Partnering With Those We Serve: Using Experiential Learning Activities to Support Community Nursing Practice

The concept of community is multidimensional and may include geographical boundaries and/or the shared interests of its members. Community nursing practice involves nurses, patients, and families who collaborate to address health issues and to promote positive health initiatives. Informed by community health theorists, experiential learning activities provide the structure to promote partnering in community nursing practice to achieve outcomes that benefit those who serve and those who are served.

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Mobilising cross-sector collaborations to improve population health in US rural communities: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2019-030983 ◽

2019 ◽

Vol 9 (11) ◽

pp. e030983

Author(s):

Xi Zhu ◽

Paula Weigel ◽

Jure Baloh ◽

Mochamad Nataliansyah ◽

Nichole Gunn ◽

...

Keyword(s):

Public Health ◽

Rural Communities ◽

Community Health ◽

Social Services ◽

Health Issues ◽

Local Public Health ◽

Health Initiatives ◽

Governance Challenges ◽

Health Promoting ◽

Practical Factors

ObjectivesThis study examines types and forms of cross-sector collaborations employed by rural communities to address community health issues and identifies factors facilitating or inhibiting such collaborations.SettingWe conducted case studies of four rural communities in the US state of Iowa that have demonstrated progress in creating healthier communities.ParticipantsKey informants from local public health departments, hospitals and other health-promoting organisations and groups participated in this study. Twenty-two key-informant interviews were conducted. Participants were selected based on their organisation’s involvement in community health initiatives.ResultsRural communities used different forms of collaborations, including cross-sector partnership, cross-sector interaction and cross-sector exploration, to address community health issues. Stakeholders from public health, healthcare, social services, education and business sectors were involved. Factors facilitating cross-sector collaborations include health-promoting local contexts, seed initiatives that mobilise communities, hospital visions that embrace broad views of health and shared collaboration leadership and governance. Challenges to developing and sustaining cross-sector collaborations include different institutional logics, financial and human resources constraints and geographic dispersion.ConclusionsRural communities use cross-sector collaborations to address community health issues in the forms of interaction and exploration, but real and lasting partnerships are rare. The development, operation and sustainment of cross-sector collaborations are influenced by a set of contextual and practical factors. Practical strategies and policy interventions may be used to enhance cross-sector collaborations in rural communities.

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The power-trust cycle in global health: Trust as belonging in relations of dependency

Review of International Studies ◽

10.1017/s0260210521000346 ◽

2021 ◽

pp. 1-21

Author(s):

Emma-Louise Anderson ◽

Laura Considine ◽

Amy S. Patterson

Keyword(s):

Global Health ◽

Health Outcomes ◽

Positive Health ◽

Global Health Initiatives ◽

Health Initiatives ◽

Power Trust ◽

Trust And Power ◽

Positive Health Outcomes ◽

Exercise Of Discretion ◽

The Relationship

Abstract Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

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Planting seeds of community-engaged pedagogy: Community health nursing practice in an intergenerational campus-community gardening program

Nurse Education in Practice ◽

10.1016/j.nepr.2021.102980 ◽

2021 ◽

Vol 51 ◽

pp. 102980

Author(s):

Sonya L. Jakubec ◽

Joanna Szabo ◽

Judy Gleeson ◽

Genevieve Currie ◽

Sonya Flessati

Keyword(s):

Community Health ◽

Nursing Practice ◽

Campus Community ◽

Community Gardening ◽

Engaged Pedagogy ◽

Community Health Nursing ◽

Health Nursing

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SNFT Debrief: a strategy for debriefing Christian experiential learning activities for young adults based on psychological type theory

Journal of Beliefs and Values ◽

10.1080/13617672.2021.1928977 ◽

2021 ◽

pp. 1-15

Author(s):

Justin Peter

Keyword(s):

Young Adults ◽

Experiential Learning ◽

Type Theory ◽

Psychological Type ◽

Learning Activities

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Empowerment among adult patients with type 2 diabetes: age differentials in relation to person-centred primary care, community resources, social support and other life-contextual circumstances

BMC Public Health ◽

10.1186/s12889-021-10855-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nina Simonsen ◽

Anne M. Koponen ◽

Sakari Suominen

Keyword(s):

Social Support ◽

Community Health ◽

Age Groups ◽

Community Support ◽

Community Resources ◽

Age Group ◽

Health Issues ◽

Younger Adults

Abstract Background Rising prevalence of type 2 diabetes (T2D), also among younger adults, constitutes a growing public health challenge. According to the person-centred Chronic Care Model, proactive care and self-management support in combination with community resources enhance quality of healthcare and health outcomes for patients with T2D. However, research is scarce concerning the importance of person-centred care and community resources for such outcomes as empowerment, and the relative impact of various patient support sources for empowerment is not known. Moreover, little is known about the association of age with these variables in this patient-group. This study, carried out among patients with T2D, examined in three age-groups (27–54, 55–64 and 65–75 years) whether person-centred care and diabetes-related social support, including community support and possibilities to influence community health issues, are associated with patient empowerment, when considering possible confounding factors, such as other quality of care indicators and psychosocial wellbeing. We also explored age differentials in empowerment and in the proposed correlates of empowerment. Method Individuals from a register-based sample with T2D participated in a cross-sectional survey (participation 56%, n = 2866). Data were analysed by descriptive statistics and multivariate logistic regression analyses. Results Respondents in the youngest age-group were more likely to have low empowerment scores, less continuity of care, and lower wellbeing than the other age-groups, and to perceive less social support, but a higher level of person-centred care than the oldest group. Community support, including possibilities to influence community health issues, was independently and consistently associated with high empowerment in all three age-groups, as was person-centred care in the two older age-groups. Community support was the social support variable with the strongest association with empowerment across age-groups. Moreover, vitality was positively and diabetes-related distress negatively associated with high empowerment in all age-groups, whereas continuity of care, i.e. having a family/regular nurse, was independently associated in the youngest age-group only. Conclusion Person-centred care and community support, including possibilities to influence community health issues, supports empowerment among adults with T2D. Findings suggest that age is related to most correlates of empowerment, and that younger adults with T2D have specific healthcare needs.

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