Community Nursing Progress Planning Notes PDF

Planning for community nursing progress and services I Concept of planning - Futuristics - Change oriented - Continuous dynamics - Flexible - Systematic process Approaches to planning health programs Participatory approach : to sustainable...

Planning for community nursing progress and services I Concept of planning - Futuristics - Change oriented - Continuous dynamics - Flexible - Systematic process Approaches to planning health programs Participatory approach : to sustainable community health development 1. Community based approach 2[ - Empowers to address their needs and problems 2. Integrated approach - Involving dimension of health including Lifestyle Environment Reorientation of health care system preceded model - Corresponds to the assessment phase of the model involving the behavioral/environmental predisposing - people's characteristics that motivate them toward to health - related problems Enabling factory- condition of the people and the environment that facilitate te, to health related behavior Reinforcing factor - feedback given by the support person or groups Proceed model: compose of policy, construction and educational development - Model for implementing and evaluating health program { Planning cycle } 1. Situational analysis: collecting and synthesizing the data pto provide a clear picture of the healthcare statue in the community. - Provides explanation problem Driven by the immediate address on actual problem Crisis oriented problem: focus mainly on the specific problem - PRECEDE - INVOLVES POLITICAL AND CULTURAL FACTORS STEPS IN CONDUCTING SITUATIONAL ANALYSIS  1. Phase 1 - social diagnosis - Specific population include, magnitude, quality of life Magnitude of the problem - Problem widely experience by the people Population affected - Problem to a specific population group Severity of the problem - Cause of weakening problem. Premature, deaths in population - implications - Potential years and time 2. Epidemiological diagnosis Health problem in terms of vitality of health - - Morbidity - Mortality - Condition of person in place - Time characteristics - Duration of the problem 3. Behavioral and environmental diagnosis: explain why the problem - Maintain risk markers - Behavioral risk markers 1. Specific service 2. Ability to perform self care Environmental markers - Paritisim -disposal 4. Phase. Educational and organizational diagnosis: contributing factors of a problem - predisposing - characteristics that motivates behavior to relate to health knowledge ~ ~ - Enabling - environment that facilitate the health behavior ~ - Reinforcing - reward or punishment anticipated as consequence of health behavior 5 phase. ADMINISTRATIVE AND POLICY DIAGNOSIS - Supportive environment to enable to the individuals to adjust or adopt to maintain M healthy ~ Policies ~ Health care system Goal and objective Goal- time and resource used to meet the desire Objective - plan of all activities - - Sub-objective - change in factors which is prerequisite for the change of behavior Activities under planning 1. Strategy objective - What to do - What is your program 2. Strategy activities - What actually do to meet the strategy objective 3. Service activities direct - Health are services 4. Development activities - Transfer knowledge to specific group 5. Support activities - manpower , resources to sustain service budgeting - specific requirement of each program in relation of resource Making time and schedule- time and money and efforts Approach in evaluating a program 1. Qualitative methods - evaluation determine in experience of the program for the people and interest the effects 2. Quantitative methods - measure the score of a result of the program Aspect of the program 1. Process evaluation - measure the activities of the program quality 2. Impact evaluation - immediate effects of the program weather the objective of the program were met 3. Outcome evaluation - meaning the long term effects of the program Strategy objective - measured in process evaluation Objective and sub- objective - is measured the impact of evaluation Goal - is measured in outcome evaluation