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Community health chapter 1
Principles of community health
Community health chapter 1
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The foundation of Community- Oriented Nursing Practice has three aspects of healthcare working together. That is population health, community health, public health, and can provide a framework to grasp the basics of the system. Population health shows outcomes of care the health of a population. This became a focus because of the affordable care act. Populations are defined in many ways. They can be a community, age, illnesses, geographic location, patient, income levels or any other organized group to be addressed. Community health is the everyday health. This is where one examines the health characteristics of populations. Social determinants such as wealth, sanitation, safety, and nutrition are applicable here. Health care providers …show more content…
The scientific method was being employed and developed providing a foundation for the Evidence-Based Practice used in healthcare today. Gathering evidence and relationships of practice to health, he dispelled the belief that cholera was spread through the air. He thought the organism spread through water and reproduce in the human body. Specifically, once identifying the locations of outbreaks, the sources of water, the relationship to of the cases to the water source were noted. Around the same time, Lillian Ward became the first public health nurse. As is the foundation of this type of nursing, she helped to improve the economic, Nutritional, and sanitation levels through teaching and prevention. Many could not pay for services. To meet the needs and improve the living conditions of the immigrant population in a Manhattan, New York City neighborhood, she provided care through an office until 1895. In that year she opened The Henry Street Settlement to meet the growing demands for social services and healthcare (Petiprin, 2016). In this last century and current history, The Social Security Act came in 1935. It funded public health nursing. 1965 the United States Surgeon General declared smoking tobacco a health hazard. The IOM was formed in 1988 to provide leadership in Health Care. The Affordable Care Act of 2010 expands access to health insurance, protect patients against arbitrary actions by insurance companies, and reduce costs. The influences on healthcare are vast. Ultimately, history has brought the government, community, and individual together to address (interventions) disease prevention, promote and protect health maintenance, restoration, and surveillance. The scientific method has brought Evidence-Based
Lillian Wald: A Biography is the gripping and inspiring story of an American who left her mark on the history of the United States. Wald dedicated herself to bettering the lives of those around her. She was the founder of The Henry Street Settlement along with the Visiting Nurse Service of New York. She worked with politics around the world and tried to bring healthcare and reform to people around the world. Using the lessons she learned in her childhood she worked closely with people from all backgrounds to fight for “universal brotherhood”. Wald was a progressive reformer, a social worker, a nurse, a teacher, and an author. Notably Lillian Wald, unlike many of the other women involved in the progressive movement such as Jane Adams, never received the same acknowledgement in the academic world.
Dimension of Nursing Practice: Collaboration- Uses the group process to identify, analyze, and resolve care problems.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
According to Allender, Rector, and Warner (2014), public health is a combination of both an art and a science (2014). The mission of public health nursing is to promote health, prevent disease and ultimately prolong life (Allender et al., 2014). In order for this to occur an assessment must take place. An aggregate or community assessment begins with a collection of data. This includes: the community’s health needs, risks, environmental conditions, financial resources through local census data, and a windshield survey (Allender et al., 2014). Through public health nursing, communities can collectively come together to help promote an overall better health standing.
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
Patient-Centered Care is a vital step for the underserved populations. In the clinical practice attention, and focus should be priority for these disadvantage patients. As a nurse educator, I should take a proactive role to to improve the health of America's underserved populations. participating in support group will enhance the care to serve the underserved population. In United states there is a disparity in the health of racial , ethnic groups, minorities, and African Americans. Most of the underserved population lives in underserved rural areas. These population lack access for health care, because their poverty, low income, and less access to transportations. Serving in shortage area is sacred mission for health care provider. Nursing role in the underserved areas has a dominant factor to reduce children mortality rate, and reduce elderly diseases. It is an opportunity to address all the barriers that prevent this special group for health care access. It is the real challenging for nurses to use the utmost knowledge, and explore new ideas that need further investigations.
Our group definition of health showed that health is broad and consists of objective and subjective parts. In contrast, the king’s interaction model (theory of goal attainment), the purpose of nursing is to help people maintain, or restore health by mutually goal setting. Her view towards the concept of health are easy to understand, but difficult to realize because the role of nurses is based on the health needs of patient, family, community and population. The other needs of patient, family and community will be resolve by nurses giving patients referrals or follow-up for care to other professionals. These health needs exclude health disparities and inequities in vulnerable population that nurses serve. Also, these health needs include reciprocal
Nursing Corps scholarship program mission is to provide qualified and dedicated nurses to provide amazing care to patients in underserved communities. It will be an honor for me to serve and provide quality care to patients when I graduate from nursing school and pass the board exam.
Resource utilization is important in nursing care delivery. ANA standards of nursing providing some stratergeis regarding resource utilization. The responsibility of the public health nurse is to assess the availability of resource and individual health needs to complete the healthcare tasks. The public health nurse considering certain factors that belongs to health care cost , safety , effectiveness and impact on nursing care in the planning and nursing care delivery. Also public health nurses are evaluating as such factors are bringing the expected outcome and its effectiveness. By the help of public health nurse the client and family members can identify the health services appropriate for health care needs.
Social hierarchy and conditions within a community has a direct impact on the health and wellness of the people that reside within the boundaries of that city. Major contributors to the welfare of a neighborhood include but are not limited to: the area in which they live, their social standing within the population and the income of the individual or family. Each factor has a severe influence on the life expectancy of the peoples within the society.
The community has a huge effect on the health and wellbeing of the residents that live there. Therefore, it is vital for residents to be aware of the community resources available and take advantage of the opportunity to benefit them. Assessment of a community for health care purposes revolves around the goal of treating the community as a client and improving its overall health. This entails knowing the customs of the community, identifying their needs and the optimum usage of their current resources (Arredondo, 2014). By using these methods, the goals of health promotion along with treatment can be established and used by the community.
Next, there is person that is to be cared for. A person is someone who needs nursing care. A person is made up of many parts including their mind, spirituality, and their body. The nurse is responsible for caring for all of these parts as considering the whole person is essential to facilitate healing. The nurse may also need to care for the patient’s family and the community. The family being in a healthy emotional state may be what is necessary for the patient’s improvement. Caring for the community can help prevent disease and screen for diseases. Preventing and early detection allows for quicker healing
This is a community profile that aims to identify a specific health improvement issue within a local geographically determined community. ‘A community profile is an attempt to describe a particular community or neighbourhood. It uses a variety of different techniques to build up a picture of the community from a number of perspectives’ (Barnardos.org.uk, 2004) including several components of a community such as its demographic characteristics, patterns and trends i.e. its epidemiology in order to make comparisons between different localities to determine areas needful of specific health improvements with the goal of improving local people’s health and reducing health inequalities. A core definition of community as distinguished by Macqueen and Mclellan et al (2001) is ‘a group of people with diverse characteristics who are linked by social ties, share common perspectives, and engage in joint action in geographical locations or settings’.
Journal of Community Nursing, 19, 9-12. Wilson, L. (2000). The 'Standard'.
Community diagnosis is a process of collecting data about the community in order to identify the different factors that may influence the health of the population and to analyze and seek explanation for the occurrence of health needs and problems of the community.