Nadeau N
Can Nurse. 1994 Nov;90(10):39-42.
Changes in Ontario's political, social and economic environments have necessitated an unprecedented transformation in the health care system. The change in focus from the individual to the community now includes core units such as families, groups and communities. Visiting nurses, public health nurses and community health nurses have worked in Community Health Centres (CHCs) since 1970. However, the role of nurses working in these centres has not been clearly defined in the literature. Nor is there is a general consensus on their title. Nurse practitioners, primary care nurses or community health nurses are all used. As well, there is no existing educational program in Ontario that trains this type of nurse. This article discusses and gives examples of nurses working in community health, whose primary clinical expertise is in using community based and community development program strategies to plan health programs. These programs are specifically developed to address the health needs of the communities they serve--in this case, Toronto's francophone community. Also demonstrated are new approaches to nursing care within a community setting. From health promotion to disease prevention, from community development to research, the practice of community health nursing is complex and exciting.
安大略省政治、社会和经济环境的变化使得医疗保健系统发生了前所未有的变革。关注焦点从个人转向社区，如今涵盖了家庭、群体和社区等核心单位。自1970年以来，访视护士、公共卫生护士和社区健康护士一直在社区健康中心（CHC）工作。然而，文献中并未明确界定这些中心护士的角色。对于他们的称谓也没有普遍共识。使用的称呼有执业护士、初级护理护士或社区健康护士等。此外，安大略省目前没有培训这类护士的教育项目。本文讨论了在社区健康领域工作的护士，并举例说明，他们的主要临床专业技能是运用基于社区和社区发展项目的策略来规划健康项目。这些项目是专门为满足其所服务社区的健康需求而制定的——在本文中，指的是多伦多的法语社区。文中还展示了社区环境中护理的新方法。从健康促进到疾病预防，从社区发展到研究，社区健康护理的实践既复杂又令人兴奋。
