1. Planning a Community Health Program
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