Nursing diagnosis – READINESS FOR ENHANCED COMMUNITY COPING

READINESS  FOR  ENHANCED

COMMUNITY  COPING

DEFINITION

Pattern of community activities for adaptation and problem solving

that is satisfactory for meeting the demands or needs of the commu-

nity but can be improved for management of current and future

problems/stressors

DEFINING CHARACTERISTICS

• Active planning to handle predicted stressors

• Active problem solving when faced with stressors

• Agreement that community carries responsibility for stress manage-

ment

• Positive communication among community members and between

community members and larger organizations

RELATED FACTORS

One or more characteristics that indicate effective coping:

• Acknowledges power

• Defines stressors as manageable

• Aware of possible environmen-

• Seeks knowledge of new

tal changes

strategies

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Communication

• Populations

• Coping

• Risk management

EXPECTED OUTCOMES

Community members will

• Express understanding of problems associated with failure to

immunize population and will recognize the needs to reduce the
number of adults and children who are not immunized.

• Initiate a plan to increase the number of immunizations in popula-

tion and provide adequate protection from communicable diseases.

• Work to reduce spread of communicable diseases and increase the

number of immunizations.

• Evaluate established plans for ensuring that all children become

immunized, and will make changes to plans as needed.

SUGGESTED NOC OUTCOMES

Community Competence; Community Health Status: Immunity;

Community Risk Control: Communicable Disease

INTERVENTIONS AND RATIONALES

Determine: Assess community member’s level of understanding of the

importance of immunization. If level of compliance is low, survey

community needs to determine why. Determine ease of access in the

community for members to comply with immunization

requirements/needs. Identify new members of the community, such

as immigrants or refugees. This assessment will assist in identifying

appropriate intervention.

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Perform: Collect statistical data from community health sources,

such as the health department and schools to continue to identify

children who have not been immunized. Recruit local agencies with

an adequate number of professionals able to deliver the immuniza-

tion services.

Contact parents personally or by handwritten note about children

who have not been immunized. Make it clear to the parents that

your purpose is to protect the children.

Inform: Provide extensive educational opportunities in the

community about communicable diseases and the importance of

immunization. Educate persons in the community in their first lan-

guage to ensure adequate understanding.

Attend: Encourage community members to implement a program to

disseminate information about problems associated with inadequate

immunization to educate residents and promote the community’s

established immunization program.

Encourage health departments, clinics, and practitioners’ offices to

provide information on the recommended childhood immunization

schedule to the public to foster understanding about the importance

of educating the public.

Conduct a follow-up survey on immunization rates to measure the

effectiveness of educational initiatives.

Manage: Supply a list of referrals for the parents of children who

are not immunized. Include information on low-cost health

insurance, city health centers, and well-baby clinics to encourage

compliance. Helping the parents by giving referrals will empower

them to meet their child’s health care needs.

SUGGESTED NIC INTERVENTIONS

Communicable Disease Management; Community Health Develop-

ment; Health Education; Health Policy Monitoring; Immunization/

Vaccination Management

Reference

Pender, N. J., Murdaugh, C., et al. (2006). Health promotion in nursing prac-

tice (5th ed.). Upper Saddle River, NJ: Prentice Hall.

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