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Since the primary goal of public health nursing is promoting health and preventing disease within the community, it’s essential that nurses be able to gather and assess demographic information to diagnose the local needs of the population and consider that information when developing a health improvement plan (Nies & McEwan, 2015). The assignment this week is to gather statistics from county, state and national databases and analyze the findings to identify actual or potential areas of concern. It was sobering to compare the Franklin County health information to state and national statistics. Almost all of the demographic information highlights that our community is less healthy when compared to the state as a whole and the nation. This was surprising to me because the population of Franklin County is more educated and white-collar than other areas of the state. For this paper I will discuss the community problems of infant mortality, obesity, mental illness and chronic disease. The most disturbing county statistic that I found and one that warrants the most attention is rate of infant mortality. Compared with other communities, this statistic is one of the highest in the nation. On average three families each week experience an infant death with the rate of black babies dying at twice the rate of white babies (Wexner Medical Center, n.d.). …show more content…
Heart disease, stroke, diabetes and cancer are the leading cause of death throughout the country. Seventy-five percent of our nation’s health care spending will be used to care for patients with chronic ailments and in our county sixty percent of the deaths are attributed to chronic illness. Our local population has a higher rate of both youth and adults who suffer with asthma when compared to state and national rates. Diabetes and obesity rates are also higher than the national average (Wexner Medical Center,
Noone, J. G., Cleary, B. L., Moulton, P., Wiebusch, P. L., Murray, J. L.,Yore, M., & Brunell, M. L. (2010). Toward standardization (Part 1): assessment of state and national nursing workforce data sources. Policy, Politics, & nursing Practice11(3), 173-183. Doi10.1177/1527154410390521
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
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.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
A review of current nursing literature, state health department online resources and textbooks were searched to identify health care policy and health disparities affecting rural elderly populations. Online CINAHL database and search engines such as Bing and Google were used with search terms like as “rural elderly”, “health disparity”, “vulnerable populations” “Baker County Florida” and “Northeast Florida”. Additionally, the Florida Department of Health and Healthy People 2020 websites along with nursing textbooks, nursing websites and non-nursing sources were used.
As a health care provider Advanced Practice Registered Nurses (APRNs) should be actively involved in working towards eliminating disparities. APRNs should conduct research to determine the health disparities in their community by utilizing the state and local database for the Department of Health. The APRNs need to report the findings to local health care providers, and political leaders, then initiate change based on the findings.
And thirdly, based on the fact that cardiac heart disease has consistently been the number one cause of death in the United States, I believe that this is the third major health problem that Tennessee, as well as most other states, will have to face in the next decade. There was a sharp increase in the percentage of people diagnosed with heart disease in Tennessee from 2012 to 2013, from 5% to 7.2%, and although the heart disease data from before 2012 can't be compared to current data, there was still a sharp increase from 2012 to 2013. In summary, I believe that an increased number of children living in poverty, obesity, and heart disease are the three major health problems facing Tennessee in the next decade.
Wilson, Susan. (2009). Health Assessment for Nursing Practice (5th ed., pp. 520-521). St. Louis, MO: Elsevier Mosby.
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.
Therefor we see all neighborhoods upper, middle and lower income all have challenges to promote better health. The biggest challenge is for individuals to be able to recognize their own problem areas and have the means and desire to change. The richer folks will most likely just need the desire whereas the middle and low income folks will need both. Finding the ways and means to help the poor achieve better health is a lofty goal that our society should strive to achieve.
Maurer, F., & Smith, C. (2005). Community/public health nursing practice: Health for families and populations (3rd ed.). Retrieved from http://books.google.com
It is sobering to compare the Franklin County data to state and national statistics. Almost all of the demographic information highlights that our community is less healthy when compared to the state and the
Stanhope, M., & Lancaster, J. (2008). Public health nursing: Population centered health care in the community (6th ed.). St. Louis: Mosby.
“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.
Today, there is a prolonging problem with primary health care in low-income urban populations. As a group low-income people suffer from having meager health outcomes than the larger population of those with less dense area of living and as well higher incomes. Low-income people suffer disproportionately from health problems related to physical inactivity. People from households with incomes below $15,000 are much more likely to be diagnosed with diabetes or asthma, to be obese, and to be at risk for health problems related to lack of exercise than people from households with incomes above $50,000. Socioeconomic conditions commonly confronted by low-income people such as polluted environments, inadequate housing, absence of public transportation,