Community Health Nursing Standards of Practice Flashcards

1
Q

How were Canadian CHN standards developed?

A
  • developed by geography (community reps) representative under the supporting organization CHNC
  • process took 3 years
  • revised 3 times (March 2011)
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2
Q

Why are CCHN standards important to practice

A
  • define scope
  • criteria for safe ethical care
  • criteria for measuring performance
  • support ongoing development of CHN
  • promote CHN specialty
  • foundation for cert.
  • inspire excellence/commitment
  • benchmark for CHN
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3
Q

Why is the the standards of nursing practice at the bottom of the triangle of community health nurses association of canada?

A

all nursing standards build off nursing standards

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4
Q

Changes to CHNC standards.

A
schematic order (2013)
7 standards (2011)
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5
Q

What are the standards of CHNC?

A
  1. health promotion
  2. Prevention and health protection
  3. Health Maintenance, Restoration and palliation
  4. Professional relationships
  5. Capacity building
  6. Access and Equity
  7. Professional Responsibility and Accountability
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6
Q

The first 3 standards are for ____ ____

A

promoting health

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7
Q

The last 4 standards ____ the first 3 standards.

A

support

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8
Q

PHN

A

public health nurse

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9
Q

CHN

A

community health nurse

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10
Q

HHN

A

home health nurse

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11
Q

Examples of HEALTH PROMOTION in PHN

A
  • PHN advocate for smoke free town
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12
Q

Examples of HEALTH PROMOTION in CHN,

A
  • assists in physical activity and healthy eating with schools and local communities
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13
Q

Examples of HEALTH PROMOTION in HHN

A
  • encourages families dealing with a chronic illness to participate in regular physical and social activities
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14
Q

Examples of PREVENTION & HEALTH PROTECTION in PHN

A
  • track immunization schedules for each child so that when a child is overdue for vaccine they can be contacted
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15
Q

Examples of PREVENTION & HEALTH PROTECTION in CHN

A
  • OBSERVE high rates of smoking within a particular client group
  • the concern is raised with the practice TEAM and a PLAN is developed to find a way to address the issue
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16
Q

Examples of HEALTH MAINTENANCE, RESTORATION & PALLIATION in HHN.

A

cares for disabled students in the classroom (communication is required with the child’s guardian, teacher, class assistant re childs status and response to treatment)

17
Q

Examples of HEALTH MAINTENANCE, RESTORATION & PALLIATION in CHN

A

provides ongoing nursing care to families with seniors who are experiencing difficulties

  • direct or indirect (through PSW)
  • may include telephone follow up, home visits or community referrals
18
Q

Examples of PROFESSIONAL RELATIONSHIPS in HHN.

A

working in palliative care listens to the concerns of stressed and exhausted caregivers and supports them in making decisions about respite and hospice care

19
Q

Examples of PROFESSIONAL RELATIONSHIPS in PHN

A

working with families experiencing child care difficulties identify that post natal visits based on issues or tasks moves them around too much
- bring concerns to management

20
Q

Examples of CAPACITY BUILDING in HHN

A

encourages a mother and teens to work out a schedule for ROM exercises for the grandmother
- family is happy to have worked out the problem together

21
Q

Examples of CAPACITY BUILDING in PHN

A

encourages a school to MOBILIZE A SCHOOL HEALTH COMMITEE that includes students, parents, teachers, administration, and community partners. Committee members identify the school community’s STRENGTHS AND NEEDS, and prioritize, plan, implement, evaluate and celebrate action for a healthier school (NURSING PROCESS). The school community’s capacity to take its own action for health is enhanced via a SUSTAINABLE STRUCTURE (the committee). The PHN is a PARTNER in the process

22
Q

Examples of ACCESS AND EQUITY in PHN

A

IDENTIFIES that one ETHNIC GROUP DOES NOT USE HC SERVICES (including prenatal classes) outside their area. The PHN works with a champion from this group to ORGANIZE LOCAL PRENATAL CLASSES delivered by a PHN and TRANSLATED BY WOMEN FROM THE COMMUNITY

23
Q

Examples of ACCESS AND EQUITY in HHN.

A

HHN and Case Maneger ADVOCATE for families caring for medically fragile children by seeking RESPITE CARE for exhausted families, CONTACTING LOCAL MP

24
Q

Examples of PROFESSIONAL RESPONSIBILITY and ACCOUNTABILITY in PHN

A

NEEDLE EXCHANGE based on HARM REDUCTION
- difficulty with tenets (principles of belief) of harm reduction and uses REFLECTIVE PRACTICE personally and with his supervisor to understand and change his assumptions

25
Q

Examples of PROFESSIONAL RESPONSIBILITY and ACCOUNTABILITY in PHN (2)

A

Discuss decline in level of service with the new manager (either go higher of offer to collaborate)