For this activity, you will select either an older adult or pregnant/post-partum mom and infant
individual/family to complete your 3 virtual or in-person home visits. To ensure timely completion of
conducting the home visits, it is important to identify an individual and schedule these visits early in the
semester. The three home visits are summarized below:

PART I
Foundational Concepts

for Public Health
Nursing Practice

1 Introduction to Public Health Nursing Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

2 Evidence-Based Public Health Nursing Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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AN: 1917387 ; Patricia M. Schoon, Carolyn M. Porta, Marjorie A. Schaffer.; Population-Based Public Health Clinical Manual, Third Edition: The Henry Street Model
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3

‘‘

’’

CHAPTER

1Introduction to Public
Health Nursing Practice

n Patricia M. Schoon
with Marjorie A. Schaffer and Jill Timm

Abby will soon be starting her public health nursing clinical and is struggling with the idea of practicing
nursing outside the hospital. She is talking about public health clinicals with Alberto and Sia at lunch.
“I can’t imagine myself out in someone’s home, or in a school, or in a community center or public health
agency. I’m not sure I know what I’m supposed to do. I also wonder how I will be respected without scrubs
or my uniform. Is it really true that one of the most important skills in public health is listening and that
sometimes that is all that you do? I feel like I should be doing something more.”

Alberto responds, “My friend, Zack, had public health last semester. He said that it was interesting to
consider listening as its own intervention. It was hard to not jump in and ‘teach’ immediately. He often
wanted to do more. After a while, he started to get comfortable and also started to understand the benefits
of really trying to understand the perspectives of clients in the community.”

Sia comments, “I worry about all of this too. I was talking with Jen, a friend of mine who took public
health last year. She said that on her first home visit, she went with her public health nursing preceptor.
This gave her a chance to get a sense for the family’s needs and possible interventions.”

Abby says, “I am really worried about

PART II
Entry-Level Population-Based

Public Health Nursing
Competencies

3 COMPETENCY 1: Applies the Public Health Nursing Process to Communities, Systems,
Individuals, and Families . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

4 COMPETENCY 2: Utilizes Basic Epidemiological (The Incidence, Distribution, and
Control of Disease in a Population) Principles in Public Health Nursing Practice . . . . . . . . . . . . . . . 75

5 COMPETENCY 3: Utilizes the Principles and Science of Environmental Health to Promote
Safe and Sustainable Environments for Individuals/Families, Systems, and Communities . . . . . . . 95

6 COMPETENCY 4: Practices Within the Auspices of the Nurse Practice Act . . . . . . . . . . . . . . . . . . . . 127
7 COMPETENCY 5: Works Within the Responsibility and Authority of the Governmental

Public Health System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
8 COMPETENCY 6: Utilizes Collaboration to Achieve Public Health Goals . . . . . . . . . . . . . . . . . . . . . 167
9 COMPETENCY 7: Effectively Communicates With Communities, Systems, Individuals,

Families, and Colleagues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
10 COMPETENCY 8: Establishes and Maintains Caring Relationships With Communities,

Systems, Individuals, and Families . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
11 COMPETENCY 9: Incorporates Mental, Physical, Emotional, Social, and Spiritual Aspects

of Health Into Assessment, Planning, Implementation, and Evaluation . . . . . . . . . . . . . . . . . . . . . . . 221
12 COMPETENCY 10: Demonstrates Nonjudgmental/ Unconditional Acceptance of People

Different From Self . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
13 COMPETENCY 11: Shows Evidence of Commitment to Social Justice, the Greater Good,

and the Public Health Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
14 COMPETENCY 12: Demonstra

Public/Community Health
and Nursing Practice

CARING FOR POPULATIONS

SECOND EDITION

7711_FM_i-xviii 21/08/19 11:08 AM Page i

Public/Community Health
and Nursing Practice

CARING FOR POPULATIONS

SECOND EDITION

Christine L. Savage, PhD, RN, FAAN
Professor Emerita

Johns Hopkins University School of Nursing
Baltimore, Maryland

7711_FM_i-xviii 21/08/19 11:08 AM Page iii

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Library of Congress Cataloging-in-Publication Data

Names: Savage, Christine L., author.
Title: Public/community health and nursing practice : caring for populations

/ Christine L. Savage.
Other titles: Public health science and nursing practice
Description: 2nd edition. | Philadelphia : F.A. Davis Company, [2020] |

Preceded by: Public health science and nursing practice / Christine L.
Savage, Joan E. Kub, Sara L. Groves, 2016. | Includes bibliographical
references and index.

Identifiers: LCCN 2019007149 (print) | LCCN 2019008721 (ebook) | ISBN
9780803699878 (ebook) | ISBN 9780803677111 (pbk.)

Subjects: | MESH: Public Health Nursing | Commu

Running head: HOME VISIT 1

Home Visit Assignment: Maternal Child Client

Student Name

School of Nursing, Minnesota State University, Mankato

NURS 482

Dr. XXX (faculty name)

Date

DISCLAIMER: This sample paper is intended to be a resource to better understand how key

content may be addressed in a paper for this assignment. The sample paper is not intended to be

used as a guide for formatting, as the assignment grading criteria and/or APA format

requirements may differ from current requirements; or used to obtain content for your individual

paper. This sample paper may not reflect a paper that received a 100% grade.

HOME VISIT 2

Home Visit Assignment: Maternal Child Client

Each year, it is estimated that over three million children are born (Centers for Disease

Control and Prevention, 2020). With each child born, there is a mother who will begin her

postpartum journey. Although this time is very exciting and there is an abundance of attention

given to the newly born child, mothers also need continuous attention as many complications can

occur postpartum. Some risks associated with postpartum pregnancy include stress, depression,

and anxiety (Pacific Post-Partum Support Society, 2020).

The purpose of this paper is to evaluate the process of performing nurse visits in a home

setting. Through home visits, a nurse is able to implement preventative interventions to promote

healthy behaviors and lifestyle habits. Three home visits were conducted with the nurse and a

postpartum mother and her husband. An evaluation of each home visit will be discussed.

Implemented interventions that were determined through assessing the mother’s needs and

identified health risks will also be elaborated upon and discussed. For the purpose of this paper

and the privacy of the individuals interviewed, initials will be used throughout the paper in place

of names.

To prepare for this assignment, the mother was contacted by the nurse through email and

the mother agreed to participate in the virtual home visits and acknowledged that her privacy will

be protected. The nurse explained the purpose of the home visits to the mother and her husband

and explained any additional information that the family was seeking.

Home Visit One

Due to the current social distancing regulations in place and the for the safety of the

mother (P.E.), father (B.E.), and infant, the first home visit was conducted through a Facetime

video call that was in each individual’s home. P.E. and B.E. are both white, Christian, 26-year

<

NURS 482 Home Visiting

PEEK Learner Readiness Assessment and Intervention Plan

Student Name
___________
NAME__________________

Individual/Family Name
__________
P.E.___________________

Description of Learner
____
Postpartum mother and her husband who recently gave birth to her first child_

Educational Topic
_________
Postpartum stress/anxiety management, SIDS prevention_____________

PEEK Learner Strengths and Barriers Teaching Learning

Approaches/Strategies

Physical


Cognitive Abilities

No cognitive delays or concerns were present.


Communication Abilities

Both P.E. (mother) and B.E. (father) are able to speak and read in English language. There were no communication delays noted. Both parents were able to communicate verbally, nonverbally, and in written form.


Individual Developmental Level

P.E. is very active within her community, work, and family. She is a college graduate and currently works as a banker in her hometown, and she is also a health and wellness coach for women. However, due to the recent COVID-19 pandemic, she often feels isolated from loved ones and feels that she is lacking human contact and connection.


Family Developmental Level

Both parents are full-time workers who are able to accommodate their work schedules to their home life. They are active together in their community, church, and family, which strengthens their relationship.


Physical Environment

B.E. and P.E. live in a newly built home in the town where they both are employed. The home appears to be free of clutter and very organized. The baby room is on the main level, where B.E. and P.E. also have their room.

“Visuals such as a videos and clear handouts enhance learning” (Minnesota Department of Health [MDH], 2019. p. 136). However, it is important not to overwhelm the mother with an abundance of information, so keeping the visual information, along with the discussion topics specific and concrete will ensure that the vital information is being shared in a manner that will not confuse the mother or over complicate the information (Schoon, Porta, & Shaffer, 2019, p. 190).

P.E. explained that she is a visual and auditory learner, so meeting her needs through visual handouts and videos explaining information that is being discussed verbally as well will enhance her learning capabilities of the i