Provision To Improve Community Coping

Introduction to Nursing Diagnosis

The Nursing Diagnosis is a tool developed by the North American Nursing Diagnosis Association (NANDA) that provides a standard approach to nursing diagnosis by allowing nurses around the world to assess a client's health needs, determine interventions, and design care plans that best meet the patient's needs. The Nursing Diagnosis: Provision To Improve Community Coping is used to address the need for resilience in communities affected by an event or crisis. It identifies interventions that can be implemented to increase community coping and reduce the potential for increased distress and mental health problems among at-risk individuals.

Nursing Diagnosis Definition

Nursing Diagnosis: Provision To Improve Community Coping is defined as “an intervention that focuses on enhancing the community’s ability to cope with situations that require them to respond with resilience”.

Defining Characteristics

Subjectives

• Expresses feelings of helplessness
• Expresses concern about being overwhelmed
• Expresses lack of confidence in making decisions

Objectives

• Decreased participation in social or recreational activities
• Excessive reliance on external resources
• Poor problem-solving skills
• Increased irritability

Related Factors

The following factors can contribute to decreased resiliency and poorer coping skills in communities:

• Psychological Stressors – Trauma, grief, financial insecurity, relationship difficulties, or lack of support
• Social Stressors – Lack of access to services, inequality of resources, stigma, or discrimination
• Environmental Stressors – Natural disasters, war, civil unrest, or poverty
• Biological Stressors – Genetic predisposition, physical illness, or advanced age

Risk Population

Individuals who are at greater risk for developing poorer coping skills include:

• Those living in low-income households
• Seniors and the elderly
• People with disabilities
• Refugees and immigrants

Associated Problems

Failure to promote resilient coping skills in at-risk communities can lead to a wide range of problems, including:

• Increased mental health issues, such as anxiety, depression, or post-traumatic stress disorder (PTSD)
• Substance abuse
• Poor quality of life
• Difficulty connecting with others
• Decreased functioning in major life domains

Suggestions of Use

Nurse practitioners may use the Nursing Diagnosis: Provision To Improve Community Coping to assess a community’s level of distress and identify interventions that will help them increase their resilience. Possible interventions may include:

• Psychoeducation regarding the importance of positive coping strategies, stress management, and self-care
• Referral to relevant services and supports, such as counseling or respite care
• Facilitated group discussions on how to better cope with adversity
• Resources, such as websites and books, focused on helping individuals build resiliency

Suggested Alternative Nursing Diagnosis

Other NANDA nursing diagnoses that are related to promoting community resilience include:

• Coping Enhancement
• Resilience
• Self-Care Deficit
• Social Isolation

Usage Tips

When utilizing the Nursing Diagnosis: Provision To Improve Community Coping, nurse practitioners must take the time to assess a community’s needs fully before creating a plan of care. Additionally, nurse practitioners must cultivate a trusting relationship with the community members in order to provide a safe environment where they can express their feelings and needs.

NOC Results

The following are some of the NOC results for this nursing diagnosis:

• Coping
• Resilience
• Confidence
• Problem Solving

Each of these results can be monitored for improvement over time as the interventions are implemented.

NIC Interventions

The following are some of the NIC interventions for this nursing diagnosis:

• Stress Management
• Coping Enhancement
• Supportive Listening
• Resource Utilization
• Information Gathering

These interventions are designed to help individuals learn new ways of coping and become more resilient.

Conclusion and FAQ

In conclusion, the Nursing Diagnosis: Provision To Improve Community Coping is an important tool that nurse practitioners can use to identify individuals and communities that are at risk for poorer coping and to implement interventions that will help promote resilience. Nurse practitioners must strive to develop trust with patients, assess their needs, and design individualized plans of care in order to help individuals and populations become more resilient.