Community health nurses are required to have a good knowledge
and understanding of theoretical concepts relevant to community
nursing practice. This includes being able to analyse relevant data
and identify social determinants of health and engage with
vulnerable groups. Detailed needs assessment is important to
inform health promotion planning and practice.
The aim of this assignment is to demonstrate your knowledge and
understanding of important community health nursing concepts and
principles, including: social determinants of health, identifying and
working with vulnerable groups, principles of community
engagement, undertaking detailed needs assessment and health
Specifically, you will undertake analysis of a real community data
set, identify and discuss relevant social determinants of health,
identify a vulnerable sub-group, explain how to engage with the
community and how to undertake a more detailed needs
assessment. Finally, you will explain how this information from a
needs assessment could be used to inform health promotion
planning in this community.
write a 1,350 word essay in which you will discuss
social determinants of health in relation to identify a vulnerable subgroup of people and discuss the process of community engagement,
needs assessment and health promotion planning.
results further showed that the friends were angry at the perpetrator and wanted to seek revenge but otherwise maintained positive feelings towards the survivor (Ullman, 1996). Because the results can vary from friend to friend, it is imperative that friends, family members, and supporters of survivors of sexual abuse are educated on their role in the process of recovery and healing. Sexual abuse affects more than just those who experience it first hand, it also impacts those who are trusted enough to help bear the weight and seriousness of this horrible experience. Exploring shame, one of the consequences of sexual abuse more thoroughly, will provide clarity to the healing process that survivors of undergo and the important role that women play in empowering female survivors to overcome their experience. Oftentimes, abuse-related shame is created by the secretive context under which it takes place, including threats to stay silent and not disclose the event to anyone and condemnation from the perpetrator towards the victim (Feiring & Taska, 2005). This shame can then lead one to feel trapped, powerless, and isolated (Brown, 2006). Shame requires a sense of self and an ability to compare oneself against a cultural standard (Feiring & Taska, 2005). Having a better understanding of shame will not only allow female survivors of sexual abuse to take steps towards healing, but will also help peers, family members, and friends to support survivors along this path. Feeling Less Trapped The word trapped is often thought of in the context of not being able to escape. Female survivors of sexual abuse often feel trapped by their experience. Researchers found that a consistent result of shame is an avoidance response so severe tat the individual prefers to hide rather than expose themselves (Barrett, Zahn-Waxler, & Cole, 1993). Additionally, shame promotes cognitive avoidance which is an intentional effort to avoid dealing with a stressor (Berliner & Wheeler, 1987). Because shame produces avoidance, both cognitively and behaviorally, survivors, as well as those who support them, need to understand the significant effect that deep and sincere connections can have on survivors while working through abuse-related shame. Turner (1993) stated that “the process of sharing feelings with others and realizing that other people feel the same way provides a sense of relief and makes people feel less frightened and not so alone” (para. 12). Being able to reach out for help and seek connection, the opposite of avoidance, will likely improve the survivor’s ability to overcome shame and empower her to fight the feelings of isolation that she experiences. Feeling Less Powerless As suggested by Brown (2006), sexual abuse survivors find that producing effects strong enough to counter the shame caused by sexual abuse very difficult. Because shame produces so many emotions, survivors have difficulty feeling empowered enough to get to the core of their abuse and begin healing. Survivors are often stuck in the secondary emotions: shame, guilt, anxiousness, helplessness, and hurt (E. Harwood, personal communication, November 1, 2017). In a study done by Berliner and Wheeler (1987), survivors of sexual abuse typically got to the core of their abuse and began healing by gradually exposing their abuse situation through talking about or abreaction, the expression and emotional discharge of repressed emotion (Merriam-Webster Dictionary, 2017). If female survivors of sexual abuse can experience abreaction, in addition to the support of deep and sincere connections with other women, then they may be able to reach the core of their abuse and begin to explore to real emotions that they are feeling. Survivors will likely gain power over their abuse each time it is exposed through the help of therapists, peers, and family supports. Survivors may begin to feel empowered and start to overcome the complexity of the shame that they experience. They may also find the power to keep seeking connections necessary to overcome feelings of isolation. Feeling Less Isolated>