The community health nursing process is essential in providing community health nursing service to the community. It helps to identify community health problems, to prioritize problems, to provide service, and to evaluate service results. However, it is very rare to find a study which applies the community health nursing process.
This study intended to apply the community health nursing process to a urban community. The focus of the study was a community consisting of 533 families in a region of Seoul.
The study process was as follows:
1) The data was collected by conducting interviews with community leaders and by collecting surveys from the people of the community.
2) The data was summarized and analyzed.
3) The community nursing diagnosis was identified.
4) The nursing diagnosis was prioritized.
5) The general and specific objectives for service were identified.
6) A specific nursing plan was set up.
7) A detailed evaluation plan was established.
Four community nursing diagnoses were identified from the community.
1) The utilization rate of health center was found to be low due to lack of knowledge about the health center and low accessibility.
2) High traffic accident rate due to narrow roads.
3) High prevalence of chronic disease due to inappropriate health behavior.
4) High noise level and foul smell due to inappropriate waste management.
Among the four community nursing diagnoses, ´High prevalence of chronic diseases was identified as a priority community nursing problem. The criteria for prioritizing community nursing problems were as follows: number of people involved, fragility of clients, severity of the problem availability of resources, concern of the people, readiness of nurses, relevance to the national policy.
This study describes the general and specific objectives to solve the high prevalence of chronic health problems, nursing plans, and an evaluation plan.
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