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GUEST EDITORIAL Timing is Everything and Now is the Time Public health nursing has a long history of provid- ing care and access to care to the most vulnerable and marginalized in society. Notwithstanding this venerable history, the status of public health nurses has declined in proportion to the increase in the status and number of advance practice nurses providing primary care. To some extent this is understandable as a natural consequence of social forces, economic considerations, and influ- ences on professional self-esteem. I take a more radical interpretation that accepts some responsi- bility for having created the situation and thus to changing it. As a faculty member who is located in a school of public health, rather than a college of nursing, and being the only RN in that school, I have experi- enced the glaring absence of public health nurses from virtually all public heath dialogues. Public health nurses tend to talk to themselves almost to the exclusion of talking with colleagues in public health. This has been a mistake on our part. The very good news is that this is a relatively easy mis- take to correct. For my part, I made a renewed commitment to public health nursing, and to do that within the context of public health more so than nursing. I wrote a grant to the Agency for Healthcare Research and Quality (AHRQ) under their small conference grant portfolio. I had the good fortune to have a program officer who was a nurse and who championed the focus on public health nurs- ing. Before she retired, I received the grant. The grant purpose was to hold a small conference, with invited participants from various public health- related backgrounds, who would collaboratively develop a research agenda for public health nursing that addresses quality and outcomes. Three papers in this issue of Public Health Nursing stem directly from that conference (Bigbee & Issel, 2012; Issel, Bekemeier & Kneipp, 2012; Monsen et al., 2012). The intention behind each of these papers is to stimulate public health nursing science to “up the game,” as the expression goes. As a nursing spe- cialty, now is the time to must push the envelopes of scholarship, practice, and collaboration. Almost concurrently, many public health nurse leaders have been engaged in another set of activities that contribute to correcting the mistake. Some have used the invite-yourself approach and others used the let-me-help approach to become included in sev- eral practice-based research networks (PBRNs) (http://www.publichealthsystems.org/pbrn) which are funded by the Robert Wood Johnson Foundation (RWJF) under their Public Health Systems and Ser- vices Research (PHSSR) portfolio. Through involve- ment of public health nurses in the PBRNs, public health nursing has gained visibility, a sense of inter- disciplinary value, and a re-energized purpose. Lastly, the RWJF has initiated a focus on pub- lic health nursing. In February 2012, the Founda- tion held a 1-day forum with participants invited from a wide variety of nursing and public health agencies. The forum provided RWJF an opportu- nity to explore the issues facing our specialty. In fall 2012, a survey will be launched to enumerate, for the first time, the public health nursing work- force. I choose to interpret this effort as further evi- dence that the time is now for public health nurses to move forward with pride, proclaim the value- added provided by public health nursing practice, and to be a stronger, more visible bridge between public health and nursing. L. Michele Issel PhD, RN, Clinical Professor UIC School of Public Health, Chicago, IL Correspondence to: L. Michele Issel, UIC, School of Public Health, 1603 W. Taylor St. (MC 923) Chicago, IL 60612 E-mail: [email protected] 287 Public Health Nursing Vol. 29 No. 4, pp. 287–288 0737-1209/© 2012 Wiley Periodicals, Inc. doi: 10.1111/j.1525-1446.2012.01036.x

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Page 1: Timing is Everything and Now is the Time

GUEST EDITORIAL

Timing is Everything andNow is the Time

Public health nursing has a long history of provid-ing care and access to care to the most vulnerableand marginalized in society. Notwithstanding thisvenerable history, the status of public healthnurses has declined in proportion to the increasein the status and number of advance practicenurses providing primary care. To some extent thisis understandable as a natural consequence ofsocial forces, economic considerations, and influ-ences on professional self-esteem. I take a moreradical interpretation that accepts some responsi-bility for having created the situation and thus tochanging it.

As a faculty member who is located in a schoolof public health, rather than a college of nursing,and being the only RN in that school, I have experi-enced the glaring absence of public health nursesfrom virtually all public heath dialogues. Publichealth nurses tend to talk to themselves almost tothe exclusion of talking with colleagues in publichealth. This has been a mistake on our part. Thevery good news is that this is a relatively easy mis-take to correct.

For my part, I made a renewed commitment topublic health nursing, and to do that within thecontext of public health more so than nursing. Iwrote a grant to the Agency for HealthcareResearch and Quality (AHRQ) under their smallconference grant portfolio. I had the good fortuneto have a program officer who was a nurse andwho championed the focus on public health nurs-ing. Before she retired, I received the grant. Thegrant purpose was to hold a small conference, withinvited participants from various public health-related backgrounds, who would collaborativelydevelop a research agenda for public health nursingthat addresses quality and outcomes. Three papersin this issue of Public Health Nursing stem directlyfrom that conference (Bigbee & Issel, 2012; Issel,Bekemeier & Kneipp, 2012; Monsen et al., 2012).The intention behind each of these papers is to

stimulate public health nursing science to “up thegame,” as the expression goes. As a nursing spe-cialty, now is the time to must push the envelopesof scholarship, practice, and collaboration.

Almost concurrently, many public health nurseleaders have been engaged in another set of activitiesthat contribute to correcting the mistake. Some haveused the invite-yourself approach and others usedthe let-me-help approach to become included in sev-eral practice-based research networks (PBRNs)(http://www.publichealthsystems.org/pbrn) whichare funded by the Robert Wood Johnson Foundation(RWJF) under their Public Health Systems and Ser-vices Research (PHSSR) portfolio. Through involve-ment of public health nurses in the PBRNs, publichealth nursing has gained visibility, a sense of inter-disciplinary value, and a re-energized purpose.

Lastly, the RWJF has initiated a focus on pub-lic health nursing. In February 2012, the Founda-tion held a 1-day forum with participants invitedfrom a wide variety of nursing and public healthagencies. The forum provided RWJF an opportu-nity to explore the issues facing our specialty. Infall 2012, a survey will be launched to enumerate,for the first time, the public health nursing work-force. I choose to interpret this effort as further evi-dence that the time is now for public health nursesto move forward with pride, proclaim the value-added provided by public health nursing practice,and to be a stronger, more visible bridge betweenpublic health and nursing.

L. Michele Issel PhD, RN, Clinical ProfessorUIC School of Public Health, Chicago, IL

Correspondence to:L. Michele Issel, UIC, School of Public Health,

1603 W. Taylor St. (MC 923)Chicago, IL 60612

E-mail: [email protected]

287

Public Health Nursing Vol. 29 No. 4, pp. 287–288

0737-1209/© 2012 Wiley Periodicals, Inc.doi: 10.1111/j.1525-1446.2012.01036.x

Page 2: Timing is Everything and Now is the Time

References

Bigbee, J. L., & Issel, L. M. (2012). Conceptualmodels for population-focused public healthnursing interventions and outcomes: Thestate of the art. Public Health Nursing. 29(4), 370–379. doi:10.1111/j.1525-1446.2011.01006.x.

Issel, L. M., Bekemeier, B., & Kneipp, S. (2012). Apublic health nursing research agenda. PublicHealth Nursing 29(4), 330–342. doi:10.1111/j.1525-1446.2011.00989.x.

Monsen, K. A., et al. (2012). Development of a Pub-lic Health Nursing Data Infrastructure. PublicHealth Nursing 29(4), 343–351.

288 Public Health Nursing Volume 29 Number 4 July/August 2012


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