Community Health Nursing: Why Community is the Primary Client

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10 Questions

What does an ocular/windshield survey involve?

Observing people, environmental conditions, and existing facilities in a community

What is the main purpose of a community health assessment?

To identify health needs and issues through systematic data collection

Why is primary data important in a community health assessment?

It provides data that haven't been gathered before

In a problem-oriented community health assessment, what does the nurse focus on?

A particular aspect of health or a specific community problem

What aspect of a community does the nurse observe when looking for vulnerable groups?

People like children, elderly, pregnant women

What is the primary reason why community is considered the primary client in community health nursing?

Because individuals, families, and sub-populations have a direct influence on the community's health.

Why is community assessment considered a fundamental step in community health nursing?

To understand the community and plan interventions based on its needs and strengths.

What differentiates community health nursing from other forms of nursing practice?

Its population-focused approach and involvement in community assessments.

What is a key characteristic of the Nursing Process?

It involves both nurses and clients as a system influencing each other.

In community health nursing, why is it important to involve clients actively in their care?

To achieve better results through client participation in the care process.

Study Notes

Community Health Nursing

  • Community is considered a primary client for two reasons: it directly influences the health of individuals, families, and sub-populations, and most health services are provided at this level.

The Role of Community Health Nurses

  • Community health nurses direct care to individuals, families, or groups, with a population-focused approach.
  • The hallmark of community health nursing is public health nursing, which is population-focused.

Nursing Process

  • The nursing process is a systematic, scientific, dynamic, and ongoing intrapersonal process involving nurses and clients as a system.
  • It is a series of actions leading to a particular result, achieved through active client involvement.

Steps of Nursing Process

  • Assessment
  • Diagnosis
  • Planning
  • Implementation
  • Evaluation

Community Assessment

  • Community assessment is an essential process for understanding the community, identifying its needs, weaknesses, assets, and strengths.
  • It is a comprehensive process that identifies strengths, resources, assets, and needs, leading to action.
  • Community assessment is also known as community health needs assessment.

Data Sources

  • Data sources are grouped into primary and secondary data.
  • Primary data sources include:
    • The community itself
    • Observation (ocular/windshield survey)
    • Survey
    • Informative interview
    • Community forum
    • Focused group discussions
  • Data to be collected in a community depends on the objectives of the community assessment.

Community Assessment Approach

  • Comprehensive approach: gathers information on the entire community to identify actual and potential health problems.
  • Problem-oriented approach: focuses on a particular aspect of health, collecting information on a specific community problem.

Data Extraction Methods

  • Observation: an act of extracting information from subjects being studied.
  • Ocular/Windshield Survey: a rapid observation of a community, performed by walking, driving, or riding on a vehicle, observing:
    • People (vulnerable groups such as the young, children, elderly, and pregnant women)
    • Environmental conditions (terrain, homes, housing density, cleanliness, vegetation, and animals)
    • Existing facilities (barangay halls, health facilities, schools, churches, plazas, and basketball courts)

Learn about the reasons why the community is considered the primary client in community health nursing. Explore how the community influences the health of individuals, families, and sub-populations, and why most health services are provided at the community level.

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