NUR443 Public Health Nursing Essay Example Paper
PLA (Participatory Learning and Action) qualitative research allows a more in-depth look at a community or situation. It is commonly used in community-based projects. It is used to gain a comprehensive understanding of a society or issue, and it is always carried out with the active engagement of community members. Communities are involved in joint decision-making involving their strong points and assets using participatory learning and action (PLA) tools. The group will often identify action steps to bring about social, financial, or surrounding changes in their society. To facilitate holistic reform, a Health in All Policies method, which includes economic and environmental variables, is critical in addressing the interconnection of health factors (Duke et al., 2020). By tackling economic and ecological challenges through social mobilization and assets, this method helps lower health inequities. PLA’s primary purpose is to help members of communities analyze their issues rather than relying on outsiders to do so and ensure that any knowledge gained is put into practice. PLA is implemented through a variety of ways and strategies that encourage participation. It is also a way of looking at the world that stresses power imbalances between groups and outsiders NUR443 Public Health Nursing Essay Example Paper.
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A community asset map was my choice for a participatory learning tool. The study will examine diabetes in New York City as a public health issue. Individuals, citizen groups, and entities that exist in the society and act as beneficial resources are identified through community asset mapping. This tool is a mapping that assists a public health official in gathering the strengths and assets in a community and can aid in the discovery of solutions to population-related concerns. When a public health professional strives to identify insufficient resources, examine what assets the region already has, and establish what tools the community still requires, community asset maps are used.
Community asset mapping has several advantages. The advantages include encouraging collaborative community efforts, fostering new partnerships, ensuring that the citizenry has the resources they require, sharing intelligence across health organizations, and avoiding service duplication to distribute economic resources. Other PLA tools, such as a holistic worldview analysis, appreciative inquiry interviews, photo voices, and problem tree analyses, would not effectively engage Lewis County residents in deciding which assets and strengths can be leveraged to address diabetes effectively. The capacity of a community asset map to involve society and provide for community engagement was one of the most notable benefits (Briggs & Huang, 2017). This is especially crucial in areas with low participation and disengaged citizens. Additionally, community asset mapping enables a visual representation of the community’s assets. Such citizens will be allowed access to the same information as literate citizens.
For the community assessment map, the community of Lewis County, New York, was chosen as the focal point. The area was selected because it has the highest obesity rate in New York. In Lewis County, diagnosed diabetes was present in 17.6% of the population. The county has an estimated population of 26,573 people as of 2021. The average household income in the area is $56 192 (U.S Census bureau, 2021). 97.3 percent of Lewis County residents are white, 1.8 percent are Hispanics, 0.3 percent are Asian, and 0.7 percent are African Americans. Lewis County’s culture can be described as western culture based on Judeo-Christian principles because White people make up most of the population. Everyone in the community speaks English as their first language, and the most common diet is western NUR443 Public Health Nursing Essay Example Paper.
The average Lewis resident consumes far too much salt, saturated fats, processed carbohydrates, and added sugars, which were previously staples of the American diet (Phillips & Rodriguez, 2020). Furthermore, most Lewis residents consume fewer fruits, vegetables, and whole grains. Most Lewis County citizens identify with mainstream American culture, defined by a sedentary lifestyle with little physical activity. Another significant cultural issue among Lewis’ primarily White population was the use of food to encourage cultural exchanges, such as sharing lunch and dinner or going out to eat. Many major cultural activities among the community’s members revolved around food. The use of unhealthy foods heavy in salt, processed carbohydrates, saturated fats, and added sugars is one of the key cultural factors contributing to Lewis County’s obesity epidemic (Phillips & Rodriguez, 2020).
Furthermore, the community consumes fewer fruits, vegetables, and whole grains. People in the neighborhood also lead sedentary lives, engaging in fewer physical activities like walking. The Diabetes Self-Management Program and the National Diabetes Prevention Program are two evidence-based seminars Lewis County Public Health offers for Lewis County citizens (Lewis County, n.d.)
One of the critical difficulties that arose during the community asset mapping in Lewis County, New York, was securing community buy-in. Buying will be inextricably linked to trust. As a result, the community asset mapping people must also be community members. This will make it easier for them to find resources to help them, such as addressing the community’s diabetes issues. “Getting buy-in from outsiders may be tough” (Turin et al., 2019). Knowing community borders was also a big challenge in community asset mapping in Lewis County, New York. Because most citizens were uninformed of the county’s community boundaries, they would wrongly designate assets that were not in their area. Such identifications would skew the asset map of the community, implying that it possessed the capacity to solve diabetic issues even if it did not (Turin et al., 2019) NUR443 Public Health Nursing Essay Example Paper.
The Community Asset Map for Lewis County, New York, facilitated the recognition of assets that all residents in the region might use to tackle the public health issue. These assets include hypermarkets, recreational and social facilities, non-profits that provide healthy community initiatives, community leaders, and hospitals and clinics. Lewis County identified resources that could serve as a springboard for tackling regional public health issues. The community asset map supported the development of programs and projects that were done by outsiders, in addition to supporting the development of the capacity to aid in addressing the public health issue of obesity in the Lewis community. This would improve the effectiveness of the diabetes-prevention effort.
Since they are centered on community needs and experiences, the Participatory Learning Action tools are more concerned with increasing people’s capacity than programs and projects. A Health in All Policies framework is a shift in a collaboration that aims to identify, integrate, and erudite health considerations into policy and legislation across diverse fields in communities, such as local, state, and national authorities, to improve population health and enhance that policy decisions benefit the community’s health (CDC, 2019). The Community Asset Mapping method is vital for a Health in All Policies approach because it allows all domains that affect health to work to guarantee that the population leads a healthy lifestyle. Various community entities, including public health, governments, schools, environmental services, industry, transport, power, and agriculture, can interact and become networked with the health system to address community challenges that affect public health.
The community asset mapping approach is similar to the Health in All Policies approach in that it aims to achieve the same goal. Community asset mapping can utilize the Health in All Policies method by integrating these components, including economic and environmental considerations (De Negri et al., n.d.). All needs, including material and spiritual, must be addressed for a person to be fully healthy. Many people believe it is merely a physical issue. That is not the case at all. Therfore, incorporating all parts of the community asset plan will improve overall health.
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Through community engagement and assets, community mapping solves economic and environmental challenges. The tool used here has brought major and persistent inequities to light and may be used to mobilize an astonishing number of university centers, provider organizations, and community partners. One broad method to disparity reduction entails important clinical treatments and interventions, which are generally developed by health status or diagnostic categories and are supported by clinical financing streams (King et al., 2021). Notably, a plethora of particular health inequalities programs have sprung up to treat illnesses such as diabetes. The initiatives have the benefit of being tailored to providers and community resources, as well as having the potential to explore evidence-based practices. Academic health institutions, health systems, and other provider groups frequently host these programs NUR443 Public Health Nursing Essay Example Paper.
Based on the information above, a community asset map is a valuable tool for increasing community health and promoting Health in All Policies. For all demographics, the device helps bridge gaps within a community. The agency may be molded and adapted to diverse communities, and it is fluid in that it can be regularly altered to incorporate new opportunities. As a result, this will be a valuable tool for both the public and private health sectors.
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De Negri, B., Thomas, E., Ilinigumugabo, A., Muvandi, I., & Lewis, G. (n.d.). Empowering Communities Programme Development Volume 2: Participant’S Handbook. Retrieved January 30, 2020, from
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Duke, S., Campling, N., May, C. R., Lund, S., Lunt, N., & Richardson, A. (2020). Co-construction of the family-focused support conversation: a participatory learning and action research study to implement support for family members whose relatives are being discharged for end-of-life care at home or in a nursing home. BMC Palliative Care, 19(1).
https://doi.org/10.1186/s12904-020-00647-5
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Lewis County. (n.d.). Lewis County, New York- Preventative Services. Www.lewiscounty.org. Retrieved April 6, 2022, from
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Phillips, A. Z., & Rodriguez, H. P. (2020). U.S. county “food swamp” severity and hospitalization rates among adults with diabetes: A nonlinear relationship. Social Science & Medicine, 249, 112858.
https://doi.org/10.1016/j.socscimed.2020.112858
Turin, T. C., Shahid, M., & Vaska, M. (2019). Asset Mapping as a Tool for Identifying Resources in Community Health: A Methodological Overview. Journal of Biomedical Analytics, 2(1), 13–25. https://doi.org/10.30577/jba.2019.v2n1.22
U.S Census bureau. (2021). U.S. Census Bureau QuickFacts: Lewis County, New York. Www.census.gov.
https://www.census.gov/quickfacts/lewiscountynewyork
What you need to know about Health in All Policies. (n.d.). https://www.who.int/social_determinants/publications/health-policies-manual/key-messages-en.pdf NUR443 Public Health Nursing Essay Example Paper