NUR3678 - Community Nursing pt. 1 Questions With
Complete Solutions
Health Planning Model
Based on Hogue’s group intervention model in need of a
population focus.
Improves aggregate health [overall health of population].
-Applies nursing process to larger aggregate within systems
framework.
Set goals and objectives which are measurable, specific, and
quantifiable. Implementation then follows the initial plan.
Prepare for unexpected problems.
Evaluate and reflect on the plan’s strengths and weaknesses.
Health planning legislation is heavily influenced by politics of
the administration in power.
Assessment → Planning → Intervention → Evaluation.
Example of health planning model in public health includes
environmental planning of water and sewer systems.
PRECEDE-PROCEED framework
Provides a structure for assessing health and quality of life needs
Assists is designing, implementing and evaluating health
promotion and public health programs to meet those needs.
PRECEDE
,Predisposing, Reinforcing, and Enabling Constructs in
Educational Diagnosis and Evaluation
Assess the diagnostic and planning process to assist in the
development of focused public health programs
PROCEED
Policy, Regulatory, and Organizational Constructs in
Educational and Environmental Development
Guides the implementation and evaluation of the programs
PRECEDE-PROCEED framework goals
approach to planning that examines factors contributing to
behavior change
Predisposing factors: the knowledge, attitudes, behavior, beliefs,
and values before intervention that affect willingness to change
Enabling factors: the environment or community of an
individual that facilitates or presents obstacles to change
Reinforcing factors: the positive or negative effects of adopting
new behavior (including social support)
These factors require that individuals be considered in the
context of their community and social structures and not in
isolation in the planning of communication or health education
strategies
,Purpose of case management
Aim to provide a service delivery approach to ensure the
following:
-Cost-effective care
-Alternatives to institutionalization
-Access to care
-Coordinated services
-Patient's improved functional capacity
Primary Care (PC)
first line / point-of-access medical and nursing care controlled
by providers and focused on the individual.
Origin of referrals for other kinds of care.
Chronic Care Management
Form of PC referred to by a practitioner who has identified the
patient as having two or more chronic conditions that put the
patient at a high risk of functional decline or death within the
next year
Care coordinators work w/ patients and their caregivers to
improve self management of the disease process via support and
education and coordinate care to empower patients to access
care appropriately and efficiently.
Transitional Care
Form of PC referred by practitioners for follow-up face-to-face
visits with the outpatient practitioner and care coordinator
, services for 30 days post discharge.
Patients are educated about new meds, disease processes, and
discharge instructions
Goal of TC is to improve pt outcomes and decrease
readmissions
Patient Centered Medical Home
Recent model of care developed to provide collaborative, safe
PC. Main principles include
-Existing, functional relationships with PCP
-Physician led, team based care
-Pt is treated as a whole person with flexible, comprehensive
care
-Integration and coordination of care
-Quality and safety
-Improved access to care
-A payment system which accurately reflects the efforts and care
provided for by the team
Patient Protection and Affordable Care Act of 2010
Health Care Reform Act
Improvement in the quality and efficiency of health care
Affordable Care Act purpose
Reduces the number of uninsured Americans
Complete Solutions
Health Planning Model
Based on Hogue’s group intervention model in need of a
population focus.
Improves aggregate health [overall health of population].
-Applies nursing process to larger aggregate within systems
framework.
Set goals and objectives which are measurable, specific, and
quantifiable. Implementation then follows the initial plan.
Prepare for unexpected problems.
Evaluate and reflect on the plan’s strengths and weaknesses.
Health planning legislation is heavily influenced by politics of
the administration in power.
Assessment → Planning → Intervention → Evaluation.
Example of health planning model in public health includes
environmental planning of water and sewer systems.
PRECEDE-PROCEED framework
Provides a structure for assessing health and quality of life needs
Assists is designing, implementing and evaluating health
promotion and public health programs to meet those needs.
PRECEDE
,Predisposing, Reinforcing, and Enabling Constructs in
Educational Diagnosis and Evaluation
Assess the diagnostic and planning process to assist in the
development of focused public health programs
PROCEED
Policy, Regulatory, and Organizational Constructs in
Educational and Environmental Development
Guides the implementation and evaluation of the programs
PRECEDE-PROCEED framework goals
approach to planning that examines factors contributing to
behavior change
Predisposing factors: the knowledge, attitudes, behavior, beliefs,
and values before intervention that affect willingness to change
Enabling factors: the environment or community of an
individual that facilitates or presents obstacles to change
Reinforcing factors: the positive or negative effects of adopting
new behavior (including social support)
These factors require that individuals be considered in the
context of their community and social structures and not in
isolation in the planning of communication or health education
strategies
,Purpose of case management
Aim to provide a service delivery approach to ensure the
following:
-Cost-effective care
-Alternatives to institutionalization
-Access to care
-Coordinated services
-Patient's improved functional capacity
Primary Care (PC)
first line / point-of-access medical and nursing care controlled
by providers and focused on the individual.
Origin of referrals for other kinds of care.
Chronic Care Management
Form of PC referred to by a practitioner who has identified the
patient as having two or more chronic conditions that put the
patient at a high risk of functional decline or death within the
next year
Care coordinators work w/ patients and their caregivers to
improve self management of the disease process via support and
education and coordinate care to empower patients to access
care appropriately and efficiently.
Transitional Care
Form of PC referred by practitioners for follow-up face-to-face
visits with the outpatient practitioner and care coordinator
, services for 30 days post discharge.
Patients are educated about new meds, disease processes, and
discharge instructions
Goal of TC is to improve pt outcomes and decrease
readmissions
Patient Centered Medical Home
Recent model of care developed to provide collaborative, safe
PC. Main principles include
-Existing, functional relationships with PCP
-Physician led, team based care
-Pt is treated as a whole person with flexible, comprehensive
care
-Integration and coordination of care
-Quality and safety
-Improved access to care
-A payment system which accurately reflects the efforts and care
provided for by the team
Patient Protection and Affordable Care Act of 2010
Health Care Reform Act
Improvement in the quality and efficiency of health care
Affordable Care Act purpose
Reduces the number of uninsured Americans
