INEFFECTIVE COMMUNITY COPING
Pattern of community activities for adaptation and problem-solving
that is unsatisfactory for meeting the demands or needs of the com-
• Deﬁcits in participation
• Excessive conﬂicts
• Expressed powerlessness and vulnerability
• Failure of community to meet its own expectations
• High illness rate
• Increased social problems (abuse, divorce, and unemployment)
• Perception of stressors as excessive
• Deﬁcits in community social
• Natural disasters
• Man-made disasters
• Deﬁcits in community social
• Inadequate resources for prob-
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Risk management
• Values and beliefs
• Healthcare system
Community members will
• Express awareness of seriousness of high school adolescent preg-
nancy rate in their community.
• Express need for plan to reduce prevalence of teen pregnancy.
• Develop and implement plan to reduce teen pregnancy.
• Evaluate success of plan in meeting goals and objectives and will
continue to revise it, as necessary.
• Report reduction in rate of teen pregnancy.
SUGGESTED NOC OUTCOMES
Community Competence; Community Health Status
INTERVENTIONS AND RATIONALES
Determine: Assess the following: community demographics; number of
teen pregnancies in the community in the past 2 years; attitudes toward
teen mothers and their infants; availability of programs in the schools
that help teen mothers continue their education; teens’ knowledge about
sex and sexuality; religious attitudes in the community toward sex
and sexuality; inﬂuence of religious groups on educators. Assessment
information will be useful in establishing appropriate interventions.
Perform: Collect statistical data from schools to analyze teen
pregnancy rates as a basis for evaluating a pregnancy prevention
program. Plan a teen pregnancy program that can be used in
schools. Include information on risks, problems, and complications
of teen pregnancy. Contact local corporations for ﬁnancial assistance
in supporting educational programs.
Establish clubs for adolescent girls in the community. These can
be used as a method for educating as well as helping girls establish
Establish therapeutic relationships with pregnant adolescents to
build support during this difﬁcult period.
Inform: Provide education on birth-control measures (including absti-
nence from sex) and have this information available at school.
Encourage an information campaign to educate adolescents, parents,
and community members about problems related to teen pregnancy.
Teach parent to observe behavioral cues from child. For example,
the child may become fussy when he is ready for a nap or may pull
his ear if he has an earache to indicate that he has pain. Explain the
range of options for responding to these cues in positive ways. Par-
ents may be unfamiliar with cues from child behavior.
Teach parents to give physical care when the need exists. The
parents may need instruction on the importance and proper way of
providing care. Teach relaxation techniques that can be done by the
parents such as guided imagery, progressive muscle relaxation, and
meditation. These measures restore psychological and physical equi-
librium by decreasing autonomic response to anxiety.
Encourage local youth groups and religious and social
organizations to feature guest speakers on pregnancy prevention at
their meetings. Speakers with expertise in the area of teen pregnancy
are better able to provide information that may help teens make
better choices in sexual behavior.
Attend: Encourage community members to establish school-based
clinics that allow teens access to reproductive-system models, preg-
nancy tests, and nonprescription birth-control measures to support
teens who choose to protect themselves from unwanted pregnancy.
Manage: Develop a referral list for teens that includes resources such as
hospitals with human sexuality courses, charities that provide prenatal
care and childbirth services, women’s clinics, and Planned Parenthood
to compensate for restricted access to information in the schools.
SUGGESTED NIC INTERVENTIONS
Community Health Development; Health Education; Health Screen-
ing; Program Development
Brindis, C. D. (2006). A public health success: Understanding policy changes
related to teen sexual activity and pregnancy. Annual Review of Public
Health, 27, 277–295.