Article“The People Know What They Want” An Empowerment Process of Sustainable, Ecological Community HealthBent, Katherine N. RN, PhD, CNSAuthor Information From the VA Eastern Colorado Health Care System, and the University of Colorado Health Sciences Center School of Nursing, Denver, Colo. This research was supported by a grant from the National Institute of Nursing Research, 5F31NR007269–03. Special thanks to the residents of the San Jose who continue to work for sustainable, ecological community health and to J. Kathy Magilvy, RN, PhD, FAAN, for critique of an earlier version of this manuscript. Corresponding author: Katherine N. Bent, RN, PhD, CNS, VAECHCS, MS 118, 1055 Clemont St, Denver, CO 80220 (e-mail: [email protected]). Advances in Nursing Science: July 2003 - Volume 26 - Issue 3 - p 215-226 Buy Abstract Community-focused nurses routinely confront issues of environmental hazards in the context of the community. Limits to disciplinary knowledge about health, environment, and community constrain practice for many who are interested in ways to promote community health across a spectrum of diverse needs and contexts, including the context of the environment. The purpose of the reported critical ethnography was to explore the relationships among health, environment, and culture from the cultural context of one community. Findings highlight the emancipatory, yet ambiguous, process through which this community transformed individual symptoms of illness into an experience and examination of community environment and community health. The significance of this work lies in inductively building knowledge and theory about these relationships and community empowerment for community-focused nursing. © 2003 Lippincott Williams & Wilkins, Inc.