In the United States, a major element in health care system has to do with cost, quality and access. Firstly, discuss the way in which each of these factors has an impact at the individual and family level by using a disease/disorder afffecting both levels. Be sure to define each of the three factors. Secondly, Select one of the areas below and develop an argument for it as the main reason for problem(s) with the United States health care system:
a. Escalating costs (including those from increased technology), b. Fragmentation of services, c.Limited access to care, d. Quality of care
Running head: JOURNAL WEEK 1-3 1
JOURNAL WEEK 1-3
4
Date |
Time |
Hours |
Discussion of Activity |
Reflections (feelings, reactions, comparison to past experiences) |
Actual or potential relationship to population health, prevention, role of nurse & nursing process as evidenced by definitions & examples |
|
2 1
|
10am – 1pm |
3 |
Web search to choose a community for Windshield survey; and I also read the SWOT assignment/journal guidelines and the rubric to understand what information I need and what to look for during the windshield survey . I also read through chapter 1 8 Stanhope & Lancaster, (2016) to understand what a community is and the role of a nurse in a community. |
Choosing a community for the survey was influenced by the amount of information available on the internet and previous experience or familiarity with the community and after reading chapter 18, I realized that there are different types of communities when searching for a geographic area for my SWOT paper assignment. Examples of types of communities are face to face community, neighborhood community and so on. I have not done community clinical at all, but I have done clinical in hospitals and nursing homes. I believe this SWOT assignment would be different from the clinical experience I did in my nursing school because the SWOT is based on the community as a whole, not individual. |
Common to the communities is the geographical association of the population according to Stanhope & Lancaster, (2012), the nursing process from assessment through evaluation is used to promote a community’s health. This process begins with community assessment one of the core functions of public health nursing which involves getting to know the community inside and out. It is a logical, systematic approach to identifying community needs, clarifying problems, and identifying community strengths and resources (Stanhope & Lancaster, 2012). Once I decide on a geographic area, I would be able to assess the community during my windshield survey. |
|
3/14/21 |
9am- 4pm |
7 |
Drove along the roads and streets of Englewood community and, I also carefully assess the neighborhood and interact with other people. |
Observed the neighborhood directly. Documented on the housing status, sanitation and garbage disposal, food sources and demographic of the community population |
After observing the neighborhood I learned about the status and some structure of the community; According to (Stanhope & Lancaster, 2012), the community includes three factors: people, place, and function. People are the community members or residents. Place refers both to geographic location and to time dimensions, and function refers to the aims and activities of the community. Nurses regularly need to examine how the people, place, and function dimensions of community shape their nursing practice (Stanhope & Lancaster, 2012). |
|
3/17/21 |
2pm- 6pm |
4 |
Study about windshield survey and other sources of information about a community |
Windshield survey is one of the simplest ways of gathering information about a community; according (Stanhope & Lancaster, 2012). Windshield survey is like browsing around the community and finding out stuff that you need to help in building your understanding about the community. |
Learned about different survey methods and other sources of information |
|
3/20/21 |
9am-
4pm |
4 |
Visited Englewood Neighborhood clinic, St Bernard Hospital and people living in subsidized housing apartments. |
Visit was interesting and the staffs were very helpful with information. |
Learned about the structure, goals, weakness, strength and threat to clinic operations. |
|
3/22/21 |
10am- 6pm |
8 |
Worked on Windshield survey paper and posted on the discussion board |
Putting all the information together and developing a summary for the discussion board paper required skills in identifying the important information. |
Learned about windshield survey and its important in public health research which help to identify risk health problems. |
|
3/25/21 |
6pm- 8pm |
2 |
Read other windshield survey papers on discussion board and commented on the papers |
The papers on Windshield survey by other student were very interesting and informative |
Learned about different communities |
|
3/28/21 |
8am -4pm |
I worked on forming a SWOT group by sending email and text messages to other students in my group. |
Forming the group was not that easy. An email was sent and finally got everybody attention and 8 hours group chat was done with a conclusion to meet on to splitting up the SWOT group paper assignment. |
Learned about other members of the group and the assigned duties; I familiarized myself with other members of the group by sharing phone numbers and email address. Introducing ourselves and looking forward to splitting up the SWOT paper assignment evidenced by 8 hours phone group chat done |
||
. |
Current Period Hours: 36 Total Hours to Date: 36
References
Areavibes. (n.d.). Robbins, IL Crime. Retrieved September 12, 2019 from https://www.areavibes.com/robbins-il/crime.
Robbins, Illinois (IL) Poverty Rate Data Information about poor and low-income residents. (2019). Retrieved September 12 2019, from http://www.city-data.com/poverty/poverty-Robbins-Illinois.html.
Stanhope, M. & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community, (8th Ed.). St. Louis: Mosby Elsevier.
NURS
Practicum Journal
Name ______________________ Weeks __________
Date |
Time |
Hours |
Discussion of Activity |
Reflections (feelings, reactions, comparison to past experiences) |
Actual or potential relationship to population health, prevention, role of nurse & nursing process as evidenced by definitions & examples |
|
|||||
Current Period Hours: _____ Total Hours to Date: ________
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