NRS 428 VN Topic 3: Tools For Community Health Nursing Practice

Objectives:

  • Propose a health promotion plan for a community or population.
  • Compare vulnerable populations in terms of contributing factors that make them at risk or vulnerable.
  • Apply strategies to achieve cultural competence in community health promotion.
  • Examine the role of the nurse as an advocate for vulnerable populations.

Study Materials

Read Chapter 3 in Community and Public Health: The Future of HealthCare. URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/communit y-and-public-health_the-future-of-health-care_1e.php

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. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029383/

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. URL: http://www.unnaturalcauses.org/assets/uploads/file/10things.pdf

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:

  • Primary Prevention/Health Promotion
  • Secondary Prevention/Screenings for a Vulnerable Population
  • Bioterrorism/Disaster
  • 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.

  • After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.
  • Request feedback (strengths and opportunities for improvement) from the provider.
  • 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:

  • Bioterrorism/Disaster
  • Environmental Issues
  • Primary Prevention/Health Promotion
  • Secondary Prevention/Screenings for a Vulnerable Population

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 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 addresses the cultural issue. Cite and reference the article in

APA format.

Re: Topic 3 DQ 2

In order for a nurse to understand and recognize bias and stereotypes, they must be culturally competent and hold an open mind set, free of judgment. Being a patient advocate is very important in this field of work. Sometimes it is easy to judge someone, but in this field of work it is important for a nurse to put emotions and comparison to the side. Treating each patient with an open mind free of judgment or assumptions is vital community health nursing. 

Additionally, self reflection and empathy are traits that need to be addressed in this field of work (Hunt, 2007). A strategy that I believe is important to reduce cultural dissonance in relation to culturally competent care, is approaching every patient with an open heart and refraining from any judgment from their choices or decisions that may not align with one’s own beliefs. 

For example in the article I reviewed, states a 15 year old minority African-Caribbean woman comes to the hospital pregnant, because of lack of contraception. When influenced by stereotypes, a nurse would offer a contraceptive or abortion, but when being culturally competent the nurse would understand that African Caribbean women are extremely religious and do not believe in birth control, additionally they are encouraged to have children young, because in this culture, the young woman’s mother, supports and assists with raising their daughters children (Robb, 2004). 

By being culturally competent in this situation, the nurse would approach this situation by being supportive and offering prenatal care, rather than offering preventative measures such as abortion or contraceptives. It is important to support patients’ choices and respect their individual cultures and not allow their own opinions or views interfere with their care. This could potentially cause a patient to become uncomfortable or lack trust in the nurse which would not allow for optimal health promotion for this patient.

References