v,ri. th the beliefs of primary health care,md hen Ith promotion·! /\re they committed Lo help cataly-. ;r,c change in their c1111111111 11itic~? :\re they willing to share power with the community :md trcot them as pa1'lncri; ;md not just as recipients of health services? Are they willing Lo learn ho\\' to \\'ork,,ilh thr~ c:nrnm11nily as partners? CHNs should take affirmative actions to h... tp comrnunitic:s a1tain 1 he: gm1l nf PHC and ]1ea]th prnmotion-imr>r ovcd henllh n nd quality of life. NURSING PRACTICE IN THE COMMUNITY Nursing practice in the c<>mnrnnit y cnt;1ils the utili~atirm of a number of processes to respo11d to the hcnlth 1u:cc. ls ancl problt. :111s of clients, m;111agc henlth progn1111s nnd resources, nnd infltwnc:e clccisions tlrnl :ill'ccl l he delivery ofhc:illh and nun:in~ servic. :c. :s. And to he cffcc:livc. c:n1111111111ity health nurses should ;rnhsc. :ribc to LIH! pri1wiplcs of equity, participation, and involvement oflhcir dicnts in 111aki11)!, dm:bions 11ho111 hc:1lth care. As Leon. ird pointed 11111, ltt:nlth L':1111101 he improved just hy mere provision of health services. Nur S<;:s and dic11ts shrn dcl he p;irt 11crs in working fo1· the ac:hicn,m,m t of the latter's health go,1ls (2000:95). Clwptcr 5 cl:1horntcs on the p:irtncrship appro. ich and the par Licipatory,1ctio11 methodology from a nursini;; perspcctiv c. Table 1. 1 presents lhc different processes that arc important i11 conlrihuting 10 the attainment of the go;ils of co111mu11 ity lwallh. There arc lhn. :e major targets or foci of nursing aclions or pmccsscs-clicnts. hen Ith cnrc unit uncl political lc,11. len,/dcc: isio11 makers. The processcscngugcd in by CHNs inc:lude: nursin)!, process: program planning, implementation and evaluation: henlth educ:111 ion: 111:111age111cnt and i-uper\'ision; quality assurance; research; nnd, advor. acy c1nd poliliail :iclion. Lc;ic. lcrsh ip cuts across these processes. F. ocus J. tanzet-Processes · , Gllents _ Nurs Jng process,, '. Program planning, fmplementatlon, monitoring and. :, evaluation,,. Health edu·catlon ~' '. -. lijealtn'. care unit (health Management-and super:vlslo n 1, center) Quality assur:ance Nursfng. researi. h:/, health systems research --.---I ~d Y0Cl!CV and politic a I action Political leaders/ decision-makers ' -. Table l,. 1 Processes In commun ity health nursing A common element in all of these processes is critical t11inking because there are no hard and fast rules to use with diffcirent clients and siluations. Even so-called standards could not capture all the 1x,ssible situations or circumsta nces in lhe field or workplace. 33 