Community Health Nursing: Caring for the Public’s Health, Third Edition focuses on teaching nursing students about population health and community health nursing. The text is directed toward health promotion and primary prevention in the community, with newly revised content in each chapter. Health care in the community is presented within the population’s cultural context, whether influenced by age, gender, race, or ethnicity. The Third Edition represents a broad range of diversity and depicts the unique composition of communities in the United States.
This text was crafted in collaboration with many well-known and respected experts in the field and was guided by the Association of Community Health Nursing Educators Essentials of Baccalaureate Nursing Education for Entry Level Practice in Community/Public Health Nursing. The authors employ a unique pedagogical approach by structuring each chapter of the Third Edition around reflective and connected learning through the inclusion of art, narratives, media, and literature. This approach can be successfully integrated with traditional course content, either online or in the classroom, recognizing that students learn best using a variety of tools. Community Health Nursing: Caring for the Public’s Health, Third Edition includes access to Navigate 2 online learning materials including a comprehensive and interactive eBook, student practice activities and assessments, learning analytics reporting tools, and more.

About the Author

Karen Saucier Lundy, PhD, RN, FAAN is currently a Professor Emeritus at the University of Southern Mississippi College of Nursing in Hattiesburg, Mississippi. She has practiced in community and public health in diverse setting, such as state health departments, migrant health programs, the U.S. Public Health Service, school health, and high-risk maternity and child health. She has also functioned in a neonatal intensive care as a staff nurse, clinical instructor, and transport nurse in regional referral medical centers. Dr. Lundy has taught community health at the baccalaureate and master’s levels. She has been responsible for the undergraduate and graduate courses in community health nursing doctoral courses in philosophy of science and qualitative research. Dr. Lundy served as Dean at Delta State University School of Nursing in Cleveland, Mississippi, Loretta Heights College in Denver, Colorado, and the University of Colorado School of Nursing in Denver. Dr. Lundy has also taught sociology at the Univeristy of Colorado in Boulder, including courses in family, gender roles, deviance, and social theory. Her scholarly presentations and publications have been in the areas of community health, historical inquiry, philosophy of science, European medieval historical research, gender role and the family, media, and international health and education in Great Britain, Germany, Jamaica, France, and Cube. Dr. Lundy also holds a teaching appointment in sociology at the University of Southern Mississippi where she most recently taught at the USM Abbey in Pontlevoy, France. Her current research involves the transformation of women healers to social deviants in the systemic torture and killing of “labeled” witches in a 11th- and 12th century Europe. She holds a BS in nursing from the University of Southern Mississippi School of Nursing, an MS in community health nursing from the University of Colorado School of Nursing in Denver, and an MA and PhD in sociology from the University of Colorado in Boulder. Dr. Lundy is the author of Perspectives in Family and Community Health, which was named an American Journal of Nursing Book of the Year in 1990. Sharyn Janes, PhD, RN, ACRN- Florida Agricultural and Mechanical University, Tallahassee, Florida Sharyn Janes, PhD, RN was a professor in the School of Nursing at Florida Agricultural and Mechanical University in Tallahassee, Florida, where she taught community public health nursing at the baccalaureate level and research and theory at the master’s level. Prior to her position at Florida A&M University, she was a case manager in the Division of Organizational Planning and Improvement at Tallahassee Memorial Hospital. She has held the rank of professor of nursing at Thomas University, Thomasville, GA, Louisiana State University Health Sciences Center, New Orleans, LA, and the University of Southern Mississippi, Hattiesburg. While at LSUHSC, she held the positions of Associate Dean for Professional Practice and Community Relations and Director of the MSN Programs. While at USM, she was the director of the school of Nursing. She taught community health/public health nursing at the baccalaureate and master’s levels, health care policy and philosophy of science at the doctoral level, international health courses in Cuba and Jamaica, and graduate and undergraduate courses in transcultural nursing. Dr. Janes was the Director of the Cuba Studies Program in the University of Southern Mississippi College of International and Continuing Education. She earned her BSN at Marywood College, Scranton, Pennsylvania; her MS in community health nursing at the State University of New York at Binghamton; and her PhD in higher education at Florida State University, Tallahassee. Dr. Janes has practiced nursing in a variety of community settings, including home health, hospice, and school health and in several acute care settings, including medical-surgical units and emergency departments. Her scholarly presentations and publications are predominantly in the areas of HIV/AIDS educations and prevention; cultural issues in nursing education, practice, and research; and international health and education.

Table of Contents:
Unit 1: The Context Chapter 1: Opening the Door to Health Care in the Community (Karen Saucier Lundy, Sharyn Janes, and Sherry Hartman) • A Closer Look at Health • Nursing in the 21st Century • Community- Based, Population-Focused, • Community Health Nursing: What’s in a Name? • Reform and the Reinvention of Systems of Care • Back to the Future: >From Hospital to Community, from Cure to Prevention • Epidemiology: The Science of Public Health • Measuring a Community’s Health: How Do We Know When We Get There? • Conclusion Chapter 2: Community and Population Health: Assessment and Intervention (Karen Saucier Lundy and Judith A. Barton) • Communities and Populations • Community Assessment Frameworks • Using the Nursing Process for the Community • Conclusion Chapter 3: History of Community and Public Health Nursing (Karen Saucier Lundy and Kaye W. Bender) • Classical Era • The Greeks and Health • Roman Era • Middle Ages • The Renaissance • The Emergence of Home Visiting • The Reformation • The Advancement of Science and Health of the Public • The Dark Period of Nursing • Early Organized Health Care in the Americas: A Brave New World • The Industrial Revolution • John Snow and the Science of Epidemiology • And Then There Was Nightingale. .. • Returning Home a Heroine: The Political Reformer • Early Nursing Education and Organization in the United States • The Evolution of Nursing in the United States: The First Century of Professional Nursing • The Emergence of Community and Public Health Nursing • Science and Health Care, 1945-1960: Decades of Change • Years of Revolution, Protest, and the New Order, 1961-2000 • Managed Care and Healthcare Reform: First Decades of the 21st Century Chapter 4: Epidemiology of Health and Illness (Angeline Bushy and Gail A. Harkness) • Epidemiology Defined • Scope of Epidemiology • The Epidemiological, Research, and Nursing • Processes • Natural History of Disease • Descriptive Epidemiology • Person, Place, and Time • Analytic Epidemiology • Conclusion Chapter 5: Transforming the Public’s Healthcare Systems (Bonita R. Reinert and Karen Saucier Lundy) • The Evolving U.S. Healthcare Delivery System • The Current U.S. Healthcare Delivery System • Issues Affecting the Delivery of Healthcare Services • Managed Care • The Concept of Managed Care • Health Politics and Policy • New Nursing Opportunities • Conclusion Chapter 6: The Home Visit (Karen Saucier Lundy) • The Home Visiting Process • Advantages of Home Visits • Effectiveness of Home Visits • Challenges of Home Visits • Distractions in the Home Environment • Conclusion Chapter 7: Global Health (Sharyn Janes) • Globalization and International Health • Role of International Agencies • Global Health Issues • Global Initiatives • Global Nursing Unit 2: Influences on Community and Population Health Chapter 8: Economics of Health Care (Sherry Hartman and Dean Bauman) • An Economic Approach to Health Care • History of U.S. Health Market • Paying for Health Care • Cost Containment, Cost Analysis, and Quality • Public Health, Managed Care, and the Economics of Prevention • Significance of Economics for Community Health Nursing Practice • The Affordable Care Act • Economics and Nightingale’s Legacy Chapter 9: Politics and the Law (Karen Saucier Lundy, Sharyn Janes, and Heather Rakauskas Sherry) • Government Authority • Government • Regulation and Licensing of Nursing Practice • Nursing Practice and the Law • Conclusion Chapter 10: Health Policy (Nancy Milio, Marti Jordan, and Karen Saucier Lundy) • Health Policy and Public Policy • Public Health and Public Policy • Policy Development • Information for Action • Policy Development Strategies • Implementation • Nurses in Communities, Public Health Policy, and Primary Prevention • Conclusion Chapter 11: Transcultural Nursing Care in the Community (Madeleine Leininger and Sharyn Janes) • Community-Based Transcultural Nursing • Scope of Transcultural Nursing Cultures • Transcultural Nursing Principles • Transcultural Concepts • Leininger’s Theory of Culture Care Diversity and Universality • Conclusion Chapter 12: Ethics and Health (Pat Kurtz and Janie B. Butts) • Virtue or Character Ethics • Principle- Based Ethics: Developing Moral Rules • Ethic of Care • Ethical Problems Faced by Community Health Nurses: The Research • Ethical Decision Making • Service- Learning: Discovering the Self and Developing Community Values* • Conclusion Chapter 13: Environmental Health (Carole J. Nyman, Patricia Butterfield, and Karen Saucier Lundy) • Upstream Thinking: Making Connections Between Environmental and Human Health • Trends in Exposure and Disease • A World View • The Environment and Health • Nursing and the Environment • Roles of the Community Health Nurse • Ethical Principles Addressing Environmental Health Nursing • Conclusion Unit 3: Care of Communities and Populations Chapter 14: Health Promotion and Wellness (Joan H. Baldwin, Cynthia Conger, and Betty Sylvest) • Basic Concepts of Health and Health Promotion • Factors Influencing Health Promotion and Wellness • Models of Health Promotion and Wellness • Conclusion Chapter 15: Health Ministries: Health and Faith Communities (Lilianna K. Deveneau and Karen Saucier Lundy) • Development of Health Ministries • Health Ministry in Action • Relationship Between Community Health Nursing and Faith Communities • Missionary Nursing* • Spirituality Versus Religion in Health Care • Conclusion Chapter 16: Complementary and Holistic Health (Margaret A. Burkhardt and Lilianna K. Deveneau) • Holistic Framework • Historical Influences • Complementary Modalities: What Are They? • Integrating Complementary Therapies into Community Nursing Care • Potential Barriers to Use of Complementary Therapies • Complementary Health and Community Nursing Practice • Conclusion Chapter 17: Health Education in the Community (Betty Sylvest and Lucy Bradley-Springer) • Culturally Sensitive Teaching and Learning • Theoretical Bases • The Health Education Process • Health Education in Communities • Ethical Issues in Health Education • Conclusion Chapter 18: Community and Group Communication (Grace Coggio and Lilianna K. Deveneau) • Types of Groups • Characteristics of Effective Groups • Communication Within Groups • Stages of Group Development • Groups and Technology • Evaluating Groups • Ethical Considerations • Conclusion Unit 4: Common Community and Population Health Problems and Issues Chapter 19: Disasters in the Community (Karen Saucier Lundy and Janie B. Butts) • The Nature of Disasters • Stages of Disaster • Disaster Planning • Disaster Response • Role of the Community Health Nurse in Disasters • Disaster Recovery • Conclusion Chapter 20: Communicable and Infectious Disease (Cathy Keen Hughes and Sharyn Janes) • The Problem of Communicable Disease • Transmission of Infectious Agents • Communicable Disease Prevention • Control of Diseases • Emerging and Reemerging Infectious Diseases • Global Disease Eradication Efforts • Conclusion Chapter 21: Sexually Transmitted Infections and HIV / AIDS (Cathy Keen Hughes) • Scope of the Problem • Common STIs • Health Consequences of STIs • HIV/AIDS • STIs and the U.S. Healthcare System • The Role of Community Health Nurses • Conclusion Chapter 22: Substance Abuse and Misuse as Community Health Problems (Judith A. Barton, Jean A. Haspeslagh, and Marshall Parker Lundy) • The Nature of Substance Abuse as a Community Health Problem • Risk Factors for Substance Abuse • Nursing Assessment • Interventions • Conclusion Chapter 23: Violence and the Community (Sherry Hartman, Lilianna K. Deveneau, and Ann Thedford Lanier) • From Criminal Justice to Public Health • Defining and Explaining Violence • Types of Violence in U.S. Society • Interventions to Prevent Violence • Conclusion Unit 5: Vulnerable Populations Chapter 24: Vulnerability in Community Populations: An Overview (Angeline Bushy) • Basic Concepts Related to Risk and Vulnerability • Web of Causation: The Interrelationship Social Determinants, Risk and Vulnerability • Poverty: Impact on Risk and Vulnerability • Vulnerable Populations with Special Needs • Nursing Considerations • Nursing Roles • Conclusion Chapter 25: Rural, Urban, and Homeless Populations (Janie B. Butts and Gale A. Spencer) • Rural Populations • Urban Populations • The Homeless Population • Caring for Urban and Homeless People Chapter 26: Adolescent Pregnancy (Loretta Sweet Jemmott and Karen Saucier Lundy) • Sexual Behavior and Pregnancy Rates • Factors Contributing to Adolescent Pregnancy • Impact of Adolescent Pregnancy • Role of the Nurse • Conclusion Chapter 27: Psychiatric Care and Mental Health in the Community (Sarah Steen Lauterbach and John Hodnett) • The Unique Role and Perspective of Psychiatric- Mental Health Nursing in Caring for the Public’s Health • Definitions of Mental Health • History of Mental Health in the Community • Historical Context for Professional Nursing • History and Spirit of Psychiatric- Mental Health Nursing in the Community • Individuals and Population Groups Needing Psychiatric-Mental Health Services • Current Assessment of the Public’s Mental Heald Status • Psychiatric-Mental Health Nursing’s Roles and Phenomena of Concern • Models for Psychiatric-Mental Health Nursing • Practice • The Future of Psychiatric- Mental Health Nursing Practice • Conclusion Chapter 28: Chronic Illness and Disability (Edith Hilton and Valerie Rachal) • Issues and Public Policies Affecting Individuals with Chronic Illnesses and Disabilities • Chronic Illness and Disabilities in the United States • Defining Disability and Chronic Illness • Caregivers for Individuals with Chronic Conditions • Vulnerable Populations • Caring for Persons with Long-Term Health Problems • Quality of Life in Disability and Chronic Illness • The Chronic Care Model • Stages of Adjusting to a New Form of Disability • Roles for Community Health Nurses • Role Models • Financing Costs of Chronic Illness • Self-Determination: The Patient as Partner • Sensitivity in Community-Based Caring • Issues Community Health Nurses Encounter • Community Living Needs of People Who Have Disabilities • Ethical Issues Related to Disabilities • The Future Role of Community Health in Chronic Illness and Disability Care in the Future • Conclusion Unit 6: Health Across The Lifespan Chapter 29: Foundations of Family Care (Ruth A. O’Brien and Karen Saucier Lundy) • Definition of Family • Health Responsibilities of the Family • Theoretical Approaches to the Family • Family-Oriented Versus Family- Focused Nursing Role • A Conceptual Framework for Family Assessment • A Self-Efficacy Model for Nurse- Family Intervention • Conclusion Chapter 30: Caring for the Family in Health and Illness (Linda Beth Tiedje and Karen Saucier Lundy) • Thinking Differently About Family Health • Community- Based Services for Promoting Family Health • Characteristics of Successful Interventions • Creating Healthy Families and Communities • Issues in Family Nursing Today • Values: A Challenge for the Future • Conclusion Chapter 31: Women’s Health (Karen Saucier Lundy and Norma G. Cuellar) • Profile of Women’s Health • Health Issues, Health Promotion, and Health Prevention Across the Lifespan • Specific Disease Conditions of Women Throughout the Lifespan • Diversity and Women’s Health • Special Issues Affecting Women’s Health • Toward the Future • Conclusion Chapter 32: Men’s Health (Sharyn Janes, Karen Saucier Lundy, and Joseph Farmer) • Men’s Health • Healthcare System Utilization • Specific Male Health Issues • Selected At-Risk Populations • Community Health Nursing Roles • Men’s Health Research Issues • Conclusion Chapter 33: Child and Adolescent Health (Angela Chisum Blackburn and Harriet Kitzman) • Improving Children’s Health: Working with Families • Selected Nursing Interventions • Improving Child and Youth Health: Systems of Care • Ecology of Child and Youth Health: Contexts for Growth and Development • Conclusion Chapter 34: Older Adults (Virginia Lee Cora and Cindy Luther) • Aging • Nursing of Elders • Preventive Health Care • Special Older Adults Health Issues • Conclusion • Appendix A • Appendix B • Appendix C • Appendix D • Appendix E • Appendix F • Appendix G Unit 7: Diversity in Community Health Nursing Roles Chapter 35: Public Health Nursing: Pioneers of Healthcare Reform (Kaye W. Bender and Marla E. Salmon) • History of Public Health Nursing • Public Health Nursing Philosophy • Challenges and Issues for Public Health Nursing in the 21st Century • Conclusion Chapter 36: Home Health and Hospice Nursing (Karen Saucier Lundy and Ilene Purvis Bloxsom) • Home Health Nursing • The Medicare Era • Types of Home Health Agencies • Financing and Payment Systems for Home Health Services • Quality Assurance and Public Accountability • Managed Care and Home Health • Interdisciplinary Team Approach in Home Health • Role of Family Caregivers in Home Health • Legal and Ethical Issues in Home Health • Information and Technology in Home Health • Hospice Care in the Home • The Future of Health Care in the Home • Conclusion Chapter 37: School Health Nursing (Frances Martin and Karen Saucier Lundy) • History of School Health Nursing • The Education System and the School Nurse • Education and Credentials of the School Nurse • Role Definition of the School Nurse • Healthy People 2020 • School Health Nursing Practice • Legal Issues in School Nursing • Community Issues in School Health • Innovations • Conclusion Chapter 38: Occupational Health Nursing (Bonnie Rogers) • History of Occupational Health Nursing • Work and Workplace Hazards • Work/Workplace Change • Occupational Health Nursing Practice • Governmental Influence • Professionalism in Occupational Health • Nursing • Future Expansions • Conclusion Index