Why is community health nursing only part of BSN programs?

  1. Time constraints in the ADN program? Are there ADN programs that include a community health component? I am curious to know why community health is only studied in a BSN program.
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  2. 15 Comments

  3. by   mattsmom81
    It isn't. I graduated from a diploma RN program 25 years ago and we had a strong community health component. Don't believe everything you hear.
  4. by   hoolahan
    I didn't have it in my ADN program. I have no idea, why it isn't included expecept for maybe the time constraints. I also never got to be in ICU or ER during my ADN program. Good question.
  5. by   fergus51
    I would guess time constraints. I don't see much point here because most community health positions in my area require a BSN anyways.
  6. by   disher
    The diploma nursing school I attended, offered placment in the community. I opted to do a placement and shadowed a homecare nurse and a community psych. nurse for several weeks. The experience gave me an appreciation for direct caregivers role in the community.
    The focus of commmunity health in BScN programs tends to be on public health or population health not individual health. If a BScN student planned to do a community health placement it would likely be with the local public health department.
  7. by   NRSKarenRN
    Philadelphia's Community College ADN program has commuinity health as part of it's last semester adult health program. Students visit a Senior Center or a Nurse Practitioner run clinic.
    It's all what the program feels is important to include; often left out due to time constraints.
  8. by   delirium
    I'm in an ADN program and we have a strong community health component. Not only was it a unit on one of the exams, but we had 6 weeks of clinical with community seminars... we went to senior centers, doctors offices, urgent care clinics, the health department, schools to shadow school nurses... all in first year. Next year we pair up with community health nurses for what I think is another six weeks of clinical (fyi: a clinical week for us is 2 days a week, 7 hours a day).
    I hated community. Just my opinion.
    We also have a critical care rotation next year which includes ER, CCU, and cardiac step down. We start out with telemetry and psych in the fall.
    I think I'm in a pretty good, well-rounded, clinically strong program. I love it.
  9. by   delirium
    I meant to say that in second year we pair up with home health and hospice nurses for the 6 weeks of clinical. Sheesh. Hit that post button a little too quickly.
  10. by   I1tobern
    The ADN program I am starting in next month also requires a community component.
  11. by   NICU_Nurse
    My program also included a very diverse community health component. We did a lot of educational projects, such as STD, Diabetes, Cancer screenings, Blood Pressures, and basic health education as well as newborn care and prenatal/birth teaching to various centers and clinics in the area. We visited walk-in clinics, hospital waiting rooms, peds clinics, OB/GYN clinics, etc., as well as a geriatric clinc, an eye surgery clinic, and served at a nearby church working with the homeless population. In our senior semester, we got to choose from a selection given to us, and everyone worked somewhere different, but I shadowed a certified nurse midwife at a free clinic and also went to Planned Parenthood for the day. We have a two year program, and this was in addition to our regular, hospital-based clinicals, as well as being included on exams, etc. I was very pleased with it, and my only criticism was that we could have spent EVEN more time doing that (I LOVED it), but as I mentioned, in a two year program, you're obviously somewhat limited by time. ;>)
    Last edit by NICU_Nurse on Aug 28, '03
  12. by   moonshadeau
    My ADN program had a community component to it throughout the program. In addition to your clinicals, you could expect to spend 100 hours a semester doing community stuff as well.

    We ran the nursing clinic in our school that gave shots, BP and education.
    We spent a day with kids at the YMCA and had to teach them something.
    We spent a day with a school nurse.
    We spent a day with a clinic nurse educator.
    We spent days teaching school age kids.
    We spent several hours talking with elderly assisted living clients.
    We spent a day with a home health nurse.
    We had time doing hospice care.
    We sent a day with multidisciplinary members of a hospital.
    We spent many weeks at the local disabled clinic trying to educate them.

    Just to name a few. I hated the extra time it crammed into the program. But now, I wouldn't have it any other way.
  13. by   peaceful2100
    I think it depends on the program. While I have not heard of any BSN programs having a Community nursing part I have heard of several ADN programs that do NOT have the community nursing programs. It really depends on the area too because some states and some areas it is really hard for someone who does not have their BSN to get into community nursing. At least in my area anyway. So sometimes it's not just time restraint.
  14. by   live4today
    North Carolina hires ADN nurses as Community Health Nurses. If they haven't already taken a Community Health Course, they are sent to one of the local Universities for the course post-hire. Some states aren't picky about what degreed nurse does what and others are.

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