Online Program

An Assessment of Alignment of a Public Health Nursing Workforce with Organizational Health Promotion Priorities

Wednesday, November 4, 2015 : 1:15 p.m. - 1:30 p.m.

Lakisha Flagg, DrPH(c), MPH, MS, APHN-BC, CPH, Army Nurse Corps, U.S. Army Medical Command, vienna, VA
Background: The implementation of healthcare reform has resulted in a sweeping movement to provide population-focused, health promotion services to medical beneficiaries.  Subsequently, public health nursing (PHN) leaders are faced with the challenge of supporting these initiatives in an environment that has historically placed higher value on individual-focused clinical practice. For many organizations, successful transition to this health promotion-focused paradigm will require changes to the practice of PHN’s and to their care orientation. The development of sustainable strategies to increase PHN support of population-based health promotion initiatives can facilitate demonstration of value added for this unique public health workforce.

Methods: Utilizing a phased and emergent design, a mixed-methods assessment of PHN health promotion practice was conducted to describe current PHN health promotion practice.  Special attention was given to the macro, organizational, and staff-level factors impacting PHN practice as it is understood that systems-level factors are important considerations for public health practice and outcomes.  Methods included key informant interviews, PHN staff surveys, document reviews and gap assessments.  

Results: Findings indicate that gaps exist between current PHN practice, organizational health promotion priorities and related practice regulations.  Differences in practice were observed between educational categories, roles, and experience-levels.  Results indicate that the PHN workforce is well-suited to support organizational health promotion initiatives; their support is largely contingent on leader efforts to improve conditions for health promotion practice.

Conclusions: Systems-level assessment of PHN practice can provide leaders with insight into contextual issues impacting practice and can therefore facilitate improvement of workforce alignment with organizational priorities.

Learning Areas:

Administration, management, leadership
Public health or related nursing
Public health or related organizational policy, standards, or other guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the process of a systems-level PHN workforce assessment. Describe the outcomes of a PHN workforce assessment and its leadership/policy implications.

Keyword(s): Workforce, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: ANCC board certified advanced public health nurse and NBPHE/CPH certified public health professional.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.