Contributions
Role of Public Health Nurses The role of a public health nurse encompasses a vast amount of responsibilities. As a basis for practice, public health nurses must adhere to the code of ethics. The code of ethics, developed by Sir William David Ross in the 1940s, is a set of four principles. These principles include autonomy, nonmaleficence, beneficence, and justice (Ivanov, 2013). By incorporating these four main principles into practice, public health nurses can better protect and preserve the human rights of the individual, population, or community to which they serve. Public health nurses are increasingly being faced with ethical, moral, cultural, and political conflicts in today’s society (Ivanov, 2013). Because of these rising issues, it is imperative for public health nurses to be competent and well educated on human rights. A public health nurse’s job differs greatly from that of a hospital based nurse’s job. Public health nurses must expand beyond the treatment and assessment of a single individual. Rather than being individual-focused, they must be community- or population-focused. Their practice encompasses several levels of care, including individuals, families, groups, neighborhoods, and communities (Kulbok, 2012). Kulbok defines several diverse settings to which public health nurses practice. These settings include, “community nursing centers; home health agencies; housing developments; local and state health departments; neighborhood
Nursing is a career that is governed by a set of ethical principles. The duties of a nurse consist of care and support and its important that nurses are aware of their professional ethics. These principles are put into place to uphold and maintain moral values in healthcare. The American Nurses Association (ANA) code of ethics for nurses consists of nine provisions, outlined in the Code of Ethics for nurses with Interpretive Statements. These provisions are constructed to blueprint the role and responsibilities of a nurse. The chosen provisions being discussed will refer to the three main principles of patient autonomy, patient confidentiality, and patient rights.
A nurse owes a duty to her profession's own code of ethics. Patient autonomy, justice, and respect for patients' dignity are central to nursing practice. The Canadian Nurses' Association (CNA), through the publication of the codes of ethics for nurses, calls upon nurses to
The nurse has a responsibility to be aware not only of specific health needs of individual patients but also of broader health concerns such as world hunger, environmental pollution, lack of access to health care, violation of human rights, and inequitable distribution of nursing and health care resources. The availability and accessibility of high quality health services to all people require interdisciplinary planning and collaborative partnerships among health professionals and others at the community, national, international levels.
Healthcare professionals have an ethical obligation to respect patient’s wishes. Consequently, many legal and ethical dilemmas arise in healthcare in response to clinical decisions related to the needs, beliefs, and preferences of patients and families. Other dilemmas result over concerns about the integrity, competence, or actions of other healthcare professionals. Preserving human dignity, relieving suffering, equality, integrity, and accountability are essential nursing values (Kangasniemi, Pakkanen, & Korhonen, 2015). Nurse leaders have an
In the field of nursing, the ANA Code of Ethics is designed to provide specific bylaws that will influence the practices of health care professionals inside the industry. However, there are different advocacy campaigns that will have an impact on how it is interpreted and applied. In the case of advocacy for population health, these issues mean that there could be moral dilemmas faced in the process (most notably: lifestyle choices and their impact on the individual). (Butts, 2012)
This paper will explore a community health concern from a population focused nursing perspective. The health concern will be a relevant and validated health concern for the community indicated. The relevancy was determined by the Health People 2020 (HP2020) health indicators and the validation of the concern was compared to past objectives being met and current objectives working forward, and the gap in satisfying the target goals set forth ("2020 Topics & Objectives – Objectives A-Z | Healthy People 2020," 2015). A major force in the community of concern is the Kern County Public Health
Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, MO: Mosby Elsev
According to Nursing Ethics (2001), Inherent in nursing is respect for human rights, including the right to life, to dignity and to be treated with respect. Nursing care is unrestricted by considerations of age, colour, creed, culture, disability or illness, gender, nationality, politics, race or social status. (p. 375).
This Code of Ethics outlines specific principles that guide nursing practices as related to their patients, their communities, and to the health care profession. Provision 8 of the ANA Code of Ethics specifically states that nurses, along with other health care professionals and their communities, must work together to advocate for the protection of human rights and promote public health while reducing disparities within the health care system. The ANA also takes the stance that health is a universal right and must be recognized in order to promote and improve health and safety for all (“ANA,” 2015). Provision 9 states that it is the nurse’s duty to promote and communicate these values to the general public and to be vigilant of unjust practices within and outside of the health care system. In essence, nurses must organize and advocate to change laws or policies that promote public health and social justice (“ANA,”
The roal of public health nursing is to promote and protect the health of the population. This proactive approach does not limit their scope of practice to health concerns of individuals but also to developing and implementing programs and policies that help enhance the health of populations. The role of public health nurses is to focus on population centered care with the outcome of promoting health, preventing disability and disease, and improving the quality of life. An effective public health nurse is able to evaluate assessment data to define population diagnoses and set priorities accordingly. They can also serve as advocates for individuals and families in the population to develop policies, access resources, and protect their
Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.
Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture, upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practice. This report will discuss the importance of ethics in nursing practice. The definition of ethics will firstly be presented followed
Smith, C., & Maurer, F. (2013). Community/Public Health Nursing Practice (5th ed.). :. []. http://dx.doi.org/. Retrieved from www.evolve.elsiver
Codes of ethics contain a coherent set of normative principles underlying a nurse’s purpose and associated values (Vanlaere and Gastmans, 2007). Two perspectives of ethics are the ethics of justice and the ethics of care (Botes, 2000). The ethics of justice constitutes an ethical perspective in terms of which ethical decisions are made on the basis of universal principles and rules, and in an impartial and verifiable manner with a view to ensuring the fair and equitable treatment of all people (Botes, 2000). The ethics of care, on the other hand, constitutes an ethical approach in terms of which involvement, harmonious relations and the needs of others play an important part in ethical decision making in each ethical situation (Botes, 2000).
The role of the community health nurse in the participating family’s community is to focus on the health needs of the aggregate or group. Community health nursing refers to a systematic, comprehensive focus on wellness, health protection, and disease, and injury prevention for the population residing in a specific area. The nurse functions as advocate, case manager, consultant, health care provider, educator, and collaborator with other agencies for healthy outcomes of the entire community. Nurses involved in the health of a specific community such as the family participating will assess the members living in the demographic