Community Health Nursing Definition & Focus PDF

Community Health Nursing Mrs. Maria Victoria Sison-Coloma, RN,MAEd, MAN Definition By Winslow By DOH By WHO By Freeman By Jacobson C.E. WINSLOW Public Health is the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for th...

Community Health Nursing Mrs. Maria Victoria Sison-Coloma, RN,MAEd, MAN Definition By Winslow By DOH By WHO By Freeman By Jacobson C.E. WINSLOW Public Health is the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort for the:  sanitation of the environment  control of communicable diseases  education of individuals in personal hygiene  the organization of medical and nursing services for the early diagnosis and preventive treatment of disease  the development of the social machinery to insure everyone a standard of living adequate for the maintenance of health, so organizing these benefits as to enable every citizen to realize his birthright of health and longevity. DOH DEFINITION A unique blend of nursing and public health practice woven into a human service that, properly developed and applied has a tremendous impact on human well being. Its responsibilities extend to the care and supervision of individuals and families in their homes, in places of work, in schools and clinics. WHO DEFINITION A special field of nursing that combines the skill of nursing public health and some phases of social assistance and functions as part of the total public health program for the promotion of health, the improvement of the conditions in the social and physical environment, rehabilitation of illness and disability. FREEMAN A service rendered by a professional nurse with the community, groups, families, and individuals at home, in health centers, in clinics, in schools, in places of work for the promotion of health, prevention of illness, care of the sick at home and rehabilitation. JACOBSON A learned practice discipline with the ultimate goal of contributing, as individuals and in collaboration with others, to the promotion of the client’s optimal level of functioning through teaching and delivery of care. The primary focus is on Health promotion. Practice is extended to benefit not only Community health nurses the individual but the are generalists whole family and in terms of their community. practice through life’s continuum – its full range Concepts of of health problems and Community needs. Health Nursing Cont. Concepts of Community Health Nursing Contact with the client and/or family may continue over a long period of time which include all ages and types of health care. The nature requires utilization of current knowledge derived from biological and social sciences, ecology, clinical nursing and community health organizations. Process of assessing, planning, implementing and intervening, provide periodic measurements of progress, evaluation and a continuum of cycle until termination of nursing is implicit in the practice of community health nursing. Cont. Concepts of Community Health Nursing Family is the unit of care, hence the community health nurse consider the health needs of all members of the family in providing nursing services The community as a whole is the locus of service and the patient. The goal in improving community health is realized through multidisciplinary approach. Cont. Concepts of Community Health Nursing The community health nurse is deeply concerned with the increasing capability of her four levels of clientele - individual, family, population groups and community to deal with its own recognized needs and health problems. The public health nurse works with and not for the client who is an active partner. Practice is affected by changes in society in general; and by development in the health field in particular. Community health nursing is a part of functions within a large and complex system and, any change in this system affects it. Philosophy of Community Health Nursing According to Dr. Margaret Shetland, the philosophy of Community Health Nursing is based on the worth and dignity of man. Goal of Community Health Nursing The ultimate goal is to raise the level of health of the citizenry.  To help communities and families to cope with the discontinuities in health and threats in such a way as to maximize their potential for high level wellness, as well as to promote reciprocally supportive relationship between people and their physical and social environment. Objectives of Community Health Nursing Tocoordinate To To To provide provide participate Toand/ Nursingparticipate community in services or with health conduct quality invarious the nursing development members servicesof of the nursing personnel researches relevant to toanindividuals, health families team,health over-all community community plan health and with opportunities leaders and for significant for andthe communities community nursing continuing and utilizing services and as others, and govt. & non-govt. disseminate their in basis, its implementation the standards professional Agencies/org. in growth set achieving results and for improvement evaluation. the through aims for community of health staff of public health health care. services within the development. nursing practice. community. Health teaching is a primary responsibility of the community health nurse. The community health nurse works as a member of the health team. There must be provisions 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. CHN is based on recognized needs of individuals, families, groups and communities. 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. 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. Health is a changing, evolving concept that is basic to nursing. Kozier, Erb and Oliveiri quoted the World Health Organization's (WHO) classic definition of health as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity". The WHO definition of " health includes three characteristics basic to a positive concept of health: 1. It reflects concern for the individual as a total person rather than as merely the sum of various parts; 2. It places health in the context of the environment; and 3. It equates health with productive and creative living. Health as a Social Phenomenon Health primarily affects the physical well-being of people in a society. Whether people are physically healthy or not, will have a trickling down effect in terms of the social, economic, political, intellectual and spiritual development of a community and a country. Health as a Basic Human Right Health is a fundamental right of every individual; therefore it should not be discriminatory and should not be limited only to certain groups of people. Instead, all persons must be able to receive the quality health services provided by the health care team members regardless of their race, religion, gender, age and socio-economic status Health as a Personal and Social Responsibility Everyone is responsible for his own body. As if saying one is responsible for one's own state of health, and individuals evolve toward greater levels of well being as they continually heal themselves and expand their consciousness. As a social being, we have to consider not only ourselves but our society as well. Being a responsible member of society we have to take into consideration the welfare of others besides ourselves. Health as a Personal and Social Responsibility Everyone is responsible for his own body. As if saying one is responsible for one's own state of health, and individuals evolve toward greater levels of well being as they continually heal themselves and expand their consciousness. As a social being, we have to consider not only ourselves but our society as well. Being a responsible member of society we have to take into consideration the welfare of others besides ourselves. Factors Affecting Community Health Political Behavioral Health care delivery system Hereditary Socio-economic influence Environment  ECO-SYSTEM POLITICAL Safety Oppression People Empowerment SOCIO BEHAVIOR ECONOMIC Culture Employment Habits Education OLOF Mores Housing Individuals Ethic Customs Family Groups ENVIRONMENT Communities HEREDITARY Generic Endowment Air, Food, Water Population - Defects Waste, Urban/Rural, - Strengths Noise, Radiation, - Risks Pollution Familial, Ethnic, HEALTH CARE Racial DELIVERY SYSTEM Promotive Preventive Curative Rehabilitative HAVE A NICE DAY! NCM 104 Community Health Nursing FOR INTERNAL CIRCULATION ONLY CENTRO ESCOLAR UNIVERSITY 2019