Community Nursing: Primary Health Care and Practice Principles

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22 Questions

What dimensions enhance the traditional nursing process components in the CHN process?

Individual/community participation and multiple ways of knowing

Which aspect is necessary to comprehend the complexity and diversity of nursing in the community?

Multiple ways of knowing

What is emphasized by the broader environment on the individual/community in the CHN focus of care?

Influence

How do values and beliefs ground practice in community health nursing?

In the present but guide future evolution

Which aspect supports practice that showcases the standards of community health nursing?

CH nursing process

What do multiple ways of knowing contribute to in CHN?

Understanding the complexity and diversity of nursing in the community

What is the main focus of the Proactive Behavior Model in community nursing?

Preventing health problems and promoting wellness

Which principle of population-focused nursing emphasizes the importance of working with the community and fostering mutual respect?

Principle 3: Primary prevention

In the context of community nursing, what does 'Make the healthy choice the easy choice' principle refer to?

Ensuring health-promoting decisions are convenient and accessible

According to population-focused nursing ethics, what does 'The greatest good for the greatest number' principle emphasize?

Prioritizing the well-being of the entire community over individual preferences

How does the Canadian Model for Community CHN differ from other models regarding its focus?

It centers around collaboration and focuses on the health of individuals or communities

'Partnership' and 'Communication must be community specific' are key aspects of which principle in community nursing?

Principle 2: Partnership

What is one of the key aspects of the Proactive Behavior Model in community health nursing?

Perceptions influence motivation to adopt health-promoting behavior.

Which of the following is NOT considered a modifying factor that influences perception in community nursing?

Availability of healthy foods in the community.

How does the Global Economy impact community nursing practices?

It can create disparities in healthcare access between different populations.

Which ethical theory is associated with the concept of Population-Focused Nursing?

Block and Josten's Ethical Theory of Population Focused Nursing.

What is one of the three essential elements of Population-Focused Nursing based on Block and Josten's Ethical Theory?

An obligation to prioritize population health over individual health.

Which of the following statements best describes Nightingale's Theory of the Environment?

'Good environmental conditions reduce disease' is a core principle.

How does Pender's Health Promotion Model aim to influence behavior change?

'Perceptions influence motivation to adopt health-promoting behaviors.'

Which of the following is NOT a societal influence on community nursing practices?

'Pure water' as a basic requirement by Nightingale.

'Demand for self-care exceeds client’s ability' is a concept associated with which nursing theory?

'Orem’s Self Care Theory.'

'An obligation to population health over individual care' stems from which ethical theory in community nursing?

'Block and Josten’s Ethical Theory of Population Focused Nursing.'

Study Notes

Community Health Nursing (CHN) Principles and Theories

  • CHN caring principles involve multiple ways of knowing, individual/community partnerships, and empowerment
  • The CHN process includes assessment, planning, intervention, and evaluation, with a focus on individual/community participation and multiple ways of knowing
  • The model emphasizes the dynamic nature of CHNP, embracing the present and projecting into the future

8 Basic Principles of Public Health Applied to CHN

  • Principle 1: Use of a comprehensive and systematic process to assess population, plan, and develop policies
  • Principle 2: Partnership with the community, with mutual respect and communication that is community-specific
  • Principle 3: Primary prevention, focusing on preventing health problems and promoting wellness
  • Principle 4: Promotion of a healthy environment, making the healthy choice the easy choice
  • Principle 5: Targeting all policies and programmes to be accessible and acceptable
  • Principle 6: Giving priority to community needs, with an ethical obligation to the needs and preferences of the entire community
  • Principle 7: Adequate allocation of resources
  • Principle 8: Collaboration and interdisciplinary collaboration for effective programme outcomes

Theoretical Basis of Community Nursing

  • Nightingale's Theory of the Environment: poor environmental conditions are bad for health, and good environmental conditions reduce disease
  • Orem's Self-Care Theory: learned goal-oriented actions to preserve, promote, life, health, and wellbeing
  • Pender's Health Promotion Model: based on social learning theory, perceptions influence motivation to adopt health-promoting behavior
  • Block and Josten's Ethical Theory of Population Focused Nursing: three essential elements: obligation to population, primacy of prevention, and centrality of relationship-based care

Review Unit 2 of the Theoretical Basis of Community Nursing to revisit the definition of Primary Health Care (PHC), identify its basic principles, describe characteristics of Community Health Nursing Practice (CHNP), explore societal influences, and apply theories to caring in the community.

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