Copyright © 2008 Delmar. All rights reserved. Chapter 30 The Future of Public Health Nursing

Copyright © 2008 Delmar. All rights reserved.

Chapter 30

The Future of Public Health Nursing


2

Health Trends in the 21st Century

• Continued focus on core public health functions:– Assessment– Advocacy and policy development– Assurance


3


• Reducing health disparities– Access to health care

• Frontier communities

– Quality of life– Longevity


4


• Lifestyle issues– Risk of stroke– Risk for cancer– Increased risk of heart disease


5


• Immunizations and medications– Preventing antibiotic misuse– New medications, cost of prescription drugs


6


• Access to health care– Cover the uninsured Week

• Environmental health– Environmental risk assessment– Bridge the gap between environmental

science and traditional health– Environmental justice


7

Genetics

• Topics– Genetic diagnostic testing and early

interventions– Embryonic and fetal research– Frozen embryos– Genetic counselor licensing


8

Genetics

• Topics– Genetic privacy– Health insurance– Human cloning– Life– Disability and long term care insurance– Newborn screening


9

Policy Advocacy

• Active in policy development– National Association of City and County

Health Officers Resolutions• Voluntary accreditation• Proceed with caution in adopting national

standards for certification


10

Policy Advocacy

• Future thinking– Futuring

• Benefits– Prepare for what you will face in the future– Anticipate future needs– Use partial or preliminary information as

needed


11

Policy Advocacy

• Expect the unexpected– Think long term as well as short term– Dream productively– Learn from predecessors


12

Policy Advocacy

• Methods of future thinking and scenario development

– Four methods for futuring:1. Polling

2. Gaming

3. Modeling and simulation

4. Visioning


13

Policy Advocacy

• Visioning process– Five stages

1. Identification of problems

2. Identification of past successes

3. Identification of desires for future

4. Identification of measurable goals

5. Identification of resources to achieve goals


14

Policy Advocacy

• Public health systems issues– Systems planning perspective

• Levels of leadership– Personal leadership development– Team leadership development– Agency leadership development

• Community and professional level


15

Quality Improvement

• Performance standards

• Performance measures

• Quality improvement efforts


16

Quality Improvement

• Public health workforce disarray– Under funded and uncoordinated in delivery– Lacking competency-based curriculum


17

Quality Improvement

• Competency-based practice– Core public health worker competencies for

emergency preparedness and response– Public health informatics


18

Workforce Trends in Public Health Nursing

• Four trends:1. Aging public health workforce and shrinking

labor pool

2. High percentage of workers retiring

3. Chronic shortage of professional public health workers

4. High turnover rates


19


• Capacity building

• Healthy cities movement

• Research and evidence-based practice– More research needs to be conducted– Methods

• Meta analysis, risk assessment, economic evaluation, public health surveillance, expert panel


20


• Best practices

• Dissemination research– Active rather than passive dissemination

approaches– Educational outreach and reminders

strategies– Multifaceted interventions based on

assessment of potential barriers


21


• Expert panel reviews of evidence– Guide to Community Preventive Services– Guide to Clinical Preventive Services

Documents

Copyright © 2008 Delmar. All rights reserved. Chapter 30 The Future of Public Health Nursing