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Chapter 001

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Chapter 1
Community- and PreventionOriented Practice to Improve
Population Health
Objectives
1.
2.
3.
4.
5.
6.
State the mission and core functions of public health,
the essential public health services, and the quality
performance standards program in public health.
Describe specialization in public health nursing and
other nurse roles in the community and the practice
goals of each.
Describe what is meant by population health.
Identify barriers to the practice of community and
prevention–oriented, population-focused practice.
Describe the importance of the social determinants of
health to the health of a population.
State key opportunities for nurses in public health
practice.
2
Introduction
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Recently increased attention to public health
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COVID-19 Pandemic
Concern with cost of medical care & the Affordable
Care Act (ACA) of 2010
US health & life expectancy worse than other highincome countries
Focus of this chapter:
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Public health as a broad field of practice
Population health
Public health nursing
3
Public Health Practice (1 of 2)
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Definition:
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“what we, as a society, do collectively to assure the
conditions in which people can be healthy” (IOM.
1988, p. 1).
Mission:
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“to generate organized community efforts to address
the public interest in health by applying scientific and
technical knowledge to prevent disease and promote
health” (IOM, 1988 p. 1; Williams, 1995).
Accomplished by many groups (public & private) &
individuals, with special function of the government
4
Public Health Practice (2 of 2)

Benefits
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Safer and cleaner environments and food/water
Dramatic increase in life expectancy
Decreased number of deaths from heart disease and stroke
Declines in death rates of adults and children
CDC’s (1999) Ten Great Public Health Achievements in the 20th
Century
Gains made due to public health programs, such as:
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Safety and adequacy of food supplies
Provision of safe water
Sewage disposal
Public safety from biological threats, including immunizations
Personal behavior changes, including reproductive behavior
5
Budgeting for Public Health
Practice
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Only 3% of all national expenditures support
governmental public health functions
Despite this small portion of the health care budget in the
United States, public health practice provides many
benefits.
Imagine how many more benefits the United States
might see if more money was given toward public health
practice.
Impact of Affordable Care Act not yet known
6
Public Health Core Functions
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
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Assessment
Policy development
Assurance
7
Essential Services of Public Health
1.
2.
3.
4.
5.
6.
Monitor health status to identify
community health problems.
Diagnose and investigate health
problems and hazards in the
community.
Inform, educate, and empower
people about health issues.
Mobilize community partnerships
to identify and solve health
problems.
Develop policies and plans that
support individual and community
health efforts.
Enforce laws and regulations that
protect health and ensure safety.
7.
8.
9.
10.
Link people to needed personal
health services and ensure the
provision of health care that is
otherwise unavailable.
Ensure a competent public health
and personal health care
workforce.
Evaluate effectiveness,
accessibility, and quality of
personal and population-based
health services.
Research for new insights and
innovative solutions to health
problem.
8
Levels of Health Care Services
Pyramid
9
Core Competencies of Public
Health Professionals
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72 Competencies divided into 8 categories & 3
levels (tiers) of practice:
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Analytic/ assessment
Policy development/ program planning
Communication
Cultural competency
Community dimensions of practice
Basic public health sciences
Financial planning and management
Leadership and systems thinking
Quad Council Coalition developed Public Health
Nursing Core Competencies
10
Quality Improvement Efforts in
Public Health
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National Public Health Performance Standards
(NPHPS) Program
Accreditation Process for local and state health
departments
Public Health 3.0
11
Population Health (1 of 2)
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
Original definition: “the health outcomes of a
group of individuals, including the distribution of
such outcomes with the group” (Kindig &
Stoddard, 2003, p.1).
May help describe the type of population whose
health is being considered

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Geographic (i.e. country, state, county, city, or specific
community)
Clinical population of a hospital or health care system
• Population Health Management
12
Population Health (2 or 2)


Proposed definition: “Population Health is the
health status of a defined population of
individuals, including the distribution of health
status within the group” (Williams, 2018).
Development of information technology leading
to increasing accessible population health data

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Healthy People 2030:
https://health.gov/healthypeople
County Health Rankings:
https://www.countyhealthrankings.org/
13
Public Health Nursing
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Scope and Standards of Public Health Nursing
Practice (Quad Council, 1999 [revised 2005]
Defined as “the practice of promoting and protecting
the health of populations using knowledge from
nursing, social, and public health sciences” (APHAPHN, 2013).
A specialty practice within nursing and public health.
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Often used interchangeably with community health nursing
Focuses on improving population health by
emphasizing prevention and attending to multiple
determinants of health.
Includes advocacy, policy development, and
planning, which addresses issues of social justice
14
Characterizing Public Health Nursing
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Population-focused
Community-oriented
Health and prevention focused
Interventions at the community and/or
population level
Concern for the health of all members of the
population or community, particularly vulnerable
populations
15
Types of Practice Focus in Nursing
Individual, family, and
group focused
Population focused
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
Emphasizes health
protection, health
promotion, and disease
prevention of a population
Example: Look at all
children in the Head Start
preschool program to
evaluate if the program is
achieving its goals

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Focus is on providing
services to individuals
rather than a population,
while maintaining an
appreciation for the values
of the community
Example: Developmental
screening tests of children
in the Head Start preschool
program to evaluate each
child
16
Population-Focused Nursing
Practice
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Population (or aggregate)
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Subpopulations
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i.e. geography or special interest or circumstance
i.e. high risk group withing the larger population
Population-focused community-based practice
Population Health Management
17
Three Key Nursing Modes in the
Community (1 of 3)
1. Community-based nursing
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
Goal: manage acute and chronic conditions
Practice focus is on “illness care” of individuals and
families across the life span
 Provide acute and chronic illness care and the
provision of comprehensive, coordinated, and
continuous care
 A setting-specific practice, care is provided where
people live, work, and attend school
18
Three Key Nursing Modes in the
Community (2 of 3)
2. Community-oriented nursing
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Goal: prevent disease and disability; promote, protect,
and maintain health
Practice focus is on “health care” of individuals,
families, and groups in community
 Provide health care to promote quality of life
 Community diagnosis, health surveillance,
monitoring, and evaluation of community and
population
19
Three Key Nursing Modes in the
Community (3 of 3)
3. Public health nursing practice
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Goal: prevent disease and disability and promote and protect the
community as a whole
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Practice focus is on the community as a whole
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The effect of the community’s health status (resources) on the
health of individuals, families, and groups
Raise questions about the community’s overall health status and
associated factors (including environmental) and working with
the community to improve the population’s health status
20
Challenges for the Future
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Barriers to nurses specializing in leadership
roles in population health initiatives.
Developing population health nurse leaders
Shifting public health practice to address the
social determinants of health and more vigorous
policy efforts to create conditions for a health
population
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