Sunday, November 2, 2003

This presentation is part of : Communicate Based Initiatives to Promote Health

Community-Based and Community-Focused Nursing: Situating the Territory

Roxie Thompson Isherwood, RN, BN, MEd, Faculty of Nursing, Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
Learning Objective #1: Identify and discuss the shared and distinct dimensions of practice in community-based and community-focused nursing
Learning Objective #2: Analyze and evaluate the relevance and usefulness of an integrated model for selected community-practice contexts

In our evolving health care system, nurses are increasingly challenged to respond to health issues at individual, family, and community levels within a variety of community settings. What are the shared and distinct dimensions of practice in community-based and community-focussed nursing? What are the implications of these shared and distinct features for the practice, education, and research stakeholders? This presentation will present a conceptual framework that situates the multiple practice areas of community within the larger community system. Based on this conceptualization, participants will be challenged to look for practice similarities, as well as differences, between and among the various clinical contexts within the community. The nature of community-based and community-focussed practice as portrayed in the literature will be explored in terms of current challenges as seen through the eyes of practising nurses and educators. Additionally, the idea of a blended practice approach will demonstrate the potential power of a perspective that combines community-based and community-focussed knowledge and skills. The author suggests that an integrated approach may enable practitioners, educators, and researchers to create new ways of viewing the knowledge, skills, and attitudes necessary to build capacity at multiple levels and within multiple contexts. Finally, a model for a community approach will be presented to engage audience members in an active exploration of the relevance of community perspectives in service and academic settings. Applications and implications for stakeholder groups will be investigated, leaving the audience with a sense of possible next steps in "thinking community" in academic and clinical contexts.

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