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The Royal and Pontifical Catholic University of the Philippines
UNIVERSITY OF SANTO TOMAS COLLEGE OF NURSING
FORMAT OF DOCUMENTATION FOR COMMUNITY ORGANIZING
Title page and Cover Page
The Royal and Pontifical Catholic University of the Philippines
UNIVERSITY OF SANTO TOMAS
Espana, Manila
COMMUNITY ORGANIZING PARTICIPATORY ACTION RESEARCH
IN (Name of Community)
Presented to the
COLLEGE OF NURSING
In partial fulfillment of the requirements in
COMMUNITY HEALTH NURSING
By
Group 1 Section 1 Class 2020
(Name of Students)
Submitted to
(Name of Clinical Instructor)
(month, day,year of shifting)
Title Page
Abstract
Table of ContentsPage
Chapter 1: Introduction
A. Background
B. Statement of Objectives
C. Scope and Limitations
Chapter 2: Research Method
A. Action Research
B. Population
C. Instruments
D. Data Collection
E. Ethical Considerations
Chapter 3: Community Diagnosis
A. Setting of the Community
1. Description
2. Spot Map
3. Organizational Structure of the Community
B. Demographic Indices
1. Total population
2. Total families
3. Age and Gender
4. Civil Status
C. Socio-Cultural Indices
1. Educational Attainment
2. Religion
3. Place of Origin
4. Length of Residency
D. Economic Indices
1. Dependency Ratio
2. Sources of Income
3. Occupation
4. Monthly Income
5. Business Establishments
E. Health Indices
1. Medical Conditions
1.1 Pregnant and Post Partum women
1.1.1 Pregnant women without pre-natal check-up
1.1.2 Reasons of pregnant women without pre-natal check-up
1.1.3 Pregnant women without Tetanus Toxoid immunization
1.1.4 Pregnant women without Iron supplementation
1.1.5 Pregnant women without Vitamin A supplementation
1.1.6 Post-partum women with post-partum follow up
1.1.7 Reasons of post-partum women without post-partum follow up
1.1.8 Post-partum women without Tetanus Toxoid immunization
1.1.9 Post-partum women without Iron supplementation
1.1.10 Post-partum women without Vitamin A supplementation
1.2 Past Illness
1.2.1 Past illness without medical attendance
1.2.2 Reasons of families with past illness without medical attendance
1.2.3 Causes of Morbidity
1.3 Present Illness
1.3.1 Present illness without medical attendance
1.3.2 Reasons of families with present illness without medical attendance
1.3.3 Point Prevalence of Present Illness
1.4 Deaths
1.4.1 Deaths without medical attendance
1.4.2 Reasons of death without medical attendance
1.4.3 Causes of Mortality
1.4.4 Swaroops Index
1.4.5 Cause of death among Elderly
1.4.6 Cause of death among adult
1.4.7 Cause of death among 0-5 y/o
2. Family Planning Practices
3. Health Seeking Behavior
4. Primary Sources of Health Information
5. Infant Feeding Practices
6. Nutrition Status of Children aged 0-12 y/o
7. Deworming Status of Children aged 1 -12 y/o
8. Vitamin A Supplementation Status of Children aged 6 months-6 y/o
9. Immunization Status of Children 0- 15 months
F. Environmental Indices
1. House Ownership
2. Lot Ownership
3. Ventilation
4. Type of Housing
5. Electricity
6. Privacy
7. Food Storage
8. Water Supply
9. Excreta Disposal
10. Refuse Disposal
11. Insect and Vermin Control
12. Domestic Animals
G. Summary
H. Problem Identification and Analysis
1. Health Status
2. Health Resources
3. Health Related
I. Problem Prioritization
Chapter 4: Community Development Plan
A. HELPS Community Action Plan
1. Health
2. Education
3. Livelihood
4. Physical Environment
5. Socio-Cultural/Spiritual
B. Community Project Plan
C. Community Budget Plan
D. Health Education Plan
E. Organizational Structure of the Community Development Team
F. Committees and Functions of the Community Development Team
G. Minute Meeting of the Community Development Team
Chapter 5. Community Project Evaluation
A. Overview of the Project
B. Activities Done
C. List of Participants
D. Project Expense Report
E. Project Evaluation
1. Participants Evaluation
2. Community Development Team Evaluation
Chapter 6. Public Health Nursing Activities
A. Health Service Profile
Chapter 7. Conclusion and Recommendation
A. Conclusion
B. Recommendation
1. Community
2. Community Development Team
C. Students learning experiences, insights, or realization
Appendix
A. Communication Letters
B. Instruments
C. Financial Report
D. Photo Documentation
E. Gantt Chart of Activities
Curriculum Vitae
Chapter 1. Introduction:
A. Background (describe clearly community health nursing practice in the field of community organizing and substantiate the significant role of the nurse in building healthy communities using participatory action research)
B. Statement of Objectives of PAR
1. General Objectives (statement of the general outcome)
2. Specific Objectives (statement of the task or what are to be accomplished)
C. Scope and Limitation
(Describe the limitations or research barriers that exist in reference to the participants of research and population groups participated in the program, area of research, time of the study or implementation of the program that came across in the study. The limitation must be substantial, and may be methodological, practical, or ethical)
Chapter 2. Research Method
A. Action Research (describe what is Action Research)
B. Population (describe the characteristics of the participants involved in the action program e.g. children, elderly)
C. Instruments (specify and describe the instruments used in data gathering such as survey questionnaires, interview protocol, weighing scale, etc.)
D. Data Collection (describe how data is gathered in the community such as house to house survey, focus group discussion, scheduled interview as basis for planning program)
E. Ethical Considerations
Chapter 3. Community Diagnosis
A. Setting of the community
1. Description (describes the geographic boundaries from north to south and west to east direction; distance from manila, total population of municipality or barangay; type of neighborhood whether urban or rural, subdivision or slum area, residential or commercial; physical facilities like schools, church/chapel, health center or hospital, recreation, police station, communication facilities, public market, commercial establishments; climate; traffic patterns; means of transportation, natural resources available in the community; sources of pollution; energy and water sources)
2. Spot Map (construct a map of the barangay with the geographic boundaries following north, south, west, and east directions. Indicate in the map the houses surveyed, and the location of the facilities in the barangay such as the barangay hall, health center/RHU/ BHS/hospital, school, market, church, public faucet, police station, park, and other natural resources visible in the barangay)
3. Organizational Structure of the Community (make an organizational chart, indicate the name, position, and the photo of the members)
B. Demographic Indices
1. Total population
2. Total families
3. Age and Gender Distribution
(Table Title:)
AGE IN YEARS
M
%
F
%
N
%
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
TOTAL
3.1 Sex Ratio= Total of number of Males/Total number of Females x 100
Analysis:
3.2 Age Distribution
Analysis:
For the ANALYSIS of each category, explain the reason for the existence of the data, its implication to the community, advantages/disadvantages, and relationship with other data. Analysis should be in narrative form.
Indicate the Title of the Table at the top of each table: Percentage Distribution of Category, at Sitio (Name), Bgy. (Name), (Area) as of (Month), (Year).
3.3 Age and Sex Pyramid (Figure 1- Make a Population Pyramid)
(use color legend: male-blue, female-red)
(Graph Title)
Analysis: (describe the population pyramid in the barangay)
4. Civil Status (based on the number of population aged 15 y/o and above)
Table Title
CIVIL STATUS
N
%
Single
Married
Widowed
Separated
Live-In
TOTAL
Analysis:
C. Socio-Cultural Indices
1. Educational Attainment (based on the total number population aged 7 y/o and above)
Table Title
EDUCATIONAL ATTAINMENT
N
%
No Formal Education
Elementary Level
Elementary Graduate
High School Level
High School Graduate
Vocational
College Level
College Graduate
TOTAL
Analysis:
1.1 Literacy Rate= Number of Population who can read and write x 100
Total number of Population
Analysis:
2. Religion (based on the total number of father and mother)
Table Title
RELIGION
N
%
(ex. Catholic)
TOTAL
Analysis:
3. Place of Origin (based on the total number of father & mother)
Table Title
PLACE OF ORIGIN
N
%
(ex. NCR)
TOTAL
Analysis:
4. Length of Residency (based on the total number of father & mother)
Table Title
LENGTH OF RESIDENCY
N
%
(ex. less than a year)
(ex. 1-5 years)
TOTAL
Analysis:
D. Economic Indices
1. Dependency Ratio
Table Title
AGE OF DEPENDENTS
N
%
0-14 y/o
65 y/o and above
TOTAL
Dependency Ratio (DR) % = Total # of Population 0-14 yrs. Old + 65 yrs. Old and above x 100
Total # of Population 15 to 64 years old
Analysis:
2. Source of Income
Table Title
SOURCES OF INCOME
N
%
Employed
Self-Employed
TOTAL
Analysis:
3. Occupation
Table Title
OCCUPATION
N
%
(eg. Factory Worker)
TOTAL
Analysis:
4. Monthly Income
Table Title
MONTHLY INCOME IN PESOS
N
%
(eg. Less than 5,OOO)
TOTAL
Analysis:
5. Business Establishment
Table Title
BUSINESS ESTABLISHMENTS
N
%
(eg. Sari-Sari Store)
(eg. Canteen)
TOTAL
Analysis:
E. Health Indices
1. Medical Conditions
1.1 Pregnant and Post Partum Women
1.1.1 Pregnant women with and without Pre-natal check-up
Table Title
PREGNANT WOMEN
N
N
%
1ST
TRI
2ND
TRI
3RD
TRI
With Pre-Natal check-up
Without Pre-Natal check-up
TOTAL
Analysis:
1.1.2 Reasons of pregnant women without pre-natal check-up
Table Title
REASONS
N
%
(eg. Financial constraint)
(eg. Inaccessible health facility)
TOTAL
Analysis:
1.1.3 Pregnant women with and without Tetanus Toxoid (TT) immunization
Table Title
PREGNANT WOMEN
N
%
With Tetanus Toxoid immunization
Without Tetanus Toxoid Immunization
TOTAL
Analysis:
1.1.4 Pregnant women with and without Iron supplements (starting on 1st-3rd Tri)
Table Title
PREGNANT WOMEN
N
%
Taking Iron Supplements
Not Taking Iron Supplements
TOTAL
Analysis:
1.1.5 Pregnant women with and without Vitamin A Supplementation (within 2nd-3rd tri)
Table Title
PREGNANT WOMEN
N
%
Taking Vitamin A Supplements
Not Taking Vitamin A Supplements
TOTAL
Analysis:
1.1.6 Post-partum women with and without post-partum follow-up
Table Title
POST-PARTUM WOMEN
N
%
With post-partum follow up
Without post-partum follow up
TOTAL
Analysis:
1.1.7 Reasons of post-partum women without Post-Partum follow up
Table Title
REASONS
N
%
(eg. Financial constraint)
(eg. Inaccessible health facility)
TOTAL
Analysis:
1.1.8 Post-partum women with Tetanus Toxoid (TT) immunization
Table Title
PREGNANT WOMEN
N
%
With Tetanus Toxoid immunization
Without Tetanus Toxoid Immunization
TOTAL
Analysis:
1.1.9 Post-partum women taking Iron supplements (within 3 months)
Table Title
PREGNANT WOMEN
N
%
Taking Iron Supplements
Not Taking Iron Supplements
TOTAL
Analysis:
1.1.10 Post-partum women received Vitamin A supplements (within a month)
Table Title
PREGNANT WOMEN
N
%
Received Vitamin A Supplements
Did not received Vitamin A Supplements
TOTAL
Analysis:
1.2 Past Illnesses
1.2.1 Past Illnesses with and without medical attendance (for the last 5 years)
Table Title
DISEASES
WITH MEDICAL ATTENDANCE
WITHOUT MEDICAL ATTENDANCE
N
%
N
%
(eg. Hypertension)
(eg. Diarrhea)
TOTAL
Analysis:
1.2.2 Reasons of families with past illness without medical attendance
Table Title
REASONS
N
%
(eg. Financial constraint)
(eg. Inaccessible health facility)
TOTAL
Analysis:
1.2.3 Causes of Morbidity (identify the top ten causes of morbidity based on the number of history of past illness)
Table Title
DISEASES
N
%
1. (eg. Hypertension)
2. (eg. Diarrhea)
TOTAL
Analysis:
1.3 Present Illnesses
1.3.1 Present Illness with and without medical attendance
Table Title
DISEASES
WITH MEDICAL ATTENDANCE
WITHOUT MEDICAL ATTENDANCE
N
%
N
%
(eg. Hypertension)
(eg. Diarrhea)
TOTAL
Analysis:
1.3.2 Reasons of Families with present illness without medical attendance
Table Title
REASONS
N
%
(eg. Financial constraint)
(eg. Inaccessible health facility)
TOTAL
Analysis:
1.3.3 Point Prevalence (PP) % = Number of existing cases of disease at a particular point in time / Number of population at that point of time x 100 (Compute for the PP of the top 10 causes of morbidity based on Present Illness)
Table Title
DISEASES
N
PP (%)
1. (eg. Hypertension)
2. (eg. Diarrhea)
TOTAL
1.4.Deaths
1.4.1 Deaths with and without medical attendance (for the last 5 years)
Table Title
DISEASES
WITH MEDICAL ATTENDANCE
WITHOUT MEDICAL ATTENDANCE
N
%
N
%
(eg. Hypertension)
(eg. Diarrhea)
TOTAL
Analysis:
1.4.2 Reasons of Death Without Medical Attendance (for the last 5 years)
Table Title
REASONS
N
%
(eg. Lack of financial resources)
TOTAL
Analysis:
1.4.3 Cause of Death Rate (CDR) % = Total # of deaths due to a specific cause for the last 5 yrs./ Total number of population surveyed x 100 (Compute for the CDR of the top 10 causes of death in the barangay)
Table Title
DISEASES
N
CDR (%)
1. (eg. HPN)
(eg.12)
(eg. 35.1%)
TOTAL
Analysis:
1.4.4 Swaroops Index (SI) % = Total # of deaths age 50 y/o and above for the last 5 years / Total number of deaths for the last 5 years x 100
Analysis:
1.4.5 Causes of death among Elderly
Table Title
CAUSE OF DEATH
N
%
1. (eg. HPN)
(eg.12)
(eg. 35.1%)
TOTAL
Analysis:
1.4.6 Causes of death among adult
Table Title
CAUSE OF DEATH
N
%
1. (eg. HPN)
(eg.12)
(eg. 35.1%)
TOTAL
Analysis:
1.4.7 Causes of death among 0-5 y/o (age 0-5 y/o)
Table Title
CAUSES OF DEATH
N
%
1. (eg. Diarrhea)
(eg.12)
(eg. 35.1%)
TOTAL
Analysis:
2. Family Planning Practices (based on the number married females age 15-45 y/o)
2.1 Family Planning Acceptors
Table Title
FAMILY PLANNING
N
%
Acceptor
Non-Acceptor
TOTAL
Analysis:
2.2 Methods Used by Acceptor
Table Title
METHODS OF FAMILY PLANNING
N
%
(eg. Calendar)
TOTAL
Analysis:
2.3 Reasons of Non-Acceptor
Table Title
REASONS OF NON-ACCEPTOR
N
%
(eg. Decrease sexual satisfaction)
TOTAL
Analysis:
2.4 Reasons of Drop-Out
Table Title
REASONS OF DROP-OUT
N
%
(eg. Not effective)
TOTAL
Analysis:
2.5 Methods Used by Failure
Table Title
METHODS USED BY FAILURE
N
%
(eg. Condom)
TOTAL
Analysis:
3. Health Seeking Behavior of families (based on the number of families)
Table Title
HEALTH SEEKING BEHAVIOR
N
%
Traditional Healers
Health Center/RHU/BHS
Private Clinic
Public Hospital
Private Hospital
TOTAL
Analysis:
4. Primary source of health Information of families (based on the number of families)
Table Title
PRIMARY SOURCE OF HEALTH INFORMATION
N
%
Professional Health Workers
Non-Professional Health Workers
Family Members
Friends/Relatives
Mass Media
TOTAL
Analysis:
5. Infant feeding practices (for 0-1 y/o)
TYPE OF INFANT FEEDING
N
%
Breastfeeding
Bottle feeding
Mixed
TOTAL
Analysis:
6. Nutritional Status of Children (for 0-12 y/o)
Table Title
AGE
NUTRITIONAL STATUS BASED ON WT (Kg)
OVERWEIGHT
NORMAL
1st
2nd
3rd
N
%
N
%
N
%
N
%
N
%
N
%
Below 0-11 months
1-3 y/o
3-5 y/o
6-12 y/o
TOTAL
Analysis:
7. Deworming Status of Children for the last 6 months (for 1-12 y/o)
Table Title
AGE
WITH
WITHOUT
N
%
N
%
1-3 y/o
3-5 y/o
6-12 y/o
TOTAL
Analysis:
8. Vitamin A supplements received by Children for the last 6 months (for 6 months-6 y/o)
Table Title
AGE
WITH
WITHOUT
N
%
N
%
6 months 1 y/o
1-3 y/o
3-6 y/o
TOTAL
Analysis
9. Immunization Status of Children (for 0-15 months)
Table Title
VACCINES
DOSES
WITH
WITHOUT
1
2
3
N
%
1
2
3
N
%
N
%
N
%
N
%
N
%
N
%
N
%
BCG
DPT
OPV
Hepa B
Hib
Rotavirus
AMV
MMR
TOTAL
Analysis:
F. Environmental Indices
1. Home Ownership
Table Title
HOME OWNERSHIP
N
%
Owned
Rented
Free
TOTAL
Analysis:
2. Lot Ownership
Table Title
LOT OWNERSHIP
N
%
Owned
Rented
Free
TOTAL
Analysis:
3. Ventilation
Table Title
VENTILATION
N
%
Satisfactory
Fair
Poor
TOTAL
Analysis:
4. Overcrowding
Table Title
OVERCROWDING
N
%
With
Without
TOTAL
Analysis:
5. Type of Housing
Table Title
TYPE OF HOUSE
N
%
Concrete
Light
Mixed
Makeshift
TOTAL
Analysis:
6. Electricity
Table Title
ELECTRICITY
N
%
With
Without
TOTAL
Analysis:
7. Privacy
Table Title
PRIVACY
N
%
With
Without
TOTAL
Analysis:
8. Food Storage
Table Title
FOOD STORAGE
N
%
Refrigerated
Not Refrigerated
TOTAL
Analysis:
9. Water Supply
Table Title
TYPE OF WATER SUPPLY
SHARED
OWNED
N
%
N
%
N
%
Level 1
Level 2
Level 3
TOTAL
Analysis:
10. Excreta Disposal
Table Title
TYPE OF EXCRETA DISPOSAL
SHARED
OWNED
N
%
N
%
N
%
Level 1
Level 2
Level 3
TOTAL
Analysis:
11. Refuse Disposal
Table Title
REFUSE DISPOSAL
N
%
Collected
Incineration
Open Dumping
Estero
Burial
TOTAL
Analysis:
12. Insect and Vermin Control
Table Title
INSECT AND VERMIN CONTROL
N
%
Mechanical
Chemical
Biological
TOTAL
Analysis:
13. Domestic Animals with and without pens
Table Title
DOMESTIC ANIMALS
With Pens
Without Pens
N
%
N
%
N
%
TOTAL
Analysis:
G. Summary (based on the information gathered from the community in terms of demography, socio-cultural, economic, health, and environment written in narrative form)
H. Problems Identification and Analysis (identify at least 5 community problems for each type)
A. Health Status
Problem Analysis
1. (eg. 80% of the mortality cases are due to TB)
(eg. TB is highly communicable and may cause death if left untreated)
B. Health Resources
1.
C. Health Related
1.
I. Prioritization of Identified Problems (Prioritize the identified community problems. Show the score for each type of problem)
Criteria
Actual / Highest
Score
Rationale for Actual Score
Weight
Criteria Score
1. Nature
2.Magnitude
3.Modifiability
4. Preventive Potential
5. Social Concern
Total
Chapter 4. Community Development Plan
A. HELPS Community Action Plan (CAP) (Construct an action plan following the format below for all of the problems identified and group them accordingly to category of: H- ealth, E- ducation, L- ivelihood, P- hysical Environment, S-ocio-Spiritual/Cultural).
PROBLEM AREA
(ex. Environment)
TITLE
(Formulate a title for each program based on the problem identified)
GENERAL OBJECTIVE
COMMUNITY PROBLEM
SPECIFIC
OBJECTIVES
POSSIBLE
ACTIVITIES
TIME FRAME
LOCUS OF RESPONSIBILITY
(persons responsible for the activity)
RESOURCE REQUIREMENTS
(ex. 80% of the houses has poor ventilation
(ex. 1 week)
(ex. BHW)
B. Community Project Plan (CPP)
1. Project Title
2. Target Sitio & Barangay and Number of Beneficiaries
3. Project Duration
4. Project Rationale and Description (briefly describe the community and outline of the problems and needs of the community and briefly describe how the project intends to address the problems)
5. Project Objectives
a. General Objective (State the over-all direction/long-term objective)
b. Specific Objectives (must be specific, measurable, attainable, realistic, and time-bound)
6. Project Phase (Narrative)
a. Preparatory Phase (explain briefly how was the project conceptualized and planned)
b. Implementation Phase (explain briefly how the project will be implemented, the roles of each group, partner community, and how it will be monitored)
c. Post- Implementation Phase (explain briefly how it will be evaluated and documented)
7. Community Participation (Describe what will be the participation of the community members, local officials, traditional leaders, local organizations, parish, and others)
8. Sustainability (state the over-all success, contributions, impact of the project to the integral development of the community, and how it can be sustain in the community)
9. Project Plan Matrix (written in bullet form)
PHASES
ACTIVITIES
TIME FRAME
EXPECTED OUTPUT
RESOURCE
REQUIREMENTS
PROJECT COST
UST
Counterpart
Community Counterpart
A. Preparatory
B. Implementation
C. Evaluation
Total Cost:
C. Community Budget Plan (indicate unit, quantity, cost, amount of resource requirements)
Total Cost of the Project:
Amount of UST counterpart: Php
Amount of community counterpart: Php
D. Health Education Plan (HEP)
TITLE
TARGET LEARNERS
(ex. mothers, preschool children, toddlers, etc.)
GENERAL OBJECTIVE
SPECIFIC OBJECTIVES
(use blooms taxonomy of objectives for knowledge, skill, or attitude)
CONTENT
(outline)
METHOD
(ex. Lecture, etc.)
TIME FRAME
(minutes)
RESOURCE
REQUIREMENTS
(ex. chalk, etc.)
METHOD OF
EVALUATION
(ex. Q/A,etc.)
After (duration) of (method), the (learners) will be able to:
1.
2.
3.
E. Organizational Structure of the Community Development Team
F. Committees and Functions of the Community Development Team
G. Minute Meeting of the Community Development Team (follow the format below)
MINUTE MEETING OF THE COMMUNITY DEVELOPMENT TEAM
Meeting Date
Meeting Location
Meeting Start
Meeting End
Attendance
(list all members that attended meeting)
Meeting Apologies
(list all members that did not attend the meeting)
Recorded by
Business/Agenda Items
Discussion
(summary of the discussion in the meeting)
Action
(list any decisions made or action to be taken by whom and by when)
1. Leader Report (reading of the agenda for the meeting and facilitate the approval of the minutes of the previous meeting)
2. Committee Report (based on the committee created by the group)
3. Old Business (unfinished business from previous meeting)
4. New Business (new business agenda)
Announcement
(list any special announcement made)
Future Agenda
(list any suggested agenda items that are to be tabled for the next meeting)
Next Meeting
(list date/time/location of the next meeting)
Chapter 5. Community Project Evaluation (CPE)
A. Overview (title, objectives, duration, area)
B. Activities Done (what are the activities implemented before, during, after)
C. List of Participants (list of community members participated the project)
D. Project Expense Report (summary of expenses incurred for the project)
E. Project Evaluation
1. Participants Evaluation (summary evaluation from the participants in the community)
PAGTATASA NG GAWAIN PANG PAMAYANAN
Tagapangasiwa ng Proyekto: (Year, Section, RLE Group #)
Pamagat ng Gawain:
Petsa: Lugar:
Panuto: Ipinakikiusap na ating tasahin ang gawain ayon sa katangian nito. Lagyan ng tsek ang naayon na kahon base sa inyong sagot.
BAHAGI NG GAWAIN
NAPAKAHUSAY
5
SOBRANG HUSAY
4
MAHUSAY
3
KATAMTAMAN
2
MAHINA
1
1. Programa
2. Tagapagsalita
3. Daloy ng Programa
4. Kahalagahan ng gawain
5. Lugar
6. Tagapag-organisa
7. Pamamahala ng Oras
8. Pamamahala ng kalinisan
Mungkahi or komento para sa ikauunlad ng programa:
2. Students Evaluation (examine the result of the project based on effectiveness, efficiency, appropriateness, and adequacy; examine the participation of the community in the project)
Chapter 6. Public Health Nursing Activities (done in the BHS/HC/RHU/Lying-In/Satellite Clinic)
A. Health Service Profile
PATIENTS NAME
AGE
SITIO/PUROK, BRGY
HEALTH PROBLEM
INTERVENTION
1.
2.
3.
Chapter 7. Conclusion, and Recommendations
A. Conclusion (based on the overall COPAR activities)
B. Recommendations
1. Community (interview the community)
2. Community Development Team (students)
C. Reflection on the learning experiences, insights, or realization (in narrative form per student)
Appendices
A. Communication Letters
B. Instruments (Community Survey Form, Interview Guide)
C. Financial Report (Summary of all expenses incurred for all of the activities, project implemented, transportation, food, accommodation)
D. Photo Documentation of Activities
E. Gantt Chart of the Activity (timeline of activities)
Curriculum Vitae (individual members with a 2x2picture for each)
NB:
To be submitted computerized in short bond paper with red hard bound using Arial font 12, Single space. Attached a CD containing a soft copy of the documentation, including the pictures for the whole duration of the activity.
* Compile in a ring bind and submit the survey form of the families surveyed in a long bond paper using Arial font 12, single space. Include the type written survey in the CD.
COMMUNITY HEALTH NURSING
FORMAT OF DOCUMENTATION FOR FAMILY HEALTH NURSING
Title page and Cover Page
The Royal and Pontifical Catholic University of the Philippines
UNIVERSITY OF SANTO TOMAS
Espana, Manila
FAMILY HEALTH NURSING
Presented to the
COLLEGE OF NURSING
In partial fulfillment of the requirements in
COMMUNITY HEALTH NURSING
By
Group 1 Section 1 Class 2020
(Name of Students)
Submitted to
(Name of Clinical Instructor)
(month, day,year of shifting)
Title Page
Abstract
Table of ContentsPage
Chapter 1: Introduction
A. Background
B. Statement of Objectives
C. Scope and Limitations
Chapter 2: Family Health Plan
A. Home Visit Plan
B. Family Data Base
C. Family Coping Index
D. Family Identification of Problem
E. Prioritization of Family Problems
F. Family Nursing Care Plan
Chapter 3: Conclusion, and Recommendation
A. Conclusion (based on the overall activities done during the home visit)
B. Recommendations
C. Learning experiences, insights, or realization (in narrative form per student)
Appendices
A. Photo Documentation of Activities
Curriculum Vitae
Chapter 1. Introduction:
A. Background (describe clearly community health nursing practice in the field of family health nursing and substantiate the significant role of the nurse in the care of the family)
B. Statement of Objectives of Family Health Nursing
1. General Objectives (statement of the general outcome)
2. Specific Objectives (statement of the task or what are to be accomplished)
C. Scope and Limitation
(Describe the limitations that exist in reference to the participants or population groups participated in the program, time or implementation of the program. The limitation must be substantial, and may be methodological, practical, or ethical)
Chapter 2. Family Health Plan (compiled together per family)
A. Home Visit Plan
PREPARATORY PHASE
ACTUAL HOME VISIT
POST VISIT
1.
1.
1.
2.
2.
2.
3.
3.
3.
B. Family Data Base
C. Family Coping Index
D. Identification of Family Problems
FIRST LEVEL ASSESSMENT
SECOND LEVEL ASSESSMENT
A. Health Deficit
Family Health Task Not Done
1.
B. Wellness Condition
1.
C. Health Threat
1.
D. Forseeable Crisis/Stress
1.
E. Prioritization of Family Health Problems
FAMILY PROBLEMS
CRITERIA
NATURE
MODIFIABILITY
PREVENTIVE
POTENTIAL
SALIENCE
TOTAL SCORE
SCORE
REASON
SCORE
REASON
SCORE
REASON
SCORE
REASON
1.
2.
3.
F. Family Nursing Care Plan
FAMILY PROBLEM
FAMILY NURSING DIAGNOSIS
GOALS
OBJECTIVES
INTERVENTION
TYPE OF FAMILY NURSE CONTACT
RESOURCE REQUIREMENTS
OUTCOME
Chapter 3. Conclusion, Recommendations
A. Conclusion (based on the overall activities done during the home visit)
B. Recommendations
C. Reflection on the learning experiences, insights, or realization (in narrative form per student)
Appendix : Photo Documentation of Activities
Curriculum Vitae (individual members with a 2x2picture for each)
NB:
To be submitted computerized in short bond paper with green soft bound using Arial font 12, Single space. Attached a CD containing a soft copy of the documentation, including the pictures for the whole duration of the activity.
1
Community Health Nursing- Related Learning Experience