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community test 2

community final part 2

worksite programs captive audience, wellness committees. Motivation/incentive/ ed & skills, environmental & social support. Build suppoert assess norms/culture/activities & build worksite advisory board. Identify assets & barriers, solicit administrative support; utilize
school-based health programs health & education go together. Coordinated approach to school health. Organized set of policies, procedures, activities designed to protect, promote, and improve health & wellbeing of students& staff, thus improving the student's ability to learn= healt
components of school based programs school health educaiton, health services, school environment, counseling, psychological & social services, physical ed, school nutrition, family & community, health promotion
coordinated school health program CPS- 1. family/community involvment, 2. health education (planned sequential) integrated into curriculum, 3. physical eed. Planned sequential provides cognitive & physical mvmt. Dance, rhythms, games, fitness. 4. health services aimed to apprais students
school health advisory council (SHAC) cour group of parents, youth, educators, and other community members that focus on promoting coordinated approact to school health, give advice & support to school district/school on all components of coordinated approach to school health, help promote h
environmental sources of conflict culture, nationality, religion, class, gender, economics, politics, society, resources, race
individual sources of conflict ego, identity, intimate relationships, beliefs, preceptions, perspectives, education, position & role, personality
situational sources of conflict lack of essential information, game playing, not acknowledging everyone's uniqueness, hidden agendas, lack of mutual appreciation, power
interest based conflict arise from circumstances or interaction, often resolved quickly
identity based conflict often rooted in threats of need for dignity, recognition, safety, control, purpose, efficacy. Reflects parties' culutre and beliefs. Involves questions of identity & self. Long duration. Difficult to resolve. Generational. Must overcome time & patience.
conflict management preventing unnecessary conflict: open communication, congruence. Time & place: move to a different environment for privacy. Deal with conflict at a different time, focus dialogue on issues.
goal of conflict management sustain relationship & find resolution… no blame. Resolution depends on achievment of agreement. USE I Statements. No blaming.
stages of resolution antagonism. Resonance. Invention. Action
steps to resolving conflict 1. establish initial relationship. 2. develop strategies to guide the process. 3. construct initial database. 4. organize plan for mediation. 5. build trust & communication. 6. begin resolution process. 7. define concerns & set priorities. 8. look for th
emotional competence principles individual members of an organization are interconnected & interrelated. Individual members percieve their work as natural and a source of fulfillment & growth. Creativity is inherent in the individual an din the collective wisdom of each team. The indiv
emotional competence behaviors self-awareness, mindfulness, openness, impulse control, personal humility, appreciation of ambiguity/paradox, appreciation of knowledge, willpower, compassion, optimism, resiliency
management framework structure: resources/resource allocation. Process: implementation/timeline. Outcome: level to which goals & objectives are achieved. Impact measurement: targets population.
program impact theory causal. Measures cause & effect looks @ longterm relationship. Formative evaluation: ongoing, foundation for summative eval. Summative eval: requires excellent judgment in orde to reach LT goals
evaluation model evaluation concepts, techniques & findings to foster improvement and self-determination. Involves qualititative & quantitative data collection methods. Can be used @ multiple levels. Flexible & collaborative. Focus on program improvement. Give people the
microsystems system is identified as a network of interdependent components. Health care system big complex composed of smaller systems.
new era of healthcare new payment method- value based/ pay for performance. Paradigm: pt centered care. Informative environment. Proveds high exposure & transperent outcomes data on quality & cost. Evolved from Quinn's idea. Healthcare pyramid is inverted.
clinical microsystem pt, family, care teams come together for quality, safety, outcomes & staff morale are created & is asystem= very complex. Important where professional identity is formed & tranformed
program planning process needs determination- analysis & perspective of needs. Perspective of needs includes: normative, percieved, expressed & relative. Formuation of vision & mission includs VMOSA- vision mission objectives strategies, action plans. Must have a program hypothe
program planning collection of interventions, activities, projects designed to produce a particular result. Must have a needs determination thru analysis/assessment of community. Perspectives of needs must be addressed
perspectives of needs normative- standard based population (HP2010); percieved- what communities see as their needs; expressed- demand stats not always reliable; relative- gap btwn communities
formula of vision & mission strategic planning VMOSA: vision- desired state; mission- purpose; objective- measurable outcomes; strategies- broad initiatives to address mission; action plans- specifications.
appreciative inquiry defined cooperative search for best in ppl/organizations& surrounding world. Systematic discovery of what gives system life. Involves asking questions that strengthen the systems capacity to heighten positive potential. Mobilizes inquiry.
APPREciative inquiry short def grounded in the theory of social constructionism, it recognizes that human systems are constructions of the imagination & are therefore capable of changes at the speed of imagination.
five steps of EBP 1. ask questions. 2. collect most relevant & best evidence. 3. critically appraise the evidence. 4. integrate all evidence with one's clinical expertise, patient preferences & values to make decision. 5. evaluate the practice decision or change.
IOM suggests ecological approach. Health influenced by: individual, families, communities, organizations, social systems
short ecological approach based on: population focused services & programs, advocacy, research, education
ecological approach basis for understanding health in populations recongizes multiple determinants, based on assumption that health is influcenced at several levels within ecological framework. Based on population focused services & programs, advocacy, researcy & education
eight prinicples to distinguish nursing client or unit is population. Primary obligation is to achieve the greaatest good for the greatest number. Work with client as equal; prevention is priority. PHN creates healthy env, social & economic conditions which pop may thrive. Obligated to activel
population based approach to health care distinguishing attribute of community & PH nurses vs medical practice. Defined pop=community as organizational principle for preventing action. Targets broad distribution of diseases & health determinants. Population based data as scientific basis for co
prinicples of pop-based approach community perspective, clinical epidemiological perspective, ebp; emphasis on effective outcomes, emphasis on primary prevention.
population based care includes community level interventions targets entire community. Aggregate, community based care, community ph nurse
aggregate approach in population based care subgroup of community- most common is high risk. Differs from community based approach
community based care in populatio based care referred to as community based practice with delivery of hc services outside typical institutional settings. Services not necessarily focus on entire community.
community public health nurses uses community mobilization efforts to work collectively to influence health of community.
mobilization methods community engagement, community collaboration, partnerships, organize community to work collectively to influence health of community.
CNL engagement engage politics in the 4 spheres: government, workplace, organizations, community, phases of policy making.
adolescent health status agendas smaller workforce than agin pop. Puberty to maturity, young adults. More racially/ethnically diverse. MVAs, sTDs, measles, EtOH. Mortality has decreased overall.
strategies for improving health of adolescents & young adults improve access to HC; improve adolescent environments, increase role of schools in improving adolescent health, promote positive adolescent health, improve collaborating relationships.
Elder's health defined aged- state of being old. Aging- growing older. Gerontology- aging perspective/study. Geriatrics medical specialty
elder abuse reporting is mandatory
elders health behaviors less likely to consume large amounts of EtOH, smoke cigs, or overwt, or obese when compared to youth.
needs of elders income, housing, personal care, health care.
global health issues become our own when issues spread within our boarders, when we commit our resources to a country in need, when we make a personal commitment to improve the thealth of a population beyond our boarders. When we export food/import food.
international health care systems pluralistic systems, primary health care, political economy & ideology, entreprenerial, welfare oriented, comprehensive, socialist
pluralistic health care consists of traditional healing systems, lay practices, household remedies, transitional health workers.
primary health care developed in late 70s. Sought to serve all populations both urban & rural.
political economics when health care is based on economy. Eg the worldwide economic recession In the 80s was a barrier to the development of effective health care services.
global health agencies multilateral organizations: UN, WHO, world bank. Fosters economic development in order to enable countries to pull themselves out of poverty.
bilateral organizations deal directly w/ other gov't ex: peace corps, CDC.
global health concerns "i. Global burden of diseaseii. Disability (adjusted life year) iii. Acute resp. infectionsiv. HIV/AIDSv. Conditions related to perinatal periodvi. Mental depressionvii. Immunizationsviii. Maternal and infant mortality and morbidity rates
role of nurse in global arena creation of appropriate policies, service delivery, volunteer or paid employment.
Created by: 621435748