411-Exam 2 PPT Lecture

cdunbar4's version from 2017-05-22 22:02

Project Process: Assessment through evaluation

Question Answer
Social determinants focusNeed to see what community knows about these issues. Health & equity get disturbed when people are affected by emotional & traumatic events., then ppl can't function as well & take care of themselves. In turn, may not be able to succeed in society.
Emphasis on PreventionNeed to look upstream & educate community & provide health for everyone.
Primary PreventionStop disease or injury before it occurs (vaccinations). Educate population: we want ppl to change what they are doing or not doing.
Secondary PreventionScreen & treat early! Decreases costs and increases life expectancy (aka health & well-being) Ex: cheaper to stop breast cancer if you remove a small lesion then later when a mastectomy & radiation are needed.
Tertiary PreventionMaking sure there isn't further disability & prevent premature death at population level. Ex: Flint, MI removing led from water so ppl stop getting sicker.
What does tertiary prevention require to be successful?behavioral & environmental changes. Positive incentives and policies may need to be enacted (in the case when community level isn't working)
Healthy People 2020 recognizes the need to work collectively, in community partnerships to bring about these changes. What are the 2 goals for the strategy?increasing "quality & years of healthy life" and eliminating "health disparities"
Steps to assessing community healthgather relevant existing & missing data; develop a composite database; interpret database to ID problems & strengths; analyze problem
Data gathering comes from which sources?informant interviews; focus groups; participant observation; windshield survey; community reconnaissance
Community Nursing Diagnosis (Risk of + Related to ) helps clarify problem. Important first step of planning. What else does it clarify?who receives the care. Also provides statement ID'ing problems faced by those who receive care contributing factors of the problem.
Planning for the health problemanalyze problem from diagnosis; establish priorities & goals (broad) & objectives (precise statements of desired outcomes)
Implementation in the communityInvolves the work & activities aimed at achieving the goals & objectives. Can be made by person/group who made them or shared/delegated with others.
Nurse is the content & process expert: Nurse as a change agent vs. change partner?Agent: you are there providing the expert info. to help them make a change. Partner: helping & interacting with people to teach them the intervention
Implementation MechanismsSmall groups; lay advisors; mass media; health policy
Evaluating the community health intervention (can't do intervention without evaluation...might need to do it at the same time)appraisal of effects of some organized activity or program. Begins at planning stage when goals & objectives are established. Need to decide if $ & time are worth the benefits.
Program evaluation benefitsensure if you have or haven't met your goal; documents accountability; is program fulfilling it's purpose? Continue or discontinue?
List aspects of evaluationrelevance; adequacy; progress; efficiency; effectiveness; impact; sustainability

Population-based health education

Question Answer
What does being "healthy" mean? according to HP 2020?Promote QOL; health equity; social/physical env't promote health
Our goal in public health with prevention programs?Design them so they reach the largest group. Promote change & awareness, develop & support health education, effect change, increase cost-efficiency
Education vs. learning?Education is an activity (done by someone to create this change in others) & very specific to a person and to groups or communities. Learning is the change that happens in that person or population.
Health Education Teaching learning activities with clients FOCUS: health promotion & disease prevention
Patient EducationTeaching learning activities with clients. FOCUS: ID alterations in health
Adult learner (majority of people are adult learners) effective strategiesactive involvement; repeat info; real-world application; r/t learner goals; answer ?s before proceeding; listen & respect opinions; encourage sharing of resources
People learn best through active involvement and accept info. based on what 5 things they: already know...believe...culture they were raised well they well they relate info.
3 Principles of Education *NTK Nature of LEARNING; the educational PROCESS; The SKILLS of effective educators
Nature of learning includes what 3 domains?Cognitive; affective; psychomotor
Skills of effective health educatorsclear message; env't free from distractions & is consistent with message; plain language, avoid jargon
Barriers to learning that are education-relatedfear of public speaking (Teri); lack of credibility (all of us nursing students); limited professional experiences (Crystal); Unable to deal with difficult people (we are all good at this!); lack of knowledge about how to gain participation (no fucking idea what this means)

Section 3

Question Answer
Stages of Group DevelopmentForming, storming, norming, performing, adjourning

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