Coordinating Care
Name three members of the interprofessional team.
Provider, social worker, pharmacist, nurses, therapist, client and family
What are the three levels of prevention in community health?
What are the four main aspects of continuity of care?
Consultations, Referrals, Transfers, Discharge Planning.
What are social determinants of health?
Conditions in which people live, work, and grow that impact their health outcomes.
Who are considered vulnerable populations in community health?
Homeless individuals, rural residents, migrant workers, refugees, elderly, LGBTQ+, disabled persons.
What is the role of the nurse in coordinating care?
Acts as a liaison between healthcare providers, ensures continuity of care, facilitates communication, advocates for patients, and organizes discharge planning.
Describe one factor that can positively or negatively affect a client’s health.
Example Social support (positive) vs. lack of access to healthcare (negative).
Why is discharge planning essential from the time of admission?
Ensures a smooth transition, prevents readmissions, and helps coordinate post-discharge resources.
Name two social factors that influence health outcomes.
Education level and income level.
What are the common health issues among rural residents?
Limited access to healthcare, higher rates of chronic disease, transportation barriers.
What is the purpose of case management?
To coordinate care across settings, avoid fragmentation, control costs, and ensure quality outcomes.
What are the key principles of public health nursing?
Assessment, Policy Development, Assurance; focuses on population health, prevention, and collaboration.
Explain the difference between a consultation and a referral.
How do economic factors impact community health?
Limited income reduces access to healthy food, healthcare, and safe housing.
Name one strategy to reduce substance use disorders in the community.
Primary prevention: Increase awareness, educate on risks, promote life skills.
What are the stages of team formation in healthcare collaboration?
Forming, Storming, Norming, Performing, Adjourning.
Define upstream thinking in community health.
A proactive approach that addresses root causes of health issues before they occur, rather than just treating symptoms.
What is I PASS the BATON, and why is it used?
A handoff communication tool to ensure safe transfer of care, providing a structured report.
What role does cultural competence play in nursing care?
Helps nurses respect diverse beliefs, provide personalized care, and improve patient trust.
What healthcare challenges do migrant workers face?
Lack of insurance, poor living conditions, language barriers, occupational hazards.
Explain the importance of Magnet Recognition in nursing leadership.
It recognizes hospitals that attract and retain highly skilled nurses, support leadership development, and improve patient care outcomes.
How does the Health Belief Model influence nursing care?
Explains how a person’s beliefs about health (perceived threat, benefits, barriers) influence their behavior and motivation to make health changes.
How does documentation improve the continuity of care?
Provides a clear record of patient progress, helps with care planning, and ensures safety and legal protection.
Explain cultural brokering and how it supports patient advocacy.
A process where healthcare professionals mediate between different cultural beliefs to ensure equitable care.
Explain the nurse’s role in reducing societal violence.
Early intervention, community education, referrals to support services, advocacy.