READINESS FOR ENHANCED
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
• Active planning to handle predicted stressors
• Active problem solving when faced with stressors
• Agreement that community carries responsibility for stress manage-
• Positive communication among community members and between
community members and larger organizations
One or more characteristics that indicate effective coping:
• Acknowledges power
• Deﬁnes stressors as manageable
• Aware of possible environmen-
• Seeks knowledge of new
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Risk management
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
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-
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/
Pender, N. J., Murdaugh, C., et al. (2006). Health promotion in nursing prac-
tice (5th ed.). Upper Saddle River, NJ: Prentice Hall.