LA+10

Note: this was cut and paste from a Word document that Tina and I completed in class. I will also post this on Black Board if you find the formatting difficult to follow. -CM

1. **Values and beliefs **

The community health nurse needs to speak to the band leader and community members to understand the culture and values of the community. I.e. showing cultural sensitivity. By this, she can build rapport and gain trust.


 * Emergence of problems or issues **


 * Limited access to health care services
 * Young children without breakfast
 * Decrease in highschool graduates
 * Family violence
 * Petty crime
 * ETOH abuse
 * STI increase
 * Inhaling gasoline
 * Conflict with local church
 * Suicide
 * Unemployment
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Family support - father not working in town


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Knowledge and development of research **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Within the community, no research has been indicated. However, research has shown that individuals living on reserves are more likely be negatively affected by the social determinants of health.


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Public awareness **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">We would have a town meeting addressing the community’s concerns and providing insight to the health issues that are present (i.e. knowledge exchange). We would first gain support from the band leaders and community leaders in general. Also, we would seek out the support of health care providers that have specialized knowledge of this population.


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Political engagement **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">We would need support from the provincial government (funding etc.)


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Interest group activation **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Present our plans to the community and increasing public knowledge. E.g. by getting the media involved, health care authority and HCPs involved, neighbouring communities, groups/organizations that support the Aboriginal communities.


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Public policy deliberation and adoption **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">We would make sure that the plans are feasible. E.g. there is enough funding, there is enough staff. We would make sure that the initiatives are tailored to their needs and will be accepted. We would keep the public informed of these initiatives through media.


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Regulation, experience, and revision **

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">We need to make sure that the initiatives are accepted and embraced in the community.

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">2. Social determinants of health


 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Limited access to health care service (Health services)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Young children without breakfast (Healthy child development)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Decrease in highschool graduates (Education and literacy)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Family violence (Personal health practices and coping skills, social environment)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Petty crime (Social environment, education and literacy, employment and working conditions)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">ETOH abuse (Social environment, personal health practices and coping skills, biology and genetic endowment)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">STI increase (social environment, health services, personal health practices and coping skills)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Conflict with local church (culture, education and literacy)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Inhaling gasoline (social environment, health practices, social support network)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Suicide (social support network, education and literacy, personal environment...)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Unemployment (employment and working condition, education and literacy)
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Family support - father not working in town

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">3. We can influence change at each stage by involving all the stake holders in the decision making and planning process and keeping open communication at all stages of the policy cycle process.

<span style="font-family: 'Times New Roman',serif; font-size: 12pt;">4. The manager of the ER at RCH has contributed to the profession of nursing by creating awareness to other about the initiatives that are in place to improve the functioning and health services for ER clients. By presenting to students, she has increased interest in future generations and knowledge of future RNs.