Currently, the fate of community nursing health lies in the governments and stakeholders ability to regulate some of the health economic factors affecting the medical field. Among the challenges faced by the institutions, undertaking health of communities high cost of equipment and supplies necessary to monitor and manage diseases especially in the rural setting. For instance, it has been difficult to run the special supplementary nutrition programs for children, infants and women because the government and other stakeholders are not doing enough in terms of policy and finances to support the execution and sustainability of the program. Apart from that, funds allocated to running community health nursing practices are mismanaged; hence, hindering the delivery of quality and timely services to those in need.
Considering that there is a shortage of community health nurses across the globe, hiring institutions have relaxed some of the minimum requirement necessary for one to work as a community health nurse. For this reason, patients in various communities have failed to access quality, community health services from the partially trained experts who sometimes do not have experience in relevant fields of study to undertake complex assignment. Apart from that, some medical learning institutions are not equipping community health nurses with necessary skills such as analytical, advocacy and critical thinking skills, which a nurse needs to perform his or her duties effectively.
The Public Health Security and Bioterrorism Response Act of 2002 meant that community health nurses would undertake emergency and safety roles, which was initially taken by law enforcement agencies and other emergency response teams. In essence, the additional roles meant that community health nurses had to take time and even undergo thorough training on how to execute the new roles. Ideally, it also implies that community health nurses are undertaking the new roles, but with no experience or expertise.
Hitchcock, Janice E., Phyllis E. Schubert, and Sue A. Thomas. Community health nursing: caring in action. 2nd ed. Clifton Park, NY: Thomson/Delmar Learning, 2003. Print.