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Essays the role of community nurses
Essays the role of community nurses
The community health nurse role
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2. What course concepts from the course textbook or nursing research from community health/public health nursing journals did I use and apply to nursing practice during this rotation?
In the course article, Framework for Community Health Nursing, the World Health Organization (WHO) Regional Office for South-East Asia discusses this topic from the perspective of future nursing education. From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care systems as stated in this document. There is a need to change some of the focuses of education and training in new nurses in an effort to respond to the health care demands of today and the future since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my
To answer to my questions I looked to my clinical instructor and other resources such as course literature. From the course book I was able to learn that public health nursing can be applied to lead collaborative efforts to attain optimal health for people locally and nationally. It also helps develop innovative programs to improve health of populations and lead health care reform efforts within and across health care systems. As far as working conditions, I have learned that most public health nurses work for government agencies, nonprofit groups, community health centers and other organizations that aim to improve health at the community level. In addition public health nurses can travel locally or distances to meet with community groups to bring health care services into underserved
The care that the public health nurse provides to her clients is patient-centered. During one of the home visits, the nurse talked and questioned her client about what her needs were and if there was anything she could do for her. The client mentioned that she needed more supplies such as diaper and baby clothes. The nurse agreed to bring these items the next time she visits. When the nurse had to perform an assessment on the client’s son by using the ASQ-3, which is a screening tool that screens for developmental delays, the client mentioned that she was not feeling well and did want to answer questions. The nurse respected her client’s request and did not carry on with the assessment. Patient-centered care was evidenced in the nurse’s practice as she was assessing and responding to her client needs. The client also had control on how the care was delivered to her. By letting the client have a voice in her care, the nurse was establishing a caring relationship with the client, which is one of the cornerstones of public health nursing (Garcia, Schaffer, & Schoon, 2014, p. 9). In addition, by providing support and care as well as addressing the client’s needs, the nurse was working at the individual level of practice.
Educational preparation for the advanced practice public health nurse includes at least a Master’s degree and is based on an integration of current knowledge and research in public health, nursing, and other scientific preparations. In addition to executing the functions of the generalist in population-focused nursing, the specialist retains clinical experience in political and legislative activities, delivering and evaluating service, organizing, interdisciplinary planning, community empowerment, and assuming a leadership role in interventions that have a positive effect on the health of the community. Certification examinations for advanced practice nurses are rewarded by the American Nurses Credentialing Center (ANCC).
The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership. (ANA )The role of the nurse with the obese population is very important. Obesity is considered a chronic disease in many community health texts. Community health nursing grew greatly, during the later part of the 20th century, due in large part to a growing population of chronically ill people (who were now surviving illnesses that were previously less treatable). This situation with the chronically ill continues to grow, shifting more and more responsibility for health
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.
Patient-Centered Care is a vital step for the underserved populations. In the clinical practice attention, and focus should be priority for these disadvantage patients. As a nurse educator, I should take a proactive role to to improve the health of America's underserved populations. participating in support group will enhance the care to serve the underserved population. In United states there is a disparity in the health of racial , ethnic groups, minorities, and African Americans. Most of the underserved population lives in underserved rural areas. These population lack access for health care, because their poverty, low income, and less access to transportations. Serving in shortage area is sacred mission for health care provider. Nursing role in the underserved areas has a dominant factor to reduce children mortality rate, and reduce elderly diseases. It is an opportunity to address all the barriers that prevent this special group for health care access. It is the real challenging for nurses to use the utmost knowledge, and explore new ideas that need further investigations.
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
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
Each individual nurse brings a distinctive set of values and beliefs to the table when entering nursing school. While these values may or may not be similar, every student has their own interpretation of what it means to be a nurse, and what awaits them. Luckily, commonality of instruction ensures the next generation of nurses acquires the tools required for greatness. By combining the fundamentals of nursing with those individual values a student nurse will have a solid foundation in which to build upon. For this reason, a discussion must be made about the four basic aspects of nursing: person, health, environment, and nurse, not to mention where a nurse should find themselves five years after graduating from nursing school. The purpose of this paper is to describe the metaparadigm of nursing and theories related to the metaparadigm as well as personal five year goals.
Nursing has always been a key career in the health care system. Although it is not often focused on media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many would mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians, support staff.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
A nurse can be defined, according to the Fundamentals of Nursing book, as “promoting of health, prevention of illness, and the care of the ill, disable and dying people. Advocacy, promotion of a safe environment, research, and participation in shaping health policy and in patient and health systems management and education…” (Taylor et al, 2015). Nurses will provide the individual care for each patient based on the patient, the environment, and the health that the patient desires. Nurses spend the most time with patients, they are the ones observing the patient, monitoring the patient, and interacting with the patient. Thought these interactions nurses are able to build relationships with each patient, which in turns allows the nurse to care the patient to the best of their
“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.
Nies, M. A., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). St.Louis, MO: Saunders.
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.
Nursing can be defined in many ways and many people have different interpretations of it. Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviati...