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Defining a Community

Promote understanding of the relationships between a community and its individuals, groups, and health.

AB
AggregratePopulation or defined group
Change agentNursing role that facilitates in client or agency behavior to more readily achieve goals.
CommunityPeople and the relationships that emerge among them as they develop and use in common some agencies and institutions and a physical environment.
Community assessmentProcess of critically thinking about the community and getting to know and understand the community as a client. Assessments help identify community needs, clarify problems, and identify strengths and resources.
Community healthMeeting collective needs by identifying problems and managing interactions within the community and larger society. It is the goal of community-oriented practice.
Community health strengthResources available to meet a community health need.
Community health problemActual or potential difficulties within a target population with identifiable causes and consequences in the environment
Community partnershipCollaborative decision making process participated in by community members and professionals
ConfidentialityInformation kept private, such as between health care provider and client
DatabaseCollection of gathered and generated data
Data collectionThe process of acquiring existing information or developing new information
Data gatheringThe process of obtaining existing, readily available data
GoalsThe end or terminal point toward which intervention efforts are directed
Informant interviewsDirected conversation with selected members of a community about community members or groups and events: a direct method of assessment
InterdependentThe involvement among different groups or organizations within the community that are mutually reliant upon each other
ObjectivesA precise behavioral statement of the achievement that will accomplish partial or total realization of a goal; includes the date by which the achievement is expected to be completed.
PartnershipA relationship between individuals, groups, or organizations in which the parties are working together to achieve a joint goal.
Setting for practiceThe community
Target of practicePopulation group for whom healthful change is sought
Windshield surveysA community assessment, the motorized equivalent of a physical assessment for an individual; Looking through the car windshield as the community health nurse drives through the community collecting data.
AgentCausative factor invading a susceptible host through an environment favorable to produce disease, such as a biologic or chemical agent
EpidemiologyStudy of the distribution and factors that determine health-related states or events in a population, and the use of this information to control health problems
HostHuman or animal that provides adequate living conditions for any given infectious agent
DeterminantsFactors that influence the risk for or distribution of health outcomes
DistributionPattern of a health outcome in a population
Cohort studyAn epidemiologic study design in which subjects without an outcome of interest are classified according to past or present (or futrue) exposures or characteristics and followed over time to observe and compare the rates of a particular health outcome in the various exposure groups
CausalityThe determination based on evidence or reasoning process that an event or state resulted from or was caused by some other events, exposure, characteristics, or a combination of them
ValidityThe accuracy of a test or measurement
Web of causalityComplex interrelations of factors interacting with each other to influence the risk for or distribution of health outcomes
Primary preventionA type of intervention that seeks to promote health and prevent disease from developing
Secondary preventionIntervention that seeks to detect disease early in its progression before clinical signs and symptoms become apparent in order to make an early diagnosis and begin treatment
Tertiary preventionIntervention that begins once the disease is obvious; the aim is to interrupt the course of the disease, reduce the amount of disability that might occur, and begin rehabilitation
ScreeningApplication of a test to people who are as yet asymptomatic for the purpose of classifying them with respect to their likelihood of having a particular disease
EpidemicA rate of disease clearly in excess of the usual or expected frequency in that population
BiasA systematic error due to the way a study is designed, how it was carried out, or some factors related to the variable(s) being studied
RiskThe probability of some event or outcome within a specified period of time
Secular trendsLong-term patterns of morbidity or mortality
SurveillanceSystematic and ongoing observation and collection of data concerning disease occurrence in order to describe phenomena and detect changes in frequency or distribution
Incidence rateThe frequency or rate of new cases of an outcome in a population; provides an estimate of the risk of disease in that population over the period of observation
ReliabilityRefers to the precision of a measuring instrument, specifically its consistency from one time of use to another and its accuracy

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