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Community Nursing
n/a
115
Nursing
Undergraduate 4
02/02/2015

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Term
COMMUNITY BASED NURSING
Definition
1:1 CARE OR INDIVIDUAL CARE
TERTIARY CARE
EXAMPLE: MED-SURG NURSING
Term
COMMUNITY ORIENTED NURSING
Definition
HEALTH PROMOTION NURSING
AGGREGATE POPULATION
EXAMPLE: SEX ED, LOBBYING, POPULATION ED
Term
PRIMARY CARE
Definition
HEALTH PROMOTION AND EDUCATION
Term
SECONDARY CARE
Definition
SCREENINGS
Term
TERTIARY CARE
Definition
TREATMENT
Term
BENEFITS OF PUBLIC HEALTH
Definition
DRAMATIC INCREASE IN LIFE EXPECTANCY, SANITATION AND DISEASE CONTROL, IMMUNIZATIONS
1900'S =<50 YRS; 2002 > 77 YRS
Term
WHAT MOTIVATES THE PUBLIC
Definition
FEAR & FUNDING
Term
ISSUE = FEAR = SOLUTIONS = RESOLVE = LESS PROMINENCE = LESS FUNDING = LESS PROBLEMS
Definition
HISTORY OF PUBLIC & COMMUNITY HEALTH
Term
FLORENCE NIGHTENGALE
Definition
REPLACED LAY NURSES W/ TRAINED NURSES
EDUCATION
USED BASIC EPIDEMIOLOGY TO MEASURE RATES OF ILLNESS
LOOKED FOR RELATIONSHIPS BTWN ILLNESS AND ENVIRONMENT
Term
LILLIAN WALD
Definition
-ESTABLISHED HENRY STREET SETTLEMENT AND WAS PRESIDENT
-SETTLEMENT HOUSES AND NEIGHBORHOOD
CENTERS
-MET LIFE
-1ST SCHOOL NURSE
-1ST PRESIDENT OF NOPHN
Term
3 CORE FUNCTIONS OF PUBLIC HEALTH
Definition
1. ASSESSMENT
2. POLICY DEVELOPMENT
3. ASSURANCE (EVALUATION)
Term
MARY BRECKINRIDGE
Definition
-RURAL APPALACHIA NURSING (I.E. HOME CARE)
-BIG IMPACT ON INFANT AND MATERNAL MORTALITY
-FOUNDED FRONTIER NURSING SERVICES
Term
JOHN SNOW
Definition
-1850'S BROAD STREET PUMP
-"FATHER OF EPIDEMIOLOGY" AND THE NATURAL EXPERIMENT R/T CHOLERA
Term
AGGREGATE POPULATION
Definition
A GROUP THAT SHARES SOME MEANINGFUL CHARACTERISTICS
-EX: A NEIGHBORHOOD, WORK SITE
Term
METROPOLITAN LIFE INSURANCE COMPANY 1909
Definition
-USED VISITING NURSE ORGANIZATIONS TO PROVIDE CARE FOR SICK POLICY HOLDERS
-LILLIAN WALD
Term
NATIONAL ORGANIZATION FOR PUBLIC HEALTH NURSING
Definition
-PRESIDENT LILLIAN WALD
-STANDARDIZED PUBLIC HEALTH NURSING AND COMMUNITY HEALTH NURSING EDUCATION
-NOPHN NEGOTIATED WITH METLIFE
-IMPLEMENTED 1ST SCHOOL RN
Term
SHATTUCK REPORT
Definition
-1850 1ST EFFORT THAT DESCRIBED MODERN APPROACH TO PUBLIC HEALTH ORGANIZATION BY COLLECTING STATS
Term
ELIZABETHAN POOR LAW
Definition
-ESTABLISHED SYSTEMS OF CARE FOR SICK OR AGED, MENTALLY ILL AND DEPENDENTS
Term
WHAT IS CHN / PHN
Definition
-CHARACTERIZED BY HUGH PRACTICE AUTONOMY AND VERY INTERDISCIPLINARY
-GROWTH IN # OF RN'S NEEDED D/T PREVENTATIVE CARE, EARLY DISCHARGE AND INCREASED ACUITY
Term
SOCIAL SECURITY ACT OF 1935
Definition
-KEY AREAS: PUBLIC HEALTH ATTENTION UPON WHICH FUNDING IS BUILT AND TENDS TO REFLECT PUBLIC HEALTH DEPARTMENT
STRUCTURES
-FDR'S NEW DEAL
Term
SHEPPARD TOWNER ACT
Definition
-MATERNITY AND INFANCY ACT OF 1921
-FUND MATCHING WITH STATE & INSURANCE COMPANY; CANCELLED BECAUSE IT WAS CONSIDERED SOCIALISM
Term
FRONTIER NURSING SERVICES
Definition
-FOUNDED IN 1925 BY MARY BRECKINRIDGE
Term
CORE FUNCTIONS OF PUBLIC HEALTH
Definition
-ASSESS POLICY
-COMMUNITY BASED VS COMMUNITY ORIENTED NURSING
-PRIMARY, SECONDARY & TERTIARY PREVENTION AND PH SERVICES
Term
NATIONAL HEALTH MISSION vs FUNDING HISTORY
Definition
-TREATMENT EFFICACY VS PREVENTION EFFICACY
-PREVENTION EFFICACY MORE DIFFICULT TO PROVE THAN TREATMENT EFFICACY
-GENERATING FEAR
Term
AMERICAN PUBLIC HEALTH ASSOCIATION OF 1872
Definition
-FACILITATE INTERDISCIPLINARY EFFORTS AND PROMOTE THE "PRACTICAL APPLICATION OF PUBLIC HYGIENE"
-LARGEST COMMITTEE CONFERENCE IN THE WORLD
Term
NATIONAL LEAGUE OF NURSING (NLN)
Definition
-TRAINING & ACCREDITATION
Term
ANA
Definition
-CODE OF ETHICS
-UNION ORGANIZING
Term
HIPAA
Definition
-1996
-ESTABLISHED FOR MOVING HEALTH INSURANCE
-HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
Term
NATIONAL HEALTH CARE SERVICES MISSION (PYRAMID FROM BOTTOM TO TOP)
Definition
-POPULATION BASED HEALTH CARE SERVICES
-CLINICAL PREVENTATIVE SERVICES
-PRIMARY HEALTH CARE
-SECONDARY HEALTH CARE
-TERTIARY HEALTH CARE
Term
PRIMARY CARE
Definition
-TERTIARY CARE
-UNIVERSALLY ACCESSIBLE SERVICES BY CLINICIANS TO MEET INDIVIDUAL NEEDS
-CAN BE FAMILY OR COMMUNITY
-CONTINUOUS CARE
Term
PRIMARY HEALTH CARE
Definition
-COMBINATION OF PRIMARY CARE AND PUBLIC HEALTH
-UNIVERSALLY ACCESSIBLE TO COMMUNITY
-AFFORDABLE BY THE COMMUNITY
-EXAMPLE: WHO AND HEALTHY PEOPLE 2020
Term
DEFINING ATTRIBUTES FOR COMMUNITY
Definition
-PEOPLE
-PLACE (GEOGRAPHICAL DIMENSIONS)
-FUNCTION (ACTIVITIES)
Term
DEFINING ATTRIBUTES FOR COMMUNITY HEALTH
Definition
-STATUS (OUTCOME METRICS)
-STRUCTURE (SERVICES & RESOURCES)
-PROCESS (EFFECTIVE FUNCTIONING)
Term
PUBLIC HEALTH SYSTEM
Definition
-NOT A BRANCH OF MEDICINE BUT RATHER A COMMUNITY ORGANIZED APPROACH BY THE GOVERNMENT
-BASED ON EPIDEMIOLOGY AND BIOSTATS
Term
GOVERNMENT HEALTH CARE FUNCTIONS
Definition
-VITAL STATISTICS, HEALTH EDUCATION, IDENTIFICATION OF THOSE AT RISK, COMMUNICABLE DISEASE CONTROL
Term
INSURANCE SYSTEM BASICS
Definition
1. PPO: PREFERRED PROVIDER ORGANIZATION
2. HMO: HEALTH MAINTENANCE ORGANIZATION
3. MEDICAID: SHORT TERM AID, POOR OLDER ADULTS, BLIND, DISABLE, FAMILIES WITH DEPENDENT CHILDREN
4. MEDICARE: AGE 65 AND OLDER AND PERMANENTLY DISABLED
Term
CORE BACKGROUND ISSUE OF HEALTHCARE
Definition
-IS HEALTH CARE A RIGHT OR A PRIVILEGE
Term
US DEPARTMENT OF HEALTH AND HUMAN SERVICES
Definition
-FEDERAL AGENCY WITH THE MOST INFLUENCE ON PUBLIC HEALTH
Term
SYLVIA BURWELL
Definition
-SECRETARY OF HEALTH AND HUMAN SERVICES
Term
VIVEK H. MURTHY
Definition
-US SURGEON GENERAL
-CHIEF HEALTH EDUCATOR
-APPOINTED BY PRESIDENT
-IMPLEMENTS IMPROVING HEALTH AND REDUCING RISK OF ILLNESS AND INJURY
Term
FEDERAL PUBLIC HEALTH
Definition
-DEVELOPS REGULATIONS BY CONGRESS
-PROVIDES FUNDING TO A STATE
-SURVEYS THE NATION'S HEALTH STATUS
-SETS PRACTICE STANDARDS
-PROVIDES EXPERTISE FOR EBP
-COORDINATES INTERSTATE ACTIVITIES
-SUPPORTS RESEARCH
Term
STATE PUBLIC HEALTH
Definition
-MONITORS HEALTH STATUS
-ENFORCES LAWS AND REGULATIONS
-DISTRIBUTES FUNDS TO HEALTH AGENCIES
-PROVIDES OVERSIGHT AND CONSULTATION FOR LOCAL PUBLIC HEALTH AGENCIES
-EXAMPLE OF PROGRAMS: COMMUNICABLE DISEASE PROGRAM, MATERNAL & CHILD HEALTH
Term
LOCAL PUBLIC HEALTH
Definition
-IMPLEMENTS AND ENFORCES HEALTH CODES
-PROVIDES PROGRAMS AND SERVICES TO A COMMUNITY
-DISTRIBUTES HEALTH INFORMATION
-MAINTAINS BIRTH & DEATH CERTIFICATES
-ANALYZES BIRTH STATS
-STATE REGULATED BUT ULTIMATELY LOCALLY GOVERNED AND ADMINISTRATED
Term
NICK LYON
Definition
DIRECTOR OF:
-MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
-MICHIGAN DEPARTMENT OF HUMAN SERVICES (DHS & MDCH)
RESPONSIBLE FOR MICHIGAN'S PUBLICLY FUNDED HEALTH SYSTEMS
Term
DEBORAH BACH-STANTE
Definition
-DIRECTOR OF OFFICE OF NURSING POLICY
-CHIEF NURSING EXPERT
-PROVIDES LEADERSHIP FOR CRITICAL ISSUES
Term
HISTORICAL IMPACT SOURCES OF CHANGES IN LIFE EXPECTANCY
Definition
-PHASE 1:
-SANITATION ISSUES
-HEALTH CARE IN HOME BY FAMILY/
FRIENDS
-FEW OVERCROWDED HOSPITALS AND
UNSANITARY
-NURSES ARE RELIGIOUS
PHASE 2:
-SANITATION IMPROVEMENTS
-GROWTH OF HOSPITALS AND HEALTH DPTS
-TRAINED NURSES
PHASE 3:
-FOCUS ON CHRONIC INSTEAD OF ACUTE
-1965 MEDICAID/MEDICARE ARE BORN
-1984: FOCUS ON PREVENTION
-NURSING EDUCATION / ADN & BSN
-THIRD PARTY PAYERS ESTABLISHED
PHASE 4:
-1984 TO PRESENT
-LIMITED RESOURCES
-RISING COSTS = CHANGES IN DLVRY
AND FINANCING OF HEALTH CARE
-INCREASED MANAGED CARE
-INCREASED AMBULATORY CARE
-SHORTENED LOS FOR ACUTE CARE
Term
IRON TRIANGLE (3 KEY ELEMENTS FOR HEALTH POLICY & CURRENT U.S. FOCI FOR IDENTIFYING PROBLEMS
Definition
-ACCESS
-COST
-QUALITY
Term
DEMOGRAPHIC TRENDS OF LIFE EXPECTANCY
Definition
-INCREASED FERTILITY
-DECREASED MORTALITY
-INCREASED DEMANDS ON MEDICARE
-INCREASED RETIREMENT YIELDING DECREASED MEDICARE FUNDING
-RISING HOUSEHOLD INCOMES
-AVERAGE LIFE EXPECTANCY NOW INCREASED BY 30 YEARS
-5 YRS FROM MEDICINE AND 25 YRS FROM
PUBLIC HEALTH
Term
SOCIAL & ECONOMIC TRENDS
Definition
-RISING HOUSEHOLD INCOMES
-ACCELERATED GROWTH IN COST OF HEALTH CARE WHICH IS DISPROPORTIONATE W/ GDP
-WIDENING WEALTH GAP
Term
HEALTH CARE ECONOMIC TRENDS
Definition
-NEW TECHNOLOGY + TRAINING = INCREASED
COSTS
-MORTALITY SHIFTS FROM INFECTIOUS DISEASE TO CHRONIC & DEGENERATIVE DISEASES
Term
HEALTH WORKFORCE TRENDS
Definition
-RN SHORTAGE
-NOT ENOUGH PCP'S / NP'S ARE TAKING
THE POSITION
Term
CORE DYNAMICS OF U.S. HEALTH CARE / COMPETING FORCES
Definition
1. CONSUMERS - COST EFFECTIVE & QUALITY
2. EMPLOYERS
3. MANAGED CARE SYSTEMS & INSURERS
- PROVIDERS TO PROVIDE CARE
4. STATE & FEDERAL LEGISLATION - ACCESS
TO COST AND QUALITY
Term
THE PRIMARY CARE SYSTEM CAN BE DIFFERENTIATED FROM THE PRIMARY HEALTH CARE SYSTEM IN PART BY PRIMARY CARES' TENDENCY TO FOCUS ON THE PATHOPHYS. PROCESS.
TRUE OR FALSE
Definition
TRUE
Term
THE SPECIALTY OF FAMILY PRACTICE AND THE ARRIVAL OF NP'S AND PA'S EMERGED IN RESPONSE TO THE INCREASED NEED TO PROVIDE PRIMARY CARE.
TRUE OR FALSE
Definition
TRUE
Term
PUBLIC HEALTH NURSES SHOULD EXPECT THAT ALL LOCAL PUBLIC HEALTH AGENCIES CONFORM FROM STATE TO STATE (I.E. THEY ARE ALL THE SAME)
TRUE OR FALSE
Definition
FALSE

$ IS A FACTOR
Term
EXECUTIVE BRANCH
Definition
THE PRESIDENT (OR STATE GOVERNOR OR LOCAL MAYOR) ALONG WITH STAFF AND CABINET APPOINTED BY THIS EXECUTIVE, VARIOUS ADMINISTRATIVE AND REGULATORY DPTS, AND AGENCIES SUCH AS THE USDHHS.
-SUGGESTS, ADMINISTERS, AND REGULATES POLICY.
Term
LEGISLATIVE BRANCH
Definition
CONGRESS AT THE FEDERAL LEVEL MADE UP OF 2 BODIES: SENATE AND HOUSE OF REP., WHOSE MEMBERS ARE ELECTED BY THE CITIZENS OF PARTICULAR GEOGRAPHIC AREAS.
-IDENTIFIES PROBLEMS, PROPOSES, DEBATES, PASSES, AND MODIFIES LAWS TO ADDRESS THOSE PROBLEMS
Term
JUDICIAL BRANCH
Definition
SYSTEM OF FEDERAL, STATE, AND LOCAL COURTS GUIDED BY THE OPINIONS OF THE SUPREME COURT. THIS BRANCH INTERPRETS LAWS AND THEIR MEANINGS
Term
PROFESSIONAL NEGLIGENCE
Definition
-MUST BE DUTY TO CLIENT, BREACH OF THAT DUTY, PROXIMATE CAUSE-CAUSATION, AND DAMAGES
Term
STATE NURSE PRACTICE ACT
Definition
-DEFINES PRACTICE OF PROFESSIONAL NURSING
-IDENTIFIES SCOPE OF PRACTICE
-SETS EDUCATIONAL AND OTHER REQUIREMENTS FOR LICENSURE
-DETERMINES LEGAL TITLES NURSES MAY USE
Term
HEALTH CARE SERVICES FINANCED THROUGH THE FEDERAL GOVERNMENT
Definition
-MEDICAID / MEDICARE
-TRICARE
-INDIAN HEALTH SERVICES
-THE VA
Term
HOLLISTER POLICY PRIMER

"BE HEARD AND SPEAK UP"
Definition
-NURSES CAN MONITOR, ANALYZE, AND SHAPE HEALTH POLICY BY PARTICIPATING
-GOOD POLICY - GOOD POLITICS (RT TURN ON RED)
-GOOD POLICY - BAD POLITICS (SEATBELTS)
-BAD POLICY - GOOD POLITICS
-POLICY SOURCES: ELECTED BODY, COURTS, STREETS
-TYPES OF PUBLIC OFFICIALS: DELEGATE, TRUSTEE, POLITICO
-5 SOURCES OF POLICY: LAWMAKING, BUDGETING, RULE MAKING, OVERSIGHT COMMITTEES, SUNSET OPTION
Term
RETROSPECTIVE REIMBURSEMENT
Definition
A SERVICE IS GIVEN AND BILL IS GENERATED. A FEE FOR SERVICE
Term
PROSPECTIVE REIMBURSEMENT
Definition
-CAPITATION
-ENCOURAGES ORGANIZATIONS TO STAY IN BUDGET
Term
DEFINING ATTRIBUTES FOR COMMUNITY
Definition
-PEOPLE
-PLACE (GEOGRAPHICAL DIMENSIONS)
-FUNCTION (ACTIVITIES)
Term
DEFINING ATTRIBUTES FOR COMMUNITY HEALTH
Definition
-STATUS (OUTCOME METRICS)
-STRUCTURE (SERVICES & RESOURCES)
-PROCESS (EFFECTIVE FUNCTIONING)
Term
COMMUNITY NURSING DIAGNOSIS
Definition
-"NAMING" = A DX IS AN IMPORTANT 1ST STEP TO PLANNING. HELPS CLARIFY PROBLEM
-CLARIFIES WHO RECEIVES THE CARE, PROBLEMS FACED, AND CONTRIBUTING FACTORS
1. RISK OF...
2. AMONG
3. RELATED TO...
Term
COMMUNITY ORIENTED PRACTICE
Definition
-RN AND COMMUNITY SEEK HEALTHFUL CHANGES TOGETHER
-COMMUNITY PARTNERSHIPS: STAKEHOLDERS & KEY INFORMANTS (I.E. PEOPLE IN COMMUNITY, CLIENTS)
Term
CHARACTERISTICS OF EFFECTIVE PARTNERSHIPS
Definition
-EQUALITY IN DECISION-MAKING
-INTEGRITY
-AN ITERATIVE PROCESS (CYCLICAL)
-DOCUMENTATION (WHO KEEPS MINUTES)
*PARTNERS ARE SKEPTICAL OF YOUR INTENTIONS*
Term
STAGES OF CHANGE IN TTM MODEL
Definition
1. PRECONTEMPLATION (NOT THINKING ABOUT QUITTING SMOKING)
2. CONTEMPLATION (JUST THINKING ABOUT QUITTING)
3. PREPARATION (HAVE PLAN TO QUIT WITHIN 30 DAYS)
4. ACTION (I QUIT SMOKING)
5. MAINTENANCE (I HAVE NOT SMOKED IN 6 MONTHS)
Term
DECISIONAL BALANCE OF TTM MODEL
Definition
-PROS (BENEFITS)
-CONS (BARRIERS)
-SELF-EFFICACY (PERCEIVED CONFIDENCE; ACTIVITY RELATED AFFECT)
-INTERPERSONAL INFLUENCES
-SITUATIONAL INFLUENCES
Term
FACTORS INFLUENCING SELF-EFFICACY
Definition
-MASTERY EXPERIENCES
-VICARIOUS EXPERIENCES
-SOCIAL PERSUASION
-PERSONAL PERCEPTIONS OF PHYSICAL & PSYCHOLOGICAL STATE
Term
MASTERY EXPERIENCES IN SELF-EFFICACY
Definition
-PAST SUCCESS INCREASES SELF-EFFICACY, PAST FAILURE DECREASES SELF-EFFICACY
-PREVIOUS PRACTICE OPPORTUNITIES
-ALL WOMEN MAY FEEL PARTICULARLY VULNERABLE AT THIS TIME AND THREAT OF FAILURE LOOMS LARGE (I.E. POST-PARTUM, BREAST FEEDING CHALLENGES, ETC)
Term
VICARIOUS EXPERIENCES IN SELF-EFFICACY
Definition
-OBSERVATION OF A SUCCESSFUL PERFORMANCE
-HELPFUL VICARIOUS SUPPORT INCLUDES: INFORMATION, INSTRUMENTAL, APPRAISAL & EMOTIONAL
-NEGATIVE ROLE MODELS CONSIDERED MORE POWERFUL THE POSITIVE ROLE MODELS
Term
SOCIAL PERSUASION IN SELF EFFICACY
Definition
-SOCIAL NORMS
-HEALTH CARE PROVIDER RECOMMENDATION CAN HAVE POSITIVE INFLUENCE
-CONCERNS OVER PROVIDERS BEING "OVER-BEARING" ON TOPIC
-MINIMALLY MUST CLEARLY INFORM & OFFER TOOLS FOR SUCCESS
-NEGATIVE SOCIAL PERSUASION CAN HAVE DELETERIOUS EFFECT
-RUSH MOTHER'S MILK CLUB
Term
THEORIES OF LEARNING
Definition
-BEHAVIORAL (SKINNER)
-COGNITIVE (INFORMATION PROCESS)
-CRITICAL (Q&A)
-DEVELOPMENTAL (PIAGET)
-HUMANISTIC (EMOTION, VALUES)
-SOCIAL LEARNING (BANDURA / SE)
Term
DOMAINS OF LEARNING
Definition
1. COGNITIVE: MEMORY, RECOGNITION, UNDERSTANDING
2. AFFECTIVE: FEEELINGS, THOUGHTS, VALUES
3. PSYCHOMOTOR: PHYSICAL TASK WORK
Term
Population Considerations for Educational Issues
Definition
1. Pedagogy = Learning strategies for those with little/no knowledge about health-related topic
2. Andragogy = Learning strategies for those with some knowledge about the health related topic
Term
The Educational Process
Definition
1. Assessment
2. Planning
3. Implementation
4. Evaluation (from start to finish)
-THE EDUCATOR IS ULTIMATELY RESPONSIBLE
Term
CHN GROUP PROCESSES INCLUDE:
Definition
-BEGINNING INTERACTIONS
-LEADERSHIP & STRUCTURE
-CONFLICT & COHESION & NORMS
-EVALUATION OF GROUP PROGRESS
*FORMING-STORMING-NORMING-PERFORMING-ADJOURNING*
Term
INTERVENTION / PROGRAM PLANNING
Definition
-HELPS FOCUS THINGS IN ON WHAT WE'RE ATTEMPTING TO DO FOR CLIENT
-REDUCES ROLE AMBIGUITY
-REDUCES UNCERTAINTY
-DOCUMENTATION PLAYS BIG PART IN ATTAINMENT OF THESE OUTCOMES
Term
WHAT DO MODELS DO FOR US?
Definition
THEY GUIDE PLANNING, IMPLEMENTATION, AND EVALUATION. THEY HELP KEEP THINGS ORGANIZED AND EFFICIENT
Term
WHAT IS THE FOCUS OF CBPR? (COMMUNITY-BASED PARTICIPATORY RESEARCH)
Definition
FOCUSING ON WELLNESS AND AN ECOLOGICAL (SYSTEMS) PERSPECTIVE OF HEALTH
Term
PLANNING FOR PROGRAM EVALUATION
Definition
-PROGRAM EVALUATION IS PART OF PLANNING...NOT SOMETHING THAT OCCURS IMPLEMENTATION
Term
KEY TERMS IN PROGRAM EVALUATION IN COMMUNITY PLANNING PROCESS
Definition
1. FORMATIVE EVALUATION
2. SUMMATIVE EVALUATION
Term
FORMATIVE EVALUATION
Definition
-PROCESS ISSUES
EX.: DID PLANNERS WORK TOGETHER WELL, WERE THE FACILITIES / CLASSROOMS GOOD, WERE PEOPLE WELL INFORMED OF WHAT WAS HAPPENING WHEN
Term
SUMMATIVE EVALUATION
Definition
-TOPIC SPECIFIC OUTCOMES
-DID I ACHIEVE THE PROCESS DEVELOPED?
-EX.: HOW MANY PARTICIPANTS QUIT SMOKING AFTER "QUIT SMOKING" PROGRAM
Term
ASPECTS OF PROGRAM EVALUATION
Definition
-BOTTOM LINE: COST. BENEFIT ANALYSIS R/T ATTAINED GOALS
-EVAL. OF RELEVANCE
-ADEQUACY
-PROGRESS
-EFFICIENCY
-EFFECTIVENESS
-IMPACT
-SUSTAINABILITY
Term
LEVELS OF PRACTICE PHN SHOULD FOCUS INTERVENTION PRACTICE
Definition
1. COMMUNITY-LEVEL PRACTICE
2. SYSTEMS-LEVEL PRACTICE
3. INDIVIDUAL-LEVEL PRACTICE
Term
STRATEGIC PLANNING
Definition
INVOLVES THE SUCCESSFUL MATCHING OF CLIENT NEEDS WITH SPECIFIC PROVIDER STRENGTHS AND COMPETENCIES AND AGENCY RESOURCES
Term
SURVEILLANCE
Definition
A TOOL USED BY COMMUNITY HEALTH NURSING AS AN APPROACH TO THE PREVENTION OF DISEASE AND INJURIES
-NURSES ARE OFTEN IN THE FOREFRONT OF RESPONSES TO BE MADE IN THE SURVEILLANCE PROCESS
Term
CLASSIC EPIDEMIOLOGIC TRINAGLE
(SAID TO BE OVER SIMPLISTIC)
Definition
1. AGENT
2. HOST
3. ENVIRONMENT
Term
AGENT
Definition
-NUTRITIVE ELEMENTS
-CHEMICAL AGENTS
-PHYSICAL AGENTS
-INFECTIOUS AGENTS
Term
HOST
Definition
-PERSON
-POPULATION
-FACTORS THAT AFFECT HOST SUSCEPTIBILTY
Term
ENVIRONMENT
Definition
-EXTERNAL FACTORS
-GEOGRAPHIC FACTORS
-OCCUPATIONAL HAZARDS
-PERSONAL OR SECULAR FACTORS
Term
WEB OF CAUSATION
Definition
-CAUSES OF DISEASE ARE COMPLEX AND INTERACTING
-NO SINGLE CAUSE
Term
CONTINUUM OF NATURAL HISTORY OF DISEASE
Definition
-EXPOSURE TO AGENT
-PRE-DISEASE SCREENING
-DISEASE SIGNS AND SYMPTOMS
-DISABILITY OR DEATH
Term
SCREENING TESTS
Definition
-EARLY IDENTIFICATION OF DISEASE BUT TESTS ARE FLAWED
Term
KEY SCREENING TEST CONCEPTS
Definition
1. VALIDITY = TRUTH (NOT THAT SIMPLE)
2. SCREENING TEST VALIDITY MEASURED AGAINST SENSITIVITY & SPECIFICITY
Term
SENSITIVITY
Definition
"WITH"
-FINDING A + WHEN THINGS ARE +
-SENSITIVITY = A / (A+C)
-SENSITIVITY & PPV SHOULD NEVER BE THE SAME
-INVERSE RELATIONSHIP WITH SENSITIVITY (IMPROVING ONE WORSENS THE OTHER)
Term
SPECIFICITY
Definition
"WITHOUT"
-FINDING A - WHEN THINGS ARE -
-COINCIDES WITH NEGATIVE PREDICTIVE VALUE
-SPECIFICITY = D / (B+D)
-INVERSE RELATIONSHIP WITH SENSITIVITY (IMPROVING ONE WORSENS THE OTHER)
Term
POSITIVE PREDICTIVE VALUE (PPV)
Definition
-THE PROPORTION OF ALL PERSONS WITH A + TEST THAT ACTUALLY HAVE THE DIESASE
-PPV = A / (A+B)
-SENSITIVITY AND PPV SHOULD NEVER BE SIMILAR #'S
Term
NEGATIVE PREDICTIVE VALUE (NPV)
Definition
THE PROPORTION OF PERSONS WITH A NEGATIVE TEST THAT ARE ACTUALLY DISEASE FREE
-NPV = D / (C+D)
Term
DESCRIPTIVE EPIDEMIOLOGY
Definition
DESCRIBES A DISEASE ACCORDING TO ITS PERSON, PLACE, OR TIME
Term
ANALYTIC EPIDEMIOLOGY
Definition
INVESTIGATES CAUSE AND ASSOCIATIONS (HOW & WHY) BETWEEN FACTOR OR EVENTS AND HEALTH
Term
CRITERIA FOR CAUSALITY
Definition
-WE LOOK AT A LOT OF THINGS AND HOW THEY FIT TOGETHER. IT'S ABOUT MORE THAN ONE DATA POINT
Term
RAW NUMBERS VERSUS PROPORTIONS
Definition
-DIFFERENT TYPES OF DATA TELL DIFFERENT STORIES
-DEPENDS ON WHAT YOU'RE USING DATA FOR
Term
MEASURES OF MORBIDITY AND MORTALITY
Definition
-RATE
-INCIDENT RATE
-PREVALENCE RATE
-ATTACK RATE
-INFANT MORTALITY RATE
Term
RATE
Definition
A MEASURE OF THE FREQUENCY OF A (HEALTH) EVENT IN A DEFINED POPULATION DURING A SPECIFIC PERIOD OF TIME
Term
EPIDEMIC
Definition
CASES IN EXCESS OF TYPICAL ENDEMIC LEVELS OR RATES OUTSIDE OF THE NORM
Term
ENDEMIC
Definition
NORMAL OCCURENCE
Term
PANDEMIC
Definition
WORLDWIDE
Term
INCIDENCE RATE
Definition
ALL NEW CASES
Term
PREVALENCE RATE
Definition
ALL CASES
Term
INFANT MORTALITY RATE
Definition
-ALL INFANT DEATH RATES < YEAR BY ALL LIVE BIRTHS
-OFTEN USED TO MEASURE OVERALL COMMUNITY HEALTH AND HEALTH SERVICE AVAILABILITY
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