Integrative Nursing in the Community

2014 ◽  
pp. 344-355
Author(s):  
Judith Fouladbakhsh ◽  
Susan G. Szczesny

This chapter discusses integrative community health nursing, providing a model to guide practitioners as they address the physical, psychosocial and spiritual needs of individuals, families, communities and society overall. Community health nurses are in a prime position to comprehensively assess needs of community members, and integrate beneficial and culturally based healing interventions. At all levels of care, integrative community health nurses establish strong caring relationships, recognize the importance of cultural beliefs and values, and incorporate therapies to nurture the body-mind-spirit, resulting in whole person/system healing. Exemplars of integrative nursing are presented to illustrate creative possibilities for community health and wellness.

2010 ◽  
Vol 33 (8) ◽  
pp. 1047-1068 ◽  
Author(s):  
Ruth Schofield ◽  
Rebecca Ganann ◽  
Sandy Brooks ◽  
Jennifer McGugan ◽  
Kim Dalla Bona ◽  
...  

As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.


2021 ◽  
Vol 26 (03) ◽  
pp. 74-77
Author(s):  
Anne Orth

In Ländern wie Finnland und Kanada sind sie schon länger im Einsatz: Community Health Nurses. Das sind speziell ausgebildete Pflegefachpersonen, die in der primären Gesundheitsversorgung unterstützen. Pflegefachkräfte können sich dafür in neu konzipierten Masterstudiengängen qualifizieren.


2017 ◽  
Vol 31 (2) ◽  
pp. 156-178 ◽  
Author(s):  
Eun-Ok Im ◽  
Eun-Hi Kong

Background and Purpose:With an increasing emphasis on evidence-based nursing in general,evidence-based practicehas become a buzzword among community health nurses in many countries. Despite the global interests, evidence-based community health nursing is not even clearly defined in the literature and very little is known about the current status of evidence-based community health nursing. Therefore, the purpose of this article is to identify the status quo of evidence-based nursing in community health nursing through an integrative literature review.Methods:Four electronic databases were searched from the earliest year to 2016 with combinations of keywords. Twenty-six eligible articles were reviewed, and the characteristics reflecting the current status of evidence-based community health nursing were extracted.Results:Through the content analysis process, 6 characteristics were identified. First, in evidence-based community health nursing, the needs of clients, families, caregivers, and health care professionals were identified and assessed. Second, interventions were planned based on systematic reviews on various relevant sources. Third, various types of research methods were used. Fourth, available resources were assessed and used, and the findings of cost estimation, cost/effectiveness, or cost/benefit analyses were reported. Fifth, training, support, monitoring, and coordination were included as major components. Finally, the evidence used and/or found in the studies was evaluated, disseminated, and updated as the last step.Implications for Practice:Community health nurses are required to continuously integrate, implement, evaluate, disseminate, and update their evidence for future evidence-based community health nursing.


2014 ◽  
Vol 23 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Hye-Kyung Kang

A qualitative study examined the perceptions of doulas practicing in Washington State regarding the influence of cultural and community beliefs on immigrant women’s birth and perinatal care, as well as their own cultural beliefs and values that may affect their ability to work interculturally. The findings suggest that doulas can greatly aid immigrant mothers in gaining access to effective care by acting as advocates, cultural brokers, and emotional and social support. Also, doulas share a consistent set of professional values, including empowerment, informed choice, cultural relativism, and scientific/evidence-based practice, but do not always recognize these values as culturally based. More emphasis on cultural self-awareness in doula training, expanding community doula programs, and more integration of doula services in health-care settings are recommended.


Jurnal NERS ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. 301
Author(s):  
Martono Martono ◽  
Satino Satino

Introduction: Health promotion have an important role in order to improve community’s independency on health and healthy lifestyle which influenced by socio-cultural around them. The purpose of this study was to examine the contribution of health volunteer activeness, family empowerment, and healthy lifestyle perception on health sanitation behavior sector, so that can help to accelerate MDGs acheivement. Method: This was explanatory research with cross sectional approach. Ninety nine people were recruited as research samples. Independent variables were health volunteer’s activeness, family empowerment, and health lifestyle perception. While, the dependent variable was health sanitation behavior. Data were collected by using questionnaire. Data were then analyzed by using regression technique. Result: Result had showed that together health volunteer’s activeness, family empowerment, and healthy lifestyle perception have positive contribution to health sanitation behavior (25.4%). While partially, health volunteer’s activeness has result (0.2%), family empowerment (15.3%), and healthy lifestyle perception (9.9%). Discussion: The successfullness of health sanitation on community needs participation from family and community itself. Community health nurses should conduct health promotion as an effort to improve community’s knowledge about health behavior.Keywords: posdaya, health volunteer’s activeness, family empowerment, and healthy lifestyle perception


2021 ◽  
Vol 27 ◽  
pp. 330-335
Author(s):  
R. Siva ◽  
V. Sadan ◽  
G. Alexander ◽  
S. Immanuel ◽  
Priyadharishini Joy

There is a major demographic shift with increase in non-communicable diseases even in low- and middle-income countries. Many self-limiting illnesses are burdensome to people when they have limited access to health care system and poor family support. The aim of the study explores experiences of community health nurses in palliative care delivery in a primary health care setting. The study was conducted in Community Health Nursing Department, College of Nursing, CMC, Vellore. A qualitative research using a grounded theory approach was done which included in-depth interviews and focus group discussions from community health nursing faculty. This study used a deductive and inductive approach that stressed the process rather than the meaning of the studied phenomenon. The in-depth interviews lasted for 45 min–1 ½ h for each participant; focus group discussions were held in two sessions lasting for 2 ½ h. The group interviews were transcribed to verbatim. All transcripts were read multiple times to ensure correctness of the transcription by the authors to get an overall impression of the material before the initial coding. Authenticity, credibility, critical appraisal and integrity were demonstrated throughout the study. This study enlightens the experiences of the health care providers on palliative care delivery at the primary care setting and explores barriers, challenges and facilitators for delivery of good palliative home care. Totally, 15 subthemes were grouped under five major themes; community support, family support, acceptance of services, barriers and gaps in care. The in-depth interviews provided an insight into the experiences of the participants on successful collaborative services, caregivers fatigue and the barriers in providing services in the home care setting. Focus group discussion showed that a holistic approach to patient care in primary care setting is possible by community health nurses and a collaborative care from the secondary and tertiary care settings will bring down the non-compliance to the therapeutic regimen.


2018 ◽  
pp. 444-460
Author(s):  
Mary Koithan ◽  
Lisa Jaurigue ◽  
Sharyn Chesser

Historical approaches to community health nursing align with the values, concepts, and principles of integrative nursing. Caring across individual, family, community, and population levels of scale, integrative community health nurses recognize that the whole is reflected in the individual and the individual is reflected in the whole. Innovative integrative models of practice support optimal personal wellbeing, build community capacity, and nurture whole-systems wellbeing. This chapter discusses the principles of integrative nursing as a context for nursing in communities and presents three exemplars of integrative community healthcare programs: school nurses, the Partnership for Native American Cancer Prevention, and Capacitar International.


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