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The Nine Principles of Community Engagement, NIH. (2011). Principles of…
The Nine Principles of Community Engagement
Clearly define the goals of engagement and the specific groups, communities, and/or populations you want to work with (NIH, 2011).
Build relationships, trust, and rapport, with both leaders
and
members of the community. Involve community organizations in your efforts to engage the community (NIH, 2011).
Do your homework. Be knowledgable about the community, their culture, norms, power structures, values, etc. (NIH, 2011).
Partnership with the community is a requirement for understanding their unique needs and goals. Understanding these needs and goals enables health professionals to promote health in the community (NIH, 2011).
The diversity of the community must be recognized, respected, and considered in the planning process (NIH, 2011).
Recognize that communities have the right to self-determination and your involvement does not enable or grant permission for self-determination (NIH, 2011).
As community engagement efforts evolve, those looking to effect change need to be willing to relinquish control to the community and/or be flexible with how engagement and interventions are progressing (NIH, 2011).
Identifying assets, strengths and/or developing capacity within the community are essential aspects to sustained community engagement (NIH, 2011).
Community engagement and collaboration takes time and requires long-term commitment from both individuals and organizations wishing to engage (NIH, 2011).
Applying the principles of community engagement to the VGH Diabetes Clinic (Ben's 3610 practice placement).
Observe and work with the health care team at the diabetes clinic to identify the goals of the program for its clients.
Review pharmacology and pathophysiology of diabetes and related metabolic diseases. Through interactions with clients identify similarities and differences between clients beyond their diagnosis of diabetes.
Take time to build rapport and trust with clients by taking genuine interest into their lives.
Take your time with clients to understand their health goals related and unrelated to their diabetes. Provide education in a respectful and accessible way, allowing for questions and interruptions. Respect the client's health decisions even if they do not align with what is best for them from a clinical perspective.
Work with clients to identify which aspects of their diabetes management can use improvement (ie. diet, insulin administration, blood glucose monitoring, etc.). Formulate and implement nursing interventions to meet the needs of the client.
Think critically about how the culture, gender, sexuality, ability, spirituality, language, etc., impacts the client's ability to cope with their illness, and how the team can plan to meet their needs.
Identify the client's strength and assets with the goal of implementing strategies to build capacity to enable health promotion. In the diabetes clinic this may be identifying that a client is particularly strong with technology and setting them up with a blood glucose monitoring device that connects directly to their phone. Since this individual is comfortable with the use of technology, they will likely find it easy to implement this into their daily life, which could mean that their blood glucose gets monitored more closely than using the finger-prick method.
The health care team at VGH Diabetes needs to be flexible and tailor their approach to the needs of each client. Depending on a variety of factors, clients may be more or less willing to undergo treatment and behavioural change required to manage their condition effectively.
1 more item...
NIH. (2011). Principles of Community Engagement. Centers for Disease Control and Prevention. Retrieved January 17, 2023, from
https://www.atsdr.cdc.gov/communityengagement/pce_what.html
Reference
Hasti Halakoeei and Ben Ferguson