Applying the nursing process to the health of populations is a challen
ge in undergraduate community health nursing education. We evaluated a
method of applying the process in primary health care settings. Key f
actors were using case management and other means to assess systems fr
om the client's perspective, assessing population needs, diagnosing co
mmunity needs-service mismatch, planning in partnership with communiti
es, and implementing and evaluating plans. Because these are difficult
, if not impossible, to accomplish in a one-semester undergraduate cou
rse, students transferred projects and cases from one semester to anot
her. Case management is the principal interface of students to individ
ual and family clients.