Student Documentation of Community Strengths Using · PDF fileStudent Documentation of...
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Student Documentation of Community Strengths Using Omaha System Concepts: An International
Public Health Nursing Feasibility Study
Madeleine J. Kerr, PhD1 & Kari Glavin, PhD2
1 University of Minnesota School of Nursing, Minneapolis, USA 2 Diakonova University College, Oslo, Norway
Collaborators Mexico, Benemérita Universidad Autonoma
Sebastiana del Rosario Gargantua-Aguila & Erika Mitre
New Zealand, University of Auckland Michelle Honey
Norway, Diakonova University College Kari Glavin
Turkey, Istanbul University Nursen O. Nahcivan & Selda Secginli
United States, University of Minnesota Carol Flaten, Karen Monsen & Madeleine Kerr
Omaha System Partnership within the School of Nursing's Center for Nursing Informatics
Background • Strength-based community
assessments are a hallmark of public health nursing.
• Brief community assessment “windshield surveys” are often completed by nursing students in public health experiences.
The Omaha System Standardized terminology with a
community-level modifier
The Omaha System
Useful in describing community-level problems
Kerr et al., (2016). Feasibility of Using the Omaha System for Community‐level Observations. Public Health Nursing, 33(3), 256-263.
Is it also suitable to capture community strengths?
Method • Engaged faculty through the internet • One link to all resources in the ‘cloud’ • Online survey using SurveyMonkey
• Checklist of 11 concepts • Open-ended item to comment on strengths
• University ethics committee determined the study “exempt” from review.
• Analysis of themes by PHN faculty collaborators in each country – Eliminated comments that simply stated
an absence of the problem/ sign/symptom.
– Grouped comments and named themes. • Themes were synthesized across
countries to identify common strengths • All collaborators validated the results.
Results Students from 5 countries provided data
Country Number of Students
Mexico 23
New Zealand 12
Norway 35
Turkey 100
USA 128
TOTAL 284
Frequency of Strengths
The percent of respondents adding a strength varied among the 5 countries.
Residence (living area) concept Sign/symptom/strength
Mexico NZ Norway Turkey US
Structurally unsound 30 0 6 72 32 Homeless
0 8 6 4 18 Strength (comment) 70 92 100 34 70
Themes Environmental Domain
Omaha System Concept
Theme
Income Good Economic Situation Sanitation Cleanliness
Quality Water Residence Variety in Housing Options
Quality Housing Neighborhood/ Workplace Safety
Safe Neighborhood
Open/Green Space
Residence Definition: Living area
Quality Housing • “[The housing provides] safety and
comfort” Mexico • “For the most [part] big solid houses”
Norway • “The houses seem good and
structurally sound” Turkey • “Relatively newly-built homes in good
repair” United States
Psychosocial Domain Omaha System Concept
Themes
Communication with Community Resources
Community Resources Available
Communication of Resources Social Contact Good Opportunities for Social
Interaction Interpersonal Relationship
Stable Community
Sociable Community
Spirituality Availability of Diverse Places of Worship Beliefs respected
Social contact Definition: Interaction between the individual/family/community and others
Good opportunities for social interaction
“There are soccer (football) matches among neighborhoods” Mexico
“Sports clubs and facilities available, social clubs in schools such as sports/art/drama clubs, scouts, walking groups, exercise groups, street meetings and groups” New Zealand
“Well-functioning neighborhoods, much social interaction and leisure activities” Norway
Health-related Behaviors Domain
Omaha System Concept
Themes
Nutrition Access to Appropriate Nutrition Substance Use Prevention Policies Health Care Supervision
Good Access to Health Care Providers
Nutrition Definition: Select, consume, and use food and fluids for energy, maintenance, growth and health.
Access to appropriate nutrition “Lots of options for healthy eating” New Zealand “Good access and opportunities to have a
balanced diet” Norway “It is easy to access all kinds of foods (from both
market greengrocer and farmers market)” Turkey
“Large quantity of grocery stores in the area” United States
Conclusions • Students were able to describe
community strengths using Omaha System standardized terminology concepts.
• Common strength themes in each of 11 Omaha System concepts were derived from student-generated narrative data.
Implications Themes and exemplar quotes provide a first step to development of operational definitions of strengths at a more granular level for future electronic exchange of community-level information across the globe.
Questions? [email protected]
References Kerr, M.J., Flaten, C., Honey, M.L.L., Gargantua-
Aguila, R., Nahcivan, N.O., Martin, K.S., & Monsen, K.A. (2016). Feasibility of Using the Omaha System for Community‐level Observations. Public Health Nursing, 33(3), 256-263.
Martin, K. S. (2005). The Omaha System: A Key to Practice, Documentation, and Information Management (Reprinted 2nd edition ed.). Omaha, NE: Health Connections Press.