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HS1120 > Community Health Nursing > Flashcards

Community Health Nursing Flashcards

1
Q

What is the earliest form of nursing practice in Canada?

A

Community Health Nursing (17th century)

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2
Q

Who were the 1st community health nurses:

A

Marie Rollet Hebert
Augustinian Hospitallers of Dieppe
Jeanne Mance
Grey Nuns

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3
Q

What was Florence Nightingale known for?

A
  • she plays a role in colonialism and assimilation of Indigenous peoples
  • her legacy was influenced by her contribution to epidemiology
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4
Q

The CHN metaparadigm includes which 5 components?

A
  1. Person
  2. Environment
  3. Health
  4. Nursing
  5. Social Justice
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5
Q

What is the Community Health Nurses of Canada?

A
  • voluntary association consisting of CH nurses and CHN interest groups
  • monitors trends in CH nursing and identifies/responds to issues affecting all CH nurses
  • Provides a forum to share issues/concerns and to communicate through meetings and national publications.
  • A leader in the development of discipline-specific standards of practice, core competencies, and a CHN certification process.
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6
Q

What are the responsibilities of Public Health Nurses?

A
  • Promoting, protecting and preserving the health of populations
  • Links health/ illness experiences of individuals, families, and communities to population health

Ex. Flu clinics: immunization
Health education

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7
Q

What are the responsibilities of Home Health Nurses?

A
  • Prevention, health restoration, maintenance & palliation
  • Focus on individuals, caregivers and their families

Ex. Medication management

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8
Q

What are the responsibilities of Primary Care/Family Practice Nurses?

A
  • Health prevention, screening, and education
  • Assessment and treatment of acute illness/ailment
  • Disease management and system navigation
  • Therapeutic intervention and medication reviews

Ex. Wellness clinics
Sexual health clinic
Chronic disease management

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9
Q

What Roles can Community Health Nurses practice?

A
  • Community Health Nurse
  • Community Mental Health Nurse
  • Public health Nurse
  • Home health Nurse
  • Occupational health Nurse
  • Primary care Nurse
  • Telehealth Nursing
  • Rural Nursing
  • Forensic Nurse
  • Military Nurse
  • Parish Nurse
  • Outreach/ Street Nurse
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10
Q

Historically and currently nurses have:

A
  • embraced role as advocate for individual, family and community health
  • fostered empowerment with individuals, families and communities
  • embraced health-promoting practice built on notion of empowerment
  • engaged a strengths-based approach to health-promoting practice
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11
Q

Definition of Health:

A

HEALTH: An evolving holistic human experience, informed by multiple professions, recognizing the medical definition is just one aspect of health

  • Health is evolving
  • A connection between an individual and their environment
  • Influenced by the environment or context of the person’s life
  • Includes physical, emotional, social, and spiritual aspects
  • Health is subjective – your view health is different from others
  • The medical definition is just one aspect of health (the absence of disease)
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12
Q

What is a Community?

A

COMMUNITY: “A group of people who live, learn, work, worship, and play in an environment at a given time. Community members share characteristics and interests, and function within a larger social system such as an organization, region, province, or nation”

  • a collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging
  • A group of people with a common characteristic or interest living together or in a particular area within a larger society
  • A social group of any size whose members reside in a specific locality, share government and often have a common cultural and historical heritage
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13
Q

Functions of a community?

A
  • Infrastructure for housing, schools, recreations, government, and health and social services
  • Employment and income
  • Security, protection, Law enforcement
  • Participation and Socialization of community members
  • Linkages with other communities
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14
Q

Vertical Communication

A
  • communication that links communities to larger communities or to those with higher decision-making power
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15
Q

Horizontal Communication

A
  • Communication that connects the community to work collaboratively within its own environment
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16
Q

Diagonal Communication

A
  • reinforces the cohesiveness of horizontal and vertical communications
17
Q

Types of Leaders

A

Formal leaders - elected officials
Informal leaders - individuals who are prominent community members

*Both forms of leaders influence the decision-making process using their status and position within the community

18
Q

How are decisions in the community made?

A
  • through: 1) government policies, 2) political influence 3) collaboration the
  • decision-making process uses community leaders and members to advocate for change
19
Q

What makes a healthy community?

A
  • Clean and safe environment
  • Peace, equity and social justice
  • Access to food, clean water, shelter, income safety, work opportunities, and recreation
  • Opportunities for learning and skill development
  • Strong mutually supportive relationships and networks
  • Workplaces that are supportive of the individual and their family
  • Wide participation in community decisions
  • Strong cultural and spiritual heritage
  • Diverse and vital economy
  • Protection of the environment
  • Responsible use of resources
20
Q

What is the Community as a Client of Care

A
  • The unit of care is the entire community
  • The nurse can concentrate on both the community and the family simultaneously, but the community is the main focus

Ex. You are an occupational health nurse. Target is preventing injuries but the whole workforce community is your client

21
Q

What is the Community as Context for Care

A
  • The family is the focus of care
  • Families live within community contexts- creating and defining the communities within which they interact impacts family health

Ex. You are an outreach nurse and caring for a family whose daughter has immunosuppression. The family is the focus of care but communities being overcrowded are influencing health of the family

22
Q

What are Social Determinants of Health?

A
  • conditions in which people are born, grow, live, work and age
  • these circumstances are shaped by the distribution of money, power and resources at global, national and local levels
23
Q

What are the 18 Social determinants of health?

A

1) Income and Income Distribution
2) Education
3) Unemployment and Job Security
4) Employment and Working Conditions
5) Early Child Development
6) Food Insecurity
7) Housing
8) Social Exclusion
9) Social Safety Net
10) Health Services
11) Geography
12) Disability
13) Indigenous Ancestry
14) Gender
15) Immigration
16) Race
17) Globalization
18) Sexual Orientation

24
Q

What are Priority populations?

A
  • Population at risk refers to a group of people who have a high probability of developing illness.
  • Priority or vulnerable population - people who are disadvantaged, susceptible, or vulnerable to health inequity, injury, disease, or premature death
25
Q

Trends in Community Health Nursing

A
  • Aging populations
  • Widening gap between the rich and poor
  • Diverse ethnocultural and racialized communities
  • Increase in Indigenous sub-populations
26
Q

Role of Community Health Nurses

A
  • CHN’s care for diverse populations in complex social, political and economic environments.
  • CHN’s use the Community Health Promotion process to implement their primary health care roles as they address inequities and social justice for marginalized populations.
27
Q

Which social determinant has the most significant influence on health?

A
28
Q
A

HS1120 (10 decks)

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