Chapter 2: Population Health

Question 1

What is population health?

Answer 1

The lifespan wellness and disease experiences of aggregate groups of people residing in local, state, national or international geographic regions or those populations with common characteristics. It is NOT public health.

Question 2

Difference between population health and public health

Answer 2

Public health

• Core element of population health that focuses on determinants of health, interventions and individual and collective health advocacy and policies
• More tied to gvt health agencies
• Epidemics, environmental health, health promotion

Pop health

• Focuses on a broad set of concerns rather than certain specific activities.
• Includes health care delivery system, which may be separate or even opposed to gvt system of public health
• Still considers health outcomes of groups

Question 3

Who was Lillian Wald?

Answer 3

• First public health nurse
• Founded Henry Street Settlement House
• Initiated the first public health nursing program

Question 4

Who was Florence Nightingale?

Answer 4

• Founder of modern nursing

- Trained nurses during the Crimean War

Question 5

What are Social Determinants of health?

Answer 5

Economic and social conditions that influence individual and group differences in health status.
Ex: employment, housing, education, safety, zip code, provider availability

Question 6

What are upstream determinants of health?

Answer 6

AKA social determinants of health.

Ex: social relations, neighborhoods and communities, institutions’ social and economic policies

Question 7

The Intervention Wheel

Answer 7

Framework to describe what public health nurses do. Developed as an evidence-based tool in mid-1990s at University of Minnesota. 17 interventions at 3 levels of practice (individual/family, community, system)

Question 8

Assumptions of the Intervention Wheel

Answer 8

Assumption 1: Defining Public Health Nursing Practice
Assumption 2: Public Health Nursing Practice Focuses on Populations
Assumption 3: Public Health Nursing Practice Considers the Determinants of Health
Assumption 4: Public Health Nursing Practice Is Guided by Priorities Identified Through an Assessment of Community Health
Assumption 5: Public Health Nursing Practice Emphasizes Prevention
Assumption 6: Public Health Nurses Intervene at All Levels of Practice
Assumption 7: Public Health Nursing Practice Uses the Nursing Process at All Levels of Practice
Assumption 8: Public Health Nursing Practice Uses a Common Set of Interventions Regardless of Practice Setting
Assumption 9: Public Health Nursing Practice Contributes to the Achievement of the 10 Essential Services
Assumption 10: Public Health Nursing Practice Is Grounded in a Set of Values and Beliefs