The age range of the participants varied from the mid-thirties to late fifties, with the majority of the nurses being forty to fifty. Therefore, the findings will 14 provide understanding of and be generalizable to the population studied, namely community health nurses In a large urban community. A virtual community consists only of people that use their computers as the means of communication; however, they never meet personally. Essex County is bordered by human made boundaries. There is not a lot of racism in my community compared to other places. Atlanta residents also spend time year around enjoying college sports, which is a huge community based attraction in the city of Atlanta. For example, two participants from one health unit expressed perceptions regarding inadequate support from administration; two participants from another health unit expressed perceptions about the high degree of support they received from administration.
In fact, one participant was amazed at the degree of accuracy that the description reflected, and asked the researcher how she was able to so completely capture the essence of the value of community health nursing. We have to get extremely political. The geopolitical community I reside in is defined by jurisdictions outlined by government and law officials. Another participant had further suggestions regarding the implementation of both traditional one to one and community roles and activities: But I think the two have to work together. Public health nurses have to face certain challenges while working with different community group. The county developed healthcare program for those individuals that do not qualify for Medi-Cal has 25,000 enrollees. In addition, nurses, more than ever, need to be skilled at written and verbal communication.
For example: Sometimes your goals will conflict. Income levels vary widely, even in areas with high average incomes. In addition, some of the supervisors offered to post the Information Letter in the communication books at their health units to further inform community health nurses about the study. Both of these lists helped to guide the second interviews so as to achieve a clear and comprehensive understanding of the value of community health nursing from the participants' perspectives. We have the skills and information and. They indicated health was more than the absence of disease. These nurses may be ill prepared for the specialized roles and activities of community health nursing and therefore may experience burnout and leave community practice and often nursing altogether.
People like communicating on-line, thus, virtual communities also have some advantages in comparison with real communities. To assume this leadership, however, they must be able to successfully articulate and demonstrate the value of preventive services not only to themselves, but also to the rest of the Canadian populace. A considerable amount of farm workers travel from Mexico to work in agriculture in the United States and because of this, the members of this community can relate. A national movement for voluntary accreditation has placed new demands on nurses and public health agencies. Emergency response positions are available with the federal government in teams leading sanitary relief efforts for the survivors of disasters. My husband and I work in another area.
In qualitative studies, the meaningfulness of findings is achieved by reducing the distance between researcher and participant, and by eliminating artificial lines between subjective and objective reality Sandelowski, 1986. This is a referred to as a phenomenological community. The personal qualities and attitudes valued by participants in this study reinforce and support valued community health nursing activities. How can nurses be prepared to take on these broad policy challenges, she asked, in addition to helping sick people and managing clinical interventions? These various participant experiences and perceptions served to ensure that the theme clusters truly represented the value of community health nursing typically held by community health nurses in this urban center regardless of their unique work situations. Public health nurses sometimes double as health navigators to get people in the community the right information to help them make decisions for themselves, which can be further complicated when facing language and cultural differences. This was a new perspective to the researcher, a perspective that caused the researcher to evaluate graduate level education and community health nursing practice in a new light. The lower Rio Grande Valley has over one million people in which 90 percent of the population is Hispanic Migrant Health Promotion, 2012.
His objective perspective, empathy, and friendship were invaluable to the completion of this project. Consequently, community health nurses may be unclear about the value of their roles, and about the values that they should advance. Unequal access to health care and insurance coverage has notably increased morbidity and mortality among infants, pregnant women, and other vulnerable populations. Goeppinger 1988 examines five issues that make community health nursing research particularly problematic: a confusion about the domain of community health nursing, b inadequate definition of key concepts such as community, c inappropriate competition among research methods, d unpredictable collegial and financial support, and e inattention to the dissemination of research findings in practice environments. Most of all a nurse must ask guidance to the Heavenly Father in decision making and task to do.
What is a phenomenological community to which a person can belong? In dealing with this you must also assess your own beliefs as. The three most important qualities that one participant identified included firstly, communication - the ability to talk with and listen to numerous and varied people, followed by:. Matuk and Horsburgh 1989 have also recognized that the s tatus of community health nursing in Canada is in jeopardy. A political group would also be an example of this. What are some possible solutions to the challenges? Human-made boundaries can be structural, political or legal in nature. We must treat all of our patients with respect and dignity.
This chapter presents each of these themes and their related subthemes in the context of the participants' perspectives. They pattern collaboratively with other public wellness subjects that have different position. Churches and other religious institutions are important to the Atlanta community. A, The University of Saskatchewan, 1977 B. In this study, participants were selected who had a minimum of two years of community health nursing experience and who could communicate their perceptions about the value of community health nursing as a result of that experience.
Chapter 02, Geopolitical and legal factors in international business Geopolitics is the study of the influence of political and economic geography on the politics, national power, and foreign policy of the states. The establishment and maintenance of strong staff development programs within community health nursing agencies could help sensitize community health nurses to these changing values. A clear definition of community health nursing is particularly vital in these times of economic restraint. Some of the trends that affect community health nursing practice include: fiscal constraints and priorities, early hospital discharge, an increasing elderly population, and an erosion of the community health nurse role by other health care professionals, such as the family advancement worker and physicians. What we have to do is let some non-evidence-based programs go.
It is when working with these patients that the dynamics of quality versus quantity of life become central to care. Geopolitical communities are formed by either natural or human-made boundaries. First of all there ill be language and cultural barrier. As one participant noted: 101 We in the community like the idea of support to the client, but we don't like the idea of having hospital nurses doing our job, visiting the mothers. This relationship may be reciprocal in that these values can help to direct research to what community health nurses consider as important in their work, and conversely, data uncovered or clarified by research can affect the values that community health nurses hold about their work. This chapter describes how this method was interpreted and utilized in the selection of the study sample, data collection and data analysis, and in addressing issues of reliability and validity.