Chapter 9 Flashcards

1
Q

Definition of Community?

A

People (residents)
Place (geography and time)
Function (Goals and Activities)

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2
Q

How do CHN partner with the community?

A

CHN’s use community data including epidemiological data about disease and injury when working with communities in planning and implementation

CHNs focus on community Strengths and assets and to enhance community capacity.

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3
Q

What does the community as Partner Model say?

A

The CHN and the community plan, implement and evaluate strategies to reduce stressors, restore stability, and avert future health concerns

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4
Q

What are some other community assessment models?
(6)

A

-General systems model
-Comprehensive health assessment
-Familiarization assessment
-Problem-oriented assessment
-Subsystem assessment
-Assets assessment

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5
Q

Community-Oriented Practice definition?

A

Considers the unique dimensions of health within a community and involves the community in maintaining, promoting and protecting its health
The Goal: Ongoing health-promoting changes.

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6
Q

What are the 3 dimensions of Community Health?

A

1) Status
2) Structure
3) Process

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7
Q

The 9 Aspects of a Healthy Community:

A

-Clean safe physical environment

-Peace, equity, social justice

-Adequate access, (food, water, shelter, income, safety, work, recreation)

-Strong, mutually supportive networks

-Wide participation in decision-making

-Strong cultural and spiritual heritage

-Diverse and robust economy

-Learning and skill development opportunities

-Access to health services (prevention programs)

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8
Q

What are the 5 aspects of effective partnership with the community?

A

-Equality in decision making

-A shared vision

-Integrity

-Agreed on specific goals

-A plan of action to meet the goals

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9
Q

Definition of Coalition/Alliance/ Partnership

A

Power is ideally “shared among all participants in the processes of change for improved community health”

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10
Q

Definition of Coalition:

A

Two or more groups that share a mutual issue or concern and join forces, thereby increasing their influence in achieving a common goal

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11
Q

Definition of Intersectoral Collaboration

A

Occurs when “there is joint action and a shared responsibility among groups, professionals, the community, and other groups not normally associated with health”

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12
Q

What is the Community Health Nurse Process?

A

1) Assessing Community Health

2) Planning for Community Health

3) Implementation in the Community

4) Evaluating the Intervention for Community Health

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13
Q

What are the 7 different methods of data collection for community health assessments?

A

-Informant interviews

-Focus Groups

-Participant observation

-Windshield Survey

-Community Forums

-Secondary Analysis of existing data

-Survey

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14
Q

Phase 2- the Planning Process: Questions for prioritizing Health Concerns? (6)

A

-Community awareness of -concern?

-CHN ability to influence resolution of the concern?

-Severity of outcomes if left
unresolved?

-Community motivation to resolve the concern?

-Availability of relevant expertise for resolution of the concern?

-Speed at which resolution can be achieved?

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15
Q

Definition of Goals:

A

Broad statements of desired outcomes

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16
Q

Definition of Objectives

A

Precise statments indicating the means of achieving the desired outcomes

17
Q

Definition of Intervention Activities?

A

Strategies used to meet objective, effect change, and break the health concern cycle.

18
Q

Phase 3: Implementation Definition?

A

“involves work and activities aimed at achieving the goals and objectives”

-CHN CHANGE AGENT roles involve gathering facts, analyzing facts, and implementing programs

-CHN CHANGE PARTNER roles involve being a catalyst for change, teaching problem solving, and being an advocate/activist

19
Q

Phase 4: Evaluation Definition?

A

“the appraisal of the effects of some organized activity or program”

“May involve the design and conduct of evaluation research or the more elementary process of assessing progress by contrasting the objective and the results

20
Q

Questions to consider in the Phase 4, Evaluation stage

A

-To what extent were goals and objectives met?

-Are any changes needed in the goals or objectives?

-Which interventions were effective? Why?

-Which interventions were ineffective? Why?

-Has the health concern resolved? was the risk to health reduced?

-Any lessons learned? Any changes needed?