Public health nurses asked again, “What are they thinking?” – Healthcare Blog

Whitney Thurman
Karen Johnson


Recently one Friday night, we walked with our colleagues in the rain at the movie theater park – our cars for our supplies. Mobile Vaccine Clinic– Looking for someone who wants an additional dose before Pfizer’s COVID-19 vaccine expires. Five months ago, we drowned with people desperate for those extra doses. But that change has been the biggest Willing And Enabled Areas of the population are heavily vaccinated.

In the middle of this background Slowing down vaccination rates The CDC has a long way to go before anyone who wants to be vaccinated in the United States and beyond Released The recommendations for wearing masks have been updated which we believe is premature and contrary to the ethics and mentality of public health. Sown by Growing proof Supporting the effectiveness of the vaccine, the Biden administration gladly gave the CDC the green light to fully vaccinated Americans to open their masks. Fully vaccinated public health nurses who are excited about the real-world effectiveness of vaccines, we ask ourselves again and again: What are they thinking?

To be clear, we do not show evidence that all COVID-19 vaccines currently approved in the United States are safe and effective. We also long for the good news, the hope, and the brightness of the lower half of our faces. We also follow the biden administration’s commitment: [biomedical] Science “in epidemic policy making. Our concern is with the timing of the recommendation; lack of respect for the demonstration social science The importance of public policy in influencing community norms And human behavior; And blatant disregard for health equity. CDC Director Dr. Rochelle Walensky said Sunday that the country’s leading public health institution has fallen victim to an individualistic mentality that defines American society.Science-driven personal assessmentRisky, frustrating, to say the least.

Currently, only One third The United States is fully vaccinated. The news media is full of accounts from many subgroups who are insisting on their right to reject the single COVID vaccine, but many in the United States are in undeveloped communities who are unable to access the vaccine because it is difficult to navigate. Online placement table, Inability to take leave from work, Poorly translated information sources, Or be disqualified due to age restriction or other medical contraindication. Wearing a global mask until most Americans are vaccinated is an important stopgap measure to protect these vulnerable populations. The CDC’s recommendation is premature: it sends a message to individuals and other government agencies that we do not have to care for our neighbors.

In addition to slowing the spread of COVID-1 spread, masks are a visible sign of community unity and carry a burden of concern for undivided individuals and parents of undivided children. In a country where basic infection control principles have somehow been developed PoliticalThe CDC’s recommendation to establish a two-tiered approach to public health seems to be going in the wrong direction. Encouraging those 30 Americans who have been fully vaccinated in Maskles and those who have been vaccinated in Mask Up will complicate the protection of unmarried people in public and at work or at school – where everyone has a right. Access their vaccine status no matter what. Moreover, this type of policy recommendation by the CDC is interpreted as a blanket permit for everyone to discard their masks. In fact, just days after the announcement, the governor of Texas Restricted Schools and government bodies from the mask mandate. He even went so far as to impose fines on the organization for doing so, taking any collective action for the safety of the community, school and workplace. This kind of policy decision is the solid reason why we need the CDC to make public health recommendations using the public health framework, not an individual, biomedical assessment: public health policies should protect those among us who are most at risk, those who have not yet been vaccinated May not be effective.

More worryingly, this approach focuses primarily on the well-being of white, well-educated, and wealthy communities, who have so far had easy access to vaccines. The CDC’s recent recommendation is another example of the burden of an unsafely falling epidemic for a community that has little power to defend itself. They are now forced to consider whether a person who has not been vaccinated at their checkout line or who eats in their section has been vaccinated with little recourse to protect themselves if they are unable to get vaccinated before the CDC’s latest recommendation.

Many will say that wearing a mask and getting vaccinated is a personal decision and we must live and let live. We do not seek to argue with the importance of seeking personal approval for medical care – a basic ethical principle that is understood and respected by all healthcare providers. But our code of conduct also demands that we think for the better. Unlike nurses, infectious diseases do not respect the limits of individual autonomy. We therefore need public health leaders who use their power to establish norms that emphasize the health and safety of the community as a whole, including the weakest who should not be completely thrown out of the equation as our common denominator. The CDC has the authority, the capacity, and the responsibility to harmonize different voices about public health practices in our estimates: we wear masks to protect and respect not only ourselves, but each other.

So where does it leave us? The CDC may reject the recommendation, causing further confusion and frustration. But, as the saying goes, this new guide cannot be easily re-bottled. Instead, Americans should choose to continue masking until further vaccination. We as nurses can use our influence as reliable providers, for example by masking and encouraging patients to do the same. Finally, the Biden administration should conduct an in-depth evaluation of our public health response to the epidemic, including what evidence has been used to make recommendations and how such decisions are being communicated to the public. When considering epidemic policy making, it is important that we follow all the sciences – science alone gives us effective vaccines. It includes The science of individual and collective behavior And The science of risk communication. Instead of minimizing our interconnectedness through collective action, we need to come out of the epidemic with strong, well-funded public health infrastructure capable of doing the necessary work, including publicity.

Karen Johnson, PhD, RN, FSAHM, FAN and Whitney Thurman, PhD, RN are public health nurses and faculty members at the Austin School of Nurses at the University of Texas..

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