title: Context, health, and cultural competence: nurse managed health care centers serving the community.
abstract: Millions of newly insured people from diverse backgrounds and vulnerable communities will seek additional healthcare with the passage of the Affordable Care Act. APNs working in federally qualified community-based health care centers will need to respond to the challenge of providing integrated health care services. APNs approach to practice will need to include principles that address social justice, cultural competence, quality assessments, and evaluative strategies to ensure effective delivery of care. Shifting patient population demographics and the need to strengthen APNs understanding of social-structural conditions that limit health and wellbeing will be discussed.
authors.affiliation: Faculty Integration and Evaluation of Community Programs at Drexel University, College of Nursing and Health Professions, Interdisciplinary Research Unit, Doctoral Nursing Department, 1505 Race Street, Bellet Bldg, 527, MS 1030, Philadelphia, USA. rlw26@drexel.edu
authors.forename: Roberta
authors.initials: R
authors.lastname: Waite
authors.affiliation: University of St. Francis, Cecily and John Leach College of Nursing, 500 Wilcox, Joliet, IL 60435, USA.
authors.forename: Deena
authors.initials: D
authors.lastname: Nardi
authors.affiliation: College of Nursing and Health Professions, Drexel University, Philadelphia, USA.
authors.forename: Penny
authors.initials: P
authors.lastname: Killian
mesh_terms: D003152:Community Health Nursing / Q000458:organization & administration*; D055812:Community-Based Participatory Research; D054521:Cultural Competency; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008297:Male; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States