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The roles assumed by the community or health nurse become legally binding tasks and must be carried out responsibly. Some community health or public health nurses may need to perform laboratory tests such as phenylketonuria (PKU). Failure to adequately inform a client or guardian or to perform a test incorrectly can lead to litigation. Nursing judgments, such as assessing a person`s condition and documenting the signs and symptoms that support the conclusions of care, can be crucial in determining the severity of the disease or describing the side effects of prescribed treatments. For example, if the nurse provides home nursing care to sick people, blood pressure readings that are outside the normal parameters should be reported to the doctor or nurse in charge of the case. The community or public health nurse may be the only person who has direct contact with the community health client, making communication between the Ministry of Health or home care agency, the physician or other members of the health care team, and the community or public health nurse essential. The importance of accurate and timely communication has been tested in many legal cases involving nurses. How can caregivers influence the cost and delivery of health services? The UE results showed that NPS believed that “the work done is essential to health promotion” and that “the work done is essential to promoting the health of the community”, and these beliefs were associated with psychological empowerment. In terms of organizational empowerment, participants with a self-image of “I can meet the demands of the job and complete the work as planned” were also able to perceive that they were empowered in the workplace, which improved their efficiency at work [15]. Some aspects of psychological empowerment, such as the sense of self-importance of work, competence in care management, and participation associated with decision-making, can be improved with related resources, such as more work-related information, suggestions for specific information, problem management, and positive encouragement that can enable NSRs to be independent and all community resources for work-related treatment. chronic diseases.

This would allow NHPs to provide patients and their families with relevant chronic disease care information to address their concerns and implement strategies with partner organizations to improve the quality of care for chronic disease patients in the community. The two sections of the CE scale were psychological EC (EC) and organizational CBS (EC). The first section of the scale included 10 elements to assess psychological empowerment in NPS and was assessed on a five-point Likert scale. The second section of the scale measured empowerment in work organization and included 15 points scored on a five-point Likert scale. Higher scores indicated greater community strengthening for the delivery of health services in the community. Administrative legislation, i.e. the promulgation of rules and regulations, is usually preceded by the announcement of the proposed rule or regulation. Those who will be affected will have the opportunity to give their opinion. For example, because nurses are affected by the state rules and regulations of the State Nursing Board, they may provide written comments or attend a hearing held specifically to discuss the proposed rule or regulation. What ethical issues do community health nurses need to be aware of when caring about the community? There are many public health laws enacted by state legislators that are relevant to nurses in the community/public health care. The statutes aim to protect the rights of the healthcare provider and the consumer. Nursing practice laws are a general framework that defines the legal scope of nursing practice in each state.

Public health nurses are responsible for working within this legal framework. Protecting professional practice means avoiding compromises in positions where one is supposed to practice outside the nursing framework. The Nursing Practice Act of each state is available on the Internet, as well as through employers, the State Nurses Association and the State Nursing Committee. In March 2010, Congress passed the Compilation of Patient Protection and Affordable Care Act (ACA), which imposes comprehensive health insurance reforms, most of which will be implemented by 2014.

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