QUESTIONS AND CORRECT ANSWERS
Social determinants of health: - 1 Social conditions in which people live
2 Income
3 Social status
4 Education
5 Literacy level
6 Home and work environment
7 Support networks
8 Culture
9 Availability of health services
Healthcare disparities - are differences in healthcare and health outcomes
experienced by one population compared to another.
Role of Government: in healthcare - -Assesses healthcare problems
-Intervenes by developing relevant healthcare policy that provides access
to services
-Ensures that services are delivered and outcomes are achieved
Unstable governments - do not have the concern, motivation, or resources
to address healthcare issues.
PPACA: Patient Protection and Affordable Care Act - -Provide affordable
health insurance coverage to most Americans
-Lower costs
-Improve access to primary care
-Preventative care and prescription benefits
-Coverage of preexisting conditions
-Young adults coverage extended under parent's policy until 26
,Development of patient/client centered care (SHARE tool created by
AHRQ) in 21st century - -Seeks patient's participation, Helps patient review
and compare care options, Assess patient values and preferences, Reach a
consensus decision with patient, and Evaluate decision
Increased use of technology in the 21st century - -ONC: Safety of info
technology issues; HER: helps with clinical decision making; telehealth
-Health Information Technology (HIT):
-(Viewed as the most promising tool for improving the overall quality, safety,
and efficiency of the healthcare system.)
Increased personal responsibility in the 21st century - -Reviewing own
medical records and labs
-Monitoring (+) and (-) effects of OTC and prescriptions
The underlying premise holds that is people have a vested interest in their
health... - they will do more to maintain it. However, if a person is healthy s/he
may NOT focus on maintaining individual health.
Identify the eight principles of public health nursing practice. (pg 11) - 1.
Client or unit of care is the population
2. Primary obligation is to achieve the greatest good for greatest number of
people as a whole
3. Public health nurses collaborate with client as equal partner
4. Primary prevention is priority in selecting appropriate activities
5. Public health nursing focuses on strategies that create healthy
environmental, social and economic conditions in which populations may
thrive
6. A public health nurse is obligated to actively identify and reach out to all
might benefit from a specific activity or service
7. Optimal use of available resources and creation of new evidence-based
strategies is necessary to assure the best overall improvement in the health
of populations
8. Collaboration with other professions, populations, organizations, and
stakeholder groups is most effective way to promote and protect the health
of people
, Public health is - what society does collectively to ensure the conditions exist
in which people can be healthy.
American Nurses Association (ANA) sets the - scope and standards for all
professional nursing practice. Their publication, Public Health Nursing
Scope and Standards of Practice, establishes the characteristics of
competent public health nursing practice and is the legal standard of
practice.
Tiers of Practice: - -Tier 1: Entry level
-Tier 2: Management of supervisory positions, also specialists
-Tier 3: Senior managers and leaders at the execute level who deal w/
multisystems
The educational credential for entry into public health nursing practice is the
- Baccalaureate Degree in nursing.
Early civilization- - people spent lives with family and community- knew
some public health measures (waste away from water)
Middle Ages- - care at home, only rich could afford care, Black Plague killed
¼ population of Europe
English Poor Law - each district by law had to care for the poor in that district
Variety of reforms in 1800s- - "death houses", Victorian times- poorhouses
run by "pauper nurses"
District nursing- Mary Robinson - first district nurse in England,
-read duties, and know them (page 14; box 1.5)
Florence Nightingale - started first school of Nursing
American social values strongly influenced by - British traditions (care of
sick poor)
Lemuel Shattuck- - illness traced to unsanitary conditions, first public health
system, prepared a report for the Massachusetts Sanitary Commission