Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00077
Nanda label: Ineffective community coping
Diagnostic focus: Coping
Nursing diagnosis is an important tool used by nurses in diagnosing, planning, and delivering nursing care to their patients. According to the National Association of Nursing Diagnosis- International (NANDA International), nursing diagnosis is defined as "the clinical judgement about individual, family, or community responses to actual or potential health problems or life processes;" thus, it is important for nurses to be aware of nursing diagnoses related to community coping. Ineffective community coping can have significant impacts on the mental and physical health of the individuals living within a community; hence understanding it and its effect is crucial for providing proper patient care.
NANDA Nursing Diagnosis Definition
The NANDA nursing diagnosis definition for ineffective community coping states that it is “an individual, family, or group's inability to form consensus and collaborate on solutions to problems that affect the welfare of the whole community.” This diagnosis can occur when groups within a community are not able to form consensus and there is minimal or no collaboration between them.
Defining Characteristics
Subjectives:
- Lack of motivation and initiative among groups within the community
- Inadequate communication between members within the community
- Non-cooperation from members on problem-solving and effective decision making
- Absence of trust between groups within the community
- Disagreements/conflicts over resources and issues of importance
Objectives:
- Accumulation of unresolved problems which have been ignored
- Limited or absent public involvement in the problem-solving process
- Poor collaborative efforts among the community to develop and execute interventions
- Lack of reliable information available or accessible to the community members
- Increased prevalence of problematic behaviour within the community
There are various factors that can contribute to the development of ineffective community coping. These include lack of access to reliable information or resources, inadequate or ineffective communication between groups, absence of trust between groups, lack of positive interaction or dialogue, conflict between groups and other social problems like poverty or inequality. Furthermore, ineffective leadership and governance in the community can also lead to ineffective community coping.
At Risk Population
There are certain populations that are more vulnerable to the effects of ineffective community coping. These include groups who are financially weaker and have inadequate access to problem-solving resources, less educated communities, cultural minorities, those living in geographically isolated areas and those with little social capital.
Suggested NANDA Nursing Diagnoses
- Knowledge deficit related to illness condition: This diagnosis is applicable when community members are unaware or lack sufficient knowledge regarding how to manage a particular health problem or illness.
- Impaired verbal communication: When individuals in the community are unable to effectively communicate to convey their messages, or there is a language barrier.
- Activity intolerance: This diagnosis is applicable when individuals are unable to participate in necessary tasks in the major areas of daily functioning due to health-related reasons.
- Impaired social interaction: This diagnosis is used when individuals are unable to form and maintain appropriate social relationships.
- Ineffective health maintenance: This diagnosis is used when individuals are unable to engage in health maintenance behaviors.
Usage Tips
It is important for nurses to keep in mind that ineffective community coping is a dynamic process and identify the underlying and immediate factors to which the individual or family is exposed. The nurse should also assess the impact of the nursing diagnosis on the client’s health, safety, and daily functioning, and recognize the strengths and resources of the different members of the community. Nurses should also frame the diagnosis by considering both intra- and inter-personal characteristics.
NOC Outcomes
- Coping: Describes the ability of individuals to successfully adjust to and manage stressors.
- Communication: Describes the ability of a person to exchange information, either verbally or non-verbally.
- Interpersonal Relations: Describes the patterns of relationships formed by the client with others.
- Problem Solving: Describes the ability of a person to identify and take the necessary steps to solve a problem.
- Self-Care: Defines the ability of a person to take responsibility for their own wellbeing.
Evaluation Objectives and Criteria
Evaluation of the effectiveness of interventions to improve community coping is mainly done by measuring certain objectives and criteria such as increased participation and collaboration between groups, greater levels of trust and better communication among the groups, improvement in the quality of decisions and problem-solving processes and decreased levels of conflict between the groups.
NIC Interventions
- Advocacy/Facilitation: This involves actively supporting one or more groups to make decisions, express opinions, and work on plans of action needed to establish a harmonious environment and resolve a problem.
- Competition Resolution: This involves applying interventions that foster unbiased communication and cooperation between two or more contending parties.
- Conflict Resolution: This involves developing techniques and strategies to facilitate communication between two or more colliding parties to help resolve their differences in a peaceful or negotiated manner.
- Community Networking: This technique involves forming a network of actors or teams made up of individuals who can appear at any time and deal with complex or emergency issues.
- Resource Facilitation: This approach consists of increasing resource accessibility to marginalized people in a community.
Nursing Activities
Nursing activities for addressing ineffective community coping should focus on helping individuals interact and engage with each other, and encouraging them to work together. These activities should promote communication, problem-solving, and collaboration between groups, as well as provide support to individuals who are impacted by problematic issues in the community.
Conclusion
In order to effectively address ineffective community coping, nurses need to be aware of nursing diagnoses related to this issue, recognize the factors that could cause this, understand how to providing the right interventions, and how to evaluate the effectiveness of the interventions. With appropriate management, nurses can help the community cope with its challenges and support the individuals living in it.
FAQs
- What is Ineffective Community Coping?
Ineffective community coping is when individuals, families, or groups within a community are unable to formulate consensus and collaborate on solutions to problems that affect the welfare of the whole community. - Who is at Risk for Ineffective Community Coping?
Groups who are more likely to experience the effects of ineffective community coping include those who are financially weaker and have inadequate access to problem-solving resources, less educated communities, cultural minorities, those living in geographically isolated areas and those with little social capital. - How Can Nurses Help Address This Issue?
Nurses can help to address this issue by taking active steps to help communities interact and engage with each other, and teaching them ways to problem-solve and encourage collaboration between groups. - What Nursing Diagnoses Are Related to Ineffective Community Coping?
Nursing diagnoses related to ineffective community coping include knowledge deficit related to illness conditions, impaired verbal communication, activity intolerance, impaired social interaction, and ineffective health maintenance. - What Are Some Nursing Activities That Can Help Address This Issue?
Nursing activities that can help address this issue include promoting communication, problem-solving, and collaboration between groups, as well as providing support to individuals who are impacted by problematic issues in the community.