UNIVERSIDAD DE MANILA

Republic of the Philippines

City of Manila
COLLEGE OF HEALTH SCIENCES
Department of Nursing
1st SEMESTER AY 2021-2022
COURSE OUTLINE NCM 113

Course Code NCM 113

Course Title Community Health Nursing II
Course DescriptionThis course focuses on the care of population groups and community as clients utilizing
concepts and principles in community health development. It also describes problems, trends
and issues in the Philippines and global health care systems affecting community health
nursing practice.
Credit Units 2 units lecture and 2 units RLE
Prerequisites NCM 100, Theoretical Foundations of Nursing, Health Assessment
Placement 2nd year, First Semester
1. Apply knowledge of physical, social, natural and health sciences and humanities in the
Program Intended practice of nursing.
Learning Outcomes 2. Provide safe, appropriate, and holistic care to individuals, families, population groups, and
(PILO) community utilizing nursing process.
3. Apply guidelines and principles of evidence-based practice in the delivery of care
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles and
standards.
5. Communicate effectively in speaking, writing, and presenting using culturally appropriate
language.
6. Document to include reporting up-to-date client care accurately and comprehensively
7. Work effectively in collaboration with inter, intra- and multi-disciplinary and multi-cultural
teams.
8. Practice beginning management and leadership skills in the delivery of client care using a
systems approach.
9. Conduct research with an experienced researcher.
10. Engage in lifelong learning with passion to keep current with national and global
developments in general, and nursing and health developments in particular.
11. Demonstrate responsible citizenship and pride of being a Filipino
12. Apply techno-intelligent care systems and processes in health care delivery
13. Adopt the nursing core values in the practice of the profession.
Level Outcomes At the end of the third year, given individuals, families, populations groups, and communities
with physiologic and psychosocial health problems and maladaptive patterns of behavior in
varied settings, the learners demonstrate safe, appropriate and holistic care utilizing the nursing
process, evidence-based practice and research process.
Course Intended 1. Integrate principles and and concepts of human behavior in managing clients and teams in
Learning Outcomes community setting.
(CILO) 2. Implements participatory and empowerment strategies for community competence to
identify and collaborate effectively in addressing the needs and problems related with health
resource availability, access or use, environmental protection, safety and security.
3. Provides appropriate evidence based nursing care using a participatory approach based on: a.
clinical practice, b.client and staff safety, c. customer care standards.
4. Adhere to ethico-legal considerations when providing safe, quality and professional care in
the community.
5. Addresses with respect, trust, and concern for safety, team needs, issues, or problems related
with psycho-social adaptation using appropriate communication/interpersonal
techniques/strategies.
6. Ensures completeness, integrity, safety, accessibility and security of information gathered from the
population, groups and community.
7. Collaborates with GOs, NGOs and other socio-civic agencies to improve health care services,
support environment protection policies and strategies, and safety and security mechanisms in
the community.
8. Applies management and leadership principles to ensure a complete, accurate, and up-to-date
documentation of activities and outcomes of managing a community/ village-based facility,
component of a health program and/or nursing service.
9. Conducts collection and analysis of data with the team members based on the agreed plan
10. Assumes responsibility for lifelong learning, own personal development and maintenance of
competence.
11. Demonstrate responsible citizenship and pride of being a Filipino
12. Use appropriate technology to perform safe and efficient nursing activities
13. Manifest caring as a core of nursing, including the love for God and people
COURSE OUTLINE:

I. OVERVIEW OF COMMUNITY HEALTH NURSING

A. Community Health Nursing as a Field of Nursing Practice

1. The hallmark of community health nursing is that it is population or aggregate-focused.
2. CHN is a synthesis of nursing and public health practice
3. Basic Concepts and Principles of Community Health Nursing
4. Roles of the Nurse in Caring for Communities and Population Groups
5. Brief History of Community Health/Public Health Nursing Practice in the Philippines

II. FAMILY HEALTH CARE NURSING

A. The Family and Family Health

1.Concepts and Definition of Family
2.Family structure and Functions
3.Universal Characteristics of Families
4.Characteristics of a healthy family
5.Family Stages and Tasks(Taylor,1989)
6.Levels of Prevention in Family Health(Stanhope & Lancaster, 2008, p.597)
7.The Family Code (Executive Order No.2009)

B. The Family Health Nursing Process

1. Definition of family health & family health nursing process
2.Steps of the family nursing assessment
3. Data Gathering Methods and Tools

C. Typology of Nursing Problems in Family Nursing Practice

1.1st Level Assessment – categories of health conditions or problems of the family

a. Wellness Condition
b. Health Threats
c. Health Deficits
d. Presence of Stress points/ Foreseeable Crisis Situations

2. 2nd level assessment– performance of family health tasks on each health condition or problem
a. Inability to recognize the presence of the condition or problem
b. Inability to make decisions with respect to taking appropriate health action
c. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at-
risk member of the family
d. Inability to provide a home environment conducive to health maintenance and
personal development
e. Failure to realize community resources for health care

D. Health Problem and the Family Nursing Problem

E. Developing the Nursing Care Plan
1. Definition
2. Steps in Developing a Family Nursing Care Plan
1.Prioritizing Health Problems
2.Formulation of Goals and Objectives of Care
3. Developing the Intervention Plan
4.Developing the Evaluation Plan
5.Documentation/Records in Family Health Nursing Practice

III. COMMUNITY HEALTH AND DEVELOPMENT CONCEPTS, &STRATEGIES

A. Primary Health Care Approach
1. Definition: PHC as a philosophy, approach, structure and services
2. Legal Basis of PHC in the Philippines
3. Pillars of PHC:
4. Components of PHC
a. Primary Health Care Approach:
b. Health Promotion
1. Concept of Health Promotion (as embodied in the Ottawa Charter, November 1986)
2. Health Promotion Strategies:
a. Build healthy public policy
b. Create supportive environments
c. Strengthen community action
 d. Develop personal skills
e. Reorient health services
3. Examples of Theories/Models of Health Promotion: Pender, Bandura, Green

c. Community Organizing Towards Community Participation in Health

1. Definition of Community Organizing
2. Community Participation in Health:

d. Capacity-building for Sustainable Community Health Development Towards Community

Competence

e. Partnership Building and Collaboration

IV. THE COMMUNITY HEALTH NURSING PROCESS

A. Assessment of Community Health Needs

- Components of community needs assessment:

B. Community Diagnosis
1. Definition
2. Types of Community Diagnosis: comprehensive, problem-oriented or focused
3. Steps in Conducting the Community Diagnosis

C. Sources of Demographic Data

Tools used in community diagnosis: demography, vital and health statistics, epidemiology
1. Demography
a. Definition
b. Uses of Demography
c. Sources of Demographic data
d. Components of Demography
2. Vital Statistics
a. Definition Vital Statistics
b. Common Vital Statistical Indicators
i. Fertility Rates
ii. Mortality Rates
iii. Morbidity Rates
3. Epidemiology
a. Definition of Epidemiology
b. Uses of Epidemiology
c. Epidemiologic Concepts and Principles
i. Multiple Causation Theory or Ecologic Concept of Disease
1. Agent-Host-Environment
2. Models: web, wheel and Triad
ii. Natural History of Disease
iii. Levels of Disease Prevention
iv. Concept of Causality and Association
d. Steps in Conducting Epidemiological Investigation
e. Epidemiologic Approach focusing on:
i. Descriptive Epidemiology
ii. Analytical Epidemiology

D. Planning of Community Health Nursing Services

1. Concepts and Principles in community health planning
2. Bases for developing a community health plan
a. health status
b. health resources
c. health action potential
3. Steps in making a plan: the planning cycle
a. Situational Analysis
b. Goal and Objective Setting
c. Strategy/Activity Setting
d. Evaluation plan
4. Context in developing the community health plan
a. Philippine Health Care Delivery System
i. Executive Order 102 (The
Department of Health)
ii. RA 7160 (Local Health Systems)
iii. Levels of Health Care and Referral System
- Primary Level
- Secondary Level
- Tertiary Level
b. Global Health Situation (Millennium
Development Goals)
 c. National Health Situation
d. Primary Health Care as an Approach to Health Care Delivery

E. Implementing the Community Health Nursing Services

a. Components of program implementation

i. Coordinating the health program
ii. Monitoring health programs
iii. Supervising the program staff

b. Public Health Programs of the DOH

i. Family Health Programs
1. Maternal Health
2. Family Planning
3. Child Health
a. Infant and Young Child Feeding
b. Expanded Program on Immunization (EPI)
c. Integrated Management of Childhood Illness (IMCI)
4. Nutrition Program
5. Oral Health Program
6. Essential Health Packages for the Adolescent, Adult Men and Women and Older Persons
ii. Control of Non-Communicable Diseases
1. Integrated Community-Based Non-communicable Disease Prevention Program
2. Programs for the Prevention of Other Non-communicable Diseases
a. National Prevention of Blindness
b. Mental Health and Mental Disorders
c. Renal Disease Control Program
d. Community-Based Rehabilitation Program
iii. Control of Communicable Diseases
1. National TB Program-Directly Observed Treatment, Short-Course (NTP-DOTS)
2. National Leprosy Control Program
3. Schistosomiasis Control Program
4. Filariasis Control Program
5. Malaria Control Program
6. Rabies Control Program
7. Dengue Control Program
8. Sexually-Transmitted Infections and AIDS Control Program

iv. Environmental Health

1. Water Supply Sanitation
2. Proper Excreta Disposal
3. Solid Waste Management
4. Vector Control
5. Food Sanitation
6. Air Pollution
7. Proper Housing

Other Priority Health Programs

i. Alternative & Traditional Medicine
ii. Health Emergency Preparedness & Response Program
iii. Voluntary Blood Donation Program

c. Specialized Fields of Community Health Nursing

i. School Health Nursing
ii. Occupational Health Nursing
iii. Community Mental Health Nursing

V. EVALUATING COMMUNITY HEALTH NURSING SERVICES

A. Definition of evaluation
B. Types of evaluation: quantitative, qualitative
C. Aspects of evaluation: process, impact and outcome
D. Methods and tools of evaluation
E. Evaluation indicators
F. Quality Assurance:

VI. RECORDING AND REPORTING

a. Field Health Service Information System (FHSIS)
b. Components of FSHIS
i. Individual Treatment Record (ITR)
ii. Target Client List (TCL)
iii. Reporting Forms
iv. Output Reports
 Resources:

Textbook: Cuevas, F.P, Public Health Nursing in the Philippines 10th edition (2007), Philippine
League of Government Nurses.
References:
Maglaya, A. S. Nursing Practice in the Community 4th edition (2004), Argonauta Corporation.

Maglaya, A. S. Nursing Practice in the Community 5th edition (2009), Argonauta Corporation.

David, E.S, Community Health Nursing: An Approach to Families and Population Groups
(2007), Meriam & Webster Bookstore, Inc.

De Belen, Rustico. Praxis in Community Health Nursing 1st edition (2008), C&E Publishing Inc.

Balgos, G. Investigating local government, 1st edition (2008), Phil. Center for investigative journalism

http://currentnursing.com/nursing_theory/theories_community_health_nursing.html

Perdigon, C. Food, Water, and Environment Sanitation Safety, 1st edition (2006), Merriam and
Webster Bookstore, Inc.

Jimenez, C. Handbook of common communicable disease 1 st edition (2008), C&E publishing, Inc.

Noah, N. Controlling Communicable Disease 1st edition (2006), Open University Press

http://healthgate.com/healthgate/MEDLINE/search.shtml

Grading System

Class Standing – 60%

Major Examinations (Midterm and Final Exam) – 40%

100%

Lecture (2 units) – 50%

RLE (2 units) – 50%
100%

Prepared by:

ROLANDO Y. FAUSTO, RN, MAN