...The Community I chose is located in Marion County, Indianapolis, Indiana. The population of Indianapolis, Indiana in 2013 is listed as 843,393 (CityData, n.d.). Indianapolis is the host of several major events every year which includes the Indianapolis 500 mile car race; the Brickyard which hosts the Allstate 400 Nascar race; the Indiana Black Expo Circle City Classic football games bring some of the best black college teams to our city every October; the Indiana Black Expo Summertime Celebration at the convention center downtown and the NCAA Mens Final Four Basketball Tournament which is one of the most popular college events that the city hosts every year. These are just a few of the events that Indianapolis host each year. The community I am observing is primarily composed of blacks and is in the 46202 zip code. It is located approximately six blocks east of a well “manicured” neighborhood known as the Old Northside and, approximately, a ten minute drive to downtown Indianapolis. Several of the neighborhood residents state that in the past 1012 years, there has been a slow influx of whites moving into the Old Northside neighborhood due to the construction of new houses, condos and renovations of older homes which. At one time, blacks were moved out of those same houses because they were deemed unlivable and were condemned. Needless to say, a lot of those houses were never condemned but, were boarded up for 1520 years until they were bought by contractors who renovated ...
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...Assessment and Diagnosis Kimberly Bowen NR443 Community Health Nursing Ellsworth Wisconsin in Pierce County is a smaller community of mostly farming, nestled in Northwestern Wisconsin it consist of 250 square miles. According to Wisconsin Department of Health Services (2013). Pierce County residents are among the healthiest in the state, according to the 2013 County Health Rankings released by the University of Wisconsin Population Health Institute (UWPHI) and the Robert Wood Johnson Foundation (RWJF). And Pierce County ranks in the top quartile for health outcomes and health factors. Pierce County ranks in the top quartile of Wisconsin counties for health behaviors and social and economic factors. Pierce County ranks in the top half of Wisconsin counties for clinical care but in the bottom half for physical environment, the physical environment that is going to be explored is water quality and the effects on this community. Ellsworth is a village in Pierce County, in the Minneapolis-Saint Paul metro area. It is the county seat. The community was named after Col. Elmer E. Ellsworth, killed in Virginia during the Civil War. The latitude of Ellsworth is 44.732N. The longitude is -92.487W. It is in the Central Standard time zone. Elevation is 1,214 feet (E Podunk, 2013), Col. Ellsworth became well known for his military tact’s and that is how the town got his name as a town, it was to honor him for his serves. Ellsworth is a small Ellsworth is 96.6 % predominately...
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...Reflective Essay The aim of this essay is to reflect on an incident, which took place in a hospital setting during the first month of my Foundation Degree Assistant Practitioner course. It will explore the importance of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more...
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...Underwood, R., Martin-Misener, A., & Kolotylo, C. (2010). A questionnaire for assessing community health nurses' learning needs. Western Journal of Nursing Research, 32(8), 1055-1072. This journal covers the important stages of the Learning needs assessment and how it impacts every educational process that is aimed to inform changes in practice and policy for continuing professional development. Professional opportunities have been widely used as a basis for the development of learning needs assessment. This article reports on the development of a learning needs assessment questionnaire for Community Health Nurses (CHNs). Exploratory and confirmatory factor analyses were conducted to examine the consistency of factors underpinning the Canadian Community Health Nursing (CCHN) Standards. Also, validity and reliability of the questionnaire were evaluated using appropriate techniques. This process resulted in a valid and reliable CHN learning needs assessment questionnaire to measure learning needs of large groups of practitioners, where other forms of measurement cannot be feasibly conducted. Aydin, A.K., & Karadaq, A. (September-October 2010). Assessment of nurses knowledge and practice in prevention and management of deep tissue injury and stage 1 pressure ulcer. Journal of Wound, Ostomy, and Continence Nursing, 37(5), 487-494. This is a good overview from a well-known nursing journal that focuses on a descriptive study on how to determine a nurses knowledge and usual...
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...Assignment Grading Criteria Community and Public Health Nursing Reflection Write a 700- to 1,050-word reflection of the community assessment in which you address the following: • Explain the role of community and public health nursing and community partnerships as they apply to the participating family’s community. • Address the influence of cultural diversity and vulnerable populations as they apply to the participating family’s community. • Explore the epidemiological influences within the participating family’s community. Select one Healthy People 2020 LHI that relates to your participating family’s community. • Develop 3 community nursing diagnoses that relate to the participating family’s community, based on the Community Assessment and Windshield Survey. • Identify 1 potential nursing intervention for each diagnosis (identified above) that could have a positive effect on the selected LHI. • Describe a community health partnership that could positively influence the selected LHI. • Describe how nurses can advocate for communities and involve the communities in change. Note. Remove all personally identifying information such as the family members’ names. Refer to family members by initials only. Format your reflection consistent with APA guidelines. Submit the following with your assignment: • Completed Community Assessment • Clinical Log for time spent conducting the Community Assessment • Community Assessment table and data ...
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...health of individuals, families and communities. The environment must be healthy in order for achievement of optimal health (Stanhope and Lancaster, 2014). Nurses have a responsibility to understand the health environmental risks, including how and what, should be included in assessment, planning and implementing interventions to reduce or eliminate the environmental risk. In addition, nurses must be able to communicate the environmental health risks, provide needed education and advocate for public policies to mitigate the risk to health (Stanhope and Lancaster, 2014). This paper will explore the nurse’s role in environmental nursing through the review of environmental principles, explaining differences between an environmental exposure history and an environmental health exam and the four phases of a chemical exposure. Finally, author will discuss the differences between community-based and community-oriented nursing and explain the how population-based approaches are applicable to the hospital setting. Environmental Principles According to Stanhope and Lancaster (2014), nurses must know how to assess for environmental health risks in order to help the individuals, families and communities they care for. In 1995, The National Academy of Science’s Institute of Medicine (IOM) published a report calling for all nurses to have a basic understanding of environmental health principles including these competencies in all aspects of nursing practice (U.S. Department of Health...
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...reflective practice and enhance the delivery of care in district nursing practice. Barbara Brush Student number: B00628470 Word count: 2084 Due Date: 3rd February 2015. Introduction. Due to the increasing demands on the Health Service the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included in the...
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...perspective. Looking at communities through the eyes of a nurse creates an assessment all its’ own. Analyzing the events and conditions people live in tells a lot about the person. The nurse can reflect on the surroundings and develop an opinion regarding the patient. The difficulties the community can impose create negative outcomes and or can be productive for the patient; this is revealed in the assessment surrounding the patient. The historical area of the community does have down falls. The paint that was used in the era of older homes and apartments contain lead. Lead, a contaminate to children in the home, school or business is a concern for the community and the nurse. The lead would give the nursing diagnosis of, Risk for Contamination (Household Lead Exposure). Lead exposure in apartments, schools and playground equipment are primary sites for exposure. Nursing interventions would consist of ongoing screening program for lead levels of individuals, agency notification of levels, decrease the exposure to minimize the risk, relocate families to a safe environment, and educate the high-risk people about lead exposure (Polk & Green, 2007). OSHA has standards set in place to regulate the levels of lead exposure. They mandate that areas of lead paint must be removed and for a cleaner environment of the community. The city and state enforce the regulations in communities. Groups within the community organize individuals from the community to provide free help in...
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... Perform assessments and analyses at the individual/family, community, and systems levels of practice. I’ve met the objective of performing assessments and analyses at the individual/family, community, and systems levels practice in many ways. The assessment and analyses at the individual/family level has been a little more difficult, due to the work I do at my clinical site. I’ve assessed behaviors of children and adults that I’ve worked with and reflected on why they may be acting the way they’re for example, I assisted Holly, a WSU employee, teach nutrition at an elementary school. At the beginning of the class, I observed one of the children, being disruptive, and distracting his other classmates. The teacher...
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...Grammarly NUR/405 Family Nursing Diagnoses Janet-Lee Matthie NUR/405 07/27/2015 Bonnie Schoettle NUR/405 Family Nursing Diagnoses Within a community, a family is usually considered to be the hallmark of society, with establishing a set of rules, beliefs, and values to lAccording to Stanhope and Lancaster (2012) States that, a family nursing assessment, identifies family problem areas and from strengths that help to build interventions, so as to promote and maintain good health. Assessment of the Family: The family that I choose to conduct an assessment consists of a family of four (4), Two (2) adults and two (2) children ranging from age five through nine. J.H Sr. age a forty (40) doting father and husband solely carry the family's financial responsibility on his own, from a salary typical of a minimum wage. J.H recently diagnosed with Diabetes Mellitus and sometimes appears melancholy due to his recent diagnosis, but tries to muster a smile when someone is looking. K.H age thirty-five (35) and a stay at home Page 2 of 9 Grammarly Report generated on Mon, 27 Jul 2015 20:11 Grammarly mother who care for the home and the children. J.H Jr., age nine (9) attends the nearby intermediate school and his sister five (5) year old S.H who is in kindergarten. Using the Friedman's family assessment tool to conduct the necessary data the following protocol were followed to achieve the highest quality assessment. A consent...
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...What is a Nursing Home? Nursing Homes are places for people who don't need to be in a hospital but can't be cared for at home, more commonly referred to as skilled nursing and rehab centers. Nursing care is typically provided for people who need long-term care or rehabilitation after surgery or are recovering from a more severe medical condition like a stroke. These communities provide all of the personal care and services of an assisted living with the addition of 24-hour nursing care. Regent Care Center Facts Funded 35 yrs ago A modern facility with 180 beds Joint commission accredited facility A for profit-non-sectarian, and private funded organization Client Population: mostly 65 and over Catchment area: Includes many residents of Bergen-Hudson-Passaic County. Also patients from Hackensack Medical Center Regent Care Mission Statement Regent Care Center’s mission is to provide the best possible quality of care and quality of life for our long-term residents and sub acute patients. We are also committed to improving quality of life for our staff and family members of our residents. All staff, through team work and the interdisciplinary process, will provide the highest quality service compassion and respect to residents and their family members. The staff of Regent Care Center fulfills its mission and produces a first-class facility by practicing the key concepts on a daily basis: C= Commitment to residents, families, self, and career L= Leadership – setting a...
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... 1. For the community health nurse, what is the process of data collection in the community? Give 2 examples from textbook, lectures, and your community assessment project. Course Objectives 2,3,4,5: Chapter 15 and your community health assessment project (20 points or 10 pts. for each example and the written description of the example) Be sure to include two of the following: Observing the community; Interviewing people in the community; Reviewing records (what type of records); Reading local news/Media; Professional literature; Conduct surveys; Governing body or policy changes (CDC recommendations) The process of data collection starts with assessing the community. For my community health project at the AFLAC Children’s Hospital, I and Alyssa went up there to observe the community and it was in the middle of downtown Atlanta. We got lost for an hour on the road and the community was over-populated, there was no more parking space on the deck by the hospital, so I and Alyssa had to get Valet parking. Windshield survey is an observation of the community, it was a clean hospital but the location was hectic and unsafe. We interviewed the Nurse Educator at the hospital named Elizabeth Holtzshaw and she gave us a tour of the hospital and explained the different specialty teams for chemotherapy, lymphoma, and leukemia. The rooms had video games and PlayStation for the kids to play and a playground outside for recreation. Interviewing someone in the community is essential to...
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...Theory and the Nursing Process Kenneth L. Harris University of Phoenix Community and Family Nursing NSG 420 June 22, 2015 Kimberly Lewis RN, MSN-Ed Theory and the Nursing Process The theoretical basis for public and community nurses began in the nineteenth century with Florence Nightingale. Nightingale believed in the prevention and surveillance of diseases. She further believed that a disease was more prevalent in poor environments. She proved that good health was more prevalent with a good environment for instance providing adequate ventilation, clean water, warmth, light, and cleanliness during the Crimean War (Allender, Rector, & Warner, 2014). The public and community health nurse can affect change in behavior by providing education of the basic principles of the Nightingale theory. The theory brings to light the relationship between good health and a good environment ("Community Health Nursing," 2013). The educating migrant farm workers about the need for adequate ventilation in farm labor camps to help prevention of pulmonary tuberculosis. The community and public health nurse must develop a teaching strategy for the population in need of education. The educational theorist Malcolm Knowles proposed andragogy or the art of teaching adults. One of Knowles beliefs was that adults accumulate a reservoir of experiences to draw from and another is the adult must know why they need to learn something new (Roebuck, Morgan, MacDonald, Shumer, & McCune, 2015)...
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...Associate’s degree in Nursing is trained as a technical bedside nurse using the “Apprenticeship model” (Joan L.Creasia, 2011), rather than being trained to be a leader. The Associates of degree in nursing program from community colleges are completed within 2-3 years, with little or no research work done. Cost of education could range from $5,000 – $14,000, depending on residency status and, or whether the school is a private nursing school or not. On the other hand, the nurse with a Baccalaureate degree in Nursing is not only trained to be a technical bedside nurse, but to fulfil other multifaceted roles that emphasize critical thinking, evidence-based practice, healthcare policy etc. Most Colleges of nursing expect that before nurses graduate with a baccalaureate degree, they must earn 120 credit hours. The cost of the baccalaureate program ranges from $100,000-$132,000, and this is dependent on whether the school is a public school or a private school (Guide, 2015). Nursing Judgement The Associate degree nurses (ADNs) are efficient in performing some nursing procedures in the hospital setting, but may not have an in-depth understanding of why these procedures are performed. This nurse is able to make judgement in practice that combines the provision of safe and quality care, as well as upgrading the health of patient within the family and community context. In contrast, the Baccalaureate nurse (BSN) makes judgement that is supported with evidence which combines nursing science and...
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...Accreditation Audit AFT Task 4 Regulatory Audit Organization Plans Compliance Facility Compliance The following represents the level of compliance in the pain assessment area of patient care that was audited for Nightingale Community Hospital: There were 3 departments audited for Pain Assessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 86.94% compliance. Audit | Audit Period | Location | Compliance % | Pain Assessment | 12 Months | ED | 70.66% | Pain Assessment | 12 Months | 3E | 93.5% | Pain Assessment | 12 Months | PACU | 96.66% | There were 3 departments audited for Pain Reassessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 80.415 % compliance. Audit | Audit Period | Location | Compliance % | Pain Reassessment | 12 Months | ED | 54.83% | Pain Reassessment | 12 Months | 3E | 92.916% | Pain Reassessment | 12 Months | PACU | 93.5% | The following are the results of the audit that was completed for use of prohibited abbreviations in an aggregate of ICU, Telemetry, 3E and 4E over a 12 month period: Audit | Audit Period | Abbreviation | Occurrences per 50 opportunities | Prohibited Abbreviations | 12 Months | “cc” | 33.75 | Prohibited Abbreviations | 12 Months | “qd” | 15.916 | Fire Dill History of drills held once per shift per quarter over a 12 month period: Quarter | Shift 1 | Shift 2 | Shift 3 | Compliance Analysis | 1st (Jan-Mar) | √ | √ |...
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