Eugene Harris
NUR/405 Healthy Communities: Theory And Practice
November 28th, 2011
Beth Meadows
Community health nursing has become a focal point in healthcare since the 1960s-70s when the civil right movement shifted the goal from a charitable concept to a political commitment in order to rectify racial injustices of the past (Stanhope and Lancaster, 2008). Many programs came about with the goal of addressing inequalities in the delivery of healthcare based upon social-economical status. Nurse practitioners then became an important factor in the delivery of healthcare, thereby affecting services offered in community health clinics which improved local accessibility to healthcare. (Stanhope and Lancaster, 2008). Many dynamic changes occurred since then with nurses making important contributions in disease prevention and health promotion in the community which countered the escalating costs of acute hospital care. The definition of a community, in simplicity, is a group of people who live in the same area, or the area in which they live. Unfortunately, this definition does not completely explain what a community is. A community would be individuals who share the same space and interact with each other either directly or indirectly via mechanisms or environment. A community is more than a cluster of individuals, it also will be constructed of families and aggregates (persons with many commonalities) that are interdependent or whose purpose is to fulfill a wide variety of the collective needs (Stanhope and Lancaster, 2008).Stepping back and looking at this description, you could imagine the complexity of interactions which would occur for its survival.
Community health is everything in the process, including characteristics, environment and economics that promote the survival of its constituents. Stanhope and Lancaster (2008) define community health as, “the meeting of collective needs through the identification of
References: Stanhope, M., Lancaster, J.(2008) Public health nursing: Population-centered health care in the community.St. Louis, MO:Mosby Elsevier. US Department of Health and Human Services. (2011). Healthy People.GOV. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=40 City-Data.com. (2010). Retrieved from http://www.city-data.com/zips/77004.html