Clinical Action Plan: Community Health Plan


In the family setting, community health nursing has the vital role of ensuring proper conduct among the children of Elsie and Raymond. The community influences how the family setup is organized, focusing primarily on the issue that leads to divorce. It affects the developmental psychology of the children, who grow up having a problem with parenting and lacking emotional support due to the distance caused by separation. The history of Elsie, where she has had issues with family setting across generation profiles, integrates how the community influences her ability and approach to providing a positive environment for the growth of her children. It overly relies on her relationship shift with Raymond, which makes her undergo psychological stress, and the children have expressive behaviors due to a lack of appropriate parenting. There are several health facilities, which makes access to health services more accessible. It makes the cases of children who have medical issues like Kimberley enhance a seamless process in her activities at school, home, and personal scopes. Provisions by the insurance plans help to make the cost cheaper. Schooling facilities are readily available, both private and public, and hence it provides a more affordable option to enhance access to educational facilities. Across the vicinity, there are people of broad age profile, which gives the children a very positive impact in the growth process, while overly at the same time providing the parents with cases to draw from to have a functional approach towards family management. Lack of proper parenting makes Elsie struggle to meet the activity needs of her children and challenge in enforcing disciplinary measures. They also display abnormal behavior, where Kimberley develops hate and distaste for physical activities and relations, while Declan starts being expressive of violence, leading to him picking fights and quarrels. It is because of the social gap that the father would have filled.

The impact of determinants of social scope, cultural settings, and resource allocations shapes how various critical points are approached while the child is growing up, making for the need for analysis and evaluation of the policies and frameworks that concern the family community levels (Kangovi et al., 2017, p. 1665). The resource material includes the availability of schools, health centers, infrastructural processes, and security services. In the neighborhood, the children have fair access to education. In the case of Kimberley and Declan, they attend an expensive school paid for by their father, which ensures access to quality education. Numerous health facilities provide availability and free access to health services, which gives the parent a more probable positive approach towards family life management. Kimberley faces a health challenge issue herself, but provisions of the insurance plan, combined with the nearness of the health facility, ensure that she gets proper medical attention. For instance, a good transport network is a factor for seamless and smooth transport among the family members when visiting each other or going to school. The cultural setting dictates how individuals can help their families. Elsie s affected by the issue of repeated separations that she had to face the family from her side, which affects her deeply until she separates from Raymond. The culture at the community level, which entails high crime rates, can be detrimental to the children’s development process, leading to violent and rowdy behaviors. The fundamental element where Declan loves fistfights might be from the influence of the same.

In the context of Raymond and Elsie’s family, health concerns, population distribution, and related scopes affect the domestic setting and how it integrates into the community, with service access and exposure to facility resources. The perception of influence from the cross-profile age population in the community setting, with extremes like street children and the rich living in the urban suburbs, impacts how the parents and children view the various scope concerns. The well-distributed educational, health and recreational services enhance access and make the scope concerning different aspects of family and social life more approachable.

Environmental quality influences the perspective of the family settings in the community. It relates to how factors such as the prevalence of criminal activities, the presence of homeless children, and the disparity in the social classes affect psychological development and growth (Perkovic et al., 2017, p. 141). It integrates into effect on the environmental settings such as schools and even encompasses the complex issue of providing health services.

The three nursing interventions to avert the environmental issue revolve around identifying, analyzing, and evaluating the various environmental problems and providing solutions (Kjaer et al., 2021, p. 613). It includes;

  • There should be proposals to reduce noise pollution across the neighborhood to enhance a noise-free environment to enhance a hassle-free climate for growth and concentration from both children and parents.
  • It implements medical charges that are friendly at the health service centers to ensure affordable access to services.
  • There should be provisioning for proposals for better housing facilities, which are spacious and not crowded to provide more space for personal individual improvement and development.

Health Education Action Plan

The plan will identify community health resources that support improved health outcomes for your selected family/community. Include: Goal(s)

Develop accessible and affordable education and healthcare services for children.

  • Planned action (interventions)

    We have built more schools and health facilities across the neighborhood—implement cost-friendly charges.

  • Needed resources (community resources)

    The required resources are land, building materials, and educational personnel.

  • Timeframe for evaluation (projected expectation for evaluating initial outcomes of the action plan)

Summary of the implementation process

The implementation process includes the development of infrastructural setups for the education and health goals, from building erection to acquiring personnel such as teachers and nurses to work at different levels (Moore et al., 2019, p. 424). It includes using healthy and positive methods of approach to have a focused plan to ensure that deliverables are met in the projected time. Additional services like counseling are integrated for psychological support. It will significantly enhance the developmental aspects at the family level in society, which improves seamless family management and parenting. It gives the community a framework blueprint on how to influence development at the different stages while addressing the achievement of metrics surrounding the child development in the classroom and health-wise aspects and the role the parents play in the growth and development of children. At the end of implementation, it is expected that there will be a better approach to the issue surrounding parent-child relations, incapacities in accessing educational health services, and the process of transition of families and how it impacts the development of children. In addition, it will develop a model that will see to social growth, reduced violent behavior, and fair mental treatment as applicable to children at the developmental stage.


Kangovi, S., Mitra, N., Grande, D., Huo, H., Smith, R. A., & Long, J. A. (2017). Community health worker support for disadvantaged patients with multiple chronic diseases: a randomized clinical trial. American journal of public health, 107(10), 1660-1667. Web.

Moore, P., Atkins, G. T., Cramb, S., Croft, J. B., Davis, L., Dolor, R. J.,… & Punturieri, A. (2019). COPD and rural health: a dialogue on the National Action Plan. The Journal of Rural Health, 35(4), 424.

Perkovic, V., Craig, J. C., Chailimpamontree, W., Fox, C. S., Garcia-Garcia, G., Gharbi, M. B., … & Levey, A. S. (2017). Action plan for optimizing the design of clinical trials in chronic kidney disease. Kidney international supplements, 7(2), 138-144. Web.

Kjaer, P. H., Fisher, L., Potter, M. B., Dedhia, M., Parra, J., Ejskjaer, N.,… & Hessler, D. (2021). Examining variations in action plan quality among adults with type 2 diabetes in primary care. The Journal of the American Board of Family Medicine, 34(3), 608-617. Web.

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"Clinical Action Plan: Community Health Plan." NursingBird, 20 Sept. 2022,


NursingBird. (2022) 'Clinical Action Plan: Community Health Plan'. 20 September.


NursingBird. 2022. "Clinical Action Plan: Community Health Plan." September 20, 2022.

1. NursingBird. "Clinical Action Plan: Community Health Plan." September 20, 2022.


NursingBird. "Clinical Action Plan: Community Health Plan." September 20, 2022.