NUR1010 Chapter 5 community based nursing across the lifespan

Card Set Information

NUR1010 Chapter 5 community based nursing across the lifespan
2014-02-03 13:56:09
Assessment individuals families communities

Assessment of individuals, families ...
Show Answers:

  1. 5 methods to investigate people, location, social system ...of a commuinity
    • 1. Windshield survey
    • 2. Informant interviews
    • 3. Participant observations
    • 4. Analysis of existing data
    • 5. Constructed surveys
  2. What are the components of community assessment?/
    • People,
    • place
    • Social systems
    • social determinants of health
  3. Who should be asked if you do an informant interview?
    • Key informants: residents in position of power or influence in the community,
    • Community residents who are members of the general public: random phone calls, person on street interview,
    • Typically unstructured to collect general
    • information
    • May be used by nurses in acute care by asking family members, client,...
  4. Participant observation
    • Observing of formal and informal community activities-> determine significant events and occurrences-> conclusion about what  is happening, values, norms, priorities, how are decisions made, who has power...
    • Formal gatherings: city council, school board,...
    • E.g. nurse observes patient interacting with family members (values, behavior), context of family and community
  5. Existing data
    • Records, documents, vital statistics (birthrates, death rates by age, gender, morbidity...), census data, reportable diseases
    • Can be used to asses people, place or social systems
  6. Constructed surveys
    • To get info about communities-> time consuming and expensive-> data analyzed for patterns and trends
    • Tool for  nurse with graduate degree working in community based setting (any nurse can still do a simple survey)
  7. Population based community care
    • Occurs through partnership among constituents
    • Relationship character should be full of trust, respect, genuineness, commitment and build upon assets and strengths,  
    • Important: ongoing dialogue within the reciprocal relationship
    • Starting the community assessment can also be based upon recommendations from Robert Wood Johnson Foundation Commission to build a healthier America (or like just learned by observing people, place, social system)
  8. Robert Wood Johnson Foundation Commission for a healthier America
    • 1 Ensure all children have high-quality early development
    • 2 Food stamps for hungry families
    • 3 create public-private partnerships to open full service grocery stores in communities without access to healthy food
    • 4 only healthy food in schools
    • 5 school should include time for physical activity each day
    • 6 Become smoke free nation
    • 7 create healthy community demonstrations, plan, implement and show effect of project
    • 8 health impact rating for housing and infrastructure projects + incentives
    • 9 integrate safety and wellness into every aspect of community life
    • 10 ensure decision makers of all sectors have evidence to build health into public and private policies
  9. Common nursing diagnosis for community care
    • ineffective community coping
    • Readiness for enhanced community coping
    • Community contamination/ risk for it
    • Ineffective community self health management. It is important to document the data that support the problem + processes used for identification (in real world might be stated as a problem statement)
  10. Planning/goals and outcomes
    • Planning follows the nursing diagnosis for the community
    • Robert Wood Johnson ... can be used also for "smaller" communities
    • Prioritizing needs-> goals->determine action plan
  11. Nursing interventions in population based care
    • 1 community organizing
    • 2 collaboration
    • 3 Advocacy
    • 4 Social marketing
    • 5 Policy development and enforcement
    • 6 Coalition building
  12. Some questions regarding evaluation of population based community assessment
    • Were all key stakeholders satisfied with program, why/why not
    • What additional data do we need
    • Did problem statement focus on most important problems
    • What strengths were not used
    • Was the diagnosis/statement, intervention and outcome realistic, why/why not
  13. Suggested steps to facilitate community building
    • Map existing capacity + assets, focus on strengths-> that can be used for participation
    • Build and strengthen existing partnership for problem solving
    • Mobilize community's assets for information sharing and economic development
    • convene a broad representative group to craft vision and plan
    • Leverage activities, investments, resources from outside the community to support local development
  14. Public policy
    How can a nurse influence
    • Calling or sending letter to city
    • Testifying at a public hearing
    • Public education + public marketing + advocacy -> influence public opinion
    • Nurse's responsibility = stay current on health care issues and share that expertise with community members
  15. What is holistic assessment directed to ?
    • Individual clients across the life span, families, communities
    • Physical, psychosocial, cultural, functional, nutritional, environmental, spiritual aspects are considered
    • Community assessment helps to discover existing problems