Chapter 3: nursing roles, functions, and practice settings Flashcards
Blueprint for Action for Community Health Nursing in Canada
informs direction of CHNs in their practices and protects and promotes health of canadians
Blueprints 6 areas for action
work across provinces and territories at full scope, supporting nursing leadership development, successful collaboration within nursing, transform care system into system for community health, strong education, improve access of professional development
Ottawa Charter
build healthy public policy, create supportive environments for health, strengthen community action for health, develop personal skills, reorient health services
primordial prevention
prevents establishment of social, economin, environmental, and behavioural conditions
primary prevention
prevention of illness or injury through health promotion before they occur
secondary prevention
screening, early detection, treatment
tertiary prevention
maintaining and restoring health of people with chronic conditions
quaternary prevention
action to identify people at risk of overmedicalization
community health nurse professional model of practice 4 main components
the client, CHNs/nursing practice, community organization, system
the client (component of community health nurse professional model of practice)
the core of practice; can be the individual, families, groups, communities
CHN/Nursing practice (component of community health nurse professional model of practice)
code of ethics informs practice
Community organization (component of community health nurse professional model of practice)
influenced by management practices, delivery structures and process, professional relationships and partnerships
System (component of community health nurse professional model of practice)
government support and determinants of health
purpose of standards of practice
define the scope and depth of nursing practice in the community and establish expectations
use of standards of practice
measure performance of community health nursing practice, support professional development, inform nursing education, guide development of knowledge through research
7 standards of practice
- health promotion
- health prevention/protection
- health maintenance
- professional relationships
- capacity building
- health equity
- evidence informed practice
- professional responsibility and accountability
key characteristics of CHNs
high independence, autonomy, resourcefulness, client collaboration
community oriented approach
aimed at health promotion and disease prevention in an entire population/community and is very population/community focused
community based approach
nursing care provided outside of the hospital
The Canadian Patient Safety Institute definition of community based care
coordinated and integrated approach to care provided in a range of community settings
wise practices
incorporate traditional knowledge, cosmology, and ways of life to guide health practices within indigenous communities
community health nurse
works with people where they live, work, learn, worship, and play to promote health
public health nurse
utilizes knowledge from many areas in order to promote, protect, and maintain the health of the population
essential functions of public health
health promotion, disease and injury prevention, health protection, health surveillance, population health assessment, emergency preparedness and response
health promotion framework
nurses enable clients to increase control over factors and conditions influencing their health
population health promotion framework
nurses focus on improving health status of the client population
home health nursing
provide clinical care in clients home, school, or workplace and focus on disease management, rehab, education, and support to allow clients to live in their community longer
- receive funding from not for profit agencies s well as provincial/territorial government
primary care nurse
episodic and chronic care delivery alongside other healthcare professionals
Telehealth nurse
health care services delivered through computer assisted communication technology
- may be federal/provincial funding or private funding through physician offices
Outreach/Street nurse
secondary and tertiary health care services provided to people who are homeless
Rural nursing
focus on roles of PHN/HHN?primary care in a rural setting
Occupational health nurse
focus on workplace health promotion/maintenance/restoration/injury and disease prevention
Parish nursing
work in faith communities and care called to minister and are affirmed by a faith to promote health, healing and wholeness
Forensic nursing
focus on nursing care forensic sciences in the judicial system
Community mental health nursing
mental health care of people with serious mental illness living in the community
Military nursing
commissioned member of the Canadian Forces Medical Service that has the title of nursing officer
Health equity
“attainment of the highest level of health for all people”
- everyone regardless of socially determined circumstances has equal opportunity to attain full health potential