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Community/Public Health Nursing - E-Book

Community/Public Health Nursing - E-Book

Mary A. Nies | Melanie McEwen

(2014)

Additional Information

Book Details

Abstract

Covering the nurse’s role in promoting community health, Community/Public Health Nursing, 6th Edition provides a unique ‘upstream’ preventive focus and a strong social justice approach in a concise, easy-to-read text. It shows how you, as a nurse, can take an active role in social action and health policy – especially in caring for diverse and vulnerable population groups. Written by community health nursing experts Mary A. Nies and Melanie McEwen, this book offers clinical examples and photo novellas showing how concepts apply to the real world, and describes the issues and responsibilities of today’s community and public health nursing.

  • UNIQUE! ‘Upstream’ preventive focus addresses factors that are the precursors to poor health in the community, addressing potential health problems before they occur.
  • UNIQUE! Emphasis on community aspects in all steps of the nursing process highlights the community perspective in all health situations. 
  • UNIQUE! A ‘social justice’ approach promotes health for all people, including vulnerable populations.
  • UNIQUE! Photo novellas use photographs to tell stories showing real-life clinical scenarios and applications of important community health nursing roles.
  • Research Highlights boxes show the application of research studies to the practice of community nursing.
  • Clinical examples offer snippets of real-life client situations. 
  • Case Study: Application of the Nursing Process feature presents practical and manageable examples for the theory, concepts, and application of the nursing process.
  • Ethical Insights boxes highlight ethical issues and concerns that the community/public health nurse may encounter.
  • Objectives, key terms, and chapter outlines at the beginning of every chapter introduce important concepts and terminology.
  • NEW and UNIQUE! Veterans' Health boxes present situations and considerations related to the care of veterans.
  • UPDATED Economics of Health Care chapter addresses the latest changes related to health care reform.
  • UPDATED Healthy People 2020 boxes include the most current national health care objectives.
  • UPDATED Communicable Disease chapter covers current public health surveillance and outbreaks of emerging health threats, including emerging infections (e.g., H1N1, SARS, West Nile virus).

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
BRIEF CONTENTS i
Community/Public Health Nursing: Promoting the Health of Populations iii
Copyright iv
Dedication v
AUTHOR BIOGRAPHIES vi
CONTRIBUTORS vii
ANCILLARY AUTHORS viii
REVIEWERS viii
PREFACE x
PURPOSE OF THE TEXT x
MAJOR THEMES RELATED TO PROMOTING THE HEALTH OF POPULATIONS xi
ORGANIZATION xii
SPECIAL FEATURES xiii
NEW CONTENT IN THIS EDITION xiii
TEACHING AND LEARNING PACKAGE xiii
ACKNOWLEDGMENTS xiii
CONTENTS xiv
UNIT 1 INTRODUCTION TO COMMUNITY HEALTH NURSING 1
Chapter 1 - Health: A Community View 1
DEFINITIONS OF HEALTH AND COMMUNITY 3
DETERMINANTS OF HEALTH AND DISEASE 4
INDICATORS OF HEALTH AND ILLNESS 5
DEFINITION AND FOCUS OF PUBLIC HEALTH AND COMMUNITY HEALTH 6
PREVENTIVE APPROACH TO HEALTH 7
DEFINITION AND FOCUS OF PUBLIC HEALTH NURSING, COMMUNITY HEALTH NURSING, AND COMMUNITY-BASED NURSING 10
POPULATION-FOCUSED PRACTICE AND COMMUNITY/PUBLIC HEALTH NURSING INTERVENTIONS 11
COMMUNITY HEALTH NURSING, MANAGED CARE, AND HEALTH REFORM 15
SUMMARY 16
Learning Activities 16
REFERENCES 16
Chapter 2 - Historical Factors: Community Health Nursing in Context 18
EVOLUTION OF HEALTH IN WESTERN POPULATIONS 19
ADVENT OF MODERN HEALTH CARE 23
CONSEQUENCES FOR THE HEALTH OF AGGREGATES 30
SOCIAL CHANGES AND COMMUNITY HEALTH NURSING 31
CHALLENGES FOR COMMUNITY AND PUBLIC HEALTH NURSING 32
SUMMARY 34
Learning Activities 34
REFERENCES 35
Chapter 3 - Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice 36
THINKING UPSTREAM: EXAMINING THE ROOT CAUSES OF POOR HEALTH 37
HISTORICAL PERSPECTIVES ON NURSING THEORY 37
HOW THEORY PROVIDES DIRECTION TO NURSING 38
MICROSCOPIC VERSUS MACROSCOPIC APPROACHES TO THE CONCEPTUALIZATION OF COMMUNITY HEALTH PROBLEMS 38
ASSESSING A THEORY’S SCOPE IN RELATION TO COMMUNITY HEALTH NURSING 39
REVIEW OF THEORETICAL APPROACHES 39
HEALTHY PEOPLE 2020 45
SUMMARY 47
Learning Activities 47
REFERENCES 48
Chapter 4 - Health Promotion and Risk Reduction 49
HEALTH PROMOTION AND COMMUNITY HEALTH NURSING 49
DETERMINANTS OF HEALTH 51
THEORIES IN HEALTH PROMOTION 53
RISK AND HEALTH 56
THE RELATIONSHIP OF RISK TO HEALTH AND HEALTH PROMOTION ACTIVITIES 57
SUMMARY 66
Learning Activities 66
REFERENCES 67
UNIT 2 THE ART AND SCIENCE OF COMMUNITY HEALTH NURSING 69
Chapter 5 - Epidemiology 69
USE OF EPIDEMIOLOGY IN DISEASE CONTROL AND PREVENTION 70
CALCULATION OF RATES 74
CONCEPT OF RISK 77
USE OF EPIDEMIOLOGY IN HEALTH SERVICES 82
EPIDEMIOLOGICAL METHODS 83
SUMMARY 90
Learning Activities 90
REFERENCES 90
Chapter 6 - Community Assessment 92
THE NATURE OF COMMUNITY 93
HEALTHY COMMUNITIES 94
ASSESSING THE COMMUNITY: SOURCES OF DATA 95
NEEDS ASSESSMENT 99
DIAGNOSING HEALTH PROBLEMS 101
SUMMARY 105
Learning Activities 105
REFERENCES 105
Chapter 7 - Community Health Planning, Implementation, and Evaluation 106
OVERVIEW OF HEALTH PLANNING 107
HEALTH PLANNING MODEL 108
HEALTH PLANNING PROJECTS 112
HEALTH PLANNING FEDERAL LEGISLATION 116
NURSING IMPLICATIONS 120
SUMMARY 120
Learning Activities 120
REFERENCES 121
Chapter 8 - Community Health Education 122
CONNECTING WITH EVERYDAY REALITIES 122
HEALTH EDUCATION IN THE COMMUNITY 123
THE NURSE’S ROLE IN HEALTH EDUCATION 132
ENHANCING COMMUNICATION 132
FRAMEWORK FOR DEVELOPING HEALTH COMMUNICATIONS 133
HEALTH EDUCATION RESOURCES 140
SOCIAL MEDIA 148
SUMMARY 148
Learning Activities 148
REFERENCES 149
Chapter 9 - Case Management 154
OVERVIEW OF CASE MANAGEMENT 154
ORIGINS OF CASE MANAGEMENT 156
PURPOSE OF CASE MANAGEMENT 157
UTILIZATION REVIEW AND MANAGED CARE 157
TRENDS THAT INFLUENCE CASE MANAGEMENT 158
EDUCATION AND PREPARATION FOR CASE MANAGERS 158
CASE MANAGER SERVICES 159
CASE MANAGER ROLES AND CHARACTERISTICS 159
CASE IDENTIFICATION 160
THE REFERRAL PROCESS 160
APPLICATION OF CASE MANAGEMENT IN COMMUNITY HEALTH 161
RESEARCH IN CASE MANAGEMENT 161
INTERNATIONAL CASE MANAGEMENT 162
SUMMARY 163
Learning Activities 163
REFERENCES 164
UNIT 3 FACTORS THAT INFLUENCE THE HEALTH OF THE COMMUNITY 165
Chapter 10 - Policy, Politics, Legislation, and Community Health Nursing 165
OVERVIEW: NURSES’ HISTORICAL AND CURRENT ACTIVITY IN HEALTH CARE POLICY 166
DEFINITIONS 166
A MAJOR PARADIGM SHIFT 168
STRUCTURE OF THE GOVERNMENT OF THE UNITED STATES 169
OVERVIEW OF HEALTH POLICY 171
MAJOR LEGISLATIVE ACTIONS AND THE HEALTH CARE SYSTEM 173
PUBLIC POLICY: BLUEPRINT FOR GOVERNANCE 176
THE EFFECTIVE USE OF NURSES: A POLICY ISSUE 178
NURSES’ ROLES IN POLITICAL ACTIVITIES 178
HEALTH CARE REFORM AND RESTRUCTURING OF THE HEALTH CARE INDUSTRY 182
NURSES AND LEADERSHIP IN HEALTH POLICY DEVELOPMENT 183
SUMMARY 184
Learning Activities 184
REFERENCES 184
Chapter 11 - The Health Care System 186
OVERVIEW: THE HEALTH CARE SYSTEM 187
COMPONENTS OF THE HEALTH CARE SYSTEM 187
QUALITY CARE 194
CRITICAL ISSUES IN HEALTH CARE DELIVERY 197
FUTURE OF PUBLIC HEALTH AND THE HEALTH CARE SYSTEM 199
SUMMARY 200
Learning Activities 200
REFERENCES 201
Chapter 12 - Economics of Health Care 202
FACTORS INFLUENCING HEALTH CARE COSTS 203
PUBLIC FINANCING OF HEALTH CARE 207
PHILANTHROPIC FINANCING OF HEALTH CARE 209
HEALTH CARE INSURANCE PLANS 209
COST CONTAINMENT 212
TRENDS IN HEALTH FINANCING 214
HEALTH CARE FINANCING REFORM 215
ROLES OF THE COMMUNITY HEALTH NURSE IN THE ECONOMICS OF HEALTH CARE 217
BEST CARE AT LOWER COST 218
SUMMARY 218
Learning Activities 218
REFERENCES 219
Chapter 13 - Cultural Diversity and Community Health Nursing 220
CULTURAL DIVERSITY 221
TRANSCULTURAL PERSPECTIVES ON COMMUNITY HEALTH NURSING 221
POPULATION TRENDS 221
CULTURAL PERSPECTIVES AND HEALTHY PEOPLE 2020 222
TRANSCULTURAL NURSING 223
OVERVIEW OF CULTURE 224
CULTURE AND SOCIOECONOMIC FACTORS 228
CULTURE AND NUTRITION 229
CULTURE AND RELIGION 230
CULTURE AND AGING 231
CROSS-CULTURAL COMMUNICATION 232
HEALTH-RELATED BELIEFS AND PRACTICES 235
MANAGEMENT OF HEALTH PROBLEMS: A CULTURAL PERSPECTIVE 238
MANAGEMENT OF HEALTH PROBLEMS IN CULTURALLY DIVERSE POPULATIONS 239
ROLE OF THE COMMUNITY HEALTH NURSE IN IMPROVING HEALTH FOR CULTURALLY DIVERSE PEOPLE 241
RESOURCES FOR MINORITY HEALTH 245
SUMMARY 247
Learning Activities 247
REFERENCES 248
Chapter 14 - Environmental Health 249
A CRITICAL THEORY APPROACH TO ENVIRONMENTAL HEALTH 250
AREAS OF ENVIRONMENTAL HEALTH 252
EFFECTS OF ENVIRONMENTAL HAZARDS 261
EFFORTS TO CONTROL ENVIRONMENTAL HEALTH PROBLEMS 262
EMERGING ISSUES IN ENVIRONMENT HEALTH 263
APPROACHING ENVIRONMENTAL HEALTH AT THE POPULATION LEVEL 263
CRITICAL ENVIRONMENTAL HEALTH NURSING PRACTICE 264
SUMMARY 268
Learning Activities 268
REFERENCES 269
Chapter 15 - Health in the Global Community 272
POPULATION CHARACTERISTICS 273
ENVIRONMENTAL FACTORS 273
PATTERNS OF HEALTH AND DISEASE 273
INTERNATIONAL AGENCIES AND ORGANIZATIONS 275
INTERNATIONAL HEALTH CARE DELIVERY SYSTEMS 277
RESEARCH IN INTERNATIONAL HEALTH 279
SUMMARY 284
Learning Activities 284
REFERENCES 285
UNIT 4 AGGREGATES IN THE COMMUNITY 286
Chapter 16 - Child and Adolescent Health 286
ISSUES OF PREGNANCY AND INFANCY 287
CHILDHOOD HEALTH ISSUES 293
ADOLESCENT HEALTH ISSUES 298
FACTORS AFFECTING CHILD AND ADOLESCENT HEALTH 301
STRATEGIES TO IMPROVE CHILD AND ADOLESCENT HEALTH 302
PUBLIC HEALTH PROGRAMS TARGETED TO CHILDREN AND ADOLESCENTS 304
SHARING RESPONSIBILITY FOR IMPROVING CHILD AND ADOLESCENT HEALTH 306
LEGAL AND ETHICAL ISSUES IN CHILD AND ADOLESCENT HEALTH 308
SUMMARY 311
Learning Activities 311
REFERENCES 312
Chapter 17 - Women’s Health 314
MAJOR INDICATORS OF HEALTH 315
HEALTH PROMOTION STRATEGIES FOR WOMEN 322
MAJOR LEGISLATION AFFECTING WOMEN’S HEALTH 329
HEALTH AND SOCIAL SERVICES TO PROMOTE THE HEALTH OF WOMEN 331
LEVELS OF PREVENTION AND WOMEN’S HEALTH 332
ROLES OF THE COMMUNITY HEALTH NURSE 334
RESEARCH IN WOMEN’S HEALTH 334
SUMMARY 335
Learning Activities 335
REFERENCES 335
Chapter 18 - Men’s Health 339
MEN’S HEALTH STATUS 340
USE OF MEDICAL CARE 342
THEORIES THAT EXPLAIN MEN’S HEALTH 342
FACTORS THAT IMPEDE MEN’S HEALTH 346
MEN’S HEALTH CARE NEEDS 347
PRIMARY PREVENTIVE MEASURES 348
SECONDARY PREVENTIVE MEASURES 349
TERTIARY PREVENTIVE MEASURES 349
SUMMARY 353
Learning Activities 353
REFERENCES 354
Chapter 19 - Senior Health 355
CONCEPT OF AGING 356
THEORIES OF AGING 356
DEMOGRAPHIC CHARACTERISTICS 357
PSYCHOSOCIAL ISSUES 359
PHYSIOLOGICAL CHANGES 360
WELLNESS AND HEALTH PROMOTION 360
COMMON HEALTH CONCERNS 364
ADDITIONAL HEALTH CONCERNS 365
ELDER SAFETY AND SECURITY NEEDS 366
PSYCHOSOCIAL DISORDERS 370
SPIRITUALITY 373
END-OF-LIFE ISSUES 374
SUMMARY 377
Learning Activities 377
REFERENCES 378
Chapter 20 - Family Health 380
UNDERSTANDING FAMILY NURSING 382
THE CHANGING FAMILY 383
APPROACHES TO MEETING THE HEALTH NEEDS OF FAMILIES 384
APPROACHES TO FAMILY HEALTH 388
ASSESSMENT TOOLS 392
FAMILY HEALTH ASSESSMENT 394
EXTENDING FAMILY HEALTH INTERVENTION TO LARGER AGGREGATES AND SOCIAL ACTION 394
APPLYING THE NURSING PROCESS 397
SUMMARY 397
Learning Activities 401
REFERENCES 401
UNIT 5 VULNERABLE POPULATIONS 403
Chapter 21 - Populations Affected by Disabilities 403
SELF-ASSESSMENT: RESPONSES TO DISABILITY 404
DEFINITIONS AND MODELS FOR DISABILITY 404
A HISTORICAL CONTEXT FOR DISABILITY 407
CHARACTERISTICS OF DISABILITY 409
DISABILITY AND PUBLIC POLICY 412
COSTS ASSOCIATED WITH DISABILITY 414
HEALTHY PEOPLE 2020 AND THE HEALTH NEEDS OF PEOPLE WITH DISABILITIES 415
THE EXPERIENCE OF DISABILITY 416
STRATEGIES FOR THE COMMUNITY HEALTH NURSE IN CARING FOR PEOPLE WITH DISABILITIES 419
ETHICAL ISSUES FOR PEOPLE AFFECTED BY DISABILITIES 419
SUMMARY 426
Learning Activities 426
REFERENCES 427
Chapter 22 - Homeless Populations 429
DEFINITIONS, PREVALENCE, AND DEMOGRAPHIC CHARACTERISTICS OF HOMELESSNESS 429
FACTORS THAT CONTRIBUTE TO HOMELESSNESS 433
HEALTH AND HOMELESS POPULATIONS 435
HEALTH STATUS OF HOMELESS POPULATION 436
COMMUNITY PUBLIC HEALTH NURSING: CARE OF HOMELESS POPULATIONS 438
SUMMARY 440
Learning Activities 440
REFERENCES 440
Chapter 23 - Rural and Migrant Health 443
RURAL UNITED STATES 444
RURAL 446
RURAL HEALTH DISPARITIES: CONTEXT AND COMPOSITION 446
APPLICATION OF RELEVANT THEORIES AND “THINKING UPSTREAM” CONCEPTS TO RURAL HEALTH 457
COMMUNITY-BASED CARE 458
LEGISLATION AND PROGRAMS AFFECTING RURAL PUBLIC HEALTH 460
RURAL COMMUNITY HEALTH NURSING 461
RURAL HEALTH RESEARCH 462
NEW MODELS OF HEALTH CARE DELIVERY FOR RURAL AREAS 464
SUMMARY 464
Learning Activities 464
REFERENCES 465
Chapter 24 - Populations Affected by Mental Illness 468
OVERVIEW AND HISTORY OF COMMUNITY MENTAL HEALTH: 1960 TO THE PRESENT DAY 469
HEALTHY PEOPLE 2020: MENTAL HEALTH AND MENTAL DISORDERS 471
FACTORS INFLUENCING MENTAL HEALTH 471
MENTAL DISORDERS ENCOUNTERED IN COMMUNITY SETTINGS 474
IDENTIFICATION AND MANAGEMENT OF MENTAL DISORDERS 478
COMMUNITY-BASED MENTAL HEALTH CARE 481
ROLE OF THE COMMUNITY MENTAL HEALTH NURSE 484
SUMMARY 486
Learning Activities 486
REFERENCES 486
UNIT 6 POPULATION HEALTH PROBLEMS 488
Chapter 25 - Communicable Disease 488
COMMUNICABLE DISEASE AND HEALTHY PEOPLE 2020 490
PRINCIPLES OF INFECTION AND INFECTIOUS DISEASE OCCURRENCE 491
CHAIN OF TRANSMISSION 492
BREAKING THE CHAIN OF TRANSMISSION 494
PUBLIC HEALTH CONTROL OF INFECTIOUS DISEASES 495
VACCINES AND INFECTIOUS DISEASE PREVENTION 497
VACCINE NEEDS FOR SPECIAL GROUPS 499
HEALTHY PEOPLE 2020 FOCUS ON IMMUNIZATION AND INFECTIOUS DISEASES 499
HEALTHY PEOPLE 2020 FOCUS ON SEXUALLY TRANSMITTED DISEASES 506
HEALTHY PEOPLE 2020 FOCUS ON HIV/AIDS 507
PREVENTION OF COMMUNICABLE DISEASES 510
SUMMARY 514
Learning Activities 514
REFERENCES 514
Chapter 26 - Substance Abuse 515
ETIOLOGY OF SUBSTANCE ABUSE 516
HISTORICAL OVERVIEW OF ALCOHOL AND ILLICIT DRUG USE 517
PREVALENCE, INCIDENCE, AND TRENDS 517
ADOLESCENT SUBSTANCE ABUSE 521
CONCEPTUALIZATIONS OF SUBSTANCE ABUSE 522
SOCIOCULTURAL AND POLITICAL ASPECTS OF SUBSTANCE ABUSE 522
COURSE OF SUBSTANCE-RELATED PROBLEMS 524
LEGAL AND ETHICAL CONCERNS RELATED TO SUBSTANCE ABUSE 525
MODES OF INTERVENTION 525
SOCIAL NETWORK INVOLVEMENT 531
VULNERABLE AGGREGATES 533
NURSING PERSPECTIVE ON SUBSTANCE ABUSE 536
SUMMARY 540
Learning Activities 540
REFERENCES 540
Chapter 27 - Violence 542
OVERVIEW OF VIOLENCE 543
HISTORY OF VIOLENCE 543
INTERPERSONAL VIOLENCE 544
COMMUNITY VIOLENCE 549
FACTORS INFLUENCING VIOLENCE 551
VIOLENCE FROM A PUBLIC HEALTH PERSPECTIVE 552
PREVENTION OF VIOLENCE 552
REFERENCES 556
Chapter 28 - Natural and Man-Made Disasters 558
DISASTER DEFINITIONS 559
TYPES OF DISASTERS 560
CHARACTERISTICS OF DISASTERS 560
DISASTER MANAGEMENT 563
DISASTER MANAGEMENT STAGES 569
SUMMARY 578
Learning Activities 579
REFERENCES 579
UNIT 7 COMMUNITY HEALTH SETTINGS 580
Chapter 29 - School Health 580
HISTORY OF SCHOOL HEALTH 581
SCHOOL HEALTH SERVICES 582
SCHOOL NURSING PRACTICE 593
SCHOOL-BASED HEALTH CENTERS 594
FUTURE ISSUES AFFECTING THE SCHOOL NURSE 594
SUMMARY 596
Learning Activities 596
REFERENCES 596
Chapter 30 - Occupational Health 598
EVOLUTION OF OCCUPATIONAL HEALTH NURSING 599
DEMOGRAPHIC TRENDS AND ACCESS ISSUES RELATED TO OCCUPATIONAL HEALTH CARE 600
OCCUPATIONAL HEALTH NURSING PRACTICE AND PROFESSIONALISM 601
OCCUPATIONAL HEALTH AND PREVENTION STRATEGIES 604
SKILLS AND COMPETENCIES OF THE OCCUPATIONAL HEALTH NURSE 607
IMPACT OF FEDERAL LEGISLATION ON OCCUPATIONAL HEALTH 610
LEGAL ISSUES IN OCCUPATIONAL HEALTH 612
MULTIDISCIPLINARY TEAMWORK 612
SUMMARY 614
Learning Activities 614
REFERENCES 615
Chapter 31 - Forensic and Correctional Nursing 616
SUBSPECIALTIES OF FORENSIC NURSING 617
CORRECTIONAL NURSING 622
HEALTH ISSUES IN PRISON POPULATIONS 623
MENTAL HEALTH ISSUES IN CORRECTIONAL SETTINGS 624
EDUCATION AND FORENSIC NURSING 625
SUMMARY 629
Learning Activities 629
REFERENCES 629
Chapter 32 - Faith Community Nursing 631
FAITH COMMUNITIES: ROLE IN HEALTH AND WELLNESS 632
FOUNDATIONS OF FAITH COMMUNITY NURSING 633
ROLES OR FUNCTIONS OF THE FAITH COMMUNITY NURSE 636
EDUCATION OF THE FAITH COMMUNITY NURSE 637
THE FAITH COMMUNITY NURSE AND SPIRITUALITY 638
ISSUES IN FAITH COMMUNITY NURSE PRACTICE 639
SUMMARY 643
Learning Activities 643
REFERENCES 643
Chapter 33 - Home Health and Hospice 645
HOME HEALTH CARE 646
TYPES OF HOME HEALTH AGENCIES 647
CERTIFIED AND NONCERTIFIED AGENCIES 647
SPECIAL HOME HEALTH PROGRAMS 647
REIMBURSEMENT FOR HOME CARE 648
OASIS 648
NURSING STANDARDS AND EDUCATIONAL PREPARATION OF HOME HEALTH NURSES 649
CONDUCTING A HOME VISIT 650
DOCUMENTATION OF HOME CARE 652
APPLICATION OF THE NURSING PROCESS 652
FORMAL AND INFORMAL CAREGIVERS 654
HOSPICE HOME CARE 654
SUMMARY 661
Learning Activities 661
REFERENCES 661
INDEX 662
SPECIAL FEATURES 684
RESEARCH HIGHLIGHTS—cont’d IBC
ETHICAL INSIGHTS IBC
VETERANS’ HEALTH IBC