Community Health Nursing Review

Main Topics

Epidemiology, Prevention, and Surveillance

  • Epidemiology:

    • Focuses on the study of how diseases affect the health and illness of populations.

  • Key Concepts:

    • Incidence:

    • Definition: The number of new cases of a disease that occur in a specific population during a specified time period.

    • Importance: Helps assess the risk of developing a disease.

    • Prevalence:

    • Definition: The total number of cases of a disease in a given population at a specified time.

    • Importance: Indicates how widespread a disease is.

    • Levels of Prevention:

    • Primary Prevention:

      • Definition: Interventions that prevent the onset of disease (e.g., vaccination).

    • Secondary Prevention:

      • Definition: Early detection and treatment of disease to reduce its impact (e.g., screening).

    • Tertiary Prevention:

      • Definition: Reducing the impact of the disease once it has been diagnosed (e.g., rehabilitation).

  • Web Resources:

Evidence-Based Practice, PICOT, and Quality Improvement

  • Evidence-Based Practice (EBP):

    • The integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care.

  • PICOT Format:

    • Framework for developing clinical questions:

    • Patient/Population

    • Intervention

    • Comparison

    • Outcome

    • Time

  • Quality Improvement:

    • A systematic approach to the analysis of practice performance and efforts to improve performance.

    • PDSA Cycle:

    • Plan: Identify a goal or a change to be tested.

    • Do: Implement the change on a small scale.

    • Study: Analyze the results to learn from the experience.

    • Act: Decide whether to adopt, adapt, or abandon the change.

  • Web Resources:

Public Health, Policy, and Medicare/Medicaid

  • Public Health:

    • Focuses on protecting and improving the health of populations through education, policy making, and research.

  • Health Policy:

    • Refers to the decisions and actions taken to promote the public’s health and well-being.

  • Medicare and Medicaid:

    • Medicare: A federal program providing health coverage for individuals aged 65 and older and certain younger individuals with disabilities.

    • Medicaid: A state and federal program providing health coverage for low-income individuals and families.

  • Web Resources:

Community Health and Vulnerable Populations

Disaster and Triage

  • Disaster Nursing:

    • Involves providing care during mass casualty events or large-scale emergencies.

  • Triage:

    • The process of determining the priority of patients' treatments based on the severity of their condition.

    • START Triage System:

    • A method used for rapid assessment of patients:

      • Red Tag: Immediate care required.

      • Yellow Tag: Delayed care.

      • Green Tag: Minor injuries.

      • Black Tag: Deceased or injuries are not survivable.

  • Web Resources:

Family, Pediatrics, and Abuse

High-Yield Study Tips

  • Important Topics for ATI Exams:

    • Primary vs. Secondary vs. Tertiary Prevention

    • Epidemiological Triangle (agent-host-environment)

    • PICOT Questions

    • START Triage System (red, yellow, green, black tags)

    • Medicare vs. Medicaid

    • Understanding Vulnerable Populations (migrant, rural, low-income)

    • Signs of Abuse (child, elder, intimate partner violence)