Please see the attached files to revise the attached assignment. I have attached the assignment, paper that needs revision (TASK 2), rubric, revisions needed, and various resources that you may or may not need to complete the assignment. The most important file is the “revisions needed” file. revisions must be completed as described in the document. There must be in text citations and an annotated bibliography
Attachment
Approved Topic List: Choosing Your Field Project Topic with a Primary Prevention Focus
Note: You may not log any work on your field project until you are enrolled in Community Health and Population-Focused Nursing Field Experience/Community Health and Population-Focused Nursing Clinical and have selected your topic.
What is a Primary Prevention?
The Community Health Nursing practicum requires a field project. The project focuses on primary prevention. Primary prevention is the prevention of disease, injury, disability or premature death before they occur.
First Steps in Choosing a Field Project Topic
First, consider what might be an issue of public health concern in your own community. The pertinent questions to consider are:
- What is the biggest contributor to disease (morbidity) and premature death (mortality) in your community?
- What are the controversial community health concerns discussed in your local newspaper?
- What do you believe people in your community are most concerned about related to health?
- What is generating the most visits to the emergency room or hospital admission in your community?
- What do you believe is reducing the quality of life in your community?
Possible Topic Areas to Choose for Field Project
Access to Healthcare
- access to mental health services
- access to dental health services
- access to health services
Alcohol and Drug Use
- responsible alcohol consumption
- prevention of drug abuse, including
– IV drug use
– prescription drug use
Child Health
- prevention of neonatal mortality
- prevention of unintentional childhood injuries, including:
– sudden unexpected infant death (SUID)
– poisoning
– drowning
– motor vehicle related (child safety seat and seat belt use)
– sports related
– pedestrian related
- prevention of child abuse
- promotion of vaccination
Disabled
- promotion of health and well-being, including
– access to disability related services and devices,
– limit barriers to participating in home, work, school, or community activities
Disaster Preparedness
- prevention of adverse health consequences caused by natural and human caused disasters
HIV/AIDS
- prevention of HIV/AIDS, including
– sexual transmission
– prenatal transmission
– IV drug use transmission
Oral Health
- prevention of dental caries
Overweight and Obesity
- prevention of overweight and obesity through healthy nutrition and physical activity
Physical Environment
- promotion of healthy physical environment, including
– air quality
– land quality
– water quality
Seniors
- prevention of falls
- prevention of social isolation
- promotion of vaccination
Social Environment
- safe, affordable, quality housing (prevention of homelessness)
Tobacco
- prevention of tobacco use
- prevention of smoking
Unintentional Injuries
- prevention of workplace injuries
- prevention of motor vehicle related death/injuries
– prevention of pedestrian injury and death (includes bicyclists)
Violence
- prevention of domestic violence/intimate partner violence
- prevention of dating violence
- prevention of gang violence
- prevention of bullying/cyber-bullying
- prevention of suicide/depression
Women’s and Maternal Health
- prevention of unintended pregnancies
- lack of breastfeeding/promotion of breastfeeding
- promotion of vaccination
Resources to Start Your Topic Choice Process
Attachment
Clark. Community Assessment Reference Guide for Community Health Nursing: Advocacy for Population Health. Pearson Learning Solutions, Bookshelf.
http://online.vitalsource.com/books/0558446620/id/ch03
CULTURAL ASSESSMENT TOOL
Biophysical Considerations
What is the age composition of the cultural group?
Age Group
Population Size
0–1 year
1–5 years
6–12 years
13–19 years
20–29 years
30–49 years
50–64 years
65–74 years
75–84 years
Over 85 years
What attitudes toward age and aging are prevalent in the culture? ________________________
_____________________________________________________________________________________
How do attitudes toward aging affect health? _________________________________________
At what age are members of the culture considered adults? ________________________________________________
Are there cultural rituals associated with coming of age? _______ What are the health effects of these rituals and practices, if any? __________________________________________________
What is the gender composition of the cultural group? ____________________________
Does gender play a role in the acceptability of health care providers? If so, how? _________
_____________________________________________________________________________________
Do members of the cultural group display genetically determined physical features or physiologic differences? If so, what are they and how do they influence health? _______________________
_____________________________________________________________________________________
Do group members display differences in normal physiologic values? If so, what are they? _________
_____________________________________________________________________________________
What genetically determined illnesses, if any, are prevalent in the cultural group? _______
_____________________________________________________________________________________
What are the cultural attitudes toward body parts and physiologic functions? ___________________________
_____________________________________________________________________________________
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What physical health problems are common in the cultural group? ________________
_____________________________________________________________________________________
Psychological Considerations
Does the cultural group have an individualist or collectivist perspective? _______________
How do members of the cultural group prioritize individual, family, and group welfare and goals? ___________
_____________________________________________________________________________________
What is the extent of stress experienced by members of the cultural group? _______________________________
_____________________________________________________________________________________
What are the usual sources of stress? ________________________________________________________________
How do group members typically cope with stress? ___________________________________________________
_____________________________________________________________________________________
Is there intergenerational conflict within the cultural group that contributes to stress? ______________________
_____________________________________________________________________________________
How do members of the cultural group perceive change? _______________________________________________
_____________________________________________________________________________________
How do they adapt to change? ______________________________________________________________________
_____________________________________________________________________________________
Do members of the cultural group exhibit attitudes of resignation and fatalism? If so, what effect does this have on the use of health care services? ______________________________________________________________________
________________________________________________________________________________________
What attitudes toward mental health and illness are held by members of the cultural group? ___________________
________________________________________________________________________________________
Is there stigma attached to mental illness for the individual? _______ For the family? _________________________
How does stigma affect health and willingness to seek health care services? _________________________________
________________________________________________________________________________________
Physical Environmental Considerations
How do members of the cultural group perceive their relationship to the environment? ____________________
_____________________________________________________________________________________
How do members of the cultural group perceive personal space? ________________________________________
What is the orientation of the cultural group to time? __________________________________________________
What changes in their physical environment have members of the cultural group experienced? ______________
_____________________________________________________________________________________
What influence do these changes have on the health status of the group? _________________________________
_____________________________________________________________________________________
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Sociocultural Considerations
Relationships
What are the perceptions of members of the cultural group with respect to supernatural forces? _________________
________________________________________________________________________________________
What roles, if any, do supernatural forces have in health and illness? ________________________________________
________________________________________________________________________________________
What are the religious affiliations of members of the cultural group? ________________________________________
________________________________________________________________________________________
What are the major tenets of the religion(s)? _____________________________________________________________
________________________________________________________________________________________
What influence does religious affiliation or spirituality have, if any, on health care beliefs and practices? _________
________________________________________________________________________________________
Do religious leaders have a role with respect to health and illness within the cultural group? _______ If so, what is that role? _________________________________________________________________________________________
Are religious beliefs and practices incorporated in health care? If so, how? ___________________________________
________________________________________________________________________________________
Do magical influences play a part in health and illness within the cultural group? _______ If so, how? ___________
________________________________________________________________________________________
How is marriage perceived within the cultural group? ____________________________________________________
________________________________________________________________________________________
At what age does marriage usually occur? _______________________________________________________________
Who is considered an appropriate spouse for a member of the cultural group? _______________________________
________________________________________________________________________________________
What is the typical family structure within the culture? ___________________________________________________
What gender roles are expected within the cultural group? ________________________________________________
________________________________________________________________________________________
What are the expected roles and responsibilities of couples? _______________________________________________
________________________________________________________________________________________
How are couples expected to interact with other family members? ____________________________________________
What roles are typically performed by family members? __________________________________________________
________________________________________________________________________________________
How interchangeable are these roles? ___________________________________________________________________
How congruent are family roles with those of the dominant culture? ________________________________________
________________________________________________________________________________________
Who is responsible for decisions within the family? _______________________________________________________
Within the larger cultural group? _______________________________________________________________________
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What are the attitudes of group members toward children? ________________________________________________
________________________________________________________________________________________
What child-rearing practices are typical of the cultural group? _____________________________________________
________________________________________________________________________________________
What is the typical social organization of the group? ______________________________________________________
What behaviors are expected in interactions with others within the cultural group? ___________________________
________________________________________________________________________________________
Outside the group? __________________________________________________________________________________
________________________________________________________________________________________
What behaviors are considered unacceptable by members of the cultural group? _____________________________
________________________________________________________________________________________
What are group members’ attitudes toward authority? ____________________________________________________
What is the character of interaction between the cultural group and the dominant society? _____________________
________________________________________________________________________________________
What is the primary language spoken by members of the culture? __________________________________________
What is the level of fluency with the language of the dominant culture among members of the group? ___________
_________________________________________________________________________________________
What other forms of communication are used by members of the cultural group (e.g., newspapers, radio, television)? _________________________________________________________________________________________
How important is context to communication? ____________________________________________________________
Are there formal and informal modes of address within the cultural group? _______ In what circumstances is each used? ________________________________________________________________________________________
What courtesy titles are used and for whom? ____________________________________________________________
Is a certain degree of personal reticence expected of group members? _______________________________________
What gestures are considered appropriate or inappropriate? _______________________________________________
________________________________________________________________________________________
What do members of the cultural group expect in relationships with health care providers? ____________________
________________________________________________________________________________________
What do health care practitioners within the cultural group expect in their relationships with clients? ___________
________________________________________________________________________________________
How congruent are expectations of relationships between members of the cultural group and scientific health care providers?
______________________________________________________________________________________
What is the quality of interaction between the larger society and members of the cultural group? ________________
________________________________________________________________________________________
What is the attitude of members of the dominant culture toward the cultural group? __________________________
________________________________________________________________________________________
What is the attitude of members of the cultural group toward the dominant culture? _________________________
________________________________________________________________________________________
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To what extent are members of the cultural group subjected to or perceive prejudice, discrimination, hostility, or harassment?
______________________________________________________________________________________
Socioeconomic Status
What is the attitude of members of the cultural group toward material wealth and possessions?______________
_____________________________________________________________________________________
What is the educational level typical of members of the cultural group? __________________________________
What is the group’s attitude toward education? _______________________________________________________
What is the socioeconomic status typical of members of the cultural group? _______________________________
What effect does socioeconomic status have on health and access to health care services? ___________________
_____________________________________________________________________________________
Life Events
Sexuality and Reproduction
What are the attitudes of members of the cultural group toward heterosexual activity? ________________________
_____________________________________________________________________________________
Homosexual activity? _____________________________________________________________________________
Do group members engage in any specific sexual practices? _______ If so, what are they and how do they affect health?
_____________________________________________________________________________________
Do group members practice female genital mutilation? ________________________________________________
What are the attitudes of members of the cultural group toward conception and contraception?______________
_____________________________________________________________________________________
Is conception expected early in marriage? ____________________________________________________________
Are there special cultural practices to promote or prevent conception? _______ If so, what are they? __________
_____________________________________________________________________________________
Are certain behaviors expected during pregnancy? _______ If so, what are they? ___________________________
_____________________________________________________________________________________
Are there behaviors or circumstances that should be avoided during pregnancy? ______ If so, what are they? _____
_________________________________________________________________________________________
What is the attitude of group members toward prenatal care? ___________________________________________
Are there special cultural practices related to labor and delivery? If so, what are they? ______________________
_____________________________________________________________________________________
Who should be present during labor and delivery? ____________________________________________________
Where should labor and delivery occur? _____________________________________________________________
Are there special practices related to disposal of the placenta? _______ If so, what are they? _________________
_____________________________________________________________________________________
What behaviors are expected of the mother during the postpartum period? _______________________________
_____________________________________________________________________________________
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What does cultural care of the newborn entail? __________________________________________________________
Who usually provides this care? _______________________________________________________________________
________________________________________________________________________________________
What are the cultural attitudes toward breast-feeding? ____________________________________________________
Health and Illness
How do members of the cultural group define health and illness? __________________________________________
________________________________________________________________________________________
Do group members hold specific theories of disease causation? _______ If so, what are they? ___________________
________________________________________________________________________________________
How does the cultural group classify disease? ___________________________________________________________
Does the cultural group recognize any culture-bound syndromes? _______ If so, what are they? ________________ ________________________________________________________________________________________
What are the characteristic features of culture-bound syndromes recognized by the group? ____________________
________________________________________________________________________________________
What cultural health practices are used to promote health and prevent illness? _______________________________
________________________________________________________________________________________
________________________________________________________________________________________
What health practices are used to restore health when illness occurs? _______________________________________
________________________________________________________________________________________
What home remedies, if any, do members of the cultural group employ to treat health problems? ______________
________________________________________________________________________________________
For what problems are home remedies used? ____________________________________________________________
________________________________________________________________________________________
How are home remedies used? ________________________________________________________________________
________________________________________________________________________________________
What over-the-counter remedies are used by the cultural group? ___________________________________________
________________________________________________________________________________________
For what and how are OTC remedies used? _____________________________________________________________
To what extent are these practices used by the cultural group? _____________________________________________
What provider-prescribed medications and treatments are used by the cultural group?________________________
________________________________________________________________________________________
By whom are they prescribed? _______________________________________
