Reaching outside the Box

By Hall-Long, Bethany A. | Nursing and Health Care Perspectives, May 2000 | Go to article overview

Reaching outside the Box


Hall-Long, Bethany A., Nursing and Health Care Perspectives


An Academic-Community Model to Prepare Nurses for the Future

"One does not discover new lands without consenting lose sight of the shore for a very long time." ANDRE GIDE

FACULTY AND PRACTITIONERS, responding to changes in the health care system, must be willing to explore new opportunities and experiment with different teaching and practice modalities. In other words, they must be willing "to reach outside the box." * As cornerstones of the future health care system, interdisciplinary primary care education and community-campus partnerships provide avenues for the successful integration of teaching, practice, and research, essential components of contemporary health professions education (1-5). Creativity in health care delivery is also needed. The time is ripe for population-focused service delivery entailing grassroots community empowerment and what can be described as "curbside" delivery of health services (5). * Student Nurses in Action (SNIA) is a transdisciplinary, academic-service-research partnership model that responds to community needs by bringing care to residents of urban, suburban, and rural communities. SNIA links clinical settings with diverse research projects and funding sources. Ideas for partnerships and campus-community programs are replicated across economically and culturally diverse populations. * Evaluation of SNIA is based on data from fiscal estimates, questionnaires, and interviews from a purposive sample of students, clients, and preceptors. Evaluations conducted to date support the continuation and expansion of the program.

Background and Goals Responding to an increased demand for grassroots community health and social services, the author worked with civic leaders to develop Student Nurses in Action in 1994. This effort was a natural response by an academic institution to calls in the early 1990s for community-based education (4,6). Partnership goals, roles, and resources were clearly delineated in the early days of the program and revisited throughout the process.

Core public health measures serve as the framework for education outcomes and skills of SNIA nurses. These measures are community assessment, partnership development, grant writing, epidemiology and research, negotiation skills, health promotion and education, quality assurance, data collection and surveillance, and public policy development.

SNIA has six primary goals:

* To improve the public's access to health services, information, screenings, and education.

* To provide undergraduate and graduate nursing students with population-based clinical management and health policy experiences.

* To facilitate program and agency service missions, research activities, needs assessments, marketing projects, and staff development.

* To empower at-risk communities to attain United States Healthy People 2010 objectives.

* To promote faculty, student, and preceptor research-practice ventures.

* To facilitate community networking and partnerships between a college of nursing and health science and nonprofit agencies of a county government-based community action program.

A pilot project for one academic year involved one community nursing faculty member and 30 RN-to-baccalaureate degree students. The partners during the pilot were delegate agencies of a county community action department. Based on the success of the pilot, SNIA has been established for second degree and traditional senior nursing students and has been replicated at a suburban university nursing program. Graduate health and nursing students at both the master's and doctoral levels are also involved, as participants in appropriate research, policy, and clinical projects.

For the original partners, designated staff members have served as SNIA liaisons, collaborating with community health nursing faculty to maintain and evaluate the model. The more recent suburban partnership functions differently.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Reaching outside the Box
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.