1. Chapter 13 Planning a Community Health Program

2. Considerations Implied by Partnership • Community’s particular social structure • Normative behaviors and value system • Potential conflict between values of nurse and community • Need to validate diagnosis with community

3. Steps in Validating Community Nursing Diagnosis • Review diagnoses • Categorize according to population most affected • Validate diagnoses with community members • Acknowledge rights of community leaders and members to confidentiality and to choose not to participate

4. Planned Change • Actions occur in a definite sequence • Each action serves as preparation for the next • Well-thought-out effort designed to make something happen • All efforts directed and targeted to produce change

5. Reinkemeyer’s Stages of Planned Change • Identification and development of a felt need and desire for change • Development of change relationship between the community health nurse and the community • Classification or diagnosis of the community’s problem, need, or objective • Examination of alternative routes and tentative goals and intention of actions (planning)

6. Question • The community health nurse forms a partnership in the community. In addition to the partnership, the nurse must consider the influences of the community’s issues. Select the one that does not apply: • Entertainment issues • Economic issues • Social issues • Environmental issues • Political issues

7. Answer • Answer: a, Entertainment issues • In addition to forming a partnership with the community, the community health nurse must consider the influences of social, economic, environmental, and political issues.

8. Community Health Goal • After validating the nursing diagnoses with the community, the community-based goal was to provide health promotion programs on issues desired by the community residents, using methods acceptable to cultural norms and offered in an accessible location at an affordable cost to the community.

9. Program Activities • After formulation of goals, the next step is specifying the program activities. Program activities map out the actions necessary to deliver the program and thereby reach the goal.

10. Learning Objectives • Derived from a goal • Describe precise behavior or changes required • Focus on learner • State what changes the learner can expect

11. Examples of Precise Terms • Identify • Discuss • List • Compare and contrast • State • Decrease by 20%

12. Question • True or False: • Learning objectives are derived from a goal.

13. Answer • Answer: True • Learning objectives are derived from a goal.

14. Question • True or False: The following statements are all examples of learning objectives. • The nursing student will: • Demonstrate sterile technique • Understand the Krebs cycle • Explain the signs and symptoms of diabetic ketoacidosis • Describe the signs and symptoms of the flu versus a common cold

15. Answer • Answer: False • Statements a, c, and d are learning objectives, but b is not. Learning objectives are derived from a goal and describe the precise behavior or changes that will be required to achieve the goal.

16. Collaboration • Role modeling • Review diagnosis and validate data with agency • Propose goals and objectives congruent with agency’s purpose and organizational structure • Solicit group input • Continue to revise goals and objectives until consensus is reached

17. Resources • Staff • Budget • Physical space • Equipment

18. Constraints • Difference between needs and resources • Lack of staff, budget, space, equipment • Resistance to change

19. Composing a Questionnaire • Begin by identifying yourself and the survey’s purpose • Emphasize voluntary and confidential nature of questionnaire • Include your name and phone number • Write questions that can be answered quickly • Confine length to one page

20. Recording • Standard • Systematic • Concise • Clearly communicates purpose, actions, rationale for revisions