Promoting Healthy Community-based Partnership
Community health nursing, also known as public health nursing should entirely focus on establishing a healthy and wholesome community. The community people are the core unit and buffer zones, line of defense and strengths constitute the outermost environment. These elements create the equilibrium and disruption of the community since they are interdependent with each other. Positive and negative outcomes are the results when people deal with stressors or strengths. Promoting healthy partnerships starts with community assessments. Nurses should familiarize and acquaint themselves on old and new people and empower community with traditional values of prevention, building and social justice.
The prevailing violence in the United States is very alarming. It is one of the evident public health concerns of today’s society. Youth continue to be involved as both perpetrators and victims of violence .cited in U. S. Department of Health and Human Services, Public Health Service, 1999). It is also a fact that of all highly industrialized countries, the United States ranked as the country with the highest rates of adolescent abuse. I will start educating the community of the risk factors why violence is now almost a way of life. Poverty, illiteracy, employment status and racial discrimination are the main focal points. To be able to gain insights that could serve as a key in solving disparities and epidemic violence, education of violent-reducing strategies should be initiated at a young age.
As a community health nurse, I will focus on the prevention against injury and gang violence. Out of the focus areas of “Healthy People 2010”, it best portrays community partnership. Values and beliefs are influenced by a person’s racial or ethnic group. Assessment is a vital component of understanding the population as a whole. Handling a community of refugees, the first thing I am going to do is help them find their adaptive mechanisms. Children are the ones mostly affected by this sudden change and migration to their new foreign hometown. Social dysfunctions are formed because of class and racial distinction and as a consequence, gangs are established because they serve as back-ups and fallback.
Education starts at home. It is important to conduct weekly or monthly home visits to assess parent training and ongoing program. Violence prevention programs will be aimed on discouraging involvement in gang fights and demoralizing carrying of deadly weapons such as pistols and knives. As a health professional, I can provide the community, especially young adolescents and their families’ primary prevention against violence. It is very important to tell parents how significant they are in preventing such perpetrated violent acts. Both parents and children should be educated that adolescents see gangs as merely a source of sense of belongingness that they cannot obtain at home or in school. It is also important to cite some gang-infested neighborhood as examples. I will make them aware of how dangerous it is to live in such condition since it sets about other potential problems like drug pushing and abuse, robbery and other heinous crimes.
The whole family should be aware of the vulnerabilities that may arise from violence. Collaborative approach among government officials, concerned individuals and NGOs should recognize these parameters. If parents or families honestly and voluntarily inform authorities that a family member or a community member is a suspected gang member during assessment, it is an indication that it is a start of an honest community and denial has been overcome.
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Theory and Practice in Nursing. (5th ed.). Philadelphia: Lippincott. 219, 222, 225.
Stanhope, M. & Lancaster, J. (2004). Community and public health nursing. (6th ed.).
St. Louis: Mosby. 178.
U. S. Department of Health and Human Services, Public Health Service. (1999).
Healthy People 2010: National health promotion and disease prevention
objectives. Washington, DC: U. S. Government Printing Office.
Retrieved April 29, 2009. http://www.healthypeople.gov/