community health nurses working towards improving population health H e a l t h M e d i c a l

community health nurses working towards improving population health H e a l t h M e d i c a l

1. Community-Based Nurses

Nurses have a vital role in promoting public health. According to Kemppainen, Tossavainen, & Turunen (2017), the focus of health promotion by nurses has been on disease prevention and altering individual’s behavior with respect to their health. However, nurses have a more complex role in health promotion which is an aspect that influences behavior. The health promotion concept further emphasizes community-based practice of ensuring adherence to social and health policies. A community health nurse involvement in these activities presents an instance of their involvement in influencing health behaviors. With community health nurses working towards improving population health, one of their duties is protecting the health of their patients. These nurses integrate evidence-based research with community health need so as to provide care that is based on science and evidence. In doing so, they must determine the cultural and socioeconomic needs of the community and adjust care as required. Such initiatives demonstrate their actions towards health protection. These include various job responsibilities and their correlation to practice.

Community health nurses can also influence the policy making process. This concur through their engagement with policy makers who work towards policy development. Such policies are important in ensuring an improvement in the manner by which care services are offered. Through such policies, client services are altered to result in positive health consequences. At the moment, I belong to the American Nurses Association which is a great organization based on my current RN position. This professional organization provides great details on efforts to improve nursing practice as well as the best strategies that can be applied to better health care services provision.


Kemppainen, V., Tossavainen, K., & Turunen, H. (2017). Nurses’ roles in health promotion practice: an integrative review. Health Promotion International, 28(4), 490-501. doi:10.1093/heapro/das034


2. What are your job responsibilities?

As a home health nurse, S.H. responsibilities are delivering in home care. During those care sessions she assesses and observes patient’s condition while performing a complete evaluation including reviewing medication and vital signs. Wounds (if present) are dressed or redressed and assessment of healing progress is noted. The home health RN also will administer any prescribed medications. The RN coordinates with physicians, physical therapists, occupational therapists and other individuals in the patient’s care plan. Through the formation and evaluation of the care plan the nurse recommends tools or devices that may improve the quality of life for the patient. S.H. as the home health nurse, provides education to patients and families on proper home health care procedures and strategies. Some home health nurses double as a hospice nurse by providing the patient comfortable through palliative care.

Does a correlation exist between your job description and your practice?

A Home Health Nurse provides one-on-one care for clients in the home setting, including dressing, bathing, IV therapy, medication management and wound care. Patients requiring home health nursing services can include patients that are terminally or chronically ill, disabled or elderly, along with individuals recovering from an accident or injury. Occasionally, Home Health Nurses work with pregnant women or new parents to provide ongoing support, education and care. They listen and respond to any patient requests and concerns.

Are you involved in policy formulation that affects client services?

While S.H. does not make policies as she is not in a management position, she does however, give feedback regarding the patients she sees. She can give input and recommend tools, devices, or changes she thinks could benefit all patient’s quality of life.

Do you belong to a professional organization related to your current job position?

S.H. does not currently belong to any professional organizations. There are several different nursing organizations specific to home health nurses. Here are a few possible organizations she could look into joining. The National Association for Home Care and Hospice (NAHC) serves the interests of the elderly, terminally ill and caregivers who provide services to them. Part of their mission is to provide the highest quality of home care, whether it be for hospice or not. The American Association of Homecare works to supply and strengthen access to home healthcare to Americans who are in need of such services. This organization lobbies Congress and various organizations to make sure federal programs are fair and favorable for homecare environments. The Visiting Nurse Associations of America (VNAA) is a professional organization whose vision is to transform homecare for health care workers and patients in the community. Professionals and teams in this organization coordinate programs to address and solve current issues that healthcare workers face in the community. The International Home Care Nurses Organization (IHCNO) is an international organization that helps transform home-based healthcare worldwide. To achieve this, they focus on two initiatives: attracting researchers and policy makers and creating a LinkedIn discussion group aimed at answering questions and addressing home-based care internationally. The Home Care Association of America (HCAOA) represents thousands of companies that staff over 500,000 workers across the United States. This organization is very influential in state and federal policies and helps connect its members to various programs and educational information. The Home Healthcare Nurses Association (HHNA) is a national professional nursing organization that is involved in both home health care and hospice nursing. One of their goals is to recognize the value of home health nursing, which can be achieved through their Nurse of the Year Program. (Quality and Safety Education for Nurses, 2020, para. 1)


Quality and Safety Education for Nurses. (2020). Professional Organizations. Retrieved October 06, 2020, from…