Marcia Stanhope

Global health diplomacy: An integrative review of the literature and implications for nursing

Abstract The increasing interconnectedness of the world and the factors that affect health lay the foundation for the evolving practice of global health diplomacy. There has been limited discussion in the nursing literature about the concept of global health diplomacy or the role of nurses in such initiatives. A discussion of this concept is presented here by the members of a Task Force on Global Health Diplomacy of the American Academy of Nursing Expert Panel on Global Nursing and Health (AAN EPGNH). The purpose of this article is to present an integrative review of literature on the concept of global health diplomacy and to identify implications of this emerging field for nursing education, practice, and research. The steps proposed by Whittemore and Knafl (2005) were adapted and applied to the integrative review of theoretical and descriptive articles about the concept of global health diplomacy. This review included an analysis of the historical background, definition, and challenges of global health diplomacy and suggestions about the preparation of global health diplomats. The article concludes with a discussion of implications for nursing practice, education, and research. The Task Force endorses the definition of global health diplomacy proposed by Adams, Novotny, and Leslie (2008) but recommends that further dialogue and research is necessary to identify opportunities and educational requirements for nurses to contribute to the emerging field of global health diplomacy.

Primary health care practice: Is nursing part of the solution or the problem?

While the issue of health care reform continues to be a topic for national debate, reform within states and provider groups is moving forward. This article focuses on primary health care as the foundation for health care reform and nursings readiness to participate as a key player in health care delivery. The key variables of access, quality, cost, and system organization are reviewed relative to their effect on past and future delivery models. Nursing is considered neither the total problem nor the total solution to the provision of primary health care but is viewed as a way of putting “health” back into primary care.

Using Problem-Based Learning to Prepare Advanced Practice Community Health Nurses for the 21st Century

&NA; This article describes the process of developing and using problem‐based learning (PBL) as a teaching strategy for advanced practice community health nursing students in one university. This article discusses the fit between the goals of PBL and the goals of advanced community health nursing practice, describes the process of case development and delineates classroom implementation strategies and evaluation methods. Authors engaged in an intensive, year‐long process of conducting content analyses of the core courses in a masters‐level community health advanced practice curriculum. Original cases were developed for each of three courses. Each case was accompanied by detailed objectives, suggested tutor questions, case summary, concept map, tutor tips, and suggested learning resources. The cases were used in the core courses in an advanced practice community health nursing curriculum in a rural outreach site.

Diffusion of the clinical nurse leader innovation.

The membership of the American Association of Colleges of Nursing, in partnership with its practice partners, has initiated a national effort to create a new nursing role that is more responsive to the realities of a complex, technologically advanced, ever-changing healthcare system. This new role is the clinical nurse leader. Nurses in this new role will be prepared at the masters level and will act as lateral integrators of care, patient advocates over the many components of the continuum, and information manager to the multiple disciplines involved in care. Practice and education partners are working together to define the curriculum for this role and to create a new care delivery model. In this article, the authors used the geographic information system technology to describe the diffusion of the education and practice partners throughout the United States and reflect on the growth of the partnerships since the projects inception in June 2004.

The Good Samaritan Nursing Center: A Commonwealth Collaborative

The Good Samaritan Nursing Center (GSNC) is an integrated nurse-managed center that serves vulnerable populations in the community. Across its 10 clinics, the GSNC helps to improve access to health care for people of all ages. The purpose of this article is to (1) describe the services and goals of the GSNC, a Commonwealth Collaborative; (2) discuss selected outputs/outcomes from the GSNC clinics; and (3) propose recommendations for research related to the outcomes of this nurse-managed center.

Doctoral Education in Community Health Nursing: A National Survey

The purpose of this study was to identify content areas specific to community health nursing in doctoral programs throughout the United States. The research foci related to community health nursing were compared with previously identified research priorities in the field. Surveys were sent to 52 doctoral program directors; 23 questionnaires were completed. Telephone interviews were conducted with 16 program directors to clarify responses. Newer programs tended to be more generally focussed and without doctoral specialty courses of any kind. The four programs that identified community health nursing as a specialty within their curriculum were some of the oldest and largest programs in the country.