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Chapter 3
Community Health ATI
20
Nursing
Undergraduate 4
11/14/2013

Additional Nursing Flashcards

 


 

Cards

Term
Community health nurse role in assessing community needs
Definition
- interacting with community partners serving the community at large
- witnessing the interaction between com programs and the response of the client to the services
- identifying future services based on visible needs of the community members and pop groups
Term
Components of Community Assessment
Definition
1. People
- demographic, biological factors, social factors, cultural factors

2. Place or Environment
- Physical factors, environmental factors

3. Social Systems
Term
Informant interviews
Definition
direct discussion with community members for purposes of obtaining ideas and opinions from key informants
Term
Pro/con of informant interviews
Definition
Pro:
minimal cost, future supporters, offer insight into beliefs/attitudes, read/write not required, more detailed

Con:
built in bias, meeting time and place
Term
community forum
Definition
open public meeting to collect data
Term
pro/con of community forum
Definition
Pro:
opportunity for community input, minimal cost

Con:
convenient time/place, potential drifting, adequate participation, less vocal reluctant to speak
Term
Secondary data
Definition
use of existing data (death statistics, birth statistics, census data, mortality, morbidity, health records, minutes from meetings, prior health surveys) to assess problems
Term
Pro/Con of secondary data
Definition
Pro:
database of prior concerns/needs
ability to trend issues over time

Con:
data may not represent current situation
time consuming
Term
Participant observation with pro/con
Definition
observation of formal or informal community activities

Pro:
indication of community priorities
environmental profile
ID of power structures

Con:
bias
time consuming
inability to ask questions
Term
Windshield survey pro/con
Definition
Pro:
provides descriptive overview of community
Con:
driver to visualize and document
time consuming
no input from community
Term
Focus groups with pro/con
Definition
directed talk with representative sample

Pro:
potential supporters
insight into community support
read/write not required

Con:
possible irrelevant issues discussion
getting people
need strong facilitator
difficult to ensure sample is representative
time consuming to transcribe discussion
Term
Surveys pro/con
Definition
specific questions in written formal

Pro:
data on population/problem
random sampling
written or online
no contact needed

Con:
low response
expensive
time consuming
possible superficial data
read/write ability
Term
Analysis steps
Definition
1. gathering collected data into composite database
2. assessing completeness
3. ID and generate missing data
4. synthesize and ID themes
5. ID needs/problems
6. ID strengths/resources

problem analysis for each ID'd problem
Term
Community Health Diagnosis
Definition
Problems identified by community assessments that incorporate information from community assessment, general nursing knowledge and epidemiological concepts

Risk of (specific problem or risk in the community) among (specific pop) related to (strengths/weaknesses of community)
Term
Preplanning - Community health program
Definition
brainstorm ideas

- gain entry into community and establish trust
- community awareness, support, involvement
- coordinate collaborations that have similar interests in addressing problems
Term
Assessment - community health program
Definition
collect data about the community and its members.

- needs assessment and ID strengths/weaknesses
- assess availability of resources
- evaluation secondary health data
Term
Diagnosis - community health program
Definition
ID/prioritize health needs of community

- analyze data to determine health needs
- work with community, local health pro and administrators to develop priorities and establish outcomes
Term
Planning - community health program
Definition
Develop interventions to meet identified outcomes

- possible solutions to meet the health need and select the best option
- establish goals/objectives with data
- select strategies/interventions to meet objectives
- timeline
- responsibility for each intervention
- funding
- plan evaluation
Term
Implementation - community health program
Definition
carry out the plan

- initiate interventions to achieve goals and objectives by plan
- monitor intervention process and response of community
Term
Evaluation - community health program
Definition
Examine success of interventions.

- strengths/weaknesses of program
- determine achievement of desired outcome
- adequacy, efficiency, appropriateness, cost
- recommend and implement modifications to better meet needs
- share findings, keep evaluating
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