Question

Analyze what you believe were two of the greatest historical contributions to public health nursing in the United States and how those contributions affect public health nursing and community-oriented practice today. References should be included at the end of the answer and in a reference page for complete credit

Answer 1

Lillian Wald the founder of the henerry street settlement , invented the term public health nursing.

What Wald called "our enterprise of public health nursing" was not an isolated undertaking, nor was she a lone American heroine. Her paradigm for nursing practice was based on knowledge gained during two decades of experiencing in visiting nursing and owed much to progressive reform and public health movement of turn of the century.  

To teach healpful leaving and disease prevention :- while Wald was developing her new agenda for reform the society and delivery of the health care, the changing emphasize of the public health campaign simultaneously created yet another aspect of bond between nursing and public health. As the focus of the public health movement. Health visit offer the nurse a new opportunity for professional independence status and economic security. As one medical authority suggested, the were the relay station to carry the power from the control centre of the science, the hospital and the University to the individual home of the community . This was the time for unprecedented possibilities for nursing. Wald argues that the public health nurses are the link between families , social echonomic and health needs and the services they required to become and stay healthy. She was therefore opposed to specialization and to distinction between health teaching and direct patient care. If the message of the health to be carried to troubled families , something also need to be done for these families.

Prevention Vs cure:- by the late 1920s public health nurses indeed demonstrated their ability to advance the public health mission , but the field had reached a turning point . Despite the intent for the reformers for a conceptually coherent and centrally structured set of public health services . Many nursing leaders begin to campaign for the creation of comprehensive, coordinate community based nursing services. Leaders are now considered separating the curative and preventive functions of the public health to be a mistake and they argue for the combined model that would unite both voluntarily and publicly funded agencies. Nursed with this more rational system would be general. Practicener who would care for all people in neighborhood , in sickness and in health , regardless of income and type of illness. Despite their ability to demonstrate that this unification model meet the needs of most of the patient it served however , organized nursing was never able to create the institutional framework necessary to implement their vision.