Question 1

Interview several community/public health nurses and several clients regarding their definitions of health. Share the results with your classmates. Do you agree with their definitions Why or why not

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Question 2

Compare and contrast definitions of health from a public health nursing perspective.

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Nursing has been slowly evolving over the years from being a disease-centric profession that focused on curative care at institutions, to being a more health-centric profession that takes a more decentralized approach to the employment and allotment of nurses.
Nursing focused on public health takes a far more holistic view of the healthcare profession that more traditional American philosophies like those of market justice. There are several definitions of health that represent this mindset.
For instance the World Health Organization (WHO) defined as health in terms of complete physical, social and mental well-being that goes beyond just the absence of disease and infirmity. 
There are several alternative definitions used in nursing literature. For instance, a paper by Murray, Zentner and Yakimo defines health as the ability of a person to use purposeful, as well as adaptive responses and processes in the physical, mental, emotional, social and spiritual dimensions." 
By contrast, a paper by Pender, Murtaugh and Parsons defines health in terms of realizing human potential via goal-directed behavior, taking care of oneself with competence and having good relationships.
These definitions use highly subjective terminology, making it difficult to standardize the definition of health. This results in various biases coming into play during healthcare research. For instance, some researchers may emphasize the individual as a unit of measurement and neglect the community, while other researchers may consider the environment as static instead of dynamic.

Question 3

Interview several community/public health nurses regarding their opinions on the focus of community/public health nursing. Do you agree

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Question 4

Define and discuss the focus of public health.

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Question 5

Ask several neighbors or consumers of health care about their views of the role of public health and community health nursing. Share your results with your classmates.

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Question 6

Discuss determinates of health and indicators of health and illness from a population perspective.

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Question 7

Become familiar with Healthy People 2020 (www.healthy people.gov). Review objectives from several of the topic areas covered. How does your community compare with the groups, aggregates, and populations described What objectives should be targeted for your community

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Question 8

List the three levels of prevention, and give examples of each.

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Question 9

Explain the difference between public/community health nursing practice and community-based nursing practice.

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Question 10

Describe the purpose of Healthy People 2020, and give examples of the topic areas that encompass the national health objectives.

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Question 11

Discuss community/public health nursing practice in terms of public health's core functions and essential services.

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Question 12

Discuss community/public health nursing interventions as explained by the Intervention Wheel.

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Question 13

In the United States, inequities in the distribution of resources pose a threat to the common good and a challenge for community and public health nurses. Factors that contribute to wide variations in health disparities include education, income, and occupation. Lack of health insurance is a key factor in this issue and a major rationale for passage of the Patient Protection and Affordable Care Act, as about 20% of nonelderly adults and 25% of children in the United States are uninsured. Lack of insurance is damaging to population health, as low-income, uninsured individuals are much less likely than nonpoor insured individuals to receive timely physical examinations and preventive dental care. 
Public health nurses are regularly confronted with the consequences of the fragmented health care delivery system. They diligently work to improve the circumstances for populations who have not had adequate access to resources largely because of who they are and where they live. 
Ethical questions commonly encountered in community and public health nursing practice include the following: Should resources (e.g., free or low-cost immunizations) be offered to all, even those who have insurance that will pay for the care Should public health nurses serve anyone who meets financial need guidelines, regardless of medical need Should the health department provide flu shots to persons of all ages or just those most likely to be severely affected by the disease Should illegal aliens or persons working on "green cards" receive the same level of health care services that are available to citizens 
Social justice in health care is a goal for all. To this end, community and public health nurses must face the challenges and dilemmas related to these and other questions as they assist individuals, families, and communities dealing with the uneven distribution of health resources.

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Quiz 1: Health: a Community View