Introduction Population health as a framework for examining health is not a new concept. Historically, epidemiologist have used this to formulate etiologies of disease by measuring variations within a population and the impact of environmental factors (Radzyminski, 2007). Governments have also applied this concept to the implementation of interventions geared at improving the health of nations (Radzyminski, 2007). Although the concept is not new, the term population health has only been recently defined and differentiated from the definitions of community health, public health, and population-focused care. This paper will discuss the current definition of population health, its impact on nursing practice, its relation to evidence-based practice, and the importance of interprofessional collaboration in the delivery of population health care.
Population Health Defined
To understand the concept of population health, it is first important to understand what defines health. The World Health Organization defines health as “the state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” (WHO, 1946). This definition implies that the experience of health is a highly personal one and impacted by multiple factors both internal and external to the individual. Population, on the other hand, is defined by Caldwell (1996) as a “large mass of people constituting some kind of definable unit to which measurements pertain” (p.306). Multiple
As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:
As nurses we know medical professionals more than ever are responsible for treating large diverse populations. Understanding cultural differences in various populations is crucial to produce positive outcomes. Nurses have a major role in health care promotion. Nurses should be treating the patient as a whole in mind, body, and spirit. This should be included in community treatment too. Individual, family, environment, and community assessments are necessary to provide the care and improve health care outcomes in the community as a whole. The World Health Organization’ s (WHO) definition of community is “a group of
A healthy population is not only vital but also a necessity for a country’s economic growth and development. There is an inherently strong connection between the health status of the population and the level of development of a country. Most countries that are exceptionally developed have an overwhelmingly healthy population,
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
I did my study for this assignment in Stokes County, North Carolina which is where I recently moved to from Iowa. Stokes County is made up of several small towns but King, which is where I live, is the largest town. Stokes County is in the middle northern part of the state near the Virginia border, a mountain chain, and a lot of wilderness. Some of the towns are incorporated and some are not and a few only claim to be villages. Using the Population Economic Status Assessment, I looked at the State & County Quick Facts last revised: Feb-2015 and found that the county population is at about 46,588. The Caucasian population makes up 93.8% of the population, African American 4.4%, Hispanic 2.7%, and the remainder is 1.1%. The
Colon cancer is a lethal disease and remains one of the leading causes of cancer related deaths in the United States (Williams et al, 2016). Despite the overall decline in colorectal cancer (CRC), African Americans (AAs) continue to lag behind and have a higher prevalence, mortality, and the lowest survival rate among any other racial group (Williams et al., 2016). For this reason, some professional organizations recommend screening for AAs start at the age of 45 rather than age 50 (Jackson, Oman, Patel & Vega, 2016). However, endorsement of earlier screening among AAs alone does not equate to an increase in the uptake of CRC screening.
Community health nurses incorporate community participation and knowledge about the total population with personal, clinical understandings of the
The community chosen for this fieldwork practicum is Pasadena, California. Pasadena is a city in Los Angeles County, California. As of 2015, the estimated population of Pasadena was 140,881, making it the 183rd largest city in the United States (City Data, 2015). Pasadena is the ninth-largest city in Los Angeles County.
In order to provide effective care to a community a nurse must understand the complex interacting factors within a community, such as social determinants of health, which affect the health of clients (Yiu, 2015). Community assessments are one important way nurses can promote effective community health strategies, encourage public participation and develop community action plans (Lotfi, 2014). There are four components that make up a community assessment; environmental scan, needs assessment, problem investigation and resource evaluation (Yiu, 2015). The main objectives of our Rock Bay community assessment was to identify factors that affect the health of the population and determine the availability of resources within the community. The
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
In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. In order to accomplish this task, the CHN utilizes a scientific approach to determine the priority population focused health needs for the community. According to Nies & McEwen (2011), a population focus involving an assessment of the community is a primary tool utilized in order to develop planning, interventions, and evaluations for the community at large. The purpose of this paper is to determine a priority
Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.
The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).
Smith, C., & Maurer, F. (2013). Community/Public Health Nursing Practice (5th ed.). :. []. http://dx.doi.org/. Retrieved from www.evolve.elsiver