A Treatise on Rural Public Health Nursing

A Treatise on Rural Public Health Nursing

Wanda Sneed (Tarleton State University, USA)
Copyright: © 2009 |Pages: 15
DOI: 10.4018/978-1-60566-234-3.ch001
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Nursing informaticists can be leaders in promoting prevention of illness and diseases in the 21st century. Developing an infrastructure for application of preventive and predicative models in healthcare delivery is paramount. This chapter stresses the need for rural regions to develop paradigmatic models for incorporating all aspect of the human ecology domain. While movement in public health nursing is contingent on improvement in public health interconnectivity, nurse informaticists need to develop a classification system for public health nursing, develop databases for evidence–based practice, and incorporate the rural culture in their work. Incorporation of genomics in daily nursing practice will soon be a reality. As consumer-driven healthcare becomes the reality, the platform for healthcare delivery will change. A change to care delivery in a variety of community sites with electronic information exchanges and personal health records will require robust work by informaticists. Remote monitoring devices in clients’ homes are another arena which will require a new set of skills for nursing interventionists.
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A Treatise On Rural Public Health Nursing Informatics

Rural public health nursing needs a classification system, an evidence-based practice database, and development of a model for nursing care delivery in rural environments. Nursing informatics is the tool to accomplish these needs. Nursing informatics is the retrieval of data and information to support nursing clinical practice and research and for the equipping of information management systems. In the discipline of nursing, cognitive systems have grown more rapidly than practice. Hence nursing informatics has grown in depth rather than breadth. A number of reasons support this phenomenon. The history of the nursing profession clearly shows an almost continuous evaluation and re-evaluation of the discipline. Socio-cultural factors have been the most recent mover of nursing science (Institute of Medicine [Committee on Quality of Health Care], 2001; Kimball & O’Neil, 2003). Health information technology has transformed the healthcare arena. As a result of information available to the public, a demand for greater accuracy and transparency in health care has thrust nursing to the forefront of evidence-based care and a focused research orientation. In addition, a desire within the discipline for scientific support for practice has evolved into a primary focus on evidence-based practice. Nurse informaticists are needed to integrate scientific research into public health, public health nursing and population care. Nursing informaticists are needed to develop a classification system for public health nursing, community care and rural healthcare.

The objective of this chapter is to promote public health nursing and community health nursing’s role in the new care delivery patterns, with predictive and preventative care models for populations. This entry will broaden the range of information available for informaticists, as their role expands in the new healthcare arena. Articulation with nursing informatics and the ‘quality chasm’ crossings in US healthcare will assist the informaticists with search and retrieval activities.

Nursing has a short history of evidence-based practice, unlike medicine which has garnered support from many sources to make evidence-based practice information readily available. Efforts are occurring to utilize research evidence as well as practice acumen to support evidence-based care in nursing (Berg, Fleischer & Behrens, 2005). Research support for public health/community health nursing comes from multiple sources, including biomedical, pharmacological, toxicological, human genomic, and public health sources.

Human Ecology Domain

Public health sources cover the ‘gray literature’ of human ecology, i.e., environmental practices, economics, agriculture, nutrition, extreme use of antibiotics, veterinary medicine, and infectious disease profiles. Likewise public health nursing examines the ‘gray literature’ for evidence-based data. Examples of sources include: The Journal of Urban Health; Smithsonian; Scientific American; Journal of Nutraceuticals; Social Justice; National Center for Complimentary & Alternative Medicine; Human Ecology: An Interdisciplinary Journal. These sources provide evidence from experts in their field, historical data, and research data. The skill of informaticists in searching and retrieving evidence from such diverse sources is needed to formalize a database and web-site dedicated to public health nursing and community health nursing.

The disciplines of nursing and public health have a shared history of health care and illness prevention in the community. Public health nursing needs an information infrastructure, delineation of a language and classification in the Unified Medical Language System (UMLS). This is a momentous task, given the sparsely developed public health informatics sector. Prime concerns in the discipline of public health are the socio-cultural and socio-economic constraints related to the application of primary care and primary prevention activities. The economic concerns have been placed on the national agenda by the American Medical Informatics Association (AMIA), 2007 task force, Healthcare terminologies and classifications: An action agenda for the United States. (2006). A previous publication by the Institute of Medicine (IOM), The Future of the Public’s Health in the Twenty- first Century (2003) portrayed the problem as a societal responsibility, not just a governmental concern. Public health nurses play a major role in providing care to the populations and aggregates defined as the ‘public’ and consequently share in the need for building of a core infrastructure in public health.

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Editorial Advisory Board
Table of Contents
Peter J. Murray
Bettina Staudinger
Chapter 1
Wanda Sneed
Nursing informaticists can be leaders in promoting prevention of illness and diseases in the 21st century. Developing an infrastructure for... Sample PDF
A Treatise on Rural Public Health Nursing
Chapter 2
Elfriede Fritz, Daniela Deufert, Johannes Hilbe
Experience in nursing practice shows that, in Austria, there are still problems with assessment in computer-based nursing documentation. Nursing... Sample PDF
Assessment in a Computer-Based Nursing Documentation
Chapter 3
Dawn Dowding, Rebecca Randell, Natasha Mitchell, Rebecca Foster, Valerie Lattimer, Carl Thompson
Increasingly, new and extended roles and responsibilities for nurses are being supported through the introduction of clinical decision support... Sample PDF
Clinical Decision Support Systems in Nursing
Chapter 4
Jerono P. Rotich
This chapter will give an overview of the healthcare-related challenges that most newcomer immigrants and refugees encounter as they acculturate... Sample PDF
Culturally Sensitive Healthcare for Newcomer Immigrants
Chapter 5
Pammla Petrucka, Sandra Bassendowski, Thomas F. James, Hazel Roberts, June Anonson
This chapter presents the imperatives of mobile technologies in healthcare as these impact (or potentially) impact on development. It presents the... Sample PDF
Mobile Technology in a Developing Context: Impacts and Directions for Nursing
Chapter 6
Kenric W. Hammond, Charlene R. Weir, Efthimis N. Efthimiadis
Computerized patient care documentation (CPD) is a vital part of a Patient Care Information System (PCIS). Studying CPD in a well-established PCIS... Sample PDF
Nursing Documentation in a Mature EHR System
Chapter 7
Sisira Edirippulige, Anthony C. Smith, Mark Bensink, Nigel R. Armfield, Richard Wootton
Nurses play a pivotal role in the provision of healthcare. Home telehealth, the use of information and communication technologies to deliver and... Sample PDF
Nurses and Telehealth: Current Practice and Future Trends
Chapter 8
Mary D. Oriol, Gail Tumulty
This chapter presents a theoretical framework and research base for the successful transition of an established Master of Science in Nursing program... Sample PDF
Successful Online Teaching and Learning Strategies
Chapter 9
Virginia Plummer
This chapter is about the major policy issue of nursing resource allocation for hospitals. Health service executives have different views about... Sample PDF
Shaping Funding Policy for Nursing Services
Chapter 10
Elizabeth M. Borycki, Andre W. Kushniruk, Shigeki Kuwata, Hiromi Watanabe
A range of new technologies/information systems are increasingly being used by nurses in healthcare organizations. These technologies/information... Sample PDF
Simulations to AssessMedication Administration Systems
Chapter 11
Peter Jones
This chapter explores the potential of a conceptual framework – Hodges’ model – both as a socio-technical structure and means to explore such... Sample PDF
Socio-Technical Structures, 4Ps and Hodges' Model
Chapter 12
Beth Perry Mahler, Margaret Edwards
Teaching nursing online requires teachers to purposefully use strategies that facilitate the development of virtual learning communities. The... Sample PDF
Strategies for Creating Virtual Learning Communities
Chapter 13
Roberta Cuel, Roberta Ferrario
In this chapter a case study is presented, in which the ethnomethodological approach is used to analyze the impact of the implementation of an... Sample PDF
The Impact of Technology in Organizational Communication
Chapter 14
Boris A. Kobrinsky, Nikolay V. Matveev
Telemedicine, or distant medical consultations using communication via electronic networks, is gradually becoming a standard of medical care... Sample PDF
The Roles of a Nurse in Telemedical Consultations
Chapter 15
Daniel Carbone
The purpose of this chapter is to broadly discuss the need for enhanced evidence-based medicine (EBM) by nurses in the context of rural Australia... Sample PDF
The Role of EBM and Nursing Informatics in Rural Australia
Chapter 16
Maureen Farrell
The use of mobile technologies in nursing education is rapidly increasing. Handheld computers are the most frequently used of these technologies as... Sample PDF
Use of Handheld Computers in Nursing Education
Chapter 17
Elizabeth Rogerson, Linda Martindale, Carolyn Waltz
This chapter addresses issues relating to nursing informatics as used and applied in nursing education. This includes the use of information... Sample PDF
Using Information Technology in Nursing Education
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