NUR 411 Exam 1

Lillian Wald - Founder of public health nursing (USA) Mary Breckinridge - Founded the frontier nursing service (1925) developed a system for rural healthcare Canada - -National health program -single payer system with universal coverage -funding from taxes and federal transfer payments France - -single payer system -population is 100% covered by public mandatory health insurance -public hospitals cap pay for providers, some private places have client pay remainder -prevention is priority Germany - -universal healthcare system -most have insurance -copays/reimbursement for care is capped -payment for insurance is based on income not risk Netherlands - -dual level healthcare payment system -all primary and acute care is financed by private mandatory insurance -dying/ill patients get social insurance -payroll taxes fund the healthcare system -profit hospitals, pick where you go for care UK - -NHS says healthcare will be provided to all permanent residents -NHS provides primary, inpatient, long term, psychological, and eye care for free -you can choose where you go but it takes a while to get care Ottawa charter - -promotes building healthy public policy, strengthening community action, developing personal skills, & reorienting health services -encourages people to learn & make decisions about their own health Geneva charter for well being - 1.) create a model of fair economies 2.) incite a belief that public policy is a common goal for all 3.)direct goals towards universal healthcare 4.) focus on the advantages and disadvantages of the digital world 5.) protect the planet Coalitions - Bring together consumers , health professionals, policy makers to work together to improve community health status Transtheoritical Model - precontemplation, contemplation, preparation, action, maintenance Triple Aim of Healthcare - 1.) enhance patient experience (quality & satisfaction) 2.) lower cost 3.) improve population health Focused on bettering USA healthcare William Rothbone & Mary Robinson - Mary was 1st ever district nurse in England, William developed district nursing Shattuck Report - 1850. Lemuel shattuck linked unsanitary conditions to Illness Dorothea Dix - Established mental health hospitals, advocated for prisoners and psych patients Clara Barton - Provided supplies for wounded soldiers -established American Red Cross OSHA - 1.) identify health & safety needs 2.) prioritize interventions 3.) develop & implement interventions & programs 4.) evaluate care & service delivery NORA - Composed of councils that focus on specific sectors of Industry, such as construction, agriculture or healthcare -promotes improved work places Behavior models - Describes, explains, or predicts preventative health behaviors Motivational interviewing - Directive, client centered communication style for eliciting behavior change by helping clients/groups to explore and resolve ambivalence Health belief model - A theory of health behaviors; the model predicts that whether a person practices a particular health habit can be understood by knowing the degree to which the person perceives a personal health threat and the perception that a particular health practice will be effective in reducing that threat. -got milk? Theory of Reasoned Action - A theory suggesting that the decision to engage in a particular behavior is the result of a rational process in which behavioral options are considered, consequences or outcomes of each are evaluated, and a decision is reached to act or not to act. That decision is then reflected in behavioral intentions, which strongly influence overt behavior. SDOH (social determinants of health) - -neighborhood and built environment -health and health care -social and community context -education -economic stability CHIP - -a match program- state & federal gov split cost -covers 9 million kids whose parents don't qualify for Medicaid but can't afford private insurance -between chip & Medicaid 39% of kids are covered MICHILD - State program to provide health care for children from low-income families who do not receive Medicaid and are not covered by a health insurance provider. -must be under 19 and have no comprehensive insurance -must be a US citizen and live in Michigan