Community Health Flashcards
What are the CHNC standards of practice? (8)
- Health Promotion
- Prevention and Health Protection
- Health Maintenance, Restoration and Palliation
- Professional Relationships
- Capacity Building
- Health Equity
- Evidenced Informed Practice
- Professional Responsibility and accountability
Describe Standard #1 “Health Promotion”
- Process of enabling people to increase control over, and improve, their health.
- Must move towards action to change social, environmental and economic conditions to alleviate their impact on individual, groups and communities.
Examples of “Health Promotion” in practice
- encourage families to use their traditional practices of their indigenous culture- use of sweat houses, or poultices in wound care if acceptable
- encourage clients to quit smoking for wound care healing using motivational interviewing and goal setting strategies.
Describe Standard #2 “Prevention and Health Protection”
Uses prevention and protection approaches with the client to identify risk factors and to address issues such as communicable disease, injury, chronic disease, and the physical environment (e.g. air, climate, housing, work, water, land).
Examples of “Prevention and Health Protection” in practice
- provide health teaching of people with diabetes in their management of the disease to prevent diabetic reactions. Using self management support strategies to build capacity and independence.
- encouraging mask wearing, and handwashing to clients and family during COVID.
- When providing wound care, encouraging client to include a multivitamin to help with wound healing and to prevent further damage to the wound bed
- teach and engage the client is self care about wellness strategies a they can do to help support wound healing.
Describe Standard #3 “Health Maintenance, Restoration & Palliation”
- Holistically assesses the health status, and functional competence of the client within the context of their environment, social supports, and life transitions.
- Uses a range of intervention strategies related to health maintenance, restoration and palliation to promote self-management of disease, maximize function, and enhance quality of life.
Examples of “Health Maintenance, Restoration & Palliation” in practice
- care for disabled students in the classroom: Communication is required with the child’s guardian, teacher and/classroom assistant
- is an important part of the end-of-life care team with the client and family by providing end of life care and providing care for clients to remain at home
- as part of an interprofessional team that support Adult Day Programs in their community (e.g., Medication management, teaching and supporting non-clinical staff).
Describe Standard #4 “Professional Relationships”
Community health nurses work with others to establish, build and nurture professional and therapeutic relationships. These relationships include optimizing participation, and self-determination of the client.
Respects and supports the client in identifying their health priorities and making decisions to address them while being responsive to power dynamics.
Examples of “Professional Relationships” in practice
- provide palliative care with a team of health care providers to individuals to enable them to remain in their home in their end of life
- consulting with the client’s wound care team to discuss and ensure best practice and holistic approach in the wound care plan is followed to support client outcomes.
- consulting with an interprofessional team from a hospital Geriatric Day Unit or Falls Clinic to support client safety in the community
Describe Standard #5 “Capacity Building”
Community health nurses partner with the client to promote capacity. The focus is to recognize barriers to health and to mobilize and build on existing strengths.
Enhances the client’s ability to recognize their strengths, their challenges, causal factors, and resources available that impact their health.
Examples of “Capacity Building” in practice
- encourages a mother and teens to work out a schedule for ROM exercises for the grandmother. The family is happy that they were able to work out the problem together.
- working with the family and client to figure out a home care schedule that suits client needs and yet maintains independence
- encourage an end-of-life client has input into the plan of care to ensure their goals are taken in to account.
- support client and family independence with care needs by providing client/ family teaching and support. (e.g., Teaching client and family how to provide infusion therapy and simple wound care)
Describe Standard #6 “Health Equity”
Community health nurses recognize the impacts of the determinants of health and incorporate actions into their practice such as advocating for healthy public policy. The focus is to advance health equity at an individual and societal level.
Participates with community members and advocates for health in intersectoral policy development and implementation to reduce health equity gaps between populations.
Home Health care nurses work with many different populations of clients in their community. They collaborate with the provincial funder to ensure referrals and access to services is available equitably for their clients.
Examples of “Health Equity” in practice
advocate with families caring for medically fragile children by seeking respite care for an exhausted families or by contacting their local MPP.
offer the flu vaccine to house bound individuals to ensure they are given an opportunity to have the injection if they want it
advocate for “ wheelchair “ transportation in the community for wheelchair clients to attend social activates.
works with local community outreach clinic to support a mobile van that services street youth an underhoused population. (e.g., Simple wound care, counselling, palliative care support referral support for services )
working in an Indigenous Community Health center who are not from the community, advocates for and seeks out education or a mentor to support them in gaining knowledge and awareness of the community cultural practices and understanding of the role of Elders in the community. (e.g., Community protocols for welcoming Elders to working groups, programs; how to offer tobacco in a respectful manner).
collaborates and seeks to understand how the client’s culture and community barriers to access health services impacts current health context. The HHN ensures a non- judgmental approach and provides care. ( e.g. Providing medication management to an Elder who refuses insulin for managing their diabetes and wish to use only traditional medicines.
Describe Standard #7 “Evidenced Informed Practice”
Community health nurses use best evidence to guide nursing practice and support clients in making informed decisions.
Understands and uses knowledge translation strategies to integrate high quality research into clinical practice, education, and research.
Examples of “Evidenced Informed Practice” in practice
are working on their wound care policy and consulted the Best Practice Guideline to ensure best evidence is used.
keep up in Palliation best practice for pain management protocol
works as a team lead to support Infusion Therapy practices and build team capacity in best practices and evaluation of any practice changes implemented.
is a member of the teams Professional Practice Committee and contributes to ensure new evidence is integrated into practice.
Describe Standard #8 “Professional Responsability and Accountability”
Community health nurses demonstrate professional responsibility and accountability as a fundamental component of their autonomous practice.
Identifies and works proactively (individually or by participating in relevant professional organizations) to address health and nursing issues that affect the client and/or the profession.
Examples of “Professional Responsability and Accountability” in practice
is asked by an ALS client to be present when his wife removes his Bi-PAP machine, which will result in his death. The nurse explores the client’s reasons for this decision and discusses the ethics around responding to this request with the health care team as well as the nursing practice advisor at their College of Nurses.
as part of a client’s Adult protection team to help determine capacity
demonstrate their scope of practice and understand the different scopes of practice in nursing and interdisciplinary teams and works respectfully with interdisciplinary team.
as part of the team with the client and family to support MAID (medical assistance in dying)
