17. Community as Client: Assessment and Analysis Flashcards

1
Q

What does community assessment do?

A
  • define community needs
  • identifies strengths and weaknesses
  • obtains data to confirm known issues
  • addresses health concerns
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2
Q

4 steps to start a community assessment

A
  • identify a model to guide assessment
  • visit and interact in the community
  • collect data about people, place, and function for a month or more
  • use community coalitions and inclusion of stakeholders
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3
Q

3 types of data collected for assessment

A
  • health status indicators
  • primary sources of data
  • secondary sources of data
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4
Q

numerical measures of health outcomes such as morbidity and mortality as well as determinants of health and population characteristics

A

health status indicators

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5
Q

Examples of primary sources of data

A
  • observation
  • key informations
  • surveys
  • town hall meetings and focus groups
  • windshield survey
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6
Q

Examples of secondary sources of data

A
  • death/birth statistics
  • census
  • morbidity and mortality data
  • prior health surveys
  • environmental issues
  • financial issues
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7
Q

method of simple observation that provides a quick overview of a community

A

windshield survey

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8
Q

Elements observed in a windshield survey

A
  • boundaries
  • housing and open spaces
  • transportation
  • social service centers
  • stores and streets
  • religion
  • health indicators
  • politics/media
  • businesses
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9
Q

all steps to conducting a community assessment

A
  • get started
  • windshield survey
  • community place and people identified
  • the seven “A’s”
  • data analysis
  • nursing dx
  • program planning, implementation, and evaluation
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10
Q

characteristics of community “place”

A
  • boundaries
  • environment
  • size
  • climate
  • history
  • population
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11
Q

characteristics of community “people”

A
  • size and density of pop.
  • demographics
  • education
  • informal and formal groups
  • linking structures (schools, associations)
  • values and beliefs
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12
Q

7 A’s to evaluate adequacy of services or systems in a community

A
  • awareness
  • access
  • availability
  • affordability
  • acceptability
  • appropriateness
  • adequacy
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13
Q

analyzing and establishing priorities among health problems identified, establish goals, and identify activities to accomplish objectives

A

program planning

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14
Q

enacting the plan for improved community health using identified goals and objectives

A

program implementation

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15
Q

measuring the success of the program and determining community satisfaction w/ outcomes

A

program evaluation

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16
Q

doing the greatest good for the greatest number of people

A

utilitarianism

17
Q

treating people fairly and distributing resources and burdens equally among members of society

A

distributive justice

18
Q

ensuring that vulnerable groups are included in equitable distribution of resources

A

social justice

19
Q

3 main characteristics of a successful partnership

A
  • everyone is informed
  • flexibility and acceptance
  • negotiation
20
Q

Purpose of a community nursing diagnosis

A
  • helps clarify the problem
  • important first step in planning
  • clarifies target population and identifies factors contributing to the problem