History of the Development of Healthy People

Lalonde M: A New Perspective on the Health of Canadians. Ottawa, Canada, 1974, Information Canada; U.S. Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health, ed 2. Washington, DC, 2000, U.S. Government Printing Office; U.S. Depart- ment of Health and Human Services: Healthy People 2020: The Road Ahead. Available at: http://www.healthypeople.gov/hp2020/. Accessed December 2, 2010; U.S. Department of Health, Education, and Welfare: Healthy People: The Surgeon Generals Report on Health Promotion and Disease Prevention. DHEW Publication No. 79-55071, Washington, DC, 1979, U.S. Government Printing Office; U.S. Public Health Service: Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington, DC, 1991, U.S. Government Printing Office.
39CHAPTER 2 History of Public Health and Public and Community Health Nursing
PUBLIC HEALTH NURSING TODAY In the last decades, new and continuing challenges have trig- geredgrowthandchangeinnursing.Whereexistingorganiza- tionshavebeenunabletomeetcommunityandneighborhood needs, nurse-managed health centers provide a diversity of nursingservices,includinghealthpromotionanddisease/injury prevention.Newpopulationsincommunitiescontinuetochal- lenge schools of nursing, health departments, rural health clinics, and migrant health services to provide the range of services to meet specific needs, including the needs of new immigrants.Transferofofficialhealthservicestoprivatecontrol hassometimesreducedprofessionalflexibilityandservicedeliv- ery.Nursesalsomakethedifficultchoicetoleavepublichealth nursing to work in acute care, where the salaries are often higher.Thisisevenmoreprominentintimesofanursingshort- age. The Association of Community Health Nurse Educators callsforincreasedgraduateprogramstoeducatepublichealth nurse leaders, educators, and researchers. Natural disasters (such as floods, hurricanes, and tornados) and human-made disasters(includingexplosions,buildingcollapses,andairplane crashes) require innovative and time-consuming responses. Preparation for future disasters and potential bioterrorism demands the presence of well-prepared nurses. Many of these storiesaredetailedinthechaptersthatfollow.
Somestateshaveheardrenewedpersuasiontodeployschool nurses in every school; a new recognition of the link between
During the 1990s and 2000s the Quad Council of Public HealthNursingOrganizationssupportedtheeffortsofitsorga- nizationalmembersandpublichealthorganizationstoestablish mechanisms to improve quality of care and to advance the publichealthnursingprofessioninthetwenty-firstcentury.For example,thecertificationofpublichealthnurseswithgraduate degrees was reinforced through collaborative agreements with theAmericanNursesCredentialingCenter(ANCC).TheQuad Council also revised its Competencies for Public Health Nurses in2011.Thecompetenciesareseparatedintothreetiers:Tier1 forgeneralistpublichealthnurseswhoconductclinical,home visitingandpopulation-basedservices;Tier2forpublichealth nurses with management and/or supervisory responsibilities; andTier3forpublichealthnursesatexecutive,seniormanage- ment, or leadership levels in public health nursing organiza- tions. Under Domain

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