The purpose of this activity is to engage in a volunteer experience with a safety net project or community
program. The historical roots of the nursing profession originate from the work of Florence Nightingale in
giving service to those populations with increased risk or susceptibility to poor health outcomes. This
experiential learning activity will provide you with an opportunity to demonstrate the ability to provide a
service to the community while learning about and responding to a priority need of a specific sub population
of your community. You will come to understand the expanded role of nurses as advocates beyond the
bedside
251
‘‘
’’
CHAPTER
13
COMPETENCY #11
Shows Evidence of Commitment to
Social Justice, the Greater Good,
and the Public Health Principles
n Patricia M. Schoon
with Noreen Kleinfehn-Wald and Colleen B. Clark
Erica is a new public health nurse (PHN) in a large urban county where 40% of the children live in pov-
erty. During Erica’s home visit to a young family, the mother states that the 2- and 3-year-old children
have become “slow to get things and were tripping and falling more than usual.” A year ago, the family
had moved from a newer apartment building into a 70-year-old building when the husband lost his job.
Erica notices paint chips on the floor and is concerned that they are from lead-based paint. She advises
the mother to have her children’s blood lead levels checked. The mother says she does not have health
insurance and cannot afford a trip to the doctor. Erica tells the mother the paint should be replaced,
but the mother is concerned that the landlord will not listen to her. Erica consults with her public health
nursing supervisor about what else can be done.
ERICA’S NOTEBOOK
COMPETENCY #11 Shows Evidence of Commitment to Social Justice, the Greater Good, and the
Public Health Principles
A. Applies principles of social justice to promote and maintain the health and well-being of populations
B. Understands the impact of the social determinants of health on vulnerable and at-risk populations
C. Advocates for the disadvantaged and underserved
D. Participates in collaborative social actions to reduce health disparities and inequities
Source: Henry Street Consortium, 2017
USEFUL DEFINITIONS
Advocacy: Actions to ensure that individuals or populations have basic human rights and justice: “Advocacy
pleads someone’s cause or acts on someone’s behalf, with a focus on developing the community, system,
individual, or family’s capacity to plead their own cause or act on their own behalf” (Minnesota Department of
Health [MDH], 2001, p. 263).
Charity: Giving of oneself (volunteering) or of one’s resources to those in need.
Civic Engagement: Working with community members to improve the civic life of the community through
social and political actions based on an understanding of the community, its diversity, assets, and problems
(Gehrke, 2008).
Ethnicity: A collective group of individuals with presumed common ancestry sharing cultural symbol and prac-
tices. Individual identification of ethnicity may be voluntary and self-defined (Ford & Harawa, 2010; Lee, 2009).
(continues)
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147
‘‘
’’
CHAPTER
7
COMPETENCY #5
Works Within the Responsibility
and Authority of the Governmental
Public Health System
n Marjorie A. Schaffer
with Bonnie Brueshoff and Raney Linck
Dan was recently employed as a public health nurse (PHN) by a county health department. After two
months on the job, he is asked to assist other PHNs in responding to a recent outbreak of measles. All con-
firmed cases to date are in the Somali population. Unfortunately, the Somali communities have been tar-
geted with misinformation about vaccine risks and have subsequently struggled with low rates of MMR
immunization.
Dan has never worked for the government. Through the orientation process, he begins to wonder
whether he will ever understand how the different levels of government work together. He refers to his ori-
entation materials for Population-Based Public Health Nursing Competency #5, which focuses on work-
ing with governmental systems. He comments to his supervisor, Carol, “This competency has so many
parts. How will I ever understand what all these terms mean for the work I am doing?”
DAN’S NOTEBOOK
COMPETENCY #5 Works Within the Responsibility and Authority of the Governmental Public Health System
A. Describes the relationship among the federal, state, and local levels of public health system
B. Identifies the individual’s and organization’s responsibilities within the context of the Essential Public
Health Services and Core Functions
C. Understands practice implications for laws, regulations, and rules relevant to public health
D. Adheres to legal mandates such as data privacy and mandated reporting
E. Differentiates the public health model from the medical model
F. Understands the independent public health nursing role as described in the Scope and Standards of
Public Health Nursing
G. Describes the role of government in the delivery of community health services
H. Identifies components of the healthcare system:
1) Funding streams such as Medicare, Medicaid, Prepaid Medical Assistance Plan (PMAP), categorical
grants
2) Programs utilized by state and local health departments, such as Women, Infants, and Children (WIC)
program, home visiting, and school health
3) Community resources
Source: Henry Street Consortium, 2017
(continues)
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