Sentinel City® Canada Clinical Activity D: Poverty and Health Promotion OverviewIndividual health and the health of a community are influenced by multiple factors especially when facing poverty. Students will gain an understanding of the relationship between this complex determinant of health and a population health issue. Students will develop primary, secondary, and tertiary prevention strategies to promote the health of citizens in Sentinel City® Canada and in collaboration with community partners. Learning ObjectivesIdentify indicators of poverty from community assessment Develop an action or intervention that addresses the three levels of prevention in relation to a population health issue that impacts a specific population group Develop a 3-year plan to reduce a selected population health issue and promote health.Use current literature and data to provide rationale for interventions while recognizing health inequities. Small Group InstructionsReview the following resources:Lind, C. & Baptiste, L. (2020). Health promotion. In L.L. Stamler, L.Yiu, A. Dosani, A. J. Etowa, & C. van Daalen-Smith (Eds.), Community health nursing: A Canadian perspective (5th ed., pp. 137-158). Pearson, Canada.Review readings for Practice Tool # 4 Review Sentinel City® Canada community assessmentEnter Sentinel City® Canada and begin the bus tour. As you tour the city, note signs that indicate Sentinel City® Canada is a community that is “thriving” or just “surviving”. Note indicators of high or low employment. Consider education levels, median household incomes and other factors.Select a specific population health issue and priority population that is associated with the preventable population health issue (e.g., children identified as having urgent dental needs or households experiencing food insecurity) in Sentinel City® Canada. Identify healthcare partners and other sectors to collaborate with.Using an evidence-based approach, as a small group complete Activity 1 to address levels of prevention in relation to the population health issue that impacts a specific population group. Identify prevention strategies that can be initiated by public health nurses in collaboration with other healthcare providers and other sectors that addresses this population health issue. Consider the health inequities that most impact your selected population group.Using a program planning and evaluation framework (logic model), as a small group, complete Activity 2 to develop a 3-year plan in collaboration with relevant citizens and sectors in Sentinel City® Canada to prevent the population health issue using the 3 levels of prevention and other strategies. Consider the relevant health inequities. Share in conference. Activity 1: Levels of prevention Population group experiencing poverty: Preventable population health issue (provide evidence from Sentinel City® Canada and the literature): Primary PreventionActions or interventions used to reduce exposure or vulnerability to a health issue or concern prior to disease onset or diagnosis. Think: health promotion and disease prevention Secondary PreventionActions or interventions used to detect or treat a health issue/concern in early stages to prevent progression or recurrence. Think early and periodic screenings.Tertiary PreventionActions or interventions used to limit disability and/or enhance rehabilitation for a disease or injury. Think rehabilitation, occupational or physical therapy.Proposed Action or Intervention: Proposed Action or Intervention: Proposed Action or Intervention: Evidence-based rationale of how this action or intervention will improve the health of this vulnerable population and address the health inequities. Evidence-based rationale of how this action or intervention will improve the health of the vulnerable and address the health inequities. Evidence-based rationale of how this action or intervention will improve the health of the vulnerable population and address the health inequities. Identify what Ottawa Charter Health Promotion approach is used. Identify what Ottawa Charter Health Promotion approach is used. Identify what Ottawa Charter Health Promotion approach is used.Identify the engagement plan with the relevant client population in the proposed intervention.Identify the engagement plan with the relevant client population in the proposed intervention. Identify the engagement plan with the relevant client population in the proposed intervention.Identify the health and non-health sectors involved with the proposed intervention and their role. Identify the health and non-health sectors involved with the proposed intervention and their role. Identify the health and non-health sectors involved with the proposed intervention and their role.Activity 2: Program plan One of the key community partners approached the public health nurse and requested a 3-year program plan be developed as a community to prevent this population health issue in Sentinel City®Canada using a logic model. Preventable population health issue: Priority population: Program goal: Process (what needs to be done?)Outcomes (what are the intended effects?)Inputs ActivitiesOutputsShortMediumLongIdentify resources eg. Material, funding, personnel, partnersIdentify what activities need to be done eg. Develop intervention, train staff, promote interventionIdentify direct, tangible results eg. Intervention developed, staff trained, posters developed etc.Immediate effects (focus on the knowledge and attitudes)Intermediate outcomes (focus behavior, normative, and policy changes)Long-term outcomes refer to the desired results of the program Health Science Science NursingN 3QQ3
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