COMMUNITY HEALTH NURSING

By:- Firoz QureshiDept. Psychiatric Nursing

COMMUNITY The word "community" is derived from the Old French

comunete which is derived from the Latin communitas (from Latin communis, things held in common), a broad term for fellowship or organized society.

  One broad definition which incorporates all the different

forms of community is "a group or network of persons who are connected (objectively) to each other by relatively durable social relations that extend beyond immediate genealogical ties, and who mutually define that relationship (subjectively) as important to their social identity and social practice.

HEALTH Health is a state of complete physical, mental and

social well-being and not merely the absence of disease or infirmity.

NURSING Nursing is a profession within the health care

sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.

COMMUNITY HEALTH NURSING-ANA(1980) “Community Health Nursing is a synthesis of nursing

practice and public health practice applied to promoting and preserving the health of populations. The practice is general and comprehensive. It is not limited to a particular age group or diagnosis and is continuing, not episodic. The dominant responsibility is to the population as a whole; nursing directed to individuals, families, or groups contributes to the health of the total population. Health promotion, health maintenance, health education and management , coordination, and continuity of care are utilized in a holistic approach to the management of the health care of individuals, families and groups in a community.”

CONCEPTS

COMMUNITY HEALTH NURSING

CLIENT GOALS THE MEANS

CONT...Goal of professional practice – promotion of

health and preservation of life.

Nature of Practice – Comprehensive, general, continual, not episodic.

Knowledge based – Nursing and public health.

Levels of clientele – individual, families, groups (aggregate), community, sick or well in daily basis, health tasks, children, elderly, youth.

Practitioner’s recognition – primacy of a population as a whole.

CONT...Greater control for both nurse and

client in health care decision.

Collaboration between nurse and clients as equals.

Recognition of the impact of the different factors of their client lives and situation.

HEALTH -A RELATIVE CONCEPT An alternative approach to

health conceptualizes health as not an ideal state, but as a biologically “normal” state based on statistical averages.

CONCEPT OF WELL- BEING

OBJECTIVE COMPONENT

• STANDARD OF LIVING

SUBJECTIVE COMPONENT

• QUALITY OF LIFE

PRINCIPLES

Community health nursing is community focused, it is therefore essential to know the defined community, map an established effective working relationship.

Community health nursing is based on identifying Community health nursing needs and functions within total community health programmes.

Health education, guidance and supervision are an integral part of Community health nursing services.

Health services should be realistic in terms of available resources.

CONT...The health worker is responsible to the authorised

health authority and functions within the policies and objectives set by the health agencies area.

Effective health workers irrespective of positional or

place of a work, function as a team.

In community health, community and the family are in focus rather than the individuals as a unit of health care.

Professional relationships and etiquettes are essential in community health services.

CONT...Community involvement is an integral part of

community health nursing practice. Individual and family participate in all decision making

relating to attainment of health.

Continue services are effective services and Community health nurse must provide continuous health services.

Well developed system of records and reports essential for community health services.

CONT...

Periodic and continuous appraisal and evaluation of health situation and health services are passive to community health.

Health services should be available and accessible to all without any discrimination.

Health worker should be non- political, non- secretarial in her or his relationship with people.

Health worker must maintain professional dignity and must never accept any gift or bribe.

FUNCTIONS OF A NURSE

CONT...