The Clinical Specialist in Community Health Nursing: A Solution for the 21st Century

Authors

  • Marion Hemstrom D.N.Sc., R.N., C.S.,

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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  • MaryAnn Ambrose R.N., M.S.N.,

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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  • Gayle Donahue B.S.N.,

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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  • Laurie Glick N.D., M.S.N., M.P.H., R.N.,

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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  • Hui Ling Lai M.S.N., M.P.H., R.N.,

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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  • Sunida Preechawong M.S.N., M.P.H., R.N.

    1. Marion Hemstrom is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. When this article was written, the other authors were graduate students in the clinical specialization in Community Health Nursing. Their current positions are: MaryAnn Ambrose is a Home Health Care Manager, Parma Community Hospital, Parma, Ohio; Gayle Donahue directs the Parish Nurse Program at Fairview Hospital, Cleveland, Ohio; Laurie Glick is an Instructor, Shaare Zedek Medical Center, Jerusalem, Israel; and Hui Ling Lai and Sunida Preechawong are currently Ph.D. students, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
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Address correspondence to Marion Hemstrom, Frances Payne Bolton School of Nursing, Case Western Reserve University, 2121 Abington Road, Cleveland, OH 44106. E-mail: mxh@po.cwru.edu

Abstract

The clinical specialist (CS) in community health nursing (CHN) addresses health problems in populations and communities in ways that are different from and complimentary to strategies used by practitioners of individualized patient care. Four programs based on comprehensive assessments, systematic program planning, deliberate implementation, and both formative and summative evaluation are presented. The programs were developed by graduate students in the CHN clinical specialization major at the Frances Payne Bolton School of Nursing. With expert faculty guidance and a competency-driven program of study, strategies were implemented to promote the health of community-dwelling well elderly people, home health care nurses who provide service to patients with respiratory problems, and high school students in a private religious school. Experienced parish nurses also benefited from a program designed to enhance their skills in theological reflection. This article also describes the curricular design developed to educate this clinician for the 21st century. Lastly, continued attention to the dynamic criteria of the American Nurses Association Standards of Community Health Nursing Practice is recommended as crucial to the further development of this clinical specialization.

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