Discussion Prompt: Analyze the roots of public health nursing and its influence on practice today. What significant changes or historical events have made public health what it is today?
Public health nursing date back to England in the 1800s. The first nurses were trained by Florence Nightingale in the context of district nursing and were allocated particular geographic locations in London to assist the residents and the neighborhood. Some of their core responsibilities included caring for the sick and enhancing their knowledge through channels and information in the community that promoted their health. Specifically, Nightingale noted that they were working to maintain the society’s healthcare needs by removing the challenges impeding it. Some of the aspects that Nightingale focused on included diet, drinks, drains, and damps.
Lilian Wald was the first to develop the ‘public health nurse’ phrase. Notably, the history of public health primarily draws from Wald’s work. Among the core statements that Wald makes regarding public health is that the organic relationship between the patient and the neighborhood establishes the area’s universal service. The contribution by Wald is reflected in her appointment as president of The National Organisation of Public Health Nurses in 1912. 2013 was when the first American public health nurse was appointed.
The concept of public health nurse has significantly evolved to become what it is today. This transformation is underpinned by growth in infrastructure and the core objective of enhancing the community’s wellbeing. The primary concepts of public health nursing have remained the same throughout the years. Among the changes and development is addressing communicable illnesses, control, and community surveillance. An example is Tuberculosis, a leading cause of high mortality in the US in the 1900s. Today, TB cases have reduced due to the effective preventative approaches. The role of public health nurses in addressing the TB issue includes developing and implementing the case management, providing TB testing services, and conducting surveillance. In contemporary society, a public health nurse's roles and responsibilities are influenced by competence in information and communication technology (ICT).
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