title: Adapting to and implementing a problem- and community-based approach to nursing education.
abstract: The process of change, implemented by the School of Nursing at the University of the Orange Free State so that a paradigm shift in approaches to nursing education at undergraduate level could be achieved, is outlined. The necessity to change, the identification of external and internal variables that impact on change, the founding of a support system, the process of overcoming resistance to change, the evaluation of the process of change and options for the future, are discussed. The rationale for the implementation of a problem-based teaching strategy and the phasing in of a community-based approach to teaching as the heart of the process of change are discussed.
authors.affiliation: School of Nursing, University of the Orange Free State.
authors.forename: A E
authors.initials: AE
authors.lastname: Fichardt
authors.forename: M J
authors.initials: MJ
authors.lastname: Viljoen
authors.forename: Y
authors.initials: Y
authors.lastname: Botma
authors.forename: P P
authors.initials: PP
authors.lastname: du Rand
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000193:education* / Q000458:organization & administration*; D003256:Community Participation; D003299:Cooperative Behavior; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D005181:Faculty, Nursing / Q000458:organization & administration*; D005239:Fear; D006801:Humans; D007389:Internal-External Control; D007400:Interprofessional Relations; D017145:Models, Educational; D016294:Models, Nursing; D015402:Nursing Education Research; D009936:Organizational Innovation; D010687:Philosophy, Nursing; D011057:Politics; D018794:Problem-Based Learning / Q000458:organization & administration*; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation / Q000379:methods; D012944:Social Support; D013019:South Africa