The culture of health care in the U.S. emphasizes individuals, holding sacred the physician-patient and nurse-patient relationships and perpetuating faith in the individual's view of benefits of care only for his- or herself. Many nurses, along with many physicians and other members of the health care team, have not yet shifted from the individual as the patient to the population as the patient. If nurses are to continue to be committed to improving the well-being and quality of life of all members of society, they must be part of the solution to improving the health of populations. Shifting nurses' focus from individually based care to population-based care may not be easy. It will require revisions in educational programs and the acquisition of new ways of thinking, practicing, and conducting research. The CMNPH provides population-level guidance for research, educational program revisions, and practice.
Stoto (2013) maintained that “responsibility for population health outcomes is shared but that accountability is diffuse” (p. 3). The CMNPH emphasizes the responsibility for population health outcomes that nurses share with other members of the health care team and especially with populations. Widespread adoption by nurses of the CMNPH should facilitate the much needed shift in thinking to multiple determinants of the health of aggregates, aggregate-based wellness promotion and disease prevention interventions, and aggregate-based outcomes that are needed to decrease rates of disease and increase wellness indicators and, ultimately, to enhance the quality of life of populations worldwide.
Acknowledgments
The culture of health care in the U.S. emphasizes individuals, holding sacred the physician-patient and nurse-patient relationships and perpetuating faith in the individual's view of benefits of care only for his- or herself. Many nurses, along with many physicians and other members of the health care team, have not yet shifted from the individual as the patient to the population as the patient. If nurses are to continue to be committed to improving the well-being and quality of life of all members of society, they must be part of the solution to improving the health of populations. Shifting nurses' focus from individually based care to population-based care may not be easy. It will require revisions in educational programs and the acquisition of new ways of thinking, practicing, and conducting research. The CMNPH provides population-level guidance for research, educational program revisions, and practice.Stoto (2013) maintained that “responsibility for population health outcomes is shared but that accountability is diffuse” (p. 3). The CMNPH emphasizes the responsibility for population health outcomes that nurses share with other members of the health care team and especially with populations. Widespread adoption by nurses of the CMNPH should facilitate the much needed shift in thinking to multiple determinants of the health of aggregates, aggregate-based wellness promotion and disease prevention interventions, and aggregate-based outcomes that are needed to decrease rates of disease and increase wellness indicators and, ultimately, to enhance the quality of life of populations worldwide.Acknowledgments
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