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HO An Overview of CHN

Community health nursing involves utilizing the nursing process to promote health, prevent disease, and provide rehabilitation for individuals, families, groups, and communities. The philosophy is based on respecting human dignity and contributing to overall population health through care of individuals. Community health nurses work with multidisciplinary teams to assist clients in attaining their highest level of holistic health through a partnership approach. Their roles vary depending on community health needs, system goals, and include activities like case management, advocacy, teaching, planning, and organizing.

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42 views

HO An Overview of CHN

Community health nursing involves utilizing the nursing process to promote health, prevent disease, and provide rehabilitation for individuals, families, groups, and communities. The philosophy is based on respecting human dignity and contributing to overall population health through care of individuals. Community health nurses work with multidisciplinary teams to assist clients in attaining their highest level of holistic health through a partnership approach. Their roles vary depending on community health needs, system goals, and include activities like case management, advocacy, teaching, planning, and organizing.

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den
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An Overview of Community Health Nursing Practice in the Philippines

Community Health Nursing (CHN)

 the utilization of the nursing process in the different levels of clientele – individuals, families,
population, groups and communities, concerned with the promotion of health, prevention of
disease, and disability and rehabilitation.

Community Health Nursing as defined by Ruth B. Freeman. It refers to “ a service rendered by a


professional nurse with communities, groups, families, individuals at home, in health centers, in clinics,
in schools, in places of work, for the promotion of health, prevention of illness, care of the sick at home
and rehabilitation.

According to Jacobson, Community Health Nursing is nursing practice in a wide variety of community
services and consumer advocate areas, and in a variety of roles, at times including independent
practice... Cmty nsg is certainly not confined to public health nursing agencies.

It indicates that it is broader than public health nursing.

Philosophy of Community Health Nursing: The philosophy of CHN is based on the worth and dignity of
men. This philo of care is based on the belief that care directed to the individual, the family and the
group contributes to the healthcare of the population as a whole.

Goal of CHN: To assist the individual, family and community in attaining their highest level of holistic
health which is attained through multidisciplinary effort and to promote reciprocally supportive
relationship between people and their physical and social environment.

Mission of CHN
• Health Promotion
• Health Protection
• Health balance
• Disease prevention
• Social Justice
Concepts and Principles in CHN Practice
1. Family – The family is the primary unit of care or basic unit of service of Community Health Care
where primary prevention is given priority.
2. The cmty as a whole is the locus of service and the patient.
3. The goal in improving cmty ht is realized through multidisciplinary approach.
- The CHN interacts, collaborates and coordinates using the multidisciplinary approach with
teamwork as the driving force in the efficient, effective and equitable delivery and utilization of
the services.
4. The CHN is deeply concerned with the increasing capability of her 4 levels of clientele- I,F,P and C to
deal with its own recognized needs and ht problems
5. Partnership – The CHN works with, not for, the individual patient, family, group or community as
active partners and not passive recipients of care.
6. Change – The practice of CHN is affected by changes in society in general, and by developments in
the health fields in particular.
- The environment and socio-economic status have been shown to affect the health of the
community.
7. CHNsg is a part of functions within a large and complex systems and any change in this system affects
it.
Salient Features OF CHN:
1. Population or Aggregate-focused

2. Greatest good for the Greatest Number

3. Utilizes the Nursing Process

4. Promotive - Preventive by nature

5. Uses a variety of instruments

6. Requires management skills

RECIPIENTS OF CARE BY CHN:


1. The Individual – a specific person or client in various stages of ht or illness who is given the
appropriate nsg interv by the CHN and other members of the ht team as the condition warrants.
2. The Family- a group of people affiliated by consanguinity, affinity, or co-residence. In many societies,
including the Philippines, the family is the principal institution for the socialization of children
and is often called the “ basic unit of society”
3. Population Groups - are vulnerable groups or those at risk of developing certain health or health-
related problems.
- these are groups of people who share common characteristics, developmental stage, or
common exposure to particular environmental factors, thus resulting in common health
problems.
ex. Women, children, people with disabilities
4. The Community – - a group of people sharing common geographic boundaries and/or common values
and interests.
- the group which functions within a particular socio-cultural context ( no 2 cmties are alike)
and varying physical environment and the people’ s way of behaving and coping differ from one
group to another.

Classifications of a Community:
1. Rural Communities- also known as open lands, often agricultural in nature which is more spacious
and less densely populated. ( ex. Sto. Tomas, La Union)
2. Urban communities- often known as city or cities which are non-agricultural by nature, are densely
populated, and marked by industrial products and technology. (ex. Central Business Districts –
Makati City)
3. Suburban – usually the administrative capital of a province characterized by a unique mix of
agriculture and industry ( ex. San Fernando City, La Union)

Characteristics of a Healthy Community:


1. Awareness that “we are a community
2. Conservation of natural resources
3. Recognition of and respect for the existence of subgroups
4. Participation of subgroups in community affairs
5. Preparation to meet crises
6. Ability to solve problems
7. Communication through open channels
8. Resources available to all
9. Setting of disputes through legitimate mechanisms
10. Participation by citizens in decision-making
11. Wellness of a high degree among its members

THE COMMUNITY HEALTH NURSE

Roles of Community Health Nurses


-varied and dynamic
- influenced by the ff:
1. nature of health needs of the population
2. specific goals of the health care system
3. attitudes and practices of the nurse in providing care
Types of Roles CHN performs:

1. Case Manager

2. Advocate

3. Teacher

4. Partner and Collaborator

5. Health Planner/ Programmer

6. Manager/Supervisor

7. Community Organizer

8. Health Educator/ Trainer

9. Casefinder

10. Epidemiologist

11. Recorder/Reporter/Statistician

12. Community Leader

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