While nursing in the community and hospitals share the goal of promoting health, they differ in their core functions and services. Community health nurses focus on health promotion, education, and helping patients manage chronic conditions at home. In contrast, hospital nurses concentrate on addressing acute issues, providing education during a patient's stay, and arranging post-discharge resources. Both areas of nursing rely on coordination to identify patient needs and ensure continued care as patients move from hospitals to their homes.

1. Similarities and differences to nursing in the community & Hospital
Similarities and differences to nursing in the community & HospitalSimilarities and
differences to nursing in the community & HospitalPost a thoughtful response to at least
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excluding referencesDiscusion 1Today I will be discussing community health/public health
nursing. The purpose of this post is to compare and contrast community/public health
nursing with hospital base nursing practice in regards to core functions and essential
services. Health promotion is a vital component to the overall health and wellbeing to
individuals (Nies & McEwen, 2015). There are many different ways that nurses are able to
promote health and wellness in different settings.There are many similarities and
differences to nursing in the community and nursing in the hospital setting, but one of the
main goals for nursing overall is to promote healthy living (Nies & McEwen, 2015). The way
these two areas of nursing work toward this goal often differ, but depend on each other.
Discharge planning in the acute hospital setting begins at the time of admission (Graham,
Gallagher, & Bothe, 2013). The nurse in the acute care setting is responsible for assessing
the patient and identifying potential outpatient needs throughout the duration of their stay
(Graham et al., 2013). Discharge planning can be an arduous task at times, and nurses are
not always able to adequately prepare a patient and their system, for an impending
discharge (Graham et al., 2013). Acute care nurses are tasked with addressing a patient’s
immediate issues, educating them during their stay, and arranging the appropriate
outpatient resources (Graham et al., 2013). The unit I work on often has readmissions of
patients who are noncompliant outpatient. Community nurses are a vital resource that
assist patients with continuing their outpatient care in the hopes of decreasing
readmissions (Cramm, Hoeijmakers, & Nieboer, 2014). An essential service of the
community health nurse is to reaffirm and expand upon the education the patient received
while in the inpatient setting.Similarities and differences to nursing in the community &
HospitalIn conclusion, the goal of nursing is the same for the community health nurse and
the acute care nurse. Both areas of nursing rely on each other to identify a need, and to then
continue the patient’s plan of care. Coordination of care is an important aspect across all

2. areas of nursing, and by utilizing different skills, their mutual goals are
achieved.ReferencesCramm, J. M., Hoeijmakers, M., & Nieboer, A. P. (2014). Relational
coordination between community health nurses and other professionals in delivering care
to community-dwelling frail people. Journal of Nursing Management, 22(2), 170-176.
doi:10.1111/JONM.1204Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses’ discharge
planning and risk assessment: Behaviours, understanding and barriers. Journal of Clinical
Nursing, 22(15-16), 2338-2346. doi:10.1111/JOCN.12179Nies, M. A., & McEwen, M. (2015).
Community/Public Health Nursing: Promoting the Health of Populations. St. Louis, MO:
Elsevier.Discussion 2Being the daughter of a nurse who did home health, I got to hear a
little bit of how community/public health worked. It is very different from hospital nursing.
Community/public health nursing focus on helping the patients thrive at home. The goal of
community/public health nursing is to help individuals maintain their health at home and
improve the health of the community they serve (Nies & McEwen, 2014). The hospital
nursing I am used to is to get them in and out because our ED is overcrowded and we need
beds for those patients. I feel that hospital nursing has moved away from being able to
actually care for our patient to getting them in and out as fast as they can so that we can
help the next person, it feels like an assembly line.Just the other week at work, we had
severe overcrowding in our emergency department. That morning our manage came out
and said that anyone that is potentially or is discharged needs to be out by noon, mind you
she tells us this at 10 in the morning and we are taking more patients that we are supposed
to have. Needless to say, that was such a busy day and eating lunch was out of the question.
Since our patients are living longer with chronic conditions, it has resulted in increased
needs from the nursing staff (Vallés et al, 2018).Community/public health nursing on the
other hand is designed to be there to help the public when they are needing advice their
health (Nies & McEwen, 2014). Health promotion is defined as a combination of education,
related organization, economic, and environmental for individuals or communities on
their health (Nies & McEwen, 2014). Community/public health nurses are the nurses that
do the booths to help the public become aware of certain diseases and provide the
community ways to either prevent it or help manage the symptoms. Similarities and
differences to nursing in the community & HospitalHospital nursing and community/public
health nurses focus on very different things in their day to day tasks. Hospital nurses focus
on getting the acute illness fixed while community/public health nurses work on helping
the patient’s manage their long term illnesses. While both types of nurses do very different
things they are both as important to the healthcare system and we couldn’t help our
patients the way we do without one another.ReferencesNies, M. A., & McEwen, M. (2015).
Community/public health nursing: promoting the health of populations. St. Louis, MO:
Elsevier.Vallés, S., Valdavida, E., Menéndez, C., & Natal, C. (2018, January 10). [Impact of
chronic illness on hospital nursing workloads]. Retrieved January 15, 2018, from
https://www.ncbi.nlm.nih.gov/pubmed/29331220ORDER NOW FOR CUSTOMIZED,
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