Community/Public Health Nursing Promoting the Health of Populations SIXTH EDITION Mary A. Nies, PhD, RN, FAAN, FAAHB Dean and Professor School of Nursing, Joint Appointment MPH Program, Division of Health Sciences, Idaho State University, Pocatello, Idaho Melanie McEwen, PhD, RN, CNE, ANEF Associate Professor, University of Texas Health Science Center at Houston, School of Nursing, Houston, Texas Table of Contents Cover image Title page Copyright Dedication Author Biographies Contributors Reviewers Preface Unit 1. Introduction to Community Health Nursing Chapter 1. Health: A Community View Definitions of Health and Community Determinants of Health and Disease Indicators of Health and Illness Definition and Focus of Public Health and Community Health Preventive Approach to Health Definition and Focus of Public Health Nursing, Community Health Nursing, and Community-Based Nursing Population-Focused Practice and Community/Public Health Nursing Interventions Community Health Nursing, Managed Care, and Health Reform Learning Activities Chapter 2. Historical Factors: Community Health Nursing in Context Evolution of Health in Western Populations Advent of Modern Health Care Consequences for the Health of Aggregates Social Changes and Community Health Nursing Challenges for Community and Public Health Nursing Summary Learning Activities Chapter 3. Thinking Upstream: Nursing Theories and Population- Focused Nursing Practice Thinking Upstream: Examining the Root Causes of Poor Health Historical Perspectives on Nursing Theory How Theory Provides Direction to Nursing Microscopic Versus Macroscopic Approaches to the Conceptualization of Community Health Problems Assessing a Theory’s Scope in Relation to Community Health Nursing Review of Theoretical Approaches Healthy People 2020 Summary Learning Activities Chapter 4. Health Promotion and Risk Reduction Health Promotion and Community Health Nursing Determinants Of Health Theories in Health Promotion Risk and Health The Relationship of Risk to Health and Health Promotion Activities Summary Learning Activities Unit 2. The Art and Science of Community Health Nursing Chapter 5. Epidemiology Use of Epidemiology in Disease Control and Prevention Calculation of Rates Concept of Risk Use of Epidemiology in Disease Prevention Use of Epidemiology in Health Services Epidemiological Methods Summary Learning Activities Chapter 6. Community Assessment The Nature of Community Healthy Communities Assessing the Community: Sources of Data Needs Assessment Diagnosing Health Problems Summary Learning Activities Chapter 7. Community Health Planning, Implementation, and Evaluation Overview of Health Planning Health Planning Model Health Planning Projects Health Planning Federal Legislation Nursing Implications Summary Learning Activities Chapter 8. Community Health Education Connecting with Everyday Realities Health Education in the Community Learning Theories, Principles, and Health Education Models The Nurse’s Role in Health Education Enhancing Communication Framework for Developing Health Communications Health Education Resources Social Media Summary Learning Activities Chapter 9. Case Management Overview of Case Management Origins of Case Management Purpose of Case Management Utilization Review and Managed Care Trends that Influence Case Management Education and Preparation for Case Managers Case Manager Services Case Manager Roles and Characteristics Case Identification The Referral Process Application of Case Management in Community Health Research in Case Management International Case Management Summary Learning Activities Unit 3. Factors that Influence the Health of the Community Chapter 10. Policy, Politics, Legislation, and Community Health Nursing Overview: Nurses’ Historical and Current Activity in Health Care Policy Definitions A Major Paradigm Shift Structure of the Government of the United States Overview of Health Policy Major Legislative Actions and the Health Care System Public Policy: Blueprint for Governance The Effective Use of Nurses: A Policy Issue Nurses’ Roles in Political Activities Health Care Reform and Restructuring of the Health Care Industry Nurses and Leadership in Health Policy Development Summary Learning Activities Chapter 11. The Health Care System Overview: The Health Care System Components of the Health Care System Quality Care Critical Issues in Health Care Delivery Future of Public Health and the Health Care System Summary Learning Activities Chapter 12. Economics of Health Care Factors Influencing Health Care Costs Public Financing of Health Care Philanthropic Financing of Health Care Health Care Insurance Plans Cost Containment Trends in Health Financing Health Care Financing Reform Roles Of the Community Health Nurse in the Economics of Health Care Best Care at Lower Cost Summary Learning Activities Chapter 13. Cultural Diversity and Community Health Nursing Cultural Diversity Transcultural Perspectives on Community Health Nursing Population Trends Cultural Perspectives and Healthy People 2020 Transcultural Nursing