title: A blending of health strategies in a community-based nursing center.
abstract: In today's changing healthcare climate, there is a need for a paradigm shift from a goal-driven model of care to a resource-driven model of care. This proposal describes a nursing center model that attempts to create a framework involving the community in determining the priority of its healthcare needs. Although it is desirable to offer all services to all people, it is apparent that costs will play a major role in determining service availability. Participation, support, and cost-effective outcomes are likely to be greater if residents of the community are involved in the services and programs provided. The advanced practice nurse (APN) is well suited to assist communities in determining priorities and meeting health needs in a cost-effective manner. The proposal submitted is based on a theoretical foundation that articulates a nursing framework and includes specific examples of services provided. It is flexible and can be adapted to any community. Modern scientific care, alternative therapies, education, and programs specific to the community's needs are also discussed. The presentation offers a nursing care delivery model in the community and discusses phases of implementation that have been initiated.
authors.affiliation: Boston College, Massachusetts, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Ruka
authors.forename: J
authors.initials: J
authors.lastname: Brown
authors.forename: B
authors.initials: B
authors.lastname: Procope
mesh_terms: D003151:Community Health Centers / Q000191:economics / Q000458:organization & administration*; D003152:Community Health Nursing / Q000191:economics / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D003710:Demography; D006292:Health Priorities; D006301:Health Services Needs and Demand; D006801:Humans; D016294:Models, Nursing; D009720:Nurse Clinicians; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care