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Curriculum Design & Instruction To Teach Community Health Nursing

Curriculum Design & Instruction To Teach Community Health Nursing

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Curriculum Design and Instruction To Teach

Community Health Nursing: Nursing and Caring

In Community: Caring in Community Health Nursing:

Author: Charles Hayes:

Special Features Include:

Phases For Conducting A Needs Assessment:

Curriculum Design Supplement:

|a|. Subject-Questions-Answers:

Curriculum Design Plan:

Lesson Plans:

Instructional Goals:

Instructional Objectives:

Instructional Activities:

Instructional Evaluation Techniques:

Standard Vocabulary:

A Limited Glimpse:

Topics Include:

* Introduction:

I. Caring in Community Health Nursing:

1. Definition and focus of Community Health

Nursing/Public Health Nursing:

a. Population Focused Practice:

2. Introduction to Caring in Community Health


a. Meaning of caring for community:

b. Health Nurses:

c. Definition of caring:

d. caring Themes and Models:

3. Context for Community Health Nursing:

a. Health:

b. Public Health:

|a|. Public Health Essential Sevvices:

c. Social Justice:

d. Health Promotion and Health Protection:

e. Disease and Injury Prevention:

f. Healing:

4. Caring for Populations:

5. Population-focused practice:

@ Historical Development of Community Health


1. Historical background of Public Health Nursing:

a. International Background:

1. The Middle Ages:

2. The Renaissance:

3. The Industrial Revolution:

4. The 18th and 19th Centuries in Europe:

2. Historical Development in America:

a. Colonial America:

b. The 18th and 19th Century in America:

c. The 20th Century:

3. International Initiatives in Public Health:

a. Declaration of Alma Ata:

b. Health for all Initiative:

c. Health Cities and Communities:

4. Evolution of Community Health Nursing-Caring

and Healing Practice:

a. Caring and Healing in Community Health Nursing:

b. The Legacy of Florence Nightingale:

c. The Evolution of Modern Nursing:

d. Establishment of Community Health:

e. Nursing and Public Health Practice;

f. Community Health Nursing In the United States:

g. Contributions of Lillian Wald and Others:

h. Expanding Community Health Services:

i. School Nursing:

j. Rural Nursing:

k. Occuational Health Nursing:

l. Equality in Nursing and Services to

Special-Population Groups:

5. Nursing Organizations and Nursing Education:

6. The Influence of the War years on Community

Health Nursing:

a. World War I and after:

b. World War II and after:

c. The Influences of the 1980s, 1000s and after:

@ National and International Health Perspectives:

1. Population Health:

a. Historical Perspective:

b. Determinants of Health:

c. Environmental Challenges: Global Perspectives:

d. Measuring Health Status:

|a|. Life Expectancy:

e. Risk Factor Surveillance to Promote Global


2. Global Mortality Estimates:

a. Leading Causes of Death World Wide:

b. Maternal and Women's Health:

d. Health of Infants and Small Children:

3. Health Trends and Patterns:

a. The emergence and Reemergence of

Infectious Diseases:

1. Tuberculosis:

2. Acquired Immunodificiency Syndrome:

3. Malaria:

b. Injuries and accidents:

d. Chronic Diseases and Disability:

1. Tobacco:

2. Obesity and Alcohol:

3. Mental Illness and Mental Disorder:

e. World Mental Health Perspectives:

f. Violence:

4. Population Characteristics - Projected Changes:

1. Changes in Population age structures:

2. Population Growth and urbanization:

5. Community Health Nursing Role:

@ Health Care delivery in the United States:

1. Health care in the United States:

a. The Political Foundation of Health Care:

b. The Insured:

c. The Insured:

2. Coordination and Integation of Health

Care Services:

3. Ownership of Healt Delivery Organizations:

4. Health Service Organizations:

a. The Public Health System:

b. Primary Health Care Systems:

c. Hospitals:

d. Ambulatory Surgery:

e. Long-Term Care Facilities and Home-and-

Community Based Care:

|1|. Nursing Homes:

|2|. Home Health Care:

|3|. Hospice:

d. Ambulatory Care:

|1|. Community Nursing Organization:

|2|. Community Nursing Centers:

5. Assessing Trends and Influences on Health

Services Delivery:

a. Trends shaping the Future of Public Health:

6. Reforming Health Care in the United States:

a. A Paradigm Shift:

b. Consumer Sovereignty and Responsibility:

c. Wellness and Care:

d. Care in the Community:

@ Health Care Systems In The World:

1. International Health and Health Promotion:

a. Health Promotion:

b. The Role of Primary Health Care:

2. Major International Organizations:

a. Types of International Health Organizations:

b. Major International Nursing Organizations:

3. Health Care systems: Changing Perspectives:

a. Health Systems: A Global Perspective:

|1|. Health System Performance:

|2|. Performance Measures:

|3|. Health Sector Reform:

b. Selected Health Care Systems:

|1|. United Kingdom:

|2|. Australia:

|3|. Canada:

|4|. Russia:

4. Implications for the Future:

@ Health Care Economics:

1. Economics:

a. Macroeconomics:

b. Microeconomics:

c. Economic Policy:

d. Market System:

e. Inflation:

2. Health Care Economic Terms:

a. Capitation:

b. Case Management:

c. Copayment and Out-Of-Pocket Cost:

d. Diagnosis-Related Groups (DRGs):

e. Fee for Service:

f. Managed Care:

g. Managed Competition:

h. Third-Party Payor:

i. Medicare:

j. Medicaid:

3. Factors Causing Increased Health Care Costs:

a. Cost per volume of Services:

b. Per-Capita Increase in Volume of Services:

C. Growth in Specific Populations:

d. Advanced technology:

e. Rising Administration Costs:

f. Client Complexity:

g. Uncompensated Care:

h. Health Care Fraud:

4. Government's Role in Health Care: The Changing

Climate in Health Care Cost Controls:

a. Actions to Control Costs:

5. Access to Health Care Insurance:

a. Employment-Based Programs:

b. Goverment Programs:

|a|. Medicare:

|b|. Medicaid:

7. Emerging Trends:

a. Managed Care:

b. Managed Care in Medicade and Medicare:

c. Managed Competition:

d. Rationing:

8. Health Care Finance Around the World:

a. The World Health Organization Report 2000:

9. Health Care Economics as an

Expression of Caring:

@ Philosophical and Ethical Perspectives:

1. Client Rights and Professional Responsibilities

in Community Health Classical, Ethical, Theories,

and Principles:

a. Basic Ethical Theories:

|1|. Deontology:

|2|. Utilitarianism:

b. Basic Ethical Principles:

|1|. Beneficence:

|2|. Nomaleficence:

|3|. Justice:

|4|. Autonomy:

|5|. Fidelity and Verocity:

|6|. Accountability:

3. Perspectives in Ethical Decisions: The

Decision Making Process:

a. Essential Components of the

Decision-Making Models:

|1|. Determine Involvement:

|2|. Gathering Data:

|3|. Outlining Options and Consequences:

|4|. Process for Resolving Conflict:

|5|. Process for Resolving Conflict:

|6|. Evaluation:

b. External Factors That Affect Decision:

|1|. Multiple Allegiances:

|2|. Decison Types:

|3|. Environmental Factors:

|4|. Resources for Decision Making:

|5|. Values:

|6|. Ethical Codes:

4. Ethical Dilemmas in Community Health:

a. Client Abandonment:

b. Decisional Capacity:

c. Client/Provider Abuse:

d. Lifestyle Diversity and Compliance:

@ Spiritual and Cultural Perspectives:

1. Spirituality: A Universal Need:

a. Conceptual Foundations for a Spiritual


b. Spiritual Health Indicators:

|1|. Life Meaning and Purpose:

|2|. Sense of Connectedness:

|3|. Sense of Joy, Peace, Inner Strength and

Mystery and love of beauty:

c. Signs of Spiritual Distress:

d. Spiritual Assessment Tools:

e. Healing Practices for Restoring Wholeness:

|1|. Spiritual Self-Care for the Community

Health Nurse:

|2|. Nursing Intervention for Restoring Wholeness:

2. The Need for Cultural Understanding

and Sensitivity:

3. Cultural Competence in Community

Health Nursing:

4. Conceptual Foundations for

Transcultural Nursing:

a. The Leininger Sunrise Model:

b. The Giger and Davidhizar Model:

|1|. Communican:

|2|. Space:

|3|. Social Organization:

|4|. Time:

|5|. Environmental Control:

|6|. Biological Variations:

5. Cultural Beliefs and Values of Prfessional

Nursing and the Nurse:

a. Cultural Beliefs and Values of

Professional Nursing:

b. Cultural Beliefs and Values of the Nurse:

6. Family Folk Health Practices:

a. Pregnancy, Birth, and the Postpartum Period:

b. Infants and Small Children:

c. Children:

d. All Ages:

|1|. Food Patterns:

|2|. Herbal Remedies:

|3|. Traditional Practitioners:

|4|. Treatments:

7. Religion: Bridging Culture and Spirituality:

a. Primal Religions of the World:

b. Historical Religions of the World:

|1|. Hinduism:

|2|. Buddhism:

|3|. Judaism:

|4|. Christianity:

|5|. Islam:

C. Core Beliefs Shared by World Religions:

8. Practice Applications in Transcultural Nursing:

a. Assessment Tools for Transcultural

Nursing Practice:

b. Caring and Cultural Diversity:

@ Environmental Perspectives:

1. Determinants of Health Environmental Concerns


a. Environmental Concerns in Homes and of


b. Environmental Concerns in Workplaces:

c. Environmental Concerns of Local Communities

and of Cities:

2. Environmental Justice:

3. Environmental Health: A New Role for

Community Health Nursing:

4. Person-Environment Theories:

a. Einstein's Theory:

b. Systems Perspectives:

c. Nursing Perspectives:

5. A Conceptural Framwork for Assessing


a. Physical Dimensions:

|1|. Physical Dimensions:

|2|. Physical Hazards:

|3|. Chemical Hazards:

|4|. Biological Hazards:

|5|. Organizational Dimensions:

d. Human Aggregate Dimension:

e. Internal Dimension:

6. Human Responses:

a. Community Responses:

b. Societal Responses:

c. The Human Response to Disaster:

7. Creating a Caring Environment:

a. Safety:

|1|. Safety in the Home:

|2|. Safety in the Community:

|3|. Safety in Populations:

|4|. Safety in Nations:

|5|. Safety in the World:

|6|. Mental, Emotional and Spiritual Safety:

b. Respect:

c. Nurturance:

|1|. Nurturance in the Home and Family:

|2|. Nurturance in the Community:

|3|. Nurturance in World Populations:

d. Order:

e. Beauty:

|1|. Beauty in Communities:

f. Proposals for Creating Healthy and Healing


8. Application of the Nursing Process to


@ Caring, Communication and Client Teaching:

1. Health-Related Communication:

a. Carl Rogers' Client-Centered Model:

b. Health Communication Model:

2. Nursing Interaction Models Influences on

Nurse-Client Communication:

a. Mutual Problem Solving in the Client-Nurse


b. Client's Evolving Level of Responsibility:

c. Shifting Roles in Client-Nurse Relationship:

3. Communication Skills:

a. Active Learning:

4. Interviewing:

5. Information Sharing Interviews:

a. Therapeutic Interviews:

b. Phases in the Interview Process:

|1|. Preparation Phase:

|2|. Initiation Phase:

|3|. Exploration, or Working Phase:

|4|. Termination Phase:

6. Communications Barriers:

7. Group Membership and Leadership:

a. Group Behaviors:

b. Leader Behaviors:

c. Member Behaviors:

d. Curative Factors:

e. Phases of Group Development:

|1|. Orientation:

|2|. Conflict:

|3|. Cohesion:

|4|. Working:

|5|. Termination:

8. Teaching/Learning:

a. Adult Learning Theory:

b. Approaches To Client Education:

|1|. Models:

|2|. Types of Teaching:

|3|. Modalities:

|4|. Health-Oriented Telecommunications:

c. Teaching/Learning Environment:

9. Learning Process:

a. Phases of Learning Process:

|1|. Assessment:

|2|. Nursing Diagnosis:

|3|. Planning:

|4|. Implementation:

|5|. Using an Interpreter:

|6|. Evaluation:

b. Child as a Learner:

10. Related Health Education and

Communication Issues:

a. Conflict Resolution:

b. Public Speaking:

@ Integrative Health Care Perspectives:

1. National Interest in Complementary Health Care:

a. National Center for Complementary and

Alternative Medicine:

b. Safety and Effectiveness:

2. Historical Perspectives:

a. Ancient Cultural Traditions:

b. Western Perspectives:

c. Quantum View of Universe: New Physics:

d. Eastern Perspectives:

|1|. Yin and Yang:

|2|. The Five Elements:

e. Human Energy Field Model:

3. A Synthesis of East and West:

4. Research Methodology:

5. Nursing Theories and Nature of Healing:

a. Rogerian Science of Unitary Human Beings:

b. Newman's Theory of Health as Expanding


c. Model of Mutual Connectedmess:

6. Integrative Nursing Therapies:

a. Therapeutic Touch (Krieger-Kunz Method):

|1|. Phases of Therapeutic Touch:

|2|. Centering:

|3|. Research in Therapeutic Touch:

b. Jin Shin Jyutsu:

7. Mind Body Therapies:

a. Deep Relaxation:

b. Guided Imagery:

8. Biological-Based Therapies:

9. Clinical Implications:

a. Professional and Ethical Implications:

b. Legal Implications:

@ Caring For The Community:

1. Population-Focused Practise:

a. The Global Strategy Of Health For All:

|1|. Primary Health Care as a Strategy Towards

a Population Approach:

|2|. Health Promotion and Population Approach:

2. Debates Surrounding the Health for all

Movement and Population-Focused

Health Care:

|1|. Selective Versus Comprehensive Approaches:

3. Public Health Practice: Healthy People in Healthy


4. Social Sciences and Population-Focused Care:

5. Population-Focused Practice:

a. Assets (Strength-Building) and Needs


b. Population-Focused Practice in Community/Public

Health Nursing:

c. Community Development:

d. Empowerment:

@ Epidemiology:

1. Definition and Background: Basic concepts in the

Epidemiological Approach:

a. Epidemiological Triad: Agent - Host, and


|1|. Agent:

|2|. Host:

|3|. Environment:

b. The Natural History of a Disease:

c. Concept of the Prevention:

|1|. Primary Prevention:

|2|. Secondary Prevention:

|3|. Tertiary Prevention:

2. Types of Epidemiological Studies:

a. Observational Studies:

3. Epidemiological Measurement:

a. Measure of Disease Frequency:

|1|. Prevalence and Rates:

|2|. Vital Statistics:

b. Measure of Disease Frequency:

|1|. Relative Risk:

|2|. Attributable Risk:

|3|. Odds Ratio:

4. Using The Epidemiological Approach in

Community Nursing:

a. Desease and Health Status Surveilence:

b. The Search for Eiology:

c. Casefinding:

d. Determining the Health Status of a Population:

e. Evaluating Care:

f. Applying the Preceed-Proceed Model:

@ Assessing The Community:

1. A Population or Community Focus:

a. Context and Resource:

b. Community as Client:

c. Politics and Relational Aspects of Community:

2. Defining Health Community:

a. Community Competence and Community


3. Defining Need:

a. Types of Need:

|1|. Felt Need:

|2|. Expressed Need:

|3|. Normative Need:

|4|. Comparative Need:

4. Community Participation in Community


5. Approaches to Community Assessment and

Program Development:

a. Identification:

b. Establisment Of Project Team and Steering


c. Development of Research Plan and Time Frame:

d. Collection and Analysis of Information

Already Available:

e. Completion of Community Research:

f. Analysis of Results:

g. Reporting back to the Community:

h. Setting Priorities for Action:

i. Determination of Responses to the

needs Identified:

j. Planning and Implementation:

6. Documenting a Community Assessment:

7. Community Assessment Tools:

a. Demographic and Epidemiological Data:

b. National and Local Policy Documents:

c. Literature Review:

d. Previously Conducted Community Surveys:

e. Participant Observation:

f. Key Informants:

g. Survey of Community Members:

h. Focus Groups:

i. Community Plan:

j. Nominal Group Process:

@ Program Planning, Implementation,

and Evaluation:

1. Health Programming In Context:

a. Health Care Reform and Societal Trends:

b. Definitions of Health Care for Programs:

|1|. Medical Behavior, and Socioenvironmental

Approaches to Health Programs:

|2|. Ecological Approaches to Health Programs:

|3|. Programming Upstream:

2. Primary Health Care Principles for Programs:

a. Health Promotion Principles for Programs:

3. Empowerment and Partnership:

Theoretical Lenses:

a. Meta-Theories:

|1|. Caring:

|2|. Phenomenogical Theory:

|3|. Feminist Theory:

|4|. Critical Social Theory:

b. Change Theories:

|1|. Transtheoretical and Relapse Prevention:

|2|. Models of Change:

|3|. Diffusion Theory:

|4|. Freire's Theory of Freeing:

|5|. Community Organization:

4. Programming Theories and Practicalities:

a. Use of Language:

b. Deciding About Participation:

c. Envisioning the Process:

d. Programming Models:

|1|. Healthy Communities: The Process:

|2|. Health Promotion at the Community Level:

|3|. Population Health Promotion Model:

|4|. Diagrammatic Models: Logic Models and

Conceptual Maps:

|5|. Precede-Proceed:

e. More About Programming Practicalities:

|1|. Program Planning:

|2|. Community Analysis:

|3|. Identifying Issues:

|4|. Clarifying Goals:

|5|. Designing Actions:

|6|. Resources, Budgets, and Feasibility:

|7|. Managing Tasks and Time:

|8|. Grant Writing:

|9|. Documenting Programs:

f. Program Implementation:

|1|. Ethics:

|2|. Follow-Through and Dealing with

the Unexpected:

g. Program Evaluation:

|1|. Evaluation Types:

|2|. Health Promotion Evaluation:

|3|. Evaluation as Comparision:

|4|. Data Sources and Collection Models:

|5|. Evaluation Models:

|6|. Cost Analysis:

@ Quality Management:

1. Defining Quality in Health Care:

2. Historical Development of Quality in Health Care:

3. International Development of Organizations for

Quality Health Care:

4. Quality Assurance/Quality Improvement:

a. Approaches to Quality Assuranc/Quality


b. Total Quality Management (TQM)/Continous

Quality Improvement (CQI) Process:

5. Developing a QA/CQI Program:

|1|. Performance Knowledge:

|2|. Performance Management:

|3|. Performance Improvement:

c. Use of Evaluative Models in QA Programs:

6. The Use of QA/CQI in Community and Public

Health Settings:

a. Structure:

b. Process:

c. Evaluation, Communications, and Action:

7. Quality Management in Community Health


@ Power, Politics and Public Policy:

1. Caring and the Political Activist:

Historical Perspectives:

a. Caring Beyond the Individual and Family:

2. Concepts of Power, Policy, and Politics:

a. Power:

b. Policy:

c. Politics:

3. Political Processes: How Legislation is made:

a. The Legislative Process:

|1|. The Legislative Branch:

|2|. The Executive Branch:

|3|. The Judicial Branch:

|4|. Regulation:

4. Participation in Health Policy Formation:

a. What is Healthy Public Policy?

|1|. Mission of the Healthy Communities Program:

|2|. Healthy People 2010 Objective - Guide for

Healthy Public Policy:

b. Policy Formation:

c. Nursing and the Political Network:

e. Nursing's Role in Shaping Health Policy:

5. After a Bill Becomes Law:

6. Sources of Information:

a. Books:

b. Magazines and Newsletters:

c. Specialty Organizations:

d. Political Internships:

7. Organizations Involved in Politics and Policy:

8. Internation Health Issues:

a. U.S. International Policy Direction Affecting The

United States:

b. International Policy Indirectly Affecting The

United States:

c. International Policy with Indirect U.S.


d. International Health Organizations:

e. International Nursing Organization:

9. Laws That Affect Community Health

Nursing Practice:

a. Professional Laws:

@ Varied Roles Of Community Health Nursing:

1. Role Transition:

2. Major Role Functions:

a. Advocates:

|1|. Concepts of Advocacy:

|2|. Characterics of An Advocate:

|3|. Goals of Advocacy:

|4|. Advocacy Interventions:

b. Collaborator:

a. Concepts of Collaboration:

b. Characteristics of a Collaborator:

c. Consultant:

a. Components of Consultation:

d. Counselor:

e. Educator:

a. Characteristics of a Nurse - Educator:

f. Researcher:

a. Goals of Nursing Research:

b. Characteristic of a Nurse Researcher:

g. Case Manager:

a. Concepts in Case Management:

b. Managed Care and Case Management:

c. Functions in Case Management:

d. Characteristics of a Case Management:

h. Clinician:

a. Community Health Nurse Generalist:

b. Community Health Nurse Specialist:

@ Practice Specialties In Community

Health Nursing:

1. Practice Settings for Community

Health Nursing:

a. Public Health Nursing:

|1|. Role Functions of the Public Health Nurse:

b. Home Health Nursing:

|1|. Home Health Links to Community

Health Nursing:

|2|. Role Functions of the Home Health Nurse:

c. Hospice Care:

|1|. Dimensions of Hospice Care:

|2|. Types of Hospice Programs:

|3|. Role Functions of the Hospice Nurse:

d. School Nursing:

|1|. School Nursing Service Populations:

|2. Role Functions of the School Nurse:

e. Occupational/Environmental Health Nursing:

|1|. Goals of Occupational/Environmental Health


|2|. Role Responsibilities of the Occupational/

Environmental Health Nurse:

|3|. Employee Assistance Program:

|4|. Role of the Occupational/Environemtal

Health Nurse:

|5|. Research in Occupational/Environmental

Health Nursing:

f. Correctional Health Nursing:

|1|. Challenges in Correctional Nursing:

|2|. Scope of Nursing Services in

Correctional Settings:

g. Forensic Nursing:

h. Parish Nursing:

|1|. Description of Parish Nursing:

|2|. The Congregation as a Community Setting:

|3|. Role Functions of the Parish Nurse:

|4|. Models of Parish Nursing Practice:

|5. Future Development:

i. Block Nursing:

2. Future Directions:

@ Home Visit:

a. Advantages:

b. Disadvantages:

2. Home Visit Considerations:

a. Phases of the Home Visit:

b. Safety:

c. Fostering Positive Client Response:

d. The Nursing Bag;

e. Health Care Team:

2. Inplementation of the Nursing Process

in the Home:

a. Assessment:

|1|. Interviewing:

|2| Observation:

|3|. Other Assessment Tools:

|4|. Cultural Health Practices:

b. Nursing Diagnosis and Planning Care Contracts:

c. Intervention:

|1|. Family Stress:

|2|. Referrals:

|3|. Promoting Family Strengths:

|4|. Communications Between Nurses, Clients, the

Interdisciplinary Team, and the Home Agency:

|5|. Telehome Health:

d. Evaluation:

|1|. Termination:

@ Care of Infants, Children and Adolescents:

1. Health Status of Children in the United States:

a. Health Care Coverage of Chidren:

|1|. Immigration Status:

2. Theoretical and Applied Principles of Caring:

a. Family-Centered Nursing Perspectives:

b. Developmental Process:

3. Fetal Development and Prenatal Care Priority:

a. Medically Related Risk Factors:

|1|. Diabetes Mellitus:

|2|. Reproductive History:

|3|. Maternal Infections:

|4|. Pregnancy-Induced Hypertension:

|5|. Fetal and Maternal Abnormalities:

b. Psychosocial Factors and Health Behavior:

|1|. Maternal Stress:

|2|. Maternal Nutrition:

|3|. Cigarette Smoking:

|4|. Substance Abuse:

c. Environmental Hazards:

4. Indicators of Infant and Child Health Status:

a. Infant Mortality Rate:

b. Low Birth Weight and Child Health:

5. Nutritional Needs and Child/Adolescent Health:

a. Infant Nutrition:

|1|. Infant Nutritional Problems:

b. Toddler and Preschooler Nutrition:

c. Nutrition of School-Age Children:

|1|. Childhood Nutritional Problems:

d. Adolescent Nutrition:

|2|. Eating Disorders:

e. Immunization Status:

f. Dental Health:

g. Alternative Child Care:

h. Family Cultural Health Practices:

i. Schools:

6. Major Child Health Problems:

a. Failure to Thrive:

b. Cigarette Smoking:

c. Unintentional Injuries and Child Health:

d. Lead Poisoning:

e. Poverty:

f. Child Abuse:

g. Attention-Deficit/Hyperactivty Disorder:

h. Effects of Television/Media on Children

and Adolescents:

i. Internet Safety:

j. Parenting Education:

7. Major Adolescent Health Problems:

a. Tobacco Abuse:

b. Violence:

c. Drug Abuse:

d. Alcoholism/Alcohol Abuse:

e. Sexual Activity:

|1|. Human Immunodeficiency Virus and Acquired

Immunodeficiency Virus Syndrome:

|2|. Adolescent Pregnancy:

f. Suicide:

8. Adolescents and Families:

a. Parent-Adolescent Conflict:

b. Health Promotion:

9. Implications for Community Health

Nursing Practice:

a. Assessment and Diagnosis:

b. Planning and Intervention:

c. Evaluation:

@ Care of Young, Middle, and Older Adults:

1. Theories of Growth and Development:

2. Development Stages and Tasks of Adulthood:

a. Young adult:

|1|. Physical Development:

|2|. Cognitive Development:

|3|. Psychosocial Development:

|4|. Young-Adult Risk Factors:

|5|. Balancing Multiple Roles:

|6|. General Factors Contributing To Young-Adult


b. Middle Adult:

|1|. Physical Development:

|2|. Cognitive Development:

|3|. Pychosocial Development:

|4|. Older-Adult Risk Factors:

3. The Nursing Process and the Adult Years:

a. Implications for Community Nursing Practice:

@ Framework for Assessing Families:

1. Definition of the Family:

a. Varieties of Family Forms:

2. Theoretical Foundations in Family Nursing:

a. Nursing Theories:

|1|. Neuman's System Model:

|2|. King's Open Systems Model:

|3|. Roy's Adaptation Model:

|4|. Rogers' Life Proces Model:

b. Social Science Theories:

|1| Developmental Theory:

|2|. General Systems Theory:

|3|. Structural-Functional Conceptual Framework:

|4|. Family Interactional Theories:

c. Family Systems Theories:

3. Caring and Family Nursing:

4. Cultural Considerations:

5. Partnerships in Family Nursing:

6. Family Assessment:

a. Family Environment:

|1|. Physical Environment:

|2|. Psychological Environment:

|3|. Social Environment:

b. Family Strengths:

c. Assessment Tools:

7. Family Diagnosis:

a. The NANDA System:

b. The Omaha System:

8. Planning and Intervention:

a. Primary Prevention:

b. Secondary Prevention:

c. Tertiary Prevention:

9. Evaluation:

@ Family Functios and Processes:

1. The Healthy Family:

2. Family Function:

a. Affective Function:

b. Socialization and Social Placement:

c. Reproductive Function:

d. Economic Function:

e. Health Care Function:

3. Family Process:

a. Family Roles:

|1|. Family Position:

|2|. Formal and Informal Roles:

b. Values:

c. Communication:

|1|. Family Communication Roles:

|2|. Family Communication Network:

d. Power in Families:

4. Family Stress and Coping:

a. Family Resiliency Model:

5. Vulnerable Families:

6. Models of Family Functioning:

a. Circumplex Model of Marital and Family Systems:

b. McMaster Model of Family Functioning:

@ Communicable Diseases:

1. Historical Perspective on Communicable Diseases

and Community Health Nursing:

2. Changing World of Infectious Disease:

3. Global Perspectives for Communicable

Disease Control:

a. Communicable Disease Surveillance

and Reporting Guidelines:

b. Healthy People 2010: Objectives for

Communicable Diseases:

4. Modes of Disease Transmission:

a. Direct Transmission and Indirect Transmission:

b. Airborn Transmission:

c. Fecal/Oral Transmission:

5. Immunity:

6. Vaccine - Preventable Diseases:

a. Contrandications to Immunization:

b. Development of a National Immunization


c. Development of New Vaccines:

d. Centers for Disease Control and Prevention

Disease Reduction Goals:

7. Sexually Transmitted Disease:

a. Populations at Increased Risk:

b. Prevention of Sexually Transmitted Disease:

c. Viral Sexually Transmitted Diseases:

|1|. Acquired Immunodeficiency Diseases:

|2|. Human Papillomavirus:

|3|. Herpes Simplex Virus 2 (HSV-2):

d. Bacterial Sexually Transmitted Diseases:

|1|. Chlamydia:

|2|. Syphillis:

|3|. Gonorrhea:

|4|. Trichomoniasis:

e. Role of the Community Health Nurse in the

Prevention of Sexually Transmitted Diseases:

8. Emerging Infections:

a. Factors Contributing to the Emergence of

Infectous Diseases:

b. Examples of Emerging Infections:

|1|. Ebola:

|2|. Multi-Drug Resistant Tuberculosis:

|3|. Hantavirus Pulmonary Syndrome:

|4|. E. Coli: 0157: H7:

|5|. Lyme Disease:

9. Other Communicable Diseases:

a. Tuberculosis:

|1|. Transmission:

|2|. Symptoms:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

|6|. Role of the Health Department in Prevention of


|7|. Role of Community Health Nurse in

Prevention of Tuberculosis:

|8|. Use of Bacillus Calmette-Guerin Vaccine:

b. Hepatitis:

|1|. Symptons:

|2|. Diagnosis:

|3|. Treatment:

|4|. Hepatitis A:

|5|. Hepatitis B:

|6|. Hepatitis C:

|7|. Hepatitis D:

|8|. Hepatitis E:

c. Food-and Water-Borne Infections:

|1|. Transmission:

|2|. Symptons:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

D. Pediculosis:

|1|. Transmission:

|2|. Symptons:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

E. Scabies:

|1|. Transmission:

|2|. Symptons:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

f. Influenza:

|1|. Transmission:

|2|. Symptons:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

G. Rabies:

|1|. Transmission:

|2|. Symptons:

|3|. Diagnosis:

|4|. Treatment:

|5|. Prevention:

9. Community Health Nurse Responsibilities and

Opportunities Relevant to Communicable


a. Primary Prevention:

b. Secondary Prevention:

c. Tertiary Prevention:

@ Chronic Illness:

1. Definition of Chronic Illness:

2. Epidemiology:

3. Morbidity:

4. Mortality:

5. A Caring, Empowering Perspective Impact of

Chronic Illness:

a. Physical Aspects:

b. Psychosocial Aspects:

|1|. Uncertainty:

|2|. Powerlessness:

|3|. Biographical Disruption:

c. Spiritual Aspects:

d. Economic Aspects:

6. Living With a Chronic Illness:

a. Coping:

b. Normalizing:

c. Managing the Treatment:

d. Role of the Family:

e. Family Caregivers;

7. Health Promotion and Disease Prevention: The

Nurse's Role:

a. Primary Prevention:

b. Secodary Prevention;

c. Tertiary Prevention:

@ Developmental Disorders:

a. Mental Retardation:

|1|. Role Of IQ Tests:

|2|. Characteristics:

|3|. Prevalence:

|4|. Etiology:

|5|. Prevention:

|6|. Treatment and Management:

b. Epilpsy:

|1|. Characteristics:

|2|. Prevalence:

|3|. Etiology:

|4|. Treatment:

c. Cerebral Palsy:

|1|. Characteristics:

|2|. Prevalence:

|3|. Etiology:

|4|. Treatment:

d. Attention-Deficit/Hyperactivity Disorder:

e. Commonalities of the Developmental Disorders:

2. Principle and Perspectives:

a. Civil Rights:

b. Normalization:

c. Developmental Perspectives:

|1|. The Developmental Model of Services:

|2|. The Developmental Approach to Care

Interdisciplinary Services, Continum of Care

and Case Management:

|3|. Prevention of Developmental Disorders:

3. The Nursing Role in Developmental Disabilities:

a. Prenatal Diagnosis:

b. Early Identification of Developmental Problems:

|1|. Newborn Screening:

|2|. Developmental Surveillance:

|3|. Developmental Assessment:

|4|. Interdisciplinary Evaluation:

|5|. Cultural Factors:

|6|. Planning with the Family:

|7|. The Nursing Health Care Plan:

|8|. Teaching Health Self-Care:

|9|. Family Support:

4. The Early Years:

a. Early Intervention:

1. Health Care:

5. The School Years and Transition to Adulthood:

a. Legal Supports:

b. Health Care:

c. Self-Care Education:

d. Transition Services:

6. Adulthood:

a. Residential Services:

b. Health Care:

|1|. Nursiong Process:

C. Behavior Disorders and Mental Illness:

|1|. Behavior Disorders:

|2|. Mental Illness:

d. Family Life:

7. Old Age:

8. The Future:

@ Mental Health and Illness:

1. Foundations of Caring:

a. Historical Foundations:

|1|. Moral Treatment and Psychoanalysis:

The First and Second Revolution:

|2|. Community Health Movement: The

Third Revolution:

b. Theories and Concepts from Allied Disciplines:

|1|. Psychodynamic Theories:

|2|. Social-Interpersonal Theories:

|3|. Behavioral Theories:

|4|. Neurobiological Concepts:

c. Nursing Theories:

2. Current Influences on Community Mental Health:

a. Prevalence:

b. Community Mental Health Reform:

c. Deinstitutionlization:

d. Economic Factors:

e. Consumer Activism:

f. Cultural Factors:

g. International Trends:

3. Stigma:

4. Settings for Community Mental Health

Nursing Practice:

5. Health Promotion/Illness Prevention in

Community Health Nursing Practice:

a. Primary Prevention:

|1| Disaster:

b. Secondary Prevention:

c. Tertiary Prevention:

6. Suicide:

a. Nursing Assessment and Intervention:

7. Nursing Role and Implications:

a. Screening an Assessment Intake and Evaluation:

b. Nursing Support Interventions:

|1|. Psychobiological Interventions:

|2|. Health Teaching:

|3|. Case Management:

|4|. Self-Care Activities:

c. Home Visits:

d. Community Action:

8. Advanced Psychiatric/Mental Health Nursing:

@ Family and Community Violence:

1. Perspective on Violence:

a. International Perspectives:

2. Theories of Violence:

a. Biological Theories:

b. Psychoanalytic Theories:

c. Social Learning Theories:

d. Feminist Theory:

3. Community Violence:

a. Guns and Violence:

b. Gangs:

c. Terrorism:

d. Children's Exposure to Community Violence:

4. Hate Crimes:

5. Violence Against Women:

6. Sexual Violence:

7. Sexual Assualt:

a. Attitudes Toward Rape Victims:

b. Myths and Realities:

c. Victim Response to Sexual Assualt:

d. Intervention for Survivors:

e. Partner Response to Rape:

f. Sexual Offenders:

g. Intervention for Sex Offenders:

8. Violence In Intimate Relationships:

a. Dynamics of Intimate-Partner Violence:

b. Lesbian Battering:

c. Gay Male Violence:

d. Learned Helplessness:

e. Cycle of Violence:

f. Intervention with Intimate Partner Violence Victims:

g. Risk Factors for Violence:

h. Intervention for Batterers:

i. Relationship Violence and its Effect on the Family:

9. Child Abuse:

a. Characteristics of Child Abuse:

b. Nursing Assessment:

|1|. Child Neglect:

|2|. Physical Abuse:

|3|. Sexual Abuse:

|4|. Emotional Abuse:

b. Violence and Adolescents:

c. Nursing Interventions:

|1|. Sexual Abuse:

10. Elder Abuse:

a. Nursing Assessment:

b. Nursing Intervention:

11. Homicide:

12. Mandated Reporting of Violence:

13. Long-Term Effects of Violence:

a. Impact of Violence in the Community:

14. Prevention:

a. Primary Prevention:

b. Secondary Prevention:

c. Tertiary Prevention:

15. Issues Affecting The Nurse:

@ Substance Abuse:

1. A Brief History of Substance Abuse In

The United States:

a. Morbidity and Mortality:

2. Substance Abuse Statistics for the 2000s:

3. The Nature of Addiction:

4. Effects of Substance Abuse on Health:

a. Tobacco:

b. Alcohol:

c. Heroin:

d. Caffeine:

e. Marijuana:

f. Cocaine:

g. Methamphetamine:

h. Properties of Sedatives, Narcotics and Cocaine:

i. Other Drugs Misused and Abused:

|1| Steriods:

|2|. Inhalants:

|3|. Hallucinogens and Designer Drugs:

|4|. Prescription Drugs:

5. Legal Issues:

6. Nursing Care of Clients who Abuse Substances:

a. Affects of Attitudes on the Delivery of Care:

|1|. The Use of Labels:

|2|. Unrealistic Expectations:

b. Identifying Populations at Risk:

|1|. Children and Youth:

|2|. Women:

|3|. Elders:

|4|. Gays, Lesbians, and Transgenders:

|5|. Homeless and Mentally Ill Persons:

|6|. Nurses and Other Health Professionals:

7. The Globalization of Substance Abuse:

8. Levels of Prevention:

a. Primary Prevention:

|1|. Community Setting For Primary Prevention:

b. Secondary Prevention:

|1|. Assessment and Indentification of Substance

Abuse Problems:

c. Tertiary Prevention:

|1|. Detoxification Settings:

|2|. Transitional Housing Program:

|3|. Private Hospitals and Clinics:

|4|. Clinics and Respite Units for the Homeless


|5|. Home Care:

|6|. Mutual Support Groups:

9. Caring and Case Management Of Clients

Who Abuse Substances:

@ Poverty:

1. Who Are The Poor?

2. Definition of Poverty:

3. Distribution of Poverty:

4. Explaining Poverty: Major Theories of Poverty:

a. The Culture-of-Poverty Theory:

b. The Situational View of Poverty:

c. The Conflict Theory of Poverty:

d. The Functionalist Theory of Poverty:

5. Social Influences:

6. Consequences of Social Class:

7. Oppression and Disenfranchisement:

8. Children and Poverty;

9. The Feminization of Poverty:

10. Global Poverty:

a. The Most Industrialized Nations:

b. The Industrialized Nations:

c. The Least Industrialized Nations:

11. Impact of Poverty on Health:

a. Increased Morbidity and Mortality:

b. Poverty and Health:

12. Difference in Health Care Between

Socioeconomic Groups:

a. Coronary Artery Disease:

b. Type 2 Diabetes Mellitus:

c. HIV Infection:

d. Cancer Survival:

13. Community Health Nursing Role:

a. Primary Prevention:

b. Secondary Prevention:

c. Tertiary Prevention:

@ Homelessness:

1. Historical Development of Homelessness

a. Recent Developments and Scope of the Problem:

b. Etiology:

|1|. Economic Influences:

|2|. Social Influences:

|3|. Personal Influences:

|4|. Political Influences:

2. Impact of Homelessness:

a. Impact on the Individual:

b. Impact on the Family:

c. Homeless Elders:

d. Impact on the Community:

3. Health Problems common in Homeless


a. Nurtritional Deficiences:

b. Perpheral Vascular Disease:

c. Chronic Conditions:

d. HIV/AIDS Infections:

e. Other Infectious Diseases:

f. Thermatoregulatory:

g. Infestations:

h. Alcoholism and Other Substance Abuse:

i. Mental Illness:

j. Trauma:

k. Childhood Illnesses:

4. International Perspectives:

a. Responses from the Private Sector:

|1|. Shelters:

|2|. Soup Kitchen and Outreach Vans:

|3|. Day Programs:

b. Responses from the Public Sector:

|1|. Local Programs:

|2|. State Programs:

|3|. Federal Programs:

6. Nursing Care of Homeless People:

a. The Nurse's Role In Prevention:

|1|. Primary Prevention:

|2|. Secondary Prevention:

|3|. Tertiary Prevention:

b. Nursing Theories:

7. Additional Issues in Caring for Homeless People:

@ Rural Health:

1. Historical Overview of Rural Health:

2. Definition of Rural:

a. Federal Agnecies Definitions:

|1|. U.S. Burea of Census:

|2|. U.S. Office of Management and Budget:

|3|. U.S. Department of Agriculture:

3. Rural and Frontier Values:

4. Health Status of Rural Residents:

a. Rural Children:

b. Nonmetro Elderly:

c. Mental Health:

d. Farm Workers:

e. Migrant and Seasonal Farm Workers:

|1|. Housing:

|2|. Health Problems:

f. Native Americans and Alaska Natives:

5. Factors Influencing the Rural Health

Care Delivery System:

a. Availability, Accessibility, and Acceptability of

Health Care:

b. Poverty of Rural Areas:

6. Legislation and Programs Affecting Rural Health:

a. Rural Occupational Health and Safety:

b. The Migrant and Seasonal Agricultural Worker

Protection Act:

c. The Office of Rural Health Policy:

d. Rural Information Center Health Service:

e. The National Rural Recruitment and

Retention Network:

7. Alternatives to Improve Rural Health Care:

a. Telehealth:

b. Emergency Medical Services:

c. Rural Health Clinics:

8. The Nurse's Role in Rural Community

Health Nursing Practice:

a. Rural Nursing:

b. Professional Community - Clinet Partnerships:


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