GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

Objectives:

  1. Propose a health promotion plan for a community or population.
  2. Compare vulnerable populations in terms of contributing factors that make them at risk or vulnerable.
  3. Apply strategies to achieve cultural competence in community health promotion.
  4. Examine the role of the nurse as an advocate for vulnerable populations. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

Study Materials

Community and Public Health: The Future of Health Care

 

 

Read Chapter 3 in Community and Public Health: The Future of Health Care.

From Health for All to Universal Health Coverage: Alma Ata is Still Relevant

 

Read “From Health for All to Universal Health Coverage: Alma Ata is Still Relevant,” from BioMed Central (2018), located on the US National Library of Medicine website.

The Lessons of Alma-Ata

 

Read “The Lessons of Alma-Ata,” from Global Health NOW (2018) located on the Johns Hopkins Bloomberg School of Public Health website.

Ten Things to Know About Health

 

Read “Ten Things to Know About Health,” from the PBS documentary series, Unnatural Causes: Is Inequality Making Us Sick? (2008), located on the Unnatural Causes website.

Climate Change

 

Explore the Climate Change page of the American Public Health Association (APHA) website.

Community Teaching Work Plan Proposal

 

Use the “Community Teaching Work Plan Proposal” resource to complete the Community Teaching Plan: Community Teaching Work Plan Proposal assignment.

Tasks

Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal

 

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note:  The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

  1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Benchmark Information

Registered Nurse to Bachelor of Science in Nursing

The benchmark assesses the following competency:

4.2 Communicate therapeutically with patients.

Attachments

NRS-428VN-RS3-CommunityTeachingWorkPlanProposal.docx

Community Teaching Work Plan Proposal

Planning and Topic

Directions: Develop an educational series proposal for your community using one of the following four topics:

  1. Bioterrorism/Disaster
  2. Environmental Issues
  3. Primary Prevention/Health Promotion
  4. Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Name and Credentials of Teacher:

 

Estimated Time Teaching Will Last: Location of Teaching:

 

Supplies, Material, Equipment Needed: Estimated Cost:

 

Community and Target Aggregate:

 

Topic:

 

 

Identification of Focus for Community Teaching (Topic Selection):

 

Epidemiological Rationale for Topic (Statistics Related to Topic):

 

 

 

Teaching Plan Criteria

Your teaching plan will be graded based on its effectiveness and relevance to the population selected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Diagnosis:

 

 

 

 

 

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

 

 

 

 

 

 

 

 

 

 

Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

 

 

 

 

 

How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives

 

 

 

 

 

Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods:

Behavioral Objective
and Domain
Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain) GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice
Content
(be specific)Example – The Food Pyramid has five food groups which are….

Healthy foods from each group are….
Unhealthy foods containing a lot of sugar or fat are….

Strategies/Methods

(label and describe)

Example – Interactive poster presentation of the Food  Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.

1.

 

 

 

1. 1.
2.

 

 

 

2. 2.
3.

 

 

 

3. 3.
4.

 

 

 

4. 4.

 

 

Creativity: How was creativity applied in the teaching methods/strategies?

 

 

 

 

Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how.

 

 

 

 

 

 

 

 

 

 

 

Planned Evaluation of Goal:  Describe how and when you could evaluate the overall effectiveness of your teaching plan.

 

 

 

 

Planned Evaluation of Lesson and Teacher (Process Evaluation):

 

 

 

 

Barriers: What are potential barriers that may arise during teaching and how will those be handled?

 

 

 

 

Therapeutic Communication

4.2 Communicate therapeutically with patients.

 

How will you begin your presentation and capture the interest of your audience? Describe the type of activity will you use with your audience to exhibit active listening? Describe how you applied active listening in tailoring your presentation to your audience? How will you conclude your presentation? What nonverbal communication techniques will you employ?

Rubric

Course Code Class Code Assignment Title Total Points
NRS-428VN NRS-428VN-O503 Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal 100.0
Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%) Comments Points Earned
Content 80.0%
Planning and Topic 30.0% The chosen topic is not one of four approved topics. The epidemiologic rationale is omitted. The teaching plan is based on an approved topic. The epidemiological rational contains significant inaccuracies. The teaching plan is based on an approved topic. The epidemiological rational is unclear. There are some inaccuracies. The teaching plan is based on an approved topic. The epidemiological rational needs some detail for accuracy or clarity. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice The teaching plan is based on an approved topic. The epidemiological rational is well-supported and relevance to the topic is demonstrated.
Effectiveness of Teaching Plan Criteria 40.0% Two or more of the assignment criteria are omitted. More than one of the assignment criteria are omitted. Overall, the teaching plan is vague. Significant information is needed. One of the assignment criteria is omitted or, multiple criteria are incomplete. The teaching plan can be effective, but more information or rational is needed. All assignment criteria are adequately completed. Some rational is needed for support or clarity. Overall, the teaching plan is effective. All assignment criteria are thoroughly completed. Rational and detail is provided throughout.
Therapeutic Communication (C4.2) 10.0% Therapeutic communication approach is omitted. Therapeutic approach is not demonstrated. The teaching plan attempts to communicate with an activity; the activity is not appropriate for the teaching plan. It is unclear if active listening techniques were used to connect with the audience. A partial summary of how the interaction of the audience  is presented.It is unclear if nonverbal techniques were employed. More information is needed. The teaching plan is communicated with an activity that generally uses active listening techniques to connect with the audience.  A summary of how the attention of the audience was captured and how the presentation was concluded is presented. The teaching plan indicates that some nonverbal techniques were employed. The teaching plan is communicated with an activity that uses active listening techniques to connect with the audience. How the attention of the audience was captured and how the presentation was concluded is presented. The teaching plan indicates that the use of nonverbal techniques was employed. The teaching plan is communicated with an activity that uses clear active listening techniques to connect with the audience.  A clear description of how the attention of the audience was captured and how the presentation was concluded is presented. The teaching plan thoroughly describes nonverbal techniques that were employed, such as eye contact, appropriate dress for the setting, facial expressions, and voice intonation.
Organization and Effectiveness 15.0%
Organization of Proposal, Paragraph Development, and Transitions 10.0% Organization of proposal is disjointed. Paragraphs and transitions consistently lack unity and coherence. There are no apparent connections between ideas. Transitions are inappropriate or lacking. Some degree of organization is evident. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, or cohesiveness. Paragraphs are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Proposal is well-organized and logical.  Ideas progress and relate to each other.  Paragraph and transition construction guide the reader.
Criteria 2Mechanics of Writing  (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Some degree of organization is evident. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, or cohesiveness.  Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Format 5.0%
Paper Format  (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

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Topic 3 DQ 1

 

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

Topic 3 DQ 1 Example

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

In the United States, significant disparities exist in healthcare for vulnerable populations. There are a number of groups that are considered vulnerable populations, including racial and ethnic minorities, the economically disadvantaged, and those with chronic health conditions. An example of a vulnerable population in the US is American Non-English Speakers. When an non-English speaker becomes ill, they immediately become vulnerable to adverse health outcomes. Even if they have health insurance and access to adequate medical facilities, when one is ill, it is particularly important to be able to communicate with first responders and medical personnel. Despite advances in translation technology, the language barrier introduces a substantial amount of vulnerability to poor health outcomes (CareCentrix, 2017).

Based on the Census Bureau data for 2018, the Center for Immigration Studies found that 67.3 million residents (21.9%) in the US speak a language other than English at home. 25.6 million (38%) reported that they speak very limited English (67.3 Million in the United States Spoke a Foreign Language at Home in 2018, 2019). Those who are non-English speaking face many challenges in regards to healthcare. Health disparities such as unequal treatment related to language barriers are associated with unequal access to healthcare and unequal health outcomes. For instance, patients who do not speak English are disadvantaged in terms of access to healthcare services. These patients have poorer health outcomes compared with patients who speak English. Language barriers contribute to reducing both patient and medical provider satisfaction, as well as communication between medical providers and patients. Patients who face language barriers are more likely to consume more healthcare services and experience more adverse events (Al Shamsi et al., 2020).

There are many ethical issues that must be considered when working with non-English speaking population. Non-English speakers are less likely to receive documentation that provides informed consent before they undergo invasive procedures and less likely to have signed consent forms in their medical records. Informed consent is a fundamental tenet of the U.S. health care system. While language barriers make obtaining informed consent more complex, it is still a legal and ethical requirement and is increasingly recognized as a key component of quality care and patient safety. (News, 2008).

Nursing advocacy would benefit these patients. Nurses need to be culturally sensitive and willing to ask questions to avoid making mistakes in conversation with patients of a non-English speaking background. Advocating for this populati0n includes making sure the patient completely understands the medical information you are relaying. Even when shorter words and clear sentences are used, you cannot be certain that the patient has fully understood unless the patient acknowledges it with feedback. Head nodding does not count as feedback, as usually this is often a sign of partial comprehension. Asking open ended questions which require the patient to form a structured response instead of saying a simple ‘yes’ or ‘no’, can help gauge the patient’s level of understanding. Some situations may require the presence of an interpreter. An accredited interpreter should be invited at the patients request, if the patient’s English skills are inadequate for the situation, or the information that needs to be communicated is significantly important for the patient’s health (Tips for delivering care to non-english speaking patients, 2017).

References:

67.3 Million in the United States Spoke a Foreign Language at Home in 2018. (2019,                   October). CIS.org.https://cis.org/Report/673-Million-United-States-Spoke-Foreign-               Language-Home-2018

Al Shamsi, H., Almutairi, A. G., Al Mashrafi, S., & Al Kalbani, T. (2020). Implications of           Language Barriers for Healthcare: A Systematic Review. Oman Medical Journal,                   35(2),. https://doi.org/10.5001/omj.2020.40

‌CareCentrix. (2017, September 7). What is a Vulnerable Population in… CareCentrix;                CareCentrix. https://www.carecentrix.com/blog/what-is-a-vulnerable-population

News, A. B. C. (2008, March 24). Non-English-Speaking Patients Face Barriers to Health          Care. ABC News. Retrieved June 20, 2021, from                                                                       https://abcnews.go.com/Health/Healthday/story?id=4509454&page=1#:~:text=Non-             English%20speakers%20are%20also%20less%20likely%20to%20have

Tips for delivering care to non-english speaking patients. (2017, July 31). Health Times.               Retrieved June 20, 2021, from https://healthtimes.com.au/hub/nursing-                                   careers/6/guidance/healthinsights/tips-for-delivering-care-to-nonenglish-                                 speaking-patients/2760/#:~:text=Healthcare%20providers%20need%20to%20be%20           culturally%20sensitive%20and

Topic 3 DQ 2

 

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format. GCU NRS428VN Topic 3: Tools for Community Health Nursing Practice

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