Community Health Nursing ASN 260 Population-focused care Community Assessment Chapter 16 & 17-Delaune/ Chapter 3-Wong/Chapter 2 & 3-ATI S. Tapp MSN BSN RN ADN 260/RN 12 1

Objectives Compare community-based health care and community health (population focused) care Identify methods of community assessment Identify two factors that influence community health ADN 260/RN 12 2

Community Health Community defined- a group united by some common element Community health- meets the identified needs of the community and society Community based nursing- focuses on the person, families, and aggregates living within that community ADN 260/RN 12 3

Community Health Nursing Goal- maintain and improve the health of the population of the community and worldwide, using a holistic approach Services- infant exams, case management for elderly, the homeless, those with chronic conditions, substance abuse, violence, communicable diseases, epidemiology of populations, analysis of health policies & decision making ADN 260/RN 12 4

Public Health Nursing Focuses on prevention instead of illness Services – prevention of epidemics & spread of disease Protection against environmental hazards Prevention of injuries Promotion of health behaviors Responding to disasters Nursing responses to public health issues (See p. 314-Delaune) ADN 260/RN 12 5

Community Assessment Aspects Comprehensive approach Foundation for community specific program planning Used to determine health needs Components People Place or environment Social systems 6 ADN 260/RN 12

Methods of community assessment Windshield surveys Focus Groups Interviews Community forums Secondary data Know: Neighborhood Resources Characteristics of the population Special needs of the population Advocacy needs for the aggregate ADN 260/RN 12 7

Windshield Survey People Place Location of health services Natural environment Man made environment Housing Social systems 8 ADN 260/RN 12

Factors that influence community health Family & culture Beliefs, values, attitudes & behaviors shared by a group of people Transmitted from generation to generation Social & environmental factors Influence of environmental conditions on the development of disease or injury Access to health care Availability of services Health care financing 9 ADN 260/RN 12

Objectives Review Compare community-based health care and community health (population focused) care. Identify methods of community assessment Identify two factors that influence community health ADN 260/RN 12 10

Review Questions A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual’s culture? (select all that apply) ____ Nutritional practices ____ Family structure ____ Health care interactions ____ Biological variations ____ Views about illness 11 ADN 260/RN 12

Review Questions, Continued List two methods of community assessment. List two factors that influence community health 12 ADN 260/RN 12

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