Environmental health in public health community practice: An integrative review of the literature


It is understood that the performance of Public Health Nursing is indispensable for the development of sustainable health communities, with regard to sub-standard living conditions in environments that include physical, chemical and biological factors influencing these conditions. This work is in an integrative review which aims to characterize how Environmental Health appears in scientific Public Health Nursing production, for the development of community health. Out of 442 articles, 30 met the search criteria. The publications covered contamination and exposure to environmental risks; strengthening of community groups for environmental health and workforce development of public health nursing for community practice in environmental health. The results summarized in the present study support the growing trend of interest in Environmental Health as knowledge which is essential to Public Health Nursing practice in the community.

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Cezar-Vaz, M. , Bonow, C. , Sant’ Anna, C. , Rocha, L. , de Almeida, M. and Santos da Silva, M. (2013) Environmental health in public health community practice: An integrative review of the literature. Health, 5, 1422-1432. doi: 10.4236/health.2013.59194.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] United Nations (2011) The millennium development goals report. New York.
[2] (WHO) World Health Organization (2013) Environmental health. Health topics.
[3] (WHO) World Health Organization (2004) A glossary of terms for community health care and services for older persons. World Health Organizations, Geneva.
[4] Whittemore, R. and Knafl, K. (2005) The integrative review: Updated methodology. Journal of Advanced Nursing, 52, 546-553. doi:10.1111/j.1365-2648.2005.03621.x
[5] Melnyk, B.M. and Fineout-Overholt, E. (2005) Making the case for evidence-based practice. In: Melnyk, B.M. and Fineout-Overholt, E., Eds., Evidence-Based Practice in Nursing & Healthcare. A Guide to Best Practice, Lippincot Williams & Wilkins, Philadelphia.
[6] Sánchez, M.E.G. and Encarna, G.P. (2004) Ecology as a center of interest. Revista de Enfermería, 27, 21-28.
[7] Tinker, E., Postma, J. and Butterfield, P. (2011) Barriers and facilitators in the delivery of environmental risk reduction by public health nurses in the home setting. Public Health Nursing, 28, 35-42. doi:10.1111/j.1525-1446.2010.00887.x
[8] Liu, J., McCauley, L., Leung, P., Wang, B., Needleman, H. and Pinto-Martin, J. (2011) Community-based participatory research (CBPR) approach to study children’s health in China: Experiences and reflections. International Journal of Nursing Studies, 48, 904-913. doi:10.1016/j.ijnurstu.2011.04.003
[9] Kuntz, S.W., Winters, C.A., Hill, W.G., Weinert, C., Rowse, K., Hernandez, T., et al. (2009) Rural public health policy models to address and evolving environmental asbestos disaster. Public Health Nursing, 26, 70-78. doi:10.1111/j.1525-1446.2008.00755.x
[10] Butterfield, P.G., Hill, W.A., Postma, J., Butterfield, P.W. and Odom-Maryon, T. (2011) Effectiveness of a household environmental health intervention delivered by rural public health nurses. Research and Practice, 1, S262-S270. doi:10.2105/AJPH.2011.300164
[11] Tsacoyianis, R. (1997) Indoor air pollutants and sick building syndrome: A case study and implications for the community health nurse. Public Health Nursing, 14, 58-75. doi:10.1111/j.1525-1446.1997.tb00411.x
[12] Lee, K., Hahm, E.J., Riker, C.A., Hoehne, A., White, A., Greenwell, D., et al. (2007) Secondhand smoke exposure in a rural high school. The Journal of School Nursing, 23, 222-228. doi:10.1177/10598405070230040701
[13] Jia, H., Moriarty, D.G. and Kanarek, N. (2009) County-level social environment determinants of health-related quality of life among US adults: A multilevel analysis. Journal of Community Health, 34, 430-439. doi:10.1007/s10900-009-9173-5
[14] Choi, M., Afzal, B. and Sattler, B. (2006) Geographic information systems: A new tool for environmental health assessments. Public Health Nursing, 23, 381-391. doi:10.1111/j.1525-1446.2006.00577.x
[15] Shendell, D.G. and Pike-Paris, A. (2007) Environmental exposure assessment, pollution sources, and exposure agents: A primer for pediatric nursing professionals. Pediatric Nursing, 33, 179-182.
[16] Engebretson, J., Mahoney, J.S. and Walker, G. (2005) Participation in community health screenings: A qualitative evaluation. Journal of Community Health Nursing, 22, 77-92. doi:10.1207/s15327655jchn2202_2
[17] Mantziou, V., Vardavas, C.I., Kletsiou, E. and Priftis, K.N. (2009) Predictors of childhood exposure to parental secondhand smoke in the house and family car. International Journal of Environmental Research and Public Health, 6, 433-444. doi:10.3390/ijerph6020433
[18] Pike-MacDonald, S., Best, D.G., Twomey, C., Bennett, L. and Blakeley, J. (2007) Promoting safe drinking water. Canadian Nurse, 14-19.
[19] Perry, C.K., Saelens, B.E. and Thompson, B. (2011) Rural latino youth park use: Characteristics, park amenities, and physical activity. Journal of Community Health, 36, 389-397. doi:10.1007/s10900-010-9320-z
[20] Minkler, M., Vásquez, V.B., Warner, J.R., Steussey, H. and Facente, S. (2006) Sowing the seeds for sustainable change: A community-based participatory research partnership for health promotion in Indiana, USA and its aftermath. Health Promotion International, 21, 293-300. doi:10.1093/heapro/dal025
[21] McElroy, K.G. (2010) Environmental health effects of concentrated animal feeding operations: Implications for nurses. Nursing Administration Quarterly, 34, 311-319. doi:10.1097/NAQ.0b013e3181f5649c
[22] Neufer, L. (1994) The role of the community health nurse in environmental health. Public Health Nursing, 11, 155-162. doi:10.1111/j.1525-1446.1994.tb00395.x
[23] Hahn, E.J., Ashford, K.B., Okoli, C.T., Rayens, M.K., Ridner, S.L. and York, N.L. (2009) Nursing research in community-based approaches to reduce exposure to secondhand smoke. Annual Review of Nursing Research, 27, 365-391. doi:10.1891/0739-6686.27.365
[24] Strecher, V.J., Bauman, K.E., Boat, B., Fowler, M.G., Greenberg, R. and Stedman, H. (1993) The role of outcome and efficacy expectations in an intervention designed to reduce infants’ exposure to environmental tobacco smoke. Health Education Research, 8, 137-143. doi:10.1093/her/8.1.137
[25] Clark, L., Barton, J.A. and Brown, N.J. (2002) Assessment of community contamination: A critical approach. Public Health Nursing, 19, 354-365. doi:10.1046/j.1525-1446.2002.19505.x
[26] Cramer, M.E., Mueller, K.J. and Harrop, D. (2003) Comprehensive evaluation of a community coalition: A case study of environmental tobacco smoke reduction. Public Health Nursing, 20, 464-477. doi:10.1046/j.1525-1446.2003.20607.x
[27] Bent, K.N. (2003) “The people know what they want”: An empowerment process of sustainable, ecological community health. Advances in Nursing Science, 26, 215-226.
[28] Newman, S.D. (2010) Evidence-based advocacy: Using photovoice to identify barriers and facilitators to community participation after spinal cord injury. Rehabilitation Nursing, 35, 47-59. doi:10.1002/j.2048-7940.2010.tb00031.x
[29] Santos, M.A. and Souza, A.O. (2012) Knowledge of nurses of the Family Health Strategy on health services waste [in Portuguese]. The Brazilian Nursing Journal, 65, 645-652. doi:10.1590/S0034-71672012000400014
[30] Carnegie, E. and Kiger, A. (2010) Developing the community environmental health role of the nurse. British Journal of Community Nursing, 15, 298-305.
[31] Barnes, G., Fisher, B., Postma, J., Harnish, K., Butterfield, P. and Hill, W. (2010) Incorporating environmental health into nursing practice: A case study on indoor air quality. Continuing Nursing Education, 36, 33-52.
[32] Cohen, B. (2006) Barriers to population-focused health promotion: The experience of public health nurses in the province of Manitoba. The Canadian Journal of Nursing Research, 38, 52-67.
[33] Phillips, L. (1995) Chattanooga Creek: A case study of the public health nursing role in environmental health. Public Health Nursing, 12, 335-340. doi:10.1111/j.1525-1446.1995.tb00157.x
[34] Shendell, D.G., Alexander, M.S. and Huang, Y. (2010) Community environmental quality knowledge and awareness among nurses: Developing and piloting an assessment survey in schools. Pediatric Nursing Journal, 36, 18-23.
[35] Sattler, B. and Davis del, B.A. (2008) Nurses’ role in children’s environmental health protection. Pediatric Nursing Journal, 34, 329-339.
[36] Skillen, D.L., Olson, J.K. and Gilbert, J.A. (2001) Framing Personal Risk in Public Health Nursing. Western Journal of Nursing Research, 23, 664-678. doi:10.1177/01939450122045474
[37] Larsson, L.S. and Butterfield, P. (2002) Mapping the future of environmental health and nursing: Strategies for integrating national competencies into nursing practice. Public Health Nursing, 19, 301-308. doi:10.1046/j.1525-1446.2002.19410.x
[38] Wright, D.J. (2003) Collaborative learning experiences for nursing students in environmental health. Nursing Education Perspectives, 24, 189-191.
[39] DeGusman, P.B. and Kulbok, P.A. (2012) Changing health outcomes of vulnerable populations through nursing’s influence on Neighborhood built environment: A framework for nursing research. Journal of Nursing Scholarship, 44, 341-348. doi:10.1111/j.1547-5069.2012.01470.x
[40] Kuehn, A., Chircop, A., Downe-Wamboldt, B., Sheppard-LeMoine, D., Wittstock, L., Herbert, R., et al. (2011) Evaluating the impact of a North American nursing exchange program on student cultural awareness. International Journal of Nursing Education Scholarship, 35, 1-15. doi:10.2202/1548-923X.1919
[41] Burger, S. (2003) Case study of organizational and community health changes under New Jersey State Welfare reform. Policy, Politics, & Nursing Practice, 4, 153-160. doi:10.1177/1527154403004002010

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