Table Of ContentCommunity and
Public Health Nursing
Promoting the Public’s Health
2
Community and
Public Health Nursing
Promoting the Public’s Health
Ninth Edition
Cherie Rector, PhD, RN, PHN
Professor Emeritus
Department of Nursing
California State University, Bakersfield
Bakersfield, California
3
Publisher: Julie Stegman
Senior Acquisitions Editor: Christina C. Burns
Development Editor: Shana Murph
Production Project Manager: David Orzechowski
Design Coordinator: Terry Mallon
Illustration Coordinator: Jennifer Clements
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: SPi Global
Ninth edition
Copyright © 2018 Wolters Kluwer
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any
form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information
storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied
in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact
Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
[email protected], or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Rector, Cherie L., editor.
Title: Community and public health nursing : promoting the public’s health / [edited by] Cherie Rector.
Other titles: Community & public health nursing.
Description: 9th edition. | Philadelphia : Wolters Kluwer, [2016] | Preceded by Community & public health nursing :
promoting the public’s health / [edited by] Judith Ann Allender, Cherie Rector, Kristine D. Warner. 8th ed. c2014. |
Includes bibliographical references and index.
Identifiers: LCCN 2016028226 | ISBN 9781496349828
Subjects: | MESH: Community Health Nursing | Public Health Nursing | Nurse’s Role | Health Promotion | United
States
Classification: LCC RT98 | NLM WY 108 | DDC 610.73/43—dc23 LC record available at
https://lccn.loc.gov/2016028226
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any
warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each
patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication
history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or
guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible
for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of
medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be
made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare
professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying
4
each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage
schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a
narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the
publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or
otherwise, or from any reference to or use by any person of this work.
LWW.com
5
Not authorised for sale in United States, Canada, Australia, New Zealand, Puerto Rico, and U.S. Virgin Islands.
Publisher: Julie Stegman
Senior Acquisitions Editor: Christina C. Burns
Development Editor: Shana Murph
Production Project Manager: David Orzechowski
Design Coordinator: Terry Mallon
Illustration Coordinator: Jennifer Clements
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: SPi Global
Ninth edition
Copyright © 2018 Wolters Kluwer
All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any
form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information
storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied
in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact
Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at
[email protected], or via our website at lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Rector, Cherie L., editor.
Title: Community and public health nursing : promoting the public’s health / [edited by] Cherie Rector.
Other titles: Community & public health nursing.
Description: 9th edition. | Philadelphia : Wolters Kluwer, [2016] | Preceded by Community & public health nursing :
promoting the public’s health / [edited by] Judith Ann Allender, Cherie Rector, Kristine D. Warner. 8th ed. c2014. |
Includes bibliographical references and index.
Identifiers: LCCN 2016028226 | ISBN 9781496349828
Subjects: | MESH: Community Health Nursing | Public Health Nursing | Nurse’s Role | Health Promotion | United
States
Classification: LCC RT98 | NLM WY 108 | DDC 610.73/43—dc23 LC record available at
https://lccn.loc.gov/2016028226
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any
warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each
patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication
history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or
guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible
for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of
medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be
6
made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare
professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying
each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage
schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a
narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the
publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or
otherwise, or from any reference to or use by any person of this work.
LWW.com
7
To my husband, my children, and my grandchildren—they make it all
worthwhile!
This book is dedicated to them and to my parents and my sisters who always
encouraged me to keep learning, growing, and believing.
—Cherie Rector
8
A C K N O W L E D G M E N T S
It saddened me that I was unable to continue to work with my dear friend and colleague
Dr. Cherie Rector on the ninth edition of this textbook. Her unwavering devotion to
public health nursing practice, research, and nursing education has been an inspiration to
me over the past decade. Cherie and her team of contributors reflect the best that our
specialty practice has to offer. I join her in encouraging all of you to consider practicing in
the community at some point in your career. There is no better way to make real and
lasting changes to the health and welfare of the public, whether it is locally, nationally, or in
the international arena. I would also like to express my gratitude to Dr. Judy Allender. It
was she who first gave me the opportunity to join her as a contributor in the sixth edition
and to team with Cherie as a coauthor for the seventh and eighth editions. Her mentorship
in public health nursing education provided the opportunity for me to share with so many
students my passion for this specialty and my belief that there is not a finer career than
serving as a PHN.
Kristine D. Warner, PhD, MPH, RN
Assistant Dean and Managing DirectorMEPN Program
University of California, San FranciscoSan Francisco, California
Despite this being the ninth edition of this textbook, it remains a work in progress.
Feedback from nursing students and faculty, as well as from working public health nurses,
continues to be reflected in this edition of the book. It is hoped that this textbook meets
the needs of students and faculty, and continuing comment and reaction is always
welcome.
The contributors, both continuing and new to this edition, have worked diligently, and
gratitude is owed for sharing their expertise and knowledge. It is also important to
acknowledge the work of past contributors whose words may still be found in some form in
this ninth edition. I am especially grateful to have worked with Dr. Kristine Warner on the
last two editions of this book and appreciate the thought and insight she has always
brought to this project. I would also like to acknowledge the work of Dr. Judy Allender,
who first gave me the opportunity to contribute to the fifth and sixth editions of this
textbook, and then to work with Kris Warner as coauthors on the past two editions.
Editors Shana Murph, Jennifer Forestieri and Christina Burns, as well as the
administrative staff at Wolters Kluwer, have worked tirelessly, and their efforts are greatly
appreciated. Natalie Silver, who helped with photos/permissions and APA references, was a
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valuable member of the team on this edition. I thank her for her efforts and her quick
turnarounds.
It would have been impossible to complete this edition without the love and support
(not to mention patience) of family, friends, and close colleagues. It is my hope that this
textbook may spark an interest in nursing students to explore public health nursing and
join us in this great specialty area of nursing!
Cherie Rector, PhD, RN, PHN
Professor Emeritus
Department of Nursing
California State University, Bakersfield
Bakersfield, California
10
