The use of Community/Public Health Nursing Competencies during the COVID-19 pandemic

Public Health Nurs. 2024 Mar-Apr;41(2):356-366. doi: 10.1111/phn.13284. Epub 2024 Jan 31.

Abstract

Objectives: (1) Ascertain the use of the Quad Council Competencies for Community/Public Health Nursing (QCC-C/PHN) Competencies by community/public health nurses (C/PHNs) during the COVID-19 pandemic; (2) Inform from a systems-level the need to sustain the C/PHN workforce; (3) Assess the C/PHN infrastructure for response capacity.

Design: Cross-sectional. Statewide email distribution lists were used for dissemination.

Sample: Convenience sample (n = 169) obtained using emailed Qualtrics link with the eligibility criteria of self-identification as a C/PHN who works in the state of Missouri.

Measurements: Demographic questions included employment sector, nursing education level, years of nursing, and C/PHN experience. Two Likert-type questions and one optional open-text question were created for the eight domains.

Results: One hundred sixty-nine participants' data were analyzed. One hundred fifty-four were employed in a local public health agency. Total 63.2% held a bachelor's degree in nursing or higher. The average number of years of nurse experience was 20.84, and C/PHN experience was 9.84. The domain of Communication Skills scored highest and Cultural Competency was the lowest. Three themes emerged from the open-ended questions including vulnerabilities of the public health system.

Conclusion: Understanding the experiences of C/PHNs in Missouri related to the utilization of QCC-C/PHN competencies informs efforts to strengthen public health infrastructure and target resources to equip Missouri's C/PHNs.

Keywords: Community/Public Health Nurse Competencies; community; public health.

MeSH terms

  • COVID-19*
  • Clinical Competence
  • Cross-Sectional Studies
  • Humans
  • Pandemics
  • Public Health Nursing* / education