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Community Health Nursing - elnurse.ssru.ac.th process.pdf · Morbidity rates (NCDs, DHF) ... Mind mapping diagram (แผนที่ความคิด/ ผังมโนภาพ)

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Text of Community Health Nursing - elnurse.ssru.ac.th process.pdf · Morbidity rates (NCDs, DHF) ... Mind...

  • Community Health Nursing

    . .

  • Nursing Process

    2

  • Community Assessment ()

    : Data collection ()

    : Data analysis ()

    Community Diagnosis ()

    : Identity problem ()

    : Priority setting ( )

    : Identified cause of problem ()

    Project Planning ()

    Implementation ( )

    Evaluation ()

    Community Health Nursing Process

  • Community Assessment

    Data collection

  • Community Assessment

    - Primary Data :

    - Secondary Data :

    Data collection

    - (Quantitative data) :

    - (Qualitative data) :

  • Community Assessment

    (Observation)

    :

    :

    Data collection

    (Interview)

    : /

    :

    (Questionnaire)

    :

    :

  • ( )

    : /

    : ()

    :

    ( )

  • 7

    1. (Geo-Social Mapping) :

    2. (Genogram) :

    3. (Community Organization)

    :

    4. (Local Health Systems)

    :

    5. (Community Calendar) :

    6. (Local History)

    7. (Life Story) :

  • (Geo-Social Mapping)

  • (Geo-Social Mapping)

  • Genogram

  • Genogram

  • Community Assessment

    - :

    -

    Data analysis

  • Community Assessment

    Data analysis

    (n=179) (n=214) (n=393)

    :

    15 27 15.08 26 12.15 53 13.49 1 : 4.7

    60 32 1.88 59 27.57 91 23.16 1 : 2.7

    15 60

    59 32.96 86 39.72 144 36.64 1 : 1.7

    120 67.04 129 60.28 249 63.36

  • Identify problem

    Community Diagnosis

  • Health Indicators ()

    5 D ()

    Disease () : Morbidity rates (NCDs, DHF)

    Death () : Mortality rates (CVD, DHF, Accident )

    Disability () : Disability rates

    Discomfort ()

    Dissatisfaction ()

  • Health Indicators ()

  • Health policies () : - maternal and child health (low birth weight,

    teenage pregnancy, breast feeding)

    - life style modification ( exercise , nutrition , emotion)

    Environment () : healthy cities

    Quality of life

    Health Indicators ()

  • Health Indicators ()

  • Community problems

    ..

    +

    ..

  • Community problems

    ..

    +

    ..

  • Priority setting

    4M : Man

    : Money

    : Material

    : Minute

  • Size of problem or prevalence ()

    1- 25% = 1

    26-50% = 2

    51-75% = 3

    76-100% = 4

  • Severity of problem ()

    = 0

    0- 25% = 1

    26-50% = 2

    51-75% = 3

    76-100% = 4

  • Feasibility of problem ( )

    = 0

    = 1

    = 2

    = 3

    = 4

    /

  • DHF

    DM

    HT

    /

  • Community concern ()

    = 0

    = 1

    = 2

    = 3

    = 4

    Priority setting

  • Examples

  • Identified cause of problem ()

    (Host Agent Environment )

    Fish-bone diagram ()

    Web of causation ()

    Mind mapping diagram (/)

  • Definition of planning

    /

    (6W2H)

  • /

  • 1. Long-range plan / Master plan (5-10 )

    2. Middle-range plan ( 2-5 )

    /

    3. One year plan

  • -

    --

  • ---

  • ---

  • / (SMART)

    -

  • 6W2H

  • 6W2H 1. WHAT ( ) /

    2. WHY ( )

    3. WHOM ( / )

    4. WHEN ( )

    5. WHERE ( )

    6. HOW ( ) + KNOW HOW

    7. How much ( )

    8. WHO ( )

  • 1. (What) :

    2. (Why) :

    (evidence based)

    3. (Objective):

    SMART

    4. (Whom)

    5. (When)

    6. (Where)

  • 7. (How) :

    ( - )

    (Gantt chart)

    8. (How much) :

    9. :

    10. :

    ()

    ( )

    ( )

    11. (Who) :

  • SMART

    S = Specific :

    M = Measurable :

    A = Achievable :

    R = Reasonable :

    T = Time :

  • Gantt chart ( )

  • Implementation ( )

  • ()

    /

    ( - )

    (-)

  • ()

    ( )

    -

    ( )

    (-)

  • /

    (AAR :After action review)

    /

    ()

  • (progress)

    (relevance)

    (adequacy)

    (efficiency)

    (effectiveness)

    (out put) (out come)

    (appropriateness)

    ( impact)

  • :

    (....)

    / : (BW, BP,

    BMI, HR )

    :

    50

    ()

  • Deming cycle ()

  • -

    ( )

  • /

    ( )

    Brain stromming

    (

    )

    ( )

    53

    ( -- )

  • Community based/ Client center/ Stakeholders

    Community participation / Collaboration

    Two way communication

    Supporting & Motivation

    Learning by doing

    Facilitating & Mentoring

    Role Model

    54

    (Empowerment)

  • Question ?