Clinical Practice Applications: Community-based

  • Kathryn J. Hannah
  • Marion J. Ball
  • Margaret J. A. Edwards
Part of the Computers in Health Care book series (HI)


Community health agencies in general, and nursing in particular, have been slow to take advantage of computer technology beyond the mere collection of financial and statistical information. Saba and Levine (1981) report that an evaluation, done in 1976, of approximately 4500 community health agencies in the United States revealed that only 60 agencies had operational, computerized management information systems. Almost all of the 60 systems were designed to collect “financial or statistical information that focused on the home nursing visit.” The data being collected by these systems could not measure how the client was affected by the nursing care he received nor could it “describe the patient or the care rendered.” In this survey of community health care agencies, systems that were patient oriented were not found, even though patient records contained data on needs, progress, care, and outcomes.


Community Health Nurse Local Public Health Department Nursing Process Community Health Agency Patient Care Plan 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Castles, M.R. 1981. “Nursing diagnosis: Standardization of nomenclature.” in Nursing Information Systems edited by H.H. Werley and M.R. Grier. New York: Springer Publishing Co.Google Scholar
  2. Hoskings, D.J. 1973. “The computer-assisted school health program (CASH): A field unit’s viewpoint.” Canadian Journal of Public Health 64: 521–536.Google Scholar
  3. Murray, E., Curtis, S., Anderson, J., Kataria, M., and Steif, J. 1982. “The role of a computerized information system in the nursing care of the elderly.” MIE Conference Proceedings Berlin: Springer-Verlag.Google Scholar
  4. Powell, H., Davis, E., and Wolf, L. 1981. “PROMIS in primary care demonstration of a computerized problem-oriented medical information system in primary care.” In Computer Applications in Medical Care (SCAMC Proceedings), edited by H.G. Heffernan. Los Angeles: Computer Society Press.Google Scholar
  5. Saba, V.K. 1992. “A classification of home health care nursing diagnoses and interventions.” Caring Magazine, 11(3), 50–57.Google Scholar
  6. Saba, V.K. 1982. “The computer in public health: Today and tomorrow.” Nursing Outlook 30(9): 510–514.PubMedGoogle Scholar
  7. Saba, V.K., and Levine, E. 1978. “Management information systems for public health nursing services.” Public Health Reports 93(1): 79–83.PubMedGoogle Scholar
  8. Simmons, D.A. Computerized management information system in a community health nursing agency. In Proceedings. See Reno, 1981.Google Scholar
  9. Somers, J.B. 1979. “Information systems: The process of development.” Journal of Nursing Administration 9(1): 53–58.PubMedCrossRefGoogle Scholar
  10. Zeilstorff, R. 1978. “Nurses can affect computer systems.” Journal of Nursing Administration 8(3): 49–53.CrossRefGoogle Scholar


  1. Dawson, J. (1985). The use of computers in public health nursing: Today or tomorrow? Canadian Nurse, 81(2): 40–3.PubMedGoogle Scholar
  2. Holland, T. (1984). Computers for child health records. Nursing Times, 80(24): 48–9.PubMedGoogle Scholar
  3. Kenny, J.C. (1988). The use of computers in community health. Nurse Educator, 13(2): 22.PubMedCrossRefGoogle Scholar
  4. Maclnnes, A.D. (1989). The extent of computerization in health visiting records: A survey of Scottish health boards and English health authorities. Health Visitor, 62(5): 145–8.Google Scholar
  5. O’Grady, B.V. (1984). Computerized documentation of community health nursing—what shall it be? Computers in Nursing, 2(3): 98–101.PubMedGoogle Scholar
  6. Thomas, E. (1990). Mapping community health. Community Outlook, February; (): 6, 8.Google Scholar
  7. Wimberley, E.T., Blazyk, S. (1989). Monitoring patient outcome following discharge: A computerized geriatric case management system. Health and Social Work, 14(4): 269–76.PubMedGoogle Scholar
  8. Wiseman, J. (1990). Get with IT... participate in the new information technology revolution. Community Outlook. February; (): 10, 12.Google Scholar
  9. Wright, C., Wheeler, P. (1984). Auditing community health nursing... microcomputers. Nursing Management, 15(3): 40–2.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Kathryn J. Hannah
    • 1
  • Marion J. Ball
    • 2
  • Margaret J. A. Edwards
    • 3
  1. 1.Information Management Consulting Branch, Information Technology DivisionAlberta HealthEdmontonCanada
  2. 2.Information ServicesUniversity of MarylandBaltimoreUSA
  3. 3.Margaret J. A. Edwards and Associates Inc.CalgaryCanada

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