Week 12 & 13 Flashcards
Health Education
- Learning experiences
- Provide opportunity to acquire information
- Skills needed to make informed actions
- Improve own health
Health Education Programs
- Encourages positive informed lifestyle changes
- Empowerment
- Prevent disease & disability
Learning Principles
- Diverse teaching methods
- Active involvement
- Comfortable learning environment
- Assess learner readiness
- Provide relevant information
RNAO Guidelines on Client Centered Teaching
- Right to accessible information
- People create their own understandings
- Learning is social
RNAO Learns Model
- Describe interactions between nurse/client
- Evidence based
- Used in any setting
- Focuses on adults 18+
LEARNS Model
- Listen to client
- Establish therapeutic relationship
- Adopt intentional approach
- Reinforce health literacy
- Name new knowledge
- Strengthens self management via community links
Health Literacy
- Understand, communicate basic health information
- Services to make appropriate decisions
Health Outcomes with Limited Literacy
- Enter system with worse illness
- Experience sense of shame
- Higher hospitalization rates
- Skip preventative measures
Bandura’s Self-Efficacy Model
- Belief of one’s capabilities to perform a certain behavior
- Needed to influence own health
- Client empowerment
- Self confidence increases participation likelihood
Health Belief Model
- Self-perceived state of health or risk of disease
- Influence making a plan of action
- Explain why/why not individuals act in relation to their health
- More likely to change behaviors when they value health
Transtheoretical Model of Change
- Precontemplation
- Contemplation
- Planning/preparation
- Action
- Maintenance
- Relapse
Digital Health
- Internet access for health information not equitable
- Internet information not best source of evidence
Digital Divide
- Internet users & non-users
- Resulting in information have & have nots
Occupation Health Nursing OHN
- Apply nursing practice in workplace specific populations
- Frontline responders with workplace emergencies
- First aid
- Policy planning
- Prevention
Environmental Health History
- Health & environment linked since Nightingale (1859)
- Not a new area of nursing
Pollution Related Injustice
- Indigenous most affected
- Unsafe drinking water
- Contamination of traditional foods (fishing)
Neurotoxicants
- Pesticides impact brain development
- Prenatal exposure
Cosmetic Sector
- Fumes from cosmetic products
- Endocrine disruptors
- Autism, sex organ anomalies
CHN Role in Environmental Health
- Social & ecological justice
- Ethical imperative to preserve environment
- Reduce pollution & GHGs
Social Justice
- Fair distribution of benefits/consequences
- Position of social groups in relation to others
- Understand cause of disparities
Power
- Influence stemming from professional position
- People do not have equal power
- Engage in ethical power use
Socio-Environmental Perspective on Health
- Basic resources & prerequisite conditions are necessary to achieve health
- Social justice is the foundational public health moral
- Address systemic disadvantage
Vulnerable Clients
- Mental illness
- Poor public policy
- Access barriers to service
- Poor, homeless, seniors, disabled
Trauma & Violence Informed Care
- What happened to you
- Creating supportive & understanding environment
- Take into account the impact of trauma
- Harm reduction
- Cultural safety
Global Health
- Improving health
- Achieving health equity
- Requires cooperation to create solutions
- Address prevention & clinical care
- Interdisciplinary & multidisciplinary
Factors Impacting Global Health
- Increasing inequities between countries
- New patterns of consumption & communication
- Commercialization
- Global environment change
- Urbanization
Healthy Life Expectancy
- Years of healthy & unhealthy life
Death in Low Income Countries
- Majority communicable diseases
Death in High Income Countries
- Majority non-communicable
- Vaccines for communicable diseases
Political Factors of Global Health
- Government (stable/unstable)
- Finances & economy
- Wars (defense/military costs)
- Communication system (technology)
- Education system
Autonomy
- Respect for individuals ability to make decisions
Social Factors of Global Health
- Culture
- Religion
- Language
- Values, beliefs, social norms
Communicable Dieases
- Illness caused by specific infectious agent
- Arise through transmission
- Low income linked to increased STI rates
- Low literacy link to receiving STI care
Resistance
- Ability of host to withstand infection
Herd Immunity
- Resistance of group of people to infectious agent
Infectiousness
- Measure of potential transmission from infected host to others
Outbreak
- Occurrence of cases in a community
- Greater than expected
Endemic
- Constant/usual presence of a disease
- Within geographical area/population
Pandemic
- Outbreak of disease
- Affects many people across multiple countries
Syndemic
- Presence of 1 conditions exacerbates another
Current Global Health Issues
- International nurses recruitment (nurses not where needed most)
- Disproportionate impact of climate change (poorer countries)
- Vaccine equity
- Health inequity
Future Trends
- Increase in community based nursing
- 2/3 of nurses work in community care
- Increase in advocacy & system navigator roles
Future Issues
- Population health
- Emergency preparedness
Future CHN Practice
- Strength based approach with communities
- Cultural humility
- Address upstream inequality forces
- Self care significance to individual health