Implementation, and Evaluation (chapter
7)Questions & Answers
What are the 3 different aggregate levels in community health nursing practice? -
ANSWERIndividual or family
group level
community
How is health planning different within the three aggregate levels in community nursing?
- ANSWERindividual or family - direct care needs or self-care responsibilities
Group level - health education
Community - population disease prevention or environmental hazard control
Describe the assessment step in the Health Planning Model (8 bullet points) -
ANSWER-Meet with group leaders and clarify expectations
-determine sociodemographic characteristics (distrubtion of age, sex, and rate)
- Gather information and interview a key informant
-consider postive and negative factors
- compare aggregate with the "norm"
-research potential problems
-identify health problems and needs
- prioritize the identified problems and needs to create an effective plan
What are the factors for determining priorities? - ANSWER-Aggregates preferences
-Number of individuals affected by the health prob
-severity of the health need/problem
-availability of potential solutions
-practical considerations (skills, time limitations, and available resources)
-Maslow's hierarchy of needs or Leavell and Clark's level of prevention to further refine
priorities
What is an essential component of health planning? - ANSWERcommunity involvement
What are the steps 3 steps in the planning process? - ANSWER1. determine
intervention levels
2. plan interventions for each system level
3. validate the practicality of the planned interventions according to available resources
What are the different intervention levels? - ANSWERSubsystem, aggregate system,
and/or syprasystem
, What is the difference between goals and objectives? - ANSWERGoals are where we
want to be
Objectives are steps needed to get there
Describe objectives - ANSWER-Measurable
-specific measures used to determine whether or not the nurse is successful in
achieving the goal
-Instructions about what the nurse wants the population to be able to do
- Used to measure outcomes (describes observable behavior rather than knowledge)
When are interventions more successful? - ANSWERwhen the aggregate have input
into determination of the need
What is the most enjoyable stage of the Health Planning model for nurse and the
clients? - ANSWERinterventions stage
When should implementation of the interventions start? - ANSWERAfter the initial plan
What should interventions include and what do they prepare for? - ANSWERshould
include a variety of strategies
prepare for unexpected problems
What should be included in the evaluation process? - ANSWERparticipants verbal or
written feedback and the nurse's detailed analysis
What should be communicated in the evaluation stage? - ANSWERfollow up
recommendations
What should be evaluated and reflected on in the evaluation stage of the health
planning model? - ANSWER-reflect on each previous stage to determine the plans
strengths and weaknesses
- evaluate both formative (process) and summative (product/outcome) aspects
What is the importance of the assessment step in the nursing process? - ANSWER-
Aggregate assessments must be thorough.
-Should elicit answers to key questions about health and demographic profile.
-should compare this information with similar aggregates presented
What is the importance of the planning step in the nursing process? - ANSWER-Nurse
must complete careful planning and set goals that the nurse and the aggregate accept.
-mutual planning is very important
What is the importance of the intervention step in the nursing process? -
ANSWERinterventions must include aggregate participation and must meet mutual
goals