Intro to Community Health Notes

Public Health Focus and Core Concepts

  • Public health focus: prevent disease, prolong life, promote health through organized community efforts to benefit citizens.
  • Major shift in health care delivery: emphasis on population health, prevention, and community-based care.

U.S. Health Care System and Nursing Roles

  • Role of the nurse within the U.S. health care system.
  • Cost considerations: high cost of caring for the sick; discussion of how funds are allocated between care for illness and prevention.

Shift from Hospital to Community (1980–2018)

  • The number of nurses employed in community health and ambulatory care settings more than doubled.
  • Indicates a systemic shift from illness- and institution-based care toward health promotion and prevention.

Community & Public Health Nursing

  • Major goal: preserve the health of the community and surrounding populations by focusing on health promotion and health maintenance of individuals, families, and groups within the community (Nies & McEwen, 2024).

Core Concepts of Public Health

Public Health: Definition and Core Aims

  • Public Health is the art and science of:
    • Preventing disease
    • Prolonging life
    • Promoting health through organized community efforts to benefit each citizen

Public Health Mission and Justice (Ethical Foundations)

  • Mission: social justice that entitles all people to basic necessities (adequate income, health protection) and accepts collective burdens to make health possible (Nies & McEwen, 2024).
  • Market Justice vs. Social Justice:
    • Market justice (US model): individuals entitled to what they have gained through their own efforts; rights are respected; collective action and obligations to others are minimal.
    • (Note: The slide presents market justice as predominant in the US context.)

Definitions: Health and Community

Definition of Health

  • World Health Organization (WHO) 1958: health is the state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
  • 1980s expansion: health includes physical, social, role, mental, and general perceptions of health status.

Definition of Community

  • Pre-1996: focus on geographic boundaries and social attributes.
  • Now: a collection of people who interact with one another and whose common interests or characteristics form the basis for unity or belonging (Rector, 2018, as cited in Nies & McEwen, 2024).

Determinants of Health and Healthy People 2020

Determinants of Health & Disease

  • Determinants (factors that influence health outcomes) include:
    • Physical environment
    • Health services
    • Social factors
    • Individual behavior
    • Biology and genetics

Healthy People 2020 Overarching Goals

  • Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
  • Achieve health equity, eliminate disparities, and improve the health of all groups.
  • Create social and physical environments that promote good health for all.
  • Promote quality of life, healthy development, and healthy behaviors across all life stages.

Indicators and Measurements

Indicators of Health and Illness

  • Individual behaviors: e.g., cigarette smoking, calories from added sugars, annual influenza vaccinations.
  • Physical and social environmental factors: e.g., household food insecurity.
  • Health systems issues:: e.g., access to medical insurance.
  • Population or group indicators: e.g., infant mortality, obesity in children/adolescents, maternal mortality, new cases of diagnosed diabetes.

Health Promotion and Prevention

Health Promotion vs. Disease Prevention

  • Health promotion: activities that enhance resources directed at improving well-being.
  • Disease prevention: activities that protect people from disease and its effects.
  • Three levels of prevention:
    • Primary prevention
    • Secondary prevention
    • Tertiary prevention

The Three Levels of Prevention (with Examples)

  • Level 1 – Primary Prevention: Prevention of problems before they occur
    • Example: Immunization
  • Level 2 – Secondary Prevention: Early detection and intervention
    • Example: Screening for sexually transmitted diseases
  • Level 3 – Tertiary Prevention: Correction and prevention of deterioration of a disease state
    • Example: Teaching insulin administration in the home

Prevention versus Cure (Economic Perspective)

  • Cure: spending more money on cure in health care has limited impact on population health gains.
  • Prevention: investing in prevention yields greater improvements in population health and reduces costs of cure over time.

Healthy People 2030

Historical Context and Broad Goals

  • Healthy People launched in 1989, following Healthy People 2000.
  • Three broad goals:
    • Increase the span of healthy life for Americans.
    • Reduce health disparities among Americans.
    • Achieve access to preventive services for all Americans.

Vision and Mission of Healthy People 2030

  • Vision: A society in which all people can achieve their full potential for health and well-being across the lifespan.
  • Mission: To promote, strengthen, and evaluate the nation’s efforts to improve the health and well-being of all people.

Leading Health Indicators (LHIs)

  • LHIs are a small subset of high-priority Healthy People 2030 objectives selected to drive action toward improving health and well-being.

Public Health Practice: Community Health vs Community-Based Nursing

Community Health Nursing

  • Emphasizes preservation and protection of health.
  • Services include both direct and indirect care.
  • Primary client: the community as a whole.

Community-Based Nursing

  • Emphasizes managing acute or chronic conditions.
  • Services are direct.
  • Primary client: the individual.

Core Public Health Functions

  • Core Public Health Functions (Box 1.1):
    • Assessment: Regular collection, analysis, and sharing of information about health conditions, risks, and resources in a community.
    • Policy development: Use information from assessment to develop local and state health policies and allocate resources toward those policies.
    • Assurance: Ensures the availability of necessary health services throughout the community; includes maintaining the capacity of both public health agencies and private providers to operate and respond to emergencies.

PET (Performance Evaluation Team) and Community Nursing

Page 22: Addressing PETs in Community Nursing

  • Overview of integrating PET outcomes into community nursing practice.

PET Outcome #1

  • Goal: Adhere to standards of professional, ethical, and legal nursing as outlined in the SWOSU Nursing Handbook and ANA Code of Ethics.
  • Example activity: Team building at Crowder Lake.

PET Outcome #2

  • Goal: Identify simple client assessment data and make basic clinical decisions using clinical nursing judgment.
  • Activities include: SLP Part B, first meeting; A: Identify simple client assessment data and make basic clinical decisions using the nursing process in the community; B: Reflective journal portion of rubric.
  • Rubric highlights: List pertinent abnormal assessment findings; Describe clinical decisions made.

PET Outcome #3

  • Goal: Describe the essentials of a safe care environment.
  • Activity: Flu Clinic.
  • Deliverables: A detailed description of the essentials of a safe care environment; reflective journal; sign-in sheet.
  • Rubric: Describe essentials of safe care assessment and safe administration of vaccines; provide example of safe care during flu shot clinicals.

PET Outcome #4

  • Goal: Define client-centered care.
  • Activity: School Health Screening.
  • Deliverables: A detailed definition with family/community as client; reflective journal; sign-in sheet.
  • Rubric: Describe how client-centered care was provided; evaluate care providers’ performance.

PET Outcome #5

  • Goal: Explore the relationship between information technology and safe nursing practice.
  • Activity: SLP Part B, second meeting.
  • Deliverables: A detailed description of how IT was used to develop an educational presentation for community health improvement; reflective journal.
  • Rubric: How IT aided presentation development and health education delivery.

PET Outcome #6

  • Goal: Identify basic concepts of the teaching-learning cycle.
  • Activity: After SLP Part C – Presentation to the Community.
  • Deliverables: A description of how the teaching-learning cycle concepts were applied in the community presentation; includes at least two examples of content.
  • Rubric: Describes the education topic, content examples, and potential health restoration benefits.

PET Outcome #7

  • Goal: Describe the roles of interdisciplinary health care team members.
  • Setting: Health Department/Doctor’s Office/NP Office/SWOSU Nurse.
  • Deliverables: A detailed description of the role of another health care discipline, reflection, and sign-in sheet.
  • Rubric: Describe how collaboration with another discipline enhances patient care.

PET Outcome #8

  • Goal: Define concepts of leadership skills and quality improvement.
  • Activity: SLP Part A.
  • Deliverables: Definition of leadership and quality improvement in community projects; group work description.
  • Rubric: Describe leadership experiences, group dynamics, and pursuit of quality improvement.

PET Outcome #9

  • Goal: Identify elements of evidence-based practice and the importance of research to clinical practice.
  • Activity: Community in Pictures.
  • Deliverables: Analysis and data from a health problem shown in a photo; research findings with statistics; references; proposed action.
  • Instructions: Include research showing the problem’s prevalence, related risks, and how the proposed action would help.

Addressing PETS in Community Nursing (Summary)

  • PETs integrate ethics, clinical decision-making, safe care, client-centeredness, information technology, teaching-learning, interdisciplinary collaboration, leadership/quality improvement, and evidence-based practice into community nursing activity.

References (Cited in Course Materials)

  • National Center for Health Statistics. Health, United States, 2020–2021. CDC.
  • Nies, M. A., & McEwen, M. (2024). Community/Public health nursing – Promoting the health of populations (8th ed.). Elsevier.
  • U.S. Department of Health and Human Services. ODPHP Leading Health Indicators (LHIs). (Accessed Aug 24, 2025.)