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Chapter 35 Public Health Nursing: Pioneers of Heal

Chapter 35 Public Health Nursing: Pioneers of Healthcare Reform History of Public Health Nursing Early healthcare reform Mary D. Osborne Commonwealth Fund Hospital and Reconstruction Act of 1946 Social Security Act of 1935 The later years Social and political unrest Budget cuts Public Health Nursing Philosophy Community strengths, needs, and expectations Scientific knowledge Available resources Accepted criteria and standards of nursing practice Agency purpose, philosophy, and objectives Participation, cooperation, and understanding of the population Institute of Medicine Study Government’s role in ensuring the public’s health Assessment Policy development Assurance Conceptual Basis for Public Health Nursing Practice Conceptual model Milbank Report Construct for Public Health Nursing: A Framework for the Future Education Engineering Enforcement Essential Public Health Services Monitor the health status of populations. Diagnose and investigate community health problems and health hazards. Inform, educate, and empower the people about health issues. Mobilize community partnerships to identify and solve health problems. Develop policies and plans that support individual and community health efforts. Essential Public Health Services (cont.) Enforce laws and regulations that protect health and ensure safety. Link people to needed personal health services. Ensure people receive needed personal health services. Evaluate effectiveness, accessibility, and quality of personal and population-based health services. Research for new insights and innovative solutions to health problems. Challenges and Issues for Public Health Nursing in the 21st Century Impact of the nursing shortage on public health nursing Further development of public health nursing models and competencies National public health performances standards Other challenges for public health nursing

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