Geopolitical is defined as “a spatial designation—a geographical or geopolitical area or place. This view is the most traditional in the study of community” A river, a mountain range, or a valley may create a natural boundary, and human-made boundaries may be structural, political, or legal. Streets, bridges, or railroad tracks may create structural boundaries. City, county, or state lines create legal boundaries. Congressional districts or school districts may exemplify political boundaries. A geopolitical view of the community focuses on the nurse’s attention on the environment, housing, transportation, education, and political process subsystems. All these elements are related to geographical locations and the population composition and distribution, health services, and resources and facilities. Statistical and epidemiological studies are frequently based on data from specific geopolitical areas” (Maurer & Smith, n.d., Chapter 16).
“Phenomenological communities include populations of people with common interests such as a common religious conviction or professional or academic interest; with common beliefs such as beliefs about human rights including women’s rights or racial equality; or with a common goal such as Students Against Drunk Driving (SADD), whose common goal is to decrease alcohol-related accidents among students who drive” (Maurer & Smith, n.d., Chapter 16). “When health services are considered, the boundaries of each community are established by the boundaries within which a problem can be identified, dealt with, and solved. A community of solution includes (1) a health problem shed (i.e., an area that has similar health problems) and (2) a health marketing area (i.e., an area that has similar solutions to the problem of an adequate supply of health resources to meet the problem). The concept of a community of solution is especially important in coordinating health care and decreasing duplication and fragmentation of services” (Maurer & Smith, n.d., Chapter 16).
Using the nursing process for a community or group of people is much like using it for individuals. Nurses will assess the community, make a judgment about the communities’ responses to actual or potential health needs, make a plan to provide the community with the best tools for the best outcomes, including consoling, screenings, and referrals, to name a few. The nurse will then put forth those plans and then evaluate continuously to improve the plan or if what is currently in place is working.
Maurer, F., & Smith, C. (n.d.). Community Assessment. Nurse Key. Retrieved from https://nursekey.com/community-assessment/
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