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Running head: COMMUNITY HEALTH NURSING PRACTICE

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Curriculum e!el"#men$ Pr"%e&&i"nal Nur&ing Prac$ice 'i$h C"mmuni$ie& e("rah Aderin M"ll") C"llege NUR*+,-,1 r. R"&e Schec$er N"!em(er 1/0 1,1+

COMMUNITY HEALTH NURSING PRACTICE 1 SAINT 2OSEPH COLLEGE I3ISION O4 NURSING NUR 51,-,1: PRO4ESSIONAL NURSING 6ITH COMMUNITIES In&$ruc$"r: . Aderin0 7SN0 RN. O%%ice: Ca&e) 1,1 4all 1,1+ Ph"ne: /19-:*+-,,,, C"ur&e e&cri#$i"n Thi& le!el I3 (accalaurea$e c"ur&e 'ill %"cu& "n $he a##lica$i"n "% $he"rie& %"r #r"m"$ing0 main$aining0 and re&$"ring $he heal$h "% c"mmuni$ie&. Em#ha&i& i& #laced "n $he u$ili;a$i"n "% $he nur&ing #r"ce&& in $he heal$h a&&e&&men$ "% %amilie& and c"mmuni$ie&. Heal$h #r"m"$i"n0 heal$h educa$i"n0 c""rdina$i"n and c"n$inui$) "% care are em#ha&i;ed a& $he r"le& "% $he #r"%e&&i"nal nur&e in c"mmuni$) #rac$ice. The e#idemi"l"gical #r"ce&& i& &$re&&ed in &ur!e)ing curren$ ma<"r heal$h i&&ue&. Pu(lic #"lic) i&&ue& rela$ing $" heal$h care are e=#l"red. + h"ur& lec$ure #er 'ee>0 ? h"ur& clinical #er 'ee>0 I &eme&$er. : credi$& Ra$i"nale %"r C"ur&e e&cri#$i"n In de!el"#ing $he curriculum %"r c"mmuni$) heal$h nur&ing #r"gram %"r undergradua$e &$uden$& m) g"al i& $" #re#are $he nur&ing &$uden$& $" #rac$ice in $he d)namic0 c"m#le= and emerging en!ir"nmen$& "% heal$h care $ha$ #re&en$& heal$h care demand& "n $he c"mmuni$). Pa$ien$& are underg"ing &h"r$er h"&#i$al &$a)@ $heir demand& are e=#l"ding in Auan$i$) and Auali$). The %"cu& "% c"mmuni$) nur&ing #rac$ice i& "n #re!en$i"n "% di&ea&e0 heal$h #r"m"$i"n and educa$i"n. The U.S. e#ar$men$ "% Heal$h E-mail: daderin8li"n&.m"ll").edu H"ur&: 1, am-1#m Cla&&: 6edne&da) 1,:,, -11:+,am Cla&&r""m: C11*

COMMUNITY HEALTH NURSING PRACTICE + and Human Ser!iceB& decade &$ud) "n na$i"nal heal$h #r"m"$i"n and di&ea&e #re!en$i"n i& $" #re!en$ di&ea&e and in<ur)0 im#r"!e heal$h0 and enhance Auali$) "% heal$h CHeal$h) Pe"#le0 1,1,0 1,1,D. Nur&ing curriculum need $" (e re!ie'ed and re!i&ed0 $" #re#are nur&e& $" re&#"nd $" $he need&0 heal$h #r"(lem&0 and heal$h ri&>&0 cul$ural 'a)& "% li!ing0 re&"urce&0 and #re%erence& "% $he c"mmuni$). A &$ud) c"nduc$ed in 1,,9 c"ncerning in$egra$i"n "% c"mmuni$) (a&ed $raining in$" $he nur&ing curriculum0 indica$ed h"' $he &$uden$& 'ere a(le $" inc"r#"ra$e $he $he"re$ical >n"'ledge and &>ill& in addre&&ing c"mmuni$) #r"(lem& CHammer0 6ilder E 7)rdD. Nur&e& reAuire in$egra$i"n "% man) &>ill &e$& and c"m#le= >n"'ledge $" (ridge $he ga# (e$'een mar>e$ dri!en medical >n"'ledge and caring human in$erac$i"n&. An e&&en$ial #ar$ "% %"rming nur&ing curriculum in $he c"mmuni$) nur&ing #rac$ice i& $" gi!e $he &$uden$& Auali$) clinical e=#erience& and $" #r"!ide &er!ice& needed in $he c"mmuni$). 7enner0 Su$#hen0 Le"nard0 and a) C1,1,D n"$ed $ha$ &$uden$& are un#re#ared $" mee$ $he demand& "% m"dern #rac$ice. The au$h"r& called %"r $ran&%"rma$i"n $ha$ 'ill hel# educa$"r& #re#are &$uden$& $" &er!e ("$h n"' and in $he %u$ure a& e=cellen$ nur&e& in c"m#le= and changing &i$ua$i"n&. 7) under&$anding $he direc$i"n "% nur&ing educa$i"n&0 im#"r$an$ curricular deci&i"n& can (e made $" im#ac$ $he <"urne) and "u$c"me&. E&$a(li&hing a curriculum %"r $he c"mmuni$) nur&ing #r"gram0 $he #rac$ice "% nur&ing '"uld re%lec$ change& in nur&ing educa$i"n.

COMMUNITY HEALTH NURSING PRACTICE 5 PrereAui&i$e& NU +*,0 PSY 1*,0 and NU 5,, The #ri"r >n"'ledge "% $he&e c"ur&e& i& $he %"unda$i"n %"r c"mmuni$) heal$h nur&ing #rac$ice. NU +*, i& $he #h)&ical a&&e&&men$ &>ill& cla&&0 'i$h em#ha&i& "n heal$h #r"m"$i"n and $he $"$al a&&e&&men$ "% $he clien$& including %ac$"r& a%%ec$ing heal$h &$a$u&0 heal$h hi&$"r)0 clien$ educa$i"n and $he a##lica$i"n "% nur&ing #rac$ice. The #ur#"&e "% $he (a&ic a&&e&&men$ &>ill& include& earl) de$ec$i"n and heal$h $eaching0 and c"mmuni$) re%erral&. Heal$h #r"m"$i"n 'ill %"cu& "n $"#ic& iden$i%ied in $he c"mmuni$). NU 5,, i& $he &$ud) "% $he c"nce#$ "% a %amil)0 $he %amil) en!ir"nmen$ a& rela$ed $" and in%luenced () heal$h and illne&& and $he %amil) a& a &)&$em. Thi& c"ur&e 'ill gi!e $he &$uden$& $he c"ncre$e m"del "% %amil) nur&ing #rac$ice0 and $" acAuire $he >n"'ledge (a&e needed $" c"m#le$e $he %amil) a&&e&&men$ and $" de!el"# %amil) nur&ing diagn"&e& and in$er!en$i"n guideline&. PSY 1*, i& a #&)ch"l"g) cla&& $ha$ %"cu&e& "n gr"u# d)namic and c"mmunica$i"n #r"ce&& (e$'een gr"u#& and indi!idual&. The >n"'ledge a$$ained in $hi& c"ur&e 'ill (e a %"unda$i"n %"r under&$anding &"cie$ie&0 cul$ure&0 (eha!i"r& and #&)ch"l"gical i&&ue& $ha$ ma) a%%ec$ $he heal$h "% $he c"mmuni$ie&. C"ur&e O(<ec$i!e& U#"n c"m#le$i"n "% $he c"ur&e0 $he &$uden$& 'ill: • em"n&$ra$e #r"%e&&i"nal nur&ing #rac$ice $ha$ %"&$er& cul$urall) a##r"#ria$e nur&ing care $" indi!idual&0 %amilie&0 and c"mmuni$) mem(er. • U$ili;e $he $he"re$ical and em#irical >n"'ledge %r"m humani$ie&0 &cience and "$her nur&ing c"ur&e& $" dem"n&$ra$e cri$ical $hin>ing &>ill& and au$"n"m).

COMMUNITY HEALTH NURSING PRACTICE * • • i&cu&& %ac$"r& in%luencing $he heal$h "% $he #e"#le in $he c"mmuni$). Em#l") e%%ec$i!e c"mmunica$i"n &>ill& in c""rdina$i"n 'i$h "$her care #r"!ider& in $he heal$h care "% clien$& in $he c"mmuni$). • E!alua$e e!idence-(a&ed care gi!en $" $he clien$& in $he c"mmuni$) acc"rding $" legal0 e$hical0 and #r"%e&&i"nal &$andard& "% Auali$) care. Ra$i"nale %"r C"ur&e O(<ec$i!e& O(<ec$i!e& %"r C"mmuni$) Nur&ing Prac$ice are "u$c"me &$a$emen$& $ha$ ca#$ure 'ha$ >n"'ledge0 &>ill&0 and a$$i$ude learner& 'ill e=hi(i$ %"ll"'ing in&$ruc$i"n&. The "(<ec$i!e& iden$i%ied %"r $hi& c"ur&e 'ere c"ined "u$ "% 7l""mB& Ta="n"m) "% c"gni$i!e d"main a& re!i&ed () L"rin Ander&"n and Fra$h'"hl in 1,,1. The %"ll"'ing c"gni$i!e le!el& are a##lied $" $he "(<ec$i!e&: A##lica$i"n Cdem"n&$ra$e&0 u$ili;e0 em#l")D $he &$uden$& 'ill (e a(le $" a##l) $he acAuired >n"'ledge $" $he nur&ing #rac$ice in $he c"mmuni$). Under&$anding Cc"m#rehen&i"nD0 $hr"ugh di&cu&&i"n and iden$i%ica$i"n $he &$uden$& 'ill ha!e $he a(ili$) $" c"n&$ruc$ ne' idea& "r c"nce#$& %r"m $he learned ma$erial&. E!alua$ing C&)n$he&i&D 'ill all"' $he &$uden$& $" <u&$i%) $heir cul$ural c"m#e$enc)0 $hr"ugh >n"'ledge "% !alue& and (elie%& "% $he c"mmuni$) mem(er&. C"ur&e C"n$en$ 1. In$r"duc$i"n $" C"mmuni$) Heal$h Nur&ingG Pu(lic Heal$h Nur&ing i. ii. iii. O!er!ie' "% C"mmuni$) Heal$h Nur&ing C"mmuni$)-(a&ed #rac$ice S$andard "% Pu(lic Heal$h Nur&ing

1. S$ruc$ure and 4unc$i"n "% C"mmuni$) Heal$h Nur&ing

COMMUNITY HEALTH NURSING PRACTICE : i. ii. iii. P"#ula$i"n %"cu&ed #rac$ice Heal$h #r"m"$i"n and ri&> reduc$i"n Heal$h educa$i"n and gr"u# #r"ce&&

+. R"le& and Se$$ing& %"r C"mmuni$) Heal$h Nur&ing i. ii. iii. i!. Pu(lic Heal$h Nur&ing H"me Heal$h Nur&ing Sch""l Heal$h nur&ing Occu#a$i"nal Heal$h Nur&ing

5. C"mmuni$) a& a Clien$: A&&e&&men$0 iagn"&i&0 Planning0 In$er!ening0 and E!alua$ing $he Heal$h Care Need& "% C"mmuni$ie&. i. ii. 6ind&hield a&&e&&men$ C"mmuni$) #ar$ner&hi#

*. The Pu(lic Heal$h S)&$em and Pr"ce&&e& i. ii. iii. i!. !. !i. Heal$h #r"m"$i"n and ri&> reduc$i"n Heal$h educa$i"n and gr"u# #r"ce&& E#idemi"l"g) C"mm"n c"mmunica(le di&ea&e a%%ec$ing $he c"mmuni$) En!ir"nmen$al heal$h and &a%e$) i&a&$er and $err"ri&m

:. Tran&cul$ural Nur&ing in $he C"mmuni$) i. ii. iii. The c"nce#$ "% cul$ure a##lied $" $he c"mmuni$) Heal$h #r"m"$i"n &$ra$egie& in mul$icul$ural #"#ula$i"n 7arrier& $" heal$h #r"m"$i"n

COMMUNITY HEALTH NURSING PRACTICE 9 i!. A'arene&& "% c"m#limen$ar) and al$erna$i!e healing m"dali$ie&

9. C"mmuni$) care Acr"&& $he Li%e S#an i. ii. iii. i!. Ma$ernal and ne'("rn #r"gram Sch""l age and ad"le&cen$ #r"gram Occu#a$i"nal heal$h #r"gram& %"r adul$& Older adul$& in $he c"mmuni$)

?. Pr"$ec$ing $he Heal$h "% 3ulnera(le P"#ula$i"n i. ii. iii. In%an$& and children 'i$h chr"nic c"ndi$i"n& Indi!idual& reAuiring h"&#ice care H"mele&&ne&&

/. Pu(lic P"lic) and C"mmuni$) Heal$h Ad!"cac) i. ii. Heal$h care ec"n"mic& R"le "% g"!ernmen$ "n %i&cal: Medicare0 Medicaid0 Third #ar$) #a)er& 1,. The Gl"(al C"mmuni$): In$erna$i"nal Heal$h C"ncern i. ii. iii. Heal$h di&#ari$ie& In$erna$i"nal Heal$h Organi;a$i"n Ne' and emerging heal$h i&&ue& Ra$i"nale %"r C"ur&e C"n$en$ C"mmuni$) heal$h nur&ing relie& "n $he &)&$ema$ic #r"ce&& "% de&igning and deli!ering heal$h &er!ice& and nur&ing care $" im#r"!e $he heal$h "% $he en$ire c"mmuni$). The #rimar) g"al "% c"mmuni$) heal$h nur&ing i& $" hel# a c"mmuni$) #r"$ec$ and #re&er!e $he heal$h "% i$& mem(er&0 'hile $he "$her &ec"ndar) g"al i& $" #r"m"$e &el%-care

COMMUNITY HEALTH NURSING PRACTICE ? am"ng indi!idual& and %amilie& CHun$0 1,,*D. Nur&e& '"r>ing in $he c"mmuni$) reAuire $he (a&ic >n"'ledge "n c"mmuni$) heal$h &er!ice&0 c"mmuni$) re&"urce& and $he a(ili$) $" deli!er c"mmuni$) heal$h &er!ice in$er!en$i"n& $" mee$ $he need& "% #e"#le m"re e%%ec$i!el) and e%%icien$l). 6"rld Heal$h Organi;a$i"n 1,1, rec"mmended a %rame'"r> %"r nur&ing educa$"r& "n $he >e) c"n$en$& $" (e included in $he c"mmuni$) nur&ing curriculum. I$ include& $he >e) r"le %unc$i"n "% $he nur&e0 $he #"#ula$i"n $arge$ed0 c"re c"m#e$encie&0 and $he $eaching and learning #r"ce&&. In an e%%"r$ $" ha!e a gr"und educa$i"n in c"mmuni$) heal$h nur&ing0 $he c"n$en$& "% $he c"ur&e are %"rmula$ed u#"n #re-e=i&$ing >n"'ledge. A &$ud) 'a& c"nduc$ed () Hammer e$. al C1,,9D dem"n&$ra$ed e%%ec$i!ene&& "% $he in$egra$i"n "% $he c"mmuni$)-(a&ed #ar$ner&hi# in$" $he curriculum. The de&igning "% $he c"ur&e c"n$en$& ga!e $he &$uden$& $he "##"r$uni$) $" a##l) >n"'ledge and &>ill& $" addre&& c"mmuni$) heal$h care &e$$ing&. The c"ur&e c"n$en$ in $he &$ud) 'a& crea$ed $hr"ugh $he academic and #rac$ice c"lla("ra$i"n. The e=#erience& $he &$uden$& had in $he &$ud) '"uld #re#are $hem %"r career& in c"mmuni$) heal$h care &e$$ing&. E%%ec$i!e $eaching de#end& "n e%%ec$i!e #lanning and de&ign 'i$h $he c"nce#$& arranged in a l"gical meaning%ul manner C7illing& E Hal&$ead 1,11D. The c"ur&e c"n$en$ &$ar$ed 'i$h (r"ad #er&#ec$i!e all"'ing $he &$uden$& $" (uild $heir >n"'ledge0 &>ill& and $ime $" educa$e $he c"mmuni$). C"ur&e A&&ignmen$& and E!alua$i"n& 1. Ca&e S$ud): Iden$i%) "ne c"mmuni$) heal$h i&&ue "(&er!ed 'hil&$ "n #lacemen$0 and cri$iAue $he &ch"larl) li$era$ure "n $he iden$i%ied heal$h i&&ue&.

COMMUNITY HEALTH NURSING PRACTICE / i&cu&& 'ha$ heal$h #r"m"$i"n &$ra$egie& $he c"mmuni$) nur&e ma) im#lemen$ $" addre&& $he iden$i%ied heal$h i&&ue. i&cu&& cul$ural care a& rela$ed $" indi!idual0 %amil) "r c"mmuni$). 1. Pre&en$a$i"n: Inc"r#"ra$e in%"rma$i"n %r"m )"ur li$era$ure re!ie' and "$her &"urce&0 #re&en$ in%"rma$i"n %r"m )"ur &$ud) "% $hi& c"mmuni$) heal$h #r"(lemGi&&ue $" $he cla&& "n de&igna$ed da$e. Pre&en$a$i"n &h"uld include de&cri#$i"n "% $he #r"(lemGi&&ue0 $he aggrega$e a$ ri&> and $he e=$en$ "% $he #r"(lem0 and $he e=i&$ing c"mmuni$) #r"gram& and re&"urce&. Hui;IIIIIIIIIIIII1,J Mid$ermIIIIIIIIIII 1,J 4inalIIIIIIIIIIII 1,J Pre&en$a$i"nIIIIIIIII.. 1,J Ca&e S$ud)IIIIIIIIII +,J Re%lec$i!e 2"urnalIIIIIII..1,J Ra$i"nale %"r A&&ignmen$& and E!alua$i"n& The #ur#"&e "% $he ca&e &$ud) and $he #re&en$a$i"n i& %"r &$uden$& $" de!el"# >n"'ledge and &>ill& $" anal);e e#idemi"l"gical da$a0 heal$h i&&ue& and heal$h need& %r"m a #"#ula$i"n #er&#ec$i!e. The &$uden$& 'ill e=#l"re $he need& "% a$ ri&> and !ulnera(le gr"u#& 'i$hin a #"#ula$i"n0 re!ie' a!aila(le rele!an$ c"mmuni$) re&"urce& $" addre&& a #"#ula$i"n heal$h i&&ue and $" de!el"# c"mmuni$) nur&ing &$ra$egie&. The re%lec$i!e <"urnal a&&ignmen$ i& an e=#l"ra$"r) 'ri$ing $" &$imula$e &$uden$&B $hin>ing a("u$ $he"re$ical and clinical c"nce#$& C2en&en0 E 2") 1,,*D. The u&e "% re%lec$i!e <"urnal '"uld #"in$ $" a #"&i$i!e in%luence "n "!erall &$uden$&B #r"gre&& in $he clinical &e$$ing&.

COMMUNITY HEALTH NURSING PRACTICE 1, The Aui; and $he e=amina$i"n& are $he &$andard $""l& %"r e!alua$ing $he &$uden$B& academic &ucce&& in $he cla&&r""m. Clinical ReAuiremen$& S$uden$& 'ill (e #laced in a !arie$) "% c"mmuni$) heal$h nur&ing #lacemen$&. Man) "% $he&e 'ill e=#"&e $he &$uden$& $" a (r"ader0 #"#ula$i"n-%"cu&ed r"le. Each &$uden$ i& e=#ec$ed $" c"m#le$e ? h"ur& each 'ee> %"r a &eme&$er $"$al "% /, h"ur&. Each &$uden$ 'ill &u(mi$ a curren$ CPR card and c"#) "% mal#rac$ice in&urance mu&$ (e &u(mi$$ed $" $he clinical %acul$) mem(er %"r clinical clearance. The &$uden$& #laced in h"me heal$h agencie& are e=#ec$ed $" ha!e a %unc$i"ning (l""d #re&&ure cu%%0 &$e$h"&c"#e and (andage &ci&&"r&. Clinical E!alua$i"n& S$uden$& 'ill (e e!alua$ed () $he %acul$) and clinical #rece#$"r. S$uden$& are re&#"n&i(le %"r a narra$i!e &el%-e!alua$i"n a$ mid-$erm and a$ $he end "% $he &eme&$er. S$uden$& 'ill recei!e ei$her PASS "r 4AIL. Clinical A&&ignmen$& 1. 6ee>l) re%lec$i"n <"urnal i& an in$egral #ar$ "% $he clinical e=#erience. H"'e!er0 %"r #a$ien$ c"n%iden$iali$) &$uden$& 'ill n"$ u&e clien$& name 'hen di&cu&&ing0 emailing $he re#"r$. 1. 2"urnal ar$icle& are #er$inen$ $" c"mmuni$) #lacemen$. S$uden$& 'ill (e reAuired $" 'ri$e a (rie% &ummar) "% $'" ar$icle& $ha$ are rela$ed $" $heir clinical e=#erience "r general heal$h i&&ue& in c"mmuni$). Indica$e h"' $he re&earch #re&en$ed c"uld (e a##lica(le $" clinical #rac$ice.

COMMUNITY HEALTH NURSING PRACTICE 11 ReAuired Reading Li&$& Har>ene&&0 G. A. E eMarc"0 R .4. C1,11D. Community and public health nursing: evidence for practice. Li##inc"$$@ 6illiam& E 6il>in& KThi& $e=$ in$egra$e& $he #rinci#le& "% e#idemi"l"g) and (a&ic (i"&$a$i&$ic& 'i$h c"re #rinci#le& "% c"mmuni$) heal$h nur&ing and #u(lic heal$h nur&ing. Thi& %"cu& 'ill #r"!ide ("$h $he me$h"d& and $he >n"'ledge nece&&ar) $" ga$her0 anal);e0 and e!alua$e da$a a& e!idence %"r c"mmuni$) heal$h #rac$ice deci&i"n&. 4in>elman0 A. C1,11D. Case management for nurses. Pear&"n Educa$i"nGPren$ice- $hi& $e=$ i& a c"nci&e0 u#-$"-da$e in$r"duc$i"n $" ca&e managemen$ %"r all nur&e&. Mead"'&0 P. C1,,/D. Community health nursing. American 2"urnal "% Nur&ing. 5?C/D0 115-1+1. Thi& <"urnal 'ill dem"n&$ra$e $he challenge& in%luencing "!erall heal$h "% c"mmuni$ie&. The &$uden$& 'ill al&" (e u$ili;ing $he %"ll"'ing 'e(&i$e&: The Cen$er %"r i&ea&e C"n$r"l and Pre!en$i"n Ch$$#:GG'''.cdc."rgD. C"mmuni$) Heal$h S$a$u& Indica$"r& Ch$$#:GG'''c"mmuni$)heal$h.hr&a.g"!D C"nclu&i"n The in$egra$i"n "% $he"r) and dem"n&$ra$ed clinical #rac$ice in $he c"mmuni$) ha& n"$ "nl) enhanced $he &$uden$&B >n"'ledge and under&$anding "% $he c"m#le=i$ie& "% c"mmuni$) heal$h nur&ing #rac$ice (u$ ha& #"&i$i!el) in%luenced $he &$uden$&B "!erall #erce#$i"n& a("u$ nur&ing #rac$ice and i$& rela$i"n&hi#& 'i$h #u(lic heal$h care #rinci#le&0 regardle&& "% $he &e$$ing&.

COMMUNITY HEALTH NURSING PRACTICE 11 Re%erence& Ander&"n0 L.6.0 E Fra$h'"hl0 .R C1,,1D. Taxonomy for learning, teaching and assessing: A revision of Blooms Taxonomy of educational objectives. Pear&"n0 Saddle Ri!er0 Ne' 2er&e) 7enner0 P.0 Su$#hen0 M.0Le"nard0 3 E a)0 L. C1,1,D. Educating nurses. A call for radical transformation. S$an%"rd0 CA: 2"&&e)-7a&& 7illing&0 . M.0 E Hal&$ead0 2. A. C 1,11D.Teaching in nursing: A guide for faculty C5$h edD.S$. L"ui& 0 MO: Saunder&. Hammer0 2.0 6ilder0 7.0 E 7)rd0 L C1,,9D. esson learned: !ntegrating a service learning community"based partnership into the curriculum. 2"urnal Nur&ing Ou$l""> **: 1,:-11, Heal$h) Pe"#le 1,1,. C 1,1,D. #ational health promotion and disease prevention C6hi$e Pa#erD. Re$rie!ed %r"m heal$h)#e"#le.g"!: h$$#:GG'''.heal$h)#e"#le.g"!G1,1,G$"#ic&"(<ec$i!e&1,1,G"!er!ie' Hun$0 R. C1,,*$. !ntroduction to community based nursing. +rd ed. Philadel#hia0 Li##inc"$$0 6illiam& and 6il>in&. 2en&en0 S. E 2")0 C. C1,,*$. Exploding a model to evaluate levels of reflection in baccalaureate nursing students. 2"urnal "% Nur&ing Educa$i"n 55.+:1+/-151 6"rld Heal$h Organi;a$i"n C1,1,D.A frame%or& for community health nursing education. Re$rie!ed %r"m h$$#:GG'''.&ear".'h".in$Gen$i$)Gnur&ingLmid'i%er)Gd"cumen$GSEANURGenGinde=.h$ml

COMMUNITY HEALTH NURSING PRACTICE 1+