In your responses to your peers, take a look through the lens of intersectionality and consider both sides of your classmates’ issues. Compare and contrast your answers. What do you like about your peers’ explanations, and what would you add?

Make sure you support your response with the readings from this module, and any additional resources if needed.

Peers Discussion is attached below with readings from this module to answer question in relation to peers response.

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200 words each

1)

My plan to develop my professional partnership with my selected site is the first understand the mission statement of the what the company is about and what the company believes in.  I will do some reading and researching, locate reviews on the business and its’ relationship with the community.  Make a phone call and ask if I could speak with the owner or manager of operations of the business.  During my initial contact, I will make sure that I inform the manager about my plans and goals for the presentation that I want to present before their staff.  I will ask the manager if there was a time available that we could meet in person, at their convenience.  If I am given the opportunity for a face to face, I will have my presentation layout and allow them to look at it.  In return, I will answer questions that the manager has for me.  Doing this time, I will utilize my chance to ask them their opinion about what I want to present.  This will allow me to get them to be open about their knowledge on the discussion topic of choice.  Ask them if they would like to see something added to the presentation, that will help their staff be healthier and more conscious about their lifestyle.  Schedule my date of presentation, if the manager approves of me doing the presentation.  Upon setting a schedule presentation date, I would send a thank you message via email and then weekly reminders about the benefits of the presentation to the manager.  Checking in with the manager on a weekly basis, to keep the manager and staff looking forward to the presentation that is going to improve their health.  I would make sure to meet with the manager once more prior to the date of presentation, at least two weeks in advance; to give an update or receive information from the manager about the presentation.  I would focus on not taking up too much of the managers’ time with small talk.   

It is important that we as healthcare providers collaborate with other professionals in the healthcare field to ensure that our patients are treated holistically.  When we experience health issues, many other problems can arise from that health issue.  People that have uncontrolled pain, can become depressed or angry; because the pain is interfering with their lives.  We must know who to refer patients to for help with their concerns.  The more options we utilize to assist our patients, the better the development of trust we can have with our patients.  We want our patients to trust us and come to us for help, because they are sure they will receive help or be guided in the proper directions to get help.    

Clark, M. J. (2015). Population and community health nursing (6th ed.). Boston, MA: Pearson

2)

 I have selected my church medical group to partner with to help educate the people in the church about sickle cell disease that predominantly affects the African-American people. The church medical group is made up of a group of medical professionals that volunteer their time and expertise in helping build strong and healthy church members. Education about sickle cell disease is very important especially in the African-American community because having knowledge about sickle cell disease and how it is genetically passed on will help the young people take that into consideration when planning on choosing a life partner to have a family with. This will help reduce the number of babies born with sickle cell disease.

            Partnering with a church outreach group is very important in helping my role as a disease prevention nurse. The church is a big community with a lot of young adults. Since most of the church members are African-American, we seem to have a lot in common in terms of our diet, attitudes towards exercise or physical activities and also common diseases that affect us.  The medical professionals collaborating with each other in the group will help identify the educational materials and methods of how information is to be presented to the community and also find out the available resources to help provide other assistance to the population in terms of getting lab test or referring them to other places for further treatment if needed. 

            The importance of collaborating with other healthcare professionals in order to establish trusting relationships to gain commitment is that, it helps build a stronger network of medical professionals, who are focused on attaining a common goal for the community. The education they have in different medical setting, their positive attitudes and their willingness to work together to help promote good health and prevent an increase in diseases among the targeted population.

            A team environment could provide support for these community-based health care providers as well as allow for more efficient sharing of information Dieleman et al. (2009). Effective communication among healthcare workers helps build a strong team.  A good team work is mostly characterized by trust, respect and collaboration. Whether it is a professional or a non-professional setting, members are in the team mostly for a common goal, and all the members work together with the aim of achieving that goal. This is what makes it very important for the members to effectively communicate among each other to help promote continuity and clarity among the team and also help prevent problems or errors.

Dieleman, S. L., Farris, K. B., Feeny, D., Johnson, J. A., Tsuyuki, R. T. & Brilliant, S. (2009).      Primary health care teams: tem members’ perception of the collaborative process.           Journal of Interprofessional Care. 18(1), 75-78.

            https://doi.org/10.1080/13561820410001639370Di

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200 words for each respond

1.

According to the Centers for Disease Control and Prevention (CDC, 2018), a community health assessment is a localized study of a specific group whether it is local, statewide, tribal, or territorial. This research helps organizations and the government identify specific health needs and issues through the gathering of data. Community health assessments are needed to help improve the overall health of the population. It provides agencies with facts and numbers that would create a better and clearer understanding of the areas they want to serve.

Benefits

            There are many tools available to help facilitate this endeavor. The majority of the models use similar processes. Their goal is to determine the community’s strengths, weaknesses, needs, and assets. Some of the benefits of choosing one model toolkit versus another depends on the number of steps and the depth of the research that the organization or group wants to perform. In addition, it seems that not all the toolkits are designed to assess the same type of data, and their focus appears to be different as well. Some are specific to hospitals, while others are more engaged on public health. Using a specific model to assess the community will ensure that the data collected would be used and analyzed to help improve, engage, and prioritize issues that affect the public. 

Agencies and Time Line

            When doing a community health assessment, agencies need to be involved in order to have a more comprehensive understanding of the surroundings and the people that live in the community. Agencies such as schools, healthcare organizations, private and governmental institutions, local workforce agencies, and churches are some of the key assets when conducting a community health assessment. All of their voices, input, and expertise are valuable resources. They could serve as tools that community health nurses may use to implement changes in their areas and help make a difference in the population. According to Catholic Health Association of the United States (CHAUS, 2015), hospitals should expect to spend approximately six to 18 months planning and conducting their community health assessment. This number will vary according to the size of the hospital, the size of the community, and the number of organizations involved in the process. In addition, the availability of financial resources will have an influence on the duration of the process (CHAUS, 2015).

The Role of the Public Health Nurse

            The role of the public health nurse in implementing the community health assessment model is essential in this process. The nurse can serve as a guide to educate, advocate, assess and evaluate individuals in the community. They have in-depth knowledge about the different determinants of health that affect the community as well as thorough understanding of the many aspects that influence the needs of the population. They also play a vital role in collaborating with agencies to help collect data and implement measures to achieve improvements in the health and social conditions of the most vulnerable populations.

References

Catholic Health Association of the United States. (2015). Assessing and addressing community

health needs. Retrieved from https://www.chausa.org/docs/default-source/community-benefit/2015-cbassesmentguide.pdf?sfvrsn=2

Centers for Disease Control and Prevention. (2018, July 24). Community health assessment and

health improvement plans. Retrieved from https://www.cdc.gov/publichealthgateway/cha/plan.html#three

2. 

Prior to this week, I was unaware of what a community assessment consisted of. I learned that most of these assessment tools consist of phases an steps to follow. This phases and steps include organizing a plan, engaging in the community, and developing a goal to achieve. You must then do the community health assessment, prioritize the information you have assessed, and develop the plan to achieve your goal. Once all of this has been established, you can implement this into the community and evaluate the process. On the CDC website, I chose the model Mobilizing for Action through Planning and Partnerships (MAPP). A brief description from the CDC website included was a framework for a community improvement planning and putting a strong emphasis on the engagement and collaboration in the community on a local level (CDC-Assessment, 2015). This specific community assessment plan to help improve community health. Through this plan, it allows communities to apply critical thinking to prioritize issues in public health and to help identify the resources needed to address the issues. This ultimately improves efficiency and effectiveness throughout the community and improves the overall outcome of the community. There are six phases to go through with this community assessment model. Stage 1 of this model includes how to get organized develop a partnership. Stage 2 is visioning which allows us to share community vision and goals to accomplish. Phase 3 includes the four assessments, we are able to analyze and collect data during this phase. Stage 4 helps you identify the issues within the community so you can base your plan upon the issues. Stage 5 helps you determine a plan and goals to reach while stage 6 is when you put your plan into action within the community  (MAPP, n.d). I feel that the community health nurse has a lot of research to do based on this community assessment. I think it would be best to team up with leaders through out the local community such as the health department and maybe even emergency services since they have so many statistics on our population for our community. I think a reasonable time frame would include four to eight months for a community assessment.

CDC – Assessment – Community Health Assessment – STLT Gateway. (2015, November 9). Retrieved from https://www.cdc.gov/publichealthgateway/cha/assessment.html.

Mobilizing for Action through Planning and Partnerships (MAPP). (n.d.). Retrieved from https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mapp.

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200 words for each response

1) 

The mission of the schools in the local area system that was investigated is to promote the health and wellness for the students and their families, their staff, and the community.  The county schools believe that the nurses should be committed to providing comprehensive, quality health care to students using a systematic approach to identify and meet the dynamic health needs of all students including chronic health conditions, disabilities, and those with acute and emergency care situation (Maryland Department of Health, 2019).  The professional school nurse is an important member of the multidisciplinary school team and collaborates with other disciplines to enhance the academic success of students.  The school nurse promotes improvement of children’s health, removes barriers to learning, and improves overall potential for academic success.  Parents are encouraged to contact their child’s school nurse to discuss any health related needs.  Some of the schools in the county have Wellness Centers where the center provides care that minimizes the physical and emotional conditions that become barriers to optimal school performance.  The goal is to make students available for learning by promoting health, preventing disease, and reducing behavioral risks.

One existing condition that the schools deal with is sickle cell disease (SCD).  Children with SCD are more susceptible to infection.  Infection is the most common cause of death in children with SCD (Maryland Department of Health, 2019).  Most children with SCD are vaccinated against infectious organisms and generally use prophylactic measures to decrease risk of infections.  Fevers should be taken seriously for a child with SCD.  Other health complications include chronic pain, stroke, vision problems, progressive organ damage, acute chest syndrome, priapism, pulmonary hypertension, and anemia.  Although people of all races and ethnicity can have SCD, in the United States SCD is most common among persons of African descent.  The condition is also common among persons of Hispanic, Mediterranean, Caribbean, and Asian descent.  There are various types of SCD ranging from mild to severe.  Each individual with SCD may have a different clinical presentation; therefore students may have individualize care plans.  The school nurse is always the leader of the school health services team.  Some students with SCD may have a designated school case manager to coordinate his or her Individualized Educational Plan (IEP).  The school nurse also serves as the liaison and advocate for the student.  The school nurse may also refer the student and or family for counseling, support groups, and medical care.  Moreover, the county has school-wide awareness and education regarding SCD management for school staff.  Awareness and education may include, but is not limited to: definition and types of SCD; effective SCD management principles; symptoms of a SCD crises to report to the school nurse; student’s emergency care plan/protocol; student’s emergency plans and protocols for substitutes including teacher, school health staff, transportation, coaches, and food services; necessary and approved accommodations during school or school-sponsored activities; confidentiality protections; disability awareness needed in classroom; student’s IEP; and education for school visitors or volunteers with student contact, as necessary per local policy (Maryland Department of Health, 2019).  It is recommended that school staff awareness and education is completed annually and whenever a student’s condition and care changes.

Reference

Maryland Department of Health. (2019). Management of sickle cell in schools. Retrieved from https://www.sicklecelldisease.org/files/sites/181/2019/06/SickleCellDiseaseGuidelines-1.pdf

2) 

I looked into a major school district in my area and found that the schools in my area have a nurse assigned to each school. The school nurse helps students with chronic illnesses like type one diabetes manage their illness. The school nurse also watches out for children with communicable diseases and decides to send them home if they have diarrhea, vomiting, fever, or a deep cough. Parents are also instructed to not send their kids to school if they have a communicable disease or lice. The school district policy is that children must be 24 hours being symptom-free before they can return to school. The school nurse cannot give medications that are prescribed three times a day at school unless the doctor says that medication during school hours. The school nurse will not give narcotics or any form of cannabis even with a doctor’s order. The school nurse will also provide hearing screenings in preschool, kindergarten, grades 1, 2, 6, and 9. The school nurse also will screen vision screenings during the same year as the hearing test. Another screening that the school nurse does is scream for scoliosis when kids are in sixth and seventh grades. The school nurse also makes sure that students are up to date on their vaccines in order to be entered into the school.

The school nurse helps promote Health by helping students who have chronic diseases manage their health. The school nurse also promotes health by sending kids home that show signs of a communicable disease and prevents communicable disease spread by making sure students are up-to-date on their vaccinations. Doing a quick screening for hearing, vision, and scoliosis will also ensure that all parents are aware if their child needs to see a provider for these medical conditions.

The Center for Disease Control [CDC] (2019) explains that school health services can promote health for students by providing acute and emergency care, care coordination, chronic disease management, and family engagement. The school nurse can help with acute or emergency care if a student is in a medical crisis like a seizure. The nurse can also respond if a violent crime were to happen on campus. The school nurse will coordinate health care with families, health care providers, administration, and teachers (CDC, 2019). The school nurse will work with students with chronic conditions by helping to manage their condition for example like helping children with glucose checks and providing insulin. The school nurse can also help engage families of students by giving parents health status updates and giving students extra dietary and physical considerations (CDC, 2019).

Reference:

Centers for Disease Control. (2019, May 29). School health services. Retrieved from

https://www.cdc.gov/healthyschools/schoolhealthservices.htm.

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