Assignment: Nursing Intervention Assignment
Community health nurses play a fundamental role in the promotion of health care activities in multifarious community health settings. The emphasis of nursing has transcended the individual and extended to the family and the community, implying that such nurses require multiple roles to meet the extensive responsibilities. Indeed, the concept of health promotion has undergone development to focus on the community-oriented health promotion practice, community participation, as well as health promotion exercise founded on health and social policies. In order to properly understand the roles that community health nurses play in a community health setting, the examination of their community health promotion within a particular setting such as a nursing home becomes paramount. Moreover, the promotional activities that these nurses undertake receive support from relevant organizations that establish policies and offer technical assistance to the nurses in the course of their undertakings.
In the United States, a pattern has developed wherein the elder members of the society require round-the-clock care. In response to this need, nursing homes became established and their principal function involves the provision of consistent care for the elderly. As part of their objectives, nursing homes can offer senior citizens short rehabilitative care after surgery, injury or illness (Gillick, 2017). These services may require the application of speech-language therapy, occupational therapy or physical therapy. Moreover, these settings offer additional services such as daily housekeeping and planned activities services. In certain jurisdictions, nursing homes may include memory care services or even include a specific place within their premises for memory care.
In many jurisdictions, the law dictates that nursing homes must provide sufficient personnel to adequately supervise the residents. In the United States, a registered nurse trained to work in community health setting must form part of the nursing fraternity in these facilities. Empirical research has revealed that since such nurses perform the caregiver roles within their communities, they establish close rapport with the constituents of these communities, which allows them to create enduring relationships (Virpi, Kerttu, & Turunen, 2013). Indeed, they graduate into experts in health and wellness.
According to evidence from research works, the principal role of a community health nurse in nursing home setting entails the provision of treatment to patients. However, public health nurses work as partners within an interprofessional team set-up at the nursing homes. Therefore, their health promotion activities hinge on their abilities to foster a successful collaboration with their partners. In nursing homes, public health nurses engage in health promotion activities by assessing the situation within the facility so as to share relevant information concerning the risks associated with the setting. They achieve this by regularly collecting data from other health care professionals, analyzing the same and then sharing the resultant information concerning resources, risks, and health conditions (Tamara et al., 2016). By doing this, community health nurses play a fundamental role in the policy-making process as relevant state and federal authorities will use the information to establish consummate policies and then direct resources towards their execution.
Additionally, public health nurses also participate in health promotion activities in nursing homes through the provision of assurance. During the performance of this role, the nurses ensure that the elderly constituents of the nursing home receive the necessary services (Smith, 2012). Further, they strive to improve quality assurance activities in the facilities so as to ensure a healthy population. In addition, public health nurses also endeavor to maintain certain levels of communicable disease surveillance as well as outbreak control. All these occur because of the high probability of risk-exposure by the nursing home residents. Lastly, community health nurses promote the health of nursing home patients by engaging in research aimed at identifying ways to prevent fall rates. They then share the research through patient education wherein they present to the elderly with the stratagem they can adopt to avoid falls including use of call lights. Therefore, community health nurses play an important role in the promotion of health within nursing homes.
The roles that community health nurses play in the nursing home setting receive protection and support from The Home Healthcare Nurses Association (HHNA). Working under the aegis of the National Association for Home Care & Hospice (NAHC), the HHNA plays an integral role in the provision of home care services. According to the agency’s website “The HHNA is committed to improving the specialty of home care and hospice nursing and influencing public policy as it relates to home care and hospice” (hhna.org). The objective of this federal agency involves coalescing nurses around the objective of becoming leaders in their fields. Consequently, these nurses will utilize the opportunity to influence the policy-making process regarding home care. The central aspect of the operation of the agency entails information-sharing with various interprofessional partners so as to establish effective policies that will make home care setting even better.
The foregoing reveals that community health nurses have a substantial role to play in the improvement of the quality of health care of various populations. Specifically, their currency to the nursing home setting does not have finite value. Public health nurses engage in promotional activities in this setting through assessment, assurance and policy endeavors all of which converge at improving the welfare of the elderly. However, for these nurses to successfully play their role, they require the moral, technical, and financial support of agencies such as The Home Healthcare Nurses Association (HHNA).
Gillick, M. R. (2017). Old and sick in America: The journey through the health care system. Chapel Hill: University of North Carolina Press.
Home Healthcare nurses association. (n.d.). Retrieved from http://hhna.org/
Smith, C. M. (2012). Community/public health nursing practice – health for families and population. New York, NY: Elsevier – Health Sciences Div.
Tamara J. C., Berrett-Abebe, J., Burke, S.L., Bakk, L., Kalenderian, B., & Peter, M. (2016). Evidence-based health promotion in nursing homes: A pilot intervention to improve oral health. Educational Gerontology, 42 (5), 352-360, DOI: 10.1080/03601277.2015.1121754
Virpi, K., Kerttu T., & Turunen, H. (2013). Nurses’ roles in health promotion practice: an integrative review. Health Promotion International, 28 (4), pp. 490–501, https://doi.org/10.1093/heapro/das034
Nurses use the nursing process to develop care plans and goals to determine patient outcomes. To advance the nursing profession, it is essential to identify and implement evidence-based practice (EBP)(Helbig, 2018). EBP allows nurses to perform research to find the most reliable information. Nurses focus on nursing problems such as helping patients calm down, preventing harm and injury, and improving symptoms. Physicians focus on medical issues relating to a person’s symptoms. Physicians formulate medical diagnoses, and nurses help develop a nursing diagnosis for the patient’s condition. The nursing problems have interventions that nurses can complete. Thank you for your post!
Helbig, J. (2018). Nursing Research: Understanding Methods for Best Practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1
You are absolutely correct the nursing process is an important aspect in nursing.Nursing practice problem is established during the nursing assessments done on the patient but medical practice problem target the physiology of the patient.The purpose of a PICOT question is simple:It is the mechanism to identify the terms to be used to search for the best evidence to answer a burning clinical question.In other words ,the PICOT question is the search strategy.(Ford and Melnyk, 2019).
Ford, L.G and Melnyk , B. M. (2019).the Underappreciated and Misunderstood PICOT Question:A Critical Step in the EBP Process.
Thank you Manyara, would like to add some details for your post. A nursing practice problem looks at the clinical judgment about an individual, patient, a family, or a community and how they respond to actual or potential health problems that they are exposed to. A nursing practice problem therefore, provides nurses with a basis from which they select appropriate nursing interventions to achieve a particular outcome and for which a nurse is accountable for (NCBI). Such problems include acute pain, nausea, constipation, self-care deficit, and risk injury among others. For example, the complimentary nurse practice problems of impaired verbal communication, interrupted family processes, the risk for falls, and powerlessness provides a general and a more holistic understanding of the impacts of a condition on a particular patient or family.
Medical practice that provides health care regardless of age or sex while placing emphasis on the family unit, group practice. (medicine) the practice of medicine by a group of physicians who share their premises and other resources.