Public health nursing: developing practice

Abstract

The present paper addresses the issue of practice development in a public health nursing context. It explores two levels of practice development: the development of a new and innovative public health nurse role within a primary care trust and the development of community nursing practice facilitated by the post‐holder. To date much of the knowledge about practice development in nursing has been located in specific clinical settings, often in relation to specific client groups. In this development the client group is the community within the area and the specific needs of the clients relate principally to health inequalities. The present position of public health nursing is summarized and the process and concept of practice development is discussed. Key elements of practice development are outlined from the literature, using the public health nurse role to illustrate their relevance in this context. An evaluation study was also undertaken, which served to inform the process. The evaluation study is outlined and some of the research data are presented to facilitate discussion of the perceptions of community nurses and other stakeholders involved in the process of public health practice development. The discussion concludes with key issues that must be taken into account if the process is to be successful. Copyright © 2004 Whurr Publishers Ltd.