fundamental so public health

8/6/2019 Fundamental So Public Health

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Fundamentalsof

Public HealthNursing


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What is a Public Health

Nurse?Public health nursing is the practice ofpromoting and protecting the health of

populations using knowledge from nursing,social and public health sciences.-- from Barbara Spradley, Community Health Nursing, 2nd Ed, 1985.

Public health nursing is a field of nursing that

combines public health with nursing, ispopulation oriented, emphasizes health,involves interdisciplinary collaboration, focuseson the entire population.

--from Barbara Spradley, Community Health Nursing, 2nd Ed, 1985


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Foundation Competencies

of Public Health Nursing

1. Locating

2. Building Trust

3. Building Strengths


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Public Health Practice:

Public health nursing is a

specialized nursing practice that

combines the science and art of

public health with the science andart of nursing.


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INTERVENTIONS are actions that

public health nurses take on behalf

of individuals, families, and

communities.


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The public health core functions of

assessment, policy development,

and assurance are fulfilled through

activities and interventions thatare based on community need.


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Public Health Practice:The nursing process

Assessment,

Problem identification,

Planning, implementation, and

EvaluationUnderlies each of the interventions.


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Public Health Practice:Public Health nursing is grounded in:

A belief in social justice

An ethic of caring The promotion and maintenance of health

The prevention of illness, injury, and disability

Long term commitment to the community

Sensitivity to cultural diversity

Systems theory

Holistic care


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Public Health Practice:Public health nursing is family-centered.


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Public Health Practice:Public health nursing interventions

are not site specific;

They may occur in any setting.


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Public Health Practice: Public health nursing practice is

population-based.


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THE PUBLIC HEALTH

PRINCIPLESThe Principle of the Aggregate

The Principle of Prevention

The Principle of CommunityOrganization

The Principle of the Greater Good

The Principle of Leadership

The Principle of Epidemiology


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Public HealthBased on social justice

Founded in the governmentalresponsibility for the health of the public

Answers to the public voice

Serves the public, not just the poor


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Lillian Wald Social activist Established home visiting service

in US (1893)

Practiced independent publichealth nursing

Looked beyond individuals topopulation needs

Responded to concerns relatedto poverty, lack of sanitation,

overcrowding, inadequate healthcare

Provided communicable diseaseand Maternal and Child Healthinterventions


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THE SCOPE OF PUBLIC HEALTH

NURSING PRACTICE

Population-based public health

services are interventions aimed atdisease prevention and healthpromotion that shape a communitysoverall profile.

Public health interventions arepopulation-based; that is, they improvethe health status of entire identified

populations.


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Examples of Populations with

Population-Health IssuesElderly persons with ongoing chronic

conditions who need a broad range of

services to maintain their independencein the community

Persons who drink well water

All families with newborns

All children with asthma

Sexually active teenagers

Persons who drink and drive


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PUBLIC HEALTH INTERVENTIONS


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Public Health Interventions

Systems Focused


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Community Focused


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Individual Focused


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Example: Advocacy

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