Ch.1-Community and Prevention-Oriented Practice
to Improve Population Health\Chapter 1 –
Community and Prevention-Oriented Practice to
Improve Population Health
Public Health Mission
Promote physical and mental health and prevent disease, injury, and disability
Vision: Healthy people in healthy communities
Community-based nursing
-Nurse focuses on "illness care" of individuals and families acrossthelife span.
-Goal is to manage acute and chronic health conditions inthecommunity, andthefocus ofthepractice is
individual- or family-centered illness care.
-Nurse maintains an appreciation forthevalues ofthecommunity.
-Not a specialty in nursing but rather a philosophy that guides care in all nursing specialties when
applied inthecommunity.
Community-oriented nursing
-Broader focus than CBN.
-Primary focus looks at boththe"health care" of entire communities or populations as well asthehealth
care of individuals, families, and groups.
-Includesthespecialty of public health nursing.
-Goal is to prevent disease and preserve, promote, restore, and protect health forthecommunity
andthepopulation within it.
Public Health
•Goal is to organize community efforts that will use scientific and technical knowledge to prevent
disease and promote health.
•Scientific discipline that includesthestudy of epidemiology, statistics, and assessment—including
attention to behavioral, cultural, and economic factors—as well as program planning and policy
development.
, •Is what members of a society do collectively to ensure that conditions exist in which people can be
healthy.
Public Health cont.
-Provides many benefits, especially consideringthesmall portion ofthehealth care budget intheUnited
States that is used for this prevention and population-focused specialty.
-Affordable Care Act of 2010 created and chargedtheNational Prevention Health Promotion and Public
Health Council with developingtheNational Prevention and Health Promotion strategy to focus on
community-oriented approaches to prevention and wellness in order to "reducetheincidence and
burden oftheleading causes of death and disability."
Benefits from Public Health
•Dramatic increase in life expectancy.
•Decreased number of deaths from stroke, coronary heart disease, and cancer.
•Declines in death rates of adults and children.
•Population-focused PH approaches could help prevent up to 70% of early deaths in America, compared
to only 10% for medical treatment.
Assessment
Public Health Core Functions
Systematic data collection onthepopulation, monitoringthepopulation's health status, and making
information available aboutthehealth ofthecommunity.
Policy development
Public Health Core Functions
Efforts to develop policies that supportthehealth ofthepopulation, including using a scientific knowledge
base to make policy decisions.
Assurance
Public Health Core Functions
Making sure that essential community-oriented health services are available.
Includes providing essential personal health services for individuals as well as a competent PH workforce
Levels of Health Care Services Pyramid
The base ofthepyramid showstheeffective services that will supportthetop tiers and contribute to better
health.
to Improve Population Health\Chapter 1 –
Community and Prevention-Oriented Practice to
Improve Population Health
Public Health Mission
Promote physical and mental health and prevent disease, injury, and disability
Vision: Healthy people in healthy communities
Community-based nursing
-Nurse focuses on "illness care" of individuals and families acrossthelife span.
-Goal is to manage acute and chronic health conditions inthecommunity, andthefocus ofthepractice is
individual- or family-centered illness care.
-Nurse maintains an appreciation forthevalues ofthecommunity.
-Not a specialty in nursing but rather a philosophy that guides care in all nursing specialties when
applied inthecommunity.
Community-oriented nursing
-Broader focus than CBN.
-Primary focus looks at boththe"health care" of entire communities or populations as well asthehealth
care of individuals, families, and groups.
-Includesthespecialty of public health nursing.
-Goal is to prevent disease and preserve, promote, restore, and protect health forthecommunity
andthepopulation within it.
Public Health
•Goal is to organize community efforts that will use scientific and technical knowledge to prevent
disease and promote health.
•Scientific discipline that includesthestudy of epidemiology, statistics, and assessment—including
attention to behavioral, cultural, and economic factors—as well as program planning and policy
development.
, •Is what members of a society do collectively to ensure that conditions exist in which people can be
healthy.
Public Health cont.
-Provides many benefits, especially consideringthesmall portion ofthehealth care budget intheUnited
States that is used for this prevention and population-focused specialty.
-Affordable Care Act of 2010 created and chargedtheNational Prevention Health Promotion and Public
Health Council with developingtheNational Prevention and Health Promotion strategy to focus on
community-oriented approaches to prevention and wellness in order to "reducetheincidence and
burden oftheleading causes of death and disability."
Benefits from Public Health
•Dramatic increase in life expectancy.
•Decreased number of deaths from stroke, coronary heart disease, and cancer.
•Declines in death rates of adults and children.
•Population-focused PH approaches could help prevent up to 70% of early deaths in America, compared
to only 10% for medical treatment.
Assessment
Public Health Core Functions
Systematic data collection onthepopulation, monitoringthepopulation's health status, and making
information available aboutthehealth ofthecommunity.
Policy development
Public Health Core Functions
Efforts to develop policies that supportthehealth ofthepopulation, including using a scientific knowledge
base to make policy decisions.
Assurance
Public Health Core Functions
Making sure that essential community-oriented health services are available.
Includes providing essential personal health services for individuals as well as a competent PH workforce
Levels of Health Care Services Pyramid
The base ofthepyramid showstheeffective services that will supportthetop tiers and contribute to better
health.
