Implications for the workplace. Public health surveillance in the United States. Information technology, stable funding, workforce capacity with particular emphasis on the nursing shortage, leadership at the local, state and national level, and gaps in applying public health interventions all characterize challenges within our infrastructure. Schools of nursing should examine their curriculum to ensure that the skills and competencies related to public health practice and emergency response are an integral part of the required coursework. When the actual event occurred with anthrax, it was clear that local system capacity was severely stressed. The next step is to begin treatment of the case or cases and establish the best method for post-exposure prophylaxis and other methods to reduce the spread of the disease.
This step is a part of the assurance function of public health and is aligned with the implementation function in the nursing process. As new funding comes into states for preparedness, we must not lose our focus on our core public health mission of health promotion and protection and disease prevention. Communicating with the public should be an ongoing process throughout a high risk and threatening situation such as an anthrax attack. The approach begins with the development of a response plan in collaboration with multiple partners at the local level, including emergency response and law enforcement, and an inventory of all resources that can be utilized in the event of bioterrorism. These skills and competencies are not unique to public health nursing; however, the public health nurse brings a unique perspective. The Centers for Disease Control and Prevention has developed a vast set of materials and recommendations on bioterrorism preparedness www.
During this period of time when states and local communities are planning for emergency response and increasing their capacity to respond to bioterrorism, public health nurses should be involved to assure that all aspects of the human and community response to health threats are taken into consideration.
Although the focus of public health is at the population level, the impact of on individuals and families has helped frame the need for the types of service communities will need to plan for in a bioterrorism event. Department of Health and Human Services. The assurance function is the service end of public health. Reducing the spread of anthrax would require eliminating the source of the bacillus itself, such as the spores on letters sent through the mail, since anthrax has very little risk of transmission from person to person.
Public health departments at the state and local level are the primary providers of public health services. Health care access has declined since and the rates of drug-related deaths and drug abuse related-emergency room visits have increased. Will state and local health departments take this opportunity to develop plans that integrate preparedness with the day-to-day infrastructure needs in public health, including the need for public health nursing?
In addition to these interventions, planning for the future is happening in a context where public health is facing risks and challenges of its own.
The impact of threat of terrorism is less well known. They experienced inadequate communication between the health department and the investigation site and lacked access to effective information systems.
The public health infrastructure today faces multiple challenges. Implications for the workplace.
Public Health Nursing Practice: Aftermath of September 11,
Public health nurses should be providing leadership to activities related to mobilizing communities around actions to prevent health threats. Public health nurses must fine tune their skills in risk communication.
The authors draw from the literature the likely psychological and behavioral responses to bioterrorism. Public health agencies deliver services to individuals, families and populations using a framework called the core functions.
This article will explore how this event has affected not only the lives of individuals, but also the system that includes public health and the practice of public health nurses.
Planning for the future. When the actual event occurred with anthrax, it was clear that local system capacity was severely stressed.
Public health has been planning for the potential of bioterrorism for some time now. The “Competencies Project” www.
Bioterrorism: anthrax a case study |
We are pleased to see her interest in older adults with multimorbidity and advancing models of care and care coordination for this growing population group. Implications for Public Health Nursing Public health nursing has the skills and competencies to meet these challenges, but our practice must evolve in order to do biotedrorism. New discoveries in the fields of manufacturing, information technology, health care, transportation, agriculture, and many others have changed the fabric of our society and the order bbioterrorism things.
She holds a Ph. Individuals and iboterrorism have responded to this new threat of terrorism in America with a variety of coping mechanisms. The events of that one day have led to war, financial and economic crisis in many sectors, heightened security at airports and public events, threats to civil liberties, and acts of racial and ethnic discrimination and violence.
Perspectives on School Nursing Healthcare Reform: Schools of nursing should examine their curriculum to ensure that the skills and competencies related to public health bioterrorisk and emergency response are an integral part of the required coursework. Assessment, the epidemiological part of public health, includes the collection, analysis, and yesi of data about health status and threats to health.
Department of Health and Human Services, reports on a number of objectives for which the data show a decline in health status rather than improvement.
Public Health Nursing Practice: Aftermath of September 11, 2001
They state that the threat of an actual bioterrorism attack might lead to anxiety, acute stress disorder symptoms, and chronic post traumatic stress disorder symptoms. In the case of anthrax, potentially exposed persons would receive antibiotics as soon as possible. Information technology, stable funding, workforce capacity with particular emphasis on the nursing shortage, leadership at the local, state and national level, and gaps in applying public health interventions all characterize challenges within our infrastructure.
Domains of Core Competencies and Skills. This Council, a consortium of the major public health and health care organizations, developed a set of core competencies for providing the essential public health services.