Assessed service utilization and cost impacts of a consolidated model of long-term care for functionally impaired elders. Compared to traditional long-term care, this model reduces hospital and nursing home stays, redistributes funds to broad range of community-based services, and reduces overall cost of long-term care. (Author/NRB)

Sanitarians work to protect the community from various disease agents which may be present in the environment. They are responsible, among other tasks, for testing drinking water, restaurant foods, public swimming pools, and store products thought to be dangerous, for mosquito control and for rabies control. (KP)

A discussion of the role and motivation of community psychiatry with a review of its ethical foundation. (RJ)

Studies community services in long-term care used by older minority adults and concludes that the extent to which minority older persons are receiving a proportionate share of services is not consistent across targeted minority populations. The strongest predictors of older minority persons served are staffing patterns and location. (Author)

For 17 practical nurses, client advocacy was not their primary role. However, the nurse-patient relationship was a salient feature of advocacy. Work environment barriers and physician attitudes hindered involvement in advocacy. (SK)

Ten nursing faculty who had experienced transition to a new community-based curriculum rated the transition process. Conditions receiving higher ratings included self-expectations; low ratings were given to the level of transition planning and the transition environment. Some faculty experienced high stress. Anticipatory planning and faculty…

Discusses the shift in values needed to provide community health nursing education in partnership with a community. Offers principles for developing programs: refocused purpose, broad practice scope, problem solving as discovery, and family, community, and student empowerment. (Contains 37 references.) (Author/JOW)

Describes a continuing education module that addresses care in the community, influences on patients' experience, current social policy, and the role of the carer. The module is designed to help trained nurses integrate patient care from hospital to community setting. (SK)

Addresses issues facing a new professional in a community mental health center (CHMC). Recommends appropriate training in graduate school with extended practicum experiences along with extensive coursework in assessment and testing. Emphasizes awareness of issues involved in working with broad client base and need for resources at many different…

Parish nurses serve as health educators and counselors in religious communities. A Baptist church developed a parish nursing program, based on a parishioner survey, that provided blood pressure screenings and health and wellness classes with the help of volunteers. (SK)

Teams of nursing students worked in community settings under the supervision of community-based preceptors. Preceptors felt confident in providing student feedback, but less so in providing experiences congruent with course objectives. More partnerships between nursing faculty and preceptors are needed. (SK)

Describes a 20-year program of research on the Nurse Home Visitation Program, a model in which nurses visit mothers beginning at pregnancy and continuing through the children's second birthdays. Summarizes results of two randomized trials and concludes that the use of nurses as home visitors is key to program success. (SLD)