Community Nursing: Roles, Family Support, and Home Care Barriers

This assignment delves into the multifaceted aspects of community nursing, examining the core roles and responsibilities of community health nurses, which include providing patient interventions, educating community members on health maintenance, evaluating community care delivery, and participating in wellness programs. The assignment also emphasizes the importance of community nurses in assisting families by involving them in discussions, health literacy initiatives, and decision-making processes to support patient care. Furthermore, it identifies and analyzes the barriers to home care services within the community, such as the preference for hospital-based services and cultural competency challenges. Finally, it provides a comparative analysis of home care services in rural versus urban areas, highlighting differences in infrastructure, transportation, and access to care.

Running head: COMMUNITY NURSING
COMMUNITY NURSING
Name of the student:
Name of the university:
Author note

1COMMUNITY NURSING
a) Role of community nurses:
Community health nursing is considered as a discipline which includes evidence-based
research as well as advances in the intervention for improving the public health. In this context,
the primary role and responsibility of community health nurses are to provide interventions to
patients (Bach & Goad, 2015). Furthermore, apart from providing intervention, the community
health nurses also provide education to community members regarding the maintenance of their
physical and mental health so that the incidence of diseases and mortality can be decreased (Van
Iersel et al., 2016). The community nurse also evaluates a community’s delivery of care of
patients and conduct health screening for identifying chronic disease that is affecting the
community (Sekse, Hunskår & Ellingsen, 2018). Lastly, the community nurse also involves in
the community wellness program or design program along with conduct research for improving
health care.
b) The role of community nurse in assisting family:
Informed as well as engaged with the family members of the patients is fundamental part
of person-centered care and it is crucial to a learning system. In the clinical setting, patients
bring unique as well as crucial perspectives on their own care and in this family plays a crucial
role. Hence, the community nurse can families of the patient by involving them in the in-depth
discussion so that family members can support the patient (Randall et al., 2017). The community
nurse involve family members in health literacy so that the family members can support the need
of the patient. The community nurse can provide involve family members in the decision making
so those family members can assist the patient in reducing the discomfort and adhere to the
treatment regimen.

2COMMUNITY NURSING
c) Barriers of home care services in the community:
While community home care services are considered as effective initiatives to provide the
best possible care to the patients, there are various barriers to home care services. The first
barrier of home care services in the community is that the majority of the professionals prioritize
hospital-based services rather than community services due to the availability of equipment,
infrastructure, and improved monitor benefits (Van Iersel et al., 2016). Hence, the professionals
preferred to work in the hospital setting compared to the community setting. Moreover, culture
is considered as one of the most common barriers of initiations since the nursing professionals
from other cultures may impact the quality of care of the patient if the patient is unaware of the
cultural competency (Lubbers & Rossman, 2017). A significant number of community
members’ exhibit reluctance to involve due to apprehension regarding breaching the autonomy
of the patient.
d) Comparison between rural home care services and urban-rural care
services:
In the urban area, individuals are able to access health care services by assessing viable
transportation and advance infrastructure. Hence, home care service in the urban area can offer a
range of services even in a critical situation (Lubbers & Rossman, 2017). On the other hand, in
rural areas, due to access to transportation, the need for the services is higher in community
members in a rural area but due to the demographic, the community members may receive care
with limited infrastructure.

3COMMUNITY NURSING
References:
Bach, A. T., & Goad, J. A. (2015). The role of community pharmacy-based vaccination in the
USA: current practice and future directions. Integrated pharmacy research & practice, 4,
67.
Lubbers, J., & Rossman, C. (2017). Satisfaction and self-confidence with nursing clinical
simulation: Novice learners, medium-fidelity, and community settings. Nurse Education
Today, 48, 140-144.
Randall, S., Crawford, T., Currie, J., River, J., & Betihavas, V. (2017). Impact of community
based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost
effectiveness: A systematic review. International journal of nursing studies, 73, 24-33.
Sekse, R. J. T., Hunskår, I., & Ellingsen, S. (2018). The nurse's role in palliative care: A
qualitative meta‐synthesis. Journal of clinical nursing, 27(1-2), e21-e38.
Van Iersel, M., Latour, C. H., De Vos, R., Kirschner, P. A., & op Reimer, W. J. S. (2016).
Nursing students’ perceptions of community care and other areas of nursing practice–a
review of the literature. International journal of nursing studies, 61, 1-19.