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J Public Health Manag Pract. 2010 Mar-Apr;16(2):E8-16. doi: 10.1097/PHH.0b013e3181bdebfe.

Relationships between local public health agency functions and agency leadership and staffing: a look at nurses.

Author information

  • 1School of Nursing, University of Washington, Seattle, WA 98195, USA. bettybek@u.washington.edu

Abstract

The United States is facing a severe shortage of well-trained public health workers, and public health nursing is the discipline with the greatest shortage. A local public health agency's (LPHA's) staffing and leadership characteristics are critical in determining its programs, performance, and capacity. A better understanding of the relationship between specific staffing and leadership characteristics and public health programs is needed to address this capacity challenge.

METHOD:

Data from the 2005 National Profile of Local Health Departments, were examined to identify associations between an LPHA's nursing workforce and the specific activities performed by LPHAs.

RESULTS:

LPHAs with a nurse as senior executive had a greater breadth of immunization, maternal/child health, and prevention activities than their nonnurse-led counterpart LPHAs, particularly in rural areas. Nurse-led LPHAs were less likely, however, to have a broad level of environmental health and regulation activities or to have recently conducted community assessment and planning activities.

CONCLUSIONS:

Both LPHA nurse leaders and nursing staff play an important role in the provision of LPHA services, and a shortage of LPHA nursing leaders and staff, particularly in rural areas, will likely have a major impact on certain LPHA programs unless steps are taken to address these challenges.

PMID:
20150786
[PubMed - indexed for MEDLINE]
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