Provides the theoretical base to prepare professional nurses to become competent to care for the needs of patients from a designated community. The interrelationship of the patient, health, nursing and the environment are explored and practiced within a designated community setting. This course explores the health outcomes of a group of individuals, including the distribution of such outcomes within the group. The outcomes of mortality, quality of life and disparities will be examined through the reciprocal determinant factors of health care, individual behavior, social environment, physical environment, and genomics. The student will examine how policies and programs impact outcomes and determinants within current urban and global health care settings.