00077 Ineffective Coping Of The Community

Domain 9: coping/stress tolerance
Class 2: coping responses
Diagnostic Code: 00077
Nanda label: ineffective coping of the community
Diagnostic focus: coping
approved 1994 • Revised 1998, 2017

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective coping of the community is defined as: community activities pattern for the adaptation and solution of problems that is inadequate to meet their demands or needs. < /p>

Definite characteristics

  • The community does not meet the expectations of its members
  • Poor community participation
  • High conditions index in the community
  • Excessive conflicts in the community
  • Excessive stress in the community
  • High incidence of problems in the community
  • Impotence perception in the community
  • Vulnerability perception in the community

Related factors

  • Inadequate problem solving resources in the community
  • Inadequate community resources
  • Absence of community organization

Risk population

  • Community that has experienced a disaster

Suggestions of use

This diagnosis is more useful for public health nursing professionals who focus on groups’ health (single mothers, the entire population of a municipality, patients with diabetes, etc.). It can also be useful as a risk diagnosis to describe a community that needs preventive interventions.

Suggested alternative diagnostics

Community coping, disposition to improve the

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 : Chronic diseases: Community actions aimed at reducing the risk of chronic diseases and related complications
  • Community Risk Control : Lead exposure: Community actions to reduce exposure and lead poisoning
  • Community Risk Control : Violence: Community actions aimed at eliminating or reducing the intentional violent facts that cause physical injuries or severe psychological damage
  • community health status : general status or well -being of a community or population
  • 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

(see also the results of the willingness to improve community coping).

Evaluation objectives and criteria

  • Improvement of ineffective community coping, which is manifested by community competence, preparation against community disasters, response from the community to disasters, Community Health, State of Community Health: Immunity, Community Risk Control: Chronic and Transmissible Diseases: , Community Risk Control: Exposure to Lead, Community Risk Control: Violence and Level of Community Violence
  • Demonstrates a state of community health, which is manifested by the following indicators (specify from 1 to 5: bad, regular, good, very good or excellent)
    • Prevalence of health promotion programs
    • Prevalence of health protection programs
    • Health status of infants, children, adolescents, adults and the elderly
    • Compliance with environmental health standards
    • Morbidity rates
    • Mortality rates
    • Crime statistics
    • Health surveillance data systems at the place
  • Other examples

    the community:

    • Improve communication between its members
    • Apply effective strategies to solve problems
    • Develop group cohesion
    • Express the ability to handle change and improve community functioning

    NIC Interventions

    • community health development : help members of a community to identify health problems, mobilize resources and apply solutions
    • Programs Development : Planning, application and evaluation of a set of coordinated activities, designed to increase well -being or to prevent, reduce, and even eliminate one or more health problems from a group or group Community
    • health education : Develop and provide instruction and learning experiences to facilitate voluntary adoption of healthy behaviors in individuals, families, groups or communities
    • 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
    • Case management : Coordinate care and help individuals and populations of specific patients in different contexts to reduce costs, reduce the use of resources, improve the quality of health care and Achieve the desired results
    • 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 : Community: collection, interpretation and synthesis of data, continuously and with an end, for decision making in a community

    (see also NIC dispositions to improve community coping).

    Nursing Activities

    In general, nursing activities for this diagnosis focus on evaluating causal factors, promoting communication between members and community groups, helping them solve problems and provide information about resources.


    • Evaluate and identify the causal or risk factors that affect the community’s ability to adapt and act effectively
      (as lack of information about available resources)
    • Assess the effects of health policies and models on the practice of nursing, the evolution of patients and the costs of health care
    • Determine the availability of resources and the extension of its use
    • (NIC) Environment Management: Community:
      • Start the search for environmental health risks
      • Monitor the state of health risks already known


    • Help identify and mobilize existing resources and support (for example, Red Cross Emergency Service)
    • Inform those who establish policies about the projected effects of patient well -being policies
    • Inform users of health care about current and proposed changes in health policies and models and their possible health effects
    • (NIC) Environment Management: Community: Organize educational programs for certain risk groups (for example, teenage pregnancy)

    Collaboration activities

    • (NIC) Environment Management: Community:
      • Participate in multidisciplinary teams to identify community security threats
      • Coordinate services aimed at groups and communities at risk
      • Work with environmental groups to ensure adequate government regulations
      • Collaborate in the development of community action programs


    • Participate actively to achieve changes in health policies and models in order to improve care
    • Organize meetings among community members to analyze the situation (associations, church groups, town hall meetings, etc.)
    • Help community members take into account conflicts that prevent them from working together (anger, distrust, etc.)
    • Determine ways to disseminate information to the community (radio and television, brochures, meetings, etc.)
    • Help write subsidies proposals to obtain funds for the necessary programs for the improvement of community coping
    • Support the community (for example, write letters to state institutions and newspapers)
    • (NIC) Environment Management: Community: Encourage neighborhood groups to participate actively in community security