Community Lectures

People, place, function

Interest

Concern

Neighborhoods

Practice

Focuses on the who and the how

The mandala of health: model of the human ecosystem

More personalized

Represents the actions people undertakes with others as they form a collective unit

Some of the elements of sense of community

Membership

Influence

Need fulfillment

Shared emotional connection

at the core of the wheel is people

Community is divided

Has line of defense and resistance

Stressors

1. Define community

2. Establish purpose of assessment

3. Determine scope of assessment

4. Gather data

5. Analyze data

6. Validate findings

7. Issues/focus & contributors/factors

Multidisciniplary and interprofessional actions towards SDOH

Community/public engagement in decision-making processes

A socioecological approach which focuses on community systems and environments

1. Community attribute (community assessment wheel)

2. Nursing process attribute - reflects neuman’s stress adaption model which is based in systems theory

1. Decrease potential for community to encounter stressors

2. Limit the impact or effects of stressors on the community through prevention activities

3. Build the capacity of the community to act on their own behalf

Based on school catchments

Windshield: rely on 5 sense

Needs: needs of community

Problem investigation

Environmental scan

Health promotion

Prevention and health protection

Health maintenance

Professional Relationships

Capacity building

Health equity

Evidence informed practice

Professional Responsibilities

Health promotion

• Process of enabling people to increase control/improve their health

• Involves individuals, families, groups, communities, populations and systems

• Strategies: build healthy public policy, create supportive environments, strengthen community actions, Develop personal skills, Reorient health services

Prevention and health protection

• Socio-ecological model 

• Actions implemented in accordance to government legislation and nursing standards to minimize the occurrence of diseases or injuries and their consequences

Health Maintenance

• Systematic and planned methods to maximize fx, improve health, support life transitions

• Includes full spectrum of care - acute/chronic, terminal illness, end of life

Professional Relationships

• Work with others to build and nourish professional and therapeutic relationships

• Includes optimal participation, self-determination of client 

Capacity building

• Partner with client to promote capacity

• Focus is to recognize barriers to health and mobilize and build on existing strengths

• Increase in ability to define, assess, analyze and act on health concerns

Health equity

• Recognizes SDOH and incorporate actions into practice, focuses to advance health equity at individual and societal level

• Identify and facilitate universal and equitable access to services

• Provide culturally relevant care to diverse individuals and populations

Evidence informed practice

• Use the best evidence to guide nursing practice and support clients in making informed decisions

incorporate traditional knowledge, cosmology and lifeways to guide health practices with Indigenous communities.

 care informed by traditional knowledge, values and beliefs. Refers to clinical practice, education, research, administration and policy that involve FN, inuit and metis nurses,

uses knowledge from public health, nursing, social/environmental sciences and research and integrates it with concepts of primary health care, disease/injury prevention, community participation, community development, SDOH, and health equity. Key functions are health promotion, disease and injury prevention, health protection, health surveillance, population health assessment, emergency preparedness and response.

Promote optimal level of well-being and functioning. Job duties include chronic disease management, curative practices, health promotion/education, palliative care, rehab, support/maintenance, social support and family support.

Provide first contact with the health care system. Focus on health promotion, disease and injury prevention, cure, rehabilitation, support.

Provide services like triage of health issues, consultations, advice, counseling, support, health education and care coordination for chronic disease management. 

Often with homeless people and community/government agencies. Provide services such as communicable disease support, STI follow ups.care, birth control, pre and post natal supports, drug and alcohol rehab, harm reduction, primary care, wound care, diabetic care, mental health follow ups.

Complex roles

Four components: individual, health, occupational health nursing and environment. Specialty area of nursing practice that focuses on worker/group by promoting health, preventing illness or injury, protecting workers from risks and recommending a safe and healthy work environment.

specialized to promote health, healing and wholeness that is hired by a faith community and integrates faith into nursing practice

Can be sexual assault nurse examiners (SANE), and engage in community education regarding risk factors for violence, social activism to prevent violance, influence healthy public policy to overcome challenges. Work with crime survivors, ER, ICU, peds, general med and surgery, LTC, schools, prisons, coroner or medical examiner office, and outreach community settings.

Blend of community, mental health and psychiatric nursing. Services include home care, substance abuse/addiction programs, corrections institutions, community mental health programs, residential homes, and community outreach programs that visit homes/street/shelters.

Can work in military hospitals and outpatient clinics, also provide disease prevention and outbreak response. Provide preventative, occupational and environmental health care services.

Accessibility

Health promotion

Interdisciplinary collaboration

Use of appropriate skills and technology

Public participation

Building healthy public polciy

Create supportive environments

Strengthen community action

Develop personal skills

Reorient health services

Three elements: host, agent, environment

Changes can influence the occurence of disease by increasing or decreasing a clients risk for disease

Illustrates complex interrelationships of a number of factors sometimes interacting in subtle ways to increase of decrease the risk of disease

Diagram that links to causes and effects

• Who you work with

• What is the issue

• How are you going to solve the issue

• Evidenced based, embraces systems theory

Beginning / before

Dealing with cause of causes

Individual choice

Dealing with cause of causes

Dealing with the cause straight on in an individual curative approach

Dealing with illness / injury with an individual approach

Insight, willingess to change, resources to implement change

Focusing on the issue at hand

differences that are unnecessary, avoidable and unfair/unjust

fair opportunities for all ppl to achieve full health potential

differences in health status btw groups/populations

fair distribution of resources and responsibilities amongst members of population

ethical use of power

ppl are unique, connected to others, interdependent

everyday ethics

perception that there is insufficient income to meet expenses

deprivation of some individuals in relation to those who have more

deprivation of resources that are life threatening

• share of income spent on necessities

• thresholds are adjusted/increased each yr according to consumer price index

• criticisms

conditions determined by social, physical, economic and environmental factors/processes which increased susceptibility to the impact of hazards

Presences of characteristics which results in higher risk for adverse outcomes

Marginalization occurs when people are systematically excluded from meaningful participation in economic, social, political, cultural and other forms of human activity in their communities and thus are denied the opportunity to fulfil themselves as human beings.

lack of belonging, acceptance and recognition

• more economically and socially vulnerable which leads to diminished life experiences

• low self esteem and shame

undergoing a visceral reaction → self talk → seeking validation →mobilizing support for action or inaction → moral residue