3.11 Health Educators
Karen Piette, MHS, CMA
Health educators draw on various sciences (physical, medical, psychological, environmental, and biological) to promote health and prevent disease and disability. They often focus on health program planning and education-driven activities that encourage behavior change and disease prevention.
Health educators work in a variety of settings and assist in the development and management of health education programs. They may work in schools, colleges, university campuses, organizations, community groups, and healthcare settings.
The roles of health educators within the community are diverse. For example, in schools, a health educator may focus on implementing health programs, which includes writing funding proposals, developing educational materials, and coordinating, promoting, and evaluating the programs. In college or university settings, health educators may address issues related to disease prevention, sexual health, and substance use prevention. Health educators also work in healthcare settings, educating patients on self-care and behavior change (e.g., smoking cessation and diabetes management). Behavior change can be challenging for patients, and health educators help implement and maintain changes such as quitting smoking or losing weight.
In various settings, health educators often conduct community health assessments (CHAs) to identify the health needs of specific communities. A CHA involves collecting and analyzing data to assess the health needs of a particular population. Based on the findings of a CHA, health educators can plan, implement, and evaluate health programs tailored to the community.
It is important to note that health educators often work with statistical data when conducting CHAs, writing proposals, or working in college settings. In such cases, a four-year degree can be particularly beneficial.
A similar role to that of a health educator is the community health worker (CHW). Community health workers are trusted members of the communities they serve or have a deep understanding of those communities. They act as liaisons between the community and health and social services, facilitating access to services with the goal of improving service quality and cultural competence.
Health Educator Academic Requirements and Qualifications
Health educators can enter the field with an associate degree, typically in a health-related field such as health science, healthcare administration, healthcare management, or health and human services.
However, many health educators pursue bachelor’s or master’s degrees. These advanced degrees in health sciences ensure that individuals acquire the necessary knowledge and expertise for a successful career in health education.
While licensure is not mandatory, employers may seek candidates with national board certification, such as the certified health education specialist (CHES), offered by the National Commission for Health Education Credentialing. This certification requires graduation from a bachelor’s, master’s, or doctoral program, and candidates must earn continuing education credits to maintain the credential.
Although some positions may require a higher-level degree, an associate degree can be sufficient for entry-level roles, particularly in rural areas. Coursework in health sciences is often a key component of these programs.
Bachelor’s degree programs that are excellent for a career as a health educator include public health, health sciences, healthcare administration, or healthcare management. These programs are available at community colleges as well as four-year colleges and universities across the country.
Health Educator Career Pathway
The pathway into health education can vary depending on an individual’s background and experience. Some health educators begin their careers as practitioners. For example, a registered nurse may start by performing clinical duties in a hospital setting and later transition into a health educator role. This transition may require additional education depending on the individual’s qualifications.
Health educators generally have an associate degree in health sciences, and some may pursue a bachelor’s degree to make themselves more marketable. While health educators primarily focus on promoting healthy lifestyles, prior experience in health or human services or the healthcare field is not always a requirement. It is possible to earn a degree in a related field, such as public or community health, and later pursue a career in health education, even without a specific degree in health education.
Summary
Healthcare law and ethics consist of rules and principles that govern healthcare practices, ranging from providing safe and quality care to patients to accurate billing and more. While laws are generally easier to understand and follow because they are written and come with clear penalties for violations, ethics can be more subjective and may vary in meaning from person to person.
All healthcare employees, regardless of their role, must stay within their scope of practice, report unsafe conditions, and advocate for the patients they serve. This includes adhering to legal requirements and upholding ethical principles in their daily practice.
Review Questions
- Personal information about a patient is called________.
- PHI
- EMR
- EHR
- HIPAA
- The HITECH Act regulates which of the following?
- Kickbacks
- Electronic health records
- Fraud and abuse
- Access to emergency services
- Workplace laws are regulated by which of the following agencies?
- The Department of Health
- Department of Labor and Industries
- Occupational Safety and Health Administration
- All of the above
- The burden of proof in a medical malpractice claim lies with which of the following?
- Physician
- Patient
- Insurance company
- Healthcare organization
- Fraud is defined as intentional deceit for financial gain.
- True
- False
- A friend of yours has recently graduated from a medical assisting program and is 2 months into their first position. You notice that your friend has been posting about their new job on social media. As you read through their recent posts, you see that your friend has written about a recent encounter with a difficult patient. While your friend never uses the patient's name, they discuss the patient's reason for the visit, as well as how the patient treated the staff. In this instance, is your friend violating the patient's rights by posting? If so, what specifically might be problematic about this kind of post?
- List three reasons why a patient might be dismissed.
- A nephrologist is working with a patient who they have just diagnosed with end-stage renal disease and recommends starting dialysis. The patient asks where they should go, and the physician recommends a dialysis center that they partially own because they know it is well-run and takes the patient's insurance. Are there any ethical or legal issues with the physician referring the patient to their own business?
- Luna is a nurse in a local pediatric clinic who has been assigned to care for a 3-year-old patient, Mateusz. Luna has a strong belief that certain vaccinations may not be safe and should not be administered to children, and therefore doesn’t vaccinate her children. Mateusz’s parents firmly believe in vaccination for disease prevention and are eager to get Mateusz caught up on his vaccinations at his next appointment. Luna’s responsibility at the next check-up would be to administer Mateusz's vaccinations. What ethics should Luna be considering when working with this patient? Whose rights, those of the patient, the parents, or the practitioner, should take priority?
- You are working a late shift at the hospital when a patient is admitted with severe injuries. During your assessment and conversation with the 16-year-old patient, Jody, you begin to suspect that these injuries are not accidental but are instead the result of physical abuse at home. Jody is afraid that you will call their family and is worried someone will find out they are getting treatment for their injuries. What is your responsibility as a healthcare professional in this situation?
By the end of this chapter, you will:
- Define communication.
- Describe the types of communication.
- Differentiate several models of communication.
- Explain the significance of trauma-informed, relational, anti-racist approaches to communication.