👉 🧠 Mind Map – Week 2, Chapter 3
I. 🌍 Community-Based Nursing Practice
- Focus: Health promotion, disease prevention, restorative care.
B. Community-Based Health Care (Like Miami Gardens)
- Definition: Accessible care for all, including underserved groups.
- Challenges:
- Lack of insurance, substance abuse.
- Chronic illness, STIs,
- Under-immunization
- Political policy, social determinants, health disparities, and economics.
- Goal: Reduce disparities by improving quality, access, and cost.
C. Population Health
$To much people you probably just want to fucus on Prevention, rather than treating.
- Scope: From prevention → population disease management. (Preventive care Level)
- Goal: Improve health equity & overall population health.
D. Healthy People Initiative (2030)
$More than just healthy is focus on keeping quality of life for all.
Ongoing national goals for health improvement.
- Goals:
- Long and good life for all.
- Health literacy & equality
- Improve healthcare access and quality.
- Components:
- Assess community needs
- Develop public policies
- Expand access to care
E. Social Determinants of Health
- Things that affect people health from birth to present.
- Factors: Biological, socioeconomic, psychosocial, behavioral, social.
- Is connected to Healthy People 2030:
- Economic Stability
- Education Access & Quality
- Health Care Access & Quality
- Neighborhood & Environment (Where you live)
- Social & Community (People)
F. Health Equity vs. Health Disparities
- Health Equity: Equality for all. Everyone has a fair chance to be as healthy as possible, no matter their background.
- Health Disparities: Unequal for all. Unfair differences in health outcomes that can be prevented (caused by poverty, unsafe environments, poor access, or discrimination).
G. Public vs Community Health Nursing
- Community Health Nursing: You work with a group of people, a community. Works with individuals, families, and groups to promote and maintain health.
- Example: A nurse in Miami-Dade visiting families to give flu shots, teaching a mom about newborn care, or running a diabetes support group at a local clinic. Miami Gardens Clinic.
- Public Health Nursing: It means that focuses on the needs of entire populations with shared traits.
- Example: A nurse working with the Florida Department of Health to track Zika virus cases, organize hurricane emergency shelters, or design programs for statewide COVID-19 vaccination. Jackson Hospital.
H. Competency in Community-Based Nursing
👩⚕️ Nurse Roles
- Caregiver (Providing care to patient)
- Case Manager (Managing, big boss, organize people and resources.)
- Change Agent (like politics, implements positive changes to improve community health outcomes) Make America Great Again
- Advocate (Defend your patient, help take decisions)
- Collaborator (Work with others)
- Counselor (Gives advice, recommendations, provides education, emotional support, and advocacy)
- Educator (Teach)
- Epidemiologist (Prevention propagation of diseases in the Population by working in the environment, like Flu, covid, rats diseases, cleaning the environment) @FlorentineNightingale
🛠️ Key Practices
- Know community resources
- Know the community or local leaders.
- Partner, work together with families & groups
- Adapt to community changes
🌎 Global Health Impact
- Nurses are frontline during pandemics & new infections.
- Act as liaisons between health systems and the community.
Note→ liaisons means: communication or cooperation which facilitates a close working relationship between people or organizations.
📌 Professor Notes
- Build strong relationships in the community
- Always check available resources
- Nurses are responsible for driving positive changes
🏥 Community-Based Nursing
- Helps people care for themselves → builds independence, guide them.
- Reduces costs and makes care easier to access.
- Acts as the first point of contact in the healthcare system.
🌍 Impact of Global Health on Community Health
- 🌐 Emerging Infections → Travel, crowded cities, and climate change spread diseases (Ebola, SARS, COVID-19, Dengue).
- ✈️ Nurse Migration → Nurses move to the U.S., creating shortages in their home countries.
- 🚶 Travel & Transmission → Global travel increases how fast diseases spread.
- 🏥 Strain on Health Systems → More patients, supply shortages, and rising costs.
- 👩⚕️ Nurses on Frontlines → Provide care, prevention, and communication during outbreaks.
I. Medically Underserved Populations
$Groups with Increase risks of health! 🧑🤝🧑 Examples
$Memorize this list by learning and connecting them from top to bottom.
- Homeless, Poverty, Substance abuse
- Mental illness
- Older adults
- Disabled persons
- Immigrants
- Individuals in abusive relationships, Abuse survivors
- Sometimes it’s also include → LGBTQ populations (higher rates of mental health concerns, substance use, HIV)
⚠️ Characteristics
- Higher risk for poor health
- Limited access to care
- Often dependent on others for support
📝 Community Assessment (I got to check this on the book)
- 🔎 Process: Data collection, health monitoring, sharing info.
- 🏙️ Components: Structure/locale, demographics, social systems (schools, agencies).
- 🤝 Practice: Always assess individuals within their community context.
Domain of Nursing
- Domain: The “territory” of nursing. Defines what nurses focus on → patient needs, health, environment, and nursing care. Scope of practice.ctice.
- Paradigm: The “big picture framework” that connects concepts, theories, values, and assumptions together. Helps explain how nurses see and practice care.
- 👉 In short: • Paradigm = the nurse’s way of thinking/model of care.
🧩 Nursing Metaparadigm👤❤️🌍👩⚕️
$Just read it and memorize the 4 emojis.
- 👤 Person → Recipient of care (individual, family, group, community).
- ❤️ Health → Unique meaning for each patient; care tailored to their state.
- 🌍 Environment/Situation → All conditions & settings affecting care.
- 👩⚕️ Nursing → Diagnosis & treatment of human responses to actual or potencial health problems (haven’t happened yet)
👉 In short: • Metaparadigm = the 4 big ideas (Person, Health, Environment, Nursing) that all nursing theories share.
Meta meaning→ "meta-" comes from Greek and originally means "after," "beyond," or "behind," but has evolved to mean something that transcends or is higher-level than another