TY  - CHAP
M1  - Book, Section
TI  - COMPETENCY #4 Practices Within the Auspices of the Nurse Practice Act
A1  - Schaffer, Marjorie A.
A1  - Timm, Jill
A2  - Schoon, Patricia M.
A2  - Porta, Carolyn M.
A2  - Schaffer, Marjorie A.
PY  - 2019
T2  - Population-Based Public Health Clinical Manual: The Henry Street Model for Nurses, 3e
AB  - Jennifer,  a  public  health  nurse  (PHN),  has  worked  for  the  Weaver  County  Health  Department  for  10  years.  Jennifer's  first  nursing  position,  after  completing  her  bachelor  of  science  in  nursing  (BSN)  and  passing  nursing  boards,  was  on  a  medical-surgical  unit  in  a  large  metropolitan  hospital.  Since  her  public  health  experience  in  nursing  school,  she  has  been  anxious  to  find  a  PHN  position.  She  now  works  at  a  small  local  health  department  in  the  town  of  Aurora,  the  county  seat  of  Weaver  County.Aurora  is  surrounded  by  an  agricultural  community.  Corn,  soybeans,  and  sugar  beets  are  the  major  crops.  Cattle  are  also  raised  in  this  area.  The  town  of  Aurora  has  a  population  of  15,000.  German  immigrants  settled  Aurora  in  the  1850s.  Today,  Aurora  is  a  multicultural  community.  The  racial  makeup  is  91%  Caucasian,  2%  African-American,  2%  Hispanic  or  Latino,  1%  Native  American,  1%  Asian,  1%  Pacific  Islander,  and  1%  other.  The  median  income  is  $33,000.Weaver  County  has  a  significant  population  of  migrant  workers  from  Mexico  who  provide  a  large  portion  of  the  workforce  for  many  farms  in  the  area  and  also  provide  the  labor  for  a  poultry-processing  company  located  on  the  northern  edge  of  the  county.  This  processing  company  opened  10  years  ago.  The  town  has  needed  to  learn  to  adapt  to  a  new  cultural  group.Sarah,  a  public  health  nursing  student,  has  been  assigned  to  work  with  Jennifer  to  complete  her  public  health  nursing  field  experience.  She  is  excited  to  start  this  experience.  Sarah  is  completing  her  undergraduate  BSN  degree  at  a  university  about  45  miles  from  Weaver  County.  She  is  familiar  with  Weaver  County  only  through  media  reports  regarding  the  difficult  racial  issues  in  the  county  over  the  past  years.  Sarah  grew  up  in  an  urban  area,  where  a  variety  of  cultures  and  races  were  represented.  She  is  Korean  and  was  adopted  into  an  American  family  as  an  infant.  Sarah  is  eager  to  learn  not  only  about  the  role  of  the  PHN  but  also  how  the  community  environment  affects  the  work  of  the  Weaver  County  Public  Health  Department  and  its  PHNs.As  Sarah  has  been  reflecting  on  her  public  health  nursing  class,  she  remembers  the  three  core  functions  of  public  health—assessment,  policy  development,  and  assurance.  Along  with  this  underlying  framework,  Sarah  knows  the  importance  of  the  Cornerstones  of  Public  Health  Nursing.  She  is  particularly  interested  in  learning  about  how  independent  nursing  practice  is  carried  out  and  how  PHNs  use  the  Public  Health  Intervention  Wheel  in  Weaver  County.  Sarah  will  spend  5  weeks  with  Jennifer,  learning  as  much  as  possible  about  public  health  nursing.  
SN  - 
PB  - Sigma Theta Tau International
CY  - New York, NY
Y2  - 2024/12/11
UR  - apn.mhmedical.com/content.aspx?aid=1189289900
ER  -