Background
Josephine Lawrence (name changed to protect anonymity) has been a community health nurse employed by the city for almost five years. Working in the public sector is radically different from working in a private healthcare institution, notes Lawrence, who had practiced as an RN for ten years prior to her career change. When asked what precipitated the change. Lawrence said that a lot of it had to do with the way her mind works. She always preferred “big picture” issues, as she put it, recognizing the need for greater community activism, empowerment, and advocacy.
Changes to the Profession
According to Lawrence, the profession has not changed appreciably over the past four to five years. The most important changes to healthcare in general have been due to legislation and policy, with the Affordable Care Act having less of a bearing on community health operations than on the budgets and management of private institutions. Lawrence noted, for example, that “expands public health and prevention programs to support communities and individuals,” (“Public Health Nurse,” n.d., p. 1). Moreover, Lawrence has seen shifts in attitudes towards the role that public health nurses play. The career is increasingly data-driven, and community health nurses...
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