Sunday, November 2, 2003

This presentation is part of : Collaborative Health Initiatives

A Community Health Nursing Model in an International Setting that Emphasizes Partnerships

Elizabeth Sloand, MSN, CPNP and Sara Groves, DrPH, RN, CS. Johns Hopkins University School of Nursing, Baltimore, MD, USA
Learning Objective #1: Describe an innovative approach to partnership as used in an international setting with a community health model
Learning Objective #2: Identify a successful strategy to enhance the cultural competency of nursing students

The Johns Hopkins University School of Nursing (JHUSON) uses a community health practice model in their work in the East Baltimore neighborhood that emphasizes the complementary roles of the nurse practitioner and the advanced practice community health nurse. An essential component of this model is the establishment of community-based partnerships that facilitate, enhance, and give validity to the nursing care provided. This practice model was adapted and used with an international multidisciplinary health team to bring primary health care services to a rural Haitian community. Several nursing faculty members were part of a church-based American health team that worked in partnership with local Haitian community and church leaders, along with local health care providers, nurses, and health agencies. As in the urban Baltimore experience, these partnerships have strengthened over time, and have maximized the impact of the health care that is delivered.

With the increasingly global nature of health care, it is critical that nursing students and faculty become progressively more aware of cultural differences and comfortable in participating in culturally competent care. This year, faculty extended the project to advanced practice nursing students, giving the students a valuable immersion experience in a developing country. The students, who were in the nurse practitioner or community health program, were fully engaged members of the interdisciplinary health team. As such, they were able to participate in the established nursing model, honor and develop partnerships, and provide culturally competent health care to the families in the rural Haitian village.

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