Community Health Nursing Flashcards
Field of nursing practice that renders care to individuals, families, groups, and communities focusing on health promotion and disease prevention through people empowerment.
Community Health Nursing
equipped with the knowledge and skills to get to do things on their own, enabling (begins with educating people)
Empowerment
- acquiring the necessary knowledge and skills, their capacity is enriched
According to Ruth Freeman and Janet Heinrich (1981), CHN is?
An area of human services directed toward developing and enhancing the health capabilities of people
Features of CHN
- we provide people with the technology that they can apply on their own so that they maximize health on their own hands.
Developmental in approach
Features of CHN
not thinking of one child but children. Focus on the majority
Population focused
- For example; teenage pregnancy- you should also think that several in your patient’s barangay have the same situation. so you have to develop a program that would target teenage pregnancy- collaborate (seminars, to help them understand what are the risk and reproductive health so it will help them channel out their curiosity in a socially acceptable manner without the risk)
Features of CHN
everyone is given equal access, fair treatment.
Driven by social justice
- first come, first serve
- Allocation of resources
- for example 1000 vaccines is given to your municipality- give it first to the barangay that has greater target population
- Greater good for the greatest number
Features of CHN
care is provided where people are. It is
provided in their natural environment (except hospital)
Ecology oriented
Features of CHN
collaborative
Multidisciplinary
Features of CHN
rather than curative aspects of care
- reduce their risk, give them protection (immunization), developing policies to protect people from making the wrong decisions
Preventive service
Features of CHN
health is multidimensional therefore, our approach must be holistic it has to be physical, social and mental
Comprehensive care
we want them to undergo organizing and to be empowered
- We acknowledge that patients can contribute to better health, want them to be involve and participate
COPAR
Features of CHN
(feedback from patients)- state holder consultation (communication assembly) ask for patient has a right to choose
Consumer involvement
Features of CHN
through taxes, we don’t owe the government a debt of gratitude
- Taxes= social services
Pre-paid mechanism
5 Cs of CHN
- in public health nursing, clients are not merely consumers we consider them as______, give them sense of responsibility, because health is a shared reality and responsibility- our goal is to facilitate.
Clients as partners
Shared leadership means?
they are the ones to state their needs
5 Cs of CHN
inclusive rather than exclusive
- regardless of age, sex, race, gender, religion
- healthcare must be universal
Collective in scope
5 Cs of CHN
inter professional collaboration (flat
structure- we work side by side with professionals)
Collaborative approach
5 Cs of CHN
enhancing people’s capacity (knowledge
and skills so they do things on their own)
Capacity building
5 Cs of CHN
greatest number; choose what is best for the
majority
Common good
Example: Clinical visits > home visits
The art and science of preventing disease, prolonging life, and promoting health and efficiency through organized community efforts
Public health- field of practice
Charles Edward Winslow= 3Ps
- preventing disease
- prolonging life
- promoting health and efficiency
- but instead of people empowerment, he proposes that we need organized community efforts
structure that ensures that health is prioritize, health services are provided, good governance, policies to protect people on making wrong decisions regarding to health.
Organized community efforts
Core functions (APA)
- research, generates evidence= policies
Assessment
Core functions (APA)
informed by evidence. Meant to assure the public
that their health is looked into and their health is prioritized
Policy
Examples of policies:
supports RA 9211 smoking ban in public places
indicate what each means:
- First hand smoke:
- Second hand smoke:
- Third hand smoke:
EO26
- First hand smoke: the one actively smoking
- Second hand smoke: close to the ones actually
smoking - Third hand smoke: chemicals from tobacco, the
residues left in the room, floor, wall, clothing etc.
Examples of policies:
increase cost of carbonated
beverages except coffee and milk
Sugar beverage tax
Core functions (APA)
assure outcomes, get to protect people’s health and prevent spread of disease
Assurance
Basic Concepts
What are the levels of clientele? `
- Individual
- Family
- Group
- Community
Basic Concepts
- What is the Unit of service? The starting point
Family
Basic Concepts
- Philosophy
Worth and Dignity of Man- Margaret Shetland
- respect on the dignity of each and every person and life
Basic Concepts
- Principle
Greatest good for the greatest number
(common good)
Basic Concepts
- Primary activity
Health education
Basic Concepts
Primary focus
Health promotion / disease prevention
