1. What is the geopolitical community in which a person would live? Why is it geopolitical? Maurer and Smith (2008) define a geopolitical community as “a spatial designation—a geographic or geopolitical area or place. ” (p. 400) This can be illustrated by looking at the natural or human-made boundaries in which people live in. For example, a group of people whom all live in Sedona, Arizona can be described as living in a geopolitical community. They have a natural division of plants and mountains, which separates them from the next town.
You can also see the geopolitical community differences between Scottsdale, Arizona and downtown Phoenix, Arizona. They are both located within close physical proximity of each other, but since they are divided by two separate legal boundaries, they are considered two separate geopolitical communities. The difference between the two cities is also noticeable in the landscaping, school systems, and general appearance of the environment. Maurer and Smith (2008) states, geopolitical communities are formed by either natural or human-made boundaries.
A river, a mountain range, or a valley may create a natural boundary; for example, the Chesapeake Bay separates Maryland into the eastern and western shores. Human-made boundaries may be structural, political, or legal. Streets, bridges, orrailroad tracks may create structural boundaries. City, county, or state lines create legal boundaries. Political boundaries may be exemplified by congressional districts or school districts. (p. 400)
2. What is a phenomenological community to which a person can belong? Why is it a phenomenological community?
Maurer and Smith (2008) define a phenomenological community as “a relational rather than a spatial designation. ” (p. 400) Thus, a community in which a common interest is present and therefore would facilitate a sense of membership and belonging. This type of community would be demonstrated as a religious affiliation, which has developed a youth group for its children, a nursing historical society, or a cultural from a foreign nation getting together to enjoy a holiday, celebrated in their country. All these groups are phenomenological because they share some commonality. People of geopolitical communities can have a multitude of different phenomenological communities.
3. What would some challenges and benefits be for community health nurses in providing care for different communities? For similar communities? For the same community? What are some possible solutions to the challenges? One challenge a community health nurse may encounter in dealing with different communities is financial disparity between different households. These disparities would test the ability of the nurse to be knowledgeable of the different resources available to each individual.
Another challenge for the community health nurse would be cultural differences or religious beliefs. In certain Native American cultures as well as Catholic religions mental health is not always addressed by traditional therapy or medication. Many will use shamans or priests to ward off demons. Not all individuals follow the belief system of their phonological community and the community health nurse must make recommendations carefully so as not to offend or destroy the rapport between the nurse and the patient.
However, when a community problem arises, such as swine flu or the West Nile virus, the benefit the community health nurse has is, knowing her community and being able to actively educate and monitor both the individuals within the community and coordinate the resources provided in the most effective capacity. The community health nurse can help set up clinics that are able to provide H1N1 vaccines and educate the community on what the government is doing to prevent transmission of the West Nile virus.
This would help reduce any hysteria created by the news. The nurse can also monitor statistical results more closely. Maurer and Smith (2009) indicate that the focus of the community nurse should include environment, housing, transportation, education, and political process subsystems. All of these elements are related to geographic locations, as well as the population composition and distribution, health services, and resources and facilities. Statistical and epidemiologic studies are frequently based on data from specific geopolitical areas. (p. 400)