Community View of Health

Factors influence health

• healthcare access

• economic conditions

• social and environment issues

• education

• cultural practices

• lifestyle behaviors

• genetics

• public policy

healthcare access

preventative care, transportation, language barrier, affordability, care without judgement, specialist availability

economic conditions

affordability, hospital funding, refundability of doctors

social and environment issues

perception of issue

education

ability to understand, medical language breakdown?

lifestyle behaviors

exercise, sleep habits, nutrients, medications?, recreations, work

genetics

don’t have a lot of control

community

group of people who have at least one characteristic in common and likely to interact

geopolitical communities

community that live in the same area and same political views

phenomenological communities

grouped together by an experience

community of solution

come together to solve a problem

population

group of people with common personal or environmental characteristics; also can refer to all people in defined community

aggregate

subgroup or subpopulation that have some common characteristics or concerns

public health goals

1. prevent disease

2. prolonging life

3. promoting health and efficiency through organized community effort

essential public health services

assessment, policy development, assurance

Assessment

What is assessed and monitored? What is investigated, diagnosed, and/or addressed?

Policy development

how is communication utilized? who is involved? What are the products

Assurance

what and how are things provided to people? What qualifications are needed by those provided services? What qualifications are needed by those providing services? what activities occur? what is the outcome?

federal and state levels

aim to provide support and advisory services to the local level

local level

provides direct services to communities

public health nursing

the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences

population focused

standards of practice for public health nursing

evidence based practice and research, collaboration, resource utilization, advocacy, assessing available health resources with a population, advocating for equitable access to care and services

public health nursing competencies

assessment and analytic skills, policy development/program planning skills, communication skills, cultural competency skills, community dimensions of practice skills, public health science skills, financial planning, evaluation, and management skills, leadership and systems thinking skills

community based nursing

application of the nursing process in caring for individuals, families and groups where they live, work or go to school or as they move through the healthcare system

population focused nursing

concentrates on specific groups of people focuses on health promotion and disease prevention regardless of geographic location

goal: promote healthy communities

demographic data

age, gender, race/ethnicity, socioeconomic status, education level

groups at high risk

health status and health indicators or various subpopulations in the community

services/providers available

organizations, personnel, community service agencies

primary prevention

prevent problem from every occuring

secondary prevention

screening

tell us if we have a problem

tertiary prevention

done to prevent additional complications or return to optimal level of function

intervention wheel

population focused

contains three levels of practice

• community

• systems

• individual/family

identifies and defines 17 public health

upstream focus

focus toward prevention rather than treatment/cure

Healthy People 2030 goal

encourage population to get to better health status