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Community Health Nursing

Please see the attached files to revise the attached assignment. I have attached the assignment, paper that needs revision (TASK 2), rubric, revisions needed, and various resources that you may or may not need to complete the assignment. The most important file is the “revisions needed” file. revisions must be completed as described in the document. There must be in text citations and an annotated bibliography

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Attachment

Approved Topic List: Choosing Your Field Project Topic with a Primary Prevention Focus

 

Note: You may not log any work on your field project until you are enrolled in Community Health and Population-Focused Nursing Field Experience/Community Health and Population-Focused Nursing Clinical and have selected your topic.

What is a Primary Prevention?

The Community Health Nursing practicum requires a field project. The project focuses on primary prevention. Primary prevention is the prevention of disease, injury, disability or premature death before they occur.

First Steps in Choosing a Field Project Topic

First, consider what might be an issue of public health concern in your own community. The pertinent questions to consider are:

  • What is the biggest contributor to disease (morbidity) and premature death (mortality) in your community?
  • What are the controversial community health concerns discussed in your local newspaper?
  • What do you believe people in your community are most concerned about related to health?
  • What is generating the most visits to the emergency room or hospital admission in your community?
  • What do you believe is reducing the quality of life in your community?

Possible Topic Areas to Choose for Field Project

Access to Healthcare

  • access to mental health services
  • access to dental health services
  • access to health services

Alcohol and Drug Use

  • responsible alcohol consumption
  • prevention of drug abuse, including

–      IV drug use

–      prescription drug use

Child Health

  • prevention of neonatal mortality
  • prevention of unintentional childhood injuries, including:

–      sudden unexpected infant death (SUID)

–      poisoning

–      drowning

–      motor vehicle related (child safety seat and seat belt use)

–      sports related

–      pedestrian related

  • prevention of child abuse
  • promotion of vaccination

Disabled

  • promotion of health and well-being, including

–      access to disability related services and devices,

–      limit barriers to participating in home, work, school, or community activities

Disaster Preparedness

  • prevention of adverse health consequences caused by natural and human caused disasters

HIV/AIDS

  • prevention of HIV/AIDS, including

–      sexual transmission

–      prenatal transmission

–      IV drug use transmission

Oral Health

  • prevention of dental caries

Overweight and Obesity

  • prevention of overweight and obesity through healthy nutrition and physical activity

Physical Environment

  • promotion of healthy physical environment, including

–      air quality

–      land quality

–      water quality

Seniors

  • prevention of falls
  • prevention of social isolation
  • promotion of vaccination

Social Environment

  • safe, affordable, quality housing (prevention of homelessness)

Tobacco

  • prevention of tobacco use
  • prevention of smoking

Unintentional Injuries

  • prevention of workplace injuries
  • prevention of motor vehicle related death/injuries

–      prevention of pedestrian injury and death (includes bicyclists)

Violence

  • prevention of domestic violence/intimate partner violence
  • prevention of dating violence
  • prevention of gang violence
  • prevention of bullying/cyber-bullying
  • prevention of suicide/depression

Women’s and Maternal Health

  • prevention of unintended pregnancies
  • lack of breastfeeding/promotion of breastfeeding
  • promotion of vaccination

 

Resources to Start Your Topic Choice Process

 

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Attachment

MLA| APA Copy

Clark. Community Assessment Reference Guide for Community Health Nursing: Advocacy for Population Health. Pearson Learning Solutions, Bookshelf.

http://online.vitalsource.com/books/0558446620/id/ch03

CULTURAL ASSESSMENT TOOL

Biophysical Considerations

What is the age composition of the cultural group?

Age Group

Population Size

0–1 year

1–5 years

6–12 years

13–19 years

20–29 years

30–49 years

50–64 years

65–74 years

75–84 years

Over 85 years

What attitudes toward age and aging are prevalent in the culture? ________________________

_____________________________________________________________________________________

How do attitudes toward aging affect health? _________________________________________

At what age are members of the culture considered adults? ________________________________________________

Are there cultural rituals associated with coming of age? _______ What are the health effects of these rituals and practices, if any? __________________________________________________

What is the gender composition of the cultural group? ____________________________

Does gender play a role in the acceptability of health care providers? If so, how? _________

_____________________________________________________________________________________

Do members of the cultural group display genetically determined physical features or physiologic differences? If so, what are they and how do they influence health? _______________________

_____________________________________________________________________________________

Do group members display differences in normal physiologic values? If so, what are they? _________

_____________________________________________________________________________________

What genetically determined illnesses, if any, are prevalent in the cultural group? _______

_____________________________________________________________________________________

What are the cultural attitudes toward body parts and physiologic functions? ___________________________

_____________________________________________________________________________________

4 5

What physical health problems are common in the cultural group? ________________

_____________________________________________________________________________________

Psychological Considerations

Does the cultural group have an individualist or collectivist perspective? _______________

How do members of the cultural group prioritize individual, family, and group welfare and goals? ___________

_____________________________________________________________________________________

What is the extent of stress experienced by members of the cultural group? _______________________________

_____________________________________________________________________________________

What are the usual sources of stress? ________________________________________________________________

How do group members typically cope with stress? ___________________________________________________

_____________________________________________________________________________________

Is there intergenerational conflict within the cultural group that contributes to stress? ______________________

_____________________________________________________________________________________

How do members of the cultural group perceive change? _______________________________________________

_____________________________________________________________________________________

How do they adapt to change? ______________________________________________________________________

_____________________________________________________________________________________

Do members of the cultural group exhibit attitudes of resignation and fatalism? If so, what effect does this have on the use of health care services? ______________________________________________________________________

________________________________________________________________________________________

What attitudes toward mental health and illness are held by members of the cultural group? ___________________

________________________________________________________________________________________

Is there stigma attached to mental illness for the individual? _______ For the family? _________________________

How does stigma affect health and willingness to seek health care services? _________________________________

________________________________________________________________________________________

Physical Environmental Considerations

How do members of the cultural group perceive their relationship to the environment? ____________________

_____________________________________________________________________________________

How do members of the cultural group perceive personal space? ________________________________________

What is the orientation of the cultural group to time? __________________________________________________

What changes in their physical environment have members of the cultural group experienced? ______________

_____________________________________________________________________________________

What influence do these changes have on the health status of the group? _________________________________

_____________________________________________________________________________________

5 6

Sociocultural Considerations

Relationships

What are the perceptions of members of the cultural group with respect to supernatural forces? _________________

________________________________________________________________________________________

What roles, if any, do supernatural forces have in health and illness? ________________________________________

________________________________________________________________________________________

What are the religious affiliations of members of the cultural group? ________________________________________

________________________________________________________________________________________

What are the major tenets of the religion(s)? _____________________________________________________________

________________________________________________________________________________________

What influence does religious affiliation or spirituality have, if any, on health care beliefs and practices? _________

________________________________________________________________________________________

Do religious leaders have a role with respect to health and illness within the cultural group? _______ If so, what is that role? _________________________________________________________________________________________

Are religious beliefs and practices incorporated in health care? If so, how? ___________________________________

________________________________________________________________________________________

Do magical influences play a part in health and illness within the cultural group? _______ If so, how? ___________

________________________________________________________________________________________

How is marriage perceived within the cultural group? ____________________________________________________

________________________________________________________________________________________

At what age does marriage usually occur? _______________________________________________________________

Who is considered an appropriate spouse for a member of the cultural group? _______________________________

________________________________________________________________________________________

What is the typical family structure within the culture? ___________________________________________________

What gender roles are expected within the cultural group? ________________________________________________

________________________________________________________________________________________

What are the expected roles and responsibilities of couples? _______________________________________________

________________________________________________________________________________________

How are couples expected to interact with other family members? ____________________________________________

What roles are typically performed by family members? __________________________________________________

________________________________________________________________________________________

How interchangeable are these roles? ___________________________________________________________________

How congruent are family roles with those of the dominant culture? ________________________________________

________________________________________________________________________________________

Who is responsible for decisions within the family? _______________________________________________________

Within the larger cultural group? _______________________________________________________________________

6 7

What are the attitudes of group members toward children? ________________________________________________

________________________________________________________________________________________

What child-rearing practices are typical of the cultural group? _____________________________________________

________________________________________________________________________________________

What is the typical social organization of the group? ______________________________________________________

What behaviors are expected in interactions with others within the cultural group? ___________________________

________________________________________________________________________________________

Outside the group? __________________________________________________________________________________

________________________________________________________________________________________

What behaviors are considered unacceptable by members of the cultural group? _____________________________

________________________________________________________________________________________

What are group members’ attitudes toward authority? ____________________________________________________

What is the character of interaction between the cultural group and the dominant society? _____________________

________________________________________________________________________________________

What is the primary language spoken by members of the culture? __________________________________________

What is the level of fluency with the language of the dominant culture among members of the group? ___________

_________________________________________________________________________________________

What other forms of communication are used by members of the cultural group (e.g., newspapers, radio, television)? _________________________________________________________________________________________

How important is context to communication? ____________________________________________________________

Are there formal and informal modes of address within the cultural group? _______ In what circumstances is each used? ________________________________________________________________________________________

What courtesy titles are used and for whom? ____________________________________________________________

Is a certain degree of personal reticence expected of group members? _______________________________________

What gestures are considered appropriate or inappropriate? _______________________________________________

________________________________________________________________________________________

What do members of the cultural group expect in relationships with health care providers? ____________________

________________________________________________________________________________________

What do health care practitioners within the cultural group expect in their relationships with clients? ___________

________________________________________________________________________________________

How congruent are expectations of relationships between members of the cultural group and scientific health care providers?

______________________________________________________________________________________

What is the quality of interaction between the larger society and members of the cultural group? ________________

________________________________________________________________________________________

What is the attitude of members of the dominant culture toward the cultural group? __________________________

________________________________________________________________________________________

What is the attitude of members of the cultural group toward the dominant culture? _________________________

________________________________________________________________________________________

7 8

To what extent are members of the cultural group subjected to or perceive prejudice, discrimination, hostility, or harassment?

______________________________________________________________________________________

Socioeconomic Status

What is the attitude of members of the cultural group toward material wealth and possessions?______________

_____________________________________________________________________________________

What is the educational level typical of members of the cultural group? __________________________________

What is the group’s attitude toward education? _______________________________________________________

What is the socioeconomic status typical of members of the cultural group? _______________________________

What effect does socioeconomic status have on health and access to health care services? ___________________

_____________________________________________________________________________________

Life Events

Sexuality and Reproduction

What are the attitudes of members of the cultural group toward heterosexual activity? ________________________

_____________________________________________________________________________________

Homosexual activity? _____________________________________________________________________________

Do group members engage in any specific sexual practices? _______ If so, what are they and how do they affect health?

_____________________________________________________________________________________

Do group members practice female genital mutilation? ________________________________________________

What are the attitudes of members of the cultural group toward conception and contraception?______________

_____________________________________________________________________________________

Is conception expected early in marriage? ____________________________________________________________

Are there special cultural practices to promote or prevent conception? _______ If so, what are they? __________

_____________________________________________________________________________________

Are certain behaviors expected during pregnancy? _______ If so, what are they? ___________________________

_____________________________________________________________________________________

Are there behaviors or circumstances that should be avoided during pregnancy? ______ If so, what are they? _____

_________________________________________________________________________________________

What is the attitude of group members toward prenatal care? ___________________________________________

Are there special cultural practices related to labor and delivery? If so, what are they? ______________________

_____________________________________________________________________________________

Who should be present during labor and delivery? ____________________________________________________

Where should labor and delivery occur? _____________________________________________________________

Are there special practices related to disposal of the placenta? _______ If so, what are they? _________________

_____________________________________________________________________________________

What behaviors are expected of the mother during the postpartum period? _______________________________

_____________________________________________________________________________________

8 9

What does cultural care of the newborn entail? __________________________________________________________

Who usually provides this care? _______________________________________________________________________

________________________________________________________________________________________

What are the cultural attitudes toward breast-feeding? ____________________________________________________

Health and Illness

How do members of the cultural group define health and illness? __________________________________________

________________________________________________________________________________________

Do group members hold specific theories of disease causation? _______ If so, what are they? ___________________

________________________________________________________________________________________

How does the cultural group classify disease? ___________________________________________________________

Does the cultural group recognize any culture-bound syndromes? _______ If so, what are they? ________________ ________________________________________________________________________________________

What are the characteristic features of culture-bound syndromes recognized by the group? ____________________

________________________________________________________________________________________

What cultural health practices are used to promote health and prevent illness? _______________________________

________________________________________________________________________________________

________________________________________________________________________________________

What health practices are used to restore health when illness occurs? _______________________________________

________________________________________________________________________________________

What home remedies, if any, do members of the cultural group employ to treat health problems? ______________

________________________________________________________________________________________

For what problems are home remedies used? ____________________________________________________________

________________________________________________________________________________________

How are home remedies used? ________________________________________________________________________

________________________________________________________________________________________

What over-the-counter remedies are used by the cultural group? ___________________________________________

________________________________________________________________________________________

For what and how are OTC remedies used? _____________________________________________________________

To what extent are these practices used by the cultural group? _____________________________________________

What provider-prescribed medications and treatments are used by the cultural group?________________________

________________________________________________________________________________________

By whom are they prescribed? _______________________________________

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COMMUNITY HEALTH NURSING

COMMUNITY HEALTH NURSINGIn primary prevention, the nurse’s intervention should limit the effects of the occurring disaster. He/she nurse should advocate for effective infrastructures such as buildings, roads, bridges which can withstand the forces of wind, water and tremors experienced in the event (Hassmiller and Stanley, 2012). In secondary prevention the nurse can intervene by providing supportive care which includes determining victims who need shelter, coordinating the activities of shelter workers, keeping record of those admitted and discharged from the shelters and ensuring safety of the shelter residents. In tertiary prevention the nurse can give follow-up psychological care for problems resulting from the disaster. The nurse with a team of psychologists can team up and give counseling to the victims who undergo psychological trauma.

The above interventions can be applied in the recovery phase of the disaster management. This is because it is at this phase that the nurse can assess the impact of the disaster on people and the environment so as to implement the proposed interventions. The recovery phase aims at the recovery of the community and its members from the effects of the disasters and preventing it from recurring (Vogt and Kulbok,2008)

Disaster management nurses are specialized and skilled in responding to disasters and would be valuable participants in facilitating the above interventions while on the other hand critical care nurses provide specialized care to victims who are badly injured hence these groups of nurses will play a major role in the management of the victims. On occurrence of a disaster, people tend to experience psychological trauma and they would benefit greatly from Critical Incidence Stress Debriefing (CISD) (Mitchell and Everly, 1996) provided by psychologists. Volunteer groups such as Redcross participates in disaster management by helping in evacuation, giving first aid, providing food, clothing and resettlement of those who are displaced.

REFERENCES

Hassmiller, S. B., & Stanley, S. A. R. (2012). Public health nursing and the disaster management cycle. Public Health Nursing. Missouri, MO: Mosby, 507-531.

Mitchell, J. T., & Everly, G. S. (1996). Critical incident stress debriefing: CISD: an operations manual for the prevention of traumatic stress among emergency service and disaster workers. Ellicott City, MD: Chevron Publishing.

Vogt, V., & Kulbok, P. A. (2008). Care of client in disaster settings community health nursing: Advocacy for population health (Vol. 2, pp. 759-800).

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COMMUNITY HEALTH NURSING

In primary prevention,the nurse’s intervention should limit the effects of the occurring disaster. He/she nurse should advocate for effective infrastructures such as buildings,roads,bridges which can withstand the forces of wind,water and tremors experienced in the event (Hassmiller and Stanley, 2012). In secondary prevention the nurse can intervene by providing supportive care which includes determining victims who need shelter, coordinating the activities of shelter workers,keeping record of those admitted and discharged from the shelters and ensuring safety of the shelter residents. In tertiary prevention the nurse can give follow-up psychological care for problems resulting from the disaster.The nurse with a team of psychologists can team up and give counseling to the victims who undergo psychological trauma.

The above interventions can be applied in the recovery phase of the disaster management.This is because it is at this phase that the nurse can assess the impact of the disaster on people and the environment so as to implement the proposed interventions. The recovery phase aims at the recovery of the community and its members from the effects of the disasters and preventing it from recurring (Vogt and Kulbok,2008)

Disaster management nurses are specialized and skilled in responding to disasters and would be valuable participants in facilitating the above interventions while on the other handcritical care nurses provide specialized care to victims who are badly injured hencethese groups of nurses will play a major role in the management of the victims. On occurrence of a disaster, people tend to experience psychological trauma andthey would benefit greatly from Critical Incidence Stress Debriefing (CISD) (Mitchell and Everly, 1996) provided by psychologists.Volunteer groups such asRedcrossparticipates in disaster management by helping in evacuation, giving first aid, providing food, clothing and resettlement of those who are displaced.

REFERENCES

Hassmiller, S. B., & Stanley, S. A. R. (2012). Public health nursing and the disaster management cycle. Public Health Nursing. Missouri, MO: Mosby, 507-531.

Mitchell, J. T., & Everly, G. S. (1996). Critical incident stress debriefing: CISD: an operations manual for the prevention of traumatic stress among emergency service and disaster workers. Ellicott City, MD: Chevron Publishing.

Vogt, V., & Kulbok, P. A. (2008). Care of client in disaster settings community health nursing: Advocacy for population health (Vol. 2, pp. 759-800).

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Stuart L
Stuart L
Thanks for keeping me sane for getting everything out of the way, I’ve been stuck working more than full time and balancing the rest but I’m glad you’ve been ensuring my school work is taken care of. I'll recommend Elite Academic Research to anyone who seeks quality academic help, thank you so much!
Mindi D
Mindi D
Brilliant writers and awesome support team. You can tell by the depth of research and the quality of work delivered that the writers care deeply about delivering that perfect grade.
Samuel Y
Samuel Y
I really appreciate the work all your amazing writers do to ensure that my papers are always delivered on time and always of the highest quality. I was at a crossroads last semester and I almost dropped out of school because of the many issues that were bombarding but I am glad a friend referred me to you guys. You came up big for me and continue to do so. I just wish I knew about your services earlier.
Cindy L
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You can't fault the paper quality and speed of delivery. I have been using these guys for the past 3 years and I not even once have they ever failed me. They deliver properly researched papers way ahead of time. Each time I think I have had the best their professional writers surprise me with even better quality work. Elite Academic Research is a true Gem among essay writing companies.
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