Sharpening the Focus on Populations: An Intentional Community Health Nursing Approach. Part II

An interpretive study conducted in a Midwestern metropolitan area was designed to examine expertise in everyday community health nursing (CHN) practice. Twenty‐five nurses from three practice areas (traditional, nontraditional, and program development) participated in group and individual interviews...

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Bibliographic Details
Published in:Public health Nursing 1999-02, Vol.16 (1), p.11-16
Main Authors: Diekemper, Margaret, SmithBattle, Lee, Drake, Mary Ann
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Biological and medical sciences
Clinical Competence
Community Health Nursing - organization & administration
Community Health Planning - organization & administration
Health participants
Humans
Medical sciences
Midwestern United States
Models, Nursing
Nursing
Nursing Methodology Research
Nursing Staff - psychology
Philosophy, Nursing
Program Development - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
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Summary:An interpretive study conducted in a Midwestern metropolitan area was designed to examine expertise in everyday community health nursing (CHN) practice. Twenty‐five nurses from three practice areas (traditional, nontraditional, and program development) participated in group and individual interviews and field observations, sharing stories of their practice. Transcribed interviews and field observation notes were analyzed as a text. One of the major findings of the study focused on experiences of the nurses as they developed the population aspects of their everyday practice. Part I describes the natural development of a population focus of CHN generalists whose care most often targeted individuals and families. The stories of how their practices evolved and were supported by their institutions provided insights into how nurses develop a broad population‐focused practice perspective. Part II examines the practice of those CHN specialists who nurse their target populations from an intentional perspective. Their population‐focused practice, in which they repeatedly displayed what the research team terms multilingual and multiperspectival skills, was solidly based in their prior individual and family‐focused experience and expertise in program planning and evaluation.
ISSN:0737-1209
1525-1446
DOI:10.1046/j.1525-1446.1999.00011.x