Problematic| Community Health Nursing as an advanced field of Nursing requires a community approach as the customer of Nurses to take health gains grounded in community empowerment as a process and as a result. We used as reference Laverack’s Community Empowerment Model, with a continuum of dimensions that allow a structured way to empower communities. Despite the quality standards of care and the skills of nurses in Portugal that suggest the Community Nursing Specialist as Advanced Community Nursing Decision-Maker, indicate the Community as a customer of Nurses, the evidence points to a practice of community nurses still focused on individuals, families or groups. Also identified the lack of a theoretical framework in Nursing, guiding a practice centered on the community as a client. Objectives| In order to contribute to the improvement of Community Nursing care to communities while customer Nurses, our study aimed to develop a Community Empowerment Model that supports the decision-making for a Community Nursing Advanced centered on the community as client nursing Nurses, operationalized through specific goals related to the identification of attention areas, diagnostics, interventions and health gains based on the community empowerment model. Methods| It was carried out under a constructivist paradigm, through a triangulation of methods that included focus groups (with Community and Public Health Nurses Specialists) and a Delphi Study (With the Portuguese Population of Community and Public Health Nursing Specialists). Results| It was possible to identify a guiding matrix of advanced clinical decision-making in Community Nursing, allowing to integrate Nursing Focus, Diagnosis and Diagnostic Criteria, Interventions and promote Results sensitive to community nursing care, that allow Community Empowerment as a process and outcome. We conclude that the Community Nursing, as an advanced area of clinical decision has a specific field of clinical decision promoting the health of communities, based on community empowerment. Conclusions| We conclude that Community Health Nursing, as an advanced area of clinical decision in Nursing, has a specific field of clinical decision promoting the health of communities, based on community empowerment. We have identified a process that seems enhancer of a monetization of community intervention projects, when focused on the community as a customer and grounded in promoting effective community management.
|Translated title of the contribution||Advanced community health nursing: a community empowerment model|
|Qualification||Doctor of Philosophy|
|Award date||16 Nov 2016|
|Publication status||Published - 16 Nov 2016|
- Community health nursing
- Advanced nursing
- Community empowerment