Nvironment & Diversity in Community Health

Week 3: Environment and Diversity in Community Health


Effective community health programs are tailored to the specific needs of populations, as Dr. Nola Pender explains in your media segments. When nurses perform a community assessment, they gather information not only on health issues but also on cultural factors within populations and on environmental assets and problems.

This week you will investigate why, as Nightingale phrased it, a?pure air, pure water, efficient drainage, cleanliness, and lighta? are necessary for our physical and emotional well-being. You will also explore issues that often arise when community health programs reach out to diverse populations.


Students will:

Assess environmental issues impacting community health
Identify issues related to promoting and preserving health and managing disease in selected diverse populations

Environment & Diversity in Community Health

How would you evaluate your own regionas environmental health and the impact it has on its citizens?

In this Discussion, focus on one major aspect of the environment as it affects, or is likely to affect, the health of your community. Perhaps it is the runoff of pesticides into nearby rivers and streams, high levels of ozone in the air, a proposed waste disposal site, or the conversion of parkland into commercial development. What are the health costs and risks to your community? Consider ways that a nurse-led program might address this problem.

To prepare for the Discussion, explore a number of the environment-related Web sites listed in this weekas Learning Resources, and do further online or in-person data gathering as needed. Then share your data and observations with your peers.

With this information in mind:

Post your thoughts about an environmental issue impacting your community: In Middletown, Oh we have a large factory called ARMCO, it pollutes the air with smog, surrounding areas are covered with black soot. The nearby hospitals have an increased rate of respiratory issues with patients recovering from surgery and that area has a higher rate of children with asthma.

Please follow APA format each section below should be titled and separated with a section header 1 and 2

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Week 3 discussion

1. Describe the specific environmental concern. What are the health costs and risks to your community? Support your observations with data and other evidence.

2. Propose one way that a nurse-led program might address the health concerns related to this environmental issue.

Learning Resources

Prior Knowledge

As a nurse you know that the beliefs and motivations driving health behaviors differ among various populations. In discussing anti-tobacco programs, for example, Dr. Nola Pender observes that teenagers are generally motivated less by the fear of developing diseases than by concerns about appearance. Recall an experience in which you tailored a patientas care to his or her belief systema religion, attitude toward death or illness, and so on. Were the patientas outcomes in any way better because you offered culturally relevant or patient-specific care?

Required Resources


Course Media: Diverse Communities(Dr. Geri-Ann Galanti)

Medical anthropologist Dr. Geri-Ann Galanti offers guidance on how nurses can facilitate effective and respectful communication with patients from diverse ethnic or cultural backgrounds.

Click here for the Video Key Points


Article: Christianson, J., Ginsburg, P. B., & Draper, D. A. (2008). The transition from managed care to consumerism: A community-level status report. Health Affairs, 27(5), 1362-1370. Retrieved from the Walden Library using the MEDLINE with Full-Text database /ezp.waldenulibrary.org/login?url/pdf

Optional Resources


Environmental Health:

U.S. Environmental Protection Agency

USDA Food Safety and Inspection Service

Transcultural Nursing: Diversity in Health and Illness

U.S. Department of Health and Human Services: Minority Health

Florence Nightingale International Foundation: The Girl Child Project

In describing an ongoing community health project, this website provides a rationale for targeting its particular population of urban girls.