Community Health Nursing: A Canadian Perspective, 5th edition

Published by Pearson Canada (March 29, 2019) © 2020

  • Lynnette Leeseberg Stamler College of Nursing, University of Nebraska Medical Center
  • Lucia Yiu University of Windsor
  • Aliyah Dosani Mount Royal University
  • Josephine Etowa University of Ottawa
  • Cheryl van Daalen-Smith York University

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For courses in Community Nursing.

Stamler & Yiu's Community Health Nursing: A Canadian Perspective has been written with the undergraduate student in mind and with supports embedded for professors and practice instructors across Canada. The work on this edition is in response to the needs expressed by faculty and students for a broad, comprehensive, and yet concise textbook providing an overview of community health nursing. As well it reflects trends in nursing generally and in community health nursing more specifically of the necessity to understand the social determinants of health inequity and to equip entry-level CHNs to address and understand these social forces. Each topic is written with the understanding that this will be the student's first foray into the community health nursing arena. We have chosen to incorporate the individual, family, community, system, and population as client perspectives throughout the text.

Our community health nursing context in Canada is unique. We believe there are historical, political, legislative, cultural, and social influences that shape the health of Canadians. They have impacted the evolution of Canada as a society, our definitions of health, interactions with various health professionals, and our expectations relative to health care delivery. CHNs are both a product of those influences and an influence themselves. Community health nursing has evolved differently in Canada than in other countries. We believe that as practitioners in community health nursing, we must understand these impacts to better prepare ourselves to help shape community health nursing and, ultimately, the health of all in Canada.

Hallmark features of this title

  • Yes, But Why? boxes explore how community health nurses can address various issues from an upstream and critical lens. Each box ends with a list of the CHNC standards that have been addressed.
  • Canadian Research boxes present specific studies from the literature or the authors' knowledge to illustrate or augment the material covered in the chapter. Either the researchers themselves are nurses, or we have chosen Canadian health research that community health nurses can use in their practice. Each Research Box is followed by a few Discussion Questions to assist students in using the results.
  • Case Studies illustrate a practice application of the information presented in the chapter, followed by Discussion Questions.
  • Study Questions test students' knowledge of the facts and concepts in the chapter. Answers to the study questions are included in the eText.

New and updated features of this title

  • The fifth edition's most prominent two new features are: 1) its intentional focus on social justice and health equity, and 2) the deliberate incorporation of Indigenous content in virtually every chapter. 
    • In acknowledgement of the Truth and Reconciliation Commission of Canada, the recent Memorandum of Understanding between the Community Health Nurses of Canada (CHNC) and the Canadian Indigenous Nurses Association (CINA), and nursing's obligation to include Indigenous content and ways of knowing into our curriculum, this edition reflects our concerted effort to involve Indigenous consultants and contributors. These are historic moments in our time. As Such, Chapter 22 will assist professors and students to better understand the position of First Nation, Inuit, and Metis peoples in Canada, their strengths and ways of knowing, as well as to appropriately contextualize health issues facing various Indigenous populations. As CHNs are keenly aware of the health impacts of social injustice and health inequity, each chapter specifically addresses key areas of advocacy for the CHN. Canadian Research boxes and Case Studies throughout the text have been thoroughly updated with many focusing on health equity. We have added “Yes, But Why?” boxes to demonstrate how community health nurses can address various issues from an upstream and critical lens. We've paid particular attention to language, ensuring its use is both political and exacting. And lastly, in keeping with the critical focus of this new edition, we have ensured that our contributors represent the vast diversity inherent in the Canadian population. 
  • As is appropriate to the pace of change in community health and community health nursing, we have made extensive updates to various chapters, with new content, statistics, and Canadian research. 
    • As such, you will observe that the titles of some chapters have been updated to reflect this new direction of content. We made further emphasis on the importance of application of theory to practice; we addressed the growing needs of our community clients. You will see that there are a number of chapters that look completely different from previous versions. In addition, you will notice that we have included 5 levels of prevention: primordial, primary, secondary, tertiary, and quaternary as they related to various topics throughout the book.
  1. The History of Community Health Nursing in Canada
  2. Policy, Politics, and Power in Health Care
  3. Nursing Roles, Functions, and Practice Settings
  4. Public Health Nursing
  5. Home Health Nursing in Canada
  6. Advocacy, Ethical, and Legal Considerations
  7. Theoretical Foundations of Community Health Nursing
  8. Health Promotion
  9. Race, Culture, and Health
  10. Evidence-Informed Decision Making in Community Health Nursing
  11. Epidemiology
  12. Communicable Diseases
  13. Community Nursing Process
  14. Community Health Planning, Monitoring and Evaluation
  15. Digital Health
  16. Maternal, Newborn, and Child Health
  17. School Health
  18. Family Nursing
  19. Gender and Community Health
  20. Lesbian, Gay, Bisexual, Transgender, Queer, and Two Spirit Clients
  21. Older Adult Health
  22. Indigenous Health
  23. Community Mental Health
  24. Rural and Remote Health
  25. Chronic Care, Long-term Care, and Palliative Care
  26. Correctional Health
  27. Ecological Determinants of Health and Environmental Health Inequalities
  28. Violence and Health
  29. Poverty, Homelessness, and Food Insecurity
  30. Substance Use
  31. Sexually Transmitted and Blood-Borne Infections
  32. Emergency Preparedness and Disaster Nursing
  33. Global Health
  34. Critical Community Health Nursing: An Imperative

Lynnette Leeseberg Stamler, RN, Phd, dLitt, FAAN, is Professor and Associate dean for Academic Programs at the University of Nebraska Medical Center, College of Nursing. From 1984 to 2012 she taught in Canadian schools of nursing and was a VON nurse prior to her teaching career. She completed her BSN at St. Olaf College, Minnesota, her MEd in health education at the University of Manitoba, and her Phd in nursing at the University of Cincinnati. Her research interests include patient/health education, diabetes education, nursing education, and quality care. She is active in national and international nursing organizations, including Sigma Theta Tau International, and was president of the Canadian Association of Schools of Nursing from 2008 to 2010. In 2011 she was inducted into the American Academy of Nursing.

Lucia Yiu, RN, BScN, BA (University of Windsor), BSc (University of Toronto), MScN (University of Western Ontario), is Associate Professor Emeritus with the Faculty of Nursing at the University of Windsor and an educational and training consultant in community nursing. Her practice and research include multicultural health, international health, experiential learning, community development, breast health, and program planning and evaluation. Lucia was the recipient of the 2014 Community Health Nurses of Canada Award of Merit. She was also co-editor for the first four editions of Community Health Nursing: A Canadian Perspective and for the second and third Canadian editions of Kozier's Fundamentals of Nursing: Theory to Practice.

Aliyah Dosani, RN, BN, MPH, PhD, is Associate Professor in the School of Nursing and Midwifery, Faculty of Health, Community and Education at Mount Royal University in Calgary, Alberta. She is also an Adjunct Associate Professor in the Department of Community Health Sciences, Cumming School of Medicine, at University of Calgary in Calgary. She holds a PhD from the University of Calgary with a specialization in population/public health. Her nursing practice includes instructing students in the bachelor of Nursing program, population/public health, community health nursing, and legal issues in nursing. Her work focuses on maternal, newborn, and child health. Her research interests include working on health equity and social justice issues through community-based programs and interventions. She also shares a passion for global health issues.

Josephine Etowa, PHD, MN, BScN, RM, RN, FwACN, FAAN, is a professor and Loyer da Silva Research Chair in Public Health Nursing at the University of Ottawa. She is a senior investigator with the Nursing Best Practice Research Centre at the University of Ottawa and a founding member and past president of the Health Association of African Canadians. Her program of research is grounded in over 25 years of clinical practice in maternal newborn and child health and community health nursing, with projects funded by local, national, and international organizations. She is currently the nominated principal investigator for a Canadian Institutes of Health Research–funded three-year, three-country study investigating infant feeding practices among Black women is living with HIV/AIDS in Ottawa, Port Harcourt (Nigeria), and Miami (United States). She serves on the boards of directors of the CPHA and the CHNC Research Committee, and she co-chairs CHNC's Standards of Practice Advisory Committee.

Cheryl van Daalen-Smith, RN, PhD, is Associate Professor in the School of Nursing, Faculty of Health at York University. She is cross appointed to the School of Gender, Sexuality and Women's Studies and to the Children's Studies Program, where she teaches a course on children's health and quality of life and a course on girlhood. Her nursing practice includes community health/public health nursing and pediatric nursing, with research exploring girls' and women's mental health, women and anger, women and self-esteem, and an exploration of men's and women's experiences of psychiatric hospitalization in Canada. She is the founder and co-editor of Witness: The Canadian Journal of Critical Nursing Discourse.

About the Contributors

This fifth edition brings new and former authors to the book. As before, some hold academic positions, some are in management or policy positions, and others are front-line practitioners. All came with a commitment to share their work with the readers as they contribute to this Canadian community health nursing text, and this further demonstrates the cyclical nature of theory and practice. Each brings expertise and knowledge to a particular chapter and topic. Each has presented the various historical, geographical, social, political, and theoretical perspectives that assist in explaining and describing community nursing practice.

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