The purpose of this assignment is to have students investigate a current health issue and serve as an
advocate of this health issue within their community. This assignment will include 3 key components,
which includes a (1) Policy Brief, (2) Fact Sheet, and (3) Reflection.
ead Schoon, Porta, & Schaffer (2019) Chapter 13-14 and Savage (2020) Chapter 21
Use Policy Map for gathering data to support your request
Teen Smoking Cessation Political Advocacy in Forsyth County
Juliette E. Navoa, RN
Minnesota State University Mankato
NURS-482W-01
Population Focused Care for RNs
Professor Kelly Krumwiede, PhD, RN, PHN
November 15, 2020
Teen Smoking Cessation Political Advocacy in Forsyth County
Dear Forsyth County School Board Members,
My name is Juliette Navoa and I am a registered nurse that has worked in both inpatient
and ambulatory care settings Forsyth County, North Carolina. I graduated from nursing school in
Bloomington, MN and I now reside in downtown Winston-Salem with my husband where we
have lived for almost four years. I currently work for Wake Forest Baptist Medical Center in
their Clemmons Urgent Care clinic and I am also enrolled online in a BSN completion program
through the Minnesota State University Mankato.
The public health concern I am writing in regards to is the high tobacco use rate in the
Forsyth County area. During my time as a nurse, I have worked with many different people of
different backgrounds. The issue of tobacco abuse is of concern to me due to my experience with
many individuals and families that use tobacco products in the ambulatory care setting. My
husband and I are both in the healthcare field and we are passionate about preventing health
problems for individuals, families, and communities.
When working in the Wake Forest Baptist Hospital Cancer Center, I observed young
patients take their IV poles down to the ground floor of the hospital to smoke cigarettes right
outside of the Cancer Center entrance. I have seen teen patients checking into the Clemmons
Urgent Care Respiratory Clinic with their cell phone in one hand and their vape in the other.
When asked about tobacco use, many teens in the urgent care setting seem to view vaping as a
less serious form of tobacco use than cigarettes, dip, or chew. They will easily admit to cigarette
use like it’s a casual hobby without significant health consequences for themselves and others.
There are currently 40 million cigarette smoking adults in the United States (CDC,
2020b) while 12.9% of North Carolina adults report smoking daily in 2019 (CDC, 2020a). Youth
tobacco use continues to be a major health issue in the state of North Carolina as well as Forsyth
County. In 2017, 31.7% of high schoolers living in Forsyth Country admitted to using some sort
of tobacco product, which is higher than the 28.8% state average for high school toba
Running head: POLITICAL ADVOCACY 1
Political Advocacy: Child Abuse and Neglect Prevention
Student Name
School of Nursing, Minnesota State University, Mankato
NURS 482: Population Focused Care for RNs
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.
POLITICAL ADVOCACY 2
Dear Mr. XXXX and Glencoe-Silver Lake School Board,
My name is XXXX. I graduated from Glencoe-Silver Lake (GSL) in 2016 and I currently
live in the community. I am a newly graduated registered nurse (RN) and I recently accepted a
position at the Glencoe Regional Health hospital as a medical-surgical nurse. I am also finishing
my bachelor’s degree in nursing from Minnesota State University, Mankato. Growing up and
now working as an RN in the community has made me aware of growing concerns that may not
be addressed as often as it should. I have been working closely with the Mcleod Alliance for
Victims of Domestic Violence (MAVDV), and this organization has opened my eyes to the
growing issue of child abuse and neglect that is present within our community. As a public health
nursing student, I have been able to research and study this topic more in-depth in the
community, state-wide, and nationally. It is no secret that due to the COVID-19 pandemic
children are more vulnerable to abuse and neglect, as many children are forced to stay home with
their abusers. The incidence and prevalence of child abuse and neglect in the community puts
children at risk for learning deficits, depression, anxiety, and defiant behaviors towards peers and
educators.
In 2018, the Minnesota Department of Human Resources (MDHS) received 86,060
reports of child abuse and neglect within the state of Minnesota (MDHS, 2018). When
comparing data to previous years, the incidence of child abuse and neglect continues to rise.
After speaking with Rhonda Buerkle, the executive director of the MAVDV, she states that since
the beginning of the COVID-19 pandemic, more and more children have been calling in to their
office or physically coming in to seek help (personal communication, September 2, 2020). She
explains that the children’s’ safe place was school, in which they could escape their abusers, but
now they are forced to stay home and deal with the consequences of their abuser(s).
I hav
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
F. A. Davis Company
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Copyright © 2020 by F. A. Davis Company
Copyright © 2020, 2016 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may
be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying,
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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
279
‘‘
’’
CHAPTER
14
COMPETENCY #12
Demonstrates Leadership in Public
Health Nursing With Communities,
Systems, Individuals, and Families
n Patricia M. Schoon
with Bonnie Brueshoff, Erin Karsten, and Marjorie A. Schaffer
José is with the Elders at Home Program for his public health nursing clinical. He is assigned to Mr. and
Mrs. Santos, a couple in their 70s struggling to manage their healthcare needs and stay in their home in
an older inner-city neighborhood. Mrs. Santos provides primary assistance for her husband, who has
advanced chronic obstructive pulmonary disease (COPD). After a recent hospitalization, Mr. Santos
received home care services from a home care nurse, respiratory therapist, occupational therapist, and
home health aide. These services were reimbursed by Medicare because Mr. Santos met the criteria of
potential for rehabilitation and progress toward independent living. All went well. Then a 60-day health
assessment resulted in a determination that Mr. Santos was no longer eligible for home care services. He
was referred to the county public health Elders at Home Program but has been resisting a home visit.
José wonders, “I am just a student nurse. What can I do?” He sighs, “Well, it looks like my preceptor has
handed me a challenge I can’t avoid. Isn’t there a chapter we are supposed to read on leadership in public
health nursing?”
JOSÉ’S NOTEBOOK
COMPETENCY #12 Demonstrates Leadership in Public Health Nursing with Communities,
Systems, Individuals, and Families
A. Seeks learning opportunities when working with peers, organizations, and communities
B. Demonstrates ability to be flexible, adapt to change, and tolerate ambiguity while working in an unstructured
environment
C. Seeks from and provides consultation and support to peers and community partners
D. Responds to population health needs in collaboration with systems and communities
E. Contributes to team efforts to improve the quality of care provided to client populations
F. Prioritizes and organizes workload, time, materials, and resources to maximize benefits to clients and
stakeholders
G. Participates in the political process to advocate for changes in health and social policies that affect
population health, workforce health, and public health services delivery
Source: Henry Street Consortium, 2017
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EBSCO Publishing : eBook Collection (EBSCOhost) – printed on 2/12/2023 1:33 AM via MINNES
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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