Environments of care: a curriculum model for preparing a new generation of nurses.
This article provides a perspective on the community-based curriculum model that has guided undergraduate education for the past decade, discusses some of the problems that have emerged with the community-based approach, and proposes an alternative approach for consideration and discussion. The community-based model is discussed in relation to three major areas of concern: faculty and preceptor implementation of the curriculum, entry into practice and hiring pattern disjunctions, and trends and unexpected consequences of changes in the health care system. The Environments of Care Model, proposed as an alternative curriculum approach, conveys a broad perspective on health and illness, based on a multiple determinants of health paradigm and a systems framework.
Ervin
Naomi E
NE
Family, Community, and Mental Health, Wayne State University College of Nursing, Detroit, Michigan, USA. neervin@hotmail.com
Bickes
Joan T
JT
Schim
Stephanie Myers
SM
D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D004651:Employment; D005181:Faculty, Nursing / Q000458:organization & administration; D005544:Forecasting; D018166:Health Care Reform / Q000458:organization & administration; D006272:Health Facility Environment / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D008008:Licensure, Nursing; D017145:Models, Educational; D016294:Models, Nursing; D015402:Nursing Education Research; D009936:Organizational Innovation; D010560:Personnel Selection; D010687:Philosophy, Nursing; D011231:Preceptorship / Q000458:organization & administration; D011361:Professional Competence; D016730:Program Development; D012922:Social Change; D013597:Systems Analysis