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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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Home > Graduate Theses, Dissertations, and Capstone Projects > ALL-PROGRAMS > HLTH_COMMUNITY_HEALTH_THESES

Community Health Education Theses

Theses/dissertations from 2023 2023.

Identifying Barriers to Dental Care Among Hispanics in Southwest Minnesota , Lissette Garza

Theses/Dissertations from 2022 2022

The Assessment of Emergency Preparedness Among University Students , Arliah Cox

Stress Coping Responses of Undergraduate University Students Prior to & Since the Onset of the COVID-19 Pandemic , Kaylee Diefenderfer

Perceptions of Well-Being Among College Majors , Baylee Jahraus

Theses/Dissertations from 2021 2021

Assessment of Perceived Levels of Stress and Coping Mechanism Use Among Elementary School Teachers , Lauren Larson

Theses/Dissertations from 2020 2020

An Assessment of Knowledge, Behavior, and Consumption Patterns Surrounding Sugar- Sweetened Beverages Among Young Adults , Anne Harguth

Perceptions, Attitudes, Self-Efficacy, and Behaviors of Mouthguard Use Among Collegiate Athletes , Heather Prosser

Human Papillomavirus (HPV) Infection and Vaccine Knowledge and Attitudes among University Students , McKenzie Schmitz

Theses/Dissertations from 2019 2019

Assessment of Perceived Levels of Stress and Coping Mechanisms Among University Students , Nancy Adomako-Saahene

A Needs Assessment: The Barriers Preventing Students at a Large Midwestern University from Accessing the Dental Clinic on Campus for Preventative Care , Pamela Briese

Incentive-Use in Worksite Wellness Programs in MN Government Agencies , Sandra Bromley

Assessing Knowledge, Attitude and Practices of Hand Hygiene Among University Students , Linda Afia Mbroh

Blood Pressure Screening Practices Among Dental Hygienists , Mariah Sullinger

Theses/Dissertations from 2018 2018

Assessment of Stress Related Issues and Coping Mechanisms among College Students , Emeka Okoro

Assessing the Relationship Between Parenting Styles and Dietary Behaviors Among Young Adults , Breanna Tofteland

Theses/Dissertations from 2017 2017

Workplace Management Knowledge and Support for Employee Breastfeeding Practices , Elizabeth Heimer

Student’s Oral Health Knowledge, Oral Health Practices, and Their Susceptibility to Oral Health Diseases at a Midwestern University , Mouhamed Koubaytari

Avian and Pandemic Influenza Knowledge and Risk Perception in Southern Minnesota , Holly Munch

Preconception Health Knowledge among Undergraduate Women , Ashley Mae Paulsen

Complementary and Alternative Medicine: Current Mind-Body Practices and Perceptions of Undergraduate Students , Julia Ann Marie Putz

Screen Time and Sleep Condition among Selected College Students , Angela Lynn Sargent

Understanding Zoonotic Enteric Disease in Minnesota: A Spatio Temporal Analysis and Causal Theory Approach , Suchismita Swain

The Relationship Between Religiosity and Depression Among Sampled Kenyans In The Twin Cities Metro Area , Dorcas Waite

Theses/Dissertations from 2016 2016

North Minneapolis Residents' Knowledge and Awareness of Indoor Air Quality in Older Residences , Blisse Marie Cajacob

Impact of Stigma on Attitudes towards Seeking Professional Psychological Help for Depression , Anna Marie Dierks

Fruit and Vegetable Availability, Nutrition Education and Access Amongst Food Pantries in California, Maine, Mississippi and South Dakota , Sarah L. Fowler

An Analysis of Western Medicine Mistrust Among Selected African Immigrant Women in Minnesota , Wanjiru Julie Gicheru

Minnesota Collaborative Agreement: Potential for Dental Hygienists to Increase Direct Access for Underserved Populations , Rachel Jane Kashani-Legler

Human Papillomavirus and Human Herpesvirus-8: Knowledge, Perception of Risk and Barriers to Screening and Treatment among Selected Students at Africa University, Zimbabwe , Rujeko Olga Machinga

Young Adults’ Attitudes and Perceptions on Health Insurance and their Health Insurance Literacy Levels , Law Yang

Theses/Dissertations from 2015 2015

Relationship between Nurses' Job Satisfaction and Quality of Healthcare They Deliver , Samuel Aron

Employees' Interests and Preferences Regarding Worksite Exercise Programs , Amber Butcher

Religiosity, Spirituality, and Quality of Life Among Selected University Students , Abby Austin Kreitlow

Health Literacy Proficiency, Sources of Health Information, and Perceived Barriers to Health Literacy Among Selected Members of the Hmong Community in Minnesota , Amanda Vang

Elderly Patient Adherence to Ocular Pharmaceuticals; Impact of Educational and Physical Barriers , Lucky Wagner

Theses/Dissertations from 2014 2014

Physical Environment and Women's Physical Activity Behaviors , Beth Ann Brisky

Plan B Emergency Contraception: Sampled University Students' Knowledge, Attitudes, and Behaviors , Natalie Hazel

Risk Perceptions of Cardiovascular Disease in College Students , Antonia Kolas

Knowledge of HPV, Perception of Risk, and Intent to obtain HPV Vaccination among sampled Male University Students at Minnesota State University, Mankato , Lia Lambert

Sex Education Background of Students at MSU, Mankato Prior to Enrollment at the University , Natalie McConkey

Sampled University Students' Perceived Risk of Diabetes & Self-reported Diabetes Risk Factors , Ajibike R. Shodunke

University Students' Perceptions Of The Severity Of Binge Drinking , Lauren Eleanore Stone

Breastfeeding knowledge, practice, attitudes, and influencing factors: Findings from a selected sample of breastfeeding mothers in Bemidji, Minnesota , Hadeel Adnan Tanash

Recognition of and Attitudes Toward, Intimate Partner Violence Among Sampled University Students , Samantha Maureen Wobschall

Theses/Dissertations from 2013 2013

Health Promotion in the Workplace: Exploring Perspectives of Barriers and Incentives to Employee Participation , Amanda Conlon

The Relationship Between Emotional Intelligence And Alcohol Use Among Students at Minnesota State University - Mankato , Ganisher Davlyatov

The Impact of Telephonic Health Coaching on Physical Activity, Healthy Eating, and Cholesterol Levels , Jill Marie Hansen

Selected College Students' Perceptions, Knowledge and Awareness of Sexual Abuse of Children , Farhiya A. Muse

Access to EMS Services and Training, Knowledge, and Perceptions Related to First Aid and Cardiopulmonary Resuscitation (CPR) Skills Among College Students , Feifei Sun

Theses/Dissertations from 2012 2012

Mothers' Health and Health Behaviors that Influence Childhod Obesity Maternal BMI and Infant Feeding Methods , Mohamed Abdullah Alammari

Assessment of Selected University Students' Knowledge of Blood Donation and the Relationship with Intent to Donate Blood , Jeffrey Allerson

Study of International Students' Definations of, and Perceptions About, Domestic Violence Against Women , Sarbinaz Zamirovna Bekmuratova

Health Care Providers' Intention to Provide Culturally Competent Health Care to Somali Based Upon the Indirect Measures of the Integrated Behavioral Model , Amanda Kaye Ciesinski

The Relationship Between Religiosity & Selected Health Behaviors of African Americans of the Pentecostal Faith , Caprice Jones-Agunbiade

Perceptions of Risk Associated with Unintended Pregnancy and Sexually Transmitted Infections among University Women attending Minnesota State University, Mankato , Jessica Maria Seide

The Relationship Between Disordered Eating Behaviors and Exercise Addiction Among Selected University Students at Minnesota State University, Mankato , Haley Wasko

Theses/Dissertations from 2011 2011

Assessing Students' Risk Factors for Type II Diabetes at a Midwest Public University , Nicole DeCourcy Ferrian

An Investigation on HIV Related Stigma to Improve HIV Prevention Efforts in North Dakota , Krissie Lynn Mayer-Guerard

Use of Social Marketing Promotional Strategies to Create Awareness of Worksite Health Promotion Programs: A Survey of Program Coordinators , Anna Catherine Stahl

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Department of Nursing and Community Health

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Student theses

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Student thesis : Doctoral Thesis › Professional Doctorate (ProfD)

An Exploration of the Perceptions of Nurse Lecturers, Student Nurses and Clinical Mentors of the Utility of Student Nurses Undertaking International Clinical Experience

‘we are here to learn’: an exploration of the meaning of the lived experiences of clinical nurse educators facilitating interprofessional simulation-based education, developing and feasibility testing a structured diabetes health education programme for thai adults diagnosed with type 2 diabetes mellitus.

Student thesis : Doctoral Thesis › Doctor of Philosophy (PhD)

Developing an Emotional Competency Intervention to Decrease Sexual Risk-Taking in Men who have Sex with Men

Drinking to forget a mixed-methods evaluation of the relationships between post-traumatic alcohol use and memories of traumatic events, among heavy drinking individuals, made in my image: a grounded theory of shaping and moulding mentorship practice through persuasion and influence, a women-centred exploration of the determinants of postpartum perineal pain when the perineum is diagnosed as intact: a gadamerian hermeneutic study, an explorative study of the relationship between work-based learning and the development of graduate attributes in biomedical science education, in vitro modelling of chronic aspergillus fumigatus infections, an exploration of how, and in what circumstances, scottish public health policy addresses health inequalities related to people with cardiovascular disease (cvd), navigating the "beautiful tribulation": exploring the lived experiences of parents of children with autism spectrum disorder in oman on the journey of educating their children: an interpretative phenomenological analysis, top to bottom: implementation of cauti care bundles in nhs scotland: a qualitative exploration of healthcare professionals perspectives using normalisation process theory, striving: a grounded theory of healthcare workers’ struggles in implementing infection prevention and control guidance in uganda, "don't sugar coat it" : an interpretive phenomenological analysis of the knowledge, experiences and perceptions of diabetes-related complications in a population with diabetic foot ulcers, a grounded theory of 'taking control' after surgery for fall-induced hip fracture, understanding environmental persistence of the fungal pathogen candida auris, antifungal resistance and pathogenesis of candida albicans biofilms in patients with denture stomatitis, an intervention to prompt changes to sedentary behaviour in office workers, point and shoot: the battle for medical photography in norway, evaluation of the effectiveness of the world health organization's 6-step approach for hand hygiene for healthcare staff, nurse-teacher educators' experience of supporting student nurse-teachers : a narrative inquiry, mindfulness-based interventions for care partnerships experiencing anxiety and depression symptoms after stroke: a mixed methods study, the role of alcohol consumption in the natural history and treatment of chronic hepatitis c virus infection: an epidemiological study, ‘reclaiming our narrative’: a photovoice project exploring controlling images, self-definitions, and community empowerment with muslim women in britain, the functional fitness mot for community-dwelling older adults in thailand.

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Digital Commons @ USF > USF Health > College of Nursing > Theses and Dissertations

Nursing Theses and Dissertations

Theses/dissertations from 2023 2023.

Psychological Distress, Resilience, and the Impact on Quality of Life in Breast Cancer Survivors With Taxane-Induced Peripheral Neuropathy , Lauren Schwab

Theses/Dissertations from 2022 2022

Emotional Intelligence-Driven End-of-Life Care Simulation for Undergraduate Nursing Students: A Quantitative and Qualitative Study , Nasreen M. Alghamdi

Medication-Assisted Treatment Versus 12-Step Group Therapy: A Comparative Analysis of Adherence and Abstinence In Patients With Opioid Use Disorder , Derrick C. Glymph

The Maternal Oral Microbiome Throughout Pregnancy , Rebecca Koerner

A Theoretical Framework for Understanding Breast Cancer Survivor's Post-treatment Lived Experiences in an Educational Program: A Qualitative Data Analysis , Katherine Jinghua Lin

Sexual Dysfunction and Sexual Distress in Lymphoma Patients: A Mixed Methods Pilot Study , Dorothie S. Durosier Mertilus

Seroprevalence of SARS-CoV-2 Antibodies, the Gut Microbiome, and Peripherally Circulating Cytokines in Pregnant Hispanic Females , Tina Susanna Mutka

A Mixed Methods Analysis of Maternal-Infant Feeding Interactions Between Dyads with Opioid Exposure , Kailey T. Rinaldi

Theses/Dissertations from 2021 2021

Quality of Life of Older Adults with Complicated Grief Receiving Accelerated Resolution Therapy: A Mixed Methods Study , Tina M. Mason

Theses/Dissertations from 2020 2020

In Post-Extubated Patients What are the Preferred Methods of Communication During Their Experience of Endotracheal Intubation with Mechanical Ventilation , Lanette Dumas

The Effect of Hope on the Relationship between Personal and Disease Characteristics and Anxiety and Depression in Adolescents and Young Adults with Cancer , Sharon B. McNeil

Predictors of Nonadherence to Radiation Therapy Schedules Among Head and Neck Cancer Patients , Jennifer Lynn Miller

Theses/Dissertations from 2019 2019

Perceived Discrimination and Cardiovascular Outcomes in Blacks: A Secondary Data Analysis of the Heart SCORE Study , Marilyn Aluoch

Exploration of Gratitude in Cardiovascular Health: Mediators, Medication Adherence and Psychometrics , Lakeshia A. Cousin

Theses/Dissertations from 2018 2018

Fatigue-related Symptom Clusters and their Relationship with Depression, and Functional Status in Older Adults Hospice Patients with Cancer. , Suzan Fouad Abduljawad

Genetic Moderation of Pain and Fatigue Symptoms Resulting from the Mindfulness-Based Stress Reduction for Breast Cancer Program , Carissa Bea Alinat

The Moderating Effect of Religion on Death Distress and Quality of Life between Christian Cancer patients in the United States with Muslim cancer patients in Saudi Arabia , Doaa Almostadi

Prevention of Post Intensive Care Syndrome-Family with Sensation Awareness Focused Training Intervention: A Randomized Controlled Trial Pilot Study , Paula L. Cairns

Assessing Abstinence in Infants Greater Than 28 Days Old , Genieveve J. Cline

The Relationship Between Sleep Quality and Motor Function in Hospitalized Older Adult Survivors of Critical Illness , Maya N. Elías

The Role of Migration-Related Stress in Depression Among Haitian Immigrants in Florida: A Mixed Method Sequential Explanatory Approach , Dany Amanda C. Fanfan

The Effect of Depression, Inflammation and Sleep Quality on Risk for Cardiovascular Disease , Catherine L. O'Neil

Adapting SafeMedicate (Medication Dosage Calculation Skills software) For Use In Brazil , Samia Valeria Ozorio Dutra

Theses/Dissertations from 2017 2017

The Relationship Between Total Neuropathy Score-reduced, Neuropathy Symptoms and Function. , Ashraf Abulhaija

Validation of the Electronic Kids Dietary Index (E-KINDEX) Screening Tool for Early Identification of Risk for Overweight/Obesity (OW/OB) in a Pediatric Population: Associations with Quality of Life Perceptions , Patricia A. Hall

Theses/Dissertations from 2016 2016

The Effectiveness of an Intervention Designed to Improve Chlorhexidine (CHG) Bathing Technique in Adults Hospitalized in Medical Surgical Units , Janette Echemendia Denny

Levels of Distress Among Women Veterans Attending a Women’s Health Specialty Clinic in the VA Healthcare System , Debbie T. Devine

Examination of the Use of Accelerated Resolution Therapy (ART) in the Treatment of Symptoms of PTSD and Sleep Dysfunction in Veterans and Civilians , Marian Jevone Hardwick

Investigating the Mutual Effects of Depression and Spiritual Well-being on Quality of Life in Hospice Patients with Cancer and Family Caregivers Using the Actor-Partner Interdependence Model , Li-Ting Huang

The Change in Nutritional Status in Traumatic Brain Injury Patients: A Retrospective Descriptive A Retrospective Descriptive Study , Dina A. Masha'al

Exploring the Relationship Between Severity of Illness and Human Milk Volume in Very Low Birth Weight and Extremely Low Birth Weight Infants Over Six Weeks , Shannon Leigh Morse

Cardiovascular Disease Risk Scores and Novel Risk Factors in Relation to Race and Gender , Johanna Wilson

Theses/Dissertations from 2015 2015

A Comparative Evaluation of the Learner Centered Grading Debriefing Method in Nursing Education , Marisa J. Belote

Sleep, Depressive Symptoms and Cognition in Older Adults and Caregivers of Persons with Dementia , Glenna Shemida Brewster

The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult , Julie A. Daugherty

Basal Salivary Oxytocin and Skin to Skin Contact among Lactating Mothers of Premature Infants , Jessica Marie Gordon

The Relationship Between Nurses' Emotional Intelligence and Patient Outcomes , Mary Kutash

Sexual Functioning and Body Image in Younger Breast Cancer Survivors , Carly Lynn Paterson

Cognitive Load of Registered Nurses During Medication Administration , Sarah Faith Perron

A Comparison of Quality of Life between Intense and Non-Intense Treatment for Patients with Acute Myeloid Leukemia and High-Risk Myelodysplastic Syndrome , Sara Marie Tinsley

Theses/Dissertations from 2014 2014

Acculturation, Self-Efficacy and Breastfeeding Behavior in a Sample of Hispanic Women , Ivonne F. Hernandez

Knowledge and Acceptance of HPV and the HPV Vaccine in Young Men and Their Intention to be Vaccinated , Brenda Renee Jasper

The Relationships Between Sleep Disturbances, Depression, Inflammatory Markers, and Sexual Trauma in Female Veterans , Ellen Marcolongo

Examination of Possible Protective Effect of Rhesus D Positive Blood Factor on Toxoplasma-related Depressive Symptoms in Pregnancy , Lisa Lynn Parnell

Knowledge, Attitudes, and Practice of Primary Care Nurse Practitioners Regarding Skin Cancer Assessmnets: Validity and Reliability of a New Instrument , Debra Michelle Shelby

Theses/Dissertations from 2013 2013

Knowledge and Practice of Reproductive Health among Mothers and their Impact on Fetal Birth Outcomes: A Case of Eritrea , Winta Negusse Araya

Race/Ethnicity, Subjective and Objective Sleep Quality, Physical and Psychological Symptoms in Breast Cancer Survivors , Pinky H. Budhrani

Factors Predicting Pap Smear Adherence in HIV-infected Women: Using the Health Belief Model , Crystal L. Chapman Lambert

The Relationship Between Socioeconomic Status and Body Mass Index on Vitamin D Levels in African American Women with and without Diabetes Living in Areas with Abundant Sunshine , Shani Vann Davis

Predictors of Quality of Life in Patients with Cutaneous T cell Lymphoma , Darcie Marie Deaver

Relationship between dysphoric moods, risk-taking behaviors, and Toxoplasma gondii antibody titers in female veterans , Allyson Radford Duffy

Prenatal Stress, Depression, and Herpes Viral Titers , Pao-Chu Hsu

Factors Associated with Fear of Breast Cancer Recurrence Among Survivors , Jean Marie Lucas

Sickle Cell Disease: The Role of Self-Care Management , Nadine Matthie

Factors Influencing Vaccination Decisions in African American Mothers of Preschool Age Children , Chauntel Mckenzie Mcnair

The Strong Black Woman, Depression, and Emotional Eating , Michelle Renee Offutt

Development of an Investigator-designed Questionnaire Concerning Childbirth Delivery Options based on the Theory of Planned Behavior , Chun-Yi Tai

Theses/Dissertations from 2012 2012

The Mediating Effect of Distress Caused by Constipation on Predictors of Quality of Life of Hospice Patients with Cancer. , Abdel Alkhalouf

Testing a Model of Bacterial Vaginosis among Black Women , Jessica Brumley

The Effect of Tight Glycemic Control on Surgical Site Infection Rates in Patients Undergoing Open Heart Surgery , Sierra Gower

Development of a Tool for Pressure Ulcer Risk Assessment and Preventive Interventions in Ancillary Services Patients , Monica Shutts Messer

Hospice Nurses- Attitudes and Knowledge about Pain Management , Amie Jacqueline Miller

Theses/Dissertations from 2011 2011

Literacy and Hazard Communication Comprehension of Employees Presenting to an Occupational Health Clinic , Christine Bouchard

A Meta-Analysis of Cultural Competence Education in Professional Nurses and Nursing Students , Ruth Wilmer Gallagher

Relationship Between Cancer-Related Fatigue and Depression: A Pilot Study , Gloria Michelle Guess

A Comparison of Oncology and Non-Oncology Nurses in Their Knowledge of Cancer Pain Management , Nicole Houle

Evaluating Knowledge and Attitudes of Graduate Nursing Students Regarding Pain , Eric Bartholomew Jackson

Bone Marrow Transplant Nurses' Attitudes about Caring for Patients Who are Near the End of Life: A Quality Improvement Project , Leslie Lauersdorf

Translation and Adaptation of the Center for Epidemiologic Studies-Depression (CES-D) Scale Into Tigrigna Language for Tigrigna Speaking Eritrean Immigrants in the United States , Mulubrhan Fisseha Mogos

Nurse Manager Emotional Intelligence as a Predictor to Registered Nurse Job Satisfaction and RN Perceptions of the Practice Environment and the Relationship to Patient, Nursing and Hospital Outcomes , Jacqueline Cecilia Munro

The Relationship of Mid-Pregnancy Levels of Cytokines, Stress, and Depression with Gestational Age at Delivery , Melissa Molinari Shelton

Prophylactic, Risk-Reducing Surgery in Unaffected BRCA-Positive Women: Quality Of Life, Sexual Functioning and Psychological Well-Being , Sharon Tollin

Theses/Dissertations from 2010 2010

The Relationship Between FAM5C SNP (rs10920501) Variability, Metabolic Syndrome, and Inflammation, in Women with Coronary Heart Disease , Jennifer L. Cline

Women’s Perceptions of Postpartum Stress: A Narrative Analysis , Nancy Gilbert Crist

Lived Experience: Near-Fatal Adolescent Suicide Attempt , Phyllis Ann Dougherty

Exploring the Relationships among Work-Related Stress, Quality of Life, Job Satisfaction, and Anticipated Turnover on Nursing Units with Clinical Nurse Leaders , Mary Kohler

A Comparative Study of Knowledge of Pain Management in Certified and Non-Certified Oncology Nurses , Sherrie A. LaLande

Evaluating Knowledge and Attitudes of Undergraduate Nursing Students Regarding Pain Management , Jessica Latchman

Evaluation of Oncology Nurses' Knowledge, Practice Behaviors, and Confidence Specific to Chemotherapy Induced Peripheral Neuropathy , Rebecca Denise McAllister

Moderating the Effectiveness of Messages to Promote Physical Activity in Type 2 Diabetes , Rachel E. Myers

Factors Affecting the Process of Clinical Decision-Making in Pediatric Pain Management by Emergency Department Nurses , Teresa A. Russo

The Correlation Between Neuropathy Limitations and Depression in Chemotherapy Patients , Melissa Thebeau

Theses/Dissertations from 2009 2009

Fatigue Symptom Distress and Its Relationship with Quality Of Life in Adult Stem Cell Transplant Survivors , Suzan Fouad Abduljawad R.N., B.S.N.

Nursing Advocacy and the Accuracy of Intravenous to Oral Opioid Conversion at Discharge in the Cancer Patient , Maria L. Gallo R.N., O.C.N.

Transitional Care for Adolescents with HIV: Characteristics and Current Practices of the Adolescent Trials Network Systems of Care , Patricia Gilliam

The Effect of Ethical Ideology and Professional Values on Registered Nurses’ Intentions to Act Accountably , Susan R. Hartranft

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Community-based nursing: a concept analysis with Walker and Avant’s approach

Arezoo zeydani.

1 Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Foroozan Atashzadeh-Shoorideh

2 Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Meimanat Hosseini

3 Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Sima Zohari-Anboohi

4 Department of Medical Surgical-Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Associated Data

All data generated or analyzed during this study have been incorporated into this manuscript.

Community-based nursing in recent years has received much attention from nursing schools in different countries as a suitable solution in response to existing and future problems and challenges, but there is yet no comprehensive and correct understanding of this concept and considering its importance, the present study was conducted to the aim of analyzing the concept of community-based nursing.

Concept analysis was done using Walker and Avant's 8-step approach. Nursing dictionary, Persian dictionary, research articles, journals and conferences articles, dissertations, thesis, books, and other sources related to the concept of research were investigated through search engines and available databases using the keywords of nursing, community-based, concept analysis and Walker and Avant from 1990 to 2023. Finally, 54 articles related to the concept were reviewed and analyzed.

The results showed that community-based nursing has attributes such as individual-oriented/ family-oriented/ community-oriented, social partnership with the communities and stakeholders, social justice, and group and interprofessional cooperation, the community as the main activity setting, providing services based on cultural diversity, providing services according to the context, conditions and community needs, caring for individuals and families with health problems throughout life, responding to the community needs, community-based experiences and facing real-life issues in the context of community, using a problem-based and service-based approach, providing context-based care and considering factors affecting health. In this regard, borderline and related cases (community health nursing, community-oriented nursing, population-based nursing, and public health nursing) were also presented to clarify the concept. Antecedents of community-based nursing included: determining the position of community-based nursing, making infrastructure and structure, the partnership between university, hospital and community, identifying all settings, the presence of educators proficient in education, survey of community needs, having knowledge, communication and community-based skills, expanding the role of the nurse, stakeholders' attitude towards community-oriented nursing and management and financial support. Consequences of community-based nursing included: competence development in nurses, solving community-based nursing challenges, meeting the health needs of individuals, families and communities, social justice, and increasing access to health care services.

The results of this study can provide an objective and understandable image of the use of community-based nurses and their education in practice. Conducting more quantitative and qualitative studies about community-based nursing is also recommended.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12909-023-04749-5.

The term community-based has different meanings, but the common and main point of all of them is the community, which is the focus of service delivery and where community participation is very important [ 1 ]. Changes in health care services have led to changes in nursing. The practice of nursing has changed from providing services in the hospital to the community level [ 2 ].

Community-based nursing provides nursing care to individuals, families, and groups wherever they are, such as where they live and work [ 3 ]. Community-based nursing in recent years has received much attention and empowers nurses to work at the community level [ 4 – 6 ].

Due to the extensive changes, including the increase in urbanization and the increase in the elderly population, changes in the geographical epidemiology of diseases, and the inability to control them by the health team has been highlighted the need to pay attention to community-based nursing as a suitable solution in response to the problems and challenges ahead. In Iran, a study showed that community-based nursing provides direct access to health and treatment services through home visits and home care and accurate identification of the patients’ needs [ 7 ].

Community-based nursing as a new field in education and a new role of nurses in the community has attracted the attention of many nursing schools in different countries in recent years. Still, due to the attention to this concept in recent years, there is no comprehensive and correct understanding. Many people have confused this concept with community-oriented nursing, community health nursing, population-based nursing, and public health nursing, or use these concepts interchangeably. In contrast, these concepts have different meanings and applications, and there is a limited understanding of this concept [ 3 , 8 , 9 ]. As a result, clarifying the concept of community-based nursing and the elements and attributes of this concept increases understanding and the need to pay attention to it.

Also, considering that every community has different context and characteristics, therefore specifying the definition, features, and constituent elements of this concept by examining the concept in other communities helps us in developing knowledge and a comprehensive understanding of the concept [ 10 ].

“In fact, without a clear understanding of the concept of community-based nursing, one cannot reasonably anticipate its effective execution and appropriate training. A comprehensive grasp of the concept and its constituent elements is essential for the proper implementation of community-based nursing care, enabling nurses to embody the role of a community-based nurse. Furthermore, such comprehension serves to garner increased attention from policymakers and raise public awareness.“ [ 2 , 3 ].

In the field of “community-based nursing education” conceptualization has been done by Mtshali [ 9 , 11 ], but “community-based nursing” has not been conceptually analyzed so far. Therefore, the main aim of this research is to explore the concept of community-based nursing to reach a comprehensive and common understanding of this phenomenon.

Methodological framework

Concept analysis has been widely considered and supported as a fundamental research approach to expanding and developing nursing knowledge. Concept analysis is a process of examining the main elements of the concept that the researcher wants to better understand the concept by reviewing its components. It’s a way to deconstruct a term to understand it better and create a correct definition that provides the possibility of measuring the concept and a great insight into the phenomenon of interest [ 12 ]. The purpose of concept analysis is to examine the structure and function of the concept. The concepts within themselves have attributes that make them unique from other concepts. Therefore, concepts are a group of information with defining characteristics. The understanding of the concept changes over time, which is one of the reasons why concept analysis should not be considered a final product. The aim is to understand it in the present moment in time [ 13 ]. Walker and Avant’s concept analysis method is a modified and simplified version of Wilson’s (1963) classic concept analysis, which has eight steps instead of 11 steps and is easier for beginner researchers to understand and do it. This logical positivist approach can clarify a concept by simplifying it [ 14 ].

Data sources

This study is a systematic analytical approach; it aims to clarify the concept of community-based nursing and determine its dimensions using the approach of Walker and Avant (2019). To find meanings related to the concept, an extensive search of the literature of 1990–2023 in search engines and available databases such as Iran Doc, Google Scholar, SID, OVID, CINAHL, Scopus, PubMed, Magiran with keywords of Community-based, nursing, Walker & Avant, concept analysis was done.

Data analysis

In the current research, based on the approach of Walker and Avant (2019), the following steps were carried out, including selecting the concept, determining the aims of the analysis, identifying the uses of the analyzed concept, determining the defined attributes of the concept, identifying a model case, identifying borderline and related issues, identification of the antecedents and consequences of the concept and defining the empirical referents [ 14 ].

Data collection

In this way, in the beginning, a search was conducted to find what existed under the title of community-based nursing in related articles and sources. Then the articles were included in the study based on the inclusion criteria (English language, relevance to the concept of community-based nursing and similar concepts, access to the full text of the article, and non-repetition). The exclusion criteria included the focus of the study on hospital nursing. The procedure for selecting studies using PRISMA diagrams is shown in Fig.  1 . Initially, 123 studies were identified, after removing 40 duplicates, 12 studies based on inclusion and exclusion criteria, 17 studies based on eligibility criteria, finally, 54 studies related to the review concept and defining attributes were extracted from them ( Supplementary file ).

PRISMA diagram of search strategy

Selection of a concept

In this analysis, the concept of “community-based nursing” is considered the main concept of the present research due to its wide application in response to the challenges and health problems of the community, the ever-increasing changes in the way of providing services and the health care system and its importance in education. This concept has received a lot of attention due to its importance in promoting the health of society in the healthcare system. Still, this concept has no proper understanding and clarity, and the boundaries that separate it from other concepts have not been defined. Therefore, it seems that the clarification of this concept can help to understand the performance of community-based nursing and how to train nurses in this field [ 10 , 15 , 16 ].

Determine the aims or purposes of analysis

Considering that the concept of community-based nursing is one of the concepts that is confused with many other concepts and is sometimes used instead of other concepts, while these concepts are different from each other [ 15 ] and it is necessary to clarify the boundaries and its difference to the other similar concepts, that this issue increases the understanding of this concept and its better application in nursing, the concept analysis of the “community-based nursing” was done.

Determine the defining attributes

To identify the characteristics of community-based nursing, a wide range of old to new literature (1995–2023) was reviewed, and the characteristics of community-based nursing were determined as follows:

(1) Individual-oriented/family-oriented/ community-oriented, (2) Social partnership with the communities and stakeholders, (3) Social justice, (4) Group and interprofessional cooperation, (5) The community as the main activity setting, (6) Providing services based on cultural diversity, (7) Providing services according to the context, conditions and community needs, (8) Caring for individuals and families with health problems throughout life, (9) Responding to the community needs, (10) Community-based experiences and facing the fundamental issues of life in the context of community, 11. Using a problem-based and service-based approach, 12. Providing context-based care and considering factors affecting health (physical, psychological, political, economic, social, and cultural conditions).

Identifying all uses of the concept

The concept of co

Identify antecedents and consequences

lowing cases: (1) Managing acute and chronic conditions and providing acute or chronic care in health care centers, homes, schools, primary care clinics, outpatient services, and community centers [ 2 , 3 ], (2) Disease prevention and community health promotion [ 17 ], (3) Focusing on caring for the illness of individuals and families throughout life and promoting self-care in them [ 2 , 3 ], (4) Serving in underdeveloped and under-resourced conditions [ 9 ], serving at-risk populations (including agricultural workers, industrial workers, pregnant women, people with disabilities, mothers who have recently given birth, etc.), establishing fairness and justice in health, and working to the policymakers to change policy and make the environment healthy [ 17 ], (5) Identifying the target population’s needs and meeting the community’s health needs and responding to them, symptoms, and medication management [ 16 , 18 ].

Identify a model case

A nurse has gone to their home to take care of a family that has an elderly father with diabetes and a diabetic foot ulcer who needs to change the dressing (attributes including community-oriented, the community is the main activity setting, caring for individuals and families with health problems throughout life). First, the nurse evaluates the condition of the patient’s family in terms of economic, cultural, social, physical and psychological aspects (attributes including providing context-based care and considering factors affecting health) and realizes that their children are all married and they live alone and economically, they are at an average level, as a result, to the patient’s consent, the nurse prepares and uses a suitable dressing for his leg wound (attributes including providing services according to the context, conditions and community needs), and then the nurse teaches the father of the family how to take care of the dressing and the leg wound (individual-oriented) and meanwhile, the nurse asks about his diet, the client does not like some foods and on the contrary eats some foods that are not suitable for him and says that he cannot have a regular meal plan (using a problem-based and service-based approach), also, he does not use some foods at all due to the prohibition in their culture and religion (attribute of cultural diversity). Based on this, the nurse prepares the best meal plan in consultation with the treatment team and nutrition consultant and then implements it with the approval of the specialist doctor and other members of the treatment team, as well as with the client’s consent (attributes including group and interprofessional cooperation and participation). The nurse also teaches his wife about diet and asks her to cooperate with her husband to implement this plan. While talking to the mother of the family, the nurse notices her respiratory distress, asks her questions, examines the mother, and realizes that she has asthma and does not use her respiratory aid sprays properly. As a result, the nurse helps her to use the spray correctly and teaches her. The mother of the family states that she is depressed due to her difficult situation, the nurse talked to the mental health consultant of the care team about this issue, and an appointment was made to examine the mother of the family and help her (attributes including group and interprofessional cooperation and participation). In the end, the nurse explained the risk factors of diabetes and asked them that if their children have these attributes, they must be evaluated and referred to the health care center of their region (details including family-oriented, community-based experiences and facing real problems of life in the context of the community). Finally, the nurse determines the time of the next visit, advises on social services that can help the family, and ensures that the patient and his family have received all the needed care (attributes including social justice and responding to the community needs).

Identify borderline and related cases

In this study, borderline and related cases of community-based nursing based on the literature review included the following:

• Community health nursing: In community-based nursing, the nurse may meet an acute need, but the goal is to strengthen the capacity of the individual and family to take care of themselves. The main goal of community health nursing is to maintain the community’s health, and its secondary goal is to promote self-care among individuals and families. It also provides care, especially for high-risk people and those with infectious diseases. Community-based nursing care is family-oriented, even if it is for an individual. Community health nursing combines nursing theory and public health sciences. It assigns the priorities of prevention, protection, and health promotion, and its responsibility goes beyond the client, individual and family. In community-based nursing, the nurse cares for individuals and families who have health problems, while in community health nursing, the nurse works with people who are generally well and have no symptoms. The roles of community-based nurses and community health nurses are both client-centered and service-centered. They include providing care, education, counseling, client advocacy and support, and case management, which are similar. Still, the main difference between the two is in the group-oriented roles. In community health nursing, the nurse has more group roles, such as the community advocate, who knows what the community wants and needs and solves it with the available resources. In community-based nursing, nurses spend most of their time (85%) in case management, patient education, individual and family counseling, and interdisciplinary practice, while in community health nursing, nurses spend most of their time in finding case and patient education, while both emphasize cultural sensitivity [ 3 , 19 ].
• Community-oriented nursing: Many attributes of community-based nursing are shared with community-oriented nursing, but they are different. The purpose of community-oriented nursing is to prevent illness and disability, maintain and promote health, focus on health care for individuals, families and groups in the community, provide medical services to improve the quality of life, provide community diagnosis, health monitoring and assessment and school nursing, while the goal of community-based nursing is to manage acute and chronic conditions, focus on caring for the illness of individuals and families throughout life, determining special care in the community where they are located, home care, disease prevention, and health promotion [ 9 ].
• Population-based nursing: Population-based nursing is a systems approach to a problem for a specific population, but in community-based nursing, the target population may be located anywhere. In population-focused nursing evaluation, the target population and the environment in which the population is located should be examined. These assessments focus on epidemiological, environmental, psychological, cultural, spiritual, technological factors and the availability of community support systems [ 8 , 20 ].
• Public health nursing: Public health nurses serve poor people instead of working with the whole people, and this is under cover of community health nursing, which occurs in every field. Public health nursing aims to prevent disease and disability and support the community, with a broad focus on community health and investigating the impact of the health status of the community (resources) on the health of individuals, families, and groups [ 8 ].

Antecedents of community-based nursing based on extensive literature review included the following: (1) Determining the position of community-based nursing, its duties and organizational level in the Ministry of Health and achieving the position of the nurse at all levels of health from prevention to rehabilitation [ 21 ] and creating job opportunities [ 7 ], (2) Making infrastructure and providing structure (political and legal, security, cultural, communications, transportation, facilities, equipment and resources) [ 7 , 16 , 18 , 22 – 25 ], (3) The partnership between university, hospital, community and community health service providers [ 16 , 23 , 26 ], (4) Identifying all areas and capabilities of providing health services and accessing them [ 27 , 28 ], (5) The presence of educators proficient in community-based nurse education [ 28 , 29 ], (6) Survey of community needs [ 29 , 30 ], 6. Survey of community needs [ 31 , 32 ], (7) Knowledge, communication and community-based skills [ 33 ], (8) Expanding the role of the nurse [ 10 , 34 , 35 ], 9.Stakeholders’ attitude towards community-oriented nursing [ 16 , 36 ], 10. Management and financial support for the provision of community-based nursing services [ 18 , 24 , 30 , 37 ].

Based on an extensive literature review, community-based nursing consequences included: 1. Competence development in nurses, such as improving professional, practical, communication skills, critical thinking, teamwork, experience, and deep knowledge about health and social issues in the community [ 33 ],

2. Solving community-based nursing challenges such as hospital-oriented and treatment-oriented in the health system, defects in the position and role of community-based nurses, flaws in community-based education infrastructure, deficiencies in trust, awareness, and acceptance of nurses in the community by the people [ 7 , 38 , 39 ], 3. Meeting the health needs of individuals, families, groups, communities and populations, developing community capacity for health, social justice, and eliminating health inequality [ 11 , 12 , 16 , 23 , 30 , 40 – 44 ], 4. Increasing access to health care services [ 7 , 11 ].

Define empirical referents

According to the extensive literature review, community-based nursing is a vital approach that delivers essential care across the lifespan with a central focus on enhancing overall health, primary care, and rehabilitation. This approach thrives on interdisciplinary collaboration to cater to diverse client groups within their natural environments. It is firmly rooted in the principle that healthcare decision-making primarily rests with the individual, their family, and the community. The nurse plays a pivotal role in devising nursing interventions for the client, their family, and the healthcare team, aligning these interventions with the values held by the client, their family, and the broader community. Community-based nursing places a strong emphasis on prevention, striving to avert the onset of diseases, promptly identify health issues, and provide early intervention and rehabilitation following illness or injury [ 3 ].

In the present study, the concept of community-based nursing was analyzed using Walker and Avant’s approach. Since the concept analysis causes objectification of a specific concept and its operationalization [ 14 ], it seems that expressing experimental interpretations of community-based nursing can be applied more quickly in the hospital, community, and education. Many studies provide positive evidence of community-based nursing practice [ 2 , 17 , 24 , 33 , 40 ]. As it was mentioned, based on a review of studies, community-based nursing has several attributes that are mentioned below.

Community-based nursing is characterized by individual-centered, family-centered, and community-centered orientation. It provides nursing care for individuals, families, and groups wherever they are, including their place of residence, workplace, school, etc. Many studies have considered this attribute important in community-based nursing [ 3 , 16 , 18 ]. In such a way, even if the individual is a client of the community-based nurse, nursing care should be family-oriented and consider the needs of the individual and the family. Being family-oriented means that the nurse believes in improving families’ competence and designs care based on the family’s needs and decisions; this increases the independence of the individual, family and their participation. Such care is necessary for the community because most clients live in their homes despite their health problems [ 3 ].

Social participation is defined as a person’s participation in activities that interact with others in community, also, this concept is defined as groups that work with common goals, responsibilities and power for the betterment of community and it includes the participation of community members, governmental and non-governmental organizations, universities, health center staff and other stakeholders and pays attention to the populations it is supposed to serve, many studies have mentioned social participation as an essential characteristic of community-based nursing [ 3 , 9 , 11 , 12 , 16 , 18 , 22 – 24 , 29 , 37 , 40 , 41 , 45 – 49 ] and the success of community-based nursing performance depends to a large extent on this factor, because it will not be possible to achieve the goals without involving individuals, families and community, also, providing care by a community-based nurse should be focused on the values, preferences of the individual and the family, Therefore, it is necessary to involve them in order to succeed in reaching the goals and supporting the individual and the family [ 18 ]. Community participation provides an opportunity for all community members to participate actively and effectively in the process of development and exploitation, and health promotion programs seek the participation of the community and stakeholders as active partners. Hence the category of participation is considered one of the crucial characteristics of community-based nursing [ 50 ].

The meaning of social justice is the fair and equitable benefit of the people of a community from health care based on need, which is at the heart of community-based health promotion measures to achieve health equality and is another essential attribute of community-based nursing [ 51 ].

Community-based nursing requires group and interprofessional cooperation, and the nurse collaborates with different teams, including doctors, pharmacists, specialists, and assistants. Interdisciplinary collaboration is an essential element in the role of community-based nurses because nurses cannot achieve patient support goals without collaboration with other healthcare team members. Nurses provide the necessary care throughout the patient’s life, focusing on improving health and primary rehabilitation care through interdisciplinary cooperation for different community Sects. [ 2 , 10 ]. In fact, in community-based nursing, to provide comprehensive support and integrated services, it is necessary for medical, administrative, human services, and related professionals to cooperate. It requires extensive cooperation of the government organization with other related institutions such as the welfare organization, municipalities, radio, and television. Many studies have emphasized collaboration as an essential attribute of community-based nursing [ 10 , 12 , 16 , 18 , 22 , 24 , 29 , 37 , 40 , 45 , 49 , 52 ].

The community is considered the main setting for the activity of community-based nurses. It is used to such an extent that the percentage of community-based experiences is higher than other clinical experiences. Most studies have emphasized this issue [ 8 , 9 , 11 , 16 , 23 ]. Another issue is that the hospital is considered a part of the community. Still, nurses perform most of their activities at the community level and provide services according to the prevention levels of healthy people in their natural living environments, from hospital to rehabilitation [ 16 ].

Another essential attribute of community-based nursing is attention to cultural diversity. Cultural diversity exists within and between countries, and nurses are morally committed to providing care appropriate to the culture. To provide adequate care to a client with a different culture or ethnic background, the nurse tries to understand the other person’s point of view regarding their cultural framework. When the nurses are not successful in this field, the consequence will be inequality in care; considering ethnic diversity in Iran, understanding the beliefs of clients, patients, and families, and paying attention to their needs deepens the relationship between nurses and clients [ 53 ]. The nurse must be aware of cultural differences, value the patient’s culture, include it in care plans, and communicate one-by-one with people and families with diverse ethnic or cultural backgrounds in such a way that shows respect for their culture. This brings mutual satisfaction between nurse and client [ 3 , 17 ]. The emphasis is that community is inextricably linked with cultural values. Many studies have considered cultural diversity as one of the essential pillars of community-based nursing [ 16 – 18 , 29 ].

Providing nursing care considering the background, conditions, and community needs is one of the attributes of community-based nursing since the community is the primary activity setting, taking into account the local, regional, and global community conditions, demographic and epidemiological developments, the prevalence of mental diseases, severe changes and the burden of diseases and developing a care plan based on that importance has many and different studies have emphasized this issue [ 26 , 34 , 41 , 49 ].

The philosophy of community-based nursing is to guide nursing care for individuals, families with health problems, and other groups throughout life, wherever they are, including where they live, work and go to school, etc. According to this definition, community-based nursing is not a specialty but a philosophy that guides all nursing care [ 3 ] and have been mentioned in different studies [ 3 , 54 ].

Community-based nurses are responsible for the health needs of the community. They must be able to provide the necessary care for individuals and families and investigate, plan, intervene, and evaluate the community’s needs. Since nursing services are mainly offered in hospitals in Iran, the activities of nurses do not meet the community’s needs, and it is one of the essential things mentioned in many studies [ 11 , 16 , 18 , 34 , 45 , 49 , 55 , 56 ]. The results of Baqhaei et al.‘s study also showed that the need to train capable and competent nurses who respond to the changing needs of the community has increased, for example, with the increase of the elderly population, palliative care, prevention, and acute care are more important [ 57 ].

Community-based experiences and facing real-life problems in the context of the community are integral parts of community-based nursing. Nurses need a wide range of experiences to provide care to individuals, families, and communities, from preventive care to acute care and rehabilitation. This means that they need direct access to population groups to work with and communicate with over time and help improve their health status, and many studies have emphasized this issue [ 16 , 22 , 23 , 37 , 40 , 42 , 58 ].

Using a problem-based and service-based approach to solve problems is one of the attributes of community-based nursing. Solving problems and dealing with real-life issues requires using such an approach, and by focusing on the situation, nurses look for different solutions. With critical thinking and using evidence, they provide the best available resolution to meet the needs of the client and the family [ 11 , 16 , 49 ] and serve the community, especially under-resourced communities. Different studies have considered and emphasized the importance of these approaches in community-based nursing [ 11 , 16 , 49 , 55 ].

Due to being exposed to the conditions and realities of the lives of individuals and families, nurses need to be aware of the target community’s values. This issue makes them aware of social and cultural issues, injustices, and other factors affecting health [ 9 ].

Proper care of individuals and families in social environments requires careful attention to social risks such as poverty, mental illness, unsafe housing, history or current injury, malnutrition, transportation problems, low literacy, etc. The nursing care team should comprehensively assess these areas and cooperate with social partners and colleagues (such as welfare, nursing home, etc.) to deal with them and follow the needs of the individual, family, and community over time. In community-based nursing, nurses are exposed to social, economic, political, cultural and other factors affecting the health of individuals, families, and communities. It is believed that such exposure facilitates a better understanding of social issues and equips nurses with the skills to deal with them. More importantly, it provides a comprehensive and complete view of health and disease because when the nurse encounters the patient only in the hospital setting, such opportunities are lost [ 2 , 3 , 9 , 16 , 18 , 30 , 37 ].

To ensure the continued provision of essential services, community-based nurses must hold a well-defined position within the healthcare infrastructure [ 22 , 39 , 59 ]. Their roles and responsibilities should be clearly delineated, and the settings for their activities must be precisely defined. Equally important is the need for these nurses to acquire the necessary skills through expert-led training programs, thus enabling them to deliver effective services [ 39 , 45 ]. It is imperative that policymakers adopt a community-oriented perspective, as their support is pivotal for the realization of these goals [ 36 ].

Being in different situations and solving problems in community increases the competence of nurses [ 33 ]. The positive result of the presence of nurses in the community creates trust in the community and by increasing access to health and treatment services, the needs of the community are met. Increasing access to health for all helps to eliminate health inequalities [ 10 , 12 , 26 ]. As a result, more people turn to this type of service and visits to hospitals decrease. Such a thing reduces many costs and as a result, policy makers pay attention to the needs of the community and they try to solve the problems and challenges in this field [ 44 , 60 ].

Concept analysis of community-based nursing focused only on theoretical analysis without empirical verification from the nurse educators; this indicates the limitation of the study. Verification of the concept from the nurse educators could have helped the researcher obtain additional data to expand further or clarify the concept.

Proper care of individuals and families in social environments requires careful attention to social risks such as poverty, mental illness, unsafe housing, history or current injury, malnutrition, transportation problems, low literacy, etc. The nursing care team should comprehensively assess these areas and cooperate with social partners and colleagues (such as welfare, nursing home, etc.) to deal with them and follow the needs of the individual, family, and community over time. In community-based nursing, nurses are exposed to social, economic, political, cultural and other factors affecting the health of individuals, families, and communities. It is believed that such exposure facilitates a better understanding of social issues and equips nurses with the skills to deal with them. More importantly, it provides a comprehensive and complete view of health and disease because when the nurse encounters the patient only in the hospital setting, such opportunities are lost. Based on the literature review, it can be said that community-based nursing, in facing the fundamental problems of life, using a problem-oriented and service-oriented approach, provides the necessary health care for individuals and families to the health problems during life and based on the context and community needs (cultural, political, social, economic, health status of the client) provides from the first level of the prevention to the third level and it does this through group and interdisciplinary cooperation and taking into account cultural diversity, factors affecting health and social justice for different strata of community in the natural environment of life and places in the community and it is based on the principle that community-based nursing is a collaborative work, the individual, family, and community have primary responsibility for health care decisions and the nurse mainly determines the nursing interventions with the client, the family and the health care team based on the values of the client, the family and the community and tries to respond to the community needs. The main goal of community-based nursing is to strengthen the capacity of the individual and family to take care of themselves and improve the community’s health. To achieve such a goal, it is necessary to provide infrastructure and structures such as the position of a community-based nurse, essential resources, and facilities and conditions for the nurse to enter the community. In line with the present study, it is proposed to investigate the challenges of community-based nursing education in Iran and introduce a solution to improve it.

Acknowledgements

Not applicable.

Authors' contributions

AZ: Conceptualization, methodology, investigation, interpretation of data, writing-original draft, validation, review & editing FA: Conceptualization, methodology, investigation, interpretation of data, writing-original draft, validation, review & editing, supervision, project administration MH: Methodology, investigation, validation, review & editing SZ: Methodology, investigation, validation, review & editing.

The authors received no financial support for the research, authorship and publication of this article.

Availability of data and materials

Declarations.

This was a retrospective record review without any direct patient interaction by the study team. The research was performed in accordance with the Declaration of Helsinki and approved by two ethics committees. The ethics boards of the University of the Witwatersrand and Boston University reviewed and approved the study protocols and provided a waiver of informed consent.

The authors declare no competing interests.

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Home > FACULTIES > Nursing > NURSING-ETD

Nursing Theses and Dissertations

This collection contains theses and dissertations from the Department of Nursing, collected from the Scholarship@Western Electronic Thesis and Dissertation Repository

Theses/Dissertations from 2024 2024

Sex Differences in Coping Strategies, Infertility-Related Stress, and Predictors of Infertility-Related Stress among Saudi Men and Women Attending Infertility Clinics , Hayat Abdullah Algamadi

A grounded Theory Investigation of Self-Identified Female Students' Mental Health Perception, Mental Health Factors, and Help-Seeking Behaviour , Laila Awwadh Alzaidi

Exploring Parental Vaccine Decision Making: A Mixed Methods Study , Sarah A. Ashfield

The Experience of Postpartum Care Practices among Parent and Healthcare Providers in Canada: A Qualitative Evidence Synthesis , Andrea Atkinson

Exploring Student Experiences of Interprofessional Simulation Education , Jonathan Barrios

The Housing Conditions and Health Experiences of Caribbean Migrant Agricultural Workers: A Secondary Analysis , Elizabeth Diedrick

Developing Therapeutic Relationships in the Community Setting with Clients Experiencing Marginalization , Danielle Knipping

HARNESSING DATA SCIENCE IN HOMECARE TO ANTICIPATE CARE FOR “PERSONS WITH AMYOTROPHIC LATERAL SCLEROSIS” (PALS) , Sally E. Remus

Theses/Dissertations from 2023 2023

Nurse-Hero Discussion on Twitter: A Social Network Analysis and Qualitative Content Analysis , Amna Ali

The impact of Authentic Leadership, Structural Empowerment, Psychological Empowerment, Interpersonal Conflict, and Job Satisfaction on Turnover Intention among Early Career Nurses in Saudi Arabia. , Ohood Ali Alkaabi miss

The Process of Art Creation Among Mothers from Ontario Who Have Experienced Gender-Based Violence , Madison L. Broadbent

Exploring How Mothers With A History Of Intimate Partner Violence Experienced The COVID-19 Pandemic , Emma Jane Butler

Nurse-Assisted Injection: Perceptions of Dependent Injectors in Ontario, Canada , Emelia C. Cormack

Exploring the Role of the Nurse in Supporting Breastfeeding among Indigenous Women in Canada: A Scoping Review of the Literature , Lindsey Corrigan

The Experiences of Clinical Placement Belonging Among Nursing Students with Racially and Ethnically Minoritized Identities: An Interpretive Descriptive Study , Connor J. Gould

Nurses’ and Midwives’ Lived Experiences as Mentees in a Clinical Mentorship Program in Rwanda: An Interpretive Phenomenological Study , Yvonne Kasine 2399948

Uncovering the Experience of Determining Readiness to Increase Self-Management Responsibility in Canadian Adolescents Living with Type 1 Diabetes , Kelly A. Kennedy

Exploring Clinical Reasoning in Nursing Through A Serious Gaming-Enabled Digital Simulation , Stephanie Kennedy Miss

The Development, Refinement, Implementation, and Impact of a Nurse-Led Health Coaching Self-Care Management Intervention for Heart Failure , Maureen Leyser

Relational Variables Impacting the Healthcare Team , Linda J. MacDougall Ms

Exploring Family Members’ Beliefs and Experiences of Supporting Relatives with Substance Use and Misuse within Black Communities , Esther N. Monari

An Exploration of the Culturally-Rooted Meaning and Consequences of Unintended Adolescent Pregnancy in Rwanda: A Multi-Dimensional Perspective , Jean Pierre Ndayisenga

Exploring how the Perinatal Services of Primary Health Care Settings in Rwanda Support Adolescent Mothers to Inform the Delivery of Trauma- and Violence-Informed Care: An Interpretive Description , Aimable NKURUNZIZA

Bridging the Gap: Canadian Health Care Providers Perspectives' of Harm Reduction and Substance Use Education in Hospital , Leanne Scott

Intimate Partner Violence, Social Support, Mastery, and Mental Health , Alice Pearl Sedziafa

A Picture of Spirituality in Youth Living with Bipolar Disorder , Michelle S. Solomon

Decentering Whiteness in Nursing Education: The Pitfalls, Tensions, and Opportunities , Ivy Tran

Theses/Dissertations from 2022 2022

Exploring Health Inequities: Head Injuries in People Experiencing Homelessness , Emily M. Angus

Women’s Priorities and Actions Mothering in the Context of Intimate Partner Violence , Sharon Broughton

Toward Understanding Culturally Safe Health Care for Transgender People: A Scoping Review of Health Care Provider Knowledge , Terrie Butler-Foster

Forming Authentic and Purposeful Relationships with Racialized Communities from an Anti-Oppressive Lens: A Framework for African, Caribbean, and Black Communities , Jaimeson R. Canie

Clinical Virtual Simulation: A Qualitative Usability Study , Samantha Beatrice Cooke

Predictors and Outcomes of Patient Stigma Perception Appraisal: Developing and Testing of a Dynamic Stigma Model of Mental Illness , Sebastian Kwadwo Gyamfi

Women’s Experiences of Accessing Breastfeeding and Perinatal Health Support in the Context of Intimate Partner Violence: An Interpretive Description Study , Samantha Larose

"Pain is What the Patient Says it is": A Secondary Analysis of Nurses’ Reflections on the Term Pain Catastrophizing , Riana Longo

An Exploration of Non-Urgent Emergency Department Use from the Patient and Health Care Professional Perspective , Amanda McIntyre

Self-management Experience of Nurses Living with Migraine: A Qualitative Study , Marionette Ngole Dione

Host Organizations' Perspectives of Partnered Global Study-Abroad Programs , Jessica C. Pop

The Effect of Interprofessional Conflict Resolution on Interprofessional Collaborative Practice among Health Care Provider Teams in Hospitals , Sibylle Ugirase

Teaching Family Planning in Nursing and Midwifery Schools: A Constructivist Grounded Theory Study , Pauline Uwajeneza

Theses/Dissertations from 2021 2021

Syrian Refugee Women's Experiences with the Ontario Health Care System: A Critical Ethnography Study , Areej Al-Hamad

The Influence of Authentic Leadership on Nurses’ Turnover Intentions and Satisfaction with Quality of Care in Saudi Arabia: A Cross-Sectional Study , Bayan Alilyyani

Understanding the Current State of Health Information Exchange in Long-Term Care Homes , Kendra R. Cotton

Relationships among Interactional and Organizational Factors with Healthcare Provider Outcomes Post-Implementation of an Interprofessional Model of Patient Care , Wendy L. Ellis

Chronic Disease Management in a Nurse Practitioner Led Clinic: An Interpretive Description Study , Natalie Floriancic

Understanding the Lived Experience of Health Through the Exploration of Well-being of Women with Multiple Sclerosis in Southwestern Ontario , Jennifer Howard

"Healthcare Heroes" - The Change in Perceptions of Nurses' Roles During the COVID-19 Pandemic: A Critical Discourse Analysis , Stephanie Jones

The Discursive Construction of Substance Use and Harm Reduction in Canadian Health Policy , Sibel Kusdemir

Nurses' and Nurse Educators' Experiences of a Pediatric Nursing Continuing Professional Development program in Rwanda , Amy K. Olson

Health Providers Perspectives on the Access and Use of Formal Health and Social Services by Stroke Caregivers , Hannah Pollock

The Effect of Authentic Leadership and New Graduate Support on New Graduate Nurses' Job Satisfaction , Stephanie H. Prtenjaca

Reddit and Nursing During Covid-19: A Summative Content Analysis , Julia C. Savin

Being a Child Bride in Nigeria: A Feminist Narrative Inquiry , Olubukola Foluke Sonibare

New Graduate Nurses’ Experiences of Engaging in a Leadership Role in Hospital Settings During the COVID-19 Pandemic , Justine Jeanelle Ting

Theses/Dissertations from 2020 2020

Interprofessional Role Clarification Among Licensed Health Care Practitioners in Rural and Smaller Community Hospitals , Dianne E. Allen

Exploring Nursing Student Use of Instagram: Selfies and Soliloquies and #becominganurse with Evolving Digital Footprints , Kingsley KS Au

The Association Between Intimate Partner Violence and Functional Gastrointestinal Disorders and Symptoms Among Adult Women: Systematic Review , Ohud Shawqi Banjar

Exploring the Relationships Among New Graduate Nurses’ Structural Empowerment, Psychological Empowerment, Work Engagement, and Clinical Nurse Educator Leadership in Acute Care Settings , Carly Blair

Caring Revisited: A Foucauldian Discourse Analysis on the Association of Caring with the Profession of Nursing , Margot Boulton

Optimization of Simulated Electronic Medication Administration for Safe Management During Nursing Education , Laura Brennan

Leader Empowering Behaviour as a Predictor of Nurse and Patient Outcomes , Karen Cziraki

The Effect of Authentic Leadership on New Graduate Nurses’ Organizational Identification, Trust in the Manager, Patient Safety Climate, and Willingness to Report Errors , Fatmah Fallatah

Unit Managers’ Authentic Leadership, Staff Nurses’ Work Attitudes and Behaviours, and Outcomes of Care: A Structural Equation Model , Lisa M. Giallonardo

Developing and Evaluating the Integrated Addiction Recovery Model for the Persons' Engagement and Retention in the Recovery Process Among Clinical Populations from Rwanda , Boniface Harerimana

Developing Competencies for Public Policy Advocacy: A Comparative Case Analysis , Amy L. Lewis

Prematurity, Socioeconomic Status, And Childhood Asthma: A Canadian Cohort Study , Crystal P. McLeod

Patient Roles within Interprofessional Collaborative Patient-Centred Care Teams: The Patient and Health Care Provider Perspectives , Kateryna Metersky

Nurses' and Midwives' Experiences as Mentors in a Clinical Mentorship Program in Rwanda , Marie Chantal Murekatete

Examining the Impact of Social Media on Youth Self-Perceived Mental Health , Chantal Singh

Exploring Mental Health, Physical Health, and Affective Commitment in Acute Care Oncology Nurses in Ontario , Lesley M. Smith

Women’s Experience of Obtaining Health and Social Services following Intimate Partner Violence: Lesbian, Gay, Bisexual, Transgender, and Queer Relationships in Rural Communities , Emily E. Soares

Values, Assumptions, Behaviours, and Practices Influencing the Professional Development of Nursing Students Within Acute Care Practice Environments in Rwanda: A Focused Ethnographic Study , Benoite Umubyeyi

A study of job satisfaction and turnover intention among acute care nurses working in rural and urban settings , Yasin Yasin

Theses/Dissertations from 2019 2019

Understanding the Lived Experiences of Saudi Students Enrolled in Canadian Graduate Nursing Programs , Aisha Namshan Aldawsari

Pathways to Homelessness: Exploring the Mental Health Experiences of Refugees Experiencing Homelessness in Canada , Bridget Annor

Breastfeeding Experiences of African Migrant Women in Developed Countries: A Qualitative Systematic Review. , Odinaka Ogoegbunam Anunike

Sociocultural Factors Affecting Mental Health Service Utilization by African Newcomer Women Following Childbirth in Canada , Deborah Baiden

Registered Nurses’ Perceptions of the Electronic Canadian Triage and Acuity Scale in a Community Hospital , Andrea de Jong

New Graduate Nurses: Relationships among Sex, Empowerment, Workplace Bullying, and Job Turnover Intention , Aaron L. Favaro

Women’s Experiences Receiving Humanitarian Aid , Aden M. Hamza

Registered Nurses' Intention To Use Electronic Documentation Systems: A Mixed Methods Study , Sarah Ibrahim

Exploring the Mental Health Care Experiences of Youth Transitioning from Paediatric to Adult Psychiatric Services Using the Photovoice Method: A Participatory Analysis of the PhotoSTREAM Project , Brianna Jackson

An exploration of how persons requiring hemodialysis treatment explain the ways in which access to transportation for such treatment influences their overall health. , Navpreet Kamboj

Exploring the Characteristics and Behaviours of Nurses Who Have Attained Microcelebrity Status on Instagram , Hanna Kerr

Collaborative Self-Management and Chronic Obstructive Pulmonary Disease: Integrating Patient Needs into an Educational Program for Nurses , Loretta G. McCormick RN (EC)

Assessing the Impact of Mentorship on Rwandan Nurses’ and Midwives’ Knowledge and Self-Efficacy in Managing Postpartum Hemorrhage , Marie Grace Sandra Musabwasoni

Nurse and Midwife Educators' Experiences of Translating Teaching Methodology Knowledge into Practice in Rwanda , Jean Pierre Ndayisenga

Exploration of Knowledge and Skills Development among Community Health Workers in Rwanda , Schadrack Ngabonziza

Assessing Changes in Knowledge about and Self-efficacy for Neonatal Resuscitation Among Rwandan Nurses and Midwives after a Mentorship Process , Gerard Nyiringango

Theses/Dissertations from 2018 2018

Lived Experience of Gestational Diabetes Mellitus among Saudi Women: Interpretive Phenomenological Study , Hayat Abdullah Algamadi

Relationships Among Authentic Leadership, Manager Incivility and Trust in the Manager , Ohood Ali Alkaabi

Gender and Experiences of Family Homelessness , Fawziah Almalki

The Influence of Authentic Leadership on Fourth-Year Nursing Students' Experience of Workplace Bullying and Withdrawal Intentions , Lindsay Anderson

Exploring Social Cohesion Among Syrian Refugees in Canada: A Secondary Analysis , Sara Calvert

An Exploration of Medication Errors Generated by Baccalaureate Nursing Students Using Electronic Medication Administration Record (eMAR) Technology in Clinical Simulation , Ryan Chan

An Exploration of the Nursing Leaders’ Experiences Addressing Indigenous Health in University Undergraduate Nursing Programs in Ontario , Danae Coggins

It's About Time! GDM: A Transformative Postpartum Process. A Constructivist Grounded Theory Study , Natalie Giannotti

Women's Quality of Life After Leaving an Abusive Relationship: The Effects of Past and Ongoing Intimate Partner Violence, Mastery and Social Support , Diana Jaradat

Exploring unmet healthcare needs, healthcare access, and the use of complementary and alternative medicine by chronic pain sufferers- An analysis of the National Population Health Survey , Jessica LaChance

Exploring Harm Reduction Among Canadian Veterans Experiencing Homelessness , Olivia Marsella

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EXECUTIVE COMM HEALTH NURSING DIR - SES - 64045257

The State Personnel System is an E-Verify employer. For more information click on our  E-Verify Website .

Requisition No: 836425 

Agency: Department of Health

Working Title: EXECUTIVE COMM HEALTH NURSING DIR - SES - 64045257

 Pay Plan: SES

Position Number: 64045257 

Salary:  90,000.00 - 104,000.00 

Posting Closing Date: 09/04/2024 

Total Compensation Estimator  Tool

 FLORIDA DEPARTMENT OF HEALTH

 IN SEMINOLE COUNTY

JOB OPPORTUNITY ANNOUNCEMENT

Internal Agency Opportunity Applicants accepted only from Department of Health employees, (includes OPS, Career Service, SES or SMS employees). Applicants will not be accepted from outside of the department.

Class Title: Executive Community Health Nursing Director - SES

Base Salary: $ 90,000 – $104,000 annually

Location: Florida Department of Health in Seminole County

                 400 W. Airport Blvd

                 Sanford, FL 32773   

Remote work will not be a consideration.

This position will be responsible for the day-to-day operational and supervisory activities in the DOH-Seminole clinic. The clinic is responsible for administering DOH-Seminole’s Family Planning, Sexually Transmitted Diseases (STD) and HIV programs, School Physicals, and Immunizations.

This position is a full-time Executive Community Health Nursing Director, reporting to the County Health Department Administrator. Primary responsibilities will include overseeing the day-to-day-clinic

operations, Family Planning, HIV/AID/STD screening and treatment, Prep, School Physicals, and HIV Ryan White Program compnents. The Exective Community Health Nursing Director will also provide direct patient care as needed. The following positions will report to this position: Senior Community Health Nursing Supervisor, (Clinic/Immunizations), O perations & MGMT Consultant MGR-SES (School Health), Operations & MGMT Consultant MGR-SES (HIV-Ryan White), Operations & MGMT Consultant II-SES ( Outreach Screening & Mobile Health Unit, Breast and Cervical Cancer Program, and clinic administrative tasks). In addition, the incumbent will exercise independent judgment in organizational development, while assisting in the formulation of policies and procedures that have significant impact in personnel administration and the preparation and administration of budgets. 

This is a highly responsible administrative position which participates in policy making and program development in conjunction with the County Health Department Administrator and The Executive Leadership Team. The Executive Community Health Nursing Director, directs, plans, and promotes the integrated clinical health and public health nursing services as well as formulates and develops policies and procedures relating to medical and public health nursing.  This position develops short- and long-term goals, and objectives through the strategic planning process and evaluates agency compliance and statewide standards and implementation procedures for integrated clinical health services. This position also prepares technical reports, manuals, and studies for the County Health Department Administrator and other agencies, and reviews and analyzes those prepared by program staff. Additional responsibilities are noted below.

Analyzes and plans for present and projected needs in accordance with agency objectives, community needs and available resources. Collaborates with other health care providers to provide comprehensive integrated services and client outcomes for the agency.

Collaborates with professional organizations, universities, schools of nursing, physicians, and other related agencies/organizations to promote public health. Participates in community assessment, planning, and assurance activities. Collaborates and coordinates with various community agencies to provide outreach services to individuals, groups, and communities.  Attends meetings, seminars, and workshops related to nursing services, policies, and procedures.  Attends and participates in meetings with community agencies and groups for identifying and planning for health needs and services for clients in Seminole County.

Directs the planning, implementation, staffing and evaluation of programs. This includes communicating with, motivating, training, and evaluating employees in addition to planning and directing employees' work. Performs other related duties as assigned by the County Health Department Administrator and represents the Administrator at meetings and events as designed.

This position may be required to work before, during and/or beyond normal work hours or days in the event of an emergency. Emergency duty requirements includes working in special needs or Red Cross shelters, or performing other emergency duties including, but not limited to, responses to or threats involving any disasters or threat of disaster, man-made or natural. This position will maintain confidentiality and security of records as specified by departmental regulations and laws, policies and procedures relating to integrated clinical health services, medical and public health nursing. 

Required Knowledge, Skills, and Abilities:

Knowledge of medical terminology, principles, and analytical techniques of interviewing; data collection and analysis principles and procedures. Knowledge of advanced nursing principles including health assessment, physical exam, and medication prescription. Ability to prepare reports, understand and apply applicable rules, regulations, policies and procedures relating to TB, Refugee Health and other programs as assigned, Ability to understand and follow legislative policy direction as established in Federal and Florida Statutes; Ability to provide customer service in a tactful and courteous manner; work independently, plan, organize and coordinate work assignments, communicate effectively, establish and maintain effective working relationships with others; Skilled in critical thinking and problem solving techniques; Computer skills including word processing, data entry and sending and reviewing emails.

Minimum Qualifications:

• This position requires from the Florida Board of Nursing, a Licensed APRN in accordance with F.S. 464 or eligible to practice nursing in accordance with F.A.C. 210-6.27.
• Current Florida Department of Health employee
• Willing to work before, during, and/or beyond normal work hours or days in the event of an emergenc. This may include working in a special needs or Red Cross shelter, or performing other emergency duties including, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural. Emergency duties may also include in-state and/or out-of-state deployment.

​​​​​​​Preferred

• Verifiable experience managing nursing personnel or clinical staff.
• Verifiable experience diagnosing and prescribing medications to client in a clinical setting.

Florida Department of Health Mission, Vision, and Values:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

To be the  Healthiest  State in the Nation.

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits.
• Nine paid holidays and one Personal Holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, including employer contributions. (For more information, please click  www.myfrs.com );
• Flexible Spending Accounts.
• Tuition waivers.

For a more complete list of benefits, including monthly costs, visit  www.mybenefits.myflorida.com .

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website:  http://www.sss.gov 

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.  Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. 

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans, and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

SANFORD, FL, US, 32773

Nearest Major Market: Orlando

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For assistance, call the People First Service Center at (877) 562-7287 Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time