Windshield Survey Summary and Reflection Mary Lou Lamer NUR/405 January 25, 2013 Dawn Warner Windshield Survey Summary and Reflection Introduction “Although it is necessary to identify health risk factors among individuals and groups in the community, it is of paramount importance that nurses learn to identify and work with health problems of a defined population or the total community”. (Stanhope & Lancaster, 2012, pg. 395). The “windshield survey” is one method that the nurse can use to collect data about a particular community, however, understanding the meaning of community, community health, community as a client, and partnership, as they relay to nursing in the public setting, is important to successful data assessment. Community “Community is a locality – based entity, composed of systems of formal organizations reflecting society’s institutions, informal groups, and aggregates”.
The people make up the population of the community and are called members or residents of that community. Place characterizes the geographical location of the particular community and function defines the interactions and activities that take place within the community. Over time, communities have transformed and continue to change and mold in accordance to the always evolving expectations of society and the world. Community health is defined by the efforts to address any collective health needs within the community through the identification of problems and the management of behaviors in the community. This broad definition of community health includes the dimensions of process, status, and structure.
Community health offers services that protect and promote the health of its residents. What is more, community as a client is based on the assumption that community-nursing practice is community-oriented, seeking healthful change for the whole community (Ardys McNaughton Dunn, 1990). Additionally, allowing a group to pursue health changes for the benefit of the entire group and referring to the concept of community-wide groups of people as the focus of nursing services. Several factors could affect the health of a community. Poor housing conditions, lack of health care services, and lack of education could affect the health of a community.
A professional relationship, in this context, focuses entirely on the needs of the service user whereas a personal relationship focuses on the needs of both parties. 1.2 In health and social care settings there are a number of different working relationships. As well as the relationship a support/care worker may have with a service user, a support worker may have a working relationship with other support workers, doctors and other health care professionals, care managers and live-in carers. These relationships can be close, depending on the level of needs held by the service user. Other working relationships may include landlords, housing benefits officers and other benefits agencies, cleaners and maintenance workers.
This | | |mode of thinking meant that organisations took decisions for people about how they should live and the nature of the care | | |they received. This has changed, or is in the process of changing, to an approach where support strategies are negotiated | | |and agreed between service providers and service users. | | |This philosophy that underpins practice can be thought of as guiding principles of person-centred planning, and includes | | |increased community access and inclusion, the development of relationships, greater opportunities for choice, the | | |advancement of valued and respected roles, and the development of improved personal skills (Magito-Mclaughlin et al., | | |2002). Person-centred planning is about equality (Stalker and Campbell, 1998). It challenges the unequal power structures | | |that have long reigned in the relationships between service providers and service users.
Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process. Every culture perceives wellbeing and sickness differently; as a result, cultural traditions have power over nurses’ decision making process which represents a baseline to begin action for healing and provides high quality of care that nurses have to give. “Cultural ability means the aptitude of nurses to value and admit the cultural backgrounds of persons and give care that best meets the persons’ requests—not the nurses’ requests” (Edelman & Mandle, 2010, p.
200). “Grounded theory was used to illuminate the social and technical process of a multidisciplinary health care team and the members’ interactions in order to explain the subjective aspects of team-based care delivery and participating as an individual on the team” (Leach & Mayo, 2013, p. 200). A framework was developed from the study findings. This framework could guide future studies. Five categories were identified to be important when the RRT effectiveness is being described.
Discussion will touch on intervention and how nursing can be involved. In conclusion this overview will reflect all topics and how we can work together to enhance the community environment. Cultural diversity in the community In the windshield
District nursing teams provide services to patients who are housebound and unable to visit their GP or local health centre. The service provides individualised patient-centred care that takes into account patient choice and appropriate care given by highly skilled staff (QNI, 2010).The Queens Nursing Institute launched a campaign called 'Right Nurse, Right Skills' which aims to ensure that patients get the right care in their own homes. The QNI provides a wide range of support for community nurses at all stages in their careers and influences policies which affect community nursing and patients (QNI, 2011). Health policy developments in recent years, have developed around the reduction in cost and making resources more effective (DOH, 2009). A clear example of this was highlighted in the transforming community services program.
Some current issues that are relevant to public health nursing are national disaster planning, health promotion, disease prevention and education, homelessness, and economy. Roles There are numerous roles and settings that a public nurse can take such as school nursing, occupational health nursing, working within the home, working within the community at large, case management, education, advocating. Public health nursing can be customized to your own interest and the needs of the community. Job Description The job description can be most easily broken down into three functions; assessment, policy development, and assurance. Assessment is measuring and monitoring the needs of the community.