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It’s My Bag! Public Health Nursing Across Nebraska

Using tobacco settlement monies to promote competency among nurses practicing public health in rural communities. It’s My Bag! Public Health Nursing Across Nebraska. Carol Beth Isaac, MA, RN Ellen M. Reichenbach, MSN, RN Bevely J. Hays, PhD, RN. What does Nebraska look like?.

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It’s My Bag! Public Health Nursing Across Nebraska

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  1. Using tobacco settlement monies to promote competency among nurses practicing public health in rural communities

  2. It’s My Bag! Public Health Nursing Across Nebraska • Carol Beth Isaac, MA, RN • Ellen M. Reichenbach, MSN, RN • Bevely J. Hays, PhD, RN

  3. What does Nebraska look like? • Population of 1.7 million • 2/3 of population found in urban areas • Until 2001 – only 22 of 93 counties had functioning health departments

  4. How has Nebraska used their tobacco settlement monies? • In 2000, received $25,000,000/yr. • 5.7 million designated for building public health infrastructure • Development of 16 regional health departments • Cash Fund developed to fund grants providing public health support & services

  5. 1st Year of Project • Implemented 3 half-day satellite delivery sessions & 1 live, on-site session • Administered 5 page, 62 item competency instrument • Reached 45 PHNs in rural Nebraska

  6. Approach #1 – Keep the Material Personal & Interesting • Non-judgmental, interactive presentation style • Rural focus • Anticipate “needed information” • Participant satisfaction survey

  7. Approach #2 – Deal Effectively With Technical Difficulty • Delay time not conducive to interactive approach. • Use of site facilitator helpful. • Recruitment of volunteer PHNs to manage the site & monitor technical issues.

  8. Approach #3 – Choose Your Sites Carefully • Location • Travel time • Date selection • Honoring agency schedules

  9. Approach #4 -Respect the Business of the Work Place • Recruitment of agency heads • Networking with front-line staff • Written commitment from participants

  10. Competency Instrument Pre-and post-test 13 public health related categories 62 items 45 PHNs completed 25 pairs for analysis Analysis of means Paired t-test Assessment for Content

  11. Identify Partners Engage Partners Describe the Community Describe the Systems Analyze Information Describe the Population Identify Health Influences Needs Assessment Develop Problem List Prioritize Problems Identify Goals Identify Health Status Define Levels of Intervention 13 Categories

  12. Key Findings • Participants self-rated competency for PHN practice increased • Greatest increases – community description, data analysis & problem solving process • Improvement in systems, community & individual/family interventions • Least improvement – engagement of partners & health determinants

  13. 3 Implications 1. “Tools” to participate in public health network. 2. Beginning foundation to work off of. 3. Okay to include community as valid part of practice.

  14. Partners • Public Health Association of Nebraska • Rural Health Association of Nebraska • Nebraska Nurses Association

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