|




  
Fundamentals
of
 |


 
   
 
Public
 Health
  
 
 
Nursing


 ïhat is a Public Health
|



  
Nurse?
Public
|



health nursing is the  practice of
promoting and protecting the health of
populations
 using  knowledge from nursing,
social

 and public health sciences.Ɛ
 nd
-- from Barbara Spradley, Community Health Nursing, 2 Ed, 1985.

  

ƏPublic health nursing is a field of nursing that
 combines

  public health with nursing, is
population oriented, emphasizes health,
involves interdisciplinary collaboration, focuses
on the entire population.Ɛ
--from Barbara Spradley, Community Health Nursing, 2nd Ed, 1985

 Foundation Competencies
|



  
of Public Health Nursing
 |


 
1. Locating
   
 
 
2. Building Trust
  
 
 
3. Building Strengths


 |Public Health Practice:




  
 |



Public health 
nursing is a
   
specialized nursing practice that
 
 
 combines
  the science and art of
 public

 health with the science and
art of nursing.


 |Public Health Practice:




  
 INTERVENTIONS
|


 
are actions that
   
public health nurses take on behalf
 
 
of
  individuals,
 families, and
communities.
 
 


 |Public Health Practice:




  
 The
|



public health core  functions of
   
assessment, policy development,
 
 
and assurance
   are fulfilled through
activities
 
  and interventions that
are based on community need.


 |Public Health Practice:




  
 The nursing process
|


 
Î åssessment,
   
Î Problem
 
  identification,
Î Planning,
   implementation, and
Î Evaluation
 
 
Underlies each of the interventions.


 |Public Health Practice:




  
 Public
|



Health nursing is grounded  in:
* å belief in social justice
   
* ån 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

 |Public Health Practice:




  
 Public health nursing is family-
|



centered.
  
 
 
  
 
 
 |Public Health Practice:




  
 Public health nursing interventions
|


 
 are not
 site
!specific;
 
 
 They may
  occur in any setting.
 
 

!
 |Public Health Practice:




  
 †| Public health nursing 



 practice is
 population-based.
  
 
 
  
 
 


 THE PUBLIC HEåLTH
|



  
PRINCIPLES
 |The Principle of the åggregate



 
 The Principle
   of Prevention
 The 

 Principle of Community
 Organization

 The

 Principle of the Greater Good
The Principle of Leadership
The Principle of Epidemiology

 Public Health  
|




 ´ Based
| on social justice 




   
´ Founded in the governmental
 
 
responsibility for the health of the public
  
 
  to the public voice
´ ånswers

´ Serves the ƏpublicƐ, not just the ƏpoorƐ


 Lillian ïald
´ Social|



  
activist
´ Established home visiting service
in US (1893)
 |


 
´ Practiced independent public
 
health nursing 
´ Looked beyond individuals to
 
 needs
population 
  to
´ Responded concerns related
to poverty, lack of sanitation,
 
  inadequate health
overcrowding,
care
´ Provided communicable disease
and Maternal and Child Health
interventions

THE SCOPE OF PUBLIC HEåLTH
|



  
NURSING PRå TI E
 |


 
ƏPopulation-based public health
   
servicesƐ are Əinterventions aimed at
disease
 
  prevention and health
promotion that shape a communityƍs
  
overall profile.Ɛ
 
 
Public health interventions are
population-based; that is, they improve
the health status of entire identified
populations. 
Examples of Populations with
|



  
Population-Health Issues
 ´|Elderly



 
persons with ongoing chronic
conditions
  who need a broad range of
 
services to maintain their independence
 

in the
community
Persons
 ´ who drink well water
´ åll families with newborns
 
 
´ åll children with asthma
´ Sexually active teenagers
´ Persons who drink and drive

PUBLI HEåLTH INTERVENTIONS
|



  
 |


 
   
 
 
  
 
 


 Public Health Interventions
Systems Focused 
|




 |


 
   
 
 
  
 
 


 Public Health Interventions
ommunity Focused
|



  
 |


 
   
 
 
  
 
 


 Public Health Interventions

| Individual Focused




  
 |


 
   !
 
 
  
 
 

!
 Public Health Interventions

| Example: ådvocacy




  
 |