COMMUNITY HEALTH

NURSING I (​ Individual and

Family)
Ma. Corazon Rafaela G. Anerdis, RN,
MSN Arlyn D. Segovia, RN, MAN
 CHN I Professors 1​st ​Semester, A.Y
2020-2021
Forewor
d

The Philippines is currently facing challenges in terms of issues and

concerns that

threaten the health of all Filipinos. These lingering health problems affect the rich and
the poor

in terms of productivity, thus affecting the economy and development of the

community. The

Department of Health as the leader and advocate of Health Care Delivery System
confronts

these challenges through Health Thrusts, Programs and Services that are accessible,
available,

acceptable, affordable, and community-based for all. These cannot be achieved

without the

commitment and dedication of our present heroes – the healthcare front liners who
have a

direct hand in caring for our communities in diverse and different

settings.

The Public Health Nurses have valuable roles, functions and responsibilities as
leaders,

researchers, caregivers or health providers and members of a health team who

provide

evidence of service with no limits amidst difficulties in delivering health services. They
provide

care to different clients in the community such as individuals, families, vulnerable,

population
groups and the whole
community.

This CHN I Module discusses Community Health Nursing and its

Composition, Varied

Clienteles, Levels of Care, Health Care Delivery System, Health Situation, Family
Health Nursing,

DOH Programs, Ethical Considerations and Health- Related Entrepreneurial

Activities in the

community setting. This module will be delivered to students in different blended

learning

methods
.

Ma. Corazon Rafaela G. Anerdis,

RN, MSN ​CHN I Professor

Arlyn D. Segovia, RN,

MAN ​CHN I Professor
 ii
Table of Contents
Pages F ​ oreword ​Ii ​Introduction ​v ​Module Description/Learning Outcomes
(​Module Name, Module Code, Units, Number of Hours, Term, Aims/General Objectives,
Learning Outcomes, Teaching/Learning Activities, Assessment)
vi-x
Course Content ​I. Overview of Public Health Nursing in the Philippines
A. Global and National Health Situations - ​1 ​B. Definition and Focus – ​2
1 - 10
II. The Health Care Delivery System
A. World Health Organization - ​11 ​B. Philippine Department of Health - ​13 C ​ . Primary
Health Care (PHC) - ​24 D ​ . Levels of Prevention - ​27 E
​ . Universal Health Care (UHC) –
28
11 - 29
III. The Family
A. Family as Basic Unit of the Society - ​30 ​B. Types - ​30 C ​ . Functions Development
Stages - ​32 ​D. Family Health Tasks - ​32 E​ . Characteristics of a Health Family – ​33
30 - 33
IV. Family Nursing Process
A. Family Health Assessment - ​34 ​B. Family Nursing Diagnosis - ​41 ​C. Formulation
Family Nursing Care Plan - ​41 ​D. Implementing Family Care Plan - ​44 E ​ . Family Health
Care Researches - ​49 ​F. Interprofessional Care in the Community - ​50 G ​ . Evaluation of
Family Nursing Care – ​57
34 - 58
V. Records in Family Health Nursing Practice ​59 - 60 ​VI. DOH Programs Related to
Family Health
A. Expanded Program of immunization (EPI) - ​61 ​B. Integrated Management of
Childhood Illnesses (IMCI) - ​65 ​C. Early Essential Intrapartal and Newborn Care
​ . Newborn Screening - ​67 ​E. BemONC/CemONC - ​71 ​F. Nutrition - ​72 G
(EEINC) - ​66 D ​ .
MhGap – ​73
61 - 73
VII. Ethical Considerations in Community Health Nursing Public Health Laws
A. Magna Carta for Health Worker - ​74 ​B. Sanitation Code - ​74 ​C. Clean Air Act - ​75 D ​ .
Generics Act - ​79 E​ . National Health Insurance Act (PhilHealth) - ​80 ​F. National Blood
Services Act - ​82 ​G. Laws on Notifiable Disease - ​84 H​ . Senior Citizen Laws - ​87 I​ .
Revised Dangerous Drugs Law - ​89 J​ . Act on Cheaper Medicine ​- 93
74 - 118
iii
K. Save the Children - ​95 ​L. Violence Against Women - ​96 M ​ . Disaster 119 -
Risk Reduction Management - ​96 ​N. Rooming-in and Breastfeeding Act 124
of 1992 (Milk Code) - ​99 ​O. Responsible Parenthood and Reproductive
Health Law of 2012 - ​101 P ​ . Mandatory Infants and Children Health
Immunization Act of 2011 - ​107 ​Q. Children Safety or Motorcycles Act
of 2015 - ​108 ​R. Children’s Emergency Relief and Protection Act of
2016 - ​110 ​S. Child and Youth Welfare Code of IX.the New Technologies
Philippines ​ . Related to Public Health Elec
- ​112 T
Tobacco Regulation Act of 2003 (RA 9211) – ​114 Information
​VIII. Filipino Culture,
Values, and practices in Relation to Health CareA. ofGovernment
Individual and ​ .
Sites - ​125 B
Family Nursing and Health Care Sites –
A. Family Solidarity - ​119 B​ . Filipino 126
Family Values - ​119 ​C. Filipino Family 125 -
Culture and Tradition – ​121 128

X. Nursing Core Values as a Community Health Nurse 1 ​ 29 ​XI. Health-Related

Entrepreneurial Activities in the Community Setting ​130
 i
v
Introducti
on

Community Health Nursing is a special field of nursing that focuses the care of
the sick
or vulnerable and well individuals, families, population groups and community
through

promotive, preventive, curative and rehabilitative care

services.

The field of nursing is incredibly dynamic. Community health nursing could be a

specialty

to implement systemic change, or building stronger communities with longer life

expectancies

and better health outcomes. Community health nursing is the synthesis of nursing
and public

health to provide and protect the health of

population.

Community health nurses have duties and responsibilities to keep a dynamic

balance

with the ever changing needs of the health of our society. Nurses should possess
strong clinical

and critical thinking skills and have the analytical ability to solve problems and make
decisions.

The Community Health Nursing I Module is based on the existing curriculum of

nursing

and consists of 11 chapters. Each chapter has its own objectives, body and
references at the

end
.

The CHN I Module presents: Overview of Public Health Nursing in the

Philippines, The

Health Care Delivery System, The Family, Family Nursing Process, Records in
Family Health

Nursing Practice, DOH Programs Related to Family Health, Ethical Considerations in

Community
Health Nursing, Filipino Culture, Values and Practices in Relation to Health Care of
Individual

and Family, New Technologies Related to Public Health Electronic Information,

Nursing Core

Values as a Community Health Nurse and Health- Related Entrepreneurial

Activities in the

Community
Setting.

The holistic approach to health care draws on knowledge of nursing, social

sciences and

public health. Community health nurses need educational background to make an

impact to

this influential role within the health care

system.

v
Module Description/Learning
Outcomes
Module Name​: Community Health Nursing I (Individual and
Family)

Module Code​: NCM

104

Units​: Theory – 2 units; RLE: Skills Lab – 1 unit; Clinical

– 1 unit

Number of Hours​: Theory: 36 hours; RLE: Skills Lab – 51 hours; Clinical

– 51 hours

Term​: First Semester ​Placement​: Second Year

Course Description: ​This course deals with the concepts, principles, theories and
techniques in

the provision of basic care in terms of health promotion, disease prevention,

restoration

and maintenance and rehabilitation at the individual and family level. It includes
the study

of the Philippines Health Care Delivery System, national health situation and
the global

context of public
health.

Aim/General Objective​: The learners are expected to provide safe, appropriate

and holistic

nursing care to individual and family as clients in community setting utilizing the
nursing

proces
s.
Teaching/Learning Activities ​– Alternative teaching/learning activities (Offline
or Online)

Assessment ​– Online Exams/Quizzes & Outputs for required learning

activities

v
i
Learning
Outcomes

Program
Outcomes
1. Apply knowledge of physical, social, natural and health sciences, and humanities in the
practice
of nursing. 2. Provide safe, appropriate, and holistic care to individuals, families,
population group, and
 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. 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 using a systems
approach. 9. Conduct research with an experienced researcher. 10. Engage in lifelong
learning with a passion to keep current with national and global development
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. 14. Apply entrepreneurial skills in the delivery of nursing
care.

Level Outcomes: At the end of second year, given a normal and high-risk mother and
newborn, child, family, population group and community in any health care setting, the
learners demonstrate safe, appropriate, and holistic care utilizing the nursing process.
Course Outcomes:
1. Apply knowledge of physical, social, natural, health, sciences, and humanities in the
care of
individual and family in the community setting. 2. Provide safe, appropriate and holistic
care to individuals and families in the community utilizing
the family nursing process. 3. Apply guidelines and principles of evidence-based practice
in the delivery of care to individual
and family in the community setting. 4. Practice nursing in the community setting in
accordance with law, legal, ethical, and moral
principles. 5. Communicate effectively in speaking, writing and presenting using
culturally appropriate
language in the community setting. 6. Document care of individual and family accurately
and comprehensively. 7. Work effectively in collaboration with inter-intra and
multi-disciplinary and multi-cultural teams
in the care of individuals and family in the community. 8. Practice beginning management
and leadership skills using systems approach in the delivery of
care to individual and family. 9. Conduct research with an experience researcher in the
care of individual client and family in the
community setting. 10. Engage in lifelong learning with a passion to keep current with
 national and global development
in the care of individual and family in the community setting. 11. Demonstrate
responsible citizenship and pride of being a Filipino. 12. Apply techno-intelligent care
systems and the processes to perform safe and efficient nursing
activities for individual and family in the community. 13. Adopt the nursing core
values in the delivery of care to individuals and families. 14. Apply entrepreneurial
skills in the delivery of nursing care to individuals, and families in
community
setting.

vi
i
Course
Content

I. Overview of Public Health Nursing in the

Philippines

A. Global and National Health

Situations B. Definition and Focus
1. Public Health 2. Community Health 3. Public Health
Nursing 4. Community Health Nursing (CHN) 5.
Standards of Public Health Nursing in the Philippines
6. Evolution of Public health Nursing in the Philippines
7. Roles and Responsibilities of a Community Health
Nurse

II. The Health Care Delivery

System

A. World Health
Organization
1. Millennium Development Goals 2.
Sustainable Development Goals B.
Philippine Department of Health
a. Mission-Vision b. Historical Background c. Local Health
System and Devolution of Health Services d. Classification
of Health Facilities (DOH AO- 00124) e. Philippine Health
Agenda 2017-2022 C. Primary Health Care (PHC)
1. Brief History 2. Legal Basis 3.
 Definition 4. Goals 5. Elements 6.
Principles and Strategies D.
Levels of Prevention E. Universal
Health Care (UHC)
a. Legal Basis b.
Background and Rationale
c. Objectives and Thrusts

III. The
Family

A. Family as Basic Unit of the

Society B. Types ​a. Family as a

Client
b. Family as a System C.
Functions Development Stages
D. Family Health Tasks E.
Characteristics of a Health Family

IV. Family Nursing

Process

A. Family Health
Assessment
a. Tools for
Assessment
i. Initial Data Base ii. Typology of Nursing Problems in Family Nursing
Practice

vii
i
iii. Family Coping Index b. Family
Data Analysis
• Socio-Economic and Cultural
Characteristics
• Home Environment
• Family Health
Status
 • Family Values and Health
Practices B. Family Nursing Diagnosis C.
Formulation Family Nursing Care Plan
1. Priority Setting 2. Establishing Goals and Objectives 3. Selecting
Appropriate Family Nursing Interventions/Strategies D.
Implementing Family Care Plan
1. Categories of
Intervention
• Promotive
• Preventive
• Curative
• Rehabilitative 2. Tools of
Public Health Nurse
• PHN Bag and
Contents
• Principles and Techniques in the Use of PHN BAG 3.
Types of Family Nurse Contact
• Clinic Visit
• Home Visit
• Group Conference
• Telephone calls
• Written Communications
• School Visit/Conference
• Industrial Plant/Job Site
Visit E. Family Health Care Researches 1.
Related Studies 2. Evidence-Based
Practices F. Interprofessional Care in the
Community
1. Rural Health Unit
Personnel 2. Local
Government Units 3.
Government Organizations
• DSWD
• Nutrition Council
• Population Commission 4.
Non-Government Organizations
 • Socio-Civic
Organizations
• Religious
Organizations
• Schools G. Evaluation of Family
Nursing Care
1. Evaluation Process and
Outcomes 2. Re-assessment

V. Records in Family Health Nursing

Practice

A. Importance and Uses B.

Types of Records and Reports

i
x
VI. DOH Programs Related to Family
Health

A. Expanded Program of immunization (EPI) B.

Integrated Management of Childhood Illnesses
(IMCI) C. Early Essential Intrapartal and Newborn
Care (EEINC) D. Newborn Screening E.
BemONC/CemONC F. Nutrition G. MhGap

VII. Ethical Considerations in Community Health

Nursing

Public Health
Laws
A. Magna Carta for Health Worker B. Sanitation Code C. Clean
Air Act D. Generics Act E. National Health Insurance Act
(PhilHealth) F. National Blood Services Act G. Laws on
Notifiable Disease H. Senior Citizen Laws I. Revised
Dangerous Drugs Law J. Act on Cheaper Medicine K. Save the
Children L. Violence Against Women M. Disaster Risk
Reduction Management N. Rooming-in and Breastfeeding Act
of 1992 (Milk Code) O. Responsible Parenthood and
 Reproductive Health Law of 2012 P. Mandatory Infants and
Children Health Immunization Act of 2011 Q. Children Safety or
Motorcycles Act of 2015 R. Children’s Emergency Relief and
Protection Act of 2016 S. Child and Youth Welfare Code of the
Philippines T. Tobacco Regulation Act of 2003 (RA 9211)

VIII. Filipino Culture, Values, and practices in Relation to Health Care of Individual
and Family

A. Family Solidarity B.
Filipino Family Values
1. Communication 2. Helping Others
and Gratitude 3. Respect 4.
Independence 5. Service 6. Trust C.
Filipino Family Culture and Tradition

IX. New Technologies Related to Public Health Electronic

Information
A. Government Sites B.
Nursing and Health Care Sites

X. Nursing Core Values as a Community Health

Nurse

XI. Health-related Entrepreneurial Activities in the Community

Setting