NURS 4210 – Role of the Nurse Leader in Population Health

NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Nurses can play an integral part in population health, but leadership and technology training needs to be a larger part of nurse training. That’s according to a Robert Wood johnson Foundation (RWJF) study released in September 2017. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper The report finds that public health nursing at local and state agencies, in community and ambulatory settings, and in schools will continue to grow as population health strategies help identify where the biggest healthcare gaps exist. Permalink: nurs-4210-role-o…th-essay-paper / How nurses benefit population health initiatives Many population health strategies include looking at patients holistically, including social, economic, and cultural determinants, and nurses are already trained in those areas to deliver patient care, according to the study. Paul Kuehnert, DNP, RN, FAAN, assistant vice president for RWJF Program staff, “Nurses are trained to think holistically, to consider the context of a patient’s life and how that impacts his or her health,” says Paul Kuehnert, DNP, RN, FAAN, assistant vice president for RWJF Program staff, who commissioned the study. Whole care also means assessments of the patient’s healthcare environment, which can include acute, ambulatory, home, behavioral health and community interventions. “Because of the nature of their roles, nurses often spend more face-to-face time with patients, which allows them to gain insight into the community and societal factors that impact patients’ lives and health. Armed with this insight, nurses can work with primary care physicians to help connect patients to resources within the community that can improve their overall well-being.” NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper How to better utilize nurses 1. Encourage collaboration and dialogue Unfortunately, nurses aren’t trained for leadership positions and are rarely a part of population health strategy development, the study finds. Kuehnert says that scope of practice regulations that vary based on the state, often restrict nurses’ time and ability to expand their roles. “Culturally and historically, nurses—unless they hold formal leadership roles—tend not to view themselves as leaders. Nurses must understand, internalize, and act on the knowledge that nurses can be and are leaders, irrespective of their titles—and that by collaborating with policymakers, businesses, health systems, and more, nurses can exponentially increase the impact they have, well beyond the healthcare setting,” Kuehnert says. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper 2. Help them use data to focus efforts Increasing nurses’ capacity to make data-driven decisions is another part of the future of population health nursing. According to the study, nurse care coordination for low-risk patients that utilize healthcare services the most has been found to be the most cost-effective way to improve outcomes. Of all patients with high healthcare utilization, 60% to 75% can be classified as low-risk populations. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper “We’ll also need to better prepare nurses for key evolving population-focused nursing roles in fields that include care management, chronic disease management, and population data analysis. These roles require core clinical knowledge and understanding combined with skills and abilities to identify and evaluate community resources, make and track referrals to community-based services, and measure outcomes,” Kuehnert says. 3. Increase their technology literacy Rapid advancements in health, EHRs and mobile devices are a part of clinical care, prevention, and health communications that will continue to integrate into daily use for clinicians. “Education should provide students with the technical skills they need to compile and analyze population and community data in order to understand the impact of the community conditions on patients’ health,” Kuehnert says. “And how they, as nurses, can influence change within their communities to improve health.” Kuehnert says the insights nurses gain about patients’ life circumstances need to be systematically shared to inform care by the entire multidisciplinary team. “We need to share bright spots of nursing leadership for population health improvement and spread them widely,” he says. “Widespread adoption of population-focused nursing practice will likely take place over the next five to 10 years as mindsets and expectations shift in nursing and healthcare.” NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper most important public health problems and concerns The CDC’s National Center for Injury Prevention and Control updated its Prevention Status Reports Monday, which ranks the biggest public health issues in all 50 states and the District of Columbia. The Prevention Status Reports organize information on state public health policies and practices in a format that is easy to use for public health professionals, community leaders and policy makers. The reports allow these individuals to understand their state’s status and identify improvement areas. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper According to the reports, the 10 most important public health problems and concerns are (listed alphabetically): Alcohol-related harms Food safety Healthcare-associated infections Heart disease and stroke HIV Motor vehicle injury Nutrition, physical activity and obesity Prescription drug overdose Teen pregnancy Tobacco use The Nurse’s Role in Community Health In the past, caregivers journeyed on horseback to the homes of their neighbors to provide medical services. These caregivers were crucial to reducing the mortality rates in their communities. After the civil war, hospitals were built. This began the implementation of organized healthcare. Today, nurses practice in a variety of settings and community health is again re-emerging as an integral part of providing care to everyone. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper What Is Community Health Nursing? Community health nursing is a discipline that incorporates evidenced-based research along with advances in science and new approaches for improving the health The practice takes into consideration the cultural and socioeconomic backgrounds of the people in the community to ensure appropriate interaction and sensitivity when working with them. A community is a group of people in a specific location, which includes places where people live, work and go to school. Most people belong to multiple types of communities. Community health nursing is commonly practiced in geographic locations like cities and rural areas. What Is the Goal of Community Health Nursing? The goal of community health nursing is to promote, protect and preserve the health of the public. Community health nursing involves these basic concepts: Promote healthy lifestyle Prevent disease and health problems Provide direct care Educate community about managing chronic conditions and making healthy choices Evaluate a community’s delivery of patient care and wellness projects Institute health and wellness programs Conduct research to improve healthcare What Is the Role of a Community Health Nurse? NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper The primary role of community health nurses is to provide treatment to patients. Additionally, community health nurses offer education to community members about maintaining their health so that they can decrease the occurrence of diseases and deaths. They plan educational assemblies, hand -out fliers, conduct health screenings, dispense medications and administer immunizations. Nurses also may distribute health-related items like condoms and pregnancy tests. Examples of some health issues that community health nurses try to control or eliminate are: Infectious and sexually transmitted diseases Obesity Poor nutrition Substance abuse Smoking Teen pregnancy Where Do Community Health Nurses Work? NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Community health nurses work in hospitals, community centers, clinics, schools and government health agencies. Community health nurses are important to regions where healthcare is not easily accessible, so they can travel to remote places and isolated areas of a city. How Do You Become a Community Health Nurse? To become a community health nurse you must first work as a registered nurse. If you only have an associate degree you might want to consider completing a Bachelor of Science in Nursing (BSN) degree program. Many schools like Northeastern State University (NSU) offer RN to BSN programs. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper NSU has an online RN to BSN program that includes the course Community Health Nursing. This course examines the theory and research used in nursing and the public health practice, which promotes and preserves the health of communities. Students are given the opportunity to apply their current knowledge and what they learn in the course. They are paired with a community and other healthcare professionals to experience community health nursing. Nursing care should be available to every American. Throughout the country, there are entire communities of people prone to chronic illnesses, infectious diseases and economic hardships. Community health nurses have the ability to improve the welfare of individuals and their communities. They are at the forefront of bringing quality patient care to the most vulnerable and under served members of society. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Community Health Nurse Roles and Functions Planner/Programmer Identifies needs, priorities, and problems of individuals, families, and communities Formulates municipal health plan in the absence of a medical doctor Interprets and implements nursing plan, program policies, memorandum, and circular for the concerned staff personnel Provides technical assistance to rural health midwives in health matters Provider of Nursing Care Provides direct nursing care to sick or disabled in the home, clinic, school, or workplace Develops the family’s capability to take care of the sick, disabled, or dependent member Community Organizer Motivates and enhances community participation in terms of planning, organizing, implementing, and evaluating health services Initiates and participates in community development activities Coordinator of Services Coordinates with individuals, families, and groups for health related services provided by various members of the health team Coordinates nursing program with other health programs like environmental sanitation, health education, dental health, and mental health Trainer/Health Educator Identifies and interprets training needs of the RHMs, Barangay Health Workers (BHW), and hilots Conducts training for RHMs and helots on promotion and disease prevention Conducts pre and post-consultation conferences for clinic clients; acts as a resource speaker on health and health related services NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Initiates the use of trio-media (radio/TV, cinema plugs, and print ads) for health education purposes Conducts per-marital counseling Health Monitor Detects deviation from health of individuals, families, groups, and communities through contacts/visits with them Role Model Provides good example of healthful living to the members of the community Change Agent Motivates changes in health behavior in individuals, families, groups, and communities that also include lifestyle in order to promote and maintain health Recorder/Reporter/Statistician Prepares and submits required reports and records Maintain adequate, accurate, and complete recording and reporting Reviews, validates, consolidates, analyzes, and interprets all records and reports NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Prepares statistical data/chart and other data presentation Researcher Participates in the conduct of survey studies and researches on nursing and health-related subjects Coordinates with government and non-government organization in the implementation of studies/research PUBLIC HEALTH NURSE Public health nurses have been working as community advocates, educators, and providers of critical public health services since 1893. One of the first public health nursing practices was the Henry Street Settlement in New York City where Lillian Wald and other nurses provided home visits, health education, and community development support to immigrant communities on the Lower East Side. The Henry Street Settlement later became the Visiting Nurse Service of New York, a non-profit organization that continues to provide public health nursing and healthcare services to all New York residents. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Public health nurses are the largest group of providers of public health services. They provide a variety of essential services to the communities in which they work. Public health nurses are qualified to deliver clinical services such as immunizations, well-baby care, senior home visits, and school health visits. They also work in teams that monitor community health trends and risk factors, help communities set local health priorities, and design and implement health education programs to minimize health risks. Advanced practice public health nurses may serve as leaders of community and state health departments and have responsibilities for planning and implementing programs to support the health of the population. The U.S. Patient Protection and Affordable Care Act passed in 2010 expands public health and prevention programs to support communities and individuals. This law also establishes a National Prevention and Public Health Council to provide coordination across all federal agencies and government programs concerned with public health, health education and disease prevention services. The emphasis on public health in this legislation signals a significant federal commitment to support the work of health departments and public health professionals throughout the United States. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Roles: The primary role of the public health nurse is to work within the community to support population health and deliver preventive health care services. Public health nurses use their skills to support population health in eight domains of practice: Analysis and assessment of communities using available data and collecting additional data to provide the information necessary to assess, plan, implement and evaluate community health. Program planning and policy development to support the health of communities, families and individuals. Communication with community stakeholders, families and individuals to determine knowledge and attitudes about needed and available health and health services. Cultural competency that enables effective practice with diverse individuals, families, and groups within the community of care. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Community dimensions of practice including health service planning, advocacy, and program effectiveness evaluation within and for the community. Public health sciences including the utilization of available research, the design and implementation of new research, and the use of epidemiology and other research methods to understand the distribution and determinants of disease in the community. Financial management and planning skills to support careful budget management and use of public resources. Leadership and systems thinking skills to enable professional practice and development of the public health team. Specialties: Public health nursing is recognized as a specialty nursing area and is supported by the Quad Council of Public Health Nursing Organizations composed of: The Association of Community Health Nurse Educators (ACHNE); The Association of State and Territorial Directors of Nursing (ASTDN); The American Public Health Association, Public Health Nursing Section (APHA), and The American Nurses Association’s Congress on Nursing Practice and Economics (ANA). The Quad Council of Public Health Nursing Organizations (Quad Council) provides voice and visibility for public health nurses, sets a national policy agenda on issues related to public health nursing and advocates for excellence in public health nursing education, practice, leadership, and research. National certification as an advanced public health nurse, board certified (APHN-BC) is available from the American Nurse Credentialing Center. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper The Role of a Community Nurse More and more patients are treated outside a traditional hospital setting. As their numbers grow, the ability of the NHS to provide medical and nursing services is also changing and community nurses (also known as district nurses) play a vital role in this increasingly important aspect of our healthcare system. What does a community nurse do? Working in a variety of environments, from clinics and health centers to residential accommodation and patients’ own homes, community nurses help the NHS meet the needs of elderly, disabled or vulnerable patients who may not be able to easily visit the hospital. Community nurses are trained to perform a variety of nursing procedures which may include: basic care – such as checking temperature, blood pressure and breathing administering injections assisting doctors with examinations and medical procedures cleaning and dressing wounds setting up intravenous drips and monitoring ongoing care Community nurses also provide an important educational and advisory service for patients and families , offering information on various aspects of healthcare. In some situations, community nurses may be expected to provide emergency care – where patients have had accidents or suffered complications, such as cardiac arrest. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper The role is more than a way to relieve the UK’s busy hospitals and GP surgeries: community nurses offer their patients a level of emotional support and specialize in ‘joint care management’ for situations in which social services or wider care program mes may be involved. What skills does a community nurse need? Community nursing jobs can be high pressure: nurses work in environments which change from day to day and lack many of the resources available in a hospital. Given the demanding nature of the role and the spectrum of patients they are required to treat, community nurses should possess excellent communication and listening skills, while demonstrating sensitivity towards the specifics of each unique situation. Before taking an available nursing post a community nurse must be a qualified and registered nurse (usually with two years’ practical experience) – and will also need additional, degree level training as a ‘specialist practitioner’. Specialist practitioner training courses usually last no less than one academic year but trainees may be able to shorten that training period by counting previous experience towards their qualification. Courses, which can be taken on a full or part time basis, are split into practical and theoretical elements – and focus on four key areas: NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper clinical nursing care and program me management clinical practice development clinical practice leadership Community Health Nursing Community health nursing incorporates several basic concepts, including the promotion of healthy living, prevention of disease and health problems, medical treatment, rehabilitation, evaluation of community health care delivery and prevention systems, and research to further community health and wellness. A community nurse may provide direct care, educate individuals or the public, advocate for health improvements and perform research in community health. She might also lead or collaborate with other health care professionals, organizations, political figures and members of the community to promote health for her community. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Public Health Nurses Public health nurses are often the most visible group in a community health improvement setting. They might be specialists in disease prevention with a focus on preventing infectious disease, work with mothers and children to improve nutrition, operate immunization clinics or lead efforts such as smoking cessation, preventing excessive sun exposure and water safety. Like the nurses who worked in Kentucky many years ago, these nurses might provide prenatal health care or teach mothers how to care for their new babies. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Community public health nursing is not entirely different in nursing practice with that of clinical nursing confined in the four corners of the hospital. It also promotes wellness and prevents illness through education and health teachings, provides comfort and care through its delicate nursing care interventions, and emphasizes curative and rehabilitative interventions through individualized efficient approaches. But its peculiarity involves not only caring a single client but by extending thru the whole family and the community. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Roles and Responsibilities of a Community Health Nurse 1. The main focus of community health nurse is health promotion. Programmer/Planner Identifies the needs and concerns of individuals, groups, families, and the community Formulates health plans, especially in the absence of a community physician Interprets and implements nursing plans and programs Assists other health team members in implementing health programs in the setting Health Educator/Trainer/ Counselor Acts as resource speaker on health and health related services Advocates health programs in the community through dissemination of IEC or Information Education and Communication materials Conducts advocacy educations concerning premarital, breastfeeding, and immunization counselings Organizes orientation/ training of concerned groups like pregnant mothers Identifies and interprets training needs of health team members and formulate appropriate training program for them Conducts and facilitates necessary training or educational orientation to other health team members in the community 2. The recipient of care of community public health nursing practice is extended not only the individual but also to benefit the whole family and community. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Community Organizer Promotes self- reliance of community and emphasizes their involvement and participation in planning, organizing, implementing and evaluating of health services Initiates and implements community development activities Coordinator of services Coordinates health services with concerned individuals and families through the community health team members, government organizations and non- government organizations Coordinates nursing plans and programs with other health programs 3. Community health nurse are generalists in terms of their practice through life’s continuum. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Provider of Nursing Care Renders direct care to various clients with different needs, may it be at home, in school, clinics or work settings Involves the family in the care of the sick or dependent individual, i.e. sick child 4. Continuity of care with the client, family or and the community extends for a longer time involving individuals of all ages and health needs. Health Monitor Monitors and detects presence of health concerns in the community through contacts or home visits. Utilizes various effective data gathering techniques in keeping an eye on the health status of all recipients of care. Records and reports health status and presence of health problems in the community 5. The nature of nursing practice in the community needs the knowledge of biological and social sciences, ecology, clinical nursing, and community organizing, for it to be effective. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Researcher Follows a systematic process of monitoring the health status of the community through the conduct of surveys and home visits Conducts researches concerning the health of the community Coordinates with government and non- government organizations in the conduct and implementation of studies Statistician Records data systematically and ensures its validity through accurate and complete data gathering Reports prepared reports to concerned organizations i.e. government organization for immediate necessary plans or programs Consolidates and reviews reports efficiently. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Analyzes and interprets consolidated data for monitoring the development in the health matters of the whole community 6. This field of nursing practice utilizes a dynamic process (assessment, planning, implementation, and evaluation) in the provision of continuous care until termination is implicit. Change Agent Promotes and motivates change in the community in their health practices and lifestyle behaviors for them to promote and maintain good health, be knowledgeable and has initiative in accessing health services Inculcates self- reliance to brought about development and improvement in the community NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper My apologies for I only have included a short list of the roles and responsibilities . A community health nurse could still develop other sorts of roles while working in the setting. It may not be evident because of its vast and intricate tasks. What is important is the impact it produces in those individuals who needed the care of a community health nurse. Paper works, like the graphs and pie charts shown the community health center are not enough to say that a nurse accomplished her work because a much bigger responsibility is laid in front of her – the community. So, despite the short description of the roles and responsibilities of community public health nursing my hopes are up that some of us would like to be one, too or if not, recognize the hardships and efforts of our own nurses in the community in delving with the issues in health in the community. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper The Role of the Nurse in Preventative Health Care Preventative health care has become an increasingly popular area of the health care sector. Using a variety of methods to educate populations and avoid illnesses, this type of health care works to improve the overall wellness of Americans. Preventative health care informs populations, promotes healthy lifestyles and provides early treatment for illnesses. In the industry, the emergence of health care reform and an increased number of individuals suffering from chronic conditions has led to an amplified role for nurses in disease prevention. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Preventative Health Care Nurses in preventative health care are tasked with improving the health of patients through evidence-based recommendations while encouraging individuals to receive preventative services such as screenings, counseling and precautionary medications. Through public health education, nurses can inspire a larger group of people to engage in healthy lifestyles and ultimately live longer lives. Preventative health care nurses encourage: Regular exercise: Nurses promote regular activity (preferably 30 minutes of exercise at least five days a week) to combat heart conditions, high blood pressure and other diseases such as stroke, diabetes and arthritis. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Weight management: Exercise also encourages weight management. Preventative care includes maintaining and controlling weight with exercise and healthy eating habits to prevent diseases such as obesity, cardiovascular disease and osteoarthritis. Avoidance of smoking and drug abuse: Aside from the addiction threat associated with smoking and drug use, there is the risk of lung cancer, emphysema and other forms of cancer. Moderated alcohol use: Education about the effects of alcohol consumption, as well as early screening for diseases such as liver disease, stroke or high blood pressure, can significantly increase the chances of illness prevention. Control of existing diseases: Nurses involved with preventative health care work to identify existing conditions in the early stages. Modifying an individual’s behaviors can control or minimize the effects of a particular ailment. Preventative care encompasses a wide range of techniques to identify, educate, prevent and treat diseases in populations. There are three types of prevention that nurses take part in on a regular basis depending on their position in health care facilities or organizations: primary, secondary and tertiary. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Primary Prevention The U.S. Preventative Services Task Force (USPSTF) describes primary prevention as the measures taken to provide individuals with knowledge to prevent the onset of a targeted condition. In this type of prevention, nurses play the part of educators that offer information and counseling to communities and populations that encourage positive health behaviors. From providing immunizations to reinforcing the use of seat belts, programs are designed to avoid suffering and illness in patients, as well as avoid any type of cost supplementary to disease treatment. Primary prevention is typically the most economical method of health care. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Secondary Prevention Secondary prevention, a form of early disease detection, identifies individuals with high risk factors or clinical diseases through screenings and regular care to prevent the onset of disease. Once identified, nurses work with these patients to reduce and manage controllable risks, modifying the individuals’ lifestyle choices and using early detection methods to catch diseases in their beginning stages when treatment may be more effective. Regular screenings, conducted by a preventative health care nurse, are the most common method of secondary prevention and can dramatically diminish the development of certain illnesses. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Tertiary Prevention The third tier of prevention, tertiary prevention, is slightly different. This method involves the treatment of existing diseases in patients. At this point of care, nurses are tasked with helping individuals execute a care plan and make any additional behavior modifications necessary to improve conditions. As the primary and secondary methods have been unsuccessful, this stage encompasses methods of minimizing negative effects and preventing future complications. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Examples of Disease Prevention Traditionally, health care systems were focused on cures for diseases. Today’s system is more focused on effective prevention techniques. Approximately 1.7 million Americans die each year from chronic diseases, including heart disease, cancer, stroke, diabetes and obstructive pulmonary disease. Nurses and other health care professionals are constantly working to prevent such illnesses through a variety of approaches. NURS 4210 – Role of the Nurse Leader in Population Health Essay Paper Heart Disease As the leading cause of death in the United States, heart disease is the focus of many health care professionals. There are many prevention programs in place and most employ the following m

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