PHN Professional Issues and Standards of Practice APHA

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PHN: Professional Issues and Standards of Practice APHA November 5, 2006

PHN: Professional Issues and Standards of Practice APHA November 5, 2006

Committee Members • • • Joy Reed Kaye Bender Ellen Bridge Mary Pat Couig

Committee Members • • • Joy Reed Kaye Bender Ellen Bridge Mary Pat Couig Glenda Kelly Pamela Kulbok Betty Bekemeier Beth Benedict Stephanie Chalupka Philip Greiner Joan Kub

Process • • • Analysis of reports and publications Developed first draft in small

Process • • • Analysis of reports and publications Developed first draft in small groups Agreed on Draft Public Comment on Draft Revisions based on feedback (considered every comment) • Finalized and sent to ANA Congress

Components of the Scope • Acknowledgment of spirited predecessors • Acceptance of the 2002

Components of the Scope • Acknowledgment of spirited predecessors • Acceptance of the 2002 IOM’s Ecological Model and 2003 report • Recognition of public health and public health nursing competencies, NPHPS, Essentials • Impact of emerging issues (preparedness, obesity, environmental hazards, etc. )

Definition of PHN • • • Population-based Partnerships Role related to Core Functions Focus

Definition of PHN • • • Population-based Partnerships Role related to Core Functions Focus on supporting and enhancing health Tenets revised as 8 principles that combined distinguish PHN from other specialties

Education • Generalist level assumes baccalaureate preparation • Master’s assumed for nurse specialist •

Education • Generalist level assumes baccalaureate preparation • Master’s assumed for nurse specialist • ADN and Diploma assist where care is directed toward individuals and families • Use of APRN terminology – to emphasize that CNS is one of the 4 APRN roles

Standards • Have to start with “template” language and justify changes • Added population-focused

Standards • Have to start with “template” language and justify changes • Added population-focused language throughout – “health status of populations” – “population diagnoses and priorities” – “with” the population or community • Increased focus and language around: environmental issues, cultural competence, social justice, assets rather than needs

Standards • Added a 5 D - “Regulatory Activities” • Added a Standard 16

Standards • Added a 5 D - “Regulatory Activities” • Added a Standard 16 on “Advocacy” because of its critical role in PHN

Issues for the Profession • The educational level assumed for this document and the

Issues for the Profession • The educational level assumed for this document and the PHN competencies versus the reality of practice • The “advanced practice” debate - can we articulate clearly a difference between “advanced nursing practice” (professional) and “Advanced Practice Nursing” (regulatory)