In understanding the advanced practice in the community, an individual has to come to terms with the form of care in which the nurse provides health care services. Those within the community after diagnosing them so as to determine the situation to be altered for individuals, families, and groups in a community are health – free. This chapter talks about the issues that impact the nurses especially those in public health. These include health care policies that have effects on individuals, families and a whole community, the infectious diseases those that are human-made and natural.
This chapter talks much about the historical development and earlier findings and how it contributed to the boosting of the knowledge of advanced public health practitioners. It talks about the educational requirements for the population-focused advanced practice nurses. It discusses the credentialing mechanism in nursing and how they relate to the role of advanced practice nurse. After reading this chapter, one has to come up with a compare, and contrast analogies on the various parts of population focused advanced practice nurse. Finally, the identification of potential areas of practice. Lastly, it explores the current issues and concerns relating to practice as asserted by Aranda and Jones (2008).
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The historical perspective shows that different forms of changes have occurred within the society due to the shift in demand and the societal needs. It enlightens the shift in roles as well from the focus on institutionally-based health care to that health care based on population focus, the improvement on technology, self-care, accountability to the clients, evolutional response to client’s needs and even cost-containment measures. Primarily, the priorities of health nursing are to take care of the sick or ill people, support the well and the worried by offering the physical care that was previously provided only by the physicians. It is evident that it has gone through several changes.
Another focus is on educational preparations for the advanced practice public health nurse. It includes the requirements that a health care nurse is required to prove quality health care. With this kind of knowledge, one can synthesise the current awareness and research in nursing and other scientific related disciplines. Once a person equipped with such knowledge, they can understand the ecological view of nursing, population-level healthcare focus, the partnership with the interdisciplinary approach, responsibilities that come along with health outcome for a population. This combined makes the health nurse well conversant with what he or she is expected to about public health.
The knowledge gain can be used in other administrative roles such as planning, organising delivery and evaluation services at the leadership position so as to positively impact the community regarding health. These nurses are supposed to be certified by passing the certificate examination for advanced practice nurses that is offered by the American Nurses Credentialing Center. It is majorly on course so as to ascertain that the person in this field of advanced nursing equipped with the knowledge and understanding of what he does. Credentialing mainly tied to the roles of these health care practitioners.
There has to be a compare and contrast on the different roles played different health practitioners. The community health care is composed of clinicians, consultants, administrators, researchers and even health educators all whose roles are to be clearly understood. In this chapter, we clearly know the areas that these medical practitioners are bound. They include school, homes, clinics, jails and any social place. The major objective of these advanced practice nurses in the community is to protect and promote the health of the community. These roles cut across all through the arenas as they are similar in practice.
For a secured healthy community, there have to be qualified health professionals who got the skills in handling the population health affairs with skills required of them. The community as a whole is needed to collaborate well with the health practitioners.
Reference
Aranda, K., & Jones, A. (2008). Exploring new advanced practice roles in community nursing: a critique. Nursing Inquiry , 15 (1), 3-10.
