Use of Problem Solving Approach in the Community Health Nursing Practice - Community Coordination for Healthy Action

Abstract

Background: Nursing students are trained to acquire the knowledge, skills, and attitude required for solving
problems of community/family/Individual . In fact, problem-solving skills are the core of effective nursing
activities. The aim of present study is to use problem-solving approach using community coordination approach.
Materials and Methods: Descriptive survey approach was used to identify the problem of Anemia among
all females of selected J.J cluster community of Delhi. In second phase assessment of knowledge and practice
related to prevention and control of anemia with help of structured interview schedule was done for reproductive
age group females (15-45years) It was identified that majority (82%) females are married and having 2-3 kids
and females(60%) were illiterate. On assessment it was identified that majority of the females were not aware
regarding aneamia and its causes specially warm infestation although they have knowledge related to prevention
and control of anemia but having lack of self care (67%).They are using mixing procedure to increase the
nutritive value but not spouting due to unawareness. Based on assessment Nursing Diagnosis made as lack of
awareness, altered nutritional status among women and altered self care. Problem solving approach was used
to solve the problem. Possible solutions were identified like Organizing Camp in the community for weight and
Hb% estimation, health education during camp regarding prevention and control of anemia and distribution
of Iron and Folic acid tables including demonstration of making paushtik Khichari and sprout. All Women in
reproductive age group of 15-45 years residing in J.J Cluster Sri Niwas Puri (n = 76).
The camp was organized for three days with use of all available resourses in the community like NGOs working
in same community provided the space, govt. health centre supported in Hb% estimation and field publicity
office for film show on prevention and control of anemia and quiz competition and local tent house for providing
table and Chair during the camp.
Majority of the females (75%) were anemic and having Hb. less then 10 gm % and all were provided with
therapeutic dose of iron supplement for one week and motivated to continue the treatment from available
government facilities in the community.