Undergraduate nursing practice rotations today are quite different from what many practicing nurses experienced during their own education. This is especially true of community health practice rotations. Increasingly, non-traditional community health sites are being used as practice sites-sites such as schools, homeless shelters, non-profit agencies, and even churches. Increasingly, non-traditional practice experiences are eclipsing traditional practice experiences involving home care and public health. Why has this shift occurred, and what do these experiences offer students? Do these experiences actually prepare nursing students for clinical practice once they graduate? What does preparing the next generation of community health nurses entail?KEYWORDS: community health nursing, baccalaureate nursing education, entry to practice, service learningOver the past few years many registered nurses (RNs), particularly community and public health nurses, have noticed that most baccalaureate schools of nursing are using non-traditional placements for undergraduate practice rotations in community health. These placements might include the use of schools, homeless shelters, workplaces, correctional centers, shopping malls, police stations and even churches and synagogues. Such practice experiences are by far eclipsing traditional preceptored placements in homecare and public health. Community health nurses (CHNs), public health nurses (PHNs), managers, nursing students and nursing faculty hold diverse opinions about this shift. In this article, the term 'community health' is used to encompass all areas of practice, including homecare, public health, and other nursing roles within the community setting.The reasons this shift has occurred internationally are explained, using Canada as an example, and what these non-traditional experiences offer students. Also explored, is whether or not this model prepares students for practice in community health nursing and how academia, community/public health organizations and practice areas might proceed.
COMMUNITY HEALTH PRACTICE EDUCATION:CURRENT REALITIES