Peer Responses:
Length: A minimum of 150 words per post, not including references
Citations need to be within 5 (Five)  years
Context: Nursing in the USA
See the attachement for the original assignment

T5 W5 D1 R2

There are three basic well known theoretical models of community nursing: the public health model, community change model, and community participation model  (Chalmers & Knstajanson, 1989).  The relation of systems to health in a broad sense; you can look at different systems and how they interact specifically such as schools, clinics, community centers, nursing homes.  Each are unique systems – that function around health in different ways.  For instance, many schools have a school nurse who runs prevention programs such as flu shot clinics, as well as offering health care and public health checks such as lice checks.  Clinics are specifically set up for health care, but a free community clinic would offer a blend of health care and social services as well as preventive services to try to help the population avoid needing more expensive care.  Nursing homes or assisted living facilities frequently offer primary prevention services to their residents such as flu/pneumonia shots, health education etc in addition to facilitating health care appointments, social service agency appointments and in the case of a nursing home offering actual nursing and medical care.  Nurses definitely play a role in all of these systems.  Additionally, I think if one has the ability and the time, volunteering in public health is important.  In the article written by Mccollum, Kovner, Ojemeni, Brewer, & Cohen (2017); they state “Leveraging nurses’ interest in volunteer work could improve the way nurses engage with their communities, expand the role of nurses as public health professionals, and foster the social desirability of healthful living.”  I volunteer at a free clinic an hour away from me, and it is eye opening as well as satisfying.  Seeing how we can help people make small healthy changes, and connect them with resources they didn’t know were available to them such as the local community garden is gratifying.  More gratifying is seeing these same people come back with their children, and seeing the changes in their childrens lives from the knowledge they have gained in our clinic.  Every year my friends and I volunteer for career day at our childrens school, and every single presentation either a child or a parent comes up to one of us to get more information on how to educate themselves on health related topics.  Nurses absolutely can make a difference in their communities!

Screening and health promotion are important tools to help educate and identify potential problems hopefully before they become actual problems.  By health promotion, we can educate the public to advocate for themselves. The greatest barrier I see to these programs is funding.  Ethically, if your health fair is sponsored by a heart medication for instance – are you really going to be non-biased?  Finding funds without strings is very hard.
References
Chalmers, K., & Knstajanson, L. (1989). The theoretical basis for nursing at the community level: a comparison of three models. Journal of Advanced Nursing, 14(7), 569–574. doi: 10.1111/j.1365-2648.1989.tb01592.x

Mccollum, M., Kovner, C. T., Ojemeni, M. T., Brewer, C., & Cohen, S. (2017). Nurses Improve Their Communities’ Health Where They Live, Learn, Work, and Play. Policy, Politics, & Nursing Practice, 18(1), 7–16. doi: 10.1177/1527154417698142

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