Learning Guide: Public Health Nursing Practice for the 21St Century
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A Randomized Controlled Trial of a Community Health Worker Intervention in a Population of Patients with Multiple Chronic Diseases: Study Design and Protocol
Contemporary Clinical Trials 53 (2017) 115–121 Contents lists available at ScienceDirect Contemporary Clinical Trials journal homepage: www.elsevier.com/locate/conclintrial A randomized controlled trial of a community health worker intervention in a population of patients with multiple chronic diseases: Study design and protocol Shreya Kangovi a,b,⁎, Nandita Mitra c, Lindsey Turr a, Hairong Huo a,DavidGrandea, Judith A. Long a,d a Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia 19104, PA, United States b Penn Center for Community Health Workers, Penn Medicine, Philadelphia 19104, PA, United States c Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology, Philadelphia 19104, PA, United States d Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA, Philadelphia 19104, PA, United States article info abstract Article history: Upstream interventions – e.g. housing programs and community health worker interventions– address socioeco- Received 14 September 2016 nomic and behavioral factors that influence health outcomes across diseases. Studying these types of interven- Received in revised form 2 December 2016 tions in clinical trials raises a methodological challenge: how should researchers measure the effect of an Accepted 3 December 2016 upstream intervention in a sample of patients with different diseases? This paper addresses this question using Available online 10 December 2016 an illustrative protocol of a randomized controlled trial of collaborative-goal setting versus goal-setting plus com- munity health worker support among patients multiple chronic diseases: diabetes, obesity, hypertension and to- Keywords: Randomized controlled trial bacco dependence. Upstream medicine At study enrollment, patients met with their primary care providers to select one of their chronic diseases to focus Socioeconomic determinants on during the study, and to collaboratively set a goal for that disease. -
Arsenic, Air Pollution, and Threats to Traditional Values of the Hopi Tribe
Journal of Community Health (2019) 44:896–902 https://doi.org/10.1007/s10900-019-00627-8 ORIGINAL PAPER Environmental Risk Perceptions and Community Health: Arsenic, Air Pollution, and Threats to Traditional Values of the Hopi Tribe Brian Mayer1 · Lorencita Joshweseoma2 · Gregory Sehongva2 Published online: 21 February 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract American Indian and Alaska Native populations experience chronic disparities in a wide range of health outcomes, many of which are associated with disproportionate exposures to environmental health hazards. In the American Southwest, many indigenous tribes experience challenges in securing access to sustainable and safe sources of drinking water, limiting air pol- lution emissions on and off tribal lands, and cleaning up hazardous contaminants left over from a legacy of natural resource extraction. To better understand how households perceive the risk of exposure to potential environmental health risks, we conducted six focus groups organized by age and geographic location on the Hopi reservation. Focus group participants (n = 41) were asked to reflect on changes in their natural and manmade environment and how their health might be influ- enced by any potential changes. By investigating these environmental risk perceptions, we were able to identify arsenic in drinking water and indoor air quality as significant exposures of concern. These risk perceptions were frequently anchored in personal and familial experiences with health problems such as cancer and asthma. Older focus group participants iden- tified ongoing shifts away from tradition and cultural practices as increasing environmental health risks. Similar to other communities economically dependent on the extraction of natural resources, focus group participants described the need for behavioral modifications regarding environmental health risks rather than eliminating the sources of potential health risks entirely. -
Guide to Community Engagement in Wash
OXFAM GUIDE NOVEMBER 2016 GUIDE TO COMMUNITY ENGAGEMENT IN WASH A practitioner’s guide, based on lessons from Ebola Community Health Volunteers receiving training in Clara Town, Monrovia, Liberia. Photo: Pablo Tosco/Oxfam By Eva Niederberger, Suzanne Ferron and Marion O’Reilly www.oxfam.org ABOUT THIS GUIDE This guide is a compilation of best practices and key lessons learned through Oxfam’s experience of community engagement during the 2014–15 Ebola response in Sierra Leone and Liberia. It aims to inform public health practitioners and programme teams about the design and implementation of community-centred approaches. 2 CONTENTS Acronyms .............................................................................................................................4 1. Introduction ......................................................................................................................5 1.1 About this note ............................................................................................ 5 1.2 Ten key lessons .......................................................................................... 6 2. Assessing contexts .........................................................................................................7 2.1 Pre-epidemic healthcare systems .............................................................. 8 2.2 Community history and leadership dynamics ............................................. 8 2.3 Community capacity .................................................................................. -
Public/Community Health Nursing Orientation 1 © 2004 NYSNA All Rights Reserved
Public/Community Health Nursing Orientation NYSNA Continuing Education The New York State Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This course has been awarded 9.6 contact hours. All American Nurses Credentialing Center (ANCC) accredited organizations' contact hours are recognized by all other ANCC accredited organizations. Most states with mandatory continuing education requirements recognize the ANCC accreditation/approval system. Questions about the acceptance of ANCC contact hours to meet mandatory regulations should be directed to the professional licensing board within that state. NYSNA has been granted provider status by the Florida State Board of Nursing as a provider of continuing education in nursing (Provider number 50-1437). How to Take This Course Please take a look at the steps below; these will help you to progress through the course material, complete the course examination and receive your certificate of completion. 1. REVIEW THE OBJECTIVES The objectives provide an overview of the entire course and identify what information will be focused on. Objectives are stated in terms of what you, the learner, will know or be able to do upon successful completion of the course. They let you know what you should expect to learn by taking a particular course and can help focus your study. 2. STUDY EACH SECTION IN ORDER Keep your learning "programmed" by reviewing the materials in order. This will help you understand the sections that follow. 3. COMPLETE THE COURSE EXAM After studying the course, click on the "Course Exam" option located on the course navigation toolbar. -
PUBLIC HEALTH and PUBLIC HEALTH NURSING by David J
POSITION PAPER PUBLIC HEALTH AND PUBLIC HEALTH NURSING By David J. Reyes, DNP, MPH, RN, PHNA-BC White paper: Public health Page 1 POSITION STATEMENT The Washington State Nurses Association (WSNA) recommends allocation of sustainable funding and resources in the public health system and workforce in order to provide essential and Foundational Public Health Services, address the underlying causes of preventable illness and disease, improve population health, and achieve health equity. WSNA recognizes the leadership role of public health nurses in achieving these aims and calls for sustainable investments in public health nursing education, practice and research that supports and builds the capacity of qualified public health nurses to address contemporary and future public health challenges and priorities. OVERVIEW Despite efforts to reform the nation’s health system, improving Since the Great Recession (2008-2016), continued decreases overall population health remains a significant challenge as in financial resources have compounded LHJ’s capacity to persons of all ages in the U.S. continue to experience gaps and/ effectively respond to current and future public health prior- or lack of health insurance coverage (Martinez, Zammitti & ities, including emerging infectious diseases, substance use, Cohen, 2018). While uninsured rates vary, the overall numbers and other non-communicable diseases (National Association of insured persons have decreased since 2014, in particular of County & City Health Officials, 2017). Concurrently, LHJ’s due to reforms of the Affordable Care Act (Keith, 2019). At the have experienced a total workforce decline of 21%, repre- same time population health outcomes, particularly among senting a 20% reduction in full-time equivalent staff capacity. -
Challenges and Innovations in a Community-Based Participatory
HEBXXX10.1177/1090198116639243Health Education & BehaviorGoodkind et al. 639243research-article2016 Original Article Health Education & Behavior 2017, Vol. 44(1) 123 –130 Challenges and Innovations in a © 2016 Society for Public Health Education Reprints and permissions: Community-Based Participatory sagepub.com/journalsPermissions.nav DOI: 10.1177/1090198116639243 Randomized Controlled Trial journals.sagepub.com/home/heb Jessica R. Goodkind, PhD1, Suha Amer, MA1, Charlisa Christian, MBA1, Julia Meredith Hess, PhD1, Deborah Bybee, PhD2, Brian L. Isakson, PhD1, Brandon Baca, BS1, Martin Ndayisenga, ASW1, R. Neil Greene, MA1, and Cece Shantzek, BA1 Abstract Randomized controlled trials (RCTs) are a long-standing and important design for conducting rigorous tests of the effectiveness of health interventions. However, many questions have been raised about the external validity of RCTs, their utility in explicating mechanisms of intervention and participants’ intervention experiences, and their feasibility and acceptability. In the current mixed-methods study, academic and community partners developed and implemented an RCT to test the effectiveness of a collaboratively developed community-based advocacy, learning, and social support intervention. The goals of the intervention were to address social determinants of health and build trust and connections with other mental health services in order to reduce mental health disparities among Afghan, Great Lakes Region African, and Iraqi refugee adults and to engage and retain refugees in trauma-focused -
15 Practices to Improve Vaccination Program Effectiveness by Reaching the People Most at Risk
15 Practices to Improve Vaccination Program Effectiveness by Reaching the People Most at Risk Introduction The percent of the U.S. population vaccinated for COVID-19 has increased steadily over the past few weeks alongside of expansion of eligibility. As of June 2, 2021, nearly 63% of U.S. adults 18 years of age and older have received at least one dose of COVID-19 vaccine, nearly 52% are fully vaccinated and everyone 12 years of age and older is now eligible for the vaccine. But this does not tell us the whole story. There are large disparities in vaccine uptake; racial and ethnic minorities, particularly the Black and Latinx communities, are being vaccinated at much lower rates than their white counterparts. These population groups also experience a higher burden of disease and higher COVID-19 hospitalization and death rates than whites. Vaccine uptake rates are also lower among rural populations and people About Us Vital Strategies is a global public with certain political perspectives. Vaccine equity needs to be prioritized in all health organization working in counties throughout the United States, not only as a matter of justice and to save 70+ countries to strengthen public health systems. Resolve lives, but also to reduce the risk of having more dangerous variants emerge. to Save Lives, an initiative of Vital Strategies, aims to prevent at least 100 million deaths from cardiovascular disease and epidemics. Through its Prevent Epidemics program, Resolve to Save Lives has rapidly leveraged existing networks to establish a multi-disciplinary, multi-pronged effort to support countries throughout Africa and beyond. -
Enhancing the Role of Community Health Nursing for Universal Health Coverage
ENHANCING THE ROLE OF COMMUNITY HEALTH NURSING FOR UNIVERSAL HEALTH COVERAGE Human Resources for Health Observer Series No. 18 Health Workforce Department World Health Organization 20 Avenue Appia CH 1211 Geneva 27 Switzerland www.who.int/hrh ISBN 978 92 4 15118969 Series No. 18 A Human Resources for Health Observer B ENHANCING THE ROLE OF COMMUNITY HEALTH NURSING FOR UNIVERSAL HEALTH COVERAGE Human Resources for Health Observer Series No. 18 Series No. 18 i Human Resources for Health Observer Enhancing the role of community health nursing for universal health coverage Human Resources for Health Observer Series No. 18 ISBN 978-92-4-151189-6 © World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. -
1 Public Health Nurse Orientation Section II: Immunizations Learning
Public Health Nurse Orientation Learning Objectives Services to Prevent and Control Communicable Disease After completing the module, participants should be able to: Section II: • AlApply sa fife immun itiization prac titthitices to their Immunizations own nursing practice • Locate resources to guide safe immunization practice 23 24 Wisconsin Division of Public Health Immunizations Immunization Program Healthy People 2010 Objective: Vision: To eliminate vaccine preventable Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among disease through immunization. young children: 90% 25 Website: http://dhfs.wisconsin.gov/immunization/aboutus.htm 26 Immunization Definitions and Terms Safe Immunization Practice • Acellular vaccine • Immunity • Adjuvants • Immunization • Primary Prevention • Advisory Committee on Immunization • Immunosupression Inactive vaccine Practices (ACIP): • Incidence • Anaphylaxis • Incubation period • Delegated Function • Antibody •Isolation • Antigens • Live vaccine – Wisconsin Statute Chapter 441 • Antitoxin • Pandemic • Antiviral • Passive immunity • Attenuated vaccine • Polysaccharide vaccines • Community immunity • Quarantine • Combination vaccine • Recombinant • Conjugate vaccine • Seroconversion • Contraindication. • Susceptible •Efficacy rate • Titer (Immune Status Test) • Excipient • Vaccination • Guillain-Barre Syndrome (GBS) • Vaccine • Immune globulin • Waning Immunity http://nxt.legis.state.wi.us/nxt/gateway.dll/?f=templates&fn=default.htm 27 28 1 Wisconsin Immunization -
Community Health Workers: What Do We Know About Them?
Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers Evidence and Information for Policy, Department of Human Resources for Health Geneva, January 2007 Content Background........................................................................................................................1 Who are community health workers? ............................................................................1 What do community health workers do?........................................................................1 What do we know about performance of CHW programmes?.......................................2 What factors act as incentives and disincentives for CHWs?........................................3 What makes for successful CHW programmes? ...........................................................4 Conclusions ...................................................................................................................5 Background The use of community members to render certain basic health services to their communities is a concept that has existed for at least 50 years. There have been innumerable experiences throughout the world with programmes ranging from large-scale, national programmes to small-scale, community-based initiatives. We now know that CHWs can play a crucial role in broadening access and coverage of health services in remote areas and can undertake actions that lead to improved health outcomes, -
The Role of Community Health Workers in COVID-19 Vaccination
The role of community health workers in COVID-19 vaccination implementation support guide 26 April 2021 WHO and UNICEF continue to monitor the situation closely for any changes that may affect this interim guidance. Should any factors change, WHO and UNICEF will issue a further update. Otherwise, this interim guidance document will expire 2 years after the date of publication. © World Health Organization and the United Nations Children’s Fund (UNICEF), 2021. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. WHO reference number: WHO/2019-nCoV/NDVP/CHWs_role/2021.1 The role of community health workers in COVID-19 vaccination implementation support guide 26 April 2021 Contents Acknowledgements ................................................................................................................. 1 Abbreviations .......................................................................................................................... 2 Executive summary ................................................................................................................. 3 1. Introduction. 4 1.2 Background resources. 4 1.3 Document updates and constraints. 4 1.4 Target audience ............................................................................................................. 5 2. Key community health worker roles in the COVID-19 vaccines rollout. 6 2.1 Planning and coordination ............................................................................................. 6 2.2 Identification -
Global Water, Sanitation, and Hygiene (WASH) Program Impact
CDC’s Global Water, Sanitation, and Hygiene (WASH) Program Impact Objective The Centers for Disease Control and Prevention’s (CDC’s) global WASH program provides expertise and interventions aimed at saving lives and reducing illness through global access to safe water, adequate sanitation, and improved hygiene. These prevention and control measures reduce the impact of WASH- Where we work: related diseases by improving health, reducing poverty, and increasing economic development. Afghanistan Angola Bangladesh Program Description Burkina Faso CDC’s WASH program works with partners in every WHO region and focuses on: Burma Burundi Making Water Safe to Drink: Promoting safe water through CDC’s Safe Water System (SWS) and Cameroon development and implementation of Water Safety Plans (WSPs). Colombia D. R. of Congo Improving Hygiene and Sanitation to Prevent the Spread of Disease: Improving the efficacy, Ecuador sustainability, and integration of hygiene and sanitation interventions. El Salvador Ethiopia Responding to International Emergencies and Outbreaks: Deploying emergency response and Ghana outbreak investigation teams at the request of foreign governments. Guatemala Guinea Controlling and Eliminating Disease: Identifying WASH-related factors needed to control or Guyana eliminate Neglected Tropical Diseases (NTDs) like Guinea worm disease. Haiti Honduras Identifying and Characterizing Disease: Investigating the agents and causes of illness, such as India diarrhea, to provide critical health data for decision making. Jamaica Kenya Training and Educating about Global WASH: Developing model programs and materials for Liberia public health staff training and community health promotion. Laos Madagascar Malawi Mozambique Public Health Impact Nepal More than 20 countries treated over 90 billion liters of water – enough to meet the annual needs of Nicaragua 12 million families – using SWS programs.