00076 Provision To Improve Community Coping

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00076
Nanda label: disposition to improve community coping
Diagnostic focus: coping
approved 1994 • Revised 2013

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « willing to improve the coping of the community ” is defined as: Community activities pattern for the adaptation and solution of problems that is appropriate to meet their demands or needs, which can be reinforced.

Definite characteristics

  • Expresses desire to improve accessibility to recreational programs for the community
  • Expresses desire to improve accessibility to relaxation programs for the community
  • Express desire to improve communication between community members
  • Expresses desire to improve communication between groups and the total community
  • Expresses desire to improve the planning of predictable stressful factors in the community
  • Expresses desire to improve community resources to manage stressful factors
  • Expresses desire to improve community responsibility to manage stress
  • Expresses desire to improve problems for identified situations

Related factors (not included in Nanda-I)

  • Social support available
  • Availability of resources to solve problems
  • The community feels that you can control stressful factors

Suggestions of use

This diagnosis can be used for a community that meets its basic needs for a clean environment, food, housing and security, and that wishes to concentrate on higher levels of operation, such as the promotion of well -being. When that community faces external threats (floods, epidemics, etc.), these constitute risk factors; As long as the community continues to adapt, the diagnosis not included in Nanda-I of the risk of ineffective community coping should be used. If the threat produces defining characteristics (symptoms) in the community, using ineffective community coping.


NOC Results

  • Community Competition : Ability of a community to jointly solve problems in order to achieve community goals
  • Community Risk Control : Contagious diseases: Community actions to eliminate or reduce the spread of infectious agents that threaten public health
  • Community Risk Control : Lead exposure: Community actions to reduce exposure and lead poisoning
  • Community Health State
  • Community Violence Level : Incidence of violent facts, compared to local, state or national statistics
  • preparation against community disasters : Preparation of a community to respond to natural disasters or caused by man

Evaluation objectives and criteria

  • demonstrates community competition, which is manifested through the following indicators (specify from 1 to 5: bad, regular, good, very good or excellent)
    • Representation of all sectors of the community in problem solving
    • Communication between groups and members
    • Use of external resources to meet the objectives
    • Effective use of conflict management strategies
  • Other examples

    the community:

    • You have a plan to face stressful problems and factors
    • It has or elaborates programs designed to improve the well -being of specific groups within the population (for example, weight control programs, retirement planning programs)
    • The existing methods of communication and problem solution continues to improve
    • It manifests its ability to handle changes and improve community functioning
    • It is based on existing group cohesion

    NIC Interventions

    • Programs Development : Planning, application and evaluation of a set of coordinated activities, designed to increase well -being or to prevent, reduce or eliminate one or more health problems from a group or community < /li>
    • management of contagious diseases : Work with a community to reduce and manage the incidence and prevalence of contagious diseases in a specific population
    • Immunization/Vaccination Management : Monitor the state of immunization, facilitating access to immunizations and administering them to prevent contagious diseases
    • environment management: community : supervise and influence the physical, social, cultural, economic and political conditions that affect the health of groups and communities
    • environment management: violence prevention : supervise and modify the physical environment to reduce potential aggressive behaviors aimed at themselves, others, or the environment
    • preparation against community disasters : prepare for an effective response to a large -scale disaster
    • preparation against bioterrorism : prepare for an effective response to bioterrorist disasters or attacks
    • protection against environmental risks : Prevent and detect diseases and injuries in populations at risk of environmental hazards
    • surveillance of health policies : monitor and influence government and organizational regulations, rules and standards that affect nursing systems and practices, to ensure quality care for patients
    • Surveillance: Community : Collection, interpretation and data synthesis,
      For decision making in a community

    Nursing Activities

    In general, nursing activities for this diagnosis focus on evaluating the needs of the community, helping in the adaptation and solution of problems, as well as establishing programs for well -being and self -realization


    • Determine the availability of resources and to what extent are used
    • Identify the groups that are at a higher risk of unhealthy behaviors
    • In high -risk groups, identify the factors that could motivate or prevent healthy behaviors
    • Determine the historical and sociocultural context of individual and group health behaviors
    • Create and apply processes to regularly evaluate the results during and after completing a program or activity
    • Evaluate the effects of health policies and standards on nursing practices, patient evolution and health care costs
    • (NIC) Environment Management: Community: Start the detection of environmental health risks


    • Help identify and mobilize available sources and supports (financial resources, supplies, etc.)
    • Select learning strategies based on the identified characteristics of the target population
    • Design processes to inform consumers of health services about existing and proposed changes in health policies
    • Provide written educational material adequate for the target group
    • (NIC) Environment Management: Community: Organize educational programs for specific risk groups (for example, pregnant adolescents)

    Collaboration activities

    • Help the community obtain funds for well -being programs (education, smoking prevention, etc.)
    • (NIC) Environment Management: Community:
      • Participate in multidisciplinary teams to identify community security threats
      • Collaborate in the development of action programs within the community
      • Work with environmental groups to guarantee adequate government regulations


    • Establish a collaboration alliance with the community and explain what function a community health nursing professional has in the promotion of well -being
    • Group or write letters to demand policies that foster health (for example, guarantee health education as employee provision; reduction of health premiums through healthy behavior and lifestyles)
    • Help request financing for programs for well -being
    • Help improve the educational level of the community
    • (NIC) Environment Management: Community:
      • Promote government policies to reduce specific risks
      • Encourage neighborhood groups to participate actively in community security
      • Coordinate services for groups and communities at risk