scholarly journals Nursing Students Achieving Community Health Competencies through Undergraduate Clinical Experiences: A Gap Analysis

2015 ◽  
Vol 12 (1) ◽  
pp. 143-154 ◽  
Author(s):  
Em M. Pijl-Zieber ◽  
Sylvia Barton ◽  
Oluwagbohunmi A. Awosoga ◽  
Jill Konkin
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Community Health ◽  
Gap Analysis ◽  
Clinical Experiences ◽  
Community Health Nursing ◽  
Clinical Rotations ◽  
New Graduates ◽  
Health Nursing ◽  
Nursing Roles

AbstractIn Canada, it is widely believed that nursing practice and health care will move from acute care into the community. At the same time, increasing numbers of nursing students are engaged in non-traditional clinical experiences for their community health rotation. These clinical experiences occur at agencies not organizationally affiliated with the health care system and typically do not employ registered nurses (RNs). What has yet to be established is the degree to which nursing students are actually being prepared for community health nursing roles through their community health clinical rotations. In this paper we report the findings of a mixed method study that explored the gap between desired and observed levels of competence in community health of senior nursing students and new graduates. The gap was quantified and then the nature of the gap further explored through focus groups.

New Curriculum, Primary Health Care and Nursing Practice

2000 ◽  
Vol 6 (1) ◽  
pp. 76
Author(s):  
Susan Mann ◽  
Tess Byrnes ◽  
Kate Saint
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Students ◽  
Community Health ◽  
Nursing Practice ◽  
Hospital Staff ◽  
Preliminary Evaluation ◽  
Community Health Nursing ◽  
Primary Health ◽  
Health Nursing

The Community Enrichment Programme (CEP) was a four-year program of study, which has incorporated Primary Health Care (PHC) and Community Health Nursing practice in the curriculum of a select cohort of undergraduate nursing students at Flinders University. At the end of the students' second undergraduate year this qualitative study showed that PHC principles had permeated the students' thinking. One of the aims of the project was to determine whether enough evidence could be generated to implement ongoing curriculum change. Preliminary evaluation of the views of students, community health nurses, nurse academics and agency and hospital staff has supported this aim. The inclusion of PHC theory and demonstrated practice has not only enhanced the students' knowledge and understanding of the complexities of Community Health Nursing practice but has positively influenced the students' overall perceptions about all nursing practice and its relationships with PHC principles, regardless of the setting. Academics in the School of Nursing are actively engaged in discussion and implementation of the outcomes to date.

Community Health Nursing Vision for 2020

2010 ◽  
Vol 33 (8) ◽  
pp. 1047-1068 ◽  
Author(s):  
Ruth Schofield ◽  
Rebecca Ganann ◽  
Sandy Brooks ◽  
Jennifer McGugan ◽  
Kim Dalla Bona ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care System ◽  
Primary Health Care System ◽  
Community Health Nursing ◽  
Community Health Nurses ◽  
Common Definition ◽  
The Future ◽  
Health Nursing ◽  
Care System

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.

Moral distress of undergraduate nursing students in community health nursing

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2340-2350
Author(s):  
Rowena L Escolar Chua ◽  
Jaclyn Charmaine J Magpantay
Keyword(s):  
Nursing Students ◽  
Community Health ◽  
Moral Distress ◽  
Community Setting ◽  
Senior Year ◽  
Community Health Nursing ◽  
Undergraduate Nursing ◽  
Institutional Review ◽  
The People ◽  
Health Nursing

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.

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