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Introduction To Community Health Nursing
Introduction To Community Health Nursing
Health Nursing
College of nursing
Stage: four
Lecturer Name:
Nazar Ahmed Mahmud
At the end of this chapter, the student should be able to:
Define community health nursing.
Distinguish between community health nursing and community-based nursing.
Differentiate between district and program-focused community health nursing.
Identify at least five attributes of community health nursing.
Distinguish among client-oriented, delivery-oriented, and population-oriented
community health nursing roles.
Describe at least five client-oriented roles performed by community health
nurses.
Describe at least three delivery-oriented roles performed by community health
nurses.
Describe at least four population-oriented roles performed by community health
nurses.
Health: Is state of complete physical, mental, and social well-
being and it is not merely the absence of disease or infirmity
(WHO, 1978).
defined area”
Population-focused practice:
Focus on the entire population.
Is based on assessment of the populations' health status.
Considers the broad determinants of health.
Emphasizes all levels of prevention.
Intervenes with communities, systems, individuals, and families.
The mission of community health nursing:
The primary mission of community health nursing is improving
the overall health of the population through health promotion,
illness prevention, and protection of the public from a wide
variety of biological, behavioral, social and environmental
threats.
4. Rehabilitation.
The fourth component of community health practice, involves efforts to
reduce disability and , as much as possible, restore function.
People whose handicaps are congenital or acquired through illness or
accident e.g:.Stroke, .Heart condition,.Amputation, Mental illness.
5. Evaluation.
The process by which that practices is analyzed,
judged, and improved according to established goals
and standards.
6. Research.
Is systematic investigation to discover facts affecting
community health and community health practice,
solve problems, and explore improved methods of
health services
Community Health Nursing Roles:
A. Client-oriented roles
B. Delivery-oriented roles
C. Population-oriented roles
A. Client-oriented Roles
1. Caregiver
Uses the nursing process to provide direct nursing intervention to individuals, families, or
population groups
2. Educator
Facilitates learning for positive health behavior change
3. Counselor
Teaches and assists clients in the use of the problem solving process
4. Referral Resource
Links clients to services to meet identified health needs
5. Role Model
Demonstrates desired health-related behaviors
6. Advocate
Speaks or acts on behalf of clients who cannot do so for themselves
7. Primary Care Provider
Provides essential health services to promote health, prevent illness, and deal with existing
health problems
8. Case Manager
Coordinates and directs the selection and use of health care services to meet client needs,
maximize resource utilization, and minimize the expense of care
B. Delivery-oriented Roles
1. Coordinator/Care Manager
Organizes and integrates services to best meet client needs in
the most efficient manner possible
2. Collaborator
Engages in shared decision making regarding the nature of
health problems and potential solutions to them
3. Liaison
Provides and maintains connections and communication
between clients and health care providers or among providers
C. Population-oriented Roles
1. Case Finder
Identifies clients with specific health problems or conditions
Geared toward awareness of population-level problems
2. Leader
Influences clients and others to take action regarding identified health problems
3. Change Agent
Initiates and facilitates change in individual or client behaviors or conditions or
those affecting population groups
4. Community Developer
Mobilizes residents and other segments of the population to take action regarding
identified community health problems or issues
5. Coalition Builder
Promotes the development and maintenance of alliances of individuals or groups of
people to address a specific health issue
6. Researcher
Conducts studies to explain health-related phenomena and to evaluate the
effectiveness of interventions to control them