Lecture 1 - Welcome

Question 1

What is the focus of community health?

Answer 1

Examining how environments, systems, and policies affect the health of populations. Works with individuals and in advocacy - SDoH & equity

Question 2

What are some different kinds of communities?

Answer 2

Geographic, organizational, demographic, virtual, interest/identity, cultural.

Question 3

What is the blueprint for action for community health nursing? What are its 6 areas of action?

Answer 3

A framework for ongoing development of CHN

1. Full scope in all domains
2. Nursing leadership
3. Collaboration & partnership
4. Transform the HC system into a system for community health
5. Strong educational prep in CHN
6. Improve access to professional development to advance CHN capacity

Question 4

What are the eight standards of professional practice for CHN in Canada?

Answer 4

1. Health promotion
2. Prevention and health protection
3. Health maintenance, restoration, and palliation
4. Professional relationships
5. Capacity building
6. Health equity
7. Evidence informed practice
8. Professional responsibility and accountability

Question 5

What are the four facets of the Canadian CHN practice model?

Answer 5

1. The client
2. CHN and nursing practice
3. Community organizations
4. The system

Question 6

Health inequities can be understood as a combination of effects from…

Answer 6

unjust policies/politics and the social determinants of health

Question 7

What is health equity?

Answer 7

Each person has the opportunity for health and wellbeing, the absence of unfair systems.

Question 8

What are the social determinants of health?

Answer 8

A set of nonmedical forces & systems that shape the conditions of daily life.

Question 9

What are the most significant determinants of health?

Answer 9

Income and social status
–> Even greater in significance than physical determinants of health

Question 10

What are the structural determinants of health?

Answer 10

Broad factors that shape the conditions people inhabit. These things - like opportunities, power, access to resources - affect the SocialDOH

Question 11

How do structural determinants of health interact with social determinants of health?

Answer 11

SocialDOH are influenced by the structuralDOH

Question 12

What does social justice assume?

Answer 12

All societies experience broad systemic oppression and inequities due to unequal distribution of wealth, opportunities, and privilege.

Question 13

What role do nurses play in addressing the SDOH according to the CNA?

Answer 13

“Nurses have a professional and social responsibility to become a significant part of re-shaping Canada’s health care system into one that addresses the social determinants of health for all Canadians, rather than simply standing by and watching a re-shaping of health care focused on meeting the requirements of institutions” - CNA, 2012

Question 14

According to the Canada Health Act, health care must be:

Answer 14

1. Publicly administered
2. Comprehensive
3. Universal
4. Portable
5. Accessible

Question 15

What changes must be made to the Blueprint for Action for Community Health Nursing in Canada?

Answer 15

There is a need to collaborate with the Canadian Indigenous Nurses Association

Question 16

Who is Cathy Crowe?

Answer 16

A street nurse from Toronto who advocates and raises money for co-operative housing and affordable housing initiatives