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Articulating the Culture and Tradition of Community Health Nursing
Author(s) -
SmithBattle Lee,
Diekemper Margaret,
Drake Mary Ann
Publication year - 1999
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1046/j.1525-1446.1999.00215.x
Subject(s) - public health nursing , nursing , agency (philosophy) , commit , public health , excellence , narrative , bureaucracy , health care , storytelling , community health , organizational culture , sociology , medicine , public relations , political science , social science , linguistics , philosophy , database , politics , computer science , law
While community health nursing (CHN) leaders speculate about the future, nurses on the front lines care for vulnerable families and populations in the midst of diminishing resources, radical changes in health care delivery systems, and unwieldy bureaucracies. Narrative data from a recent interpretive study provided an unexpected opportunity to explore how CHN practice in diverse settings is evolving in response to such changes. Data consisted of interviews and observations of 25 nurses in their practice setting. Several clinical stories or exemplars are selected to highlight how the “culture” of agency settings shapes public health nursing (PHN) practice in ways that need to be recognized and strengthened or affirmed. Clinical storytelling can play a crucial role in preserving the PHN tradition and restoring and transforming local cultures when PHNs, administrators, educators, and researchers commit to PHN excellence.