Questions and Answers
How is a community defined?
A group of people, often living in a defined geographical area, who share a common culture, values and norms, and are engaged in a social structure according to relationships which the community has developed over a period of time.
What is individual health in a community setting?
Nurses working with individuals in a community setting.
What is population-centered practice?
Seeking a healthful change for the whole community's benefit.
What is ecology?
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What is passive participation?
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What is partnership in community health?
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What are the three parts of a community nursing diagnosis?
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What are the steps of evidence-based practice?
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What are the five social determinants of health?
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Who is the largest group of practicing nurse professionals?
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What does the Nursing Executive Center of The Advisory Board focus on?
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Where do new nurses lack the most competency according to the Nursing Executive Center of The Advisory Board?
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What is the foundation of professional nursing care?
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What are the different levels of evidence based practice?
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What is systematic reviews of RCTs considered?
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What are randomized control studies?
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What are quasi-experimental studies?
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What is a case-control study?
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What are cohort studies?
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Has there been an increasing or decreasing amount of one-on-one time with physicians and patients?
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Where is the importance of patient-centered care highlighted?
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Who publishes the National Patient Safety Goals and what do they aim to do?
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What does SBAR stand for?
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Study Notes
Community and Individual Health
- A community comprises people sharing a culture, values, norms, and relationships over time, shaping identity.
- Individual health involves nurses supporting individuals in community environments.
Population-Centered Practice
- Aims for beneficial health changes across entire communities.
Ecology and Community Dynamics
- Ecology studies organism interactions with their environment, including biotic (living) and abiotic (non-living) factors.
Participation and Partnership
- Passive participation sees residents as sources and receivers of information.
- Successful partnerships require being informed, flexible, and open to negotiation.
Community Nursing Diagnosis
- Three components are:
- Risk of: Assessing strengths and challenges.
- Among: Identifying the target population.
- Related to: Understanding knowledge and motivation levels.
Evidence-Based Practice Steps
- Develop a guiding question.
- Search and collect quality evidence.
- Evaluate evidence quality.
- Integrate evidence into practice.
- Assess outcomes from changes.
- Disseminate findings effectively.
Social Determinants of Health
- Key factors impacting health include:
- Education
- Neighborhood and Built Environment
- Economic Stability
- Health and Health Care
- Social and Community Context
Nursing Profession Insights
- Medical-Surgical nurses represent the largest practicing group of nursing professionals.
- Recent graduates noted a significant academic-practice gap.
Competency Gaps of New Nurses
- New nurses often lack competencies in:
- Pathophysiology knowledge
- Pharmacological implications
- Decision-making using the nursing process
- Assessment data interpretation
Foundation of Professional Nursing
- Evidence-based practice is the cornerstone of professional nursing care.
Levels of Evidence-Based Practice
- Levels range from systematic reviews of randomized controlled studies (Level I) to expert opinions (Level VII).
Evidence Hierarchy
- Systematic reviews (Level I) hold the highest evidence value.
- Randomized control studies are considered the gold standard in research.
- Quasi-experimental studies lack random assignment but still utilize control and experimental groups.
Study Designs
- Case-control studies compare individuals with and without a disorder.
- Cohort studies follow a group free of disease over time to observe new case developments based on exposures.
Trends in Patient Interaction
- There has been a decrease in one-on-one time between physicians and patients.
Patient-Centered Care Importance
- Emphasized in the Institute of Medicine's report and The Joint Commission's hospital standards.
National Patient Safety Goals
- Published by The Joint Commission, these goals aim to enhance patient safety by addressing potential healthcare problems.
Communication Framework
- SBAR stands for Situation, Background, Assessment, Recommendation; a standardized communication tool.
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Test your knowledge on key concepts related to community definitions in preparation for the PPNC Exam. This quiz includes important terms and their meanings essential for understanding community dynamics. Engage with flashcards that help reinforce your learning and memory retention.