Community Nursing


Q1:Concerns for the School Nurse

Asschool nurses work in evolving nursing environment, they experiencehealth concerns and problems that affect their work. Health problemsin schools are relatively similar in several school environments dueto the similarity of children’s activities and natural orientationin their childhood and adolescence (Holzemer &amp Klainberg, 2014).However, the locale also plays a role in the problems becausedifferent school environments result in different health concerns inthe school. Nurses have to put up with these challenges and cooperatewith community nurses and other members of the community to ensurethat schools are kept safe from health issues.

Themajor function of school nurses is to handle acute health problemsexperienced by children and school workers and staff. However, theymay also participate in community nursing by contacting parents andcommunity health officers to handle more serious diseases (Holzemer &ampKlainberg, 2014). He/she also refers serious cases to hospitals andprovides health reports of each victim. The nurses also recommendsolutions or coping alternatives for sick children at school. Forinstance, school nurses may recommend to the teachers that childrenwith hearing problems caused by unintended injuries should sit infront of the classroom. These problems are universal and areexperienced by children in all areas.

Insome locales, the problems are specific. In my area, childrenexperience unintentional injuries because they walk in a poorterrain. Due to playful nature of children, they usually fall downand get injured unintentionally. Therefore, school nurses often haveto handle the health problems caused by unintended injuries throughtreatment. They also have to communicate and coordinate with parentsand teachers to ensure that children understand safety measures toensure that they minimize unintentional injuries (Holzemer &ampKlainberg, 2014).

Q2:Healthy People Objectives for Community Settings

Thecommunity setting that may be affected by the objectives of HealthyPeople 2020 is school setting. This setting provides an opportunityfor health offices and nurses to reach members of the community intheir health objectives in Healthy People 2010. Development programsin community health are communicated and implemented through childrenat school (Healthy People, 2014). Children, parents and teachersusually have a contact with schools, so it is easy to implementcommunity health programs through the schools.

Oneof the numbered Healthy People 2020 objectives that apply to schoolsetting is ECBP-1 which focuses on the increase in proportion of Headstart programs for preschool children that provide health educationto children (Healthy People, 2014). This health education is providedto preschool children to prevent health problems in terms ofviolence, unintentional injury, alcohol and drug use, inadequatephysical exercise, and unhealthy dietary systems. This objective isimportant to community health because it ensures that the community,through preschool children, understands how to prevent healthyproblems in priority areas.

Acommunity health nurse could help school setting to meet thisobjective by participating in the preschool health education. Theschool may invite the community health nurse to explain the causes,effects, prevention, support and treatment of health problems withinthe priority areas of the program. Community health nurses use theirknowledge and skills to explain to children about health problems inthe priority areas (Holzemer &amp Klainberg, 2014). They develop thesyllabus in collaboration with the school administration, and developa schedule to teach the children systematically, using examples,discussions and tests in a classroom environment.


HealthyPeople (2014). Educationaland Community-Based Programs.Accessed July 24, 2014 from

Holzemer,S.P., &amp Klainberg, M.B. (2014). Communityhealth nursing: An alliance for health.Burlington, MA: Jones &amp Bartlett Learning.