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Public Health Nursing Interventions
Public Health Nursing (PHN) aims to improve the wellbeing of the population by promoting health and preventing disease among all people in the communities (Public Health Nursing, 2013). The PHN utilizes the primary, secondary, and tertiary prevention to help improve the health of the communities. The PHN process is applied to all levels of practice. Interventions are “actions take on behalf of individuals, families, systems, and communities to improve or protect health status” (Stanhope & Lancaster, 2012, p. 191). This paper will identify PHN interventions such as screening, outreach, and referral and follow-up, health teaching, and counseling that was identified in the PHN in the 21st Century project that this author completed as part of the PHN experience. This paper will also identify if the interventions were at the community, system or individual/family level.
Community Level
The community- level practice focus is to change the norm, attitudes, practice behavior and increase the knowledge of the entire community regarding the importance of immunization and the consequences of not being immunized (Stanhope & Lancaster, 2012). PHN primary goal is to prevent illness or a disease from occurring. Administering vaccines are a primary intervention that the PHN provides. The local public health nurses provided information packages to the public schools, senior citizen centers, daycare centers and other local businesses on the need for flu vaccines and where to go for free or affordable flu vaccines. In the packet was a contact card for the community to give back to the PHNs. This was a way for the PHNs to track the number of people who responded to the outreached message. Once a year...
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...y of life for people by collaborative working with the population to create the conditions that ensure healthy lives (Public Health Nursing, 2013). The nursing process is applied to all levels of nursing practices every day. The public health nurses interventions are target on the whole population and guided by an assessment of the community health (Public Health Nursing, 2013). Although the PHN primarily aims at prevention, all levels of prevention is utilized to improve the wellbeing of the communities.
Works Cited
Public Health Nursing. (2013). What Is Public Health Nursing? Retrieved from http://publichealth.lacounty.gov/phn/
Stanhope, M., & Lancaster, J. (2012). Population-Based Public Health Nursing Practice: The Intervention Wheel. In Public Health Nursing: Population-Center Health Care in the Community (8th ed.). Maryland Height, MO: Elsevier Mosby
Self- care abilities of individuals and communities are important to promote mental and physical health and to reduce mortality and morbidity that occur from accidental injuries and chronic conditions (Dillion, 1997). Lifestyle changes have an effect on health prevention and delay of diseases and health problems. Dillion states if nurses use strategies from community nursing and objects from Healthy People 2000 they can identify threats to health promote and maintain health. Dillion states a key strategy is a health fair (Dillion,
A Community Health Needs Assessment (CHNA) was conducted in the city of Atlanta, Georgia, with the focus on mainly Dekalb and Fulton Counties. The CHNA was conducted to identify the needs and resources in the community with the input from the community members, key stakeholders, and the public health. The CHNA would be used as a guide for the community in its future community health projects.
During one of my undergraduate courses, “Community and Population Health”, I completed a paper on my community and access to healthcare. During the research and community outreach performed to meet the goals of the paper, my eyes were opened to the plight of small communities in regards to access to quality healthcare. This plight has become my passion, and has formed the basis for my vision of the Family Nurse Practitioner role.
Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.” (Nursing World, 2001). Provision 8 taught me that ANA’s goals are not limited to the health and welfare of individuals, but their goals also encompass the welfare of the community through promotion of collaborative work of nurses with other health professionals and the members of the community.
The Robert Wood Johnson Foundation (RWJF), a philanthropy organization, has been involved in health matters facing Americans for over 40 years with focus to child and family wellbeing, health coverage, health leadership and workforce, health systems improvements and healthy weight. Since its inception in 1972, RWJF support has grown and is now the largest philanthropy body devoted exclusively to health in the nation (RWJF, 2015). In this paper, the author discusses the RWJF Committee initiatives and their effect on nursing education, nursing practice and nursing workforce development, the role of action based coalition and expound on the state of Oklahoma Campaign team report.
The time log (see attached) contains documentation of the field experience for this community health project.
According to Allender, Rector, and Warner (2014), public health is a combination of both an art and a science (2014). The mission of public health nursing is to promote health, prevent disease and ultimately prolong life (Allender et al., 2014). In order for this to occur an assessment must take place. An aggregate or community assessment begins with a collection of data. This includes: the community’s health needs, risks, environmental conditions, financial resources through local census data, and a windshield survey (Allender et al., 2014). Through public health nursing, communities can collectively come together to help promote an overall better health standing.
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
Nurses around the world collaborate with various providers and partners to address multiple challenges in the community. With emphasize on health promotion and disease prevention, nurses have an important role in delivering nursing services in the community and in the home. Challenges that impact the overall health of the community can arise from unequal access to health care or lack of insurance causing individuals do not receive healthcare. However, all nurses can help improve health outcomes and help to prevent and manage diseases. With the help of community health nurses, public health nurses, and home health nurses, the ability to provide safe and effective care for all sectors of health is possible.
Many communities, regions, and states are working together to create the culture of health by redefining the meaning of getting heathy and staying healthy. These communities, regions and states are addressing the social, physical, economic environment that people live in. The Americans can overcome the multitude of disparities and creates equalities with the help that directs resources, research, compassion and community involvements (Maughan, 2014). Health disparities are not just a health issue, it is a combination of financial issues, racial issues, education issues and others. Nursing leaders can address these health disparities differently. For example,
Harkness, G. A. & Demarco, R. (2012). Community and public health nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
“A public health nurse is a nurse who works to promote and protect the health of an entire population” (Allender, Rector, & Warner, 2010, p. 839) the public health nurse I chose to interview was Barbara, she currently works for the Health department and has been there for three years. During the interview Barbara discussed the requirements for a public health nurse. The individual must have the ability to exercise independent judgment, planning and able to administer safe effective public nursing care. In addition be able to work effectively with individuals and families to assist them in the satisfactory solution of health problems, by recognizing and respecting of different cultural, ethnic and difference on health care practices. The nurse is also required to know disease prevention such as, different techniques on teaching, counseling, interviewing and resources available. Barbara stated that the most important part of being a public health nurse is being able to care. Barbara acknowledged that there are numerous individuals that she assists everyday that just want someone to exhibit that they care and understand. The education a public health nurse should obtain is a bachelor’s degree in nursing, which Barbara posses. “Public health nurses working with specific populations or in administration position should hold a master’s degree” ( Allender et al., 2010, p.839). Barbara discussed that before becoming a public health nurse she worked at St. Francis Hospital as med-surge nurse for five years, after that it was imperative that she change working environment. Barbara confirmed that working as a nurse in the hospital was extremely diverse then working as public health nurse. “Comparing public health nurse and general nurse, public health nursing is population based, focuses on the greater good, health promotion and disease prevention, and utilizes community resources. The general nursing is individual based, focuses on individual good, restoration of health and function, and manage resources at hand” (Minnesota Department of Health, 2007). In the beginning Barbara thought that public health nursing would be a difficult job to gain knowledge of however, she established that it was exceptionally effortless and gratifying career to posses. Barbara stated that she did not realize how much assistance was out there for the public until; she worked as public health nurse. Barbara spends 95% of her day going from place to place by doing home visits, investigating different cases, assisting with screening programs and enormous amount of paper work.
Our group definition of health showed that health is broad and consists of objective and subjective parts. In contrast, the king’s interaction model (theory of goal attainment), the purpose of nursing is to help people maintain, or restore health by mutually goal setting. Her view towards the concept of health are easy to understand, but difficult to realize because the role of nurses is based on the health needs of patient, family, community and population. The other needs of patient, family and community will be resolve by nurses giving patients referrals or follow-up for care to other professionals. These health needs exclude health disparities and inequities in vulnerable population that nurses serve. Also, these health needs include reciprocal
Nies, M. A., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). St.Louis, MO: Saunders.