community, with the unit and target of practice being the community as a whole, has been labeled "community-focused nursing" (Anderson, 1983;Storfjell & Cruise, 1984;Sills & Goeppinger, 1985). The community-focused aspects of public health nursing remain virtually uncharted as an area of nursing research.…”

Section: Introductionmentioning

confidence: 99%

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The Interactive and Organizational Model of Community as Client: A Model for Public Health Nursing Practice

Kuehnert¹

1995

Public Health Nursing

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The Interactive and Organizational Model of Community as Client is presented as a conceptual framework for the specialty of public health nursing. A descriptive study was undertaken that explored a construct of the model, community-focused nursing. The study used a survey mailed to a stratified, random sample of directors of public health nursing (n = 145) in local health departments in an eight-state region of the midwestern United States. Seventy-nine percent (n = 115) of the directors responded. The vast majority reported performance of community-focused nursing functions. Implications for nursing-model development, education and practice are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Interactive and Organizational Model of Community as Client: A Model for Public Health Nursing Practice

Kuehnert¹

1995

Public Health Nursing

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Just what do we mean by community? Conceptualizations from the field

John

1998

Health Soc Care Community

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The community is often part of the 'taken-for-granted' or assumed world of the community nurse. Community health nursing literature has a range of theoretical explanations of what the community is. A conception of 'community as client' is also a basic notion in the community health nursing literature. However, it is less clear whether these theoretical perspectives are useful, or which theoretical concepts assume the most importance in practice. This grounded theory research explores how 17 excellent practising community health nurses from a variety of community practice settings conceptualized and operationalized their notion of the community. In-depth interviews were carried out and fully transcribed. Data were analysed to identify participants' definitions of the community and how they described their interactions with the communities they themselves worked in and with. Participants understood the community at a global, abstract level in terms of systems thinking. However, the communities with which they worked were described in terms of geography, provision of resources, as a network and consisting of target groups. Data were also examined for examples of participants describing the communities they worked with as a 'client' or an entity. While there were instances where this occurred, this was by no means universal. The most important contextual factor in determining a community as a 'client' was found to be where community members were connected. Where a population was not connected, participants focused their attention on the next largest connected unit, usually a group or family.

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Resident provider Contrasts in Community Health Priorities

Ruffing-Rahal¹

1987

Public Health Nursing

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Community analysis projects simultaneously conducted throughout a metropolitan area revealed a consistent contrast between community health priorities voiced by residents and by health care providers. Residents were primarily concerned with threats to environmental health, often inadequately understood, in their home communities. Providers focused on specific health needs of age aggregates, such as the elderly and children, within the existent health care framework. Findings underscore the critical issue of sample representativeness as a validity check in surveys purporting to ascertain "real" community health agendas. Similarly; the timeliness of an ecologic model for community health nursing practice is supported.

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The Community as a Field of Inquiry in Nursing

Cited by 4 publications

References 0 publications

The Interactive and Organizational Model of Community as Client: A Model for Public Health Nursing Practice

The Interactive and Organizational Model of Community as Client: A Model for Public Health Nursing Practice

Just what do we mean by community? Conceptualizations from the field

Resident provider Contrasts in Community Health Priorities

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