Week 3-5 Flashcards

(57 cards)

1
Q

Rural Health Inequities

A
  • Access to care
  • Access to technology
  • Water quality
  • Food insecurity
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2
Q

Rural Health Barriers

A
  • Low income
  • Lower secondary education rate
  • Increase smoking & obesity
  • Lower life expectancy
  • Higher mortality risks
  • Social exclusion
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3
Q

Family Assessment

A
  • Strength-based
  • Create therapeutic relationship
  • Information gathering (exploratory & prior)
  • Check personal biases
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4
Q

McGill Model

A
  • All families possess health potential
  • Engagement in health-related problem solving
  • Competence in health behavior
  • Improve health status
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5
Q

Genogram

A
  • Family structure through composition
  • Identify individual/family strengths
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6
Q

Ecomap

A
  • Family within community context
  • Clients social network
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7
Q

Spiralling Process

A

Phase 1
- Exploring
- Look for strengths
Phase 2
- Zeroing in
- Identify workable goals
- Prioritize goals
Phase 3
- Working out
- Plan into action
Phase 4
- Reviewing
- Appreciate strengths/resources
- Clients feelings

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8
Q

Community Health Needs Assessment

A
  • Identify strengths/needs of community
  • Collaborative action planning
  • Improving health status/quality of life
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9
Q

Community as Partner Model

A
  • People in community
  • Stressors penetrate community
  • Effects on equilibrium
  • Interventions on various prevention levels
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10
Q

Community as Capacity Model

A
  • Strengthen ability of community
  • Members take action
  • Further development
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11
Q

Community Health Promotion Model

A
  • Acknowledge determinants
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12
Q

PISO

A
  • Who is population
  • What is the intervention
  • Where is the setting
  • What is anticipated outcome
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13
Q

Community Assessment Types

A
  • Environmental scan (preliminary)
  • Problem investigation
  • Resource evaluation
  • Needs assessment
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14
Q

Community Data Sources

A
  • Surveys
  • Forums
  • Focus groups
  • Windshield surveys
  • Literature review
  • Census/government data
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15
Q

Community Governance

A
  • Group of members take lead
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16
Q

Community Development

A
  • Involvement of community members
  • Identify & strengthen aspects
  • Support health concern
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17
Q

Community Mobilization

A
  • Few community members
  • Commence taking action to develop solution
  • Other members will join
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18
Q

Empowerment Components

A
  • Access to information
  • Range of options
  • Assertiveness to express ideas
  • Stand up for oneself
  • Belief that one can make a difference
  • Learn critical thinking
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19
Q

Nursing Empowerment

A
  • People gain greater control over their health
  • Enhancing capacity of individuals
  • Make choices to achieve their goals
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20
Q

Canadian Community Health Nursing Practice Standards

A
  • Health promotion
  • Professional relationships
  • Evidence informed practice
  • Prevention & health protection
  • Capacity building
  • Professional responsibility & accountability
  • Health equity
  • Health, maintenance, restoration & palliation
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21
Q

Capacity Building CHN

A
  • Encourages community to be active
  • Take ownership of health issues
  • Decision making
  • Recognize health barriers
  • Building existing strengths
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22
Q

Community Asset Map

A
  • Outline assets & capacity
  • Identify strengths
  • Identify potential resources for interventions
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23
Q

Data Collection

A
  • Skills & experiences
  • Services
  • Physical & financial resources
24
Q

Intersectoral

A
  • Collaborative actions
  • Involve 1+ specialized agency
  • Completing different roles
  • Achieve common goal
25
CNH Role in Intersectional
- Education - Housing - Public works - Coordinate efforts - Upstream or downstream
26
Older Adult Health Promotion
- Physical activity & fall prevention - Healthy eating - Medication safety/polypharmacy - Immunizations - Sexual health - Mental health - Abuse
27
Gender Identity
- How the individual defines & understands - Based on options they know exist
28
Gender Expression
- Unique ways gender is demonstrated - Dress, actions, demeanor
29
Institutionalized Gender
- Distribution of power between genders
30
Overgeneralization
- If its good for men, its good for women
31
Gender Based Lens
- Examine context to identify constraints & opportunities - Examine impact of gender, biological sex, gender bias
32
Gender Lens Application
1. How is problem different for men/women 2. Different contexts in lives of men/women 3. Identification of diversity within subgroups of men/women 4. Intended/unintended outcomes for men/women 5. Social, political, economic realities
33
Leading Health Issues (Men)
1. Cardiovascular disease 2. Respiratory disorders 3. Stress/depression 4. Suicide 5. Accidental injuries 6. Addiction/substance misuse
34
Leading Health Issues (Women)
1. Violence/abuse 2. Anxiety, depression, stress 3. Body dissatisfaction 4. Getting older, poverty 5. MSK disease 6. Autoimmune diseases 7. Cardiovascular disease
35
Community Health Programs
- Series of activities - Supported by group of resources - Achieve specific outcome - Target groups
36
Situational Assessment (Step 1)
- Learn more about population - Identify wants, needs, assets - Set priorities
37
Data Gathering Plan (Step 2)
- Health status reports - Community health survey - Public health agency
38
Gathering Data (Step 3)
- Environmental scans - Quantitative (research, reports) - Qualitative (focus groups)
39
SWOT Analysis (Step 4)
- Strengths - Weaknesses - Opportunities - Threats
40
Communicate & Consider (Steps 5, 6)
- Tell stakeholders key findings - How to proceed with planning
41
Logic Model
- Program planning & evaluation - Diagrammatic representation - Relationships among program components
42
Logic Model Planning
- CAT (components activities target groups) - SOLO (short & long term outcomes)
43
Logic Model Components
- Goal, overall long-term health - Inputs, resources invested - Outputs, products produced - Outcomes, changes expected
44
External Factors
- Affect program - Beyond control of planners
45
Program Evaluation
- Ongoing & dynamic - Determines what is working - Further refinement of program - Identify gaps
46
Formative Evaluation Stage
- What are others doing - What does community need - Is it working
47
Process Evaluation Stage
- How are we doing - What actually happened - What was supposed to happen
48
Outcome Evaluation Stage
- Did we do it - Were objectives achieved - Reach overall goal
49
Low Income Risk Factors
- Type II diabetes - Hypertension - Asthma - Chronic pulmonary disease
50
Poverty & Indigenous Populations
- Persistent inequitable access - Income - Employment - Housing - Food security - Education
51
Poverty in Rural Canada
- Limited employment opportunities - Lack of access to supportive infrastructures - Higher incidence of poverty
52
Poverty Defining Scales
- Low income measure - Market basket measure (MBM) - Low income cut-off (LICO)
53
Groups at Risk of Poverty
- Indigenous living off reserve - Lone parents with 1+ child - Unattached individuals ages 45-64 - Physical & mental disabilities impacting work - Recent immigrants (past 10 yrs)
54
Homeless Access Barriers
- Mistrust of providers - Competing survival priorities - Financial barriers (afford medications) - Transportation
55
Housing First Program
- 1990's Toronto & New York - All people deserve housing - Housing is a precondition to recovery - Housing then supports - Housing not contingent upon readiness/compliance
56
Upstream Interventions
- Advocate for increased minimum wage rates - Increased social assistance rates - Affordable housing & childcare
57
Downstream Strategies
- Facilitate access to care for people with barriers - Building trusting relationship - Preserving respect - Acknowledging client concerns with importance - Sensitivity to peoples life circumstances