Community Health Nursing in the Philippines PDF

. Community Health Nursing in the Philippines LESSON 2 Module I:Overview of Public Health Nursing in the Philippines  Objectives: At the end of the lesson, the students will be able to: 1. define Community health nursing 2. describe...

. Community Health Nursing in the Philippines LESSON 2 Module I:Overview of Public Health Nursing in the Philippines  Objectives: At the end of the lesson, the students will be able to: 1. define Community health nursing 2. describe the characteristics and essence of Community Health Nursing. 3. differentiate the clients of Community Health nurses 4. relate the rights of patients in a community health setting 5. explain the ethical principles underpinning the practice of community health nursing 6.describe the ethical dimensions of patient care in a community setting 7.enumerate the roles and responsibilities of a Community Health Nurse  What is Community Health Nursing? LESSON 2: COMMUNITY HEALTH NURSING -A synthesis of nursing knowledge and practice and the science and practice of public health, implemented via a systematic use of the nursing process and other processes to promote health and prevent illness in a population group.(Clark, 2008)  CHARACTERISTICS OF CHN (Clark, 2008) Community Goal: promotion of health, and prevention of disease Health nursing It is comprehensive, general, continual and not episodic The nurse and the client have greater control in making decisions related to health care and they collaborate as equals, The nurse recognizes the impact of the different factors on health and has a greater awareness of his/ her clients’ lives and situations Roles of CHN The Philippine Professional Regulatory Board of Nursing and PHN (NNCCS, 2012) expects beginning professional nurses to be able to perform 3 roles: that of health care provider, manager-leader and researcher. But PHN and CHN takes on additional roles, owing to the realities of changing times and age. Roles of CHN/PHN Brainkart.com  Roles of CHN- Community Health Nurses: (Clark, Roles of CH 2008) 1)CLIENT oriented roles—caregiver, educator, Nurse counselor, referral resource, role model, case manager 2)DELIVERY ORIENTED roles—coordinator, collaborator, liaison 3)POPULATION ORIENTED ROLE-case finder, leader, change agent, community mobilizer, coalition builder, policy advocate, social marketer and researcher  4 COMPONENTS OF THE MACRO FRAME WORK FOR Community Health Nursing: 1)Health care delivery system with its CHN subsystem 2)Clients of CHN 3)Health which is the goal of health care delivery system 4), sociocultural, political, and environmental factors that affect the health care delivery system. The practice of community health nursing 5)People’s health. Who are the clients of the Community Health Nurse? FAMILIES POPULATION INDIVIDUALS GROUPS COMMUNITY  Principles of 3. CHN practice is affected by developments Community in health technology, in particular, changes in society, in general. Health Nursing 4. The goal of Community Health Nursing is achieved through multi-sectorial efforts. 5. Community Health Nursing is part of 1.The community is the patient in CHN, Health Care System and the larger human the family is the unit of care and there services system. are four levels of clientele: Individual, Family, community and population group 2. In CHN, the client is considered an ACTIVE partner not PASSIVE recipient of care.  PRINCIPLES OF COMMUNITY HEALTH NURSING –(Mary S. Gardner, and by Leahy, Cobb and Jones) Community Health nursing is based on recognized needs of communities, families, groups and individuals. The community health nurse must understand fully the objectives and policies of the agency she represents. In Community Health Nursing the family is the unit of service. Community Health nursing must be available to all regardless of race, creed and socio economic status PRINCIPLES OF COMMUNITY Health teaching is a primary responsibility HEALTH NURSING –(Mary S. of the Community health nurse. Gardner, and by Leahy, Cobb and Jones) The community health nurse works as a member of the health team. There must be provision for periodic evaluation of Community health Nursing services. Opportunities for continuing staff education programs for nurses must be provided by the Community Health Nursing Agency. The community health nurse also has a responsibility for his/her own professional growth.  PRINCIPLES OF COMMUNITY HEALTH NURSING –(Mary S. Gardner, and by Leahy, Cobb and Jones) The community health nurse makes use of available community health resources The community health nurse utilizes the already existing active organized groups in the community. There must be provision for educative supervision in Community Health Nursing. There should be accurate recording and reporting in Community Health Nursing  DUTIES AND RESPONSIBILITIES 1.Participates in the development of an overall health plan. 2.Provides quality nursing services. 3.Maintains coordination/linkages w/ other health team members. 4.Initiates & conducts researches relevant to CHN services. 5. Initiate & provides opportunities for professional growth See, think, wonder activity A. What patient’s right should be given more importance in the picture? Nursebuff.com Is this ethical or Legal? B. Share to the class your own thoughts if what you see in the picture is ethical or Legal. Does this violate C. Share to the class your own patient’s rights? thoughts if what you see from the picture, signifies a violation of patient’s rights. Frank and Ernest thecomicstrip.com Share to the class your view on this…. D. What ethical principle was violated?  WHEN CAN WE SAY THAT THE NURSING PRACTICE IS LEGAL? WHEN CAN WE SAY THAT THE NURSING PRACTICE IS ETHICAL?  Ethicolegal aspects of Community Health Nursing The practice of Community health nursing is guided by a number of legal and ethical principles that center on the welfare of clients and protection of their rights.  NURSING practice is legal if the practitioner works with the bounds of law!  NURSING practice is ethical if it upholds the ethical principles such as :  1) Autonomy, 5)Fidelity  2)Beneficence 6) Veracity  3)Nonmaleficence  4) justice  RIGHTS OF PATIENTS IN THE COMMUNITY SETTING 1.Right of informed consent. 5. Right to refuse treatment. 2. Right to safe and quality 6.Right to obtain medical care. records. 3. Clients should be treated 7.Right to make decisions respectfully at all times. about end of life care. 4. Right to privacy, and 8. Right to make advance confidentiality. directives Dela Salle Medical and health sciences institute  Advance directives Is a document which a person makes provisions for health care decisions in the event in the future he/she becomes unable to make those decisions.  2 Main types of advance directives 1)Living Will is a signed, witnessed, notarized document called a declaration or directive. These directives instruct an attending physician to withhold or withdraw medical interventions from its signer, if he or she is in terminal condition and is unable to make decisions about medical treatment. 2)Durable power of Attorney for health care signed, witnessed, notarized document in which the signer designates an agent to make health care decisions if the signer is temporarily or permanently unable to make such decisions  Evaluate Answer the following questions in not less than 3 sentences in your class notebook under prelim section : 1. What is the importance of Community Health Nursing. Describe the characteristics and essence of Community Health Nursing. 2. Community and public health nurse has a lot of roles to be performed. Choose one role which you think is of great importance and be able to defend your answer. 3. Differentiate between ethical and legal issues impacting health care? Thank you!!!!!