...The History of Community Nursing Community Health Nursing, originally called "Public Health Nursing" from 1900-1970, combines nursing science with public health science to formulate a community-based and population-focused practice, according to Judith Allender and Barbara Spradley in "Community Health Nursing." The overall goal is to improve the health of communities and vulnerable populations. The name "Community Health Nursing" was adopted in 1970, although "Public Health Nursing" was not abandoned, to better describe the place where the nurse practices. Read more: The History of Community Nursing | eHow.com http://www.ehow.com/about_6534870_history-community-nursing.html#ixzz2A1vES5oW 1. The Beginnings * According to Mary Nies and Melanie McEwen in "Community/Public Health Nursing," modern Community Health Nursing can trace its history to London, England and New York City. In 1854-1856, London health care institutions developed "District Nursing." This referred to the community being divided into districts, each served by a nurse and social worker. In 1893, Florence Nightingale developed the idea of "Home Nursing." This idea charged the District Nurse with being a health educator as well as a nurse to the sick at home. In 1877, in New York City, the Women's Board of New York City Mission sent Francis Root into the homes of the sick. Visiting Nurse Associations emerged in Buffalo in 1885 and in Boston and Philadelphia in 1886. However, in 1893 Lillian Ward established...
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...to food safety—moved from public health to other governmental agencies. The limitations of our medicalized public health system, with its focus on individual behavior, have become clear when we review the lack of progress over recent decades in reducing rates of diabetes, asthma, and obesity, or in creating equitable health status across racial and ethnic lines. Today’s public health challenges require that the public health workforce travel well upstream to have a positive effect on the health of their communities. As public health practitioners become attuned to the critical interaction of populations with their social, cultural, and physical environments, they are identifying strategies beyond individual solutions and addressing environmental factors to create living conditions that promote health. Nurses make up the single largest professional discipline in the public health workforce today, and the time has come for them to play key roles again in this crucial function of public health practice. By the end of the 20th century, public health nurses found their realm of action shifting from earlier broad environmental health and safety concerns to a focus on individual health. With the new century underway, the time is ripe for a widespread return of public health nursing practice to leadership roles in improving health through broader environmental and social action. Historical background The modern public health enterprise in the United States...
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...conditions of living conducive to wellness. Nurses are part of the answer because they are well equipped to interact with our community in ways that encourages choices and openness to decisions that have a more positive impact on lifestyles and health outcomes`According to the American Journal of Health promotion Health Promotion “Health Promotion is the science and the art of helping people change their lifestyles to move toward an optimal health.” From my point of view it is also the process enabling people to take action in taking control over their health through educational and environmental support of others. Others believe Health promotion encompasses principles of addressing broad determinants of health by means of developing healthy public policy creating supportive environments strengthening community action, developing personal skills. As a theory Health Promotion remains an essential guide in addressing the major health challenges faced by developing countries. Nurses are the key health professional gui ding individuals, families, and community toward making the right decisions when it comes to health promotion. Nurses possess the skills, and know the theories and models to implement evidence based interventions into their practice to foster healthy lifestyle and to create healthy home, school, community and nation. The World Health Organizations (WHO) has repeatedly called...
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...History of Community Nursing Matrix Historical Time Period Nursing Role in Community Major Health Issues Partnerships Used Watson’s Theory Past Period 1 1800-1900 (America’s Colonial Period) In 1800-1900, during America’s colonial period and the new republic, public health committee was concerned about the health and care of individuals in the community; in the early years of 1800, the care for sick people and the ideas of public well-being were influenced by the traditions of British immigrants. That was the motive for establishment of a system to care for sick, poor, aged, mentally ill and dependent patients based on the English model. Using the Law of 1601was a great medical privilege for poor communities, blind individuals, and those who did not have families. At that time, the problems surrounding poor communities included death, birth defects, and many other kinds of sicknesses; that was also the beginning of the industrial developments and mechanizations and population growth, which contributed to increased incidence of disease. In 1856, Florence Nightingale organized hospital nursing practice and nursing education, emphasized the benefits of public health nursing, and highlighted the job of nurses which includes health promotion and disease prevention. (Dieckmann, 2008, p. 21) In the early 1800s, nurses were responsible for providing care at home and mostly focused on ethical improvements rather than illness or disease prevention. The year 1813 was the starting point...
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...Influence Nursing? Grand Canyon University: 430V July 13, 2017 How Will the 2010 IOM Report Change Nursing? The Institute of Medicine is a nonprofit organization not related to the government, which provides unbiased advice to the general public as well as lawmakers in regard to healthcare decisions. The Affordable Care Act was signed into law in 2010 and this was the biggest health care reform in decades. The Afford Care Act provides millions of Americans with health coverage who previously were without. This will cause changes in our health care system and the Institute of Medicine (IOM) issued a report in 2010 specifying what changes they think need to take place within the healthcare system to meet the needs of the public. This paper will discuss the impact on nursing resulting from the Institute of Medicine report: “The Future of Nursing: Leading Change, Advancing Health.” Specifically it addresses the impact on education, primary care practice, and nurse leadership roles. The Impact on Education One key message in the IOM report states that nurses need to achieve higher levels of education by having a better education system that easily allows progress from one degree to the next. (IOM, 2010) In fact one of the recommendations is for eighty percent of nurses to have a Bachelors of Science degree by the year 2020. This is an increase of thirty percent. How is this report having an impact? According to the Future of Nursing Coalition for Change progress is being...
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...The Impact of the 2010 IOM Report on the Future of Nursing Nursing has evolved so much from its original intent. Nurses progressed from being classified as disorderlies to a well respected name in the health profession. However, even though nursing has come a long way, there are still more changes to come in relation to the shift of focus of healthcare from acute care to community health. As the US population continues to become diversified, nursing too will require adjustments to the ever-changing population. The health care system is now reforming to a prevention rather than cure model. With changes in the healthcare system and the population, the Institute of Medicine (IOM) developed a report depicting the need for nursing to be transformed in the areas of practice, education and leadership. I believe this report will have a strong impact on the future of nursing as it relates to expanding practice, furthering education and demonstrating leadership, all of which will enable a nurse to work at the maximum potential within their scope. Transforming the practice of nursing will be beneficial in its future. It will enhance quality, promote health, prevent illness, and care for people of all ages and ethnicities. One concept involved in this transformation, is providing patient-centered care in all aspects. The IOM report refers to this as nurse guided care. “The nurse providing guided care offers eight services: assessment; planning care; monitoring; coaching; chronic disease...
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...The Vision for Nursing is a Bright Nur/391 Sharon Berry Facilitator Arlene Leyba December 1, 2014 United ICN, the nurses of all nations speak with one voice. We speak as advocates for all those we serve, and for all the unserved, insisting that prevention, care and cure be the right of every human being. We are in the vanguard of health care progress, shaping health policy around the world through our expertise, the strength of our numbers, the alignment of our efforts, and our collaboration with the public and with other health professionals. This statement identifies for me my vision of our future. We will no longer be held solely to bedside practices. We are ever changing and evolving. In order to look to the future we must recognize our past. Nursing theory has evolved from Florence nightingale’s principle relating the importance of ones surroundings to promote one’s health and well-being. She wrote “Nursing is the act of utilizing the environment to assist him in his recovery.(Nightingale,1860/1969).To now recognizing the theory of Virginia Henderson who added to the theory by promoting the functions of the nurse as recognizing the whole body meeting the patients basic needs. “the unique function of the nurse …is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or peaceful death) that he would perform unaided if he had the necessary strength will or knowledge” (pg306)...
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...indicates the importance of health promotion in community. Health promotion can be done through proper education of public about the major diseases, its prevention and management and also the importance of healthy life style. Health promotion gives emphasis on the actual definition of health, that is not only just lack of disease, but also physical, mental and social well being. Health promotion provides new information and teachings to individuals, families and societies. It enhances the family unity and community engagements; it brings positive contributions to their health status. According to world health organization (WHO, 2012), health promotion is the process of enabling people to increase control over and improve their health. There is a broad range for health promotion, it is about developing healthy conditions in people's everyday life. This paper briefs health promotion, its significance in practice of nursing, roles and responsibilities of nurses in health promotion, in different areas of nursing the implementation of health practices incorporating health promotion in three different levels. Total well-being of people is the core of health promotion. The basic element for this is a healthy balanced life style, this can be achieved through proper education and awareness programmes to public and the community. Health education aims to make people to be aware and alert of the diseases and the contributing factors, importance of health check-up at least yearly, screening...
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...Development of the Nursing Professionals Professional Development of the Nursing Professionals Jill Blackman Grand Canyon University: NRS 430V January 6, 2012 Impact of IOM on Nursing Nursing has over three million members and is the largest sector in healthcare workers in the nation (Institute of Medicine, 2010). Since the Affordable Health Care Act passed in 2010, our nation now faces new challenges of providing affordable, quality health care to all Americans. The Institute of Medicine (IOM) is an organization that advises the federal government about how to improve our nation’s health care. The IOM has devised a plan to help change the future of nursing and break down the barriers that hinder the nursing profession in the new health care system. The report “Calls on nurses, individually and as a profession, to embrace changes needed to promote health, prevent illness, and care for people in all settings across the lifespan,” (Institute of Medicine, 2010 p. 10). How can nurses ensure that they are providing safe, quality care with the changing health care system and more complex patient care? Since nurses make up a major part of the health care workforce they can help shape and influence how the new health care reform will help the public obtain affordable, safe care that starts in the community and continues throughout all points of service, by further nursing education, establishing and participating in primary care and being leaders in the health care system. ...
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...Health Promotion According to the World Health Organization (WHO), health promotion is the process of disease prevention by enabling individuals to live healthy. Health promotion provides ideas and education to people to have a positive attitude towards their health. In addition, health education encourages individuals to change their life styles to achieve a state of optimal health. Optimal health involves a well balance of physical, emotion, social, intellectual and spiritual state. Health promotion is any plan combination of educational, political, regulatory and organizational supports for actions and conditions of living conducive to the health of individual, groups or communities (Green and Kreuter, 2004). The main purpose of health promotion is to make the public capable of taking care of their health properly and also to take preventive measures from worsening of disease. Health promotion improves the health condition of individuals, public to have a good quality of life. It reduces premature deaths, also focuses on disease prevention, which helps the individual and nation from spending a lot on medical treatment. Health promotion aims at learning capabilities and intentional action that individual takes on their own health, health for others and the common betterment of the community. As a largest group of health professional, nurses have the wider responsibility to promote health to the individual and thus the community. Nurses render more direct care to the patients...
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...the IOM Report and its Impact on the Future of Nursing Focusing on Nursing Education, Primary Care and Leadership Nursing as we know it has evolved from the days of Florence Nightingale to be part of today’s complex health care system. The demands and the expectations of the patient and the society in general has gone beyond basic good bedside nursing. Although the public trusts nurses to provide good care, they also see nurses as assistants without much say or assistants in the health care field who dress wounds, give injections and so on. In order to change direction of nursing to be able to meet the current demands of the profession and for the other health care professionals to see nurses as equal allies, an overhaul is required. To address this issue, the Robert Wood Johnson Foundation (RWJF) teamed up with the Institute of Medicine (IOM) to find ways to bridge the gap between the nursing we have today and the nursing that can meet future demands. “The Institute of Medicine is an independent non-profit organization that works outside of the government to provide unbiased and authoritative advice to decision makers and the public” (2010). Their goal is to reform the US health care system. To achieve this objective, they focused among other things, on nursing education, leadership role, and practice, particularly primary care. In writing this paper, I will focus on how the IOM intends to improve nursing education, nursing practice, and in particular primary care and leadership...
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...Community Health Nursing Reflection NUR/405 August 7, 2012 Community Health Nursing Reflection According to Phyllis Meadows (2009), “Community health nurses are valued for their adaptability and willingness to provide care in many settings, including community health clinics, churches, homeless shelters, and schools,” (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 has established benchmarks and monitored progress over time to improve health outcomes. Each community has unique needs and the role of the community health nurse is to work with and provide comprehensive care to patients within the community. This reflection addresses the role of the community health nurse with the participating family and their community in Spring Mills, Pennsylvania. Community health nurses working in the Spring Mills, PA are faced with numerous challenges in this small rural community. Construction and manufacturing account for 42% of the industry of Spring Mills. With these professions comes increased risk of work related injuries and illnesses. Educational services account for only 3% of the industry, wholesale and retail trade account for 10%, accommodation and food services 15%, and 30% account for a combination of professional, scientific, and technical services. Community health nurses play a role in ensuring safety in the workplace by creating and implementing...
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...Running head: HEALTH PROMOTION Health Promotion Grand Canyon University Family-Centered Health Promotion NRS 429v Melanie Escobar, RN MSN March 17, 2012 Health Promotion In today’s society people have taken for granted that they are healthy. Then when something changes in regards to their health they are generally stunned. People, in general, do not see how their health affects every facet of their lives. This paper will define health promotion and its purpose. It will further discuss what our roles as nurses are in the grand scheme of health promotion. Health promotion is further broken down into three levels: primary, secondary, and tertiary prevention, all which benefit the individual. Health Promotion There are various definitions of health promotion, but the U.S. Public Health Service states that health promotion is “the process of advocating health in order to enhance the probability that personal, private, and public support of positive health practices will become a societal norm” (Edelman & Mandle, 2009). For health promotion to be a successful process people must take control over all aspects in relation to their health and their lives. No longer can they blame someone or something when their health declines. People must be held accountable for their life decisions in relation to their health. Purpose of Health Promotion The purpose of health promotion is to not only educate people in regards to their health, but also enlighten them to gain control...
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...Valsamma Mathew Impact of IOM Report on Future of Nursing Grand Canyon University NRSV 430 09/16/2014 In October 2010 the Institute of Medicine (IOM), worked in concordance with the Robert Wood Johnson Foundation and released report called, “ Future of Nursing, leading change, Advancing Health.” The report proposed ways to improve the profession of nursing today from individual progress to bettering the national workforce as a whole. This report advocated for many changes in the practice of nursing. Such changes include enhancing nursing education to provide better quality patient care. The report also stresses the benefits of nurses actively partaking in leadership roles when treating patients. Moreover, the report suggests ways for nurses to be better practitioners at the community and national levels. Through these propositions, the IOM report has made a positive impact on the profession of nursing. The IOM report emphasizes the importance of education for nurses. The report recommends elevating the current standard of nursing education so that the basic requirement for licensure is a baccalaureate degree. The report cites that there is a positive correlation between the number of nurses with a BSN degree and improved patient outcomes. (Cronenwett, 2011), This suggests that the baccalaureate nurses are better equipped to provide quality patient care. Furthermore, IOM advises changing the existing nursing curriculum to implement focus on interpersonal collaboration...
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...greatest issues shaping the health care industry in the US at present is the Affordable Care Act (ACA). The Act is changing reimbursement through Medicaid and Medicare. The ACA has also moved the focus of health care from institutions to the responsibility of the individual. Many of those changes will be in hospital staff as more jobs move toward prevention and primary care in community settings. Technology will be an important driver in both adding to efficiencies and aiding in the decentralization of health care. More will happen in free standing clinics and ambulatory care centers. More health care will happen in people’s homes. Technology will allow for more mobility and portability of healthcare (telehealth) as well as training in health care. Some of the technology may help with health care worker life balance and burnout prevention. (ASHHRA, 2012; Saver, 2006) Evidence –based health care practices will be another driver. It will make health care more efficient with those treatments deemed more efficacious beyond expected by professionals and the public. This is as much an issue of efficiency as value. The use of information technology again will be important to this driver. (ASHHRA, 2012; Saver, 2006) More collaboration will be necessary. This driver dovetails with the reduction of staff at hospitals and the reduction of staff due to the aging of nurses. Nursing are a core part of the health care in hospitals and in the community. Their practice may expand...
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