Community Nursing Practice Model
The prevalence of illness among poor urban and rural populations increase the demand for critical care services. However, there is a shortage for physicians who can take up responsibilities in the community health sector. Among the efforts in place to strengthen the human resource is the growing interest to have nurses in advance practices participate inpatient care at the community health level. By applying the community, nursing practice model advanced practice nurses are better prepared to deliver care and outcomes to patients in poor communities.
The Community Nursing Practice Model
The community nursing model plays an essential role in ensuring that less privileged communities can access better healthcare by providing a framework for community nurses to focus on entire populations that have similar health concerns or characteristics. For example, a society where there are reproductive health issues, nurses applying this model in such a community will be able to know what the needs of the community are as far as reproductive health is concerned (Maclaine, 2014).
The model considers all levels of prevention, which include primary prevention whereby the advanced practice nurses promote health and protect against threats to health in the community. For example, carrying out awareness in the community on sexually transmitted diseases and distributing latex condoms in the community (Maclaine, 2014). Another level of prevention is secondary prevention, which involves the community nurses’ practitioners detecting and treating problems at the early stage of detection so that the health problem does not cause serious problems or affect others. The last level of prevention involves the community nurse practitioner preventing existing problems from getting worse.
The MSN Essential
Clinical prevention and population health are one of the MSN essential that is relevant to the community nursing practice. The underlying notion of this MSN essential is recognizing that masters prepared nurse applies and integrates a good organizational, patient-centered and culturally appropriate idea in planning to deliver and managing of clinical prevention and community care services to individuals and families (AACN, 2011). Under this essential, it is well elaborated that a master’s degree level nurse should be able to synthesize broad social determinants of health and data from epidemiology to design and deliver clinical interventions to the communities in need while using relevant strategies.
In summary,the model has transcended values of respect, care, and wellness, which are essential in primary health care. The CNP and MSN essential provide a framework for nurses who want to practice in the community health sector and especially for advanced care nurses. The model depicts community health nursing practitioners as an essential part of an interdisciplinary team that includes physicians and nutritionist. The team approach is vital to the success of community health practice.
Maclaine, K. (2014). Advanced Nursing Practice in the Community. Community Health Care Nursing, 234-252. doi:10.1002/9781444316247.ch15
The American Association of Colleges of Nursing (AACN) (2011). AACN Resources to Facilitate Integration of the Essentials of Master’s Education in Nursing. Nurse Educator, 36(5). doi:10.1097/nne.0b013e3182297b78
Wessel, L. A. (2005). Nurse Practitioners in Community Health Settings Today. Journal of Health Care for the Poor and Underserved, 16(1), 1-6. doi:10.1353/hpu.2005.0019
Eduardo Soto Quinones
Florida National University
July 17. 2019
Nurse Practitioners are the principal group of advanced-practice nurses delivering primary care in the United States and are the initial point of patient contact in many settings and deliver care consistent with their areas of expertise and the laws that govern nursing scope of practice. Nurse practitioners deliver primary care in small and large private and public practices, and in clinics, schools, and workplaces. Often taking the lead clinical, management, teaching, researching and accountability roles in innovative primary care models. Nurse practitioners care for a wide range of patients from babies to senior citizens. They can diagnose and treat patients for many common ailments, also prescribe medications, order lab tests as well as interpret the data to treat a patient. Family nurse practitioners have a long history of engaging patients in their care, helping them to understand their illness and practical measures they can take for improvements. With the growing complexity of health care and diminishing availability of primary care physicians, many patients are seeing family nurse practitioners for their primary needs.
I think essential IX: Master’s Level Nursing Practice, is related to community nursing practice. Nurse practitioners must be prepare to implement safe, quality care in a variety of settings and roles. Also must advocate for patients, families, caregivers, communities and members of the health care team.
American Association of Colleges of Nursing.(2011). The essentials of master’s education in nursing.
US Department of Health and Human Services. Bureau of Labor Statistic.( 2016). The Registered Nurse Population.
Marie Germain Discussion: 7
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After reading this article, I came to the realization of the role and collaboration and need of the Family Nurse Practitioner throughout the community. The NP can use the Community Nursing Practice Model to facilitate the care needed for the undeserved population within our communities. The Association of Clinicians for the Underserved (ACU) defines transdisciplinary care as a holistic approach to patient assessment and treatment through a highly collaborative team of health care professional (Wessel 2005). According to Wessel (2005), the ACU advocates for improved healthcare for under deserved populations who receive irregular health care due to existing health disparities in the healthcare system across America. The nursing practice model helps in the provision of preventive care and maintenance as well as continued patient education for people suffering from chronic illnesses such as Diabetes, Hypertension, and HIV/AIDS.
The community health nursing model provides the network through which community health nurses work with people, supports and practice that represents the standards of community health nursing. The standards of practice revolve around values, beliefs, which empowers the community health nursing to focus on improving the health of people in the community by facilitating change in health systems or society in support of health care outcome and provision for patient in need in both rural and urban community. As a FNP, we can work throughout the community in variety of different role and settings, as a care provider, educator, advocate, manager, collaborator leader, and researcher. Nursing Practice (NP) provides adequate care to the patients by developing a close relationship with them, building their strength as well as responding to their demands holistically, mind, body and spirit. NP are equipped the with in-depth knowledge of care and prevention. With this, nurses will be in a better position of sensitizing patient in under deserved communities on causes of certain diseases, as well as initiating education and preventive measures that are patient-centered, to improve their overall quality of health. I came to understand that empowering patients is vital in improving the outcome of patient health in under deserved communities. With empowerment, patients will be able to take good care of themselves, change their lifestyle, and alleviate acute disease exacerbations. Moreover, NP working within the community curbs regular visits to the hospital; in this instance; which is cost effective for the patients, making it more beneficial to the minority populations (Wessel, 2005).
The MSN essential that is most significant and correlates with Community health is essential VII Interprofessional Collaboration for Improving Patient and Population Health Outcomes. It is patient-centered and integrates concepts that are culturally accepted in healthcare planning, delivering, managing, and evaluating diseases based on the evidence, prevention, care, as well as services to families, individuals, and identified communities. The MSN essential VII prepared Nurse Practitioner working within the community, to allocate the proper referral, consults, collaborate and educate individuals towards optimal health outcomes (American Association of Colleges of Nursing, 2017).
American Association of Colleges of Nursing. (2011). The essentials of master’s education in
nursing. March 21, 2011.
Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of
health care for the poor and underserved, 16(1), 1-6.
Community Nursing Practice
Community Nursing Practice
There are numerous fields where a registered medical attendant can practice. One area of these fields is known as Community Health Nursing. Community nursing integrate evidence-based research with the public health needs to give care dependent on science and facts. Public health medical attendants frequently hold jobs in the legislature or at freely financed facilities, yet besides work for private wellbeing offices. The Community health nursing model (CHNM) outlines the dynamic idea of public health nursing work on, grasping the present and anticipating into the future (American Nurses Association. 2013). The CHNM gives the vehicle through which public health medical attendants work with individuals and supports the training that epitomizes the principles of public health nursing. The standards of practice rotate around both the beliefs and values and the nursing process with the energies of public health nursing continually being centered on improving the health of individuals in the society and encouraging change in systems or society in help of wellbeing. Wessel contends that public wellbeing nursing practice does not happen in disengagement yet instead inside an ecological setting, for example, approaches inside their work environment and the service structure pertinent to their work (2005).
One MSN Essential that most corresponds to this discussion identified with public nursing practice is how the nurse practitioners can serve as an advocate. In their communities, medical caretakers advocate for the necessities of patients and their families by utilizing their aptitude to influence those in positions of power in regards to financial issues, just as issues in the educational and health care sectors (ANA. 2013). Medical attendants likewise, straightforwardly advocate for patients in specific cases where a need is evident.
American Nurses Association,. (2013). Public health nursing: Scope and standards of practice.
Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of health care for the poor and underserved, 16(1), 1-6.
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Week 12 Discussion Gretell Alfonso
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While making the decision of where to take my career as a registered nurse to the next level, I was always in between Nurse Practitioner and CRNA. However,when I thought of the option of nurse practitioner I was confused and lacking the knowledge when thinking about where they are able to practice. For example, for sure I understood and knew that they can practice in a hospital or in a family primary care office but, I never really thought about any other settings therefore giving me a limited perspective as to where Nurse Practitioners could work. My decision was to go into Nurse Practitioner program because I knew that I would enjoy working at either one of these settings but mainly in a doctors office. As I go through the program I have learned that as a nurse practitioner I can work in many other settings and take on different roles, the ones I never really thought I could as well. As a nurse practitioner we have the ability to play many roles such as a primary care professional, teacher, researcher and management. After reading the article “Nurse Practitioners in Community Health Settings Today” I was able to make myself more aware of the places I can take my degree and roles to use them to the fullest potential possible. Although this article mainly focuses on the nurse practitioner working in a community setting, it explores great ideas in how to help the patients that cannot afford health insurance. As we are aware, many people in USA are experiencing health insurance issues and therefore not able to receive preventive health care or any care. As nurse practitioners we can be a part of changing that to a more positive thought. Helping the undeserved and low income people to receive care can be done just how the nurse practitioner in the article “Nurse Practitioners in Community Health Settings Today” explains how she has accomplished it such as by providing primary care to those uninsured immigrants on a community health van. Nurse practitioners are professionals who are able to provide health care to the community by using a combination of their skills and educating patients on their health due to their previous experience as a nurse. A nurse practitioner will concentrate more in the patients health care needs and assist them to achieve them while working along with an MD who will diagnose the patient and not spend as much time talking about other topics such as how can a patient afford their medication. The essential that I believe applies to the nurse practitioner role is VII-Interprofessional Collaboration for Improving Patient & Population Health Outcomes. I believe that interprofessional collaboration is exactly what we do when working with Medical doctors due to the fact that we cover the topics and go over them with the patients that the MD might not have time to talk about with them. Patients have many questions when it comes to their health and a lot of the noncompliance with their health comes through not being educated enough about their diagnoses or illness. AsNP’s we work closely with doctors to make sure our patients receive the best care possible while clarifying all the questions and concerns our patients have which will provide better health outcomes to our patients.
Adkins, C. (2003). Agenda for change: Guidance for community practitioners and community nurses: The journal of the health
visitors’ association. Community Practitioner, 76(10), 390-392. Retrieved from
The Essentials of Master’s Education in Nursing. (2011). American Association of Colleges of Nursing. Retrieved July 17, 2019,
MSN1A/AACN MastersEssentials 2011.pdf.
The Journal for Nurse Practitioners Continuing EducationCredit Application. (2014). The Journal for Nurse Practitioners, 10(1),
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Family nurse practitioners (FNPs) are provided with opportunities to work in a variety of settings, including primary care hospitals, acute care facilities, and urgent-care centers. A trained nurse has to acknowledge the differences between these settings and modify their strategies depending on the environment and the needs of the patient. Similarly, FNPs may participate in research and assume management roles (Wessel, 2005, p. 1). In other words, FNPs are expected to prioritize flexibility. Nevertheless, it is also beneficial to focus on a specific setting to gain experience and become an expert. For example, many trained professionals recognize that community nursing requires unique skills and knowledge to provide high-quality care. The Community Nursing Practice Model focuses on the connection between different dimensions of healthcare that may influence a specific nursing situation. The advantage of this model is that it highlights the need to establish organizations with wide jurisdictions to address the needs of groups and communities. Wessel (2005) believes that this approach is necessary to provide disadvantaged communities with the necessary services (p. 5). Association of Clinicians for the Underserved (ACU) is one of such organizations, and its objective is to establish an organizational structure that would help communities in need such as undocumented immigrants to gain access to healthcare services. One may argue that the 8th Essential may be linked to the practices associated with community nursing because this Essential focuses on the application of nursing concepts in the context of population health (AACN, 2011, p. 24). Low-income communities and minority groups are disproportionately affected by health disparities. One has to recognize that core healthcare challenges cannot be addressed if the needs of disadvantaged groups are not taken into account (CDC, n.d.). Thus, community nursing practice should be viewed as a core element of nursing practice because it could help to address current challenges.
American Association of Colleges of Nursing (AACN). (2011). The Essentials of master’s education in nursing [PDF file]. Retrieved from http://www.aacnnursing.org/portals/42/publications/mastersessentials11.pdf
Centers for Disease Control and Prevention (CDC). (n.d.). CDC community health improvement navigator. Retrieved from https://www.cdc.gov/chinav/
Wessel, L. A. (2005). Nurse practitioners in community health settings today. Journal of Health Care for the Poor and Underserved, 16(1), 1-6. doi: 10.1353/hpu.2005.0019
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