Week 1 Intro to Community Health Nursing Flashcards
Johari Window (qualities and values)
Open Area: known to others and self
Blind Area: others see but we are unaware of
Hidden Area: we know but hide from others
Unknown Area: neither we ourselves nor others know
Community Health Nursing
-Works with people, where they live, work, learn, worship, and play to promote health
Who does CHN Work With?
CHN work with the client to identify their barriers to health with them
What Does the Client Mean?
The client means individual, families, groups, communities, populations, and systems
How Does CHN View Health?
View health as a dynamic process of physical, mental, spiritual, and social well being and as resource for everyday life that is influenced by circumstances, beliefs, and determinants of health
3 Areas of nursing that CHN encompasses
-Health Promotion
-Illness prevention
-Health Maintenance
-Building social and community support for health
Unique Characteristics of CHN Process
CHNs promote, protect & preserve the health of individuals, families, groups, communities, populations
Wherever people live, work, learn, worship and play
In a continuous versus episodic process
Unique Characteristics of CHN
-Work at a high level of autonomy
-View health as a resource and focus on capacities
-Marshal resources to support health by coordinating care and plan nursing services, programs and policies
-Have a unique understanding of the influence of the environmental context of health
-Build partnerships based on primary health care principles, caring and empowerment
-Combine specialized nursing, social and public health science with experiential knowledge
Blueprint for Action
-Released in 2011
-Provides a framework for ongoing dialogue on the development of community health nursing practice in Canada
-The purpose is to inform decisions about CHN practice and promote and protect the health of Canadians
-Standards are used by employers, to implement professional development programs, inform educational curricula and guide research
Nursing Values
-Providing safe, competent, ethical care
-Promote health and well being
-Promote and respect informed decision making
-Preserving dignity
-Maintaining privacy and confidentiality
-Promoting justice
-Being accountable
Community Health Nursing Standard Of Practice
-Defines the practice of a registered nurse in the speciality area of community health nursing
-They build on the generic practice expectations and identify the practice principles and variations specific to CHN
List Standard of Practice
- Health promotion
- Prevention and health protection
- Health maintenance, restoration, palliation
- Capacity building
- Professional relationships
- Health Equity
- Evidenced informed practice
- Professional responsibility and accountability
Canadian Community Health Nursing Professional Practice Model
Standards #4,5,6,7,8 help to achieve #1,2 & 3
The Five Ottawa Charter Health Promotion Strategies
- Building healthy, public policy
- Create supportive environments
- Strengthen community action
4.Develop personal skills - Reorient health services
Standard 1: Health Promotion
Community health nurses integrate health promotion into practice
Example: Work with a community to advocate for a smoke-free town or municipality
Standard 2: Prevention/Protection
Use the socio-ecological model to integrate prevention and health protection activities into practice.
Actions are implemented in accordance with government legislation and nursing standards to minimize the occurrence of disease/injuries
Example: Participate in surveillance, recognize trends in epidemiology data use for health education, screening, immunization, and communicable disease control and management
Work with a parents organization and the police to promote proper installation of car seats through the media and conduct clinics to provide one to one assessment and teaching
Standard 3: Health Maintenance, Restoration, Palliation
Focus is on maintaining maximum function, improving health, and supporting life transitions including acute, chronic, terminal illness, end of life
Example: holistically assess the health status, and functional competence of the client within the context of their environment, social supports, and life transitions
PHN provide DOT for people with TB in their living arrangement
Standard 4: Professional Relationships
With with others to establish, build and nurture professional and therapeutic relationships. Recognize own personal beliefs, attitudes, assumptions, feelings, values
Establish a therapeutic working relationship with multigenerational families, and families that have young children to have health family outcomes
Establish interprofessional relationships (key informants, stakeholders)
Standard 5: Capacity Building
Partner with the client to promote capacity. Recognize barriers to health and to mobilize and build on existing strengths. Enhance client’s ability to recognize strengths, challenges, causal factors, resource availability that impacts health
Example: Work as a partner with a Health Action Team in a high school to mobilize students, parents, teachers to identify the school communities strengths and needs, prioritize, plan, implement, evaluate the growing vaping behaviour among youth
Standard 6: Health Equity
Recognize the impact of determinants of health and incorporate actions to their practice such as advocating for healthy public policy.
Advance health equity at an individual and societal level
Assess how determinants of health influence the client’s health status with particular attention to clients who are marginalized
Example: PHNs identify that smoking cessation messaging is not culturally safe nor considerate of Indigenous realities and cultures. Include the Indigenous people to begin a community consultation process
Definition of Health Equity
All people have a fair and equitable chance to reach to their full health potential and are not disadvantaged by social, economic, attitudinal, policy, and environmental conditions
Standard 7: Evidence Informed Practice
Use best evidence to guide nursing practice and support clients in making informed decisions
Example: PHNs complete a rapid review to find the best evidence to guide planning for a new program for school age children related to physical literacy
Standard 8: Professional Responsibility and Accountability
Demonstrate professional responsibility and accountability as a fundamental component of their autonomous practice
Example: A PHN is assigned to work in a needle exchange program based on harm reduction. He has difficulty accepting the tenets of harm reduction and uses reflective practice personally and with his supervisor to understand and change his assumptions.
Why do the CHN Standards Matter?
Inspire excellence
Foundation for Certification
Set criteria and expectations for safe and ethical care
Define the scope and depth of practice
Support human resource management
Strengthen education and professional development
Using the Standards of Practice
Nurses
-Guide and evaluate practice
Nursing Educators
-In course curricula to prepare new graduates for practice in community settings
Nursing Administrators
-Direct policy and guide performance expectations
-Nurse Researchers
Guide the development of knowledge specific to community health nursing
