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401 final > ch1 > Flashcards

ch1 Flashcards

1
Q

what is sustainable development

A

providing framework whereby groups, communities and individuals have access to resources & opportunities & exercise their rights using them to create infrastructure that promotes healthy communities

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2
Q

what does MDG do?

A

the stats don’t reflect the poor & rich inequities, because its the averages of the countries

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3
Q

What is SDG?

A

tries to reflect the poor and the rich inequities worldwide.
Goal: irradiate poverty to make a more prosperous healthy and sustainable world. to meet the needs of future generations because it probably wont

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4
Q

SDG- 3 pillars & 3 goals

A

3 pillars: economic growth, social inclusion, environmental protection.
SDG goals:
1. end poverty in all its forms everywhere
2. end hunger, achieve food security & improve nutrition & promote sustainable agriculture.
3. ensure healthy lives & promote well being for all & all ages

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5
Q

what are the 3 categories of rights for child health

A
  1. right of provision- (healthcare education, rest and play)
  2. right of protection- (from abuse and neglect)
  3. rights of participation- (to be heard on issues that impact their health + well being
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6
Q

3 roles for pan to alleviate child/ family poverty

A
  1. alleviate effects of poverty
    - help families to maximize income levels
    - case advocacy
    - improve access to early child development services
  2. minimize financial + emotional cost of services
    - provide info about services
    - target resources to those w greatest needs
    - provide support + partner w ppl
  3. bring about social change
    - imitate community discussion
    - work intersectoral - to develop policies
    - use empowering strategies with cats.
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7
Q

barriers to phn

A

lack of knowledge and skills, personality, support, funding

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8
Q

key features of a chc

A
  1. population health approach
    - to consider sdoh
  2. comprehensive primary hc
    - primary care- 1st pt of access to hc system
    - phcp provides all essential services with a health promotion focus
  3. team based- interproff care
  4. community engagement + participation
    - community knows their needs and should be involved in deciding what services should be offered
  5. health equity + social justice
    - health for all population (vulnerable peoples too)
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9
Q

benefits of chc

A
  1. improved access to hc ) rural areas and interdisicplinary approach)
  2. service and administration and integration (increased hours, translation services to increase accessibility
  3. deliver comprehensive phc.
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10
Q

5 principles of phc

A 
public participation
accessibility
appropriate technology
hp
intersectroal collab
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11
Q

public partipcipation

A

governance- half the comittee members should be community members
planning and eval- public forums, key informants, community assessments, programs needed? eval programs
accountability of proff- public should eval services and be accountable
break down turf barriers- have a say in who they want to see
self- care- how can we help ppl educate themselves

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12
Q

3 core principles

A
  1. health equity
  2. community development approach
  3. commitment to addressing to SDOH
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13
Q

what are the 3 dimensions of child health

A
  1. material well-being
    - monetary and material deprivation (child poverty rate and if child doesn’t have the necessary items)
  2. health + safety
    - health at birth (LBW + infant mortality)
    preventative health services
    - (immunization rates)
    - child mortality - (child death rates)
  3. education
    - participation (high school attendance)
    - achievement (testing)
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14
Q

3 roles for pan to decrease child poverty

A
  1. alleviate effects of poverty
    - help families maximize income
    - case advocacy
    - improve access to early child development services
  2. minimize financial + emotional cost of services
    - provide information about services
    - target resources to those with greatest needs
    - provide support + partner with people
  3. bring about social change
    - initiate community discussion
    - work intersectional to develop policies
    - use empowering strategies with clients
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15
Q

key features of CHC

A
  1. population health approach
  2. comprehensive primary health care
  3. team based inteperforssional care
  4. community engagement + participation
  5. health equity + social justice
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16
Q

benefits of chc

A
  • improved access to helathcare
  • service + administration integration
  • deliver comprehensive primary health care
  • consumer + public involvement
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17
Q

public particpation

A
  • governance
  • planning and eval
  • accountability
  • break down turf barriers
  • self care
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18
Q

collaboration

A
  • mix of hcp, determined by health needs + resources
  • assess + refer hcp to correct clt
  • effective followup
  • good communication + referrals for hcp in the community
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19
Q

3 core principles of chc

A
  1. health equity
  2. community development approach
  3. commitment to addressing sdoh
20
Q

interprofessional primary care

A
  • group of professionals from different disciplines who communicate and work together in a formal engagement to care for a patient in a primary care setting.
  • it improves health care outcomes
  • barriers: in the practice model, sufficient space + communication
21
Q

chc challenges to evaluation

A
  • variable client base
  • broad perspective of health + wellness
  • multiple + overlapping programs
22
Q

community as a partner

A
  • egalitarian relationship
  • come alongside the people (b/c they know their strengths + communicate with key stakeholders and key informants)
  • pan seeks to build rapport + earn trust to access information
23
Q

community assessment

A
  • uses a population health approach - focus on whole community but mainly the marginalized people who have inequities , disenfranchised to address sj to achieve health equity
    purpose : to develop strategies to increase health + qol
    become acquainted with the community
    -evaluate effectiveness of existing programs
    ensure appropriate/ equitable allocation of resources
24
Q

what do you want to know from a community assessment

A
  • community strengths, resources, assets, opportunities capacities
  • health concerns
  • community constraints/ barriers
  • economic political + social factors affecting the history
  • id the sdoh + environment
25
Q

community assessment- data colelction

A 
strategies:
- enivonrmental scan
-key informants
- statistical data
data analysis
- categorize dta under the dimensions
- what you're seeing + stats+ charts
- summarize data
- interpret/ draw conclusions+ make inferences
- validate interpretations
26
Q

nursing diagnosis

A
  1. person
  2. state of health
  3. etiology / related to
  4. manifested by
27
Q

criteria for prioritizing

A
  • community awareness of the problem
  • community motivation to solve the problem
  • nurses ability to influence the solution
  • availability of resources
28
Q

pan has 3 things to accomplish

A
  1. reduce inequities
  2. increase prevention
  3. enhance coping
29
Q

requirements to creating a healthy community

A
  • wide community participation
  • involvement of all secotrs
  • create a healthy public policy
  • local government commitment
30
Q

role of phn in order for a healthy community

A
  • identify health issues
  • lend expertise to advocate on specific issues
  • build coalitions with other sectors to develop healthy public policy
31
Q

pillars of comprehensive school ehalth

A
  1. social and physical envionrment
  2. teaching and leadership
  3. partnership + services
  4. healthy school policy
32
Q

healthy school- role of a phn

A
  • be a resource for parents, teachers, students
  • provide instruction on health issues
  • health cousnelling
  • screening + early identification of health issues
  • make referrals
33
Q

political environment why nurses should be involeved

A
  • nurses hav ether means (large number of hcp
  • motivation : speaking out will
    1. earn respect of pts + hcp
    2. enable nurses to work at full scope
    3. to describe work + progress of nursing
    opportunity - valuable information and insight to contribute + there is a shortage and the public trusts us.
34
Q

barriers to political action

A
  • working hours + domestic responsibility
  • most women are nurses and traditional perceived hierarchy + often not in politics.
  • lack of opportunity to communicate roles with other sectors
  • difficulty articulating what we do
35
Q

why should nurses exert political influence (broad goals)

A
  1. client patient focus- promote pt health foucs
  2. nursing professional focus: safety + advocate for ourselves to maintain standards of care
  3. health care resources focus: so there is enough resources
36
Q

sources of empowerment - we have

A
  • expanded scope
  • valued as a scarce resource
  • are advocates for cleitns
  • knowledge is power
37
Q

key pts to political influence

A
  1. communicate
  2. collectivley
  3. collegiality- show respect
38
Q

spheres of nurse involvement in policy development

A
  1. workplace- y nurses should participate in workplace decision making
  2. to promote nursing practice
  3. to establish and maintain standards of care
  4. to allocate resources effectively and efficiently
  5. to create a satisfying + supportive work environment
  6. must be aware of forces that drive workplace policies
  7. professional organization
  8. nursing education
  9. community development - determine community strengths community development approach
  10. government
39
Q

political analysis

A
  • think about values beliefs and assumptions
  • emergence of issues
  • analyse: hx ethical social political and economic
  • research + evidence - what other hcp do
  • barriers to resolution - diff goals and assumptions, finite resources and money, resistance to change
  • strategies to resolution - public awareness, lobbying government and decision makers + political engagement, education and institution
  • policy design
  • policy implementation + evaluation
40
Q

lobbying

A 
influence those in power to support your issue and recommend change
strategies
1. meet with key people
2. phone call, social media
3. write reports + submit resolutions
41
Q

globalization

A

the flow of information goods and capital and people across political and geographical boudnaries
positive implications:
- infectious disease control, trade, tobacco free
negative implications
- infection disease spread, drug trade, climate change from transportation

42
Q

health inequity

A
  • the social gradient in htelath within and between countries from the unequal distribution of power income goods and services
43
Q

social justice

A

the fair distribution of societies benefits, responsibilities, consequences. sj focuses on the root cause of disparities &what can be done to eliminate them.
- justice: nurses uphold principles of equity fairness, to assist people in receiving a share of health services and resources proportionate to their needs in promoting social justice.

44
Q

social justice action influences on 3 levels

A
  1. actions that increase awareness of injustice
  2. actions that would help increase awareness of injustice by addressing symptoms of injustices
  3. actions that would help transform injustice by eliminating the root cause
45
Q

health indicators

A
  • measures health and the factors that affect it: life expectancy, infant morality rate, maternal mortality, under 5 morality rate.
46
Q

SDG

A

expands and adds to the MDG and is more specific.
MDG was too broad and not specific so it was difficult to evlauate.
SDG goals: no poverty and hunger and good health and well being for all.
3. pillars: 1. economic growth 2. social inclusion 3. environmental protection

47
Q

universe health coverage

A
  • all people receive health services without it costing too much
    1. financial risk protection
    2. access to quality essential health care
    3. access to safe effective quality and affordable health care
    4. access to vaccines

401 final (1 decks)

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