NRS 428 Topic 1 DQ 2

Topic 1 DQ 2 

Aug 29-Sep 2, 2022 

Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. 

Dian Bowes 

Sep 3, 2022, 12:04 AM 

The geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Geopolitical refers to the spatial designation and is often defined by the geographical location where certain individuals live. Such locations are also defined by political factors such as boundaries across different states with each state having different political leadership. The phenomenological place is defined by relational designation. It refers to how a community is related either through social issues or even a feeling of belonging. Examples of a phenomenological group might be individuals that have diabetes and, therefore, they have a common factor with which they can relate. People from different geopolitical places might face different health needs. For examples, individuals from developed and developing countries might experience differences in health needs. Therefore, understanding the geopolitical factors, the community nurse is able to provide care within the specific context of the different populations. The same applies to the phenomenological place where individuals from different groups might have different needs that the community nurse must take to account. For example, pain management in cancer patients might differ from pain management in diabetic patients while both groups are suffering from chronic illnesses. 

The nursing process is systematic and entails five critical steps. These steps include assessment, diagnosis, planning, implementation, and evaluation (Toney-Butler & Thayer, 2022). The application of the nursing process is thus instrumental in helping diagnose potential and actual health issues facing a community. Based on the diagnosis, the community health nurse is then able to plan for an intervention that address the concerns and unique needs of each community. The implementation of the plan is done and an evaluation to determine its effectiveness follows. The application of the nursing process is thus instrumental as it helps in promoting positive health outcomes across the communities served. 

Reference 

Toney-Butler, T. J., & Thayer, J. M. (2022). Nursing process. In StatPearls [Internet]. StatPearls Publishing. 

 

MARYBELL AGUILAR 

replied toDian Bowes 

Sep 4, 2022, 8:23 PM 

Dian, great example of how different situations can lead to a different plan of care with chronic pain difference for cancer compared to chronic pain of diabetic patient. Using the nursing process, the nurse must look to see implementations must be used in order to plan out any intervention. One of the factors that may impede a nurse from carrying out the plan of care is resistance to change from a community. Change has the connotation of losing control or choice, sacrificing pleasures, such as favorite foods, increased cost, loss of personal time, or increased work, in the form of dedicated physical exercise (Green, 2018). When people feel they are losing control over a situation, they will fight or put up resistance as a way of having control. By using a calm voice and having a non-judgmental demeanor will help break some of the barriers nurses face while trying to help the community.  

Community & Public Health: The Future of Health Care. (n.d.). Retrieved September 4, 2022, from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/1 

Shola Akonu 

Sep 2, 2022, 10:56 PM 

A geopolitical place can consist of the community boundaries, transportation infrastructure, geographic features, climate, vegetation, animals, and human-made homes and facilities. Ways that geopolitical place may influence the context of population or community assessment are that natural disasters or injury may occur, there are also animal influences that may occur such as bites or attacks, there could be poisonous vegetation, temperature extremes, or other activities with weather that could be adverse for example tornados (Lohmann & McMurran, 2019). A phenomenological place is “a relational or psychological location rather than a geographical location that centers on history, culture, economics, education, spiritual beliefs, values, common characteristics, or similar goals.” This allows for social interaction, individuals to find common interests, goals or even characteristics that they may have in common (Trigg, 2017). This allows for the determination of the overall health status and health needs that are present in the community. 

Nurses have to work with a diversified community of patients from different backgrounds who have different ways of doing things—because of the above differentiation delivery of quality healthcare, maybe hindered (Roy, 2022). This is not limited but also extends to the language barrier hindering communication between the healthcare provider and the patient. For efficiency and exemplary delivery of service, some practices are put in place to ease the obstacles. Peer review, self-evaluation, reflective service, obtaining knowledge of different cultural practices, and goal setting are some of the practices that can be employed to better delivery of healthcare. Overcoming these challenges ensures smooth delivery of proper and quality healthcare; meanwhile, health issues are identified accurately, making the system efficient and reliable. 

 

 

References 

Lohmann, A., & McMurran, G. (2019). Resident-defined neighborhood mapping: Using GIS to analyze phenomenological neighborhoods. Journal of Prevention & Intervention in the Community, 37(1), 66-81. https://doi.org/10.1080/10852350802498714 

Roy, C. (2022). Myanmar’s domestic and geopolitical context. Myanmar’s Peace Process and the Role of Middle Power States, 90(5), 17-28. https://doi.org/10.4324/9781003245506-3 

Trigg, D. (2017). Place and non-place: A phenomenological perspective. Place, Space and Hermeneutics, 97(4), 127-139. https://doi.org/10.1007/978-3-319-52214-2_10 

Clara Eneh 

Sep 2, 2022, 10:42 PM 

Geopolitical areas are the region of geography and cultures. Some people may choose to describe it as a spatial designation or geographical area. Such geopolitical communities are formed by man-made boundaries or naturally occurring boundaries around their habitation regions. Examples of natural barriers are rivers, hills, mountains, and canyons, to mention just a few (Bambra et al., 2017). On the other hand, human-made boundaries consist of bridges, walls, roads, or buildings that are mostly legally arrived. These legally arrived at boundaries are political and administrative, making them jurisdictional like counties, states, countries, and municipalities. Phenomenological communities are particular groupings that set people apart because of certain beliefs, goals, viewpoints, and interests; they give their members a sense of belonging to a particular group. Practical examples are religion and social or cultural groups (Taylan & Çelik, 2022). Everyone lives in a geopolitical community, and a larger percentage of us belong to one or more phenomenological community. A phenomenological community does not have to associate itself with a specific geographical boundary but spreads wide and far, even outside its region of origin. 

Using the nursing process when attempting to identify healthcare issues often requires not only identifying the specific patient population in need, but properly assessing that specific population as well to determine not only what their needs are but how one may accomplish determining appropriate interventions which will achieve the maximum amount of benefit for the community (Huriah & Rahman, 2021). For example, a public health nurse can identify an at-risk population which resides within a specific location and then gathering data to determine what the needs are in that patient population and what strategies and tools can be utilized to help promote specific health promotion initiatives and goals through specific interventions. 

 

 

 

References 

Bambra, C., Garthwaite, K., & Murphy, A. G. (2017). Geopolitical aspects of health: Austerity and health inequalities. Social Determinantsof Health, 68(2), 56-59. https://doi.org/10.1332/policypress/9781447336846.003.0020 

Huriah, T., & Rahman, A. (2021). Smoking behavior on health workers in Indonesia: A phenomenological study. Advances in Health Sciences Research, 89(5), 263-277. https://doi.org/10.2991/ahsr.k.210115.106 

Taylan, S., & Çelik, G. K. (2022). Experiences of patients undergoing bypass surgery with health professionals during the perioperative care process: A hermeneutic phenomenological study. Journal of PeriAnesthesia Nursing, 35(10), 20-23. https://doi.org/10.1016/j.jopan.2021.11.016 

 

Adefunke Fatilokun 

replied toClara Eneh 

Sep 4, 2022, 1:03 PM 

Nice write up Clara, 

nursing process is applied as an approach to assess a community or specific population, Nurses can conduct an assessment of the community by using this tool, and thereby identifying and analyzing the problem areas, health disparities, and resources for a population. This provides insight into the conditions in which the population lives, works, and plays. By working with community stakeholders, which includes spiritual groups, the nurse can create the best interventions to address the health of the community members (Green, 2018). 

Reference 

Green, S.Z (2018). Populations as Clients. Community & Public Health: The Future of Health Care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/1 

 

 

Agnes Dairo 

Sep 2, 2022, 10:29 PM 

A geopolitical location is a physical and/or regional location that is defined by certain characteristics or landmarks that help determine or differentiate one are from another or help contain a specific area based on natural resources, natural habitats, man-made structures or borders and how these frameworks can influence a specific population and ultimately their health (McCarthy, 2018). A phenomenological place can be more difficult to succinctly define perhaps, often times encompassing more intangible criteria such as religious organizations, special interest clubs and political venues, they can often be important sources of medically disadvantaged community members or avenues in which patient populations which are not treated with traditional medicine facilities can be treated or assessed. 

The nursing process is utilized to assist in identifying health issues locally and globally by taking the same steps in determining what needs are required for that population (Trigg, 2017). Just as the nursing process of assessing, diagnosing, planning, implementing and evaluating an individual in their personal care, the process applies to a community just the same. The community assessment includes gathering of data and observing a group to reveal the current health status and population’s strengths and weaknesses to develop a diagnosis, plan, and interventions (Bil, 2020). Some of the community diagnoses include contamination, ineffective community coping, risk for injury, and deficient community health. Some health barriers the community encounters include cost transportation, age, and unfavorable geographic location to access local health care. 

 

 

 

References 

Bil, M. (2020). Migration activity of the population between Ukraine and Hungary in the context of geopolitical confrontations. Socio-Economic Research Bulletin, 0(1(72)), 58-71. https://doi.org/10.33987/vsed.1(72).2020.58-71 

McCarthy, H. N. (2018). Spanish nationals’ future plans in the context of Brexit. Population, Space and Place, 25(1), e2202. https://doi.org/10.1002/psp.2202 

Trigg, D. (2017). Place and non-place: A phenomenological perspective. Place, Space and Hermeneutics, 34(13), 127-139. https://doi.org/10.1007/978-3-319-52214-2_10 

 

Crystal Clark 

replied toAgnes Dairo 

Sep 3, 2022, 8:10 PM 

Hello Agnes, good information on the nursing process and what the community assessment includes. Community health nurses promote, protect and preserve the health of the public. They provide direct care to the public and encourage individuals to choose a better lifestyle. Receiving the proper education can encourage individuals to better care for themselves to prevent diseases. Some health issues that community nurses try to eliminate are smoking, obesity, and poor nutrition (Northeastern State University, 2017).  

References 

Northeastern State University. (2017, September 20). The Nurses Role In Community Health. Retrieved from https://nursingonline.nsuok.edu/degrees/rn-to-bsn/nurses-role-in-community-health/ 

MARYBELL AGUILAR 

Sep 2, 2022, 8:03 PM 

Geopolitical and phenomenological communities together influence the nurses assessment of context. The geopolitical refers to the location whether they are man made such as roads, bridges, or buildings, and the phenomenological is the culture, history, and beliefs shared and a sense of belonging within a community such as China Town in Chicago, Il. Taking into consideration the geopolitical and phenomenological assessment may determine the specific needs of the community. The nurse assesses based on primary assessments such as the environment and observable interactions and factors. The secondary assessments is the data collected from research such as a census or surveys. The desired outcome of studying both primary and secondary sources is to form an understanding of the populations, creating a complete picture of the defined population in the community, their health status, and their health behaviors (Green, 2018).  

Just as the nursing process ADPIE, the same process is used to assess the problems in a know region and the needed help or resources needed. The ultimate goal of a community health assessment is to develop strategies to address the community’s health needs and identified issues (CDC, 2018).  

 

 

Community & Public Health: The Future of Health Care. (n.d.). Retrieved September 2, 2022, from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/1   

 

Centers for Disease Control and Prevention. (2018, July 24). CDC – Assessment and plans – community health assessment – STLT gateway. Centers for Disease Control and Prevention. Retrieved September 2, 2022, from https://www.cdc.gov/publichealthgateway/cha/plan.html   

 

Agnes Dairo 

replied toMARYBELL AGUILAR 

Sep 2, 2022, 10:32 PM 

Thank you for the great post. Phenomenological places center on the history, culture, economics, education, spiritual beliefs, values, common characteristics as well as similar goals. It is often referred to as a psychological location as opposed to a geographical location. These relationships create a context where members in the community are able to experience a feeling of belonging (Bil, 2020). These social interactions, common interests, goals and other endless characteristics help to aid in the determination of health status as well as health needs. When considering what data needs to be collected for the community assessment, it should include but not be limited to, the population or people, geopolitical or phenomenological place, health information systems, as well as the observable social interactions (McCarthy, 2018). Regards! 

 

References 

Bil, M. (2020). Migration activity of the population between Ukraine and Hungary in the context of geopolitical confrontations. Socio-Economic Research Bulletin, 0(1(72)), 58-71. https://doi.org/10.33987/vsed.1(72).2020.58-71 

McCarthy, H. N. (2018). Spanish nationals’ future plans in the context of Brexit. Population, Space and Place, 25(1), e2202. https://doi.org/10.1002/psp.2202 

  Abigail Retana 

replied toMARYBELL AGUILAR 

Sep 3, 2022, 11:03 PM 

Hello Marybell, I agree with the statement regarding how the ultimate goal of a community health assessment is to develop strategies to address the community’s health needs and identified issues based on the Centers for Disease Control, (CDC, 2018). According to the CDC, “everyone should have a fair and just opportunity to achieve optimal health and well-being” (Center of Disease Control, 2021). CDC also came up with 10 Essential Public Health Services to provide a framework for public health to protect and promote the health of all people in all communities, and is the following:   

Assess and monitor population health status, factors that influence health, and community needs and assets  

Investigate, diagnose, and address health problems and hazards affecting the population  

Communicate effectively to inform and educate people about health, factors that influence it, and how to improve it  

Strengthen, support, and mobilize communities and partnerships to improve health  

Create, champion, and implement policies, plans, and laws that impact health  

Utilize legal and regulatory actions designed to improve and protect the public’s health  

Assure an effective system that enables equitable access to the individual services and care needed to be healthy  

Build and support a diverse and skilled public health workforce  

Improve and innovate public health functions through ongoing evaluation, research, and continuous quality improvement  

Build and maintain a strong organizational infrastructure for public health  

 

CDC, 2021  

 

This advice helps the community, PHN and stakeholders work together for better resources and education materials. Thanks for the helpful information!  

 

References:  

Centers for Disease Control. (2021b, March 18). CDC – 10 Essential Public Health Services – CSTLTS. Retrieved September 3, 2022, from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html  

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