07/04/13

COMMUNITY HEALTH NURSING

Is nursing practice outside the hospital promotes and preserves the health of
populations by integrating the skills and knowledge relevant to both nursing and public
health.
PUBLIC HEALTH NURSING
Refers to the practice of nursing in rational and local government health departments
(which includes health centers and rural health units), and public schools. It is community
health nursing in the public sector.
FRAMEWORK FOR CHN
CHN is the totality of its philosophy, beliefs, principles and processes.
CHN is influenced by its immediate context the health care delivery system and the
overall economic, political, socio-cultural and environmental factors
The primary goal of CHN is the promotion and preservation of health of its different
clients/individual, the family, population group and community
HIGHLIGHTS OF CHN
The knowledge base comes from nursing and public health.
Different levels of clientele individual, family, group of people, community
The practitioners recognition of the primacy of the population as a whole
Recognition of the impact of different factors on health
Nurses greater awareness of their clients life and situations.
It has a broader perspective than institutional or hospital nursing
CHN CONCEPTS/THEORY
Emphasis on the importance of the greatest good for the greatest number
Assessing health needs, planning, implementing and evaluation the input of health
services on population groups
Priority of health promotive and disease-preventive strategies over curative interventions.
TOOLS FOR MEASURING COMMUNITY HEALTH PROBLEMS
Demography
o Through census-official and periodic enumeration of population
o Characteristics of the population age, sex, occupation, education level
o Population size number of people
o Composition
o Distribution
Vital Statistics
o Fertility Rates
o Mortality Rates
Infant mortality rate
Maternal mortality rate
Specific cruse death rate
Cause of death rate
o Morbidity Rates
Epidemiology
o The study of occurrence and distribution of health conditions such as disease,
death, deformities or disabilities
Application of Principles of Management