Intro to Community Flashcards

1
Q

what is community health nursing

A

population-focused approach to planning, delivering, and evaluating nsg care
broad field gives nurses opportunity to practice in variety of settings
promote health and welfare of clients across lifespan and from diverse populations
chronic disease mngm

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2
Q

what is systems thinking

A

how an individual or unit interacts w/ other organizations or systems
explains cause and effect relationships

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3
Q

what is upstream thinking

A

focuses on interventions that promote health or prevent illness b4 an individual gets sick
precautions

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4
Q

what is nightingale’s enviornmental theory

A

relationship btwn the enviornment and health
open window theory
health is on a continuum, ever changing, adapting
preventative care

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5
Q

what are the community health nsg theories

A

systems thinking
upstream thinking
nightingale’s enviornmental theory
health belief model
milo’s framework for prevention
pender’s health promotion model
transtheoretical (TTM) of stages of change (SOC) model

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6
Q

what is the health belief model

A

predict/explain health behaviors
avoid disease w/ preventative health actions
change is made at an individual level (self-aware)
taking action to avoid disease based on:
individual perceiving disease as a threat
demographics and knowledge level
call to action for change from family, friends, health care professionals, media campaigns
benefits of making behavior changes vs barriers that keep change from happening

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7
Q

what is milo’s framework for prevention

A

change occurs at the community level
social change can occur when large number of ppl adopt behavior change

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8
Q

what is pender’s health promotion model

A

health risk does not provoke change
personal factors, benefits, barriers, and attitudes of others promote and protect health

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9
Q

what is transtheoretical (TTM) of stages of change (SOC) model

A

change occurs over time in 6 stages:
precontemplation
contemplation
preparation
action
maintenance
termination

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10
Q

what is precontemplation

A

individual is unaware of ned to change

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11
Q

what is contemplation

A

change is considered, weighs benefits and barriers

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12
Q

what is preparation

A

plan is made to make change

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13
Q

what is action

A

plan is implemented

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14
Q

what is maintenance

A

actions are taken to continue the chnaged behavior

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15
Q

what is termination

A

new behavior is developed
intentional behavior change us not necessary any longer

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16
Q

what is the precaution adoption model

A

similar to TTM
adds a stage in between precontemplation and contemplation
unengaged stage
no termination stage

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17
Q

what is the unengaged stage

A

does not engage in an issue, aware, but no engaged

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18
Q

factors of readiness to learn

A

literacy level
cultural concerns
current health knowledge and understanding

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19
Q

what is the goal of community health nursing

A

to promote. preserve, and maintain tye health of populations by the delivery of health services to individuals, families, and groups in order to influence “community health”

20
Q

what are aggregates

A

group of ppl w/ the same illness or demographic
large population
individual

21
Q

what barriers have a negative impact on learning

A

pain
limited mobility
vision deficits
hearing deficits

22
Q

who are part of vulnerable populations

A

increased riks for health disparities
chronically ill
conditions last >1 year
preventable disease make up majority of chronic conditions
cause strain on finances and relationships
do not increasingly improve with treatment over time, they are managed insread

23
Q

community based nursing career examples

A

RN health caoch
RN case manager
primary care office nurse
home hospice nurse
school nurse
diabetes nurse educator
parish nursh
insurance nurse
community clinic nurse
home health nurse
occupational health nurse

24
Q

what is community based nursing

A

addresses the needs of INDIVIDUAL members of a community

25
community based nursing examples
encourage pt to see their pcp when ill helping pt enroll in health insurance help a pt schedule screening exams when symptoms arise performing a wound dressing for a homebound individual
26
what is community oriented nurse
nurse focuses on disease prevention, health promotion, and restorative care popution (aggregate) focused goal to promote better health and prevent disease motivating individuals to attain highest wellness level research on current data to gain knowledge and solutions for public health probs CDC
27
focus of care for communty oriented nsg
aggregates, communities, popultions (public health) can include at-risk or underserved individuals and families
28
focus of care for comminity based nsg
individuals and families
29
primary goal of community oriented nsg
health promotion and disease prevention
30
primary goal of community based nsg
mngment of acute or chronic conditions
31
nursing activities for community oriented nsg
usually indurect (program management) can include direct care of at-risk individuals and populations
32
nsg activies for community based nsg
direct (one on one) illness care: management of acute and chronic conditions in settings where individuals, families, and groups live, work and attend (schools, camps, prisons)
33
what is public health
emphasis is on primary prevention wokr is to promote the greatest good for the greatest number of ppl the pt is a partner in health outcomes resources are used to reach populations
34
principles guiding community health nsg
ethics advocacy evidence based practice quality professional collaboration and communication
35
nurse advocacy in community nsg
nurse is informer, supporter, and mediator clients have the right to make decisions that affect their health and welfare promote nurse pt relationships based on trust, collaboration, and shared respect pt is responsible for their own health advocate for resources or services that meet the pt health care needs is assertive when advocating for pts needs, willing to progress yp through chain of command advocate for communities and populations to change health care delivery and improve quality of life
36
evidence based data involves....
using best practices, expert opinion, and pt preferences to improve the delivery of pt care goal: improve pt outcomes should examine data obtained from research studies to have minimal bias (quality of study) a strong effect of the outcome (quantity) and if study can be repeated (consistency) peer-reviewed
37
data for community
policies that improve health for a group media campaigns that support guidelines for immunizations task force on community pventative services that reviews health promotion and disease prevention guidelines consider cost, benefit to pt, pt satisfaction, safety, culture and demographics community-based participatory research: includes partners, professionals, and community residents in identifying health issues and interventions develops leaders in community, promotes collaboration w/ health professionals
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prevention activities examples
immunizations fluoidation of h2o supplies family planning exercise promotion health promotion education class
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primary prevention
target pt who are at risk but show no manifestations educate pt to reduce risk factors avoid unhealthy practices effective in schools, community and nutrition centers, setting with health-education classes
40
secondary prevention
early detection of disease early/peroidic health screening nurses involved w/ secondary prevention strategies in community, healthcare facilities and schools
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tertiary orevention
limit progression of a disease minimize related disabilities maximize recovery through rehab prevent complications of disease and minimize effects of disabilites
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primary prevention public health
prevent violence occuring may involce aiming to change attitudes ex. antiviolence campaigns, empowerment programs
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secondary prevention public health
prevent reoccurence of violence ex. screening programs, addressing risk factors like alc use, referrals to legal serives
44
tertiary prevention public health
prevent death and disability treat problems as a result of violence ex. mental health treatment and support, safe-houses and legal advocacy
45