Abstract
Adapting RWJFâs Public Health Nurse Leader Culture of Health Projects Nationwide (abstract 378363)
Susan Hassmiller, PhD, RN, FAAN
Robert Wood Johnson Foundation, Princeton, NJ
APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)
Problem: The role of public health nursing is changing due to health reform, shrinking budgets, and a transition in many areas away from clinical-setting interventions at the individual level and toward community-level interventions. Effective public health leaders must have the skills, education, and training to develop and implement value driven population-level policies and strategies.
Approach: The Robert Wood Johnson Foundation in 2015 funded a leadership development program for 25 state and local public health nurse leaders (PHNLâs) from 22 states. These PHNLâs participated in six leadership training sessions coordinated by the Center for Creative Leadership, and developed and implemented a project to build a Culture of Health in their states or communities. The program sought to: 1) increase the number of public health nurse leaders who have enhanced knowledge and leadership skills to influence a Culture of Health; and 2) increase the capacity of senior-level public health nurses to lead individuals, organizations, and communities.
Outcomes: The Public Health Nurse Leaders designed and implemented projects, in collaboration with the Future of Nursing Action Coalitions in their states. These projects are improving community health and can be replicated nationwide. The Public Health Nurse Leaders gained leadership skills, increased the visibility of Culture of Health concepts and demonstrated actions for building a Culture of Health. Lessons learned will be presented.
Implications: These leaders improved their leadership capacities and now lead efforts to build a Culture of Health. The leadership training and demonstration projects can be adapted for replication within states and communities.
Advocacy for health and health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related nursing
Abstract
Adapting RWJFâs Public Health Nurse Leader Culture of Health Projects Nationwide: Creating a Standardized Tool for Nursing Assessment of the Social Determinants of Health
Nancie Bechtel, RN, BSN, MPH1 and Alexandria Jones, RN, MS2
(1)Columbus Public Health, Columbus, OH, (2)Ohio Department of Health, Columbus, OH
APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)
Problem: Disparities in social determinants of health (SDHâs) affect vulnerable populations, decreasing opportunities to attain or maintain health. Despite nursesâ best intentions to help clients be healthy, nurses have not traditionally been taught about the impact of SDHâs on their patientsâ health outcomes or how to assess for SDHâs so they can be addressed as part of the care plan. Nurses in practice and nursing students need SDH education and standardization for assessing for SDHâs as a basic component of a nursing assessment.
Approach: A baseline survey was conducted among hospitals, health departments and nursing academic institutions in Ohio to gauge SDH education and assessment among nurses. Results revealed that nurses across the state were not assessing for basic SDHs. A standardized SDH screening based on CMSâ core SDHâs was developed and piloted, along with an educational module for nurses. Feedback from the pilot and lessons learned will be presented.
Products: SDH assessment tool; accompanying educational module; pre- and post-surveys will be shared.
Implications. A basic nursing SDH assessment administered consistently will allow clients to be referred for services to meet basic SDHâs, promoting healthier clients, health equity and a healthier population overall. The assessment tool, education module and surveys can be adapted and replicated for use in any nursing practice setting.
Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Provision of health care to the public Public health or related nursing
Abstract
Adapting RWJF's Public Health Nurse Leader Culture of Health Projects Nationwide: Academic and Practice Partnerships
Renee Frauendienst, BSN, RN, PHN, CPI
Stearns County, St. Cloud, MN
APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)
Problem: The Triple Aim of Health Care focuses on improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Nurses, regardless of where they practice, will play key roles in achieving the population health aim. What is needed to develop the skills that broaden the nurseâs vision into the community? How do we engage nurses in providing services to clients by seeing the bigger picture of how their work at the âbedsideâ extends into the community?
Approach: This presentation describes creating an academic-practice partnership using a community-based rotation for all nursing students. We engaged a community steering committee of state and local public health, civic, academic, and clinical nurse leaders to develop and pilot an intensive curriculum through a local hospitalâs summer nurse internship program. Working in a hospital clinical area with an assigned nurse mentor, students engaged in a variety of population focused activities using community and civic engagement strategies.
Products/Outcomes: Community-based curriculum tied to clinical areas and populations seen in the hospital. Pre- and post-internship data will be presented. Students improved knowledge, skills, attitudes and behaviors. Student and mentor feedback provides lessons learned for improving a community-based clinical rotation.
Implications: Academic-practice partnerships engaging nursing students in community-linked clinical rotations will prepare future nurse leaders to foster a culture of health. They will be better prepared for population health management, regardless of the area of practice. The development of processes and products could inform curriculum in nursing education settings.
Public health or related education
Abstract
Adapting RWJFâs Public Health Nurse Leader Culture of Health Projects Nationwide: Engaging Washington State Nurses to Achieve Healthier Populations
Dorene Hersh, RN, MN
Public Health Seattle-King County, Seattle, WA
APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)
The Washington Nursing Action Coalition (WNAC) is committed to engaging nurses, the largest segment of the healthcare workforce in the state, as leaders in health care reform.
WNAC surveyed all Washington nurses. As evident by survey results, nurses are interested in learning more about health care reform strategies in our state and the Robert Wood Johnson Culture of Health framework, which emphasizes the role of social determinants and environmental influences on the health of Washingtonians. This session will highlight the methods employed by WNAC to engage nurses to apply a Culture of Health framework in their work and participate in Healthier Washington (the state plan to address health care reform), through a variety of nurse engagement strategies.
Products: These include a resources Webpage and toolkit, conference presentations, and a short film highlighting the work of nurses and inter-professional teams addressing the social and environmental determinants. Initial and follow-up survey results will be presented.
Nurses possess a unique skill set and opportunities to lead reforms in public health and health care so that social determinants and environmental influences on health receive attention and action. The survey developed by Washington to gauge nurse interest and the engagement methods created can be adapted and replicated by nurse leaders in other states and communities. All nurses should incorporate social justice concepts in working with vulnerable populations by addressing the social and environmental determinants of health.
Public health or related nursing
Abstract
Telehealth Education for Patients Living with Diabetes in Rural Alabama (TELDRA)
Jessica Hardy, MPH, DNP, APRN, ACNS-BC1 and Alethea Hill, PhD, ACNP-BC, ANP-BC2
(1)Alabama Department of Public Health, Montgomery, AL, (2)UNIVERSITY OF SOUTH ALABAMA, Mobile, AL
APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)
Problem: As of 2015, Alabama is ranked 46th for both overall health and diabetes. Alabama is tied for third with West Virginia at 11.1 percentages of adults who have been told by their health care provider they have diabetes. In 2015, Escambia County Alabamaâs health ranking was 50th out of 67 counties. Evidence supports the value, effectiveness, and cost-effectiveness of Diabetes Self Management Education/Training (DSME/T) programs. Patients who receive DSME/T in a group setting improve their diabetes knowledge and reduce their need for diabetes medication. Escambia County, rural and isolated, lacks resources to conduct group DSME/T.
Approach: Using Alabamaâs new telehealth technology we piloted a six-session DSME/T group, led by a healthcare provider in a different county connected to diabetes patients in Escambia County. Social and other media disseminated diabetes education and prevention messages. Diabetes self-efficacy management was measured pre- and post-intervention using Stanfordâs scoring tool and the DDS17. Results will be presented.
Product/Outcome: Methods for conducting group DSME/T to remote locations using telehealth technology. Increased patient diabetes knowledge and management self-efficacy. Multi-media messages to reinforce DSME/T.
Implications: Many vulnerable populations experiencing high rates of diabetes live in remote areas lacking health care providers and diabetes management programs. Using telehealth technology to deliver proven programs reduces health disparities for these vulnerable populations, enabling them to experience optimal physical and psychological well-being. Telehealth methods for group diabetes management can be adapted and replicated in remote areas throughout the U.S.
Chronic disease management and prevention Public health or related nursing