title: The shifting sands of health care delivery: curriculum revision and integration of community health nursing.
abstract: The health care delivery system in the United States is moving from an institutionally driven and controlled medical care model toward the Primary Health Care model described by the Alma-Alta Conference (World Health Organization [WHO], 1978) as community-driven comprehensive health care. However, nursing education still remains institutionally based, anchored in a medical model. Dynamic curricula must be developed that prepare nurses to practice in an ever-changing health care delivery system that is becoming more community based. The purpose of this article is twofold: to provide an overview of the revised curriculum of Brigham Young University's College of Nursing (BYU-CON) as one example of a faculty's attempt to develop a program that prepares graduates skilled in providing health care in the 21st century; and to examine closely the integration of community health nursing into the curriculum.
authors.affiliation: Brigham Young University, College of Nursing, Provo, Utah 84602, USA.
authors.forename: C O
authors.initials: CO
authors.lastname: Conger
authors.forename: J H
authors.initials: JH
authors.lastname: Baldwin
authors.forename: J
authors.initials: J
authors.lastname: Abegglen
authors.forename: L C
authors.initials: LC
authors.lastname: Callister
mesh_terms: D003152:Community Health Nursing / Q000193:education*; D003479:Curriculum; D004506:Education, Nursing / Q000379:methods*; D006801:Humans; D009936:Organizational Innovation; D016730:Program Development / Q000379:methods*; D014589:Utah