Epidemiology and Community Health Overview

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Questions and Answers

What is the primary goal of epidemiology as presented in the slides?

  • To study the lives of historical health figures.
  • To collect samples of disease in a lab.
  • To identify factors influencing health problems and enable interventions. (correct)
  • To document historical disease outbreaks.

John Snow's work on cholera is an example of?

  • A study focused on developing disease treatments.
  • The use of mathematical models to understand disease.
  • The importance of understanding individual health behaviors.
  • How epidemiology can be used to investigate disease causes. (correct)

Which of the following is NOT listed as a risk factor for cardiovascular disease identified by the Framingham Study?

  • Hypertension
  • Low physical activity (correct)
  • Elevated cholesterol
  • Increased body mass

Based on the concept of the epidemiological triangle, which statement is most accurate?

<p>Alterations in any component of the triangle can impact disease risk. (A)</p> Signup and view all the answers

What practical application was primarily enabled by the findings of the Framingham Study?

<p>Healthcare professionals can identify heart disease risks early on. (B)</p> Signup and view all the answers

In a 'community as a partner' model, what is the primary emphasis of the Community Health Nurse (CHN)?

<p>Emphasizing community strengths and assets to address community-identified priorities. (A)</p> Signup and view all the answers

What best describes a coalition in the context of community health?

<p>Two or more groups sharing a mutual concern, joining forces to increase influence in achieving a common goal. (C)</p> Signup and view all the answers

Which of the following is a core characteristic of an effective partnership?

<p>Equality in decision making and a shared vision. (A)</p> Signup and view all the answers

What is the main goal of community partnerships?

<p>To reduce health inequalities and improve community health through collaborative decision-making. (C)</p> Signup and view all the answers

Which statement best represents the difference between 'community as a client' and 'community as a partner' approaches?

<p>The 'community as a client' approach focuses on the total population, while 'community as a partner' focuses on the collective good. (D)</p> Signup and view all the answers

According to the content, what is a common reason for forming a partnership in healthcare?

<p>To build capacity within the health system, reduce costs, and avoid duplication of services. (C)</p> Signup and view all the answers

In community health practice, what does 'partnership' primarily involve?

<p>A relationship where all parties actively collaborate in all stages of assessment, planning, implementation and evaluation. (B)</p> Signup and view all the answers

What distinguishes a community partnership from a generic partnership?

<p>A community partnership has the specific goal of reducing health inequalities and improving community health through collaborative decision-making. (C)</p> Signup and view all the answers

What is the primary goal of community capacity building?

<p>To identify and work with existing community strengths (C)</p> Signup and view all the answers

Which of the following is NOT a stated approach to asset mapping?

<p>The deficiency approach (B)</p> Signup and view all the answers

What are the three components of community development?

<p>Capacity building, intersectoral networking, and local area development. (A)</p> Signup and view all the answers

According to the content, what are the two primary outcomes of community development?

<p>Sustainability and community competence (B)</p> Signup and view all the answers

What of the following is one of the main functions of community health assessment?

<p>To identify community strengths, resources, and health concerns (C)</p> Signup and view all the answers

Within the community health nursing process, which step directly follows 'Assessment'?

<p>Analyzing/Diagnosis (A)</p> Signup and view all the answers

Which of the following is NOT identified as a direct reason for conducting a community assessment?

<p>To allocate health resources among various providers (C)</p> Signup and view all the answers

Which activity is a step in data collection when assessing community health?

<p>Generating missing data (B)</p> Signup and view all the answers

Which of the following statements best reflects the approach to community capacity building?

<p>Communities should recognize and build upon their strengths. (A)</p> Signup and view all the answers

What does a community health nurse use to mobilize communities in achieving their goals?

<p>The Community Health Nursing Process (C)</p> Signup and view all the answers

In a relative risk calculation, what does a result of 1 indicate?

<p>Both groups have the same risk of the disease. (B)</p> Signup and view all the answers

If a relative risk is calculated to be $2.5$, which of the following is true?

<p>The exposed group has 2.5 times the risk compared to the unexposed group. (B)</p> Signup and view all the answers

What is the referent category when calculating relative risk?

<p>The group not exposed to the risk factor. (B)</p> Signup and view all the answers

What measure estimates the relative risk factor by calculating the odds of an event for two groups?

<p>Odds ratio. (D)</p> Signup and view all the answers

In an odds ratio calculation, what constitutes the numerator of the first fraction?

<p>Exposed persons with the disease. (B)</p> Signup and view all the answers

What does a relative risk less than 1 indicate?

<p>The unexposed group has a higher risk of disease. (A)</p> Signup and view all the answers

A study finds a relative risk of 0.7 for a certain disease when comparing a group with a new diet to a group without. What does this suggest about the new diet?

<p>The new diet appears to decrease the risk of the disease compared to standard diets. (C)</p> Signup and view all the answers

In the provided example, if an odds ratio is calculated for smoking and lung cancer, what groups are being compared?

<p>Smokers with lung cancer vs. smokers without lung cancer. (A)</p> Signup and view all the answers

Which data collection method is best suited to gather an objective view of a community's environment?

<p>Windshield survey (C)</p> Signup and view all the answers

A community health nurse aims to understand the local resources often overlooked by community members. Which method would be MOST effective for identifying these?

<p>Using a windshield survey (D)</p> Signup and view all the answers

What is a key advantage of using a windshield survey when comparing different areas within a larger community?

<p>It enables clear comparisons across different neighborhoods. (A)</p> Signup and view all the answers

When conducting a community health assessment, what is a primary challenge related to data collection?

<p>Gaining entry or acceptance into the community for assessment purposes (B)</p> Signup and view all the answers

In the context of a community assessment, why is confidentiality a complex issue?

<p>Because some legal requirements can obligate disclosure, over-ruling confidentiality (A)</p> Signup and view all the answers

Which of the following is a critical step during the community health planning phase, according to the provided material?

<p>Identifying priorities, goals and objectives (D)</p> Signup and view all the answers

What is the first step mentioned in the analysis and planning phase of the community health nursing process?

<p>Identifying priorities, goals and objectives (D)</p> Signup and view all the answers

When establishing priorities for a community health concern, what crucial criteria should be considered?

<p>How aware the community is of the health concern. (A)</p> Signup and view all the answers

What is the expected change in the percentage of the population over 65 years in the Woodsbury community over the next 25 years?

<p>An increase from 25% to over 50% (A)</p> Signup and view all the answers

Which of the following best describes the current availability of specialized geriatric healthcare in Woodsbury?

<p>Only one provider specializes in geriatric care. (D)</p> Signup and view all the answers

What is the most accurate description of the transportation challenges for long-term care residents in the region?

<p>Residents are dependent on family or friends for transportation. (D)</p> Signup and view all the answers

What are the two major industries in the Woodsbury community?

<p>Mining and forestry. (A)</p> Signup and view all the answers

What is the current typical range for wait times to see a primary health provider in Woodsbury?

<p>Wait times can vary from 1 to 3 weeks. (A)</p> Signup and view all the answers

What is the approximate distance of the long-term care facility from the Woodsbury area?

<p>The facility is 100 km from Woodsbury. (A)</p> Signup and view all the answers

According to the case study, what is a significant trend regarding the unemployment rate in the Woodsbury community?

<p>The unemployment rate has been low but is steadily increasing. (B)</p> Signup and view all the answers

What is the most accurate summary of the typical lifestyle of many older adults in Woodsbury?

<p>A lifestyle that includes a high-fat diet, smoking, and frequent alcohol use. (B)</p> Signup and view all the answers

Flashcards

Epidemiology

The study of how diseases spread and affect populations. It helps identify causes and risk factors for diseases and health problems.

John Snow

The person who linked the cholera outbreak in London to contaminated water from a specific pump, a major turning point in public health.

Florence Nightingale

A pioneering nurse who used data and statistics to transform healthcare. She improved sanitation and reduced mortality rates during the Crimean War.

Framingham Study

A long-term study that tracks the health of people in Framingham, Massachusetts. It has identified important risk factors for cardiovascular diseases.

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Epidemiological Triangle

A model that illustrates the relationship between a disease and its contributing factors- the host, agent, and environment.

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Relative Risk (Risk Ratio)

A measure of the strength of association between exposure to a factor and the risk of developing a disease or health condition. It compares the incidence of disease in an exposed group to the incidence in an unexposed group.

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Relative Risk (Risk Ratio) = 1

A relative risk of 1 indicates no difference in risk between the exposed and unexposed groups. The disease is equally likely in both groups.

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Relative Risk (Risk Ratio) > 1

A relative risk greater than 1 indicates an increased risk of disease in the exposed group compared to the unexposed group. The disease is more likely in the exposed group.

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Relative Risk (Risk Ratio) < 1

A relative risk less than 1 indicates a decreased risk of disease in the exposed group compared to the unexposed group. The disease is less likely in the exposed group.

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Odds Ratio

A measure of association that compares the odds of an event occurring in one group to the odds of the event occurring in another group.

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Odds Ratio as an Estimate of Relative Risk

The odds ratio estimates the relative risk factor. It helps determine the association between an exposure and a disease within a population.

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Analytical Measures of Association

A statistical tool used to analyze and infer relationships between exposures and outcomes. It's often used in epidemiology to gain insights into disease patterns and risk factors.

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Measures of Association in Epidemiology

A set of statistical measures used to quantify the relationship between an exposure and a health outcome. These measures provide valuable information for understanding disease patterns and developing preventive strategies.

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Community as a Client

Community is considered the client. The focus is on the overall health of the population. CHN acts as an expert, utilizing epidemiological data and addressing issues through government protocols.

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Community as a Partner

The community is seen as a partner. Focus is on improving collective well-being through community-identified priorities. CHN works collaboratively and empowers community members.

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Partnership

A relationship where individuals, groups, organizations, or governments actively work together during all stages of a project (assessment, planning, implementation, and evaluation).

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Community Partnership

A type of partnership specific to health planning. Both community members and professionals participate in decision-making. Aim is to reduce health inequalities and improve community health.

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Coalition

When 2 or more groups with a shared concern or issue join forces to amplify their impact and achieve their common goal.

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Reasons for Forming Partnerships

Partnerships aim to build capacity within the system by reducing costs, avoiding duplication of services, coordinating efforts, and effectively addressing client health concerns.

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Characteristics of Effective Partnerships

Effective partnerships share characteristics like equality in decision-making, a shared vision, integrity, agreement on goals, and a plan of action.

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Interprofessional Collaboration

Involves different healthcare professionals collaborating to provide holistic care, ensuring each professional's expertise is integrated to meet the patient's needs.

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Community Capacity

It involves identifying and utilizing existing community strengths to build resilience and foster positive change.

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Community Development

A process that guides communities toward positive social change, leading to long-term improvements in people's lives by enhancing their abilities and resources.

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Asset Mapping

Various methods for identifying community assets and resources, such as volunteering, local businesses, and community organizations. These assets help communities build their own solutions.

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Community Health Assessment

A systematic approach to understand the health of a specific community, including its strengths, concerns, resources, and challenges. It helps healthcare professionals tailor their interventions to the community's needs.

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Community Health Nursing Process (Assessment)

This process helps CHN understand the needs of a community by gathering data, analyzing it, and drawing conclusions for planning effective interventions.

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Interprofessional Education

It involves teaching and learning experiences that bring together students from different health professions to learn from and with each other.

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Windshield Survey

A method used to collect data about a community's health and environment by driving through the area and observing the physical characteristics, people, and resources.

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Community Assessment

A detailed study involving a structured observation of a community's physical characteristics, social conditions, and health resources.

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Assessment

A key step in the community health nursing process that involves identifying the health concerns, needs, and assets of a community.

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Data Collection

Gathering information about a community's health facilities, vital statistics, and values.

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Participant Observation

A powerful community assessment method involving structured observations, interviews, and participation in community activities.

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Establishing Priorities

A process of prioritizing health issues based on factors such as prevalence, severity, and community awareness.

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Diagnosis

The process of analyzing data, identifying health problems and their causes, and developing a plan of action.

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Gaining Entry

A method for gaining trust and access to a community, often involving engaging with key community members and organizations.

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Woodsbury Community

A community with a significant aging population, a unique ethnic mix, a challenging geographic location and a reliance on limited healthcare resources.

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Data Collection Methods

Methods like surveys, interviews, focus groups, and reviewing existing data to learn about a community's needs.

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Community Data

Information like demographics, health status, access to care, and social determinants of health.

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Aging Population

The growing proportion of people over 65 in a community.

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Social Determinants of Health

The factors that influence health besides medical care, such as education, income, and environment.

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Health Risks

Problems caused by lifestyle choices like smoking, high-fat diet, and alcohol abuse.

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Geriatric Care Specialist

A healthcare professional specializing in the needs of older adults.

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Study Notes

NURS 3036 Week 2

  • Course content covers evidence-informed practice in community health nursing, epidemiological applications, working with the community and teams, and nursing's role in interprofessional practice
  • Includes topics like evidence-informed practice, epidemiology milestones, types of epidemiology, epidemiological measurements, use of epidemiology in nursing practice, community work & partnerships, community development's relation to community health nursing, and team dynamics.
  • Evidence-informed practice in nursing combines research evidence, practitioner wisdom, and family experiences.
  • Steps in evidence-informed practice include developing a clinical question, gathering evidence from various sources (e.g., CHN's professional knowledge, scientific knowledge, client experiences), and considering community resources.
  • Levels of evidence range from primary original research to system summaries.
  • Clinical practice guidelines are developed from expert appraisal of evidence.
  • Epidemiological triangle comprises host, agent, and environment elements. Changes in these elements influence disease occurrence.
  • Types of epidemiology: descriptive epidemiology monitors trends like outbreaks; analytical epidemiology (e.g., the Framingham study) uncovers cause-and-effect relationships for better prevention or treatment.
  • Common measurements in epidemiology include mortality (death rate due to a disease), morbidity (disease occurrence rates), incidence rate (new cases), and prevalence rate (all cases).
  • Analytical measures of association, like relative risk and odds ratio, quantify relationships between variables and measure the strength of an association (e.g. risk of disease in exposed versus unexposed populations).
  • Interpreting relative risk and odds ratio help understand if exposure to a variable increases/decreases the risk of a health condition.
  • Community is defined by relationships, shared institutions, geographical boundaries, or common interests, and is a collective entity for fulfilling diverse needs.
  • Community partnerships, alliances, or coalitions are vital for collaborative problem-solving in health planning.
  • Building community capacity is crucial in partnerships, usually by acknowledging community strengths.
  • Community development initiatives often involve collaborative decision-making and partnerships between community members and external professionals.
  • Community health nurses' role involves gaining entry to the community by building trust.
  • Methods for assessing the health of a community include windshield surveys, informant interviews, focus groups, and surveys.
  • Community health nursing involves using the nursing process to assess, analyze, plan, implement, and evaluate community health concerns.
  • The steps in the community health nursing process are similar to the general nursing process but focus on community-wide health concerns rather than individual patient needs.

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