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Progress in Community and Public Health Nursing

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Progression in community and public health nursing
Kristine Porritt
NUR/405
April 5, 2014
Karen Wilson

Progression in community and public health nursing
There has been much advancement in the nursing profession over the centuries but three key points in time stand out; The Marine Hospital Service Act of 1798, The Port Quarantine Act of 1878 and the National Health Department establishment in 1879. These three separate acts improved our medical and nursing system to what it is today; the introduction of pre-paid medical plans, isolation/quarantine for those that are infected and the beginning of medical research. These have been an influential part of how the community and public health nurse can provide the best care for the public.

Event or Influence: Quasi War 1798; Marine Hospital Service Act 1798 | Key health issues | Navy seamen fighting in the Quasi War against the French were coming back with injuries, diseases and disabilities. How would these men be treated? What should the procedure or protocol be? There needed to be a way for Naval personnel to be treated medically for wounds, sickness, disease and other ailments. | Perspective/goals | The goal of this act was to provide medical treatment to seamen that had been injured, sick or become disabled. | Role/functions | Hospital services were provided to marine personnel. This hospital became a component of the Treasury Department. The service provided to the seamen had a price tag, 20 cents was deducted from their pay (National Institute of Health, 2009). | Health partnerships | Marine Hospital Service. Treasury Department. U.S. Navy | How did this event (or influence) advance community and public health nursing? The deduction of 20 cents from the serviceman’s paychecks created the first prepaid medical plan. This idea of prepaying for medical services spread to the U.S. Navy. This

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