REVIEW OF COMMUNITY HEALTH

NURSING

PREPARED BY:
RONARICA BENDICIO-DIONES, RN, RM, MAN
HEALTH

WHO → Health – is a state of complete physical,

mental and social well being

Modern Concept → Health – refers to optimum level

of functioning of individual, family, community
OLOF IS INFLUENCE BY THE ECO SYSTEM

Eco System Factors

• Socio-economic status
• Education
• Employment
• Housing
Hereditary factor→ genetic
HEALTH CARE DELIVERY SYSTEM

Activities and Behavior

• Manage Stress
• Regular Exercise
• Do not Smoke → Priority Message
• Regular health check-up
• Eat healthy foods
• Weight loss
Political factors

Environmental factors
WHO – SPECIAL FIELD OF NURSING THAT COMBINES:

Skills of nursing

Public health

Social assistance and functions

DR. C. E. WINSLOW – PUBLIC HEALTH IS A SCIENCE AND ART
OF 3 P’S

➢ Promotion of health
➢Prevention of illness/hazards through organize community efforts
➢Prolonging life
CHN ACCORDING TO DR. RUTH FREEMAN

A service rendered by a professional nurse

• To individuals, family, community and population groups
• At home
• Clinics
• Schools
• And workplace
CHN SUBSPECIALTY

School Health Nursing

Occupational Health Nursing

CHN ACCORDING TO DR. MAGLAYA

The utilization of the nursing process in the different levels of clientele,

individual, family, community and population groups concerned with
the
• Promotion of health
• Prevention of disease
• And Disability and Rehabilitation
CHN AS FIELD OF NURSING PRACTICE

Hallmark of CHN is that it is Population or Aggregate-Focused

Emphasis on the importance of the “Greatest Good for the Greatest

Number”

“Goal of improving Community Health is realized through

interdisciplinary/multi effort”
PHILOSOPHY OF CHN → DR. SHETLAND

➢ CHN is based on the Worth and Dignity of Man

PRINCIPLES OF CHN

Based on recognized Understand the Always available to

needs of the objectives and policies Family is the basic all regardless of Race,
community of the agency unit of service Creed and Socio-
economic status
PRINCIPLES OF CHN

➢ Use available community health resource

- Indigenous resource
o Dried proteins
▪ Pounded Dilis
▪ Pounded Shrimp
▪ Pounded Monggo
PRINCIPLES OF CHN

➢ Record and report data accurately → research/legal

➢ Health teaching is primary responsibility
➢ Evaluation of programs
➢ Continuous professional growth
CONCEPTS OF COMMUNITY HEALTH NURSING

➢ Health promotion → primary responsibility

➢ Generalist never Specialist
➢ Population is the main focus
➢ Individual, Family, Community including Population Group→
Pregnant, Newborn, Elderly, Youth
 Population Group – those who share a common characteristics,
developmental stages and common exposure to health problems
COMMUNITY HEALTH NURSING PROCESS IS IMPLICIT IN THE
PRACTICE OF CHN

▪ Essence of nursing
▪ Dynamic and cyclic process
▪ Systemic approach
CHN PROCESS
1. Assessment  METHODS TO COLLECT DATA
o Establishing rapport  Interview
 Records review → Family Health Record
▪ Greetings  Physical assessment
▪ Introduce self  Observation
 Diagnostic exam
o Collection of
data/facts/information Diagnosis – identification of the client, families
and community needs based on the gathered data
CHN PROCESS

2. Planning
❑ Prioritizing needs
 Ranking and Scaling
❑ Stating goals and objective
• Nature of problem
❑ Goal setting
• Preventive potential
❑ Expected outcome
• Modifiability of the
problem ❑ Developing parameters →
• Salience – perception
evaluation process
THE PLANNING CYCLE/PROCESS

Evaluation Situational
analysis

Strategy Goal/Objective setting

setting
THE PLANNING CYCLE/PROCESS

1. Situational Analysis
 Where are we now?
❑ Gather, tabulate, analyze and interpret data
❑ Identify the problems/issues/needs
THEPLANNING CYCLE/PROCESS

2. Goal and Objective Setting

 Where do you want to go?
▪ Define program goals and objectives
▪ Assign priorities among objectives
THE PLANNING CYCLE/PROCESS

3. Strategy and Activity Settings

 How do we get there?
▪ Design CHN programs
▪ Ascertain resources
▪ Analyze constraints and limitations
THE PLANNING CYCLE/PROCESS

4. Evaluation
 How do we know we are there?
▪ Specify criteria and standards
▪ Determine outcomes