The nursing process from assessment through evaluation is used to promote a community's
health. The process begins with a community assessment. This entails:
A. A logical, systematic approach to identifying community needs and clarifying problems
B. Identifying the weaknesses of a community
C. Performing the core functions of public health nursing
D. Assessing individual needs within a community - Answers A. A logical, systematic approach
to identifying community needs and clarifying problems
Community: - Answers Community is a locality based entity, composed of systems of formal
organizations reflecting society's institutions, informal groups, and aggregates.
3 dimensions:
-interpersonal relationship/friendship
-Residence in a common locality
-Shared values interest and concerns.
aggregate - Answers Is defined as a collection of individuals who have in common one or more
personal environmental characteristics.
Community Assessment Steps - Answers 1. Data gathering / data generation
2. Development of composite database
3. Data interpretation
4. Analyze problem
Interacting parts of the community - Answers Physical environment
Health and social service
Economy
Transportation and safety
Politics and government
Communication
Education
, Recreation
Developmental Models and Approaches - Answers retrospective historical approach to
understand cultural changes over time
Despite good intentions, the focus of assessment even today is often on numerous problems
Identifies community resources and strengths along with community needs
Collaborative Model - Answers **We can DO it approach vs. We/They
***Time consuming; logistical, systematic approaches must be pre-established to maintain
clarity
Methods to Collecting Data - Answers Informant interviews - key people in community (mayor,
leaders, etc)
Community forum
Secondary data
Windshield survey - subjective
Focus groups
Surveys
Participant observation
The nursing process can be used with the community as well as with individuals. When using
the first step, assessment, what steps must be taken?
A. Gathering relevant existing data and generating missing data
B. Planning interventions that benefit the entire community C. Formulating nursing diagnoses
D. Evaluating the interventions that were used - Answers A. Gathering relevant existing data and
generating missing data
What is the Biggest Challenge in assessment of a community? - Answers Gathering the right
data.
-Do they trust you?
-Do they want to talk about that topic?
-May give you inaccurate information or the good information
3 part community nursing diagnosis - Answers The parts of the nursing diagnosis for