Havens B B, Stevens R
J Community Health Nurs. 1990;7(3):123-30. doi: 10.1207/s15327655jchn0703_2.
Although community health nursing standards of practice state that the baccalaureate degree (BSN) is the entry level for practice, the reality is that over 60% of the work-force has less than a bachelor's degree. Furthermore, BSN programs have been criticized for not putting sufficient emphasis on content areas critical for effective entry-level practice. This article presents a continuing education model that could guide agencies in developing programs to correct these deficits, incorporating both initial orientation, ongoing staff development, and formal advanced preparation. The educational background of the nurse determines the clinical activities and degree of supervision required for practice. The non-BSN entering practice should take an intensive course in basic skills identified as essential for practice in the community health setting. Work or professional assignments dictate additional staff development needs. Formal academic preparation at the bachelor's, master's, and doctoral levels is encouraged. Description of the content, course format, and evaluation information regarding the North Carolina course for preparing non-BSN RN's for entry-level community health practice is presented.
尽管社区健康护理实践标准规定学士学位（BSN）是实践的入门水平，但实际情况是，超过60%的劳动力拥有的学位低于学士学位。此外，BSN项目还因未充分重视对有效入门级实践至关重要的内容领域而受到批评。本文提出了一种继续教育模式，该模式可以指导机构制定项目以纠正这些不足，包括初始入职培训、持续的员工发展以及正规的高级培训。护士的教育背景决定了实践所需的临床活动和监督程度。非BSN学历的从业者应参加一门强化课程，学习社区健康环境中实践所必需的基本技能。工作或专业任务决定了额外的员工发展需求。鼓励进行学士、硕士和博士层次的正规学术培训。本文还介绍了北卡罗来纳州为非BSN注册护士进行入门级社区健康实践准备的课程的内容、课程形式及评估信息。
