Program:

Environment Control - Guiding Environmentally Safe Nursing Care

A written output

In partial fulfillment of the requirements in NCM 107 A

Submitted by:
Balbin, Czarina
Chan, Pauline
Crisostomo, Camille
Eseo, Kirk
Francia, Julius
Gloria, Shamaikah
Guanzon, Keziah
Ledda, Richan
Sonico, Michelle
Torrocha, Shaira
Trabal, Charles
Viaje, Cyrille

NCM 107 Leadership Group A4

Program: Environment Control - Guiding Environmentally Safe Nursing Care

I.

External Assessment
a. Opportunities
- Learning to accomplish tasks and goals utilizing each individuals strengths
- Fostering healthy relationships with one another to create a cooperative working environment
- Giving one another constructive criticism can enhance each others skills not only as a nurse
but also as an individual outside the work environment
- Listening to one another professionally and personally will encourage development in each
individuals voice and perspectives in relation to peers
- Learning about the different environment and how it affects community health
b. Threats
- Internal instability
- External instability (constant changing of groups)
- Other groups present have more individual able to work more efficiently and effectively
- Increasing workload
- Learning speed/working speed differs
- Patience is not always a virtue carried by many
- Leadership is often seen as a burden
- Limited opportunities to experience community area
- Exposure to heat and infections in the community
- Cooperation of community
- Safety in the community
- Man-power

II.

Internal Assessment
a. Strengths
- mutual agreement
- interpersonal relationship
- adaptive capabilities
- intangible individual resources
- unique capabilities
- commitment to learning
- communication with collaborative personnel
- confidence in our work
- perseverance at work
- updated with technology
- previous experience with community work
b. Weaknesses
- time management
- received messages are often misinterpreted
- limited tangible resources
- short attention span of the group
- unfamiliar with the territory
- unfamiliar with the needs and actual problems of the community
- needs further supervision by the clinical instructor

III.

Priority Strategic Issues and Programs

NCM 107 Leadership Group A4

Programs/Issues
1. Assessment of
environment
Description: Assessment
of environmental hazards,
environmental threats,
current conditions of the
community, available
resources, current
environmental related
practices

Specific Goals:
Assess approximately 50
houses on their condition
with a standardized basis
of an environmentally
healthy area.

Resources
Manpower:
- Student Nurses
- Clinical
Instructor
- Health care
workers or
personnel
provided by the
community
- Key persons in
the area
Materials:
- Standardized
checklist of
environment
assessment
- Personal
protective
equipment
- CHN bag

Evaluation
After 1 to 2 days of
nursing assessment, the
student nurses will find
out about environmental
threats, current conditions
of the community,
available resources, and
current environmental
related practices and form
a diagnosis and planning
with interventions
applicable to the time
frame.

Market:
- Montalban
Money:
- 500 to 1000 php
Machine:
- UERM
Transportation
Methods:
- House to house
assessment
- Interview of key
persons
- Interview of
health care
facility workers
2.

Significant
population with
little/no access to
safe water
supply
Description: Water
supply, especially
during the harsh
seasons are prone to
environmental
hazards and may

Formulation of water
safety plans with the
community and key
groups.

NCM 107 Leadership Group A4

Manpower:
- Student Nurses
- Clinical
Instructor
- Health care
workers or
personnel
provided by the
community
- Key persons in
the area
Materials:

After 2 days of nursing

assessment and
interventions, the
community will be able to
formulate a contingency
plan regarding the safety
of all water sources

carry vector borne

diseases, be easily
contaminated and/or
depleted

Map of the area

Personal
protective
equipment
CHN bag

Market:
- Montalban
Money:
- 300 - 800
Machine:
- UERM
Transportation
Methods:
- House to house
assessment
- Health workers
test out water
3.

Low public
awareness and
demand for
sanitation
services
Description:
Establishment of
increased support for the
promotion of sustainable
sanitation and
strengthening of the
sanitation awareness in
the community

To increase level of
awareness and
involvement of different
households and
stakeowners on
sustainable sanitation

Manpower:
- Student Nurses
- Clinical
Instructor
- Health care
workers or
personnel
provided by the
community
- Key persons in
the area
Materials:
- Map of the area
- Personal
protective
equipment
- CHN bag
- Health teaching
paraphernalia
Market:
- Montalban
Money:
- 300 - 800
Machine:
- UERM
Transportation

NCM 107 Leadership Group A4

After 2 days of nursing

assessment and
interventions, the
community will be have
an increased level of
awareness and will be
involved in a sustainable
plan for sanitation

Methods:
- House to house
assessment
- Interview of key
persons
- Interview of
health care
facility workers

IV.

Vision
We intend to provide our patients and clients and the community with a quality health care focusing on
environmental health and how it affects an individual and families, from beginning to end to all
possible consumers clients whilst maintaining integrity, utmost care and most of all human dignity
among all our clients.

V.

Mission
The mission of the current RLE group 4, comprised of fourth year students, is to provide and guarantee
its chosen community with opportunities for intellectual growth, cultivation of environment that
provides utmost safety and health, and the communication and skill development for team work and
community growth.

VI.
Goals
Encourage student nurses to gain a working understanding of the relationships between human health and
environmental exposures
To integrate knowledge of understanding of relationships between human health and environmental
exposures to their own practice
To be concerned with the promotion, maintenance and restoration of health of the natural environment,
particularly with the pollution, degradation and destruction of that environment caused by human activities
Recognize and address the environmental hazards (biological, chemical, radiological, and physical) that
might affect themselves, their patients, and the community at large
Advocate for increased research to better understand the relationship between health and the environment
Control of communicable diseases
Sanitation of the environment
VII.

Objectives

All student nurses should be able to:

Complete an environmental health history, recognize potential environmental hazards and sentinel illnesses,
and make appropriate referrals for conditions with probable environmental etiologies.
Follow through with a risk assessment including hazard identification, exposure assessment, and risk
characterizations
Design a risk management plan for the community or the family addressing education on risk and the cost
benefit ratio of risk management, and a long-term plan on environment control
Allow the participation of the public in the decision-making process whenever possible and at all
appropriate levels.

The community and its primary health care units should be able to:

Develop strategies to defend against environmental threats (These strategies include involving nurses in
decisions related to their practice, in the development of workplace environmental policies, and in the
establishment, maintenance, and improvement of the health care environment, both present and planned.)

NCM 107 Leadership Group A4

Acquire new knowledge on environmental hazards and threats to the community and its health
Collaborate with student nurses and health care units and personnel regarding health related concerns,
reporting of cases of illnesses and submitting to annual or bi-annual examinations
Recognize government programs designed to increase health awareness and decrease their susceptibility to
illness

Specific Objectives:
During the 2-week exposure, the team should:

Have an initial Ocular Survey of the community

Establish rapport to Key-persons within the community.
Identify the current environmental problems within the community.
Identify key areas in the community that needs urgent attention.
Promote on-going DOH programs regarding sanitation and waste disposal.
Identify individuals/families susceptible to illness and provide them information necessary to prevent and
promote their health.
Collaborate to the Barangay Health Workers findings and design a course of action to address the current
issues within the community

VIII.

Philosophy:

Nursing as a health care profession and environmental health as a public health discipline share many of the same
roots. Since environmental health is a good fit with the values of the nursing profession regarding disease prevention
and social justice according to Mood registered nurses and student nurses as well, have a crucial role in assessing
and addressing environmental health issues. Nurses have long appreciated that a healthy environment impacts upon
the health of individuals, families, communities, and populations. This knowledge is an underpinning of nursing
practice as expressed by Florence Nightingale in her First Rule of Nursing: Keep the air within as pure as the air
without.

SWOT Analysis
STRENGTHS
- mutual agreement
- interpersonal relationship
- adaptive capabilities
- intangible individual resources
- unique capabilities
- commitment to learning
- communication with collaborative personnel
- confidence in our work
- perseverance at work
- updated with technology
- previous experience with community work

WEAKNESSES
- time management
- received messages are often misinterpreted
- limited tangible resources
- short attention span of the group
- unfamiliar with the territory
- unfamiliar with the needs and actual problems
of the community
- needs further supervision by the clinical
instructor

OPPORTUNITIES
- Learning to accomplish tasks and goals
utilizing each individuals strengths
- Fostering healthy relationships with one
another to create a cooperative working
environment

THREATS
- Internal instability
- External instability (constant changing of
groups)
- Other groups present have more individual
able to work more efficiently and effectively

NCM 107 Leadership Group A4

Giving one another constructive criticism can

enhance each others skills not only as a nurse
but also as an individual outside the work
environment
Listening to one another professionally and
personally will encourage development in
each individuals voice and perspectives in
relation to peers

NCM 107 Leadership Group A4

Increasing workload
Learning speed/working speed differs
Patience is not always a virtue carried by
many
Leadership is often seen as a burden
Limited opportunities to experience
community area
Exposure to heat and infections in the
community
Cooperation of community
Safety in the community
Man-power