Midterm _ Community Health Flashcards
PHN
a specialty practice of nursing
PHNs work in…
schools, homes, clinics, jails,
shelters, out of mobile vans and even dog sleds!
Interventions
actions that PHNs take on behalf of individuals, families, systems, and communities to improve or protect health status
The “intervention model,” /framework
defines the scope of public health nursing practice by type of intervention and level of practice rather than by the more traditional “location” of service.
Intervention Model/Framework
- Population based
- Levels of practice
- 17 interventions
Population of interest
more general population
Population at risk
population that has been exposed to something
Population Based Assessment
- Grounded in assessment of the population’s health status
- Considers broad determinants of health
- Emphasizes all levels of prevention- emphasizing
primary
4.Intervenes with communities, systems, individuals and families
Practice Levels
Individual, Community focused, systems-focused
Individual focused
Changes in knowledge, attitudes, beliefs, practices, and behaviors of individuals. Directed as individuals, alone or as part of a family, class, or group.
Community-focused
Changes in community norms, attitudes, awareness,
practices and behavior.
Systems-focused
Changes organizations, policies, laws and power structures. Often more effective and long lasting way to impact population health.
More Political
Surveillance
Describe and monitor health events through ongoing and systematic collection, analysis, and interpretation of health data; more broad
Investigation
Systematically gather and analyze data regarding threats to the health of populations EX. Measales outbreak in Durham
Outreach
Locates populations of interest or risk and provide information
Screening
Identify individuals with unrecognized health risk factors or asymptomatic disease conditions
Referral and follow up
Assist individuals, families, groups, organizations, communities to identify and access necessary resources
Case Management
Optimizes self-care capabilities of individuals and families and capacity of systems and communities to coordinate and provide services (Pt’s admitted to ED and helped them find housing after ED)
Delegated Functions
direct care tasks a RN carries out under authority of a health care practitioner as allowed by law
Health Teaching
Communicates facts, ideas and skills that change
knowledge, attitudes, values, beliefs, behaviors, and practices of individuals, families, systems, and/or communities.
Counseling
Establishes an interpersonal relationship with a community, a system, family or individual intended to increase or enhance their capacity for self-care and coping. Emotional level.
Consultation
Seeks information and generates optional solutions to
perceived problems or issues through interactive problem solving with a community, system, family or individual. The community, system, family or individual selects and acts on the best option.
Collaboration
commits two or more persons or organizations to achieve a common goal
Coalition building
promotes and develops alliances among
organizations or constituencies for a common purpose. Linkages, solves problems, enhances local leadership.
Community Organizing
helps community groups to identify common problems or goals, mobilize resources, and develop and implement strategies to meet goals