Dunn A M, Decker S D
J Community Health Nurs. 1990;7(3):131-9. doi: 10.1207/s15327655jchn0703_3.
This article focuses on the theoretical concept of community as client and its application in community health nursing education and practice. Although the concept of community as client has been widely accepted, it was observed that care to individuals and families within community settings constitutes the bulk of current community health nursing practice. The argument is made that undergraduate nursing students should be prepared as generalists to provide care within community settings. Undergraduate nursing students should be introduced to the concept of community as client, with an emphasis on understanding the relationship between individual or family needs and community needs. It is also argued that graduate nursing students should be prepared at the specialist level, focusing primarily on providing care to the community as client. An example of undergraduate and graduate levels of preparation in one university nursing program is described.
本文聚焦于将社区视为服务对象的理论概念及其在社区健康护理教育与实践中的应用。尽管将社区视为服务对象的概念已被广泛接受,但据观察,在社区环境中为个人和家庭提供护理构成了当前社区健康护理实践的主要部分。有人认为,本科护理专业学生应作为通才接受培训,以便在社区环境中提供护理。应向本科护理专业学生介绍将社区视为服务对象的概念,重点是理解个人或家庭需求与社区需求之间的关系。还有人认为,研究生护理专业学生应在专科层面接受培训,主要侧重于将社区作为服务对象提供护理。文中描述了一所大学护理专业本科和研究生阶段培训的一个例子。