Chalmers K, Kristajanson L
School of Nursing, University of Manitoba, Winnipeg, Canada.
J Adv Nurs. 1989 Jul;14(7):569-74. doi: 10.1111/j.1365-2648.1989.tb01592.x.
Although literature on community health nursing identifies a nursing role at the community level, there is a lack of clarity about the elements and expected outcomes of this role. In this paper three models of community health practice are presented and discussed in terms of their effectiveness as a basis for nursing practice at the community level. These models are (1) the public health model, (2) community participation model, and (3) community change model. Factors that affect the effectiveness of nursing to work at the community level are also discussed and questions for reflection and debate raised.
尽管有关社区健康护理的文献确定了社区层面的护理角色，但该角色的要素和预期结果却不够清晰。本文介绍并讨论了三种社区健康实践模式，并就其作为社区层面护理实践基础的有效性进行了探讨。这些模式分别是：（1）公共卫生模式；（2）社区参与模式；（3）社区变革模式。文中还讨论了影响社区层面护理工作有效性的因素，并提出了供思考和辩论的问题。
