Strengthening communities: changing roles for community health nurses

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Abstract
Future nursing roles in the community will be influenced by current initiatives to achieve Health For All by strengthening community health. During a national consultation process on strengthening community health services, informal workshops involving community members were held in several rural and urban communities in Manitoba (Canada). Data obtained during this process were analysed using the framework of caring communities (First National Community Health Action Conference, Bradford, United Kingdom, 1986). Two major issues with implications for future roles of Community Health Nurses emerged from the data These were: (i) who will determine the nature of community health nursing practice? and (ii) to whom will community health nurses be accountable? Implications for the practice of community health nursing the education of community health nurses, and the future direction of research in the area of community health are identified. The authors conclude that successful resolution of these issues would advance community health nursing's role in strengthening communities.

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