Community Nursing Flashcards
Which specific groups does the federal government cover you
FNIHB, Canadian forces, veterans, inmates, and refugees
principles of health act
Universality accessibility comprehensiveness of services portability public admiration
role of provinces regarding health care
legislate, organize and deliver services
benefit of Community health centres
improving access to health care
what is Canada known for
leader in health promotion movement
medical model definition of health
absence of disease
WHO definition of health
Holistic, physical, mental and social well-being
Ottawa charter definition of health
health is a resource aspiration, satisfy needs, coping
what are the 3 levels of prevention
1-education, prevent disease/injury2-check for problems (screening)3-tx
healthy public policy
intent of having a positive effect on or promoting health
protective factors
variable that assist in managing the stressors associated with being at risk
Lalonde report
health promotion”health field concept”individual blame on health
alma-ata declaration
what are the per-requisites for health (Ottawa charter)
basic needs/rightspeace, resourcessocial justice, equitystable ecosystem, income
what are the 3 strategies of Ottawa charter
advocate, enable and mediate
what are the 5 actions of Ottawa charter
healthy public policy supportive environment community action personal skills reorient health services
Epp Report and 3 focuses
“Health for all”-reduce differences btwn groups (income)-reduce risk for injury/disease-enhance coping
what are the 3 health promotion mechanisms of Epp report
self care mutual aid healthy environments
what are the 3 implementation strategies of Epp report
public participation community health services healthy public policy
what are the 3 health promotion approaches
biomedical behavioural socio-environmental
biomedical health promotion approach
3 levels of prevention biological and physical
behavioral health promotion approach (ex)
change risk behaviors to promote health-smoke pack graphics
population health promotion approach (6)
determinants of health evidence-based upstream investments collaborate public involvement accountability
what are the aspects of “strengthening community action” strategy from Ottawa Charter
community development capacity building community mobilization empowerment
main concern of health protection
maintenance of health- immediate health risks
Summative evaluations
assess program outcomes or follow-up on the results of the program activities
Community health index
summary of the health indicators of a community
Community forums (pro)
low cost and capturing the perspectives of a large number of people
Focus groups and key-informant methods (con)
limit the number of persons expressing their perspectives
Surveys (con)
expensive and technically demanding
Adequacy
the extent that the program addresses the entire health concern defined in the assessment
progress evaluation
monitor program activities
purpose of program planning
facilitates how resources are used so that they will have the most impact
Formative program evaluation (ex)
Quality assurance audits
The Program Logic Model
Utilizes a diagram, Involves stakeholders, Shows linear linkages towards outcomes (effective?)
The interactive stage
describes the health concern using past and present data to project future population needs
what is an important component of the initial planning phase
Relevance
Relevance
The program is suitable to meet the needs of the target group
what are major sources of information for program evaluation
program clientsprogram recordscommunity indicators
health program
activities to address health concerns and builds on patient strengths
what are the 4 steps of the health program management process
assessingplanningimplementationevaluation
what are the 2 types of program planning
strategic and operational
strategic program planning
matching patient health needs, strengths and resources
operational program planning
uses a specific objective related to plan (smaller scale and more detailed)
what are the 2 models of program planning
logic model and precede-proceed model
precede-proceed model
comprehensive but complex with 9 phases
what is included in the logic model
situation inputs (resources)outputs (program activities)outcomes
what are the 2 assumptions of the precede-proceed model
multiple factors affect healthcollaboration is needed for change
who is involved in the assessment step of program planning
key stakeholders
community health nursing
individual clients in the community (umbrella term)
population health
Health outcomes of a population(determinants and indicators)
what strategies do population health use
protection, prevention, and promotion
what is the role of the public health nurse
promotion, protection and prevention among populations
public health
health care of communities and populations (broad)- activities
what is the goal of public health
improve health of all people
primary health care
comprehensive social justice and equity, universally accessible to people in a community collaboration
social justice
ensuring fairness and equity in health services so that vulnerable individuals in society have easy access to health care
what has increased life expectancy
Improvement in control of infectious diseases through immunizations and sanitation
what are sub-populations called
aggregates
Canada’s health goals
(1) basic needs(2) belonging and engagement(3) healthy living(4) a system for health.
upstream thinking
macroscopic, big-picture population focus (determinants, factors)
downstream thinking
is a microscopic, individual curative focus
community
people and the relationships between people who commonly share agencies, institutions, and a physical environment
difference between equality and equity
equality- everyone gets the sameequity- eliminate disparities (fair)
what are the 5 principles of primary health care
accessibilityhealth promotionpublic participationintersectoral collaborationappropriate techonology
Current Priorities to Improve Integrated Health Care for Canadians
1) accessibility-rural/remote
2) supporting health workers
3) mental health and substance use
4) modernizing