untitled

circles, and the “certain lack of structure” draws at-
tention to the beauty in creating as well as the
beauty in differences. Represented in Fig. 25–1, the
model calls into the circles others to create pro-
grams and environments to nurtured well being.

CORE SERVICES

Core services are provided at each practice site and
illuminate the focus of nursing: nurturing whole-
ness of persons and environments through caring.
The unique experiences of staff and faculty with
those receiving care create the substance of the core:
respecting self-care practice, honoring lay and in-
digenous care, inviting participation and listening
to clients’ stories of health and well-being, provid-
ing care that is essential for the other, supporting
caring for self, family and community, providing
care that is culturally competent and collaborating
with others for care. These services, provided to
children, students, school staff, and families from
the community, occur in the following and fre-
quently overlapping categories of care: (a) design
and coordinate care:examples are making and re-
ceiving referrals, navigation to other health services,
and insurance enrollment, home visits, and pro-

grams such as the Celebrity Chef Cooking Club,

Senior Health Program, or Yoga for Children; the

concepts of transitional and enhancing care are illu-

minated here through the development of collabo-

rative relationships; (b) primary prevention and

health education:examples include child-develop-

ment milestones, pre- and postnatal wellness, breast

health, testicular height, stress reduction, chronic

illness management, car safety, and administration

of immunizations; (c) secondary prevention/health

screening/early intervention:examples include hear-

ing and vision, height/weight/BMI, cholesterol,

blood sugar, blood pressure, clinical breast exams,

lead levels, assessment, and early management of

health issues; (d) tertiary prevention/primary care:

assessment, diagnosis, treatment, and care manage-

ment for chronic health issues, crisis intervention

and behavioral support, and collaborating with

others for transitional and enhancing care.

FIRST CIRCLE

The first circle of the model depicts a widening

circle of concern and support for well being of per-

sons and communities. This circle includes persons

and groups in each school and community who

394 SECTION IV Nursing Theory: Illustrating Processes of Development

FIGURE 25–1 Community Nursing

Practice Model