CHN INTRODUCTION (WEEK 1&2) Flashcards
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”
Health
Part of paramedical and medical intervention/approach which is concerned on the health of the whole population
COMMUNNITY HEALTH
Is a group of people with common characteristics or interests living together within a territory or geographical boundary
COMMUNITY
3 CLASSIFICATION OF COMMUNITY CLINIC
o CLASS C – just a clinic, only 1 personnel and barangay volunteers (nurses)
o CLASS B – Doctor, nurses, dentist
o CLASS A – closed to hospital, complete facilities and personnel, mini hospital
Both profession and a vocation. Assisting sick individuals to become healthy and healthy individuals achieve optimum wellness
NURSING
Derived from a latin word “comunicas” which means a group of people
COMMUNITY
The utilization of the nursing process in the different levels of clientele-individuals, families, population groups and communities, concerned with the promotion of health, prevention of disease and disability and rehabilitation
COMMUNITY HEALTH NURSING
3 AIMS OF COMMUNITY HEALTH
o Health promotion
o Disease prevention
o Management of factors affecting health
COMMUNITY HEALTH NURSING GOAL
To raise the level of citizenry by helping communities and families to cope with the discontinues in and threats to health in such a way as to maximize their potential for high-level wellness
Special field of nursing that combines the skills of nursing, public health and some phases of social assistance
COMMUNITY HEALTH NURSING
4 MISSION OF CHN
- Health Promotion
- Health Protection
- Health Balance
- Disease prevention
- Social Justice
CHN PRACTICE is guided by the following beliefs:
- Humanistic values of the nursing profession upheld
- Unique and distinct component of health care
- Multiple factors of health considered
- Active participation of clients encourages
- Nurse considers availability of resources
- Independence among health team members practiced
- Scientific and up-to-date
- Tasks of CH nurse vary with time and place
- Independence of self-reliance of the people is the end goal
- Connectedness of health and development regarded
SALIENT FEATURES OF COMMUNITY HEALTH NURSING
- Population or Aggregate-Focused
- Greatest Good for the Greatest Number
- Utilizes the Nursing Process
- Promotive-Preventive by Nature
- Uses a Variety of Instruments
- Requires Management Skills
This model is based on the premise that for a behavioral change to succeed
HEALTH BELIEF MODEL/HBM
Describes the relationship between a person’s belief and behavior.
HEALTH BELIEF MODEL
Assumes that preventive health behaviors are taken primarily for the purpose of avoiding disease.
HEALTH BELIEF MODEL
HEALTH BELIEF MODEL PURPOSE
to predict or explain health behaviors.
developed a framework for prevention that includes concepts of community — oriented, population-focused care.
Nancy Milio
stated that behavioral patterns of the populations-and individuals who make up populations — are a result of habitual selection from limited choices.
Nancy Milio
Identifies relationship between health deficits and availability of health promoting resources.
MILIO’S FRAMEWORK FOR PREVENTION
Theorizes that behavior changes within a large number of people can ultimately lead to social change.
Nancy Milio (MILIO’S FRAMEWORK FOR PREVENTION)
a nursing theorist who developed the Health Promotion Model in 1982 and revised in 1996.
Nola J. Pender
complementary counterpart to models of health protection
NOLA PENDER’S HEALTH PROMOTION
focuses on helping people achieve a higher level of well-being and provide health professionals with positive resources to help patients achieve behavior specific changes.
Health Promotion Model (HPM)
Describes the interaction between the nurse and the consumer while considering the role of the environment in health promotion. Similar to Health Belief Model.
Health Promotion Model (HPM)
a) Individuals strive to control their own behavior.
b) Individuals work to improve themselves and their environment.
c) Health professionals comprise the interpersonal environment, which influences individual behaviors.
d) Self-initiated change of individual and environmental characteristics is essential to changing behavior.
HPM four assumptions
PRECEDE-PROCEED
PRECEDE-PROCEED
proposed in 1974 by Lawrence W. Green that can help health program planners, policymakers, and other evaluators, analyze situations, and design health programs efficiently.
PRECEDE-PROCEED
One purpose and guiding principle of the PRECEDE-PROCEED
direct initial attention to outcomes, rather than inputs.
Fundamental assumption of PRECEDE-PROCEDE
active participation of “consumer”
PRECEDE-PROCEED health behavior is regarded as being influenced by both individual and environmental factors, and hence has two distinct parts.
“educational diagnosis”
‘ecological diagnosis”
“ecological diagnosis” (PROCEED) acronym
Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development.
“educational diagnosis” (PRECEDE) acronym
Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation.
PRECEDE (Planning) Phase 1
Social Diagnosis
PRECEDE (Planning) Phase 2
Epidemiological, Behavioral & Environmental Diagnosis
PRECEDE (Planning) Phase 3
Educational & Ecological Diagnosis
PRECEDE Phase 4
Administrative & Policy Diagnosis
PROCEED Phase 5
Implementation
PROCEED (Evaluation) Phase 6
Process Evaluation
PROCEED (Evaluation) Phase 7
Impact Evaluation
PROCEED (Evaluation) Phase 8
Outcome Evaluation
PRECEDE-PROCEED planning model consists of ___planning phases
4
PRECEDE-PROCEED planning model consists of ___ implementation phase/s
1
PRECEDE-PROCEED planning model consists of ___ evaluation phase/s
3
DIFFERENT FIELDS IN COMMUNITY HEALTH NURSING
- School Health Nursing
- Occupational Health Nursing
- Community Mental Health Nursing
he/she provides health supervision and nursing interventions to ____ children
• School Health Nursing
He/she provides health supervision and nursing Interventions to workers in factories or workplaces
• Occupational Health Nursing
he/she assesses the environment in the home and community to identify factors that may aggravate or trigger mental illness.
• Community Mental Health Nursing
The application of nursing theories and principles in the care of the school population
SCHOOL HEALTH NURSING
Components of School Health Nursing
- School Health Services
- Health instruction
- Health monitoring
has the responsibility to safeguard the health and nutritional well-being of the total school population.
The Health and Nutrition Center (HNC) under the Department of Education
Determinants of School Health Nursing (CPPS) CI-PS
- Characteristics of the clientele
- Policies of the Department of Education
- Programs of the Department of Health
- Standards of the Nursing Profession
Putting up a functional school clinic for the treatment of minor ailments and attendance to emergency cases as mandated by R.A. 124.
Function of the School Nurse
looks for signs of illness, physical defects and bad health habits.
FUNCTION OF SCHOOL NURSE