Po
lic

y
D
ev

e
lo

p
m

e
n
t

C o
m m

u n i
t y – O r i e n t e d N u r s i n g P r a c t i c e

Services
? Personal health services
? Populations/Aggregate Services
? Community services

Interventions
? Disease prevention
? Health promotion
? Health protection
? Health maintenance
? Health restoration
? Health surveillance

Overarching Concept
? Community-oriented
nursing practice

Subconcepts
? Public health nursing

? Population focused
? Population centered

Foundational Pillars
? Assurance
? Assessment
? Policy development

Settings
? Community
? Environment
? School
? Industry
? Church
? Prisons
? Playground
? Home

Clients
? Individuals
? Families
? Groups
? Populations
? Communities

HEALTH SURVEILLA
N

CE

HEALTH RESTO
RA

TIO
N

HEALTH M
A
IN

TEN
A
N

C
E

Assurance

H
EA

LT
H
P

RO
M

OT
ION

H
EA

LT
H
P

RO
TE

CT
IO

N

As
se

ss
m

en
t

P u b l i c H e a l t h N u r s i
n g

? P o p u l a t i o n F o c u s e
d

? P o p u l a t i o n C e n t e r e
d

D
IS

EA
SE

P
RE

VE
NT

ION

COMMUNITY NURSING DEFINITIONS
Community-Oriented Nursing Practice is a philosophy of nursing service delivery that involves the generalist or specialist public
health and community health nurse providing ?health care? through community diagnosis and investigation of major health and
environmental problems, health surveillance, and monitoring and evaluation of community and population health status for the
purposes of preventing disease and disability and promoting, protecting, and maintaining ?health? in order to create conditions in
which people can be healthy.

Public Health Nursing Practice is the synthesis of nursing theory and public health theory applied to promoting and preserving
health of populations. The focus of practice is the community as a whole and the effect of the community?s health status (resources)
on the health of individuals, families, and groups. Care is provided within the context of preventing disease and disability and
promoting and protecting the health of the community as a whole. Public Health Nursing is population focused, which means that
the population is the center of interest for the public health nurse. Community Health Nurse is a term that is used interchangeably
with Public Health Nurse.

Community-Based Nursing Practice is a setting-specific practice whereby care is provided for ?sick? individuals and families
where they live, work, and go to school. The emphasis of practice is acute and chronic care and the provision of comprehensive,
coordinated, and continuous services. Nurses who deliver community-based care are generalists or specialists in maternal?infant,
pediatric, adult, or psychiatric?mental health nursing.

COMMUNITY-ORIENTED NURSING

PUBLIC HEALTH NURSING: POPULATION FOCUSED/
POPULATION CENTERED

COMMUNITY-BASED
NURSING

Philosophy PRIMARY focus is on ?health
care? of communities and
populations

SECONDARY focus is on ?health
care? of individuals, families, and
groups in community to unserved
clients by health care system

Focus is on ?illness care? of
individuals and families
across the life span

Goal Prevent disease; preserve, protect,
promote, or maintain health

Prevent disease; preserve, protect,
promote, or maintain health

Manage acute or chronic
conditions

Service context Community and population health
care ?the greatest good for the
greatest number?

Personal health care to unserved
clients

Family-centered illness care

Community type Varied: local, state, nation, world
community

Varied, usually local community Human ecological

Client characteristics ? Nation
? State
? Community
? Populations at risk
? Aggregates
? Healthy
? Culturally diverse
? Autonomous
? Able to define problem
? Client primary decision maker

? Individuals/families at risk if
unserved by health care system

? Usually healthy
? Culturally diverse
? Autonomous
? Able to define own problem
? Client primary decision maker

? Individuals
? Families
? Usually ill
? Culturally diverse
? Autonomous
? Client able to define own

problem
? Client involved in

decision making

Practice setting ? Community
? Organization
? Government
? Community agencies

? May be organization
? May be government
? Community agencies
? Home
? Work
? School
? Playground

? Community agencies
? Home
? Work
? School

Interaction patterns ? Governmental
? Organizational
? Groups
? May be one-to-one

? One-to-one
? Groups
? May be organizational

? One-to-one

Type of service ? Indirect
? May be direct care of

populations

? Direct care of at-risk persons
? Indirect (program management)

? Direct illness care

Emphasis on levels
of prevention

? Primary ? Primary
? Secondary: screening
? Tertiary: maintenance and

rehabilitation

? Secondary
? Tertiary
? May be primary

Select Examples of Similarities and Differences Between Community-Oriented and Community-
Based Nursing

COMMUNITY-ORIENTED NURSING

PUBLIC HEALTH NURSING: POPULATION FOCUSED/
POPULATION CENTERED

COMMUNITY-BASED
NURSING

Roles Client and delivery
oriented: community/
population

? Educator
? Consultant
? Advocate
? Planner
? Collaborator
? Data collector/evaluator
? Health status monitor
? Social engineer
? Community developer/partner
? Facilitator
? Community care agent
? Assessor
? Policy developer/maker
? Assuror of health care
? Enforcer of laws/compliance
? Disaster responder
Population oriented
? Program manager, aggregates
? Health initiator
? Program evaluator
? Counselor
? Change agent?population

health
? Educator
? Population advocate

Client and delivery
oriented: individual,
family, group

? Individual/family oriented?
as needed

? Caregiver
? Social engineer
? Educator
? Counselor
? Advocate
? Case manager
Group Oriented
? Leader, personal health

management
? Change agent, screening
? Community advocate
? Case finder
? Community care agent
? Assessment
? Policy developer
? Assurance
? Enforcer of laws/compliance

Client and delivery
oriented: individual,
family

? Caregiver
? Educator
? Counselor
? Advocate
? Care manager
Group Oriented
? Leader, disease

management
? Change agent, managed

care services

Priority of nurses?
activities

? Community development
? Community assessment/

monitoring
? Health policy/politics
? Community education
? Interdisciplinary practice
? Program management
? Community/population

advocacy

? For individual and family
clients?as needed

? Case finding
? Client education
? Community education
? Interdisciplinary practice
? Case management, direct care
? Program planning,

implementation
? Individual and family advocacy

? Care management, direct
care

? Patient education
? Individual and family

advocacy
? Interdisciplinary practice
? Continuity of care

provider

Select Examples of Similarities and Differences Between Community-Oriented and Community-
Based Nursing?cont?d

Evolve Student Resources for Stanhope/Lancaster: Public
Health Nursing, 9e, include the following:

? Additional Resources for Students

? Answer Key for Review Questions – Textbook

? Audio Glossary

? Content Updates

? Review Questions

? Student Case Studies

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PUBLIC HEALTH
NURSING
Population-Centered Health Care in the Community

Marcia Stanhope, PhD, RN, FAAN
Education and Practice Consultant
and
Professor Emerita
College of Nursing
University of Kentucky
Lexington, Kentucky

Jeanette Lancaster, PhD, RN, FAAN
Professor and Dean Emerita
School of Nursing
University of Virginia
Charlottesville, Virginia

9 T H E D I T I O N

3251 Riverport Lane
St. Louis, Missouri 63043

PUBLIC HEALTH NURSING: POPULATION-CENTERED
HEALTH CARE IN THE COMMUNITY, EDITION NINE

ISBN: 978-0-323-32153-2

Copyright ? 2016 by Elsevier Inc.

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording, or any information storage and
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This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information
or methods they should be mindful of their own safety and the safety of others, including parties for
whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most
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Previous editions copyrighted 2014, 2008, 2004, 2000, 1996, 1992, 1988, 1984

Library of Congress Cataloging-in-Publication Data
Public health nursing (Stanhope)
Public health nursing : population-centered health care in the community / [edited by] Marcia Stanhope,
Jeanette Lancaster.?9th edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-32153-2 (pbk. : alk. paper)
I. Stanhope, Marcia, editor. II. Lancaster, Jeanette, editor. III. Title.
[DNLM: 1. Community Health Nursing. 2. Public Health Nursing. WY 106]
RT98
610.73’43?dc23
2015007429

Content Strategist: Jamie Randall
Content Development Manager: Laurie Gower
Content Development Specialist: Lisa Newton
Publishing Services Manager: Jeff Patterson
Senior Project Manager: Anne Konopka
Design Direction: Margaret Reid

Printed in the United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1

vii

Marcia Stanhope, PhD, RN, FAAN
Marcia Stanhope is currently an education consultant with
Berea College, Berea Kentucky, as in Berea, Kentucky an Associ-
ate with Tuft and Associate Search Firm, Chicago, Illinois, and
Professor Emerita from the University of Kentucky, College of
Nursing, Lexington, Kentucky. In recent years she received the
Provost Public Scholar award for contributions to the commu-
nities of Kentucky. She was appointed to the Good Samaritan
Endowed Chair in Community Health Nursing 12 years ago.
She has practiced community and home health nursing, has
served as an administrator and consultant in home health, and
has been involved in the development of a number of nurse-
managed centers. She has taught community health, public
health, epidemiology, primary care nursing, and administration
courses. Dr. Stanhope was the former Associate Dean and for-
merly directed the Division of Community Health Nursing and
Administration at the University of Kentucky. She has been
responsible for both undergraduate and graduate courses in
population-centered, community-oriented nursing. She has
also taught at the University of Virginia and the University of
Alabama, Birmingham. Her presentations and publications
have been in the areas of home health, community health and
community-focused nursing practice, nurse-managed centers,
and primary care nursing. Dr. Stanhope holds a diploma in
nursing from the Good Samaritan Hospital, Lexington, Ken-
tucky, and a bachelor of science in nursing from the University
of Kentucky. She has a master?s degree in public health nursing
from Emory University in Atlanta and a doctorate of science in
nursing from the University of Alabama, Birmingham. Dr. Stan-
hope is the co-author of four other Elsevier publications: Hand-
book of Community-Based and Home Health Nursing Practice,
Public and Community Health Nurse?s Consultant, Case Studies
in Community Health Nursing Practice: A Problem-Based Learn-
ing Approach, and Foundations of Community Health Nursing:
Community-Oriented Practice.

A B O U T T H E A U T H O R S

Jeanette Lancaster, PhD, RN, FAAN
Jeanette Lancaster is Professor and Dean Emerita at the
University of Virginia, School of Nursing in Charlottesville,
Virginia. She served as Dean of the School of Nursing at the
University of Virginia from 1989 until 2008. From 2008 to 2009
she served as a visiting professor at the University of Hong Kong
where she taught courses in public health nursing and worked
with faculty to develop their scholarship programs. She then
taught at the University of Virginia from 2010 until 2012. She
also taught at Vanderbilt University and is an Associate with
Tuft & Associates, Inc, an executive search firm. She has prac-
ticed psychiatric nursing and taught both psychiatric and com-
munity health nursing. She formerly directed the master?s
program in community health nursing at the University of
Alabama, Birmingham, and served as Dean of the School of
Nursing at Wright State University in Dayton, Ohio. Her pub-
lications and presentations have been largely in the areas of
community and public health nursing leadership and change
and the significance of nurses to effective primary health care.
Dr. Lancaster is a graduate of the University of Tennessee Health
Science Center Memphis. She holds a master?s degree in psychi-
atric nursing from Case Western Reserve University and a doc-
torate in public health from the University of Oklahoma. Dr.
Lancaster is the author of another Elsevier publication, Nursing
Issues in Leading and Managing Change, and the co-author with
Dr. Marcia Stanhope of Foundations of Community Health
Nursing: Community-Oriented Practice.

viii

INTRODUCING DRS HALE AND TURNER
In this edition, we are pleased to have Professor Patty Hale, RN,
FNP, PhD, FAAN, Graduate Program Director, Department of
Nursing, at James Madison University, Harrisburg, Virginia,
and Lisa Turner, PhD, RN, PHCNS-BC, Assistant Professor of
Nursing, Berea College, Berea, Kentucky, join us in this edition
of the text as Assistant Editors.

A C K N O W L E D G E M E N T S

Dr. Hale holds a BSN from the University of Wisconsin-
Milwaukee, an MSN and FNP from the University of Virginia,
and a PhD from the University of Maryland.

Dr. Turner holds a BSN and MSN from the University of
Virginia and a PhD from the University of Kentucky.

A SPECIAL THANKS TO CONTRIBUTORS
Each edition our goal has been to offer special thanks to those
who contributed to past editions of the text. To continue that
tradition we want to extend heartfelt thanks to those who con-
tributed to the 8th edition. They are Jean Bokinskie, Bonnie
Jerome D?Emili, Diane Downing, James Fletcher, Karen Landen-
burger, Robert McKeown, Susan Patton, Molly Rose, Juliann
Sebastian, Mary Silva, and Jeanne Sorrell.

Jeanette Lancaster and Marcia Stanhope

DEDICATIONS:
It has been my special privilege to be advised and mentored by a number
of exemplary professionals and to be loved and supported by numerous
friends, big and small. Their contributions have made significant differences
to my life and career. This edition of the text is dedicated to the memory of
Charlotte Denny and Lois Merrill, University of Kentucky; Mary Hall,
Emory University; Atlanta, Dorothy Carter, my community partner, Pikev-
ille, Kentucky, and Norma Mobley, University of Alabama, Birmingham; as
well as to two special friends, John C. and CiCi.

I would like to dedicate my work on this 9th edition to my late husband, I.
Wade Lancaster. He supported and encouraged me through the first eight
editions of the text, and I am deeply grateful for his love, support, and
encouragement.

Marcia Stanhope

Jeanette Lancaster

ix

Swann Arp Adams, MS, PhD
Associate Professor
College of Nursing and the
Dept. of Epidemiology and Biostatistics
Associate Director
Cancer Prevention and Control Program
University of South Carolina
Columbia, South Carolina
Chapter 12: Epidemiology

Mollie Aleshire, DNP, FNP-BC,
PPCNP-BC
Assistant Professor
University of Kentucky
College of Nursing
Lexington, Kentucky
Chapter 28: Family Health Risks

Jeanne L. Alhusen, PhD, CRNP, RN
Assistant Professor
Department of Community and Public

Health
Johns Hopkins University School of Nursing
Baltimore, Maryland
Chapter 38: Violence and Human Abuse

Debra Gay Anderson, PhD, PHCNS-BC
Associate Professor
University of Kentucky
College of Nursing
Lexington, Kentucky
Chapter 28: Family Health Risks

Dyan A. Aretakis, RN, FNP, MSN
Project Director and APN3
University of Virginia Teen Health Center
Charlottesville, Virginia
Chapter 35: Teen Pregnancy

Tina Bloom, PhD, MPH, RN
Assistant Professor and Robert Wood

Johnson Foundation Nurse Faculty
Scholar, Sinclair School of Nursing

Columbia, Missouri
Chapter 38: Violence and Human Abuse

C O N T R I B U T O R S

Nisha Botchwey, PhD, MCRP, MPH
Associate Professor of City and Regional

Planning,
Georgia Institute of Technology
Affiliated Faculty,
Center for Geographic Information Systems,
Georgia Institute of Technology
Director, Research Committee, National

Academy of Environmental Design
Member, Centers for Disease Control and

Prevention Advisory Committee to the
Director

Atlanta, Georgia
Chapter 17: Building a Culture of Health

through Community Health Promotion

Kathryn H. Bowles, RN, PhD, FAAN
vanAmeringen Professor in Nursing

Excellence; Director of the Center for
Integrative Science in Aging; Beatrice
Renfield Visiting Scholar Visiting Nurse
Service of New York

Philadelphia, Pennsylvania
Chapter 41: The Nurse in Home Health,

Palliatire Care, and Hospice

Angeline Bushy, PhD, RN, FAAN,
PHCNS-BC
Professor & Bert Fish Chair
University of Central Florida
College of Nursing
Daytona Beach, Florida
Chapter 19: Population-Centered Nursing in

Rural and Urban Environments

Jacquelyn C. Campbell, PhD, RN, FAAN
Professor
Anna D. Wolf Chair
National Program Director, Robert Wood

Johnson Foundation Nurse Faculty
Scholars

Department of Community-Public Health
The Johns Hopkins University
Baltimore, Maryland
Chapter 38: Violence and Human Abuse

Ann H. Cary, PhD, MPH, RN, FNAP
Professor and Dean; School of Nursing and

Health Studies, University of Missouri
Kansas City; Robert Wood Johnson
Foundation Executive Nurse Fellow

Kansas City, Missouri
Chapter 22: Case Management

Ann Connor, DNP, MSN, RN, FNP-BC
Assistant Professor, School of Nursing
Emory University
Atlanta, Georgia
Chapter 33: Poverty and Homelessness

Lois A. Davis, RN, MSN, MA
Public Health Nursing Manager
Lexington?Fayette County Health

Department in Lexington, Kentucky
Chapter 46: Public Health Nursing at Local,

State, and National Levels

Cynthia E. Degazon, RN, PhD
Professor Emerita
Hunter College of the City University of

New York
New York, New York
Chapter 7: Cultural Diversity in the

Community

Janna Dieckmann, PhD, RN
Clinical Associate Professor
School of Nursing, University of North

Carolina at Chapel Hill
Chapel Hill, North Carolina
Chapter 2: History of Public Health and

Public and Community Health Nursing

Sharon L. Farra, PhD, RN
Assistant Professor of Nursing,
Wright State University
Dayton, Ohio
Chapter 23: Public Health Nursing Practice

and the Disaster Management Cycle

Hartley Feld, RN, MSN, PHCNS-BC
University of Kentucky, College of Nursing
Lecturer/Clinical Instructor, Public and

Community Health Nursing
University of Kentucky
Lexington, Kentucky
Chapter 28: Family Health Risks

Mary E. Gibson, PhD, RN
Associate Professor in Nursing
Assistant Director, Bjoring Center for

Nursing Historical Inquiry
University of Virginia School of Nursing
Charlottesville, Virginia
Chapter 18: Community as Client:

Assessment and Analysis

x CONTRIBUTORS

Rosa M. Gonzalez-Guarda, PhD, MPH,
RN, CPH
Assistant Professor, Robert Wood Johnson

Foundation Nurse Faculty Scholar,
University of Miami School of Nursing
and Health Studies

Coral Gables, Florida
Chapter 38: Violence and Human Abuse

Monty Gross, PhD, RN, CNE, CNL
Clinical Nurse Educator
Veterans Administration
North Las Vegas, Nevada
Chapter 30: Major Health Issues and Chronic

Disease Management of Adults Across the
Life Span

Patty J. Hale, RN, FNP, PhD, FAAN
Professor and Graduate Program Director
James Madison University
Harrisonburg, Virginia
Chapter 14: Communicable and Infectious

Disease Risks

Susan B. Hassmiller, PhD, RN, FAAN
Robert Wood Johnson Foundation Senior

Advisor for Nursing, and Director,
Future of Nursing: Campaign for Action

Princeton, New Jersey
Chapter 23: Public Health Nursing Practice

and the Disaster Management Cycle

Anita Thompson-Heisterman, MSN,
PMHCNS-BC, PMHNP-BC
Assistant Professor
University of Virginia School of Nursing
Claude Moore Nursing Education Building
Charlottesville, Virginia
Chapter 36: Mental Health Issues

DeAnne K. Hilfinger Messias, PhD, RN,
FAAN
Professor
College of Nursing and Women?s and

Gender Studies
University of South Carolina
Columbia, South Carolina
Chapter 12: Epidemiology

Linda Hulton, PhD, RN
Professor of Nursing
Coordinator of Doctor of Nursing Practice

Program
James Madison University
Harrisonburg, Virginia
Chapter 30: Major Health Issues and Chronic

Disease Management of Adults Across the
Life Span

Anita Hunter, PhD, APRN-CPNP
Executive Board Member, Holy Innocents

Children?s Hospital, Inc., Mbarara, Uganda
Adjunct Professor, Washington State University
Vancouver, Washington
Chapter 4: Perspectives in Global Health Care

Joanna Rowe Kaakinen, PhD, RN
Professor, School of Nursing
Linfield College-Portland Campus
Portland, Oregon
Chapter 27: Working with Families in the

Community for Healthy Outcomes

Linda Olson Keller, DNP, CPH, APHN-
BC, RN, FAAN
Clinical Associate Professor
University of Minnesota School of Nursing
Minneapolis, Minnesota
Chapter 9: Population-Based Public Health

Nursing Practice: The Intervention Wheel

Loren Kelly, RN, MSN
Clinical Educator Undergraduate Faculty at

University of New Mexico College of
Nursing

Interprofessional Education Coordinator,
UNM College of Nursing

Albuquerque, New Mexico
Chapter 20: Promoting Health Through

Healthy Communities and Cities

Katherine K. Kinsey, PhD, RN, FAAN
Nurse Administrator
Philadelphia Nurse-Family Partnership
Mabel Morris Family Home Visit Program
Early Childhood Initiatives
Sponsored by the National Nursing Centers

Consortium
Philadelphia, Pennsylvania
Chapter 21: The Nurse-led Health Center: A

Model for Community Nursing Practice

Pamela A. Kulbok, DNSc, RN,
PHCNS-BC, FAAN
Theresa A. Thomas Professor of Primary

Care Nursing and Professor of Public
Health Sciences

Chair, Family Community, and Mental
Health Systems

Coordinator of Public Health Nursing
Leadership

Robert Wood Johnson Executive Nurse
Fellow 2012-2015

University of Virginia School of Nursing
Charlottesville, Virginia
Chapter 17: Building a Culture of Health

through Community Health Promotion

Jeanette Lancaster, PhD, RN, FAAN
Professor and Dean Emerita
School of Nursing
University of Virginia
Charlottesville, Virginia
Chapter 11: Genomics in Public Health Nursing

Susan C. Long-Marin, DVM, MPH
Epidemiology Manager
Mecklenburg County Health Department
Charlotte, North Carolina
Chapter 13: Infectious Disease Prevention and

Control

Karen S. Martin, RN, MSN, FAAN
Health Care Consultant
Martin Associates
Omaha, Nebraska
Chapter 41: The Nurse in Home Health,

Palliative Care, and Hospice

Mary Lynn Mathre, RN, MSN, CARN
Addictions Nurse Consultant
President, Patients Out of Time
President, American Cannabis Nurses

Association
Howardsville, Virginia
Chapter 37: Alcohol, Tobacco, and Other

Drug Problems

Natalie McClain, PhD, RN, CPNP
Clinical Associate Professor
Boston College
William F. Connell School of Nursing
Chestnut Hill, Massachusetts
Chapter 44: Forensic Nursing in the Community

Mary Ellen T. Miller, PhD, RN
Assistant Professor
DeSales University
Center Valley, Pennsylvania
Chapter 21: The Nurse-led Health Center:

A Model for Community Nursing Practice

Marie Napolitano, PhD, RN, FNP
Director?Doctor of Nursing Practice

Program
University of Portland
Portland, Oregon
Chapter 34: Migrant Health Issues

Bobbie J. Perdue, RN, PhD
Professor?Nursing
South Carolina State University
Orangeburg, South Carolina
Chapter 7: Cultural Diversity in the Community

Bonnie Rogers, DrPH, COHN-S, LNCC,
FAAN
North Carolina Occupational Safety and

Health Education and Research Center
and the

Occupational Health Nursing Program
School of Public Health
University of North Carolina, Chapel Hill
Chapel Hill, North Carolina
Chapter 43: The Nurse in Occupational Health

xiCONTRIBUTORS

Cynthia Rubenstein, PhD, RN, CPNP-PC
James Madison University
Undergraduate Program Director
Assistant Professor
Harrisonburg, Virginia
Chapter 29: Child and Adolescent Health

Barbara Sattler, RN, DrPH, FAAN
Professor, Masters of Public Health

Program, School of Nursing and Health
Professions, University of San Francisco

San Francisco, California
Chapter 10: Environmental Health

Erika Metzler Sawin, PhD, RN
Assistant Professor
Department of Nursing
James Madison University
Harrisonburg, Virginia
Chapter 14: Communicable and Infectious

Disease Risks

Kellie A. Smith, RN, EdD
Assistant Professor
Thomas Jefferson University
School of Nursing
Philadelphia, Pennsylvania
Chapter 39: The Advanced Practice Nurse in

the Community

Sharon A.R. Stanley, PhD, RN, FAAN
Visiting Professor, Wright State University
Robert Wood Johnson Executive Nurse

Fellow, 2011-2014
Dayton, Ohio
Chapter 23: Public Health Nursing Practice

and the Disaster Management Cycle

Sharon Strang, RN, DNP, APRN, FNP-BC
Associate Professor and Graduate Faculty
James Madison University
Dept of Nursing
Harrisonburg, Virginia
Chapter 30: Major Health Issues and Chronic

Disease Management of Adults Across the
Life Span

Sue Strohschein, MS, RN/PHN, APRN, BC
Culture of Excellence Project Coordinator
University of Minnesota
School of Nursing
Minneapolis, Minnesota
Chapter 9: Population-Based Public Health

Nursing Practice: The Intervention Wheel

Melissa Sutherland, PhD, FNP-BC
Associate Professor
Boston College
William F. Connell School of Nursing
Chestnut Hill, Massachusetts
Chapter 44: Forensic Nursing in the Community

Francisco S. Sy, MD, PhD
Editor, AIDS Education and Prevention?An

Interdisciplinary Journal; Director, Office
of Extramural Research Administration,
National Institute on Minority Health
and Health Disparities, National
Institutes of Health

Bethesda, Maryland
Chapter 13: Infectious Disease Prevention and

Control

Esther J. Thatcher, PhD, RN, APHN-BC
Postdoctoral Fellow
School of Nursing
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina
Chapter 18: Community as Client:

Assessment and Analysis

Lisa Pedersen Turner, PhD, RN, PHCNS-BC
Assistant Professor
Berea College Nursing Program
Berea, Kentucky
Chapter 40: The Nurse Leader in the

Community
Chapter 42: The Nurse in the Schools

Lynn Wasserbauer, RN, FNP, PhD
Nurse Practitioner
Behavioral Health Partners
University of Rochester Medical Center
Rochester, New York
Chapter 31: Disability Health Care Across the

Life Span

Jacqueline F. Webb, FNP-BC, MS, RN
Assistant Professor
Linfield College School of Nursing
Portland, Oregon
Chapter 27: Working with Families in the

Community for Healthy Outcomes

Carolyn A. Williams, RN, PhD, FAAN
Professor and Dean Emeritus
College of Nursing
University of Kentucky
Lexington, Kentucky
Chapter 1: Community and Prevention-

Oriented, Population-Focused Practice:
The Foundation of Specialization in
Public Health Nursing

Lisa M. Zerull, PhD, RN
Academic Liaison and Program Manager,

Winchester Medical Center, Valley
Health System

Adjunct Clinical Faculty, Shenandoah
University (Winchester, VA)

Editor, Perspectives out of the Church
Health Center (Memphis, TN)

Chapter 45: The Nurse in the Faith
Community

Elke Jones Zschaebitz, DNP, FNP-BC
Family Nurse Practitioner
Pediatric Primary Care Provider
Wilkerson Pediatric Clinic, Kenner Army

Health Clinic
Ft. Lee, Virginia
And Adjunct Faculty:
Clinical Faculty Advisor, Family Nurse

Practitioner Program
Georgetown University School of Nursing

and Health Sciences
Washington, DC
Chapter 11: Genomics in Public Health

Nursing

ANCILLARY AUTHORS

Patty Bollinger, MSN, APRN-CNS
Bryan College of Health Sciences
Lincoln, Nebraska
TEACH/Powerpoint reviewer

Joanna E. Cain, BSN, BA, RN
President and Founder of Auctorial

Pursuits, Inc.
Atlant