...Running Head: Application of Community Health APPLICATION OF COMMUNITY HEALTH & POPULATION-FOCUSED NURSING Ann Coddington Western Governors University Abstract This paper focuses on the health status of Yakima Valley in Washington State from numerous published data and interviews. A. Identification of Community/Windshield Survey This paper focuses on the health status of the Yakima Valley in Washington state. Yakima Valley is located in Washington state 150 miles southeast of Seattle. Yakima is the largest city in the county. The 2010 census places the city as the ninth largest city in Washington. The city's total population is 91000 and with a metropolitan population of 243,231. The Yakima county is divided into upper and lower valleys. The city of Yakima is in the upper valley which is more urbanized. The lower valley is less populated and has more agriculture. Yakima Valley is an agricultural community noted for wine, apple and hop production. This area produces 77% of all the hops grown in the United States. ( Yakima County, 2012) The Yakima River is the primary water source for irrigation. The river runs from its source at Lake Keechelus to the Columbia River. Yakima Valley has a steppe or semi-arid climate. Because of the semi-arid climate, vegetation is dominated by grasses or shrubs. Precipitations are low year round with only...
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...APPLICATION OF COMMUNITY HEALTH & POPULATION-FOCUSED NURSING VWT Task 2 Middle Eastern Respiratory Syndrome (MERS) Kelly Belcher 307442 Western Governors University ("INSTITUTO DE BIOLOGIA & INGENIERIA DE ECOSISTEMAS: RUSSIAN REPORT WARNS OF GRAVE MONSANTO THREAT TO WORLD," n.d.) I chose to do this assignment about the Middle East Respiratory Syndrome (MERS). It is caused by the coronavirus MERS-CoV. I have never heard of this condition, and arbitrarily picked it because my best friend’s last name is Corona. I was interested to learn that, ironically, the only known case in the US was in Indiana, where I live. “Coronaviruses are common viruses that most people get some time in their life. Human coronaviruses usually cause mild to moderate upper-respiratory tract illnesses” ("CDC - Coronavirus - About," n.d.), but >30% of people who have MERS will die from it ("CDC - Coronavirus - Middle East Respiratory Syndrome - MERS-CoV," n.d.). MERS was originally diagnosed in Saudi Arabia in 2012. It is a virus that attacks the respiratory tract. Typically the people who test positive for the virus show the same symptoms. They have a fever, cough, and shortness of breath and may also have pneumonia, sore throat, nausea, vomiting, and diarrhea. To discuss the epidemiological determinants of this disease I first needed to establish a working definition. “A determinant is any factor or variable that can affect the frequency with which a disease occurs in a population”...
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...Explain the difference between a regulatory agency and a professional nursing organization as it pertains to your professional nursing practice. A regulatory agency would best be described using the example of the State Board of Nursing, which regulates the standards of nursing practice by providing policies or laws to ensure safe practice within a scope. The State Board of Nursing provides and enforces these policies to protect society from unsafe practice and unqualified practitioners. It is this agency that qualifies a nurse to sit for the state board examination which entitles a nurse to practice in his or her state. This regulatory agency also has the authority to discipline nurses who violate the standard of practice and even revoke the license. A professional nursing organization such as the ANA or American Nurses Association is a voluntary joined organization that provides nurses with information regarding current nursing policies and continuing education opportunities. This organization promotes unity in nursing and strives to keep nurses informed of changing standards of practice in the field. As a member of the ANA, I feel that I am more educated and prepared for the future of nursing. The state board of nursing issued my license over twenty years ago and is the regulatory agency that qualifies me to practice. I am monitored and expected to abide by the laws of the state board of nursing in order to practice as a registered nurse. I am also required to provide...
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...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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...Public Health Comparison Paper University Of Phoenix NUR/408 1 July 2012 Abstract This paper will provide information on county, state, and national public health resources and will describe the history of public health with related dates of pertinence. The differences between public and community health will also be discussed including influential individuals and significant historical events that have shaped the agencies and policies by which public health is directed. For purposes of comparison the public health departments relating specifically to disease prevention and control will be highlighted on a county, state and national level. Definitions The main objectives of public health resources “are the political and practical application of lessons learned from past successes and failures in disease control and the promotion of preventive measures to combat existing, evolving and re-emerging health threats and risks. Public health professionals address present and anticipated health problems in a complex world with great inequalities with specific targets which would help to achieve higher standards of health and a more just and socially responsible distribution of resources” (Tulchinsky & Varavikova, 2010). Public health encompasses a broad scope of health issues including the mental, physical, emotional, social, spiritual, and environmental aspects of health. Public health professionals are trained to occupy multiple roles within a complex framework. Public...
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...for Baccalaureate Generalist Nursing Practice o A solid base in liberal education provides the cornerstone for the practice and education of nurses. · Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety o Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. · Essential III: Scholarship for Evidence Based Practice o Professional nursing practice is grounded in the translation of current evidence into one’s practice. · Essential IV: Information Management and Application of Patient Care Technology o Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. · Essential V: Health Care Policy, Finance, and Regulatory Environments o Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. · Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes o Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. · Essential VII: Clinical Prevention and Population Health o Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components...
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...Community Health Advocacy Project-Part Two Soeurette Joseph University Of Phoenix Population-Focused Health Care NUR/544 Louama Driscoll July 14, 2014 Community Health Advocacy Project-Part Two Prescription misuse is the non-medical usage of prescription drugs without doctor’s prescription. This has become a significant health concern among adolescent group ages” between “12 to 19. One-third of individuals over the age of 12 who have used drug for the first time, started by using prescription drugs for non-medical purposes (The National Survey on Drug use and Health, 2010). The epicenter of an epidemic of prescription drug abuse in United States is the State of Florida. The sales of prescribed pain killer per person in Florida is three times higher than the sales of Illinois that holds the lowest sales rate (Centers for Disease Control and Prevention, 2010). Definition and Differences of Community and Aggregate A community is a group of people or collection of people who interact, form a sense of unity with others. In addition to sharing a geographical location, they also share social ties. The three types of community include those that: a) share similar or common interest of which a professional organization is an example, b) community of solution, a group of people joining or coming together to formulate a solution to a problem, and c) geographic. Nies and McEwen (2011) define an aggregate as a subgroup of a group or population that share similar...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...The Expanding Role of Nursing in Health Promotion Robert W Lewis Grand Canyon University NRS-429V February 7, 2013 Nursing in the 21st century is being redefined. The population of the United States is increasingly diverse, with many cultural and religious influences on the health of the population. Legislative initiatives like the affordable health care act (AHC) will require a shift from the wellness-illness model to a practice focused on health promotion. When discussing a definition of health promotion published literature over the last 30 years has expanded and refined this role. One definition that is comprehensive is: Health Promotion is the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them in changing their lifestyle to move toward a state of optimal health. Optimal health is a dynamic balance of physical, emotional, social, spiritual, and intellectual health. Lifestyle change can be facilitated through a combination of learning experiences that enhance awareness, increase motivation, and build skills and, most important, through the creation of opportunities that open access to environments that make positive health practices the easiest choice. (O'Donnell, 2009) O’Donnell’s definition is broad and encompasses all of the areas of health promotion as it would be related to nursing practice. Health promotion might be viewed more...
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...St. Mary’s Nursing Philosophy’s foundational beliefs arise from Florence Nightingale and Virginia Henderson. Nightingale believed nursing was a call from God and that the sick deserved civilized care, regardless of their station in life. She knew that cleanliness, fresh air, sanitation, comfort and socialization were necessary to healing. Virginia Henderson is known as the modern-day mother of nursing. Her work focused on the patient centered care. St. Mary’s Philosophy refers to our belief system of the nursing profession and provides perspectives for care of the patient, nursing practice, leadership, scholarship and research. We believe the Patient is an individual, family, specific population or community with unique health needs, influenced by cultural, ethnic, social, economic, developmental, educational, linguistic and spiritual factors. The patient is entitled to respect, dignity, privacy and confidentiality in a caring and healing environment. The patient deserves to be fully informed, educated and involved in all health care decisions and is an empowered member of a support system. We believe the Nurse is key to our Call to Action in achieving healthcare that is safe, healthcare that works and healthcare that leaves no one behind. The nurse establishes a trusting relationship with the patient/family/support system and uses the nursing process to achieve patient/family centered goals. The nurse is clinically competent and exhibits caring behaviors which are guided...
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...Community health nurses treat communities through the application of the nursing process. The process is community focused rather than treating the individual. Phase one begins with identifying a community. Phase two is the assessment phase consisting of data collection, interpretation, and analysis. The collection of direct data may be done through focus groups, interviews, observation, and windshield surveys. Denver, Colorado was the focus of my windshield survey, and I saw more in one day than I ever noticed as a resident for four years. I recognized that drug use is prevalent, there are a large number of medical marijuana dispensaries, and the homeless population is greater than I thought previously. Each of these issues in Denver warrants their own community nursing diagnosis. Three priority nursing diagnoses, based solely on the windshield survey, are risk of violence among the businesses of Denver related to neighboring medical marijuana dispensaries, risk of crime among the residents of Denver related to prevalent drug use and sales, and risk of malnutrition among the homeless population of Denver related to lack of access to adequate nutrition. Medical marijuana dispensaries are popping up in every neighborhood of Colorado, but in Denver alone there are sometimes two dispensaries per block. This puts people in the area at risk for increased violence, such as beatings, murder, and violent burglary. If the state regulators limited the number of dispensaries per...
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...During the eighteenth and nineteenth centuries public health had few formal positions. The people who were in charge of public health were usually those of a social elite class. The expectation of a public health officer was to act in the public interest and they typically were men of property and means. (Scutchfield & Keck,). Health regulations were prepared and rewritten not due to what the needs of the public were but were in response to political aspirations. After devastating plagues of diseases such as yellow fever and cholera the public health employees began to look at public health from a more scientific view, such as, sanitary conditions within the cities, quarantine and then the construction of hospitals. According to Scutchfield & Keck in 1864 New York, members of the Council of Hygiene and Public Health of the Citizens’ Association “conducted street-by-street investigations of tenement housing congestion, slaughterhouse and stable conditions, sewage drainage, garbage heaps, and filthy habitations of many sections of the city, and correlated these with outbreaks of infectious disease and premature infant deaths.” During this time Lemuel Shattuck advocated for a census and collection of data of citizens by their age, sex, race, occupation, location and economic stature. By 1860 the public health agencies were more interested in public health rather than politics. In 1872 the creation of American Public health Association (APHA) came to fruition. The goal of this...
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...Running head: EDUCATIONAL PREPARATION Educational Preparation Grand Canyon University NRS 430V Andrea Correll January 9, 2011 Educational Preparation We live in a rapidly changing environment where the health care population is becoming more diverse and complex that it demands a nurse to have an advance education degree to practice. However, despite the recommendation by the National Advisory Council on Nurse Education and Practice to increase the percent of baccalaureate degree program to at least two-thirds by 2010, 37% of the workforce and 60% of new grads were associates-degree (ADN) prepared nurses as of 2000 (Graf, 2006). The reasons are ADN programs are shorter and less expensive which allows a nurse to earn money quickly. While BSN programs are more costly and require longer education, the BSN prepared nurses are more preferred in today’s job market because of their educational background. The ADN program offers two years of concentrated study focused on clinical skills in the community college and BSN program offers four year nursing degrees in institutions of higher learning (four-year colleges and universities) (Hood, 2010). Both Associate Degree in Nursing (ADN) graduate and Bachelor Degree in Nursing (BSN) graduate take the same NCLEX-RN exam and are held to the same standards for licensure and practice. Despite of educational differences, nurses with both ADN degree and BSN degree often work in similar jobs, but there are some differences in...
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...Readcast [pic] [pic][pic][pic] Dr. Nola J. Pender PhD, RN, FAANa nursing theorist who first presented her Health Promotion Model for nursing in her book HealthPromotion in Nursing Practice (1982). She developed the idea that promoting optimal health supersedespreventing disease. Pender's theory identifies cognitive-perceptual factors in the individual, such asimportance of health, perceived benefits of health-promoting behaviors, and perceived barriers to health-promoting behaviors. These factors are modified by demographic and biologic characteristics andinterpersonal influences, as well as situational and behavioral factors. They help predict participation inhealth-promoting behavior. The individual's definition of health for himself or herself has more importance thana general statement about health. A major assumption in Pender's theory is that health, as a positive high-level state, is assumed to be a goal toward which an individual strives. Pender Nursing Theory The Health Promotion Model of nursingNola Pender, former professor of nursing at the University of Michigan, has developed a rational-choice modelof healthcare. This is not really a nursing theory per se, but a psychological look at how human beingsperceive themselves, their health and their ability to change their lifestyles to promote health. As a result of this focus, Pender's model is normally called the "Health Promotion Model" of nursing. Features...
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...The Impact of the IOM’s 2010 Report on the Future of Nursing With the creation and passing of 2010’s Affordable Care Act (ACA), nurses in particular are poised to be a gatekeeper for the public’s understanding and application of the new parts and pieces of this legislation. Also in 2010 the Institute of Medicine (IOM) in partnership with the Robert Wood Johnson Foundation (RWJF) released a report that was two years in the making. The goal for the committee formed between the two entities was to produce a report that would address the lack of a roadmap for change needed to help steer the profession of nursing through the many coming changes in the modern American healthcare system. This paper will address three main components of the IOM report. The Impact of the IOM Report on Nursing Education The profession of nursing is unlike many of its colleagues within the healthcare community. Currently there are four different tracks to becoming an RN. It has been noted that the different paths of reaching the same goal of becoming a practicing RN has been a contributor to confusion among not only the general public but also the profession itself. “Perhaps the belief that ‘a nurse is a nurse is a nurse’ developed because, even though registered nurses may be prepared in educational programs that vary in length, orientation, and content, the graduates all take the same licensing examination, and, superficially all seem to be able to provide the same level of care” (Catalano, 2009...
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