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Advanced practice nursing in community: nursing's opportunity

S S Bunkers¹, C Michaels, P Ethridge

¹Augustana College, Sioux Falls, South Dakota, USA.

Advanced Practice Nursing Quarterly

|April 1, 1997

Summary

Advanced practice nursing engages community as a relational process, focusing on health and wholeness. Nurses participate in a health process within managed care, enhancing quality of life.

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Area of Science:

Nursing Theory
Community Health
Healthcare Management

Background:

Community is conceptualized as a dynamic, relational process of "coming togetherness."
Health is viewed as an ongoing, evolving process, drawing on Parse's "human becoming" and Newman's "health as expanding consciousness" theories.
The context for community engagement is the current landscape of managed healthcare.

Purpose of the Study:

To explicate the concept of community as a relational process.
To explore the role of advanced practice nursing within this community process.
To examine the focus of advanced practice nursing in community settings.

Main Methods:

Theoretical analysis integrating Parse's and Newman's nursing theories.
Conceptual exploration of community as process and health as process.
Examination of advanced practice nursing's role within the nurse-person-community-health process.

Main Results:

Community is understood as a continuous relational process, mirroring health as an expanding consciousness.
Advanced practice nurses engage in a complex nurse-person-community-health process.
The primary focus for advanced practice nursing in community is promoting health, wholeness, and quality of life.

Conclusions:

Advanced practice nursing's presence and engagement are crucial in the community health process.
The nurse-person-community-health process offers a framework for understanding nursing's role in community.
Participating with presence is identified as a key nursing opportunity in community settings.

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