Intro to CHN

Question 1

Define CHN.

Answer 1

• UMBRELLA TERM; work of nurses in the community
• CHNs PARTNER with people where they live, work, learn, meet, play and pray to promote health
• Combine nursing theory/knowledge, social science and public health sciences

Question 2

What are the key characteristics if a CHN?

Answer 2

• independence
• autonomy
• resourcefulness
• collaborative
• understand needs
• strong health assessment skills and community assessment
• critical thinking skills
• understanding of community and its resources
• understands HCS
• knowledge of legislation
  (p. 43)

Question 3

What is the goal of CHN practice?

Answer 3

promote the health of clients

looking more holistically into what affects their health

Question 4

Conceptual foundations of CHN practice.

Answer 4

Health Promotion

Primary Health Care

Question 5

Define Health Promotion.

Answer 5

the process of enabling pipe to increase control over their health
Involves:
- health enhancement, health protection, disease prevention/treatment, health restoration/recovery, palliation

Question 6

Define Primary Health Care.

Answer 6

Health care that is EBP, SOCIALLY ACCEPTABLE, UNIVERSALLY ACCESSIBLE, full PARTICIPATION of CLIENTS, COST EFFECTIVE, includes SELF DETERMINATION

Question 7

What is the national organization for CHN?

Answer 7

Community health nurses of Canada

Question 8

What is the provincial organization of CHN?

Answer 8

Interest group through RNAO
COMMUNITY HEALTH NURSES INITIATIVES GROUP
(CHNIG)

Question 9

What are the broad skills from potter and perry for CHN?

Answer 9

• communication
• facilitation
• leadership
• advocacy
• consultation
• collaboration, team building, coalition building
• community development
• coordination, resource management
• case management
• direct care/counselling
• referral and follow up
• outreach
• screening
• surveillance and health threat response
• education
• policy formulation
• research and evaluation

Question 10

Where do CHN work?

Answer 10

PARTNER with people WHERE THEY LIVE, work, learn, meet and play, ETC. to PROMOTE HEALTH
-homes, schools, workplaces, streets, shelters, churches, community health centres, outpost nursing stations, prisons

Question 11

What are some types of CHN?

Answer 11

• public health nurse
• home health nurse
• mental health nurse
• military nurse
• occupational health nurse
• parish nurse
• community health nurse
• primary care nurse/nurse practitioner, outpost nurse
• forensic nurse
• occupational health nurse

Question 12

Who are the clients of CHN?

Answer 12

• individual, family, population, community (people, place, function)

Question 13

Describe individual as client.

Answer 13

• one on one with single client
• nurses in all settings can work with one client
  e. TEACHING BREASTFEEDING, IMMUNIZATIONS, PAP TESTING, CLIENT ASSESSMENT

Question 14

Describe Family as client.

Answer 14

• inclusive term
• always assumed in CHN
• includes significant others (partners, common lay, friends, married, etc.)
  Eg. ASSISTING FAMILY TO ADJUST TO SHIFT IN DYNAMICS (new roles because of death, birth, moving, employment)

Question 15

Describe Population as client.

Answer 15

• group, aggregate (broad spectrum)
• lg group, collection of people who share one or more personal or environmental characteristics
• they may or may not share culture and SES
  Eg. Jewish females in a certain community; teenage girls in a high school; homeless people at a particular shelter; an entire community; group of seniors in a particular residence
  MEET NEEDS OF POP AS DEFINED BY THE POP

Question 16

Describe Community as client.

Answer 16

“A specific group of people, often living in a defined geographical area, who share common culture, values, and norms and are arranged in a social structure according to relationships which the community has developed over a period of time” (WHO ‘98)

Question 17

What are the 3 dimensions of community?

Answer 17

people
place (geography)
function

Question 18

How does community differ from population?

Answer 18

COMMUNITY (share common culture, norms, etc.)

POPULATION (share one or more personal or environmental characteristic)

Question 19

What are some examples of community

Answer 19

Similar status (gender, race, age, class), share common interests, share common culture, share common interest on a common issue, can be part in size but small in population

Question 20

What is the function of a community?

Answer 20

• SPACE & INFRASTRUCTURE for housing, schools, exercise, etc.
• Employment INCOME, distribution of GOODS, economic GROWTH
• SECURITY, protection, law enforcement
• Participation, SOCIALIZATION,, networking with others
• LINKAGE with other communities and systems with OPPORTUNITIES for growth and capacity building