Factors Associated with Change Toward Population-focused Public Health Nursing Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/158836
Type:
Presentation
Title:
Factors Associated with Change Toward Population-focused Public Health Nursing Practice
Abstract:
Factors Associated with Change Toward Population-focused Public Health Nursing Practice
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Zahner, Susan, DrPH, MPH, BSN,
P.I. Institution Name:University of Wisconsin - Madison
Title:Assistant Professor
Contact Address:Nursing Department, Madison, WI, 53792-2455, USA
Contact Telephone:608-263-5282
Purpose: Recent national recommendations promote change in public health nursing to more population-focused practice. However, research on the extent to which this change has occurred and factors associated with such change in practice is limited. This study assessed recent practice change experienced by public health nurses (PHN) in two states and explored factors associated with practice change. Conceptual framework: A conceptual model based on the work of Carol Kelly (1998) was used in this study. Modifications to the model placed organizational factors as mediators of the effect of contextual factors on practice change. Subjects: Data were collected from (PHN) with five or more years of experience working at the local level in two states with differing public health systems (n=408). Methods: Data were collected using cross-sectional written, mail-back surveys (63% overall response rate). Structural equation modeling (SEM) was used to test for relationships between measures of community, public health system, professional, health care system, and organizational factors and change toward more population focused practice. The mediating effects of organizational factors were assessed. Findings were compared by state. Results: PHN has become more population-focused in both states though more so in the state characterized by a decentralized public health system and a more highly educated PHN workforce. Public health system, health care system, professional, and organizational factors were found to have direct effects on outcome measures while community factors were not. An organizational factor was observed to mediate the effect of a public health system factor on the outcome. Conclusion: The conceptual framework and analytic methods offer a quantitative approach to the study of the influence of contextual factors on PHN practice change.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors Associated with Change Toward Population-focused Public Health Nursing Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158836-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors Associated with Change Toward Population-focused Public Health Nursing Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Zahner, Susan, DrPH, MPH, BSN,</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nursing Department, Madison, WI, 53792-2455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">608-263-5282</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sjzahner@wisc.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Recent national recommendations promote change in public health nursing to more population-focused practice. However, research on the extent to which this change has occurred and factors associated with such change in practice is limited. This study assessed recent practice change experienced by public health nurses (PHN) in two states and explored factors associated with practice change. Conceptual framework: A conceptual model based on the work of Carol Kelly (1998) was used in this study. Modifications to the model placed organizational factors as mediators of the effect of contextual factors on practice change. Subjects: Data were collected from (PHN) with five or more years of experience working at the local level in two states with differing public health systems (n=408). Methods: Data were collected using cross-sectional written, mail-back surveys (63% overall response rate). Structural equation modeling (SEM) was used to test for relationships between measures of community, public health system, professional, health care system, and organizational factors and change toward more population focused practice. The mediating effects of organizational factors were assessed. Findings were compared by state. Results: PHN has become more population-focused in both states though more so in the state characterized by a decentralized public health system and a more highly educated PHN workforce. Public health system, health care system, professional, and organizational factors were found to have direct effects on outcome measures while community factors were not. An organizational factor was observed to mediate the effect of a public health system factor on the outcome. Conclusion: The conceptual framework and analytic methods offer a quantitative approach to the study of the influence of contextual factors on PHN practice change.</td></tr></table>en_GB
dc.date.available2011-10-26T21:26:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:26:39Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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