Provide oversight and consultation for local public

This preview shows page 14 - 16 out of 43 pages.

Provide oversight and consultation for local public health agencies Leading cause of death in Tennessee is heart disease and then cancer o Tobacco use, physical inactivity, and obesity influence these o Healthier Tennessee was created to focus on these 3 Healthcare is not a primary driver of an individuals overall health Educational needs o BSN preferred entry level into PHN in Tennessee Health Department Clinics o Masters level preparation preferred for administrative leadership positions and for Advanced Practice Nurses in clinic settings o Explore MSN and MPH dual programs o Doctoral level programs for nurse epidemiologists, researchers, and advanced clinical practice Issues and trends o Shift from last-resort primary care to promotion-prevention partnerships Raises concerns about uninsured and underinsured o Antibiotics and immunizations o Increasing rates of drug resistance to community-acquired pathogens o Health care reform legislation o Access to affordable housing o Societal disparities in health outcomes o Behaviorally influenced issues Chronic diseases Violence in society Substance abuse o Emerging infections o Severe acute respiratory syndrome (SARS) H1N1 influenza o Unequal access to health care Functions of public health nurse o Advocate o Legislation o Case manager o Referral source o Assessment of literacy o Educator o Direct primary caregivers o Ensuring direct care services are available for at-risk populations o Disaster management
o Communicable disease control Incident commander o Levels of prevention Chapter 15 Many improvements to inpatient care are the result of population level interventions. o Prevention of hospital acquired infections o Reduction in readmission rates o Reduction in falls Public/Community Health definition of Populations o Persons who share a similar social setting, culture, and/or geographical community over a period of time Hospital Setting o Populations grouped based on a particular health issue, age group, or type of service provided. o Individuals rapidly enter and exit the population. Primarily tertiary prevention level o Prevention of further morbidity and reduce disability. o Focus is provision of clinical care during the acute phase of the illness Interventions based on rigorous research data o Epidemiology Case Control studies Cohort studies Randomized Control Trials Traditional framework: o Direct care Provided to individuals o Indirect care Provided to groups of people or populations New framework: nursing care occurs across a continuum o From micro (the individual) to macro (the population) o Nursing practice in the acute care setting includes macro- as well as micro- focused care Examples o Acute care setting nurses care for populations when they put in measures to prevent hospital- acquired infections.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture