Community Health
Community Health
Community Health
Community Assessment
An essential process for understanding the
community, identifying its needs or
weaknesses, and assets or strengths that is
useful to achieve healthy communities
Fundamental step that supports other nursing
actions
Community Assessment
RAPID OBSERVATION
o May be done through ocular or windshield
survey – driving or riding a vehicle or
walking
o Observe people, take note of environmental
conditions and existing facilities
o Spot for vulnerable groups
PARTICIPANT OBSERVATION
o Purposeful observation of formal and
informal community activities, by sharing, if
possible, in the life of the community.
o Helps determine community values, beliefs,
norms, priorities, concerns, and power and
influence structures
2. Survey
NANDA I
NANDA‐I diagnosis: Deficient Community
Health
Definition: Presence of one or more health
problems or factors that deter wellness or
increase the risk of health problems
experienced by an aggregate.
NANDA‐I diagnosis: Ineffective Community
Coping
Definition: A pattern of community
activities for adaption and problem‐
solving that is unsatisfactory for meeting
the demands or needs of the community
Shuster and Goeppinger
Three-part – statement
Consists of:
The health risk or specific problem
The specific aggregate or community
Related factors
The Omaha System
Comprehensive and research based
classification system for client problems
The classification has three components:
oProblem classification scheme
oIntervention scheme
oProblem rating scale for outcomes
Social Diagnosis
Represents the impact of the health
problem in terms of the overall quality of
life of the people in the community
Looks at quality of life as a subjectively
defined problem of individuals or
communities.