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Questions and Answers

Which practice expectation involves actively addressing health and nursing issues affecting clients?

Providing feedback to peers

Proactively engaging with professional organizations (correct)

Documenting nursing activities

Participating in community events

What is a key component of reflective practice in community health nursing?

Engaging in group discussions

Assessing personal nursing practice (correct)

Focusing solely on theoretical knowledge

Avoiding cultural considerations

Which of the following best describes cultural humility?

A specific set of cultural practices to follow

An acknowledgment of the complexity of cultural identity (correct)

A focus on improving one's own culture

A method to enforce cultural norms

What role does mentorship play in community health nursing?

It contributes to the advancement of the field. Signup and view all the answers

Which practice expectation relates to the use of resources for evaluating nursing outcomes?

Quality improvement Signup and view all the answers

What is the significance of documenting community health nursing activities?

It enhances communication and accountability. Signup and view all the answers

Which principle emphasizes the need for continuous improvement in nursing practices?

Quality improvement Signup and view all the answers

The concept of Indigenous ways of knowing is primarily concerned with:

Community-based approaches to health Signup and view all the answers

What is the primary focus of public health nursing?

To promote the health of populations Signup and view all the answers

Which of the following best describes the origins of public health nursing in Canada?

Influence of early social reforms and environmental cleanliness Signup and view all the answers

Public Health Nursing competencies include which of the following skills?

Skills in assessment and analysis Signup and view all the answers

The Public Health Agency of Canada addresses which aspect of public safety?

Food recalls and health risks Signup and view all the answers

Which level of prevention is primarily emphasized in public health practice?

Primary prevention Signup and view all the answers

What is one role of the Chief Public Health Officer in Canada?

To provide public health leadership and advice Signup and view all the answers

Which approach is essential in public health nursing according to community health assessment?

Guided by population health status Signup and view all the answers

In public health practice, what aspect does population health status emphasize?

Broad determinants of health for all groups Signup and view all the answers

Which of these is NOT a focus area of the Public Health Agency of Canada?

Personal health coaching Signup and view all the answers

Effective communication in public health nursing aims to achieve which of the following?

Enhance partnerships and advocacy Signup and view all the answers

What is a key principle in fostering community development?

Emphasizing the community members' expertise Signup and view all the answers

Which of the following is NOT a challenge faced by Community Health Nurses (CHNs)?

Implementing advanced technological solutions Signup and view all the answers

What is an important role of public health nurses in schools?

To promote health among the school community Signup and view all the answers

Which group is considered part of the school community?

School-aged children and adolescents Signup and view all the answers

What does Article 12 of the United Nations Convention on the Rights of the Child emphasize?

Children’s right to express their opinions on matters concerning them Signup and view all the answers

What is a key approach used in health assessment according to the provided content?

Strength-based holistic health assessment Signup and view all the answers

What is a key aspect of comprehensive school health?

Integrating health promotion into the school environment Signup and view all the answers

Which factor is essential when assessing health inequalities in Indigenous populations?

Incorporating Indigenous ways of knowing Signup and view all the answers

Why is it important for school-based nurses to adopt an anti-oppressive lens?

To empower children's voices and advocate for their rights Signup and view all the answers

How should community health nurses utilize epidemiological data?

Through population level actions such as health education Signup and view all the answers

Which of the following principles is NOT included in the time-tested principles for community involvement?

Avoid challenges Signup and view all the answers

What approach should be integrated into health promotion interventions?

Cultural safety and humility Signup and view all the answers

Which aspect should community health nurses evaluate in their interventions?

Health promotion activities and their effectiveness Signup and view all the answers

What is a fundamental goal of using a socio-ecological model in health practices?

To address systemic structures and context Signup and view all the answers

What type of strategies should community health nurses use to advocate for public health policy?

Social marketing and media advocacy Signup and view all the answers

Which of the following factors is NOT considered a determinant of health?

Personal preferences Signup and view all the answers

What is a key consideration when prioritizing health issues in a community health program?

Community preferences Signup and view all the answers

Which of the following frameworks is used for program planning and evaluation?

Strengths-Weaknesses-Opportunities-Threats (SWOT) analysis Signup and view all the answers

In the program planning and evaluation cycle, what is meant by the term 'not linear'?

It may involve repeatedly refining and adjusting based on feedback. Signup and view all the answers

Which factor is NOT typically considered when prioritizing health issues?

Personal opinions of family members Signup and view all the answers

What does the 'logic model' framework aim to accomplish in program evaluation?

Providing a visual representation of program components and their relationships Signup and view all the answers

Which of the following is an essential step when choosing a program intervention?

Considering community needs and resources. Signup and view all the answers

What should be evaluated regularly as part of the program planning process?

Community readiness for interventions Signup and view all the answers

In program evaluation, which type of evaluation focuses on the outcomes or results delivered?

Outcome evaluation Signup and view all the answers

What is the primary purpose of a community assessment?

To appraise the ongoing health dynamics and functions of the community Signup and view all the answers

When is it essential to conduct a community assessment?

When considering introducing a new program or in response to a crisis Signup and view all the answers

Which framework focuses on examining the frequency and distribution of health issues in the population?

Epidemiological Framework Signup and view all the answers

What aspect does the Deficit Based approach focus on in community assessment?

Identification of needs and problems within the community Signup and view all the answers

Which of the following is NOT a question posed in the Asset Approach to community capacity assessment?

What are our major safety concerns? Signup and view all the answers

In the context of the Epidemiological Framework, what does the term 'agent' refer to?

The elements causing health conditions Signup and view all the answers

What is the main goal of capacity building in community health assessment?

To increase the community’s ability to implement health initiatives Signup and view all the answers

Which approach emphasizes the positive aspects and strengths of a community?

Community Assets Approach Signup and view all the answers

Study Notes

Introduction Outline

Course introduction
Syllabus review
Questions about the course and instructor
About the instructor

Nursing Background

Public health nurse role
Community-Based Participatory Research (CBPR)
Mixed methods research

Community Health Course

36 hours of course time
Lectures in-person
N01: September 4-December 4, 2024
N03: September 5-December 5, 2024
Contacting the instructor via USask email

Canvas

Modules, readings, and resources
Required readings, lecture content, and guest speakers are all testable

Course Objectives

Integrate the concept of community with the community health nursing role
Describe community-based concepts
Utilize relevant theories and tools to assess, plan, evaluate, and implement nursing practice
Identify resources and create strategies
Apply evidence-informed strategies in community nursing practice
Explain the community health nurse role in collaborative settings
Recognize the role of community health nursing in emergency preparedness

Course Schedule

Found in the syllabus (starts on page 3)
Weekly course topics and corresponding readings
Weekly topics may shift
In-person sessions and self-study sections

Evaluative Components

4 Seasons of Reconciliation Module
HESI: Community Health Practice Tests
HESI: Comprehensive Exam
Midterm Exam
Community Health Issue Paper (Due: November 3, 2024 @ 23:59h)
Final Exam

Section 1: Introduction

Introduce the purpose of the assignment.
Outline the topic to be discussed in the paper.
Highlight the importance.

Section 2: Examination of the Issue

Describe the community health issue.
Show evidence of the research of the issue, including relevant epidemiology.
Discuss the impact on both the individual and community level health.
Connect to the social determinants of health.

Section 3: Recommended Solutions

Propose possible solutions to improve community health.
Thoroughly apply the Population Health Promotion Model/Ottawa Charter.
Describe the community health nursing role in facilitation.

Section 4: Interprofessional Collaboration

Explain the importance of interprofessional collaboration for community nursing.
Describe the benefits of interprofessional collaboration.
Identify the opportunities for interprofessional collaboration to carry out solutions.
Identify the roles of each profession.
Utilize the CIHC interprofessional competency framework.
Apply at least 2 competencies.

Section 5: Conclusion

Summarize the key points of the paper.

Final Exam

Date determined by USask Registrar's Office
Multiple choice questions
Comprehensive exam – entire term content
Closed book, 3-hour exam
Completion of Work Policy (Page 16)

Weekly Topics

Some topics might be challenging.
Practice self-care.
Access USask supports for need

Learning Objectives

Define health promotion, population health, levels of prevention, primary health care (PHC), social determinants of health, and related concepts.
Describe the PHC principles.
Apply the population health promotion model in community health nursing practice.
Identify some challenges of health promotion in an Indigenous context.

Primary Health Care

Societal strategies for care delivery
Health requires more than just money
Values of social justice and equity
New approach to healthcare
Moving away from a biomedical model
Whole-of-society approach
Comprehensive approach to health across the continuum of care

PHC Essential Components

Education about health problems and prevention.
Promotion of food supply and proper nutrition.
Quality of food and food insecurity.
Water sanitation and supply.
Maternal and child healthcare, including family planning.
Immunizations against major infectious diseases.
Prevention and control of locally and regionally endemic diseases.
Treatment of common diseases and injuries.
Ensuring appropriate technology is utilized.
Provision of essential drugs.

Barriers to health

Geography, provider attitudes, stigma.
Public participation.
Health promotion.
Appropriate technology.
Inter-sector collaboration.

Social and economic factors impacting individual and population health.
Interconnected and synergistic factors.

The River

Income is intertwined with social issues
Addressing SDOH utilizes an upstream approach
Upstream thinking means deciding smarter in advance

Health Promotion

Process of enabling people to increase control over and improve health
Comprehensive physical, mental, and social well-being
Requires ability to identify, realize aspirations, and satisfy needs
Adaptability and coping mechanisms

Levels of Prevention

Primordial prevention (preventing risk factors)
Primary prevention (stopping from becoming a risk)
Secondary prevention (early detection and treatment)
Tertiary prevention (managing symptoms and conditions/rehabilitation)
Quaternary prevention (avoiding over-medicalisation)

Environmental Scan

Windshield survey for needs/resources
Problem investigation and resource evaluation
Assessing strengths and concerns of communities to build on existing assets
Community strengths and concerns assessments

Data Collection

Quantitative (statistics, surveys)
Qualitative (opinions, interviews)
Demographic and epidemiological data
Data analysis summarized into categories

Community Nursing Diagnosis

Target population, specific problem or area of focus, causes, characteristics
Categorizations: problem-based, wellness-based

Community Capacity Building

Process of enabling community ownership in identifying and strengthening aspects of daily life, culture, and political life
Working in partnership to define issues, develop plans and address local challenges

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