community nursing essay

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• The Importance of Community Health Nurses

The Importance of Community Health Nursing

Community health nurses are a vital link in the health and welfare of neighborhoods. These registered nurses focus on improving the lives of diverse communities of infants, children, adolescents, and adults through education, prevention, and treatment.

“They assist with equalizing health care in diverse populations, so that care is more equitable, affordable, and well-coordinated,” says Sheila Rucki , faculty member in the Purdue Global School of Nursing.

“Community health nurses look at the broader needs of a population, not just an individual,” says Jessica Gordon , associate dean. “The agenda is health promotion, disease prevention, and recognizing the needs of the community.”

Learn more about the role of community health nurses, what their future looks like, and how to become one.

What Is a Community Health Nurse?

Community health nurses start by building trust and relationships with individuals and local leaders. They also develop a strong understanding of people’s backgrounds, experiences, and the social factors that influence health, with the goal of practicing cultural humility with empathetic care.

Many members of the community who take advantage of these services might not otherwise have access to private physicians or testing services, among other medical necessities.

“Ethnically diverse and culturally diverse populations are the most underserved,” Rucki says. “Those are the individual groups that benefit most from this kind of health care."

Community health nurses often participate in mobile clinics to help underserved populations, she says.

“The homeless are hard to reach because they are mobile,” Rucki says. “They benefit greatly from the care provided by community-focused providers, particularly nurses.”

What Do Community Health Nurses Do and Where Do They Work?

Community health nurses work in a variety of settings from community-based centers to government agencies to shelters to vaccine distribution sites. They build coalitions, craft policies, educate the public, manage public health programs, and more.

Services Provided by Community Health Nurses

The American Public Health Association lists 10 essential public health services provided by community nurses and other front-line professionals:

• Assess and monitor population health
• Investigate, diagnose, and address health hazards and root causes
• Communicate effectively to inform and educate
• Strengthen, support, and mobilize communities and partnerships
• Create, champion, and implement policies, plans, and laws
• Utilize legal and regulatory actions
• Enable equitable access
• Build a diverse and skilled workforce
• Improve and innovate through evaluation, research, and quality improvement
• Build and maintain a strong organizational infrastructure for public health

“Community health nurses are this incredible file cabinet of resources. They can point people in the right direction for what they need at that time,” Gordon says. “They're dealing with the community, but they provide education on where the community can get the help they need for individualized attention.”

For example, if a community has a high diabetes rate, one of the focuses for that area might be diabetes prevention education.

“Every single community health nurse works based on the population and the needs of that population specifically,” Gordon says.

Other health issues that could affect a community include:

• Substance abuse
• Teen pregnancy

Where Community Health Nurses Are Needed

Community health nurses, like other registered nurses, often work in local hospitals, trauma centers, and clinics. Many work in locations more focused on underserved communities, such as:

• Aid organizations, such as Doctors Without Borders or the Red Cross, providing disaster relief along with other daily local needs
• Community health centers, treating and educating around such topics as family planning, sexual health, and other preventative care
• Correctional facilities, working to limit the spread of communicable disease, along with running educational programs for inmates and staff
• Government agencies, helping with health policy development and implementation to create change on a large scale
• Homeless shelters, focusing on preventative care through screenings and assessments, and helping people find social service assistance
• Schools, providing education about illness prevention and good health habits, along with managing existing health problems and intervening in cases of abuse or neglect

“A lot of the community-based care centers are in parts of town or areas of the country or state where access to care might be limited or not affordable,” Rucki says. “Being based directly in the community provides access opportunities that might otherwise not be available to diverse populations.”

What Does the Future Look Like for Community Health Nurses?

Community health nurses have a bright future, but some serious challenges remain ahead.

“We’re seeing an increased need because what we thought was the traditional way of delivering care is really no longer applicable,” Rucki says. “Community-based care is becoming the primary way for many people today.”

What Job Growth Looks Like

The national nursing shortage, which has been exacerbated by the pandemic, will continue to fuel a 9% job growth rate through 2030, according to the U.S. Bureau of Labor Statistics . The agency projects employers to add 276,800 RN positions from 2020–2030.*

Because of these growing needs, becoming a community health nurse has some advantages:

• Creating strong partnerships between nurses and clients and/or community population
• Enjoying collaborative nursing care working with clients in a nonhospital setting
• Having a variety of work settings
• Helping vulnerable communities
• Providing holistic and more individualized care
• Working a convenient schedule with little to no holiday or weekend hours

According to the U.S. Centers for Disease Control and Prevention, community health worker programs particularly need nurses trained in preventing and controlling infectious diseases, to deliver home-based care to low-income people.

What Challenges Remain Ahead

The National Institutes of Health indicate that public nurses face many challenges aside from the day-to-day demands of practice, including:

• Concerns for personal safety
• Frequent overtime
• Inadequate staffing levels
• Limited management support and supervision
• On-call duties
• Professional isolation
• Restricted opportunities for career development

However, Gordon says a greater challenge facing community nurses is resistance.

“This can happen whether you're in acute care or community health, but you often see a population as a whole resisting care,” she says. “It can be incredibly frustrating when you've provided quality education and care. But you persevere. The challenge is not being rejected, it's how you overcome it.”

“It may take time to build trust in populations,” Rucki says. “Once you build trust and build that ongoing relationship, you're more likely to see change, behavior changes in people’s health care practices.”

Who Would Make a Good Community Health Nurse?

You need certain qualities and qualifications if you’re interested in becoming an effective community health nurse.

The Qualifications You Need

At a minimum, you must earn an associate or bachelor’s degree in nursing and pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN). † Some may wish to complete a two-year master's degree program in nursing. Employers often prefer community health nurses who have one to two years of nursing experience.

“Because this is such an education-heavy job, there's a strong preference toward those with a bachelor's degree,” Gordon says.

Community health nurses also are strongly encouraged to have ties to the areas in which they wish to work. Participating in volunteer programs both before and after becoming a community health nurse is highly recommended.

Community health nurses should also consider certification. One exam, the Advanced Public Health Nurse certification exam, is being phased out.

“However, there are opportunities in interprofessional groups to demonstrate excellence and receive certifications,” Rucki says.

Currently, there is no certification specific to public health nursing at the generalist level. However, nurses with a bachelor’s degree and at least five years of public health experience can obtain the Certification in Public Health (CPH). Visit the National Board of Public Health Examiners for more information on the CPH.

The Qualities You Need

A panel convened by the National Institutes of Health agreed that a successful nurse needs such qualities as being analytical, communicative, cooperative, coordinating, disseminating knowledge, empathic, evidence driven, innovative, and introspective.

Community health nurses should also be connected to their community, open-minded to those different from them, sensitive to different opinions, and objective in their view of the communities they serve.

“An essential component to these roles is a passion for serving the communities that are around them,” Gordon says. “These nurses have a connection and they understand the populations. They want to see them thrive and do better.”

“What's really so rewarding for nurses is this long-term engagement with a population,” Rucki says. “In an acute care setting, you're engaged with the patient and family for a short period of time. But in the community, they're your patients for life. You see families grow and care for them over a number of years.

“That ability to connect and learn and know about the individuals that make up your community is so rewarding for nurses.”

How Purdue Global Can Help You Become a Community Health Nurse

“Community-based nurses are very strong force for change in a community,” Rucki says. Gordon says this theme is woven throughout all programs at Purdue Global.

Purdue Global’s online nursing programs can help you start on the road to becoming a community health nurse. ‡ Reach out for more information today .

About the Author

Purdue Global

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* Job Growth Projections: National long-term projections may not reflect local and/or short-term economic or job conditions, and do not guarantee actual growth.

† NCLEX Exam : Graduates must meet state licensing and certification requirements and pass the NCLEX-RN exam to become a registered nurse or the NCLEX-PN to become a licensed practical nurse. The University cannot guarantee students will be eligible to sit for or pass exams. NCLEX is a registered trademark of the National Council of State Boards of Nursing, Inc. Licensure-track programs may limit enrollment to students in certain states. Refer to Purdue Global’s State Licensure and Certifications page for state-specific licensure.

‡ Employment and Career Advancement: Purdue Global does not guarantee employment placement or career advancement. Actual outcomes vary by geographic area, previous work experience and opportunities for employment.

98 Community Health Nursing Essay Topic Ideas & Examples

• April 14, 2023

Community health nursing is a vital area of nursing that focuses on promoting and protecting the health of individuals, families, and communities. Community health nurses work in a variety of settings, including public health agencies, schools, and community clinics, and they play a critical role in addressing health disparities and improving health outcomes for underserved populations.

If you’re a nursing student looking to write an essay on community health nursing, you may be wondering where to start. In this post, we’ll provide you with some topic ideas and examples of community health nursing in action.

Why Community Health Nursing Matters

Community health nursing is essential for promoting health equity and improving health outcomes for all members of society. According to the American Nurses Association, community health nurses “work with communities and populations, promoting health and preventing disease through the delivery of evidence-based nursing interventions.”

Community health nurses play a critical role in addressing health disparities and i mproving health outcomes for underserved populations, such as low-income communities and minority groups. By working collaboratively with community members, public health officials, and other healthcare providers, community health nurses can help to identify and address the unique health needs of each community.

Tips for Writing an Essay on Community Health Nursing:

• Start with a clear introduction that defines community health nursing and its importance in healthcare delivery.
• Identify the key principles and values of community health nursing, such as health promotion, disease prevention, and cultural competency.
• Discuss the role of community health nursing in addressing health disparities and improving health outcomes for underserved populations.
• Provide examples of community health nursing in action, such as community health fairs, outreach programs, and health education initiatives.
• Discuss the challenges and opportunities facing community health nursing, such as limited resources, changing healthcare policies, and the need for interprofessional collaboration.
• Identify potential areas for future research in community health nursing, such as the impact of community-based interventions on health outcomes and the role of community health nursing in promoting health equity.
• Conclude your essay with a summary of your key points and a call to action for further research and advocacy in community health nursing.

Community Health Nursing Essay Topics/Ideas:

• The role of community health nursing in promoting maternal and child health
• The impact of community health nursing on reducing healthcare costs for vulnerable populations
• The importance of cultural competence in community health nursing practice
• The role of community health nursing in addressing the opioid epidemic
• The use of technology in community health nursing practice: benefits and challenges
• The impact of community health nursing on reducing healthcare-associated infections in community settings
• The role of community health nursing in promoting healthy aging and preventing age-related diseases
• The impact of community health nursing on reducing health disparities in underserved communities
• The role of community health nursing in disaster preparedness and response
• The importance of community-based participatory research in community health nursing practice
• The impact of community health nursing on improving health outcomes for individuals with mental illness
• The role of community health nursing in promoting health equity and social justice
• The use of alternative therapies in community health nursing practice: benefits and risks
• The impact of community health nursing on reducing healthcare costs and improving health outcomes
• The role of community health nursing in promoting healthy lifestyles and preventing chronic diseases
• The importance of interdisciplinary collaboration in community health nursing practice
• The impact of community health nursing on reducing readmissions to the hospital
• The role of community health nursing in promoting environmental health and sustainability
• The importance of advocacy in community health nursing practice
• The impact of community health nursing on improving access to healthcare for underserved populations
• The role of community health nursing in addressing health literacy and promoting patient education
• The use of telehealth in community health nursing practice: benefits and challenges
• The impact of community health nursing on reducing healthcare disparities in rural areas
• The role of community health nursing in promoting healthy communities and social connectedness
• The importance of evidence-based practice in community health nursing
• The impact of community health nursing on reducing healthcare costs and improving health outcomes for homeless populations
• The role of community health nursing in promoting healthy workplaces and preventing work-related injuries and illnesses
• The importance of ethical practice in community health nursing
• The impact of community health nursing on reducing healthcare costs and improving health outcomes for individuals with disabilities
• The role of community health nursing in promoting healthy sexual and reproductive health
• The use of complementary and alternative medicine in community health nursing practice
• The impact of community health nursing on reducing healthcare costs and improving health outcomes for individuals with chronic pain
• The role of community health nursing in promoting healthy food environments and preventing food insecurity
• The importance of cultural humility in community health nursing practice
• The impact of community health nursing on reducing healthcare costs and improving health outcomes for individuals with substance use disorders

Controversial Community Health Nursing Essay Topics/Ideas:

• The role of community health nursing in addressing racial disparities in healthcare
• The ethical implications of mandatory vaccinations in community health nursing practice
• The impact of community health nursing on reducing healthcare costs and improving health outcomes for undocumented immigrants
• The role of community health nursing in addressing the social determinants of health
• The use of harm reduction strategies in community health nursing practice
• The impact of community health nursing on reducing healthcare disparities for LGBTQ+ populations
• The role of community health nursing in addressing healthcare access for individuals with limited English proficiency
• The ethical implications of community health nursing interventions for individuals with mental illness
• The impact of community health nursing on reducing healthcare disparities for individuals with disabilities
• The role of community health nursing in addressing healthcare access for individuals experiencing homelessness
• The ethical implications of community health nursing interventions for individuals with substance use disorders
• The impact of community health nursing on reducing healthcare disparities for individuals with limited access to healthcare
• The role of community health nursing in addressing healthcare access for individuals living in rural areas
• The ethical implications of community health nursing interventions for individuals with chronic pain
• The impact of community health nursing on reducing healthcare disparities for individuals with low health literacy
• The role of community health nursing in addressing healthcare access for individuals with low income
• The ethical implications of community health nursing interventions for individuals with limited access to mental healthcare
• The impact of community health nursing on reducing healthcare disparities for individuals with limited access to dental healthcare
• The role of community health nursing in addressing healthcare access for individuals with limited access to vision care
• The ethical implications of community health nursing interventions for individuals with limited access to reproductive healthcare.

Latest Community Health Nursing Essay Topics to Write About:

• The role of community health nursing in responding to public health emergencies
• The impact of community health nursing on reducing healthcare disparities in rural communities
• The importance of health literacy in community health nursing practice
• The role of community health nursing in promoting healthy aging in place
• The impact of community health nursing on improving health outcomes for individuals with chronic conditions
• The use of simulation in community health nursing education
• The role of community health nursing in promoting mental health and wellness
• The impact of community health nursing on reducing healthcare disparities in urban communities
• The importance of health promotion and disease prevention in community health nursing practice
• The role of community health nursing in promoting healthy behaviors and lifestyles
• The use of community-based participatory research in community health nursing practice
• The role of community health nursing in promoting healthy workplaces and preventing workplace injuries and illnesses
• The use of telehealth in community health nursing practice

Community Health Nursing Research Questions:

• What is the impact of community health nursing interventions on reducing healthcare disparities in underserved communities?

How can community health nursing interventions be tailored to address the unique needs of diverse cultural groups?

• What are the most effective strategies for promoting healthy behaviors and lifestyles in community health nursing practice?
• How can community-based participatory research be used to promote health equity and social justice in healthcare delivery?
• What is the impact of telehealth on improving healthcare access and outcomes for underserved populations?
• How can community health nursing interventions be used to address health literacy and promote patient education ?
• What are the most effective strategies for promoting healthy aging in place in community health nursing practice?
• How can community health nursing interventions be used to prevent and manage chronic conditions in underserved populations?
• What is the impact of community health nursing on reducing healthcare costs for individuals with limited access to healthcare?
• How can community health nursing interventions be used to promote mental health and wellness in underserved communities?
• What are the ethical implications of community health nursing interventions for vulnerable populations?
• How can community health nursing interventions be used to address healthcare access for individuals with low income and limited resources?
• What is the impact of community health nursing on reducing healthcare disparities for individuals with disabilities?
• How can community health nursing interventions be used to promote healthy food environments and prevent food insecurity?
• What are the most effective strategies for promoting interdisciplinary collaboration in community health nursing practice?
• How can community health nursing interventions be used to address healthcare access for individuals with limited English proficiency?
• What is the impact of community health nursing on reducing healthcare disparities for urban communities?
• How can community health nursing interventions be used to promote healthy workplaces and prevent workplace injuries and illnesses?
• What are the most effective strategies for promoting cultural competence in community health nursing practice?
• How can community health nursing interventions be used to address healthcare access for individuals with limited access to mental healthcare?
• What is the impact of community health nursing on reducing healthcare disparities for individuals with limited health literacy?
• How can community health nursing interventions be used to promote healthy aging and prevent age-related diseases?
• What are the most effective strategies for promoting healthy behaviors and lifestyles in underserved populations?
• How can community health nursing interventions be used to address the opioid epidemic in underserved communities?
• What is the impact of community health nursing on reducing healthcare disparities for LGBTQ+ populations?
• How can community health nursing interventions be used to address healthcare access for individuals experiencing homelessness?
• What are the ethical implications of community health nursing interventions for individuals with substance use disorders?
• How can community health nursing interventions be used to promote healthy sexual and reproductive health in underserved communities?
• What is the impact of community health nursing on reducing healthcare disparities for individuals with limited access to dental healthcare?
• How can community health nursing interventions be used to address healthcare access for individuals with limited access to vision care?

FAQs Related to Community Health Nursing:

What is community health nursing.

Community health nursing is a specialized area of nursing that focuses on promoting and protecting the health of individuals, families, and communities through the delivery of evidence-based nursing interventions.

Where do community health nurses work?

Community health nurses work in a variety of settings, including public health agencies, schools, community clinics, and home health agencies .

What are some examples of community health nursing interventions?

Examples of community health nursing interventions include health education programs, community health fairs, home visits, health screenings, and outreach programs.

What is the role of community health nursing in addressing health disparities?

Community health nursing plays a critical role in addressing health disparities by working collaboratively with community members, public health officials, and other healthcare providers to identify and address the unique health needs of each community.

How can I become a community health nurse?

To become a community health nurse, you will need to complete a nursing program and obtain a nursing license. You can then pursue additional education and certification in community health nursing.

What are the key principles of community health nursing?

The key principles of community health nursing include health promotion, disease prevention, cultural competence, interdisciplinary collaboration, and evidence-based practice.

Community health nursing interventions can be tailored to address the unique needs of diverse cultural groups by incorporating cultural competence principles, using culturally appropriate communication strategies, and working collaboratively with community members to identify and address cultural barriers to healthcare.

What is the impact of community health nursing on improving health outcomes for vulnerable populations?

Community health nursing interventions can have a significant impact on improving health outcomes for vulnerable populations by addressing healthcare access issues, promoting healthy behaviors, and providing education and support for chronic disease management.

How can community health nursing interventions be used to address the opioid epidemic?

Community health nursing interventions can be used to address the opioid epidemic by providing education and support for opioid addiction treatment and recovery, working with community organizations to promote harm reduction strategies, and advocating for policy changes to improve opioid prescribing practices.

Conclusion:

Community health nursing is a vital area of nursing practice that focuses on promoting and protecting the health of individuals, families, and communities. Through a variety of interventions and strategies, community health nurses work collaboratively with community members, public health officials, and other healthcare providers to address healthcare disparities, promote healthy behaviors, and improve health outcomes for vulnerable populations.

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Exploring community health nursing research topics: a comprehensive guide for nursing students, carla johnson.

• August 25, 2023
• Essay Topics and Ideas

Community health nursing is a dynamic and vital field within the nursing profession, focused on providing holistic care to populations within a defined community. This specialized branch of nursing goes beyond individual patient care, extending its reach to families, groups, and entire communities. This article will delve into community health nursing, explore its significance, and provide valuable resources for nursing students to engage in research, evidence-based practice (EBP) projects, capstone projects, research paper topics, research questions, and essay ideas.

What You'll Learn

Understanding Community Health Nursing: A Holistic Approach

Community health nursing emphasizes preventive care , health promotion, and disease prevention within a specific community. This holistic approach involves understanding the community’s unique needs, cultures, and challenges to provide targeted interventions that improve health outcomes. As nursing students, you will find this field to be a gateway to understanding the broader healthcare landscape and the interconnectedness of various factors that influence health.

PICOT Questions on Community Health Nursing

• P: Adult population in psychiatric care ; I: Implementation of daily RS questionnaire; C: Units without the daily survey; O: Reduction in utilization of restraint and seclusion; T: 6 months. Can the implementation of a daily RS (Restraint and Seclusion) questionnaire for adults in psychiatric care lead to a significant decrease in the utilization of restraint and seclusion within a period of 6 months?
• P: Pediatric population in school settings; I: Introduction of daily exercise regimen; C: Schools without daily exercise; O: Improvement in BMI and overall fitness; T: 1 academic year. Does introducing a daily exercise regimen in school settings for pediatric populations result in a noticeable improvement in BMI and overall fitness over the course of 1 academic year?
• P: Elderly population in assisted living facilities; I: Implementation of fall prevention program; C: Facilities without fall prevention program; O: Reduction in fall-related injuries; T: 1 year. Is there a significant reduction in fall-related injuries among the elderly residing in assisted living facilities after the implementation of a comprehensive fall prevention program within 1 year?
• P: Low-income pregnant women; I: Provision of prenatal education classes; C: Those without access to prenatal education; O: Increase in prenatal knowledge and healthier pregnancy outcomes; T: Throughout gestation. Can providing prenatal education classes to low-income pregnant women lead to increased prenatal knowledge and improved pregnancy outcomes when compared to those without access to such education?
• P: Diabetic population within the community; I: Establishment of a mobile diabetic clinic; C: No mobile clinic available; O: Enhanced diabetic management and reduced hospitalizations; T: 2 years. Does the establishment of a mobile diabetic clinic within the community lead to better diabetic management and a decrease in hospitalizations over a span of 2 years?
• P: Adolescent population in schools; I: Implementation of comprehensive sexual education; C: Schools with standard sexual education; O: Reduction in teen pregnancies and sexually transmitted infections (STIs); T: 3 years. Over a period of 3 years, does the implementation of comprehensive sexual education in schools result in a significant decrease in the rates of teen pregnancies and STIs among adolescents compared to schools with standard sexual education?
• P: Homeless population; I: Launch of mobile healthcare unit; C: No access to regular healthcare; O: Improvement in overall health status and decrease in emergency room visits; T: 1 year. Can the introduction of a mobile healthcare unit for the homeless population improve their overall health status and a noticeable reduction in emergency room visits within a year?
• P: Rural elderly population; I: Initiation of telehealth services ; C: Lack of telehealth services; O: Enhanced access to healthcare and better management of chronic conditions; T: 18 months. Does the introduction of telehealth services for the rural elderly population lead to increased access to healthcare services and improved management of chronic conditions over the course of 18 months?
• P: New mothers; I: Implementation of postpartum support groups; C: No postpartum support groups available; O: Reduction in postpartum depression rates and improved maternal well-being; T: 1 year. Can the implementation of postpartum support groups for new mothers lead to a significant reduction in postpartum depression rates and an overall improvement in maternal well-being within a year?
• P: LGBTQ+ youth; I: Creating safe spaces in schools; C: Absence of designated safe spaces; O: Decreased mental health challenges and higher academic achievement; T: Ongoing. Does creating safe spaces within schools for LGBTQ+ youth lead to a noticeable decrease in mental health challenges and a rise in academic achievement over an ongoing period?

Evidence-Based Practice Projects Ideas

• Evaluating the effectiveness of community-wide vaccination drives in reducing vaccine-preventable diseases.
• Assessing the impact of a smoke-free policy in public spaces on community members’ respiratory health.
• Investigating the outcomes of a nutrition education program in improving dietary habits among low-income families.
• Analyzing the effectiveness of a community-based mental health awareness campaign in reducing stigma and increasing help-seeking behavior.
• Exploring the outcomes of a diabetes management intervention using mobile health apps in urban communities.
• Studying the effects of a community gardening initiative on physical activity levels and nutrition awareness.
• Investigating the utilization and impact of telemedicine services in remote rural areas.
• Assessing the benefits of a community fitness program on cardiovascular health and overall well-being.
• Evaluating the effectiveness of a school-based anti-bullying campaign on students’ mental health.
• Analyzing the outcomes of a community-driven initiative to increase access to clean drinking water in underserved areas.

Nursing Capstone Project Ideas

• Developing a comprehensive disaster preparedness plan for a local community.
• Designing and implementing a culturally sensitive prenatal care program for immigrant populations.
• Creating a curriculum for training community health workers in identifying and addressing social determinants of health.
• Establishing a support network for caregivers of elderly individuals living at home.
• Designing a mental health first aid training program for community leaders and volunteers.
• Implementing a community-based program to promote physical activity among children with obesity.
• Creating a resource guide for LGBTQ+ youth to access healthcare services without discrimination.
• Developing a community-wide initiative to combat opioid misuse and overdose.
• Establishing a telehealth platform for remote health consultations in underserved regions.
• Designing a comprehensive sexual education curriculum for high schools to address varying cultural norms.

Nursing Research Paper Topics

• The impact of community health nursing interventions on reducing health disparities .
• Exploring the role of community health nurses in disaster response and recovery.
• Analyzing the effectiveness of school-based health clinics in improving student health outcomes.
• Investigating the barriers and facilitators of healthcare access in underserved rural communities.
• The role of community health nursing in promoting healthy aging and elderly care.
• Addressing mental health stigma through community-based interventions led by nurses.
• Analyzing the outcomes of community health education programs on reducing tobacco use .
• Exploring the relationship between community engagement and positive maternal-child health outcomes.
• The effectiveness of telehealth services in bridging healthcare gaps in remote areas.
• Investigating the impact of community health nursing in preventing and managing chronic diseases.

Community Health Nursing Research Questions

• How does the presence of community health nurses influence health outcomes in underserved urban neighborhoods?
• What are the key components of successful school-based vaccination programs , and how do they impact disease prevention?
• How do cultural competence and sensitivity affect the effectiveness of community health nursing interventions?
• What are the main challenges community health nurses face in addressing social determinants of health ?
• How does community engagement contribute to the sustainability of community health initiatives led by nurses?
• What strategies effectively promote mental health awareness and reduce stigma within communities?
• How do telehealth services improve access to healthcare for individuals in geographically isolated regions?
• What role do community health nurses play in detecting and managing chronic diseases ?
• How do community health interventions impact healthcare utilization patterns and costs?
• What are the outcomes of community health nursing programs focused on improving maternal and child health?

Essay Topic Ideas & Examples

• The Role of Community Health Nursing in Promoting Population Health.
• Addressing Health Disparities: The Impact of Community Health Nursing.
• Community-Based Approaches to Preventing Teenage Pregnancy .
• Telehealth: Bridging Healthcare Gaps in Underserved Communities.
• Cultural Competence in Community Health Nursing: Challenges and Strategies.
• Disaster Preparedness and Response: The Critical Role of Community Health Nurses.
• The Influence of Social Determinants of Health on Community Health Nursing Interventions.
• Community Health Education: Strategies for Promoting Healthy Lifestyles.
• Exploring the Connection Between Mental Health and Community Well-being.
• Innovations in Community Health Nursing: Harnessing Technology for Better Outcomes.

As nursing students, you are poised to become the next generation of community health nurses, armed with the knowledge and skills to impact the health and well-being of diverse populations positively. Community health nursing offers numerous opportunities for research, practice, and advocacy. By delving into PICOT questions, evidence-based practice projects, capstone projects, research paper topics, and research questions, you can deepen your understanding of this vital field and contribute to its growth. Don’t hesitate to seek our writing services if you need assistance with your community health nursing assignments or essays. We understand the demands of nursing education and are here to support you in your academic journey. Your dedication to improving community health is commendable, and together, we can pave the way for healthier, more vibrant communities.

Frequently Asked Questions (FAQs) About Community Health Nursing

• Is community health nursing the same as nursing? Community health nursing is a specialized branch of nursing that focuses on providing holistic care to populations within specific communities. While nursing is a broader field encompassing various specialties, community health nursing is distinct in its emphasis on preventive care and health promotion within communities.
• What are the qualifications of a community health nursing? To practice community health nursing, one typically needs a registered nurse (RN) license. Many community health nurses also hold a Bachelor of Science in Nursing (BSN) degree, and advanced practice may require additional education such as a Master of Science in Nursing (MSN) with a specialization in community health.
• Do community health nurses work in hospitals? While community health nurses primarily work in community settings like public health departments, schools, and clinics, they can also collaborate with hospitals to provide education, preventive care, and continuity of care to patients transitioning from hospital to home.
• Can a community health nurse become a doctor? Community health nurses can certainly pursue further education and career advancement, but the path to becoming a doctor is different. Becoming a doctor requires completing medical school and earning a medical degree (MD) or a doctor of osteopathic medicine (DO) degree, whereas community health nursing involves nursing education and training.

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• Indian J Palliat Care
• v.27(2); Apr-Jun 2021

Reflections on the Experience of Community Health Nurses in Palliative Care: A Qualitative Approach

1 Department of Community Health Nursing, College of Nursing, Christian Medical College, Vellore, Tamil Nadu, India.

G. Alexander

S. immanuel, priyadharishini joy.

There is a major demographic shift with increase in non-communicable diseases even in low- and middle-income countries. Many self-limiting illnesses are burdensome to people when they have limited access to health care system and poor family support. The aim of the study explores experiences of community health nurses in palliative care delivery in a primary health care setting. The study was conducted in Community Health Nursing Department, College of Nursing, CMC, Vellore. A qualitative research using a grounded theory approach was done which included in-depth interviews and focus group discussions from community health nursing faculty. This study used a deductive and inductive approach that stressed the process rather than the meaning of the studied phenomenon. The in-depth interviews lasted for 45 min–1 ½ h for each participant; focus group discussions were held in two sessions lasting for 2 ½ h. The group interviews were transcribed to verbatim. All transcripts were read multiple times to ensure correctness of the transcription by the authors to get an overall impression of the material before the initial coding. Authenticity, credibility, critical appraisal and integrity were demonstrated throughout the study. This study enlightens the experiences of the health care providers on palliative care delivery at the primary care setting and explores barriers, challenges and facilitators for delivery of good palliative home care. Totally, 15 subthemes were grouped under five major themes; community support, family support, acceptance of services, barriers and gaps in care. The in-depth interviews provided an insight into the experiences of the participants on successful collaborative services, caregivers fatigue and the barriers in providing services in the home care setting. Focus group discussion showed that a holistic approach to patient care in primary care setting is possible by community health nurses and a collaborative care from the secondary and tertiary care settings will bring down the non-compliance to the therapeutic regimen.

INTRODUCTION

Incidence of non-communicable diseases is on the rise with a marked increase in cancer rates. The need for home-based palliative care has become the need of the hour. Palliative care improves the quality of life of patients and their families who are facing problems associated with life-threatening illness, whether physical, psychological or spiritual. Most of the palliative care services are available in cities and regional cancer institutes which make people in the rural areas inaccessible and consume a lot of time and energy. [ 1 ]

LMICs are predicted to bear 70% of global cancer cases by 2030. As LMICs industrialise, cancer incidence is predicted to rise 5-fold. [ 2 ] Poorer cure rates are anticipated in lower-income countries compared with high-income countries due to late presentation, lack of locally adapted protocols and limited resources. [ 3 ] Similarly, the provision of palliative care is woefully inadequate in LMIC, where the majority of palliative and end-of-life care is needed, due to later presentation, fewer curative options, ageing populations and rising cancer incidence. [ 4 ] The most recent iteration of the WHO Universal Health Coverage goals calls for the full spectrum of essential, quality health services, from health promotion to prevention, treatment, rehabilitation and palliative care. [ 5 ] The WHO’s Global Report categorises India as lacking integrated palliative care. [ 6 ] The aim of this study was to analyse the experiences of the health care providers on palliative care delivery at the primary care setting and to explore barriers, challenges and facilitators for delivery of good palliative home care.

Study design

This qualitative research used a grounded theory approach which included in-depth interviews and focus group discussions.

MATERIALS AND METHODS

Grounded theory studies include all parts of the data as well as interpreted emerged codes, categories and main concerns to explore variations, similarities and differences. With this method, the analysis process proceeds as the researcher continuously writes theoretical drafts or memos. [ 7 , 8 ] This study used a deductive and inductive approach that stressed the process rather than the meaning of the studied phenomenon.

The study was conducted in Community Health Nursing Department, College of Nursing, CMC, Vellore. College of Nursing Community Health (CONCH) Department, Christian Medical College, Vellore, which provides a nurse, led primary health care services to the selected rural areas of Vellore District. CONCH provides care to 25 villages which covers a population of 65,000. Regular home visits, nurses’ led clinics and referral services are rendered by the community health nurses. Special clinics such as eye, ENT and psychiatric clinic are also conducted in the villages as per the need with community participation and the assistance of other health care personnel. Health care workers are recruited from the villages, who are with good communication skills and willingness to provide primary health care for the villagers. They are trained in basic health care services and they act as a liaison between villagers and the health care system.

Participants

Two groups of community health nursing staff were recruited:

• Community health nursing tutor who had completed their baccalaureate programme in nursing and is working in community health nursing department for a minimum of 5 years, who provide holistic home-based care
• Community health nursing faculty who had completed their post-graduate programme in community health nursing and is involved in organising, directing and providing home care services and teaching nursing students for a minimum of 10 years.

Inclusion criteria

The following criteria were included in the study:

• Community health nurses who had completed baccalaureate in nursing
• Community health nurses who had completed postgraduate programme specialising in community health nursing
• Who had worked minimum of 5 years in the community health nursing department.

Exclusion criteria

The following criteria were excluded from the study:

• Those who are not willing to be a part of the study
• Those who are on long leave and not available during the study.

Ethical consideration

The study was approved by the college of nursing research committee. The study was conducted after getting written informed consent from the participants.

Primary data were obtained from four community health nursing faculty using open-ended semi-structured interview and five community health nursing tutors using focus group discussion.

The group interviews were transcribed to verbatim. All transcripts were read multiple times to ensure correctness of the transcription by the authors to get an overall impression of the material before the initial coding. A qualitative descriptive approach was used for the analysis. Following this analytic approach, rigour was enhanced by focusing on the following strategies: (1) Authenticity was achieved by paying attention to the voices of participants and the ability to remain true to the phenomena under study, (2) credibility was achieved through multiple readings and reflection on field notes with the research team, (3) critical appraisal of every decision was made throughout the research process and (4) integrity was demonstrated by on-going reflection and self-criticality of the researcher. All meaningful text units were identified and coded. The codes were subsequently grouped into relevant categories and at the end 15 themes were identified, which again were grouped into five main themes. Data were generated until no new themes emerged from the analysis.

The community health nursing department is rendering home-based comprehensive health care services for more than 3 decades; which includes palliative therapy at home for terminally ill patients. This study enlightens the experiences of the health care providers on palliative care delivery at the primary care setting and explores barriers, challenges and facilitators for delivery of good palliative home care. The major themes that emerged were community support, family support, acceptance of services, obstacles and gaps in care [ Table 1 ].

Major themes and subthemes evolved in this study.

Community support

The narratives of the participants make it clear that the patients and their relatives were grateful for the services provided through community health nurses and want to continue the services in their villages.

‘ A patient’s relative said that they are very thankful for the services provided by the community health nurse, as they walked extra mile to receive care from tertiary hospital (CMC) without a penny being spent on the hospitalisation .’

The views of the participants also highlighted the importance of involvement of non-governmental organisations and other governmental services in caring for the bed bound patients.

‘ the services provided by Sneha Deepam (a non-governmental organisation) was very helpful for my client in Melakuppam village, who had terminal stage cancer. As she had no one to take care of her, they provided a holistic care with utmost attention .’

‘ an effective collaboration with non-governmental organisations will bring down the non-compliance’

Some felt that the helpless patients are often supported by people in the community. The villagers in the community feel socially responsible as they provide the destitute with food and money.

‘ the shop keepers and kind hearted neighbours often come forward to provide them with food and administer medications on time.’

Family support

The system of family in India is considered strong, stable and enduring. They share their joys and support each other during hard times. Interestingly, most of the participants shared that family support brings longevity in patients with terminally ill diseases. The ones who do not have a good family support seem to become depressed and face their end much earlier.

‘ Usually the patients verbalise their inability to support their family due to their sickness and feel bad for being a burden to the family .’

On the other side, lack of time and resources and nature of the family (nuclear) are said to be the causes for poor family support to the sick individuals.

‘ Combined care of family and community will assure the patients and they feel that they are not left alone to endure the suffering, which reduces their burden and builds their confidence in coping .’

Acceptance of services

India is a country of diverse culture and traditional beliefs. The choice of treatment modalities is intertwined with their religious and cultural beliefs. Some parts of the rural community still believe that diseases are caused due to wrath of God. The following participant’s quote illustrates the impact of stigma and the financial burden over the disease.

‘ many families cannot afford for palliative care because of financial constraints, while some feel that it is a wrath of God and treatment is helpless’

‘ there is resistance from the relatives in providing care because they consider them to be a burden and waste of money .’

The following participants’ account affirms that the main obstacles for the palliative care in a primary health care setting are the accessibility, affordability, choice of alternative medicine and side effects of medical therapy.

‘ I felt bad when he said not to waste money on him, as he’s dying anyway …’

‘ though we are ready to take them to a tertiary care setting for treatment; they do not want to come as they are afraid of side effects of the treatment and they believe alternative medicine (siddha) has some relief over the illness ’

‘ I have seen people use snake oil in massaging patients to relieve excruciating pain as there is no relief in other treatment modalities ’

Gaps in care

For many participants in the study; limitations in the nursing care were the gaps in providing continuity of care, at times they even found themselves helpless for the debilitated patients and the family.

‘ I have tried all possible measures, she was sinking and I felt helpless …’

‘ I feel the referral system should be strengthened more to support poor patients from the community…. we refer only those who are not cared for and could not afford treatment’

‘ delay in getting appointment, consultation with various disciplines, financial constraints and multiple investigations make the patients tired and exhausted and make them discontinue the treatment ’

‘ an effective complex referral services with existing governmental, non-governmental and inter-disciplinary services within institution and other agencies will benefit the terminally ill patients and their family at large’

Due to ever-expanding population, rise in noncommunicable diseases, unaffordable health care expenses and inaccessibility to health care services, there is a compelling need for community-based palliative care services. There are only a few community-based services available in India, among which not many institutions provide comprehensive care. The health care providers serve the community with available resources collaborating with other sectors. There is a profound need for a deeper insight into barriers and facilitators of these services for delivery of good palliative home care.

It is important that the health care professionals realise the barriers and challenges in providing care to the terminally ill patients in a primary health care setting so that a comprehensive home-based palliative care can be rendered. It is a challenge to all the professionals involved in palliative home care to balance between meeting the needs of the patients and matching the resources available.

The focus group discussion can be used as a factor of the development of views of the participants and can make new themes regarding the palliative care in primary health care setting. In our study, the group setting made new themes emerge but it also gave the community health nursing tutors a valuable feeling of shared experience and of being able to support each other in the interview situation. Interviews with community health nursing faculty gave us an insight into the caregivers experience and it gave us the opportunity to explore the barriers and challenges of the palliative care delivery. However, both positive and negative experiences emerged in the interviews. Some participants broke down emotionally when they recalled their experiences with the terminally ill patients.

In a qualitative study conducted by Neergaard et al ., [ 9 ] the relatives asked for health professionals who had the necessary knowledge, who were readily available to the patients and their families and more active in establishing personal contact with them. The study concludes stating that relatives experience insufficient palliative care mainly due to organisational and cultural problems among professionals. Palliative care in primary care in general needs improvement and attention should be drawn to the ‘professionalisation’ of the relatives and the need to strike a balance between their needs, wishes and resources in end-of-life care and bereavement. This study was in congruence with our study that many participants shared their positive experience of the families which were benefited by them. An empowered family and community will strengthen the patients physically and emotionally which brings longevity.

Second, it brought into light that adequate accessibility to the health care facilities and making the treatment affordable for everyone will bring down the non-compliance of the patients. Many could not access hospital services due to various reasons such as inadequate transportation facility, lack of person to accompany them, complicated referral system and financial concerns. Palliative care and hospice services improve patient-centred outcomes such as pain, depression and other symptoms; patient and family satisfaction and the receipt of care in the place that the patient chooses. Palliative care at primary level is needed to ensure equitable access to optimal care for seriously ill patients. [ 10 ]

Third, the focus group discussion reveals that community health nurses can provide effective home-based palliative care utilising all the available resources. As community health nurse takes up the extended role of a palliative care nurse in underserved population, she plays multiple roles in caring for the terminally ill patients in the community to provide a comprehensive palliative and end-of-life care to the patients and families. It has been suggested that family carers felt left out and had feelings of powerlessness when they did not manage to establish a relationship with the health care professionals. Health care professionals impart adequate knowledge to the patients and primary care providers so that they feel empowered to take care of the sick ones at home. [ 11 ]

Fourth, a collaborative interdisciplinary cancer care approach will bring cost-effectiveness to the health care industry and the patient as well. The existing referral system in this study is a multidisciplinary approach which leaves the patient more confused at times and tends to discontinue the treatment due to multiple appointments to different health care professionals. Moreover, the rapidly ageing population will increase the demand for palliative care services at home. Many observational studies have shown that home-based palliative care can be effectively delivered using interprofessional specialist palliative care teams; the teams better managed symptoms, improved quality of life and prevented late-life hospitalisations than usual care. [ 12 ] Expanding access to community-based palliative care is an important policy issue internationally because many patients prefer to die at home, hospitals are overcrowded and home care is often less expensive than hospital care. [ 13 ]

Fifth, health care professionals encounter compassion fatigue and emotional trauma as they journey with the patients through the end of life and grieve with their loved ones even after they are gone. Palliative care nurses are routinely exposed to pain, trauma and suffering as they witness ongoing symptom management; however, the focus of care is on healthy end-of-life management rather than preservation of life. Identification of compassion fatigue for this profession helps facilitate the recognition of symptoms for a group that deals with patient suffering on a regular basis. [ 14 ] The analysis of a qualitative study on health providers delivering home-based palliative care suggests that similar care practices exist even among very diverse specialist teams with different models of care. Understanding the care practices can help to inform the development of other community-based teams. This strongly suggested the collaboration of primary care and specialist providers, intrateam communication, advocacy for patient preferences and importance of team building. [ 15 ]

This qualitative research has enabled the community health nurses to identify all potential factors inhibiting and enhancing home-based palliative care and in accessing health care facilities. This multidisciplinary cancer care between clinical teams and families, which is mostly expensive, had barriers and gaps in care which came in light as part of this study. The in-depth interviews provided insight into the experience of the participant on successful collaborative services, caregivers fatigue and the barriers in providing services at home care setting. Focus group discussion showed that a holistic approach to patient care in primary setting is possible by community health nurses and a collaborative care from the secondary and tertiary care setting brings down the non-compliance to the therapeutic regimen.

This study suggests that strengthening the referral system, upgrading the knowledge and extending the role of the community health nurses would help the primary health care delivery system function more efficiently. An interdisciplinary cancer care approach will bring down the financial burden of the patients and is a cost-effective method for health care industry. As compassion fatigue and burn out are more common among primary health care providers who care for terminally ill patients; a debriefing session and support system will help them to overcome their emotional distress.

Acknowledgments

We would like to thank the community health nursing staff who took part in the study. We are also grateful to staff of community health nursing department for their untiring contributions in the community.

How to cite this article: Siva R, Sadan V, Alexander G, Immanuel S, Joy P. Reflections on the experience of community health nurses in palliative care: A qualitative approach. Indian J Palliat Care 2021;27(2):330-5.

Declaration of patient consent

Patient’s consent not required as there are no patients in this study.

Financial support and sponsorship

Conflicts of interest.

There are no conflicts of interest.

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Community Health Nursing Comprehensive Nursing Essay Example

Define public/community health nursing.

Health care systems are designed to provide effective, efficient, and equitable services to communities. There are various levels of practice in health institutions, including public health nursing. This practice denotes a systematic process through which medical interventions are initiated to address community needs and, as a result, influence the mode of service delivery, policy development, and disease prevention (Merius & Rohan, 2017). It is a holistic approach to healthcare that aims to restore a patient’s good health in the event of injury, illness, disability, and premature death. Furthermore, public health nursing utilizes medical knowledge from social, nursing, and public health sciences to promote and protect community health. Over the years, focus on public health has transitioned from enhancing an individual’s well-being to promoting a community’s health and safety for better outcomes. Some of the benefits of public health nursing include fewer injuries, reduced susceptibility to diseases, and prolonged life expectancy. (Community Health Nursing Comprehensive Nursing Essay Example)

Public health nursing delineates a broad health care perspective that centers on service towards an individual and community. When considering a community’s needs, a population with similar characteristics is identified, but subgroups and subpopulations are crucial for an individual’s needs. Although these distinctions can be complex, public health nursing practitioners should critically assess situations, needs, and practice parameters of communities and their members. (Community Health Nursing Comprehensive Nursing Essay Example)

Define Primary, Secondary, and Tertiary Levels of Prevention

Health care prevention is a fundamental approach towards averting the adverse effects and outcomes of health risks and threats. Prevention entails initiating interventions to reduce susceptibility to adversities, especially among highly vulnerable persons, including the elderly and children (Evans-Agnew et al., 2016). There are three levels of prevention, primary, secondary and tertiary. (Community Health Nursing Comprehensive Nursing Essay Example)

Primary prevention is an intervention that aims to avert the possibility of a situation before it occurs. It could be a disease or injury. In most cases, health personnel advocate for healthy living, including adopting healthy behaviors, dietary routines and avoiding exposures to hazardous environmental elements that can result in undesirable health outcomes. The benefits of primary prevention are that it enhances resistance to harmful pathogens and exposures. Examples of primary prevention include immunization against highly infectious diseases, regular exercises, improving hygiene practices, and treating drinking water. (Community Health Nursing Comprehensive Nursing Essay Example)

In situations where primary prevention is not achieved, secondary prevention is used to reduce the effects of disease or injury. The secondary level of prevention is characterized by timely detection and treatment to avert further impacts on patients and community health in general (Evans-Agnew et al., 2016). As a result, detected diseases and injuries can be slowed or halted to allow nurses to restore good health and prevent reoccurrence. Examples of secondary prevention include screen tests, diet and exercise programs, and modified work for injured patients. These approaches contribute prevention of occurring diseases and injuries significantly and maintain healthy living standards. (Community Health Nursing Comprehensive Nursing Essay Example)

Tertiary prevention applies to patients with long-term illnesses such as chronic diseases, disabilities, and permanent impairments. This prevention helps to reduce the effects of the illnesses by establishing resilience to the complex health problems. Although tertiary prevention does not guarantee permanent treatment, it enhances a patient’s quality of life and improves life expectancy. Examples of tertiary prevention include rehabilitation programs for patients suffering from depression, arthritis, and diabetes. In workplaces, vocational rehabilitation programs have great potential to enhance workers’ recovery. Likewise, support groups allow community members enrolled in health programs to share ideas for healthy living. (Community Health Nursing Comprehensive Nursing Essay Example)

Nursing roles and responsibilities in community and public health nursing

Public health nurses in the United States provide proactive health care that focuses on all aspects of communities. Nurses perform roles and responsibilities in different locations and settings, serving populations and subpopulations (Marques & Rodriguez, 2016). Some are stationed in community health centers, correctional facilities, schools, and government agencies. Public health nurses are responsible for promoting good health, community building, and promoting health reforms that meet the needs of a population. Nurses’ scope and standard of practice are broad and require that they exhibit specific competencies to facilitate advanced practice requirements, including coordination, consultation, health education, and regulation maintenance activities. (Community Health Nursing Comprehensive Nursing Essay Example)

Public health nurses facilitate healthy relations between patients and management systems by promoting consensus in contentious issues. Likewise, they are responsible for assessing available resources within health care institutions and planning for effective utilization through equitable care and service delivery to communities. (Community Health Nursing Comprehensive Nursing Essay Example)

Explain Current Issues faced explicitly by the community and public health nurses

Public health nursing has revolutionized significantly to broaden the scope of nurses in health care . Nurses must have a substantive medical history and relate it with public policy and social science provisions to be considered public health nurses (Merius & Rohan, 2017). This requirement is designed to prevent emerging issues among patients and the community during their stay in hospitals and nursing homes. However, some pertinent issues and concerns influence nurses’ efficiency and community ability to access care. The nursing field is highly dynamic. Nurses are tasked with assessing community needs, available resources, and determining values indicating numerous tasks at their disposal. Moreover, public health nurses must partner with the community to ascertain the most viable programs for implementation and those that should be discontinued due to lack of efficiency. As a result, the community and nurses can determine practical approaches to address issues and promote public or community health nursing. (Community Health Nursing Comprehensive Nursing Essay Example)

Evans-Agnew, R., Reyes, D., Primomo, J., Meyer, K., & Matlock-Hightower, C. (2016). Community health needs assessments: Expanding the boundaries of nursing education in population health.  Public Health Nursing ,  34 (1), 69-77. doi.org/10.1111/phn.12298

Marques, N., & Rodriguez, E. (2016). Partnerships in public health nursing as an effective means to promote health services in schools.  Journal of Community & Public Health Nursing ,  2 (2).(Community Health Nursing Comprehensive Nursing Essay Example) doi.org/10.4172/2471-9846.1000119

Merius, H., & Rohan, A. (2017). An Integrative review of factors associated with patient attrition from community health worker programs that support diabetes self-care.  Journal of Community Health Nursing ,  34 (4), 214-228. doi.org/10.1080/07370016.2017.1369811

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Palliative Care In The Community Nursing Essay

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The impact of community service – a deep dive into the power of giving back to society.

Community service essays serve as a powerful tool for individuals to reflect on their experiences, values, and impact on the world around them. Through the process of writing about their volunteer work, students are able to articulate the positive changes they have made in their communities and explore the lessons they have learned along the way.

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Community service essays have a profound impact on both the individuals writing them and the communities they serve. These essays serve as a platform for students to reflect on their experiences and articulate the lessons they have learned through their service work.

One of the primary impacts of community service essays is the opportunity for self-reflection. Students are encouraged to critically analyze their experiences, challenges, and accomplishments during their community service activities. This reflection helps students develop a deeper understanding of themselves, their values, and their role in the community.

Another significant impact of community service essays is the awareness they raise about social issues and community needs. By sharing their stories and insights, students can shed light on important issues and inspire others to get involved in community service. These essays can also help community organizations and stakeholders better understand the needs of their communities and how they can address them effectively.

Overall, community service essays play a vital role in promoting social responsibility, empathy, and civic engagement. They empower students to make a positive impact in their communities and contribute to creating a more compassionate and inclusive society.

Guidelines for Writing Community Service Essays

When writing a community service essay, it is important to follow certain guidelines to ensure that your message is clear and impactful. Here are some tips to help you craft a powerful and compelling essay:

• Start by brainstorming ideas and reflecting on your community service experiences.
• Clearly define the purpose of your essay and what you hope to convey to your readers.
• Organize your essay with a clear introduction, body paragraphs, and conclusion.
• Use specific examples and anecdotes to support your points and showcase your personal growth.
• Highlight the impact of your community service activities on both yourself and others.
• Showcase your passion and dedication to serving your community.
• Be authentic and honest in your writing, and avoid exaggerating or embellishing your experiences.
• Edit and proofread your essay carefully to ensure clarity, coherence, and proper grammar.

Examples of Effective Community Service Essays

Community service essays can have a powerful impact on the reader when they are well-written and thoughtful. Here are a few examples to inspire you:

1. A Well-Structured Essay:

This essay begins with a compelling introduction that clearly articulates the author’s motivation for engaging in community service. The body paragraphs provide specific examples of the author’s experiences and the impact they had on both the community and themselves. The conclusion ties everything together, reflecting on the lessons learned and the importance of giving back.

2. Personal Reflection:

This essay delves deep into the author’s personal experiences during their community service work. It explores the challenges they faced, the emotions they encountered, and the growth they underwent. By sharing vulnerable moments and candid reflections, the author creates a connection with the reader and demonstrates the transformational power of service.

3. Future Goals and Impact:

This essay not only discusses past community service experiences but also looks toward the future. The author shares their aspirations for continued service and outlines how they plan to make a difference in the world. By showcasing a sense of purpose and vision, this essay inspires the reader to consider their own potential for impact.

These examples illustrate how community service essays can be effective tools for conveying meaningful stories, inspiring others, and showcasing personal growth. By crafting a compelling narrative and reflecting on the significance of service, you can create an essay that leaves a lasting impression.

How Community Service Essays Empower Individuals

Community service essays provide individuals with a platform to express their thoughts, share their experiences, and make a meaningful impact on society. By writing about their volunteer work and the lessons they have learned, individuals can empower themselves to create positive change and inspire others to do the same.

• Through community service essays, individuals can reflect on the importance of giving back to their communities and the value of helping those in need.
• These essays can serve as a source of motivation and inspiration for individuals to continue their philanthropic efforts and make a difference in the world.
• By sharing their stories through community service essays, individuals can raise awareness about social issues and promote greater empathy and understanding among their peers.

Overall, community service essays empower individuals to take action, advocate for change, and contribute to building a more compassionate and equitable society.

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Geographic coordinates of Elektrostal, Moscow Oblast, Russia

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Coordinates of elektrostal in degrees and decimal minutes, utm coordinates of elektrostal, geographic coordinate systems.

WGS 84 coordinate reference system is the latest revision of the World Geodetic System, which is used in mapping and navigation, including GPS satellite navigation system (the Global Positioning System).

Geographic coordinates (latitude and longitude) define a position on the Earth’s surface. Coordinates are angular units. The canonical form of latitude and longitude representation uses degrees (°), minutes (′), and seconds (″). GPS systems widely use coordinates in degrees and decimal minutes, or in decimal degrees.

Latitude varies from −90° to 90°. The latitude of the Equator is 0°; the latitude of the South Pole is −90°; the latitude of the North Pole is 90°. Positive latitude values correspond to the geographic locations north of the Equator (abbrev. N). Negative latitude values correspond to the geographic locations south of the Equator (abbrev. S).

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UTM or Universal Transverse Mercator coordinate system divides the Earth’s surface into 60 longitudinal zones. The coordinates of a location within each zone are defined as a planar coordinate pair related to the intersection of the equator and the zone’s central meridian, and measured in meters.

Elevation above sea level is a measure of a geographic location’s height. We are using the global digital elevation model GTOPO30 .

Elektrostal , Moscow Oblast, Russia

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Community and Public Health Nursing Essay

• To find inspiration for your paper and overcome writer’s block
• As a source of information (ensure proper referencing)
• As a template for you assignment

The creation of a three-tiered system of care can solve the problems associated with providing timely and effective care to the U.S. population. The first tier focuses on primary care, prevention, and outpatient care. The second one handles more complicated problems that often require inpatient care. The third level is medical care that is effective in the most challenging cases, many of which were previously considered hopeless. A feature that can be borrowed from the Beveridge model is the funding of the three-tiered system through taxes. In this way, all citizens would be guaranteed equal access to treatment (Rector & Stanley, 2021). From the Bismarck model, it is possible to adopt the feature that the state controls price formation.

As noted above, funding for the operation of the health care delivery system will come from taxes on citizens. In addition, taxes will be used to pay for provider services. A comprehensive health care service is a set of simple health care services that end with either preventive measures, a diagnosis, or the completion of a certain stage of treatment (Rector & Stanley, 2021). The health care delivery system presented here will provide this type of service to the population. Basic coverage will pay for most medical services – exceptions will be made only for those services that are not available in the United States due to lack of technology or drugs. It is expected that this number of unavailable facilities will decrease each year. Thus, basic coverage will be available to all residents, which is a definite advantage of the system. The health care system created will cover four levels of U.S. health care. These include primary care (essentials), secondary care (specialists), tertiary care and hospitalization, and quaternary care.

Rector, C., & Stanley, M. J. (2021). Community and public health nursing. Wolters Kluwer.

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