#251
Date: Fri, 7 Apr 2006 08:48:12 -0700
From: Glenna Schindler <glennas_65101@YAHOO.COM>
Subject: Re: National nurse?
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Jody,
As an RN and a health educator with a CHES I couldn't disagree more with this
conversation. Nurses make up the single largest group of healthcare
professionals. They work in a variety of settings all of which require health
promotion and the prevention of acute and chronic illness. Rather than
disrespecting nurses under the guise of promoting health educators wouldn't it
be better to acknowledge the unique skills and talents of both nurses and health
educators and the unique contribution each makes? Acknowledging the role of the
greatest number of health professionals does not take anything away from a
health educator. I frequently have this same conversation with nurses and advise
them to acknowledge the unique contributions of health educators. Bickering
among members of different professions adds nothing to the conversation on how
to keep people well and/or return them to as a high a level of wellness as
possible. I also work with a wide variety of physicians and acknowledge their
unique skills and contributions. I also respect the health education done by
physical therapists, respiratory technicians, pharmacists, and others.
This conversation underscores the widespread lack of knowledge of the practice
of professional nursing and reinforces the idea of a national role for nursing.
A Nurse General would be outstanding. Who knows they may even promote the skills
of health educators.
Glenna Schindler, MPH, RN, CHES, CPHQ
Senior Risk Management Consultant
Jody Steinhard <NYCSCP@AOL.COM> wrote:
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Mark,
You are absolutely correct in that this message SHOULD bring about an avalanche
of discussion.
I certainly hope that all of us and individuals, as well as the public health
and health education organizations band together in order to bring forth the
message that there are already a whole slew of educated professionals who are
promoting health.
As for the comment of Vivian Wald--the person's name was Lillian Wald and she
was the founder of the Henry Street Settlement in NYC. Just so happens that I
work for Henry Street. Lillian Wald was the founder of the Visiting Nurse
Service and was also the first person to put a nurse in a school. If one looks
at the history of public health against the societal contributions of a
settlement house, the similarities are nearly identical.
The public health education workforce really needs to come out in force against
the idea of a National Nurse. What we really need is for Congress to stop
cutting funding for important health education initiatives.
Thanks!
Jody
Jody Ruth Steinhardt, MPH, CHES
Director, Senior Companion Program
Henry Street Settlement
265 Henry Street
New York, NY 10002
(v) 212-406-5044
(f) 212-385-2087
e-mail: nycscp@aol.com
In a message dated 4/5/2006 4:33:05 PM Eastern Daylight Time, markfulop@YAHOO.COM
writes:
'National Nurse' Position Proposed To Congress By Kristian Foden-Venci l
PORTLAND, OR 2006-04-05 Last year, the National Nurses Association warned that
by 2020 there would be 400,000 fewer RNs than needed. The statistic prompted
Oregon nurse Teri Mills to fire off an editorial to the New York Times. The
editorial demanded drastic action -- namely dethroning the Surgeon General and
creating a position called the "National Nurse." As Kristian Foden-Vencil
reports, a year later, the idea is gaining momentum and supporters recently
introduced a bill to Congress.
Teri Mills is an on-call nurse and an instructor at Portland Community College.
Over her 34-year career, she's noticed that the health system focuses on taking
care of the sick -- rather than preventing people from becoming sick in the
first place. And that's what she wants to change.
Teri Mills: "The role of the National Nurse will be to deliver a message of
prevention and health promotion to the public."
Her plan is to have the National Nurse highlight health problems via media
campaigns and personal appearances emphasizing prevention. For example: how to
foster a healthy heart, or how to avoid being swept into the growing tide of
obesity.
Teri Mills: "Nurses are the most natural teachers.
This is what we spend the majority of our time doing with patients in the
hospitals, people trust us, we have experience, we have education."
continued at: (make sure your browser captures the entire link or you will get
an error message) http://www.publicbroadcasting.net/opb/news.newsmain?action=article&ARTICLE_ID=
898196
----
m
Mark Fulop, MA, MPH
PO Box 13094
Portland, OR 97213
503-282-1271
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#252
Date: Fri, 7 Apr 2006 11:46:16 -0500
From: "Karl L. Larson" <klarson3@GUSTAVUS.EDU>
Subject: Re: National nurse?
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Glenna...I realize that you speak from your own personal experience, but isn't
it safe to say that your degree prep is not the norm? A very small percentage of
nurses have a MPH and are CHES (or even qualify for that matter). In fact, in
the statistical abstracts of the United States, it states that in 1999 there
were approximately 67, 000 graduates of registered nursing programs in the US.
However, only one-third (36%) were Bachelor level; two-thirds were associate or
diplomate awardees.
Add to that the 44,000 LPN's awarded and now were looking at less than 25% of
nursing graduate completing programs that would even begin to address the
educational process (theory, design, community change, community organizing,
etc). That's not "hating" nursing, is simply fact.
To assume that /all /nurses (because the general public won't distinguish
between nursing preparation) are to be hailed as the means by which we can
change health in America (through the establishment of a nurse as the lead
visible person) is inaccurate. The vast majority are unprepared to do so...at
least in terms of academic preparation. Nurses that go on, like you have, are
clearly a different story, but we shouldn't present that to the American people
as the norm. I think you would agree that there is a significant difference in
being able to deliver health information (as is most, but not all, patient
education), and being able to explain the sociological process that would drive
the design of programs to institute individual and community change (which is
what we're training health educators to do, or at least presumably are training
them to do).
Karl
>Jody,
>
> As an RN and a health educator with a CHES I couldn't disagree more
> with this conversation. Nurses make up the single largest group of healthcare
professionals. They work in a variety of settings all of which require health
promotion and the prevention of acute and chronic illness. Rather than
disrespecting nurses under the guise of promoting health educators wouldn't it
be better to acknowledge the unique skills and talents of both nurses and health
educators and the unique contribution each makes? Acknowledging the role of the
greatest number of health professionals does not take anything away from a
health educator. I frequently have this same conversation with nurses and advise
them to acknowledge the unique contributions of health educators. Bickering
among members of different professions adds nothing to the conversation on how
to keep people well and/or return them to as a high a level of wellness as
possible. I also work with a wide variety of physicians and acknowledge their
unique skills and contributions. I also respect the health education done by
physical therapists, respiratory technicians, pharmacists, and others.
>
> This conversation underscores the widespread lack of knowledge of the practice
of professional nursing and reinforces the idea of a national role for nursing.
A Nurse General would be outstanding. Who knows they may even promote the skills
of health educators.
>
> Glenna Schindler, MPH, RN, CHES, CPHQ Senior Risk Management
> Consultant
>
>
>
--
Karl L. Larson, PhD
Assistant Professor of Health Education
Department of Health and Exercise Science Gustavus Adolphus College St. Peter,
MN 56082
p-507-933-7591
e-klarson3@gac.edu
f-507-933-8412
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------------------------------
#253
Date: Fri, 7 Apr 2006 10:20:46 -0700
From: Glenna Schindler <glennas_65101@YAHOO.COM>
Subject: Re: National nurse?
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Karl,
You make many good points. I agree I speak from my own experience but also from
the experience of my fellow RNs. It is true the public often does not
distinguish between nurses of many different academic preparations and that is
definitely a problem. Nursing must take responsiblity for the current
educational mess.
I also agree that health educators have the theoretical and technical skills to
develop programs to promote health. That does not mean all nurses lack these
skills. Having a professionally prepared nurse in a high visibility and
responsible position would do very good things for health. Health educators are
a relatively small group and the visibility is less than desirable for health
educators. I still maintain that the many advanced preparation nurses are
excellent candidates for a National Nurse who would carry the message of
prevention and promotion to the public very well. Who knows, mabe a National
Nurse would hire health educators to develop really good health ed programs!
Please understand that I am not making fun or in any way demeaning health
educators. I have a great deal of respect for what we can do. I am just looking
at this from another angle. In Canada, they have "Provincial Nurses" who are a
sort of counterpart to the National Nurse idea. It
appears to work well but certainly they could have a higher profile.
Glenna
Please
"Karl L. Larson" <klarson3@GUSTAVUS.EDU> wrote:
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**
Glenna...I realize that you speak from your own personal experience, but isn't
it safe to say that your degree prep is not the norm? A very small percentage of
nurses have a MPH and are CHES (or even qualify for that matter). In fact, in
the statistical abstracts of the United States, it states that in 1999 there
were approximately 67, 000 graduates of registered nursing programs in the US.
However, only one-third (36%) were Bachelor level; two-thirds were associate or
diplomate awardees.
Add to that the 44,000 LPN's awarded and now were looking at less than 25% of
nursing graduate completing programs that would even begin to address the
educational process (theory, design, community change, community organizing,
etc). That's not "hating" nursing, is simply fact.
To assume that /all /nurses (because the general public won't distinguish
between nursing preparation) are to be hailed as the means by which we can
change health in America (through the establishment of a nurse as the lead
visible person) is inaccurate. The vast majority are unprepared to do so...at
least in terms of academic preparation. Nurses that go on, like you have, are
clearly a different story, but we shouldn't present that to the American people
as the norm. I think you would agree that there is a significant difference in
being able to deliver health information (as is most, but not all, patient
education), and being able to explain the sociological process that would drive
the design of programs to institute individual and community change (which is
what we're training health educators to do, or at least presumably are training
them to do).
Karl
>Jody,
>
> As an RN and a health educator with a CHES I couldn't disagree more
> with this conversation. Nurses make up the single largest group of healthcare
professionals. They work in a variety of settings all of which require health
promotion and the prevention of acute and chronic illness. Rather than
disrespecting nurses under the guise of promoting health educators wouldn't it
be better to acknowledge the unique skills and talents of both nurses and health
educators and the unique contribution each makes? Acknowledging the role of the
greatest number of health professionals does not take anything away from a
health educator. I frequently have this same conversation with nurses and advise
them to acknowledge the unique contributions of health educators. Bickering
among members of different professions adds nothing to the conversation on how
to keep people well and/or return them to as a high a level of wellness as
possible. I also work with a wide variety of physicians and acknowledge their
unique skills and contributions. I also respect the health education done by
physical therapists, respiratory technicians, pharmacists, and others.
>
> This conversation underscores the widespread lack of knowledge of the practice
of professional nursing and reinforces the idea of a national role for nursing.
A Nurse General would be outstanding. Who knows they may even promote the skills
of health educators.
>
> Glenna Schindler, MPH, RN, CHES, CPHQ
> Senior Risk Management Consultant
>
>
>
--
Karl L. Larson, PhD
Assistant Professor of Health Education
Department of Health and Exercise Science Gustavus Adolphus College St. Peter,
MN 56082
p-507-933-7591
e-klarson3@gac.edu
f-507-933-8412
**
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** www.kittle.siu.edu/comments2005
**
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---------------------------------
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#254
Date: Fri, 7 Apr 2006 14:11:09 -0400
From: Nancy Eichner <neichner@GWU.EDU>
Subject: CHHCS News Alert -- April 7, 2006
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The Center for Health and Health Care in Schools (CHHCS) News Alert -- April 7,
2006
Bills Would Tighten Ban on 'Junk Food' in Schools:
Legislation introduced in both the House and Senate yesterday would amend the
Child Nutrition Act of 1966 to require a new definition of "foods of minimal
nutritional value" and to ban the sale of such foods on entire school campuses
and for the entire school day.
http://www.healthinschools.org
The Center for Health and Health Care in Schools http://www.healthinschools.org
Nancy Eichner
Senior Program Manager
202-466-3396 fax: 202-466-3467
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#255
Date: Fri, 7 Apr 2006 15:48:33 -0500
From: Marjorie Scaffa <mscaffa@JAGUAR1.USOUTHAL.EDU>
Subject: Re: National nurse?
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I feel the need to jump in here. I am not a nurse but I am an occupational
therapist with a PhD in health education from the University of Maryland. As an
OT I thought I was doing a good job with patient education, and to me that was
my understanding of health education at the time.
Now after getting my degree in health education, I know how wrong I was assuming
that all OTs by virtue of their health care orientation/training are health
educators. Frankly, OTs and nurses are primarily trained in the medical model
and are good patient educators, but they are not specialists in prevention and
health promotion as are health educators.
I do not have a problem with the position of National Nurse per se, but I do
have a problem with nursing as a discipline or a National Nurse claiming to be
the voice of health promotion and health education. I would never suggest that
an OT could serve in that role.
Marjorie Scaffa
On Apr 7, 2006, at 12:20 PM, Glenna Schindler wrote:
> ** JOIN AAHE--Advance the Profession
> ** www.aaheinfo.org
> **
> ** Nominate Somebody for HEDIR Award
> ** www.hedir.org/2006award.htm
> **
>
> Karl,
>
> You make many good points. I agree I speak from my own experience
> but also from the experience of my fellow RNs. It is true the public
> often does not distinguish between nurses of many different academic
> preparations and that is definitely a problem. Nursing must take
> responsiblity for the current educational mess.
>
> I also agree that health educators have the theoretical and
> technical skills to develop programs to promote health. That does not
> mean all nurses lack these skills. Having a professionally prepared
> nurse in a high visibility and responsible position would do very good
> things for health. Health educators are a relatively small group and
> the visibility is less than desirable for health educators. I still
> maintain that the many advanced preparation nurses are excellent
> candidates for a National Nurse who would carry the message of
> prevention and promotion to the public very well. Who knows, mabe a
> National Nurse would hire health educators to develop really good
> health ed programs! Please understand that I am not making fun or in
> any way demeaning health educators. I have a great deal of respect
> for what we can do. I am just looking at this from another angle. In
> Canada, they have "Provincial Nurses" who are a sort of counterpart to
> the National Nurse idea. It appears to work well but certainly they
> could have a higher profile.
>
> Glenna
>
> Please
>
> "Karl L. Larson" <klarson3@GUSTAVUS.EDU> wrote:
> ** JOIN AAHE--Advance the Profession
> ** www.aaheinfo.org
> **
> ** Nominate Somebody for HEDIR Award
> ** www.hedir.org/2006award.htm
> **
>
> Glenna...I realize that you speak from your own personal experience,
> but isn't it safe to say that your degree prep is not the norm? A very
> small percentage of nurses have a MPH and are CHES (or even qualify
> for that matter). In fact, in the statistical abstracts of the United
> States, it states that in 1999 there were approximately 67, 000
> graduates of registered nursing programs in the US. However, only
> one-third (36%) were Bachelor level; two-thirds were associate or
> diplomate awardees.
> Add to that the 44,000 LPN's awarded and now were looking at less than
> 25% of nursing graduate completing programs that would even begin to
> address the educational process (theory, design, community change,
> community organizing, etc). That's not "hating" nursing, is simply
> fact.
> To assume that /all /nurses (because the general public won't
> distinguish between nursing preparation) are to be hailed as the means
> by which we can change health in America (through the establishment of
> a nurse as the lead visible person) is inaccurate. The vast majority
> are unprepared to do so...at least in terms of academic preparation.
> Nurses that go on, like you have, are clearly a different story, but
> we shouldn't present that to the American people as the norm. I think
> you would agree that there is a significant difference in being able
> to deliver health information (as is most, but not all, patient
> education), and being able to explain the sociological process that
> would drive the design of programs to institute individual and
> community change (which is what we're training health educators to do,
> or at least presumably are training them to do).
>
> Karl
>
>> Jody,
>>
>> As an RN and a health educator with a CHES I couldn't disagree more
>> with this conversation. Nurses make up the single largest group of
>> healthcare professionals. They work in a variety of settings all of
>> which require health promotion and the prevention of acute and
>> chronic illness. Rather than disrespecting nurses under the guise of
>> promoting health educators wouldn't it be better to acknowledge the
>> unique skills and talents of both nurses and health educators and the
>> unique contribution each makes? Acknowledging the role of the
>> greatest number of health professionals does not take anything away
>> from a health educator. I frequently have this same conversation with
>> nurses and advise them to acknowledge the unique contributions of
>> health educators. Bickering among members of different professions
>> adds nothing to the conversation on how to keep people well and/or
>> return them to as a high a level of wellness as possible. I also work
>> with a wide variety of physicians and acknowledge their unique skills
>> and contributions. I also respect the health education done by
>> physical therapists, respiratory technicians, pharmacists, and
>> others.
>>
>> This conversation underscores the widespread lack of knowledge of the
>> practice of professional nursing and reinforces the idea of a
>> national role for nursing. A Nurse General would be outstanding. Who
>> knows they may even promote the skills of health educators.
>>
>> Glenna Schindler, MPH, RN, CHES, CPHQ Senior Risk Management
>> Consultant
>>
>>
>>
>
> --
> Karl L. Larson, PhD
> Assistant Professor of Health Education Department of Health and
> Exercise Science Gustavus Adolphus College St. Peter, MN 56082
> p-507-933-7591
> e-klarson3@gac.edu
> f-507-933-8412
>
> **
> ** The HEDIR Bulletin Board
> ** www.kittle.siu.edu/comments2005
> **
> ** The HEDIR is Supported by Paid Advertising
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> **
>
>
>
> ---------------------------------
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> rates starting at 1¢/min.
>
> **
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> **
>
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------------------------------
#256
Date: Fri, 7 Apr 2006 14:03:43 -0700
From: suzy harrington <theharringtons3@SBCGLOBAL.NET>
Subject: Fwd: FW: Re: National nurse?
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Harrington Suzy L Contr 12 ADS/SGGTZ
Michael,
You did have a bad experience, but I don't think it can be solely attributed to
nursing profession, but more to do with the ideology of the people you ran into
contact with. In my current community based position, I was hired because of my
CHES and MS, not because of my RN and doctorate. Very few know of my RN
background.
I appreciate Bill's comments - it is not the profession but the ideology of the
individual holding the position. We need someone educated in all levels of
disease prevention and health education - and a visionary who is a true
champion/believer for the cause.
Suzy
Suzy Harrington, DNP, MS, RN, CHES
HAWC Health Education Program Manager
Spectrum Healthcare Resources
12 ADS.SGGTZ Randolph AFB TX
COMM: (210) 652-2300 DSN 487-2300
FAX: 210-652-3982
Suzy.Harrington.CTR@Randolph.af.mil
Michael Pejsach <healthedman@COX.NET> wrote:
Date: Thu, 6 Apr 2006 13:40:47 -0500
From: Michael Pejsach <healthedman@COX.NET>
Subject: Re: National nurse?
To: HEDIR-L@LISTSERV.SIU.EDU
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Karl,
I have mentioned, on several occasions, that nurses have and will continue to
infiltrate the health promotion and health education field, not only because
they believe they have the training and credentials (and most consumers would
agree that they do, as they don't know what a health educator is), but also
because they CAN through the power they yield organizationally. Organizational
support is a powerful thing. While many nurses ARE professionally prepared as
heal! th educators, a nurse is a nurse, and a health educator is a health
educator....well..... I think so.
Before I even walked in the door after accepting the position as State
Coordinator of School Health for Louisiana DOE, a petition was sent to the State
Superintendent of Schools (I have a copy) recommending my removal. It wasn't me,
personally, they wanted put back on the street, but anyone who was not a nurse.
One of the reasons for my selection for the post is that I had no connection to
the school health and school health education movement in Louisiana, had no
political baggage, and no one knew me. I knew none of the names on the petition.
They did NOT know me. Even though school health nurses were small in number,
they did have a pretty powerful network, in part made up of their various
professional nursing organizations (Point One). the Superintendent of Schools
called me into his office, about two months in the job, and gave! me the
petition.
These were frustrated overworked school nurses who had every reason to be angry
over the hiring of an eclectic health educator, professionally prepared with
training and experience in clinical as well as school and community health. No
matter, they wanted one of their own. They wanted a nurse in charge, even though
he/she may have had only clinical experience, which in my view is limiting. They
were not concerned about my qualifications. The fact that I wasn't a nurse was
enough. The Superintendent chose to go with the recommendation and I was hired.
Needless to say, they didn't win this battle, so, as one would guess, they
continued the fight. (Point Two: we are where they were. How we chose to fight
this is critical!)
I believe they feared the unknown. I had enemies before I walked in the door in
Baton Rouge. I didn't need enemies, given the job of trying to work in a system
rated as one of the worst in the count! ry.
In addition, stupid me, I was unaware of the problems until too late in the
game.
As a result the nurses, and others, some at the DOE, who misunderstood the
mission and vision of the school health fought such things as collaborative
activities (i.e., health teams in the school, versus a school health nurse in
charge), improving health education certification standards, and even the
coordination of moneys, consolidation of vast departments and resources to bring
about change for our children. We successfully trained over 1,500, of about
1,800, health and PE folks ALL OVER LA, but that was just a beginning for much
more had to be done. In addition, we collaborated with public health to provide
MONEY, via a grant process -no giveaways to systems to implement school health
education curriculum and provide better services for children in the schools.
For the first time, ever, the LA DOE connected the Health and PE teachers, who
were oth! erwise never consulted for their input --we did a survey. While we
worked hard to include everyone, we were hampered by a powerful organized group.
Point Two: get yourself organized before you mess with the organized!
Unfortunately, the snipers were out and I had no idea I had to manage them!
There was no time to asses, as I hit the road running, trying to provide the
training that was promised one year before I arrived.
No excuses; I should have insisted on taking the first 6 months to asses,
intervene on problems (build a bridge(s)?), and then begin the work of improving
school health. Point Three: first assess and plan the details, THEN deliver, no
matter the time issue- it could save your political life; we need to plan action
to deal with the National Nurse, but who will do it? Any raised hands out there?
Are we REACTIVE AGAIN?
One can't be a school health coordinator without being a school health nursing
advocate, or a PE ! advocate, etc. I was and have always been a big school
health nurse supporter. However, there was so much distrust; for example, the
funds for my position came from an interagency transfer of funds (from Office of
Public Health to Education). I found out, at the end of my tenure with the LA
DOE, that a high ranking manager at DOE told folks that I was a spy from OPH!
Can you imagine! This also led to some folks on the inside playing both sides.
Point Four: make sure you understand and MANAGE everyone's agenda, even the guy
sitting next to you at the table.
This is especially true in coalition meetings where agendas may not be the same.
To tackle an issue, such as the National Nurse, the agenda must be focused, an
action plan established with a clear Mission and Vision. Those who are on a
different agenda, and/or can't agree on the collaborative Mission and Vision may
need to get off the bus.
With no support on the inside and not enough! time (2+ years), all the work that
needed to be done to change major issues were never brought to fruition. It
probably needed more time. Some things changed, but the big issues of improved
health behaviors, and health outcomes, for all of OUR CHILDREN have not. I made
inroads in building bridges but financial support ran out.
It started with a nurse suggesting that they should manage it all.
Since an individual can't do it alone, can AAHE or SOPHE standing alone, match
to the political wits and POWER of the ANA? What will it take?
On Apr 6, 2006, at 8:36 AM, Karl L. Larson wrote:
> ** JOIN AAHE--Advance the Profession
> ** www.aaheinfo.org
> **
> ** Nominate Somebody for HEDIR Award
> ** www.hedir.org/2006award.htm
> **
>
> So what are our professional organizations doing to address this
> politically? I would imagine something is happening, right?
>
> kll
>
>
> --
> Karl L. Larson, PhD
> Assistant Professor of Health Education Department of Health and
> Exercise Science Gustavus Adolphus College St. Peter, MN 56082
> p-507-933-7591
> e-klarson3@gac.edu
> f-507-933-8412
>
> **
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Dr. Michael Pejsach, Ed.D.
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#257
Date: Fri, 7 Apr 2006 16:25:29 -0500
From: Marjorie Scaffa <mscaffa@JAGUAR1.USOUTHAL.EDU>
Subject: Re: National nurse?
** JOIN AAHE--Advance the Profession
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I want to say that to assume physicians are not health promotion oriented as was
implied in a previous email (the news article about dethroning the Surgeon
General) is a serious error.
As Shadia has pointed out, there are physician organizations that are very
concerned about our health care system (which is really a disease care system).
One such organization is the Association of Teachers of Preventive Medicine (ATPM),
The following is information from their website. They welcome any professional
who has interest/expertise in health promotion and they are considering changing
their name so as not to appear exclusively physician-oriented.
The Association of Teachers of Preventive Medicine (ATPM) is the national
association supporting health promotion and disease prevention educators and
researchers. Since 1942, ATPM and our members have been in the forefront of
advancing, promoting, and supporting health promotion and disease prevention in
the education of physicians and other health professionals. ATPM members include
members of the Association of Preventive Medicine Residents. Individual members
include physicians, nurses, public health professionals, and health services
researchers. Institutional members include academic departments and programs,
health agencies, and schools of public health.
-----
On Apr 6, 2006, at 6:37 AM, Shadia Garrison wrote:
<excerpt>** JOIN AAHE--Advance the Profession
** www.aaheinfo.org
**
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** www.hedir.org/2006award.htm
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I agree with Jody that this is not a good idea - for the reasons she stated and
for others as well. Creating a separate nurse position implies and encourages
the idea that the Surgeon General, and therefore all physicians are not and
should not be promoting prevention. While doctors may not be as focused on
preventive health as we would like, we as health educators need to work with
them in our public health efforts. I am working with a new physicians
organization that is quite concerned about prevention and the doctor's role
(plug: www.npalliance.org)
Also, the recent surgeons general have been quite vocal in their efforts
regarding prevention. Things that come to mind are the reports from David
Satcher's (I think) office on mental health, obesity, and tobacco.
I have only respect for nurses, however this campaign was borne out of the
statistic that more nurses will be needed in the workforce in the years to come
- how does that translate to the need for a national nurse position? It seems a
better answer would be to find more successful ways to promote the profession.
Shadia Garrison, MPH
------------------------------
#258
Date: Sat, 8 Apr 2006 06:47:32 +0300
From: Ansa Ojanlatva <ansoja@UTU.FI>
Subject: It'a been a while...
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The largest of it kind is about to leave towards Miami next week in case the ice
melts (we have a late spring): Freedom of the Seas was reported as being ready
to be "shipped" out. It has been some years since the last one...
Environmental healthwise, this ship produces its own energy, cleans its own
drinking water from ocean water, and takes care of its waste for a "city" of
5740 passengers and crew. It was reported as a tidbit this morning, 35 tons of
ice are produced on this ship for the drinks of passengers each day! The first
journey has been sold out.
It must a sight (64 m high) when it sails under the bridges of Denmark (65 m
high)!
Ansa Ojanlatva
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