Critical Service Learning in Community Health Nursing: Enhancing Access to Cardiac Health Screening

2013 ◽  
Vol 10 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Angela Gillis ◽  
Marian A. Mac Lellan

AbstractCritical service learning (CSL) offers promise for preparing community health nursing students to be advocates for social justice and social change. The purpose of this article is to describe a community based CSL project designed to provide cardiac health screening to an underserviced population, wherein nursing’s role in social justice is integrated into nursing practice. First, the relationship between social justice and CSL is explored. Then, the CSL approach is examined and differentiated from the traditional service learning models frequently observed in the nursing curriculum. The CSL project is described and the learning requisites, objectives, requirements, and project outcomes are outlined. While not a panacea for system reform, CSL offers nursing students avenues for learning about social justice and understanding the social conditions that underlie health inequalities. Nurse educators may benefit from the new strategies for incorporating social justice into nursing curriculum; this paper suggests that CSL offers one possibility.

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2340-2350
Author(s):  
Rowena L Escolar Chua ◽  
Jaclyn Charmaine J Magpantay

Background: Nurses exposed to community health nursing commonly encounter situations that can be morally distressing. However, most research on moral distress has focused on acute care settings and very little research has explored moral distress in a community health nursing setting especially among nursing students. Aim: To explore the moral distress experiences encountered by undergraduate baccalaureate nursing students in community health nursing. Research design: A descriptive qualitative design was employed to explore the community health nursing experiences of the nursing students that led them to have moral distress. Participants and research context: The study included 14 senior nursing students who had their course in Community Health Nursing in their sophomore year and stayed in the partner communities in their junior year for 6 and 3 weeks during their senior year. Ethical considerations: Institutional review board approval was sought prior to the conduct of the study. Self-determination was assured and anonymity and confidentiality were guaranteed to all participants. Findings: Nursing students are vulnerable and likely to experience moral distress when faced with ethical dilemmas. They encounter numerous situations which make them question their own values and ideals and those of that around them. Findings of the study surfaced three central themes which included moral distress emanating from the unprofessional behavior of some healthcare workers, the resulting sense of powerlessness, and the differing values and mindsets of the people they serve in the community. Conclusion: This study provides educators a glimpse of the morally distressing situations that often occurs in the community setting. It suggests the importance of raising awareness and understanding of these situations to assist nursing students to prepare themselves to the “real world,” where the ideals they have will be constantly challenged and tested.


Author(s):  
Neti Juniarti ◽  
Jeffrey Fuller ◽  
Lana Zannettino ◽  
Julian Grant

AbstractAim:To develop a conceptual framework that can be used for the integration of community health nursing (CHN) practice, education, and research within a Nursing Centre (NC) model.Background:New forms of training and support are needed to equip nurses to manage the complex and costly challenges facing health care systems. The NC model provides scope to address these challenges by integrating nursing practice, education, and research. However, there is little information about how these constructs are integrated or how education is constituted within the model.Methods:This study used an embedded single case study design across three Nursing Centres (NCs) in West Java Indonesia. Semi-structured interviews and a review of relevant documents were conducted. Interview participants were recruited purposively to select stakeholders with rich information, including clients, nurses, nursing students and lecturers who have been using the NC model, as well as the head of the co-located Community Health Centres. Data was analysed using thematic analysis, pattern matching and cross-unit synthesis.Findings:Four components relevant to integration in the NC were identified, namely (1) client-centred care as the shared common ground for integration in the NC; (2) nursing education using a service learning approach; (3) the NC as a model for reviving CHN services; and (4) service improvement through research and community service activities. The service learning approach was identified as appropriate because it links services with the learning process and this serves to address the interests of both practice and education institutions. The conceptual framework identified in this study can be used to improve the functionality of NCs in Indonesia and be considered for use internationally.


1992 ◽  
Vol 6 (4) ◽  
pp. 203-208 ◽  
Author(s):  
Kathleen C. Brown ◽  
Anne Hubbard Mattson ◽  
Karen D. Newman ◽  
Ann T. Sirles

2019 ◽  
Vol 2 (1) ◽  
pp. 22-30
Author(s):  
Nur Setiawati Dewi ◽  
Artika Nurrahima ◽  
Panji Wisnu Wirawan

Introduction: The learning process of nursing students faced complexity problems, particularly in community health nursing course. There is no latest information technology application that addresses are impacted to the educational problems of undergraduate and professional nursing program. An unclearly visualization of the data assessment of community nursing care provide distresses for lecturer and nursing student. Geographic Information Systems (GIS) provide a detail visualization that related to health problems in the community. This study aims to provide a visualization about the development of  GIS that may become an alternative learning for nursing students.Methods: This article describes the part of action research process. Five nursing students and two lecturers of community health nursing were recruited. The data collection was conducted by interview and observation for data assessment in the first step of development of GIS application.Results: There were four steps of making of GIS application, which is divided into four steps, including need analyzing, application design planning, the diagram of data flow, and application description.Conclusion: The GIS has benefit for learning process, some policies are necessary to mediate the development and application of GIS for nursing students in community health nursing course. 


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