FINALS-HEALTH CARE PROCESS P1 Flashcards
The Community Health Care Process
*Establishing a working relationship with the community
*Community assessment or diagnosis
*Planning for community health
*Nursing interventions, monitoring and supervision
*Evaluating community health interventions
Vital to the success on the use of the health care process is establishing rapport with the community before hoping to gain their cooperation to help themselves.
Establishing a Working Relationship with the Community
The working relationship is made formal through contract setting where the agreement is made on the:
*Goals and objectives of working with them
*Duration and frequency of nurse-client community contact
*Expectation
Also, a CHN nurse should explore:
*Attitude of the community of interest
*The need to identify rules or protocols that need to be followed
helps the nurse gain an understanding of community dynamics because health actions occur in the community.
Community Assessment or Diagnosis
the process of collecting and processing data about the community
Assessment
Assessment tools
Primary Data
Secondary data
are those directly collected by the nurse
Primary Data
Primary data include:
Observation
Survey
Informant Interview
gives the nurse the chance to observe people as well as take note of environmental conditions and existing community facilities
Observation
Observation may be done through:
Ocular or windshield survey
Is made up of a series of questions for systematic collection of information from a sample of individuals or families. May be ORAL or Written
Survey
are purposeful talks with either key informants or ordinary members of the community
Informant Interview
consist of formal and informal community leaders or persons of position and influence such as leaders in local government, schools and business
Key informant
The interview may be:
Structured interview
Unstructured interview
an interview in which the nurse directs the talk based on an interview guide
structured interview
an interview in which there is no specific set of predetermined questions
unstructured interview
flow like an everyday conversation and tend to be informal and open ended
Unstructured interview
a public meeting where members of the community come together at a central location to share their ideas, opinions and concern
Community forum
a small group discussion guided by a trained leader
Focus group