Public Health Nursing Lecture Review

A comprehensive set of flashcards designed to help students review key concepts from Public Health Nursing, including core functions, cornerstones, and social justice principles.

What is Public Health Nursing (PHN)?

A synthesis of public health and nursing science used to protect and promote population health.

What are the three core functions of Public Health Nursing?

Assessment, Policy Development, and Assurance.

What does 'Assessment' in PHN involve?

Systematic collection, analysis, and dissemination of data about health needs and risks.

Provide an example of 'Assessment' in PHN.

Conducting a community health assessment to identify asthma prevalence.

What is 'Policy Development' in PHN?

Translating data into equitable policies and public health goals.

Give an example of 'Policy Development' in action.

Advocating for clean-air regulations.

What does 'Assurance' in PHN entail?

Ensuring access to essential health services for vulnerable populations.

What is an example of 'Assurance' in practice?

Coordinating community vaccine outreach.

What are the Cornerstones of PHN?

Guiding values and principles that ground PHN practice in ethics, equity, and evidence-based care.

How does Public Health Nursing connect clinical care with broader societal issues?

By focusing on prevention, advocacy, and partnership.

What is the focus of PHN practice?

Care directed toward entire populations, not just individuals.

Define 'Social Justice' in the context of nursing.

The fair distribution of power, resources, and opportunities within society.

What is the difference between equity and equality?

Equity allocates resources based on need; equality provides the same resources to all.

What is Anti-Oppressive Practice (AOP)?

A framework that identifies and challenges social, institutional, and structural inequalities.

What is critical reflection in nursing?

A learning process examining one's assumptions, biases, and positionality.

How does AOP differ from cultural sensitivity?

AOP confronts power and privilege explicitly; cultural sensitivity acknowledges differences.

What is one key element of social justice in nursing?

The empowerment of marginalized populations.

What are the implications of structural competence in nursing?

The ability to recognize health outcomes as a result of social structures.

What is 'Structural Racism'?

The totality of ways societies foster racial discrimination through systems.

What does 'Structural Competence' mean?

Recognizing health outcomes as products of social, economic, and political structures.

What does 'Structural Humility' involve?

Commitment to self-reflection and recognizing the limits of one's knowledge.

How does critical reflection enhance PHN practice?

It enables transformation by integrating lived experience as data.

What is the role of critical reflection in service-learning?

To turn service experiences into opportunities for social justice advocacy.

What is the goal of Service-Learning (SL)?

To combine community service with intentional reflection for deeper understanding.

Describe Traditional Service-Learning vs. Critical Service-Learning.

Traditional SL emphasizes charity; Critical SL focuses on social change.

What is Critical Pedagogy?

An educational approach encouraging questioning and challenging social injustices.

What is the Public Health Intervention Wheel (PHIW)?

A model defining 17 interventions organized by level of practice.

What are the levels of practice in the PHIW?

Individual/Family, Community, and Systems.

What is the foundational goal of the PHIW?

To improve population health through prevention and partnership.

How does PHN demonstrate accountability in practice?

By respecting dignity, diversity, and self-determination in patient care.

What role do partnerships play in PHN?

They enhance community engagement and improve health outcomes.

What does PHN advocacy entail?

Championing vulnerable populations and addressing policy barriers.

How does the PHIW relate to social justice?

Each intervention must be grounded in ethical principles of justice and equity.

What is the impact of Structural Violence?

It harms individuals by preventing basic needs from being met.

What is meant by 'Moving Upstream' in PHN practice?

Addressing root causes of health issues rather than just symptoms.

What is a benefit of using GIS data in PHN?

To guide targeted health interventions based on community needs.

Describe the significance of collaboration in PHN.

Partnerships enhance resource sharing and improve coordination of care.

How does systemic change relate to nursing practice?

Nurses must target root causes of inequity instead of only providing charity.

What does culture competence in PHN mean?

Understanding and respecting diverse cultural backgrounds in health care.

What are some core competencies in Structural Competence?

Recognizing structures, developing extra-clinical language, and observing structural interventions.

Define 'Structural Intervention'.

Actions that change underlying social, economic, or political systems creating inequities.

What is the 'hidden curriculum' in nursing education?

Unspoken norms and values that shape professional identity beyond the formal curriculum.

What are ways PHNs can apply structural competence in their practice?

Using data to identify systemic barriers and advocating for policy reform.

What does it mean to practice with 'Cultural Humility'?

Recognizing power dynamics and valuing lived experiences of individuals.

What is the connection between the PHIW and the Social Determinants of Health?

The PHIW addresses inequities by identifying systemic barriers that affect health outcomes.

How can PHNs drive systemic accountability in maternal health?

By advocating for policy changes requiring collection of race-based maternal mortality data.

What aligns PHNs with UN Sustainable Development Goals?

Advocating for policies that improve health equity and address social determinants.

What role does community engagement play in maternal health equity?

It ensures that local voices contribute to health planning and intervention design.

Define 'Global Health'.

The field focused on improving health and achieving equity worldwide.

How does the environment impact health according to PHN?

Environmental factors like air quality directly influence health outcomes.

What is one example of PHN collaborating globally?

Engaging in climate action initiatives to promote global health sustainability.

What is the ethical responsibility of PHNs in a global context?

To advocate for social justice and equitable healthcare worldwide.

What does it mean to integrate reflection into nursing practice?

To continually evaluate one's role in addressing health inequities and biases.

What role does data disaggregation play in addressing racial inequities?

It identifies specific disparities affecting different racial and ethnic groups.

How should nurses address systemic inequities in their practice?

By advocating for and participating in community-driven interventions.

What is one major takeaway regarding Public Health Nursing practices?

It focuses on transforming health systems to achieve health equity for all.

What influence does structural racism have on health outcomes?

It shapes access to resources, leading to persistent health disparities.

How can PHNs use advocacy to address social determinants of health?

By lobbying for changes in policies affecting housing, immigration, and healthcare access.

Describe the impact of chronic stress as a social determinant.

Chronic stress from discrimination can lead to negative health outcomes like hypertension.

What type of interventions do PHNs typically engage in?

Prevention, health education, and advocacy focused on systemic change.

How does the education approach in nursing affect advocacy?

Teaching must be coupled with reflection to inspire action against injustices.

What does the community-centered approach focus on in PHN?

Empowering communities to co-create solutions for their health issues.

How can reflection turn service-learning experiences into advocacy?

By analyzing experiences and using insights to inform equitable practices.

What does 'Upstream Action' in PHN signify?

Addressing social determinants before health issues manifest, such as policy reform.

How are Public Health Nurses positioned to influence systemic change?

By integrating clinical care with community engagement and policy advocacy.

What strategy facilitates the connection between community and global health initiatives?

Recognizing local actions as part of broader global health efforts.

Why is it important for PHNs to engage with local communities?

To ensure interventions are relevant, respectful, and effective in promoting health equity.

What cooperative approaches are important in addressing public health crises?

Collaboration with communities, policymakers, and healthcare providers.

What insights can be drawn from reflectively evaluating bias in nursing?

It enhances cultural competence and improves trust between patients and providers.

What role does critical service-learning play in nursing education?

It transforms community service into an opportunity for social justice and advocacy.

Define the term 'Glocal' in the context of Public Health Nursing.

The connection between local health issues and global forces affecting them.