CH 1 Responsibilities for Care in Community/Public Health Nursing

synonym for population (group of people in a study); people who do not have the relatedness necessary to constitute an interpersonal group (system) but who have one or more characteristics in common; also called at-risk population, specified population, population group

agreements we make with ourselves that pledge our energies for or toward realizing our visions

community-based nursing
nursing practiced by a community health nurse (RN) who completed an associate degree nursing education program and works outside of hospitals and nursing homes

community health nursing (nurse)
an umbrella term used for all nurses who work in a community, including those who have formal preparation in public health nursing

community/public health nurse
a nurse who has received formal public health nursing preparation; population-focused community-oriented nursing

distributive justice
the ethical concept concerned with the fair provision of opportunities, goods, and services to populations of people

general systems theory
provides an umbrella for assessing and analyzing the various clients and their relationships with dynamic environments

a set or collections of persons, not a system of individuals who engage in face to face interactions

group or set of persons under statistical study; people residing in an area

care that is aimed at improving the health of one or more populations

professional certification
a process that validates an individual registered nurse’s qualifications, nursing practice, and knowledge in a defined area of nursing and acknowledges that the nurse’s education, experiences, and knowledge meet standards determined by the profession; voluntary

public health nursing (nurse)
practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences

a statistical concept based on probability

social justice
principle that all persons are entitled to have their basic human needs met, regardless of differences in economic status, class, gender, race, ethnicity, sexual orientation, disability or health; includes eradication of poverty and illiteracy, the establishment of sound environmental policy, and equality of opportunity for healthy personal and social development

broad statements describing what we desire something to be like

process of assisting others to uncover their own inherent abilities, strengths, vigor, wholeness, and spirit

labels or names that we give to our perceptions of living beings objects, or events

set of concepts, definitions, and hypotheses that help describe, explain, or predict the interrelationships among concepts

open system
set of interacting elements that must exchange energy, matter, or information with the external environment to exist

in an open system model, something that separates the system from its environment and regulates the flow of energy, matter, and info between the system and its environment

in an open system model, is everything outside the boundary of the system

in an open system model, the created products, energy, and info that emerge from the system into the environment

external influences
in an open system model, the matter, energy, and info that come from the environment into the system; can be resources for or stressors to the system

is info channeled back into the system from its environment that describes the condition of the system

the production of actions directed to self or to the environment in order to regulate one’s functioning, and well-being

study of health in human populations; science that helps describe the natural history of specific diseases, their causes, and their treatments

The ethical tenet that the physician has the responsibility to respect patients’ choices about their own healthcare; independence, self-governance

egalitarian system
when each person has equal access to equal health services

utilitarian system
when resources are distributed so as to provide the greatest good for the greatest number with the least amount of harm

the process of directing someone to another source of assistance

the process of imparting cognitive knowledge, skills, and values

anticipatory guidance
is education that occurs before the client is expected to need to act on the information

is the verification of the state or condition of health

is the determination of the significance or value of info gathered through monitoring

denotes determination of the state of health and involves the collection and analysis of data

monitoring the health of populations and communities

disease and other health event investigation
identification of cases and determination of control measures

ANA Code of Ethics
calls for nurses to relate to clients in ways that promotes their dignity and respect their religious, cultural, and political preferences

environmental management
the control of those things in the immediate surroundings to protect human beings from disease and injury; or the promotion of a place conducive to healing and well-being

bringing together the parts or agents of a plan or process into a common whole

case management
refers to the development and coordination of a plan of care for a selected client, usually an individual or family

caseload management
refers to the coordination of care of a number of clients for whom the community/public health nurse is accountable

site management
refers to the coordination of nursing effort at a specific geographical place such as a clinic, school, or office for community/public health nurses, where nursing care is planned and provided

means working together and denotes that the participants have relatively equal influence

peer sharing
occurs when nurses share with each other their experiences, both successful and disappointing ones in providing care

means the establishment and maintenance of relationships with other professionals and community leaders for the purpose of solving common problems, creating new projects or programs, identifying experts for future consultation, maintaining mutual support, or enlisting others to work toward common goals

social action
influencing decisions in a community

coalition building
involves community/public health nurses development of linkages or alliances among organizations or those persons with similar interests

political development
the development of legislation and administrative rules and regulations

economic action
depends on the use of money to influence social decisions

community organizing
helps community groups identify common problems or goals and use strengths to mobilize resources to plan and implement strategies for goal achievement

evidence based practice
an approach to practice in which the public health nurse is aware of the evidence in support of one’s clinical practice, and the strength of that evidence

directly observed therapy
Requires a health care worker to physically observe patient ingestion of anti-Tb meds and improves adherence to meds

Describe the nature of community/public health nursing practice
a population focused, community orientated nursing practice; focuses on relationships with individuals, families, groups, and aggregates/populations, empowerment for health promotion, probability of risk, prevention, balancing individual freedoms with responsibility to others; works in/with home health, correctional facilities, school health, occupational health; duties include identification of unmet needs, advocacy and referrals, teaching, surveillance, monitoring, and evaluation, policy enforcement and development, environmental management, political action, self care and development, offering hope/positivity/creativity. collaboration, case management, coordination and delegation

Identify the values of community/public health nursing
Collaborative partnerships, Evidenced-based practice, Excellence in education, Inclusiveness, Leadership development, Professional development, Research and scholarship

Describe the visions and commitments of CHN/Public health nursing
ensuring an equitable distribution of health care, ensuring a basic standard of living that supports the health and well-being of all persons, ensuring a healthful physical environment

Describe the distinguishing features of CHN/Public health nursing
conduct community-wide data collection, analyses, and priority setting, outreach- provision of health care to the previously underserved (care is not provided just to those that seek it), “coordinators of direct care times and expert witnesses

Identify how empowerment is important in CHN/Public heath nursing
Empowerment is accomplished by using interpersonal relationships to create opportunities for people to promote their own health; understanding of problem solving and creative empowerment, of human experiences and responses related to health and illness, and of relationships between people and their environments; creation of a vision (hope)

Describe health-related goals that are of concern to community/public health nursing practice
care of the ill, disabled and suffering in nonhospital settings, support of development and well-being throughout the life cycle, promotion of human relatedness and mutual caring, promotion of self-responsibility regarding health and well-being, promotion of relative safety in the environment while conserving resources, reduction of health disparities among populations

Identify the clients of community/public health nurses
home health (older adults), school health (youth), state and local health, departments/rural health centers, hospice, occupational health, correctional, mental health and substance abuse, clients home-bound due to trauma injuries (e.g. car accidents, CVA), those who experience pain or isolation, disabled, poor

To compare and contrast the controllability of the environment in an inpatient setting to the environment in a community setting
CHN/PHN are in special positions to observe hazards and the environmental concerns of community members; environments are more variable and less controllable

Describe ways the general systems theory is utilized in community nursing
General systems theory is useful in studying clients at multiple ecological levels

Identify the beliefs underlying community/public health nursing
human beings have rights and responsibilities, promoting and maintaining family independence is healthful, environments have an impact on human health, nurses can make a difference and promote change toward health for individuals/families/communities, vulnerable and at-risk populations/groups/families need special attention, poverty and oppression are social barriers to achievement of health and human potential, interpersonal relationships are essential to caring for others, hygiene/self care/prevention are as important as care for the sick, CHN need to be leaders and innovators in developing nursing care and adequate standard of living programs, CHN are available to all not just poor

Compare the terms population-focused care and aggregate-focused care
aggregate is defined as an additional type of client with whom CHN apply the problem solving process, they can be identified by virtue of setting, demographics, or health status. population means all the people in an area or community

Describe the responsibilities of a community/public health nurse
identification of unmet needs, advocacy and referrals, teaching, surveillance, monitoring, and evaluation, policy enforcement and development, environmental management, political action, self care and development, offering hope/positivity/creativity. collaboration, case management, coordination and delegation

State the competencies that beginning community/public health nurses need to have
expected to be able to apply the entire nursing process with individuals, families, and groups to promote health and wellness. expected to assist advanced practice CHN with master’s degrees, interdisciplinary teams, and community members in conducting community-wide data collection, implement interventions that emerge from such community planning, ensure that health care is available and accessible

Describe how community/public health nurse generalists and specialists are similar and different
specialists provide orientation, staff development, consultation, and professional leadership to nurse generalists; have graduate degrees in specific areas, have expanded knowledge and skills. generalists are licensed professional nurses with a baccalaureate degree in nursing. Similar perform the same functions and care, except specialists focus on entire populations and multiple aggregates. specialists structure systems of data collection and target intervention strategies into developing policies/theories/research

Discuss ethical priorities that nurses must consider
altruism- concern for the welfare of others, beneficence- doing good, nonmaleficence- avoiding harm, respect for autonomy- honoring self-determination, veracity- truth telling, fidelity- keeping promises, justice- treating people fairly

Define the meaning of a distributive justice system
ensuring the availability and accessibility of high quality health services to all persons whose health needs are unmet

Describe leadership in community/public health nursing as to professional certification, quality assurance, community/public health nursing research
these influence the quality of nursing care. BSN competencies (ability to do something based on a standard), ability to communicate/create a vision/ recognize human suffering/identify health problems, continued professional development, must have advanced degree, identifies questions for investigation, data collection, apply research findings to practice, has patience and persistence

When provided examples of situations, identify the corresponding levels of prevention
Primary prevention activities preclude the occurrence of a disease or injury. Secondary prevention activities focus on early identification and treatment of diseases. Tertiary prevention seeks to reduce negative consequences of illness and restore health as much as possible.

direct community/public health nursing
is the application of the nursing process to individuals, families, and groups and involves face to face relationships (indirect is the opposite)

American Public Health Association 1872 – to facilitate Interprofessional efforts and promote “practical application of public hygiene” American Red Cross (later Town and Country Nursing Service) provided a framework to initiate home nursing care in areas outside larger cities. WE …

American Association of Colleges of Nursing members are baccalaureate and higher degree nursing education programs. The association serves as the national voice for these programs. American Nurses Association a national association for registered nurses in the US. founded 1896 WE …

Advocacy pledging on behalf of someones cause Case Finding locate individuals and families with risk factors an connect the WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample coalition building …

Aggregate Population group with common characteristics Competencies Unique capabilities required for the practice of public health nursing WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample District Nurses Public health …

Aggregate A population group Assessment Systematic data collection about a population. includes monitoring the population’s health status and providing information about the health of the community WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR …

American Revolution Key health issues during the American Revolution, there were high rates of smallpox, yellow fever, cholera, typhoid, typhus, tuberculosis, malaria and infant mortality. Community and public health’s major goal was Improving sanitation among all areas in all communities. …

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