In today's generation, the continuous and rapid innovation in the nation's health care system, coupled with rising health costs, has led to numerous health disparities among communities (Mason, 2016). The role of the community health nurse is to promote health by aiming a goal to enhance the well-being of the community and to advocate for policies that will help enhance the health care access (Yui, 2016). However, nurses need to assess the community first before promoting health because each community faces different health and environmental problems. Thus, this paper will analyze the health status of the Sunset community by identifying its strengths and weaknesses, and utilizing the application of community-as-partner model, which is associated …show more content…
This framework is designed to help the nurse with gathering information and identifying potential challenges of the community. After collecting the data, the nurse will be able to examine the information to create a plan based on the identified issue. Once the plan is implemented, the nurse will have an opportunity to evaluate the effectiveness of the plan by verifying if the desired health outcomes are attained (Yui, 2016). When assessing a community, the nurse can use various methods on how to collect data such as environmental scan, needs assessment, problem investigation, and resource evaluation (Yui, 2016). These four methods are used in combination to assess the Sunset community such as collecting information from various government websites, and articles which contain statistics that has quantitative and qualitative data (Yui, 2016). Community assessment is important when determining which social determinants of health are affected in a specific community. In the following paragraph, the writer will explore the community-as-partner model by defining key terms and connecting the model with the community nursing …show more content…
214). There are eight subsystems that may influenced the health outcomes of the core, which can either be positive or negative. The subsystems include the following: “physical environment, education, safety and transportation, politics and government, health and social services, communication, economics, and recreation” (Vollman, 2012, p. 215). In the model, there are solid lines around the core, which are identified as the “normal line of defense (NLD)” (Vollman, 2012, p. 215). These lines represent the collection of data from the assessment, which determines the health status of the community like injury and disease prevalence (Vollman, 2012). Then, the “lines of resistance (LRs)” (Vollman, 2012, p.215) are placed within the subsystems to defend the core in the model. These lines are identified as assets and strengths of the community, which protect the members from a stressor (Vollman, 2012). A stressor is “tension-producing stimuli that have the potential of causing disruption in the community” (Vollman, 2012, p. 216). Lastly, the other unbroken line surrounding the NLD is called “flexible line of defense (FLD” (Vollman, 2012, p.216). These lines are short-term reactions to the stressors, which represents the resiliency of the community (Vollman,
Much effort was put into generating a community health assessment and improvement plan that wholly applied to the county. The work to create the community health assessment and community health improvement plan is already being implemented throughout the county. With a heavy emphasis on quality, affordable healthcare, Kittitas County has laid the groundwork for a promising future with regard to the health of its people. What is more, should these attempts prove successful in Kittitas County, this can provide a possible framework for health improvements in other counties around the country, especially the rural counties that show great parallels to that of Kittitas. With that said, there are still many issues the county must deal with in the future.
Book Review: The Spirit Catches You and You Fall Down Tim Merlino Drexel University November 2017 The patient-doctor relationship recognizes transference affects as a bi-directional relationship which affects the way a health care provider treats a patient and the way the patient responds to treatment (Zinn, 1990). Fadiman’s book examines different problems in the culture of American medicine by highlighting a tragedy centered around a Hmong immigrant family and their sick child, Lia, in California (Fadiman, 2012). The story also highlights some important lessons to be learned by the American health care system to avoid future incidents like described by Fadiman and to ultimately apply cultural competency in public health (Fadiman, 2012).
The Social determinates of the participants are complex. As stated within the article, “Recognizing that community involvement is essential to the identification of health concerns and interventions, community engagement is increasingly recognized as a vital component of efforts to expand access to quality care, prevent disease, and achieve health equity for all Americans.” The publication provides the definition of a community, that expands its boundaries beyond the neighbors within a certain zip code. Community Engagement is the center focus of four case studies.
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,
Through observation of the microsystems and the interactions these had with the individual, either McCandless or Russo at the center, offers insight to what impacted such different developmental outcomes. By comparing the resiliency of the two, it is apparent that Chris McCandless was less resilient than Richard Russo. To be considered resilient an individual is able to “adapt well—emotionally, socially, and behaviorally” despite the stress and vulnerability the individual experiences (Broekman, 2011). Early experience is the most crucial time period to influence resilience because it is a period of heightened sensitivity to environmental factors that can later on develop to become mental disorders.
Community work is an essential part of social work. It has been defined as “the process of assisting people to improve their own communities by undertaking autonomous collective actions. ”(Twelvetrees, 2001) It entails getting the support of communities members to undertake projects or tasks that would be beneficial for the community. In community work, workers “operate as facilitators with people in relation to what those people decide to become involved with.
"The Nola Pender Health Promotion Model, 1996" is based on educating people on how to care for and lead a healthy life. This theory identifies in the individual cognitive-perceptual factors that are modified by the situational, personal and interpersonal characteristics, which results in the participation in behaviors conducive to health, when there is a pattern for action. She considers health as a high-level positive state, and takes it as a goal, towards which the person must strive to lead a healthy life. The objective of this model is to integrate both the nurse and the person regarding the behaviors that promote the human well-being, biological, psychological and sociocultural; It is visualized that the nursing professional should be
Resilience is known as bouncing back from the adversities and bringing in strength to cope to difficulties. Adversities happen at personal, community and organisational level. Resilience allows the person to come out of the adversity, rather than staying with it and to move forward further. This is a way of maintaining positive mental health and maintaining one’s own well being in the midst of adverse conditions. It enables a person to maintain positive health in the midst of challenges (Mowbray, 2011).
Hardy, Concato & Gill (2004) stated that resilient people are those who display “the capacity to remain well, recover, or even thrive in face of adversity”. Masten (2001) as mentioned that they are the ordinary person dealing with the challenges and tragedies of everyday real life. For instance, the response of many Americans to the September 11, 2001 terrorist attacks and individuals’ efforts to rebuild their lives shows their resiliency. Being resilient does not mean that a person does not have or had experience difficulty or distress; the emotional pain and sadness are common but the path to resilience is likely to involve considerable emotional distress. Resilience is not a trait which people either has or do not have whereas it involves
As a result, we will not just focus on the treatment of the illness but its prevention also - by tackling the true root of the illness.[check reference] Each of the three dimensions of the biopsychosocial model feed into each
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
Many studies demonstrate that the essential factor in resilience is having caring and strong connections inside and outside the family. Connections that create love and trust, provide role models and offer consolation and consolation help reinforce an individual
In 1991 Norman Garmezy developed a theoretical framework for resiliency. Garmezy (1991) proposed three types of protective factors that make up his theoretical framework, which includes individual characteristics of the individual, a close-knit relationship with the family and lastly, social support and structure outside their immediate family. The primary factor in developing resiliency relates to the person's intelligence and character, and Garmezy (1991) states that resilient youth have above average intelligence. Garmezy (1991) defines the second factor in developing resiliency as one that includes the support of family to help with difficult conditions. The third common factor of resilient youth is external support from institutions (Garmezy, 1991).
Community health assessment (CHA) is a systematic examination of the health status indicators of a specific population that is used to determine key issues and assets in a community. The main objective of community health assessment is to establish plans to address the community’s health needs and issues. Variation of tools and processes, community engagement and shared participation are utilized to conduct a community health assessment. According to NACCHO (n.d.b), a CHA can be used to answer the following questions for a community: “What are the health problems in a community? Why do health issues exist in a community?