Chapter 12: Community Assessment And Evaluation Flashcards
What is community?
people and the relationships that emerge among them as they develop and use in common some agencies and institutions and a physical environment
Community: People
The community residents
Community: Place
Both the geographical and time dimensions
Community: Function
The aims and activities of the community
A community practice setting is an insufficient reason for saying that
Practice is oriented toward the community client.
(When the location of the practice is in the community but the focus of practice is the individual or mainly, the nursing client remains the individual or family, NOT the whole community)
Community as client requires the overall goal of nursing intervention to be
the improved health of the community
Community as Client and Partner in Nursing Practice
- Direct clinical care and be a part of population-focused community health practice.
- Improved health of the community remains the overall goal of nursing intervention.
- Change occurs at several levels.
Community as Client and Parter in Nursing Practice: Two key concepts
- Community Health
2. Partnership for community health
Goals of Community-Oriented Practice
Nurse and community seek healthful change together
Community health has three common characteristics
Status
Structure
Process
Community Health: Status
involves physical (i.e., morbidity and mortality rates), emotional (i.e., client satisfaction), and social (i.e., crime rates) components
Community Health: Structure
Services and resources in a community
Community Health: Process
Effective community functioning or problem solving
Goals and Means of Community-Oriented Practice
Healthy People 2020
Community Partnerships
Strategies to improve community health
Strategies to improve community health
Multiple originations working together Guidelines: APEXPH PATCH MAPP CHANGE Community Guide
Community Partnerships
the active participation and involvement of the community or its representatives in healthful change
Most changes aimed at improving community health involve
partnerships among community residents and health workers from a variety of disciplines
Assessing Community Health Includes
- Data collection and interpretation
- Data gathering
- Data generation
- Composite database analysis
- Data collection methods
- Community reconnaissance
- Assessment issues
Data Collection Methods include
Informant interviews Participant observation Windshield survey Secondary analysis of existing data Surveys
Community-Focused Nursing Process: From Assessment to Evaluation Steps
- Assessing Community Health
- Identifying Community Problems
- Planning the Community Health
- Implementing for Community Health
- Evaluating the Intervention for Community Health
Planning the Community Health includes
Analyzing problems
Problem priorities: Criteria
Establishing goals and objectives
Identifying intervention activities
Implementing for Community Health Includes
Factors influencing implementation
Nurse’s role: Social change process
Evaluating the Intervention for Community Health
Role of outcomes in the evaluation phase
Personal safety in Community Practice
- A prerequisite for effective community-oriented practice
- Should be a consideration throughout the process.
The best to guidelines for judgment in the community are
An awareness of the community
Common Sense
Three sources of information about a community includes
- Other nurse, social workers, or health care providers who are familiar with the dynamics of a given community
- Community members
- Your own observations
