Community Health Plan and Assessments: Fundamentals of Nursing | @LevelUpRN
Summary
TLDRIn this video, Ellis from Level Up RN explains the community health plan and community assessment, comparing it to the traditional patient care plan. The nursing process (ADPIE: Assessment, Diagnosis, Planning, Intervention, Evaluation) is followed, with an emphasis on assessing entire communities instead of individuals. Key assessment methods include informant interviews, direct observation, windshield surveys, secondary analysis, and surveys. The video ends with a review of these concepts and introduces the next topic: epidemiology.
Takeaways
- đ A community health plan is like a patient care plan but for a whole community, using the nursing ADPIE model (Assessment, Diagnosis, Planning, Intervention, Evaluation).
- đ The assessment stage is the most distinct part of a community health plan compared to an individual patient care plan.
- đ In a community assessment, you first need to select the aggregate (group) to assess and collect data from them.
- đȘ The assessment identifies the communityâs needs, problems, and strengths to guide the community health plan.
- đ©ș The diagnosis stage involves analyzing and prioritizing health problems identified within the community.
- đŻ Planning involves setting specific, measurable goals to address the community's health problems.
- đ ïž Implementation focuses on carrying out the interventions designed to meet the planned goals.
- đ Evaluation assesses the effectiveness of the plan and what factors contributed to its success or failure.
- đ„ Community assessment methods include informant interviews, direct observation, windshield surveys, secondary analysis, and surveys.
- đ A windshield survey involves observing a community by driving around and making notes based on observations from the car.
Q & A
What is a community health plan?
-A community health plan is a patient care plan for an entire community, following the nursing process ADPIE model: Assessment, Diagnosis, Planning, Intervention, and Evaluation.
How does a community health plan differ from a regular patient care plan?
-The main difference lies in the assessment phase, where instead of assessing an individual, a community health plan involves assessing a group or aggregate.
What is the purpose of the assessment phase in a community health plan?
-The assessment phase identifies community needs, problems, and collective strengths to base the community health plan on.
What are the steps involved in the nursing process for a community health plan?
-The steps are Assessment, Diagnosis, Planning, Intervention, and Evaluation (ADPIE).
What types of assessments can be conducted for a community health plan?
-Assessments can include informant interviews, direct observation, windshield surveys, and secondary analysis of preexisting data.
What is an informant interview in the context of community health?
-An informant interview is a method of collecting data by performing interviews with individuals in the targeted community.
What is direct observation in community health assessments?
-Direct observation involves observing individuals in a community at a specific place or location over a period of time.
What is a windshield survey?
-A windshield survey is a method of observing a community by driving around and noting what can be seen from a car.
What is secondary analysis in community health assessments?
-Secondary analysis is the review of preexisting data that has already been collected by others, such as Census Bureau data, vital statistics records, and community health records.
What are some examples of data that can be reviewed during a secondary analysis?
-Examples include vital statistics records, community health records, and census data.
What is the purpose of the evaluation step in a community health plan?
-The evaluation step assesses the effectiveness of the implemented steps, understanding what factors contributed to success or failure in achieving the original goals.
Outlines
đ„ Community Health Plan and Assessment
Ellis from Level Up RN introduces the concept of a community health plan, which is an extension of the nursing process to a community level. The ADPIE model (Assessment, Diagnosis, Planning, Intervention, and Evaluation) is applied to the community as a whole. The key difference lies in the assessment phase, where the nurse must identify and study a specific community aggregate. Data collection is performed to understand community needs, problems, and strengths. Following the assessment, diagnosis involves analyzing and prioritizing health issues. Planning involves setting measurable goals and interventions, implementation is executing these plans, and evaluation assesses the success of these steps. Ellis also discusses unique assessment methods such as informant interviews, direct observation, windshield surveys, and secondary analysis of preexisting data like Census Bureau data and community health records.
đ Next Video: Epidemiology
Ellis concludes the video by thanking viewers for studying with him and announces that the next video will cover epidemiology.
Mindmap
Keywords
đĄCommunity Health Plan
đĄADPIE Model
đĄAssessment
đĄAggregate
đĄInformant Interviews
đĄWindshield Survey
đĄSecondary Analysis
đĄDiagnosis
đĄPlanning
đĄImplementation
Highlights
Community health plans are essentially patient care plans for entire communities, following the ADPIE nursing process: Assessment, Diagnosis, Planning, Intervention, and Evaluation.
In the assessment phase of a community health plan, the key difference from individual care is that data collection is performed on a chosen aggregate (a group), making the process more involved.
The community health plan identifies a communityâs needs, problems, and strengths, and bases interventions on the collected data.
Diagnosis in a community health plan involves analyzing and prioritizing the community's health problems based on the aggregate's data.
The planning, intervention, and evaluation steps are similar to individual care, focusing on setting measurable goals, implementing actions, and assessing outcomes.
Evaluation assesses the effectiveness of implemented interventions, examining which factors led to the success or failure of the goals.
Informant interviews are a type of assessment that involves gathering data by interviewing individuals within the targeted community.
Direct observation in community health involves observing people in a community at a specific location over time.
A windshield survey is a popular method for community health assessments, involving driving through a community to observe elements such as housing, businesses, healthcare, schools, and green spaces.
A secondary analysis involves analyzing preexisting data, such as Census Bureau data, vital statistics, or community health records.
Surveys are another method of data collection in community health assessments, where individuals in the community are asked to provide responses.
A windshield survey gathers insights on key community characteristics like the types of people living there, housing options, accessibility to healthcare, and educational institutions.
Secondary analysis is beneficial as it uses already available data, speeding up the process and providing existing community insights.
Windshield surveys are often used in community health classes as a hands-on approach to assessing community characteristics.
After gathering data from a community assessment, the nursing process continues with planning interventions and setting measurable goals to address the identified problems.
Transcripts
Hi, I'm Ellis with Level Up RN. In this video, we'll be chatting about the community health plan Â
and a community assessment. These cards can be found in the community section of our fundamentals Â
of nursing flashcard deck. So if you have that deck, grab these cards, and you can follow along Â
with me. If you don't have the deck, I encourage you to check us out at leveluprn.com. After the Â
content, hang tight because I will have a couple of questions just to check your knowledge. Â
A community health plan is simply a patient care plan but for the whole community. And thus, Â
it follows the nursing process, which is our ADPIE model. Assessment, diagnosis, planning, Â
intervention, and evaluation. And this pretty much follows what you would do for a regular Â
patient care plan. I think the key difference here is the assessment part. For an assessment Â
step of a community health care plan, first, you actually have to choose the aggregate on which Â
you want to do the assessment. So identifying the aggregate that you want to study and performing Â
data collection on that aggregate. So this is going to be a much more, I don't know, involved Â
or intense or heightened version of an assessment because instead of assessing one person, you're Â
assessing a group of them. So by doing this, you'll identify what the community needs might be, Â
what problems they're facing, what strengths they have as a collective, and then you can base that Â
community health plan off of what you've assessed. So our next step would, of course, be diagnosis. Â
So analyzing and prioritizing the community health problem that you Â
are identifying and that that aggregate is experiencing. The planning, implementation, Â
and evaluation steps are all pretty much the same in that you would plan specific and measurable Â
goals to address the problem that you identified and then plan interventions to meet those goals. Â
Implementation is to then carry out the plan and provide the implementations that you've Â
developed. And evaluation is simply assessing the effectiveness of the implemented steps that Â
you are able or whomever was able to provide, understanding what factors contributed to success Â
or not being successful of the original goals. As I just mentioned, the assessment step of the Â
nursing process when doing a community health plan is what is unique when compared to doing Â
a regular patient care plan because we're going to have to do unique types of assessments to get Â
that information on the aggregate. So one type of assessment that we can do is informant interviews. Â
And this is exactly what it sounds like. It is collecting data by performing Â
interviews with individuals in the targeted community. There's also direct observation, Â
which again is exactly what it sounds like. It is observing individuals in a community Â
at a specific place or location over a period of time. A windshield survey is particularly Â
popular to ask students to do when they're in a community health class. And that, again, Â
is pretty much what it sounds like. It's driving around in the community and observing what you can Â
observe through your car's windshield. So what kind of people live in this community? Where do Â
they live? What kind of housing is available? What stores or businesses or food options are there? Â
How many schools are there? What kinds of schools are there? Are there parks or green spaces or open Â
spaces? What is the accessibility to healthcare and what type of healthcare options are available?Â
A secondary analysis is analyzing data that is preexisting, so data that somebody Â
else has already collected and some of this is publicly accessible. So the Census Bureau data, Â
vital statistics records, community health records, anything that someone else has already Â
collected would be a secondary analysis. And the final example that we have is surveys. And again, Â
this is pretty straightforward. This would be providing and collecting surveys Â
from individuals in the targeted community. That wraps up the content for this video, so hang Â
tight. Let's cover a couple of questions to check your knowledge. Describe a windshield survey. Â
A windshield survey is observations about a given area as perceived through a car window. Â
What are the examples I gave you of data that you could review during a secondary analysis? Â
Remember a secondary analysis is reviewing preexisting data, and the examples I Â
gave you are vital statistics records, community health records, and census data. Â
Thank you so much for studying with me. In our next video, we'll be diving into epidemiology.
Voir Plus de Vidéos Connexes
The Five Step Nursing Process Explained | Intro to ADPIE | Lecturio Nursing
Typology of Nursing Problem in the Family Nursing Practice
Prevention Levels & Determinants of Health: Community Health - Fundamentals of Nursing | @LevelUpRN
Health Risks and Family Nursing: Community - Fundamentals of Nursing | @LevelUpRN
Proses Keperawatan Jiwa
Developing an Effective Assessment Tools for Affective Domain
5.0 / 5 (0 votes)