Nursing 288 Supporting Health 1 Course Overview PDF

Nursing 288 Supporting Health 1 Course overview & Introduction to Health Promotion and Prevention Week 1 Georgina Bagstad RN, MN (adapted from Dr. Heather Bensler RN, MSN, EdD)   I would like to take this opportunity to acknowledge the...

Nursing 288 Supporting Health 1 Course overview & Introduction to Health Promotion and Prevention Week 1 Georgina Bagstad RN, MN (adapted from Dr. Heather Bensler RN, MSN, EdD)   I would like to take this opportunity to acknowledge the traditional territories of the people of the Treaty 7 region in Southern Alberta, which includes the Blackfoot Confederacy (comprising Territorial Acknowledgement the Siksika, Piikani, and Kainai First Nations), as well as the Tsuut’ina First Nation, and the Stoney Nakoda (including the Chiniki, Bearspaw, and Wesley First Nations). The City of Calgary is also home to Métis Nation of Alberta, Region III. Introduction Georgina Bagstad RN, MN Assistant Professor Teaching Georgina I worked in many different areas of nursing  NP Mental Health Clinic "To create a culture within the Faculty of Nursing that honours not just our academic and professional excellence, but also our personal wellness." Support for PF 122 Students  https://nursing.ucalgary.ca/future-students/mental- health-wellness/np-mental-health-wellness-clinic UCalgary Nursing Campus Food Hub Mental  https://www.ucalgary.ca/career-personal- development/programs/student-life/campus-food- Health & hub Wellness  Ladell Up Program (Wednesdays $2 soup)  Fresh Routes (affordable groceries on Thursdays)  Campus Food Bank   Kim Halliday  Email: [email protected]  Office PF1240  Contact Kim if you need to make an appointment with the Indigenous Support Team Indigenous  Dr. Michelle Scott  Email: [email protected] Support  Office: PF2224 Team  Janine Oliver  Email: [email protected]  Office: PF1239 Week 1 Learner Objectives  Review expectations and assignments for Nursing 288 (Course overview, expectations and assessment details (on D2L)  Define public health, community health and community health nursing  Define holistic health including physical, psychological, social, spiritual, cultural, and developmental health.  Define the concept of community and population assessments.  Describe the windshield survey. Course Overview  Weeks 1-3: Community Health  Health Promotion  Population Health  Weeks 4-6: How we work with communities  Social justice, relational practice, teamwork, leadership  Community Health Nurse interventions  Week 6: Indigenous Health  Weeks 7-8: Pharmacology  Week 9: Mandatory Interprofessional Education Experience  Week 10: In class preparation for group presentations  Week 11: No classes – Term Break  Week 12-14: Group Presentations Quizzes  Quiz # 1 Sept 27 – includes weeks 1-3  Quiz # 2 Oct. 18 – includes weeks 4-6  Quiz # 3 Nov. 8 – includes weeks 7-9  Each quiz is worth 15% to a total of 45% of your final mark In Class Assignments  Includes 5 In-Class assignments  2 "pop-up" participation activities  3 participation activities during group presentations  Worth 25% of final mark  Due date to be announced Group Charter Group Charter and agreement Due October 11 Worth 5% of final mark Final Group Presentation  In Class Group Presentations  Nov. 22  Nov. 29  Dec. 6  Expectation that everyone attend all three days to listen to all the presentations.  Worth 25% of final mark What does Success Look Like for You Skim readings before Read over the class class and take less than Go to class ready to learner objectives prior one page of notes. See how readings align with engage and learn to lecture class objectives Take brief notes to After class, review highlight major points Power Point slides will be readings to ensure and add page numbers for where to find the available the evening understanding of the before class. concepts information if you need a refresher Some Advice  Save documents on One Drive of google drive ( this will eliminate the "my paper erased" problem  Your course outline is your guide for when things are due. There should be no surprises  Upload assignment 15 minutes before it is due. If you upload several assignments. We will mark the most recent one unless otherwise instructed  You are here to become a registered nurse. Enjoy the process. Your marks are a poor indicator of how successful you will be as a nurse, so try to focus on learning and becoming. Community Health & Community Health Nursing Some definitions to get us started ▪ Community: — a group of people, whether together geographically (i.e. by town or neighbourhood), or within settings (i.e. workplaces, schools, places of worship) or by shared interest (i.e. birdwatchers club, sports teams)- whichever it is, there is a common bond. ▪ Population: — is usually larger, a more diverse group of people, often (but not always) within a particular geographic locality. Language like “population at risk” refers to a group of people at high probability of developing illness. ▪ Community Health Nursing: — defined as nursing practice specializing in promoting the health of individuals, families, communities and populations, and promoting an environment that supports health. Thi s Photo by Unknown author is licensed under CC BY.  Community Health Nurse (CHN)  "Community health nurses are registered nurses who work where people live, work, learn, worship, and play to promote health." (Community Health Nurses of Canada , 2009).  CHN's partner with individuals, families, groups, communities, systems, and populations and work with the community members to determine and address their priorities.  CHN's focus on the needs of the population  CHN's specialize in promoting health and preventing illness, have concern for social justice, and emphasize capacity building based on human strengths (CHNC, 2011)  Canadian Health Nurses of Canada (2011) Canadian community health nursing: Professional model and standards of practice, Toronto, ON: Author available at HTTP://cna-aiic.ca   CHN's work to promote health at various levels (individual, group, family, community, society)  CHN interventions work to promote, protect, or CHN Practice restore health and prevent illness  CHN practice is one of 20 nursing practice specialties recognized by the Canadian Nurse's Association CHN Roles In Canada, CHN's may have titles such as:  Public Health Nurse (PHN)  Home Health Nurse (HHN)  Occupational Health Nurse  Primary Care Nurse  Street Nurse  Parish Nurse  Forensic Nurse  Outpost/rural Nurse  Military Nurse  Telehealth Nurse  Community Mental Health Nurse Stamler & Yiu p 42-44 What is Health? Where do we get our understanding of health from? A Top Ten Approach Don't smoke Get a regular Eat a balanced checkup including diet routine screening Drive safely, wear a seatbelt and Be physically active respect speed limits If you drink alcohol, do so in Limit stress moderation Get 7-8 hours good Practice safe sex sleep in 24 hours Wear sun protection  What is health? Biomedical definition Social Model of health Holistic definition  Biomedical Health Biomedical model of health Focuses on the physical and biological aspects of disease, illness, and disability Focuses on diagnosis, treatment and cure and the return to pre- illness state (“fix it” approach) Receives the majority of government health care funding Advantages: creates advances in technology, extended life expectancy, improved quality of life (QoL) Disadvantages: relies on health professionals and technology (costly), narrow view of health, not every condition can be treated  Review question A key element of the biomedical model of illness is that: A. There is a direct causal relationship between illness, its symptoms or underlying pathology B. Removal of pathogens will lead to restored health C. There is a pathogenic process in all diseases D.All of the above  Social Model of Health — Approach attempts to address the broader influences on health (social, cultural, environmental and economic factors) — Reduce social inequities — Empowers individuals and communities (builds capacity) — Access to appropriate health care — Emphasizes Inter-sectoral collaboration — Advantages: prevention of disease through education and access to health care, costs less, community approach — Disadvantage: not all diseases can be prevented, lifestyle change is very difficult, population may not be motivated to change https://www.who.int/health-topics/social- determinants-of-health#tab=tab_1  ▪ Income & Social Status ▪ Social support Networks ▪ Education ▪ Employment & working conditions ▪ Social Environments Determinants of ▪ ▪ Physical Environments Personal Health practices & coping skills Health ▪ ▪ Healthy child development Culture ▪ Gender ▪ Biologic & Genetic endowment ▪ Health Services ▪ Vollman & Jackson p.13 Social  https://youtu.be/pbP1_qd5FHQ?si=wsJjkcNQY3tGy92R Determinants  Social Determinants of Health Animation of Health The Social Determinants Ten Tips for Better Health 1. Don’t be poor. If you can, stop. If you can’t, try not to be poor for long. 2. Don’t have poor parents 3. Own a car 4. Don’t work in a stressful, low-paid manual job. 5. Don’t live in damp, low quality housing 6. Be able to afford to go on a foreign holiday and sunbathe 7. Practice not losing your job and don’t become unemployed 8. Take up all benefits you are entitled to, if you are unemployed, retired, or sick or disabled. 9. Don’t live next to a busy major road or near a polluting factory 10. Learn how to fill in the complex housing benefit/asylum application before you become homeless or destitute Source: Raphael, D. (2009). Social determinants of health  What is the number one predictor of early disease, disability, and premature death? Review A. Dropping out of High School B. Working around environmental pollutants Question C. Failing to go for regular annual medical checks D. Low socio-economic status  Health ▪ A holistic definition of health, including physical, psychological, social, spiritual, cultural, and developmental ▪ The WHO (1948) defines it as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. ▪ The CHNC (2011) defines health as a “dynamic process of physical, mental, spiritual, spiritual, and social well-being ad as a resource for everyday life that is influenced by circumstances, beliefs, and determinants of health” (Phillips & Schofield, p. 35). ▪ As RNs, we consider factors that impact the individual, but also the community. Why is this? https://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf Nurses often interact with people who are facing a transition in their health… Community What can nurses to do to promote health and Health prevent illness?  Well-Being ▪ Well-being refers to quality of life ▪ Individual well-being may include factors such as personal values, relationships, work, health, and one’s financial stability. ▪ Societal well-being includes the collective well-being of people and the quality of interactions between and among people and social institutions — E.g. health care system, educational system, social safety net, sense of community Kozier Text p. 107-109 Community Assessments  Primary Data – information from direct sources for example:  Observation (Windshield/Walking survey)  Key Informant Interview  Focus Group Interview (see Vollmen & Jackson p230-237)  Secondary Data – data that collect & store data from various sources for example:  Vital statistics Community Assessment https://youtu.be/p45XI3jhOrA?si=e9teh7Yn4AoNhBVy Observational technique used to assess a community Use all your senses to capture the essence of the community Windshield/ Look for strengths and challenges in the Walking community. Survey Use a checklist to help with your assessment. (Vollman & Jackson pp. 232- 233) Windshield/Walking Survey  Community assessment windshield survey windshield Survey of Marinette WI, 2011  https://youtu.be/TGXMoQjXbUk?si=r2gIMh3NteplFKMh Questions?