...Evolution of Community and Public Health Nursing Identify a minimum of 3 major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: Key health issues at the time Perspectives and goals of community and public health nursing Roles and functions of community and public health nursing Community and public health partnerships at the time |Event or Influence: World War I | |Key health issues |Infectious and parasitic diseases, typhoid fever, diphtheria and scarlet fever were the main issues | | |addressed. | |Perspective/goals |The goal was to improve sanitation and reduce occurrences of the diseases. | |Role/functions |Keller and Strohschein (2012) states “in 1911 efforts to control typhoid fever in Yakima County, Washington, | | |and to improve health status in Guilford County, North Carolina, led to establishment of local health units | | |to serve local populations. Public health nurses were the primary staff members of local health departments. | | ...
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...Community and Public Health Nursing Identify a minimum of three major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: Key health issues at the time Perspectives and goals of community and public health nursing Roles and functions of community and public health nursing Community and public health partnerships at the time |Event or Influence: Florence Nightingale | |Key health issues |Unclean patient environment, poor sanitary conditions delivered by “health care staff”. | |Perspective/goals |She identified a need and advocated for formalized training for women to be trained as nurses. | |Role/functions |She identified that lack of cleanliness in patient care clinical areas was directly linked to poor patient | | |outcomes. She pushed for sanitary conditions in areas where patient care such as dressing changes and wound | | |care were performed as well as cleanliness of equipment used in patient care to reduce the occurrence of | | |wound infections leading to lower death rates. | |Health partnerships ...
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...University of Phoenix Material Evolution of Community and Public Health Nursing Identify a minimum of 3 major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: Key health issues at the time Perspectives and goals of community and public health nursing Roles and functions of community and public health nursing Community and public health partnerships at the time |Event or Influence: America’s Colonial Period and the New Republic | |Key health issues |Communicable diseases, environmental hazards, environmental sanitation, concerns for the health and care of | | |the people in the community | |Perspective/goals |The goal was how to prevent, understand, and control diseases | |Role/functions |In 1847, the American Medical Association (AMA) formed a hygiene committee to conduct sanitary surveys and to| | |develop a system to collect vital statistics. (Stanhope & Lancaster, 2012, p 25). | |Health partnerships |The Howard Association of New Orleans, Louisiana, responded to periodic yellow fever epidemics...
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...and Public Health Nursing. Jessica Pham Date: May 26, 2016 Instructor: Diane Schlicke University of Phoenix Material Evolution of Community and Public Health Nursing Identify a minimum of three major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: • Key health issues at the time • Perspectives and goals of community and public health nursing • Roles and functions of community and public health nursing • Community and public health partnerships at the time |Event or Influence: | |Key health issues |Key health issues and maternal deaths: Poor health care in rural Appalachian mountains. Increased number of | | |child due to lack of care and services. | |Perspective/goals |In 1925 Mary Breckenridge started the Frontier Nursing Services. The goal was to provide obstetrics to the | | |people who lived in rural settlement areas. | |Role/functions |She went to train for nursing and graduated...
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...for Professional Development of Nursing Professionals, NUR 430, Misty Stone (Instructor) In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. A report from the IOM (2010), entitled The Future of Nursing: Leading Change, Advancing Health, recommended transformational changes in nursing education and practice, which position nurses to be a strong influence in shaping healthcare delivery systems, healthcare policy, and overall healthcare practices in the future. The committee developed four key messages. IOM report stated nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and information infrastructure. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health (IOM,2010) This review of the IOM report will focus on the impact on nursing education, nursing practice, and the nurse’s role as...
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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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...Future of Nursing Health care reform and technology are contributing factors affecting the future of nursing. The need to continue education for higher degree is becoming evident; nurses can no longer use the former mind- set traditional way to perform practice. Nurses need to be more flexible and be willing to incorporate new treatment options into their care. Nurses will continue to be guided by the use of nursing theories to promote quality care. Nurses need to become proactive in their education and in developing their leadership skills to remain competitive in their changing roles (Suhr, 2008). Evidence-Based Practice Historically, evidence based-practice (EBP) was used back to Florence Nightingale’s era and reinforced to current nursing practice. Nurses used to practice based on traditions and experiences by selecting nursing interventions to influence outcomes. Little scientific evidence supported clinical decision and expected outcomes during that time. EBP began to apply quality improvement studies to develop critical pathways and care in the early efforts to study interventions outcome (Mcdonald, 2001). “Evidence-Based Practice (EBP) combines information about the results of well-designed research, clinical expertise, patient concerns and patient preferences. EBP serves as the foundation in the form of a set of values, sources and criteria upon which to gain access to, select and critique knowledge for nursing practice” (Waite & Killian, 2010). Research...
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...Foundations of Nursing Roles and Practice/510 01/11/2015 Dolores Diehl The Leadership and Legacy of Florence Nightingale Florence Nightingale is known as the founder of modern nursing. Her contributions and influence not only to the nursing profession, but to the public health care system, is unparalleled. She was instrumental in establishing multiple processes and practices that are still in current practice. She has influenced many nursing theorist and prevailing theories during her career. Many of her changes continue to influence theory development today. Before discussing the effects of Florence's influence, examining the existence of nursing theory before her contributions needs to be discussed. Before Florence's career, there were no standards or regulations for nursing as a practice, and as such, was not recognized as a formal profession. Nursing was seen as the lowest of occupations. "Nurses were expected to be uneducated and untrained" (Nursing History, 2012). Nurses learned through experience, not through formal training. During that period, nurses were generally from the lower classes with social standing little better than prostitutes. Shockingly to our professional standards of today, Horsley, 2010 stated that "Most nurses were alcoholics; they were permitted and were expected to drink alcohol while they worked (p. 4)". He further states, "It was customary for young women of low social class to look to a life of prostitution and nursing, with the...
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...Nurse as an Advocate Nursing Leadership Health Policy Advocating for Health Care Policies. Nurse’s Vital Role as Policy Advocates Introduction “I’m not discouraged because every wrong attempt discarded is another step forward” Thomas Edison (1847-1931). In today’s healthcare system, nurses are aware of the inconsistencies and the troubles that the healthcare system faces, and a need for a change. Expert nurses and nurses with vast experience are stepping forward and motivated to take part in advocacy roles. This movement is initiating a great wave of change in nursing world and how nurses influence a change in policies, regulations and law that oversee the health care system. Nurses stepping into this arena requires great deal of courage and knowledge on how the policies and politics interchange hands to implement a major change in health care system. The nurses who step up into this role should have the will, power and with power comes responsibility to negotiate through the legal system. Methods to advocate for health Nurses taking part in advocacy is not new anymore, but what advocacy means is still a mystery in nursing world. Great theorist like Florence Nightingale and her efforts, did influence other nurses throughout the nursing profession to step out of the box and shape the health system, where discover, heal and teach remains the core motto. Nurses throughout the world in some shape or form initiated policy recommendations, represented their view...
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...ADVANCED NURSING ROLES BROWN_K_W5A2_SU_NSG5000 Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic care (Hamric,...
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...discipline of nursing depends on social and political factors as well as research and theory development. The use of theories by clinical nurses with varying levels of clinical expertise is rapidly increasing. In the past, the nursing profession has relied on the authority of educators, sociologists, psychologists, physiologists and anthropologists to provide answers to nursing problems. The purpose of this paper is to critically analyze a clinical-related practical concern that will impact the nursing professional environment. The United States is lagging behind other nations of the world in fully integrating midwifery into its health care system. “While midwives deliver only 6% of the approximately 220,000 babies in the United States each year, midwives in other countries attend up to 80% of their countries births.” (Bowers, 2000). In our ever-changing fast paced health care system, many woman feel that they receive little personnel attention during pregnancy and childbirth from their healthcare provider. Despite the high quality of care that midwives provide to expectant mothers, American women have few opportunities to use the service of midwives. Barriers to Midwifery care in the United States include physician opposition, public perception as substandard care, state and federal regulations, lacking of training programs, lack of acceptance among third-party payers and our political and economic environment However, midwifery has gained a foothold in the nursing profession...
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...Professional Nursing in Tennessee: Maintaining the Standards Johnny Wright Walden University Issues and Trends in Nursing (NURS - 3001 - 7) February 17, 2013 Professional Nursing in Tennessee: Maintaining the Standards The scope of practice describes the actions, procedures, and rules permitted by Tennessee law for the nursing profession. Professional standards are codes and rules that influence the nursing profession. The purpose of this paper is to examine in detail Tennessee’s professional nursing standards of practice, licensure requirements and the American Nurses Association code of conducts and nursing standards. Scope of Practice The Tennessee registered nurses scope of practice is a detailed process which comprised of patient assessment, identify issues and trends, outcomes identification, learning and practice environment, consultation and evaluation. The standard of practice of the professional nurse means the performance for compensation of any requiring extensive specialized judgment and skills based on knowledge of multiple groups of sciences, and the humanities, as the basis for application of the nursing process in wellness, prevention and illness care. The professional nurse is must exhibit responsible supervision of patients requiring skill and surveillance of symptoms, reactions and expected outcomes. The registered nurse must advocate health promotion, restoration and maintenance of health, administer medication...
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...of Nursing Report Grand Canyon University NRS-440 Trends October 8, 2015 Health Care Transition The United States Health care system is in the mist of converting to a preventative, health management focus system from a treatment focused system. There has been plenty of benefits and trials during the transformative period, like as with any other changes. The Institute of Medicine (IOM) requested that a report be done that would bring clarity to and direct the nursing profession on their parts and conversions that nursing is going to face. In this essay the IOM report that was completed by the Robert Wood Johnson Foundation (RWJF) on the future of nursing will be explored. There will be discussion of the four nursing initiatives as well as the influence that the IOM report has on the nursing workforce in the near feature. The Future of Nursing Campaign for Action and rationale of state based action coalitions will be discussed as well as their intentions. IOM Report Summary The IOM and the RWJF instigated a study that would define the ideal approach in which nurses would be able to make positive impression on the health of the over-all public. This research began in 2008 and lasted two years; while compiling the necessary statistics to complete the report that was then released in 2010. The IOM report on the future of nursing shown emphasizes on four key components. McNeal stated in the IOM report that the first component that is important to the future of nursing is...
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...Family Health and Nursing Practice University of Phoenix NUR 542: Dynamics of Family Systems May 25, 2010 Traditional hospital based nursing care is most often care provided to individual patients. Individual patients, however, are members of a family. Family nursing practice has evolved over the past 20 years as a way to approach and work with families. Effective nursing care ensures that the entire family’s situation, not only the illness of the loved one, is considered (Maijala & Astedt-Kurki, 2009). A goal for family nursing practice in the hospital setting will be to focus on three areas simultaneously; care of the ill patient, the interpersonal aspects of the family and the family as a whole (Eggenberger & Nelms, 2007). This paper will discuss the importance of the family as a system to promote health, define family in a hospital based setting, and identify the family nursing theory applicable to care for the hospitalized patient and family. The Family System and Promotion of Health for its Members The importance of family in the health of our society is directly related to our smallest community of society-the family. “Family transmits society’s demands and values and furthers its preservation” (Burchard, 2005). Family has a goal of meeting the needs of its members and is the main source of information, learning behaviors, thoughts and feelings. Healthy growth and development has been viewed as the most vital role of the family, providing crucial development...
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...Personal Ethics of Nursing Crystal Kingcade Grand Canyon University Ethical Decision Making in Health Care NRS 437V April 30, 2010 Personal Ethics of Nursing Ethics in nursing is a set of principles relating to what is morally right or wrong. It is used in the health care field as a standard of conduct or code for how healthcare workers should behave. As nurses it allows us to analyze information and make the best decisions based on what we believe is right and good conduct. Everyday nurses are faced with making ethical decisions when providing quality care to their patients. However, as nurses we must be able to identify our personal values and morals to be able to make the best decision in regards to the ethical dilemmas. Values, Morals and Ethics play a vital role in influencing the nurse-patient relationship because each one determines the behavior on how the nurse and patient respond to the relationship and issue. As nurses we use our beliefs such as values, morals and ethics to guide us on how we should act and to determine the choices we must make. Personal ethics is very vital in the art of nursing. As nurses it is important to know and be able to identify the values of nursing for the safety of the patient and nursing practice. The purpose of this paper is to identify how an individual’s worldview and philosophy of nursing affect their values, morals and ethics in the art of nursing. Health is best known as the...
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