module 1 - promoting healthy communities Flashcards
DISCOVER initiative
- purpose
development, inquiry, self-exploration, calling, openness, vocation, experience, reflection
- the why of nursing; exploration of your vocation + calling
the result of lifelong pursuit of learning fostered through creative + critical interaction in a community of others
knowledge
spirit which recognizes God as ultimate reality; unifying diverse forms of knowledge in the pursuit of fullness of truth, while recognizing diversity of human experience
fidelity
result of the integration of reflection + action developed through higher learning throughout life
wisdom
affirmation of the equal dignity of every person and the promotion of personal + social responsibility
justice
commitment to student learning, development, and success accomplished through collaboration, mutual respect, collegiality, and dedicated service
association
“the protection, promotion, optimization of health + abilities, prevention of illness and injury, alleviation of suffering thru the dx and tx of human response, and advocacy in the care of individuals, families, communities, and populations”
ANA definition of nursing
the art + science of prolonging life, promoting health, and preventing disease thru organized community efforts
public health nursing
what is the vision of public health nursing?
healthy people in healthy communities
what we do as a society collectively to assure the conditions in which people can be healthy
public health
“the public health nurse, with expertise in nursing & public health, assesses the health status of populations using data input from populations; analyzes collected data, including needs & strengths, & partners with people to determine needs; participates with community partners to identify expected outcomes “
ANA definition of a public health nurse + phn roles
BSN in public health
- focus
- location base
focus: individual + family
location base: community/institutions
MSN in public health
- focus
- location base
focus: population
location base: community
what is considered community-oriented nursing
populations in the community + individuals/family in the community
what is considered community-based nursing
populations in institutional settings + individuals/family in institutional settings
explain the roles of public health nurses
- emphasize care on members of the community = population focus
- connections b/w health status + environment = community focus
- health promotion, maintenance, disease prevention
- intervene @ community level with political processes
type of nursing practice; PHILOSOPHY of nursing service delivery (provides care through community diagnosis, health surveillance, and eval of population health status)
community oriented nursing practice
type of nursing practice; setting specific practice where care is provided to the “sick” (long term care)
community based nursing practice
nursing theory + public health theory where FOCUS OF PRACTICE = health of the community as a whole + how it impacts individuals
public health nursing practice
t/f: public health addresses the needs of population/community as a WHOLE, even those who are NOT seeking health care
true
focus in which problems or needs are defined and solutions implemented for aggregates
population-focused
collection of individuals who have 1+ personal or environmental characteristics in common (same town, state, school)
aggregates
aggregate or population with COMMON geography or special interest
community
entire population/community/aggregate where nursing focuses in on the COLLECTIVE GOOD
client
what is a vulnerable population(s) that impacts society as a whole and can give an idea about the health of a community?
mothers + infants
2 ppl who started community health as district nursing (date)
william rathbone + florence nightingale 1859: liverpool, england
what was district nursing
nurses had own sector/district to teach families how to care in the home
what was the focus of district nursing in 1887
poor population
person who started district nursing in NYC (date, location)
lillian wald (1893, Henry St. settlement)
who was the first to use the term “public health nursing “
lillian wald (1893)
who used frontier nursing on horseback and used the first nurse midwife? what was the goal of her movement?
1920s - mary breckenridge at the appalachian mountains, kentucky
- goal: decrease infant + mother mortality
- used the first nursing midwife
what shift occurred in 1930s-1940s
district nursing expanded, became the idea of health and welfare of the PUBLIC
- school nursing, infant care, TB/STD education
what is the perspective of community health nursing from 1970s-present
service to the TOTAL COMMUNITY = cost, quality, access to care
what is the primary care/patient centered medical home
–>team-based health care delivery model led by a health care provider to provide comprehensive and continuous medical care to patients with a goal to obtain maximal health outcomes = HOLISTIC CARE
explain the aspects of PCMH
- access to care
- accountability
- comprehensive
- continuity
- coordination + integration
- patient + family centerd
- access to care: pts get care they need when they need it
- accountability: responsibility
- comprehensive: clinics provide pts with ALL care/info
- continuity: work with pts + community to improve population itself
- coordination + integration: help pts navigate healthcare to meet needs safely
- patient + family centered: pt is the most important member of the team; ultimately responsible
