Public Health Nurse vs. Community Health Worker: Key Differences and Roles in Healthcare

Last Updated Mar 5, 2025
By M Clark

Public Health Nurses provide clinical care and health education while addressing community health needs through professional nursing expertise and assessment. Community Health Workers bridge gaps in healthcare access by connecting individuals to resources and promoting preventive health practices within their communities. Both roles are essential for improving population health but differ in training, scope of practice, and direct patient care involvement.

Table of Comparison

Role Public Health Nurse (PHN) Community Health Worker (CHW)
Education Registered Nurse license; Bachelor's in Nursing preferred High school diploma or equivalent; specialized training in community health
Scope of Practice Disease prevention, health promotion, clinical assessments Health education, outreach, resource navigation
Healthcare Settings Clinics, hospitals, public health departments Community centers, homes, local organizations
Responsibilities Administer vaccinations, conduct screenings, manage care plans Connect clients to services, provide culturally relevant education
Licensing/Certification State licensure required Certification varies by region; often not mandatory
Focus Clinical and preventive health services Community engagement and support
Salary Range (US average) $70,000 - $90,000 annually $35,000 - $50,000 annually

Overview of Public Health Nurse and Community Health Worker Roles

Public Health Nurses deliver clinical care, disease prevention, and health education within communities, focusing on individual and family health outcomes. Community Health Workers engage directly with community members to address social determinants of health, provide outreach, and facilitate access to healthcare resources. Both roles collaborate to improve public health but differ in clinical responsibilities and community engagement scope.

Educational Requirements and Training

Public Health Nurses require a Bachelor of Science in Nursing (BSN) and must hold a registered nurse (RN) license, often complemented by specialized training in public health. Community Health Workers typically have a high school diploma or equivalent and receive on-the-job training or certificate programs focused on health education and outreach. The educational disparity highlights the clinical expertise of Public Health Nurses versus the community-based, culturally tailored approach of Community Health Workers.

Core Responsibilities and Duties

Public Health Nurses (PHNs) primarily provide clinical care, health education, and disease prevention services within communities, focusing on direct patient care, health assessments, and managing chronic conditions. Community Health Workers (CHWs) serve as liaisons between healthcare providers and community members, emphasizing outreach, advocacy, and connecting individuals to social services and resources. Both roles collaborate to improve population health outcomes but differ in scope, with PHNs requiring formal nursing education and licensure, while CHWs often have community-based training.

Work Environments and Settings

Public Health Nurses typically work in clinical settings such as hospitals, health departments, and schools, focusing on direct patient care, health education, and disease prevention. Community Health Workers operate primarily in non-clinical environments like community centers, homes, and local organizations, emphasizing outreach, advocacy, and connecting individuals to health services. Both roles collaborate within public health systems but serve distinct functions based on their work environments and community engagement levels.

Scope of Practice and Autonomy

Public Health Nurses possess advanced clinical training allowing them to perform comprehensive health assessments, develop care plans, and provide direct medical interventions within communities, demonstrating a higher level of autonomy in clinical decision-making. Community Health Workers primarily engage in health education, outreach, and facilitating access to services, operating under the supervision of healthcare professionals with a narrower scope focused on social support and basic health promotion. The delineation in scope of practice reflects Public Health Nurses' ability to deliver skilled nursing care independently, whereas Community Health Workers function as liaisons enhancing community engagement and resource navigation.

Key Skills and Competencies

Public Health Nurses possess advanced clinical skills, including health assessments, disease prevention, and case management, enabling them to provide direct patient care and complex interventions in community settings. Community Health Workers excel in cultural competency, health education, outreach, and building trust within underserved populations, acting as liaisons between healthcare systems and the community. Both roles require strong communication, advocacy, and knowledge of social determinants of health but differ in clinical expertise and scope of practice, with nurses focusing on medical care and CHWs emphasizing community engagement.

Impact on Community Health Outcomes

Public Health Nurses contribute to improved community health outcomes through clinical expertise, disease prevention, and health education, addressing both individual and population needs. Community Health Workers enhance these outcomes by providing culturally relevant support, outreach, and linking underserved populations to essential services, which increases healthcare accessibility and trust. Together, their complementary roles lead to reduced health disparities and stronger community resilience.

Collaboration within Healthcare Teams

Public Health Nurses and Community Health Workers collaborate closely within healthcare teams to enhance population health outcomes through complementary roles. Public Health Nurses provide clinical expertise, health education, and disease prevention strategies, while Community Health Workers offer culturally relevant support and bridge gaps between healthcare providers and underserved populations. This collaboration improves care coordination, promotes health equity, and strengthens community engagement in public health initiatives.

Career Advancement Opportunities

Public Health Nurses often have more formal education requirements, such as a Bachelor of Science in Nursing (BSN), which opens pathways to advanced clinical roles, leadership positions, and specialized certifications in fields like epidemiology or family health. Community Health Workers typically enter the field with less formal education but gain experience through community engagement, allowing for advancement into supervisory roles, health education coordinators, or public health program management. Both careers offer opportunities for growth, but Public Health Nurses generally have broader options due to their clinical training and licensure.

Salary Expectations and Job Outlook

Public Health Nurses typically earn higher salaries, averaging between $60,000 and $80,000 annually, due to their advanced clinical training and licensure requirements, while Community Health Workers generally earn $35,000 to $50,000 per year. The job outlook for both professions is strong, driven by increasing demand for preventive care and community-based health services, with Public Health Nurses experiencing a projected growth rate of 11% and Community Health Workers growing at approximately 13% through 2030. Salary and job growth variances reflect differences in education levels, scope of practice, and demand within healthcare systems and underserved populations.

Public Health Nurse vs Community Health Worker Infographic

Public Health Nurse vs. Community Health Worker: Key Differences and Roles in Healthcare


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