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Fundamentals
of
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• Second level1
• ThirdPublic
level Health
• Fourth level
• Fifth level
Nursing

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 What is a Public Health
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Nurse?
•Public
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edit Masternursing textisstyles the practice of
promoting and protecting the health of
•populations
Second level2 using knowledge from nursing,
•social
Third and public health sciences.”
level
-- from Barbara Spradley, Community Health Nursing, 2 Ed, 1985.
nd

• Fourth level
“Public health nursing is a field of nursing that
• combines
Fifth levelpublic health with nursing, is
population oriented, emphasizes health,
involves interdisciplinary collaboration, focuses
on the entire population.”
--from Barbara Spradley, Community Health Nursing, 2nd Ed, 1985
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 Foundation Competencies
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of Public Health Nursing
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1. Locating
• Second level3
• Third level
2. Building Trust
• Fourth level
• Fifth level
3. Building Strengths

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 Public
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• Click
Public to edit Master
healthtext styles
nursing is a
• Second level4
specialized nursing practice that
• Third level
• Fourth level the science and art of
combines
• public health with the science and
Fifth level
art of nursing.

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 Public
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• INTERVENTIONS
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arestyles
actions that
• Second level5
public health nurses take on behalf
• Third level
• of
Fourthindividuals,
level families, and
• communities.
Fifth level

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 Public
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• The
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healthtext styles
core functions of
• Second level6
assessment, policy development,
• Third level
• and
Fourthassurance
level are fulfilled through
• activities
Fifth level and interventions that
are based on community need.

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 Public
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• The
Clicknursing process
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– Assessment,
• Second level7
– Problem
• Third level identification,
– Planning,
• Fourth level implementation, and
– Evaluation
• Fifth level
Underlies each of the interventions.

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 Public
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• Public
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to editnursing
Masteristext
grounded
styles in:
 A belief in social justice
• Second level8
 An ethic of caring
• Third
 The level
promotion and maintenance of health
• Fourth
 The prevention
level of illness, injury, and disability
 Long term commitment to the community
• Fifth level
 Sensitivity to cultural diversity
 Systems theory
 Holistic care
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 Public
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• Public health
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text styles is family-
• centered.
Second level9
• Third level
• Fourth level
• Fifth level

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 Public
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• Public
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text styles
• are notlevel10
Second site specific;
• Third level
• They may
Fourth level occur in any setting.
• Fifth level

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 Public
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• •Click
Public health
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text styles
• population-based.
Second level11
• Third level
• Fourth level
• Fifth level

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 THE PUBLIC HEALTH
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PRINCIPLES
• ThetoPrinciple
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Aggregate
• The Principle
Second level12 of Prevention
• Thelevel
Third Principle of Community
• FourthOrganization
level
• Thelevel
Fifth Principle of the Greater Good
The Principle of Leadership
The Principle of Epidemiology
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 Public
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•  Based
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text styles
• Second level13
 Founded in the governmental
• Third level
responsibility for the health of the public
• Fourth level
•  Answers
Fifth level to the public voice

 Serves the “public”, not just the “poor”

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 Lillian Wald
 SocialClick
activist to edit Master title style
 Established home visiting service
in US (1893)
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 Practiced independent public
• Second
health nursinglevel14
 Looked beyond individuals to
• Third level
population needs
• Fourth level
 Responded to concerns related
to poverty, lack of sanitation,
• Fifth levelinadequate health
overcrowding,
care
 Provided communicable disease
and Maternal and Child Health
interventions
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THE SCOPE OF PUBLIC HEALTH
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NURSING PRACTICE
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“Population-based public health
• Second
services”level15
are “interventions aimed at
• disease
Third level prevention and health
promotion that shape a community’s
• Fourth
overalllevel
profile.”
• Fifth level
Public health interventions are
population-based; that is, they improve
the health status of entire identified
populations. 15
Examples of Populations with
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Population-Health Issues
• Click
Elderly persons
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conditions
• Second who need a broad range of
level16
services to maintain their independence
• Third
in the community
level
Persons
• Fourth who drink well water
level
All families with newborns
• Fifth level
 All children with asthma
 Sexually active teenagers
 Persons who drink and drive
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PUBLIC HEALTH INTERVENTIONS
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• Second level17
• Third level
• Fourth level
• Fifth level

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 Public Health Interventions
Systems
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• Second level18
• Third level
• Fourth level
• Fifth level

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 Public Health Interventions

ClickCommunity Focused
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• Second level19
• Third level
• Fourth level
• Fifth level

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 Public Health Interventions
Individual Focused
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• Second level20
• Third level
• Fourth level
• Fifth level

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 Public Health Interventions
Example: Advocacy
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• Second level21
• Third level
• Fourth level
• Fifth level

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