NURSING PROCESS IN THE CARE OF CHN 2

POPULATIONS GROUPS AND COMMUNITY:

PLANNING
COMMUNITY HEALTH
INTERVENTIONS
RAVEN PEREJA
LOISE SABARILLO BSN 3-2
PLANNING COMMUNITY
HEALTH INTERVENTIONS
As in other fields of nursing practice, planning for
community health interventions is based on findings
during assessment and formulated nursing diagnosis.
PLANNING /ˈplæn.ɪŋ/

Is a logical process of decision making to determine which of

the identified health concerns requires more immediate
consideration (priority setting & what action may be undertakes
to achieve goals
PLANNING INVOLVES:
1. Priority Setting
2. Formulating goals and objectives
3. Deciding on community interventions
I. PRIORITY SETTING
Priority setting provides the nurse and the health team with
a logical means of establishing priority among the identified
health concerns.

There are different criterias used to decide on which

community health concern to focus on for intervention
according to The World Health Organization (WHO)
CRITERIAS FOR PRIORITY SETTING
1. Significance of the Problem
It is based on the number of people in the community affected by the
problem or condition.

If the concerns are:

DISEASE CONDITION - this may be estimated in terms of its prevalence
rate.
POTENTIAL PROBLEM - its significance is determined by estimating the
number of people at risk of developing the condition.
CRITERIAS FOR PRIORITY SETTING
2. The Level of Community Awareness

The level of community awareness and the priority its members

give to the health concern is a MAJOR consideration. Related to
the priority that the community gives to the health concern,
Shuster and Goeppinger (2004) also mention community
motivation to deal with the condition.
CRITERIAS FOR PRIORITY SETTING
3. Ability to Reduce Risk

Related to the availability of the expertise among the

health team in the community itself.
This criterion involves the health team's level of influence
in decision making related to actions in resolving the
community health concern
CRITERIAS FOR PRIORITY SETTING
4. Determining cost of Reducing Risk

The nurse has to consider economic, social & ethical

requisites and consequences of planned action
CRITERIAS FOR PRIORITY SETTING
5. Ability to identify the target population

For the intervention is a matter of availability of data

resources such as FHSIS, census, survey reports or
case screening finding.
CRITERIAS FOR PRIORITY SETTING
6. Availability of Resources

To intervene in the reduction of risk entails

technological, financial & other material resources of the
community, the nurse, the health agency.
Accessibility of outside resources & link are taken into
account
For a realistic and useful outcome, the priority-setting
process requires the joint effort of the community, the
nurses, and other stakeholders such as the other
members of the health team.
As suggested by Shuster and Goeppinger (2004), the following
steps are carried out:

1.From a scale of 1 to 10, being the lowest, the members give each
criterion a weight based on their perception of a weight based on
their perception of its degree of importance in solving the problem.

2. From a scale of 1 to 10, being the lowest, each member rates the
criteria in terms of the likelihood of the group being able to influence
or change the situation.
As suggested by Shuster and Goeppinger (2004), the following
steps are carried out:

3. Collate the weights (from step 1) and ratings (from step 2) made
by the members of the group.

4. Compute the total priority score of the problem by multiplying

collated weight and rating of each criterion.

5.The priority score of the problem is calculated by adding the

products obtained
II. FORMULATING GOALS AND
OBJECTIVES
Goals - are the desired outcomes at the end of interventions, whereas objectives are
the short- term changes in the community that are observed as the health team and
the community work towards the attainment of goals

Objectives - serve as instructions, defining what should be detected in the community

as interventions are being implemented.

(SMART) is also use for objectives to provide a solid basis for monitoring and
evaluation.
S - Specific
M - Measurable
A - Attainable
R - Relevant
T - Time-bound
III. DECIDING ON COMMUNITY
INTERVENTIONS/ ACTION PLAN
The group must analyze the reasons for people's health behavior and
directs strategies to respond to the underlying causes

The group should take into consideration the demographic, physiological,

social, cultural and economic characteristic of the target population and
one hand and the available health resources on the other hand
THANK YOU!!