Public health nurses’ workforce factors and population health outcomes in the United States

Gwon, Seok Hyun; Cho, Young I.; Paek, Soonhwa; Ke, Weiming

doi:10.1111/phn.12793

Cited by 7 publications

(5 citation statements)

References 34 publications

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“…Therefore, only some communities have access to a SBHC. Population and community health are drivers of a community's social and economic well-being as well as the overall health of that community (Gwon et al, 2020;Roy et al, 2018). Prior research demonstrates that one reason students are absent from school is related to a CHC (Eklund et al, 2022;Gottfried et al, 2019;Rafa, 2017).…”

Section: Policy and Practice Implications For School Health Servicesmentioning

confidence: 99%

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

McCabe,

Jameson,

Grunin

et al. 2023

Policy, Politics, & Nursing Practice

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School-based health centers (SBHCs) are associated with numerous positive aspects of student health services. Many schools in the United States (US) do not have transparent policies on chronic health condition (CHC) management. Of particular concern is the underreporting of the delivery of health services in U.S. schools concerning CHC management and its relationship with the presence or absence of a SBHC. Data from the 2020 School Health Profiles (SHP) Survey were examined in New York public secondary schools. Specific health services were reviewed, together with the presence or absence of a SBHC, including daily medication administration, stock rescue medication, case management services, community partners, chronic disease-specific education, and assurance that students with CHCs were enrolled in an insurance program. A significantly greater proportion of schools with a SBHC compared with schools without a SBHC provided: (1) daily medication administration (92.9% vs. 86.5%; p < .001), (2) stock or rescue medication (84.9% vs. 77.4%; p < .001), (3) case management services (83.1% vs. 67.2%; p < .001), (4) disease-specific education for families (63.1% vs. 57.2%; p = .022), (5) student and family connection to community health services (84.2% vs. 76.5%; p < .001), and (6) ensured that a protocol existed whereby students with a CHC were enrolled in an insurance plan if eligible (79.6% vs. 66.8%; p < .001). Findings suggest that data on a national scale include essential facts for states to consider concerning school health policies and practices. Additional research should examine the intricacy of elements connected with school-based health care to understand better the care provided to children with CHCs.

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Section: Policy and Practice Implications For School Health Servicesmentioning

confidence: 99%

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

McCabe,

Jameson,

Grunin

et al. 2023

Policy, Politics, & Nursing Practice

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“…Um texto japonês (Ogawa, 2020), descreve quatro fatores associados à confiança profissional dos enfermeiros de saúde pública: prática com técnica, conhecimento aprofundado, recurso a evidências, e académicos no local de trabalho. Gwon et al (2020), indicam terem identificado como principais características favoráveis dos Public Health Nurses (PHN), a preparação académica e os anos de experiência, diretamente relacionados com os resultados em saúde da população. Do lado institucional, Yeager et al (2017), apontam como fatores mais favoráveis à permanência de enfermeiros na saúde pública, flexibilidade de horários e autonomia no trabalho.…”

Section: Fatores Facilitadoresunclassified

Estudo De Caso Na Investigação Em Enfermagem De Saúde Pública

Cunha¹

2023

NTQR

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Introdução. Estudo de investigação qualitativa, na área da saúde, na perspetiva da enfermagem de saúde comunitária e de saúde pública, centrado num Agrupamento de Centros de Saúde, com foco na sua Unidade de Saúde Pública; Objetivos. Apresentar competências e descrever intervenções dos enfermeiros especialistas de enfermagem comunitária e de saúde pública, no seu contexto; Métodos. Abordagem qualitativa na modalidade de estudo de caso, recolha de dados através de entrevistas, observação direta e análise documental, tratamento dos dados realizado no software MAXQDA2020, e análise com recurso a uma matriz interpretativa dos dados, composta por duas estratégias e duas técnicas de análise; Resultados. Apesar de não terem a mesma relação com todas as competências, a maioria leva-as à prática. Estão conscientes de que as suas intervenções correspondem às suas competências, mesmo não estando envolvidos, da mesma forma, com todas. A prática dos enfermeiros concretiza-se em intervenções, multifacetadas, que evidenciam a sua grande disponibilidade para uma diversidade de atividades, sendo que as mais relevantes são a vigilância epidemiológica, mesmo que na vertente da vacinação, a gestão e a capacitação de grupos. Facilitam o seu desempenho, boa comunicação, funções bem definidas, melhores instalações e condições de trabalho. Conhecem os regulamentos da Ordem dos Enfermeiros, mas não tão bem as restantes normas a que estão sujeitos; Conclusões. Alguns desafios emergem desta investigação, com fortes implicações para a teoria e para a prática da enfermagem, em especial para a de saúde pública: devidamente valorizar estes enfermeiros, que deverão centrar-se mais nas suas atividades / intervenções, para se valorizarem a si próprios; “sair de muros”, para tornarem-se conhecidos e reconhecidos na comunidade; motivarem-se para a formação contínua, para poderem intervir como cidadãos politicamente participantes.

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“…However, there are severe gaps in our understanding of the impact of COVID‐19 on the PHN workforce, in particular on PHNs’ burnout and intent to leave. Preventing and addressing PHNs’ turnover are critical, given that the length of their service (Gwon et al., 2020 ) and their presence in public health leadership (Kett et al., 2022 ) significantly contribute to improving population health outcomes nationwide. It is important to understand PHNs’ responsibilities and activities during the pandemic, as well as their experiences of burnout and intent to leave related to their emergency preparedness to better define who needs to know how to do what in an unexpected emergency situation (Gebbie & Qureshi, 2002 ) and ensure adequate training and support for PHNs.…”

Section: Introductionmentioning

confidence: 99%

“…outcomes. More strategies need to be considered to help PHNs remain in the profession givenGwon et al (2020)'s research reporting PHNs' longer years of employment were significantly associated with improved health outcomes assessed at the county level across the country. Of U.S. nurses, 35% reported an intention to leave direct patient care and 40% felt the pandemic influenced their decision to leave(Berlin et al, 2022).…”

mentioning

confidence: 99%

Public health nurses’ perceptions and experiences of emergency preparedness, responsiveness, and burnout during the COVID‐19 pandemic

Gwon

Thongpriwan

Kett

et al. 2022

Public Health Nursing

Self Cite

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Objective(s):To describe PHNs' perceptions and experiences of the COVID-19 pandemic, including training, response activities, and work-related challenges. Design:This was a qualitative study using interpretive description for analysis.Sample: PHN participants who worked in public health departments in Wisconsin were recruited using purposive sampling. A total of 15 PHNs participated in the study, including both general and supervisor-level PHNs. Measurements: Data were collected via semi-structured interviews from March to May 2021. Interview questions focused on PHNs' perceptions, experiences, response activities, and burnout in relation to the current pandemic as well as perceptions and experiences of emergency preparedness and response in general. Results: Five themes emerged in the study. These were: (1) experiences and observations of the COVID-19 pandemic, (2) organizational changes and their impacts, (3) public health emergency preparedness and response, (4) public health emergency response activities, and (5) role strain and burnout. Conclusions: Findings presented here have important implications for PHN training and support in emergency preparedness and response. A wide array of strategies focused on developing and supporting the PHN workforce in response to the public health crisis this area need to be implemented at the organizational, community, and policy levels.

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Public health nurses’ workforce factors and population health outcomes in the United States

Cited by 7 publications

References 34 publications

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey

Estudo De Caso Na Investigação Em Enfermagem De Saúde Pública

Public health nurses’ perceptions and experiences of emergency preparedness, responsiveness, and burnout during the COVID‐19 pandemic

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