...Community Health Nursing Reflection Veronica Hubbard NUR/405 June 25, 2012 Cindy Januale Community Health Nursing Reflection Community health nursing is a specialty field of nursing which care is provided to people in the community setting. A community health nurse can provide care to children and the adult population. As a result of the economic depression, more people in the community are becoming jobless, homeless, low-income, and uninsured. So the need for community health nurses has drastically increased. The child community health nurses’ role is concentrating on health promotion and prevention strategies. According to Contemporary Nurse Journal (2011), “the role is broaden to include multifaceted case management, home visiting, outreach programs, early identification and primary intervention of clients with psychosocial and mental health issues, group facilitation, the traditional one to one client contact and multidisciplinary team function (p. 72). The role for a community nurse in the adult setting is to prevent health problems in at risk individuals, promote disease prevention strategies, to provide care and available resources to needy individuals and families in the community. According to Stanhope and Lancaster (2012), “community health nursing practice is the synthesis of nursing theory and public health theory applied to promoting, preserving, and maintaining the health of populations through the delivery of personal health care services to individuals...
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...Community Health Nursing Reflection NUR/405 August 7, 2012 Community Health Nursing Reflection According to Phyllis Meadows (2009), “Community health nurses are valued for their adaptability and willingness to provide care in many settings, including community health clinics, churches, homeless shelters, and schools,” (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 has established benchmarks and monitored progress over time to improve health outcomes. Each community has unique needs and the role of the community health nurse is to work with and provide comprehensive care to patients within the community. This reflection addresses the role of the community health nurse with the participating family and their community in Spring Mills, Pennsylvania. Community health nurses working in the Spring Mills, PA are faced with numerous challenges in this small rural community. Construction and manufacturing account for 42% of the industry of Spring Mills. With these professions comes increased risk of work related injuries and illnesses. Educational services account for only 3% of the industry, wholesale and retail trade account for 10%, accommodation and food services 15%, and 30% account for a combination of professional, scientific, and technical services. Community health nurses play a role in ensuring safety in the workplace by creating and implementing...
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...Community Health Nursing Reflection NUR/405 2012 Diane Schlicke RN MSN Community Health Nursing Reflection The role of the community health nurse in the participating family’s community is to focus on the health needs of the aggregate or group. Community health nursing refers to a systematic, comprehensive focus on wellness, health protection, and disease, and injury prevention for the population residing in a specific area. The nurse functions as advocate, case manager, consultant, health care provider, educator, and collaborator with other agencies for healthy outcomes of the entire community. Nurses involved in the health of a specific community such as the family participating will assess the members living in the demographic area, and monitor the environment for potential predisposing factors that may lead to illness. The conclusion of the community assessment by the nurse directs, which types of services required to maintain the health of the population. The nurse may determine that preventive health care will benefit the community, (Stanhope & Lancaster, 2012). The initiation or campaign for infant and children vaccinations may be a priority in this community because the 30 to 50 age range of adults who may be childbearing. The community’s amenities for maintaining a healthy lifestyle are vast. Walking trails, bike paths, ice skating rink, and playing fields offer recreational activities that will appeal to most of the population. Informational sessions for...
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...Community Health Nursing Reflection NUR/405 Cynthia Januale Community Health Nursing Reflection This assignment was very interesting and unique compared to other assignments that I have had in the past. Visiting and studying the community that I chose gave me quite the insight on various issues that, had it not been for this assignment, I may not have picked up on before. “In any setting, the role of public health nurses focuses on the prevention of illness, injury or disability, the promotion of health, and maintenance of the health of population” (The Role Of Public Health Nurses, 2012, para. 2). In the community I chose to survey, as with any community, the role of community nursing focuses on the items listed above and in addition, I believe that because of the lower to middle income level of this community, focus should also be on better health care accessibility to the residents. Community Nursing Diagnosis’ and Interventions Three possible community nursing diagnoses for the community that I observed were as follows. Risk for accidents related to the poor vision by oncoming traffic as evidenced by the multiple cars lining the streets. Children and others are walking to and from the store and through the neighborhood to the park where they play and oncoming traffic may have difficulty seeing pedestrians because of the amount of cars parked on the side of the road. Possible interventions for this problem include wearing reflective clothing so that they...
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...Community and Public Health Nursing Reflection NUR/405 Community and Public Health Nursing Reflection My family lives in Encanto, which is an underserviced community with very little resources for theses lower income diverse families, which have many vulnerabilities. In this paper we are going to identify how community, public health nursing and community partnerships can be of service to this community. We will also take a look at epidemiological influences in Encanto as well as look at some nursing diagnosis that apply to this community. Role of Community and Public Health Nursing and Community Partnerships In Encanto the role of community and public health is not in the forefront of the community. Although services are available though the city of San Diego for those in need at no to little cost depending on your income very few residence are aware. There are other community resources and partnerships that can refer families of my community such as the second chance that helps homeless, ex-drug addicts, felons, adults, veterans, youth (16-18). Second Chance offers programs for reducing unemployment; repeat crimes and homelessness, empowering our clients to make sustainable personal changes that positively impact society. “Second Chance also delivers wrap-around services that include rehabilitation, housing, mental health and financial literacy, to get people off the streets and into the workforce” (Second Chances Program, 2014). Another public health partnership...
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...Community and Public Health Nursing Reflection Cynthia Clayton NUR/405 January 14, 2012 Sandra Winters Community and Public Health Nursing Reflection Community and public health nursing provide health education, care management and primary care to individuals and families who are members of vulnerable populations and high risk groups. Public health nurse integrate community involvement and knowledge about the entire population with personal clinical understandings of the health and illness experiences of individuals and families within the population. Community and public nurse focus on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of the populations, they work with communities, target health promotion and disease prevention, they act as teachers, counselors and plays an important role in preventing wide spread illness and disease. Community and public health nurses’ goal is to promote, preserve, and maintain the health of populations through the delivery of personal health services to individuals, families, and groups, and also the prevention of disease and disability, to promote and protect the community as a whole. According to Stanhope & Lancaster (2012), nursing has numerous roles including identifying vulnerable individuals and families through outreach and case findings, encouraging vulnerable groups to obtain health services, developing programs that respond to their needs and teaching vulnerable individuals...
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...This paper is submitted only as an example of a mental health survey and may not be plagiarized in part or whole. This paper is property of the respective authors and may not be copied or quoted in any form. Mental Health Windshield Survey 2010 Census Data Summary:Prior to starting, research 2010 census data for the county you select http://quickfacts.census.gov/qfd/states/12000.html Include age, race, household types, growth patterns, unemployment rate, etc. Include a summary paragraph here: | The population estimate for the city of Venice for 2011 is 20897. This is an increase by .7% from 2010 which was estimated at 20748. Persons over 65 represented a whopping 57% while younger than 18 stood at 7.5% Caucasians accounted for 97.3% of the population with 93% being a high school graduate or higher. The home ownership rate is 73% with the median income being 48K. Venice city covers a mere 15.27 square miles but abounds with things do, places to eat and people to meet, most of who are retired of course. | Boundaries: Select an urban area with walking traffic/business storefronts. Attach a Google map with at least an 8 x 8 block boundary highlighted. Does the neighborhood have an identity or name? Do you see it displayed? Are there unofficial names for the area? Is the area primarily commercial, industrial or residential or a mix? | From quaint boutiques to modern department stores, the area of Venice we explored had almost everything within bike riding distance...
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...to communicate so they can run a smooth operation (dupre) whether the employees in my organization communicate verbal or not there is an understanding of what is expected from each person. I currently am employed at a community health center in a rural area; there are many different people who use this center as their medical provider. I am one of the front desk receptionists, which is where the communication between patient and doctor begins. Sometimes this can be tough due to the diversity there are many language barriers, but things have started to get better with time. The clinic has become very successful with different means of advertising and communicating what the clinic has to offer for medical services. The cliental is usually low income, in which the state picks up the bill, so they have used every available source such as bill boards, radio ads, and commercials to promote people to use the clinics to help keep health cost down. There is also a web page that allows the client to a view the main website that contains many different types of information such as locations, specialties, job opportunities. The clinic is mainly run through phone calls, pages or messages being sent through I Pads. The clinic does not use traditionally health charts, this is...
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...of an Advanced Practice Nurse I see myself working in a primary care setting in an area of most need. I see my role as providing comprehensive care and promoting wellness in a community where healthcare has been on the back burner for many years not only by the healthcare community but also by the community itself. I am hoping that by being a strong advocate for those who have had difficulty advocating for themselves that I will also be able to pass my attitudes and caring on to others who provide care for this group of people. I see my role as the nurse practitioner as being a primary care provider working in collaboration with an entire team to provide the best possible outcome for the patient by utilizing all available resources. I want to work in a community health center where this can and is being done. Those served by the community health center are in desperate need of health care, quality health care. These patients have not had insurance up until the institution of the Affordable Care Act and have been treated poorly, if treated at all, in our current health care settings. My role as their primary care provider will be one of providing quality, comprehensive care along with the health teaching they so desperately need. Working with physicians and Nurse Practitioners in the community health center I work in now I am able to evaluate the differences in their care. Physicians are needed for diagnosing and managing the most difficult of the illnesses and diseases but...
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...340B Contract Pharmacies Frequently Asked Questions What is 340B? The 340B Drug Pricing Program helps provide underserved populations with affordable prescription drugs through qualified community health organizations. Federal regulations allow community health centers to contract with retail pharmacies to dispense 340B medications. SUNRx enables these contract pharmacies to provide affordable medications to 340B customers seamlessly and efficiently. Our fully automated solution manages eligibility, formulary, sliding scale and co-payment calculations, replenishment and inventory management. SUNRx also generates purchase orders and invoices to reduce paperwork and improve cash flow. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, minimal training is required for pharmacy staff and claims can be processed without disrupting patient flow. What is the financial impact of participating in a SUNRx 340B program? Many contract pharmacies realize a significant increase in revenues by participating in a 340B program administered by SUNRx. Will a 340B program disrupt my pharmacy operations, add additional burdens on my staff or inconvenience regular customers? SUNRx’s 340B solution was designed to integrate seamlessly into your current pharmacy operations. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, you serve 340B patients the same way you serve...
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...I. Description of Project The project for this week or course was to: "Identify one of the waste "wedges" or categories identified in the JAMA article by Berwick and Hackbarth and explore the opportunities where managerial epidemiology principles applied in accountable care models of care can reduce waste". The reason for the project is to explore the reasons why, and possible changes that can take place to lower the costs of healthcare. Healthcare in the United States is at an astounding 18% of GDP and is definitely demanding a change to lower the costs of healthcare. Not only does the United States pay more for healthcare than other leading countries, it sees less quality of care. As per the article by JAMA, the minimum believed to be spent on wasteful spending is $558 billion per year, and a midpoint of $910 billion per year. Eliminating that alone is enough to make a change in our healthcare system. In order to elaborate on the topic, this project identifies one of the waste wedges I decided to write about, tells why I chose the particular one that I did, what exactly the wedge is and how it produces waste while affecting healthcare, and then finally what we can do to lessen the waste, as well as a proposition to eliminate waste in said category while looking at a proposal to better the organization and population. II. Selection of Topic For this project I chose Failures of Care Delivery as my waste wedge to explore. A. What is Failures of Care Delivery Failures...
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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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...Running Head: Windshield Survey Summary and Reflection Windshield Survey Summary and Reflection Leonard Larino University of Phoenix – Professor Bonnie Schoettle April 27, 2015 Windshield Survey Summary and Reflection Public health nursing involves a community and the overall health of the community. A community is a group within an area or region. These groups vary through various areas. According to Stanhope & Lancaster, they cited the World Health Organization’s definition of community as a group of people in a defined geographical area that share a common culture, values and norms, and are arranged in a social structure based on the community’s development over time. (Stanhope & Lancaster, p. 397, 2012). There are three factors in community: people, place and function. (Stanhope & Lancaster, p. 397, 2012). These three factors are what we as potential community health/public health nurses examine to develop a plan of care for the community. As community health nurses, the community is the client, with the focus being the collective and common good of the population; the individual patients we care for are now expanded into a whole populations benefit. (Stanhope & Lancaster, p. 398, 2012). Community health is collective needs being met and is done by identifying problems and managing behaviors in the community. (Stanhope & Lancaster, p. 401, 2012). Improving health can be achieved through community partnerships. This can be done by partnering...
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...REQUIRED UNIFORM ASSIGNMENT GUIDELINES THE HEALTH HISTORY AND PHYSICAL EXAMINATION PURPOSE As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold. • To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care • To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination COURSE OUTCOMES CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8) CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO 4: Utilize effective communication when performing a health assessment. (PO 3) CO 6: Identify teaching/learning...
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...evaluating their practice, particularly in nursing and health care (Kenworthy et al 2002). Reflection is a necessary process in order to comply with Post-registration education and practice (PREP), continuing professional development standard, as required by the NMC (2006). Reflection can therefore be regarded as a fundamental process for all professionals registered within the NMC. This essay specifically focuses upon reflection in relation to the student Specialist community public health nurse (SCPHN). Reflective practice in nursing can be guided by models of reflection. Using a model or framework can be beneficial in aiding practioners and students of nursing and health care to, reflect upon incidents, and critically analyse those incidents, therefore helping the practioner to learn and move on (Ashby 2006). This essay aims to explore the concept of reflection. It will discuss and critically analyse Gibbs (1998) theoretical model of reflection whilst also considering other models and their use in relation to the role of a student SCPHN working within a children and family community setting. Reflective practice is not a new concept. It originated in the 1930's from work carried out by American educationalist John Dewey. Dewey (1933) developed the idea of reflection as a way of learning in education. This idea has since been drawn upon in the works of many others; Schon (1983) similarly highlights the idea of reflection as a way of bridging the gap between theory to underpin...
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