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Texas Woman's University

Nursing diagnosis emphasis of National League for Nursing accredited Master's community health nursing programs

Abstract

dc:description.abstract

The problem of the study was to identify: (a) the extent nursing diagnosis is taught, (b) the program emphasis, (c) the nature of nursing diagnoses used, and (d) the program's conceptual or theoretical framework in National League for Nursing accredited master's programs that offer specialization in community health nursing. The conceptual framework was researcher developed and combined the concept of the nursing process with the concepts of health concern, client focus, and levels of prevention. Thirty-two National League for Nursing accredited master's community health nursing programs in the United States constituted the sample. Data were collected with a mailed questionnaire. Findings disclosed: (1) A majority of National League for Nursing accredited master's programs that offer community health nursing specialization teach or use nursing diagnosis. (2) A large percentage of the programs emphasize community in their programs. (3) Within the nursing diagnoses reported, no one health concern was predominant. (4) Community constituted the client in the majority of the nursing diagnoses while family as client ranked second. (5) All nursing diagnoses were categorized into level of prevention. (6) Eight theories were reported as frameworks for eight programs. (7) Twenty-three theories, frameworks, or models were taught or analyzed in the programs. (8) Some community health nursing educators look to literature to provide nursing diagnoses rather than using the process to fit their situation. Conclusions for nursing practice and nursing education were: (1) The researcher-developed conceptual framework including nursing process, health concern, client focus, and levels of prevention is appropriate for community health nursing. (2) Nursing diagnoses were valuable indicators of the concepts of the framework. (3) The concept of client focus can help those in community health nursing to choose the proper theory to direct goal setting. (4) The concept of levels of prevention is appropriate to community health nursing. (5) The framework can be used as a tool to determine program emphasis of community health nursing programs.

Degree

thesis:*
Name thesis:degree_name
Doctor of Philosophy
Level thesis:degree_level
Doctoral
Discipline thesis:degree_discipline
Nursing
Grantor
Texas Woman's University
Year dc:date.issued
1987

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Shephard, Doreen
Chair dc:contributor.committeechair
  • Bush, Helen
Committee members dc:contributor.committeemember
  • Strickland, Sandra
  • Anema, Marion
  • Nieswiadomy, Rose
  • Marshall, David

Subjects

dc:subject × 3

Rights

Language dc:language.iso
en_US

Identifiers

dc:identifier.*
Handle dc:identifier.uri
https://hdl.handle.net/11274/13752
OAI identifier oai:identifier
oai:twu-ir.tdl.org:11274/13752

Chain of custody

source
Harvested from
Texas Woman's University
Base URL
twu-ir.tdl.org/server/oai/request
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Shephard, Doreen. Nursing diagnosis emphasis of National League for Nursing accredited Master's community health nursing programs. Doctoral thesis, Texas Woman's University, 1987. https://hdl.handle.net/11274/13752