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Reorienting Public Health Nurses' Practice With a Professional Practice Model
Cheryl Cusack1, Benita Cohen2, Javier Mignone3
11 Winnipeg Regional Health Authority, Winnipeg, MB, Canada.
Summary
Public health nurses (PHNs) face a practice crisis due to under-utilized skills. This study developed a model to support their full scope of equity-focused practice, enhancing population health outcomes.
Area of Science:
- Nursing
- Public Health
- Health Equity
Background:
- Public health nursing (PHN) roles in Canada emphasize health equity and population outcomes.
- A disconnect exists between PHNs' daily activities and ideal practice, leading to under-utilization of their skills.
Purpose of the Study:
- To develop a professional practice model supporting the full scope of equity-focused public health nursing.
Main Methods:
- Participatory action research with qualitative data collection via semistructured interviews.
- Content analysis and constant comparison for theme identification.
- Inclusion of researcher reflexive journal and field notes, with full participant involvement.
Main Results:
- A professional practice model was developed to reframe the PHN role towards population health and equity.
- The model aids in promoting full scope of practice, managing workload, and articulating PHN value.
Conclusions:
- Professional practice models can serve as frameworks for autonomous nursing activities within healthcare systems.
- These models highlight the importance of nursing knowledge in addressing population health and equity.
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