EVOLUTION OF CHN

WORLDWIDE AND IN
THE PHILIPPINES
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 INFLUENCES OF ANCIENT CULTURES ON
PUBLIC HEALTH

EGYPTIAN CIVILIZATION (ca 3000 BC)

Built irrigation canal and granaries for storage of
food
Practice of prophylaxis by the medicine man and
high priest
Emphasis on personal hygiene, cleanliness within
& outside the body
Sanitation measures ( removal of refuse and
crude fumigation in times of epidemics)
 HEBREWS (C.A. 1400 BC)
 Founders of public hygiene
 Moses was regarded as “Father of Sanitation”
 Mosaic Health Code pertained to every aspect of individual, family
& community hygiene, included:
 a. Principles of personal hygiene (rest, sleep, hours of work,
cleanliness)
 b. Environmental sanitation
 1. Inspection of food
 . Methods of disposal of excreta
 3. Detecting and reporting diseases
 4. Practice of isolation, quarantine, fumigation and disinfection
 5. Detailed instructions on the correct way of hand washing
GREEKS (CA. 600 BC)

Hippocrates – “Father of Medicine” ,

exponent of the science of preventive
medicine and introduced the philosophy
of the interrelationship between physical
and mental health ( “A healthy mind
dwells in a healthy body”)
ROMANS (CA. 50 BC)

Contributed to the field of sanitation

(building of Aqueducts, purification of
water supply) ,
appointing of public health medical
officers and establishment of hospitals
which emphasized both preventive and
curative aspects of care
 DEVELOPMENT OF PUBLIC HEALTH NURSING
AS A WORLD MOVEMENT

EARLY CHRISTIAN PERIOD (1 ST CENTURY)

Order of Deaconesses- called visiting
nurses,forerunner of CHN and endeavored to
practice the corporal works of mercy (feeding
the hungry, caring for the sick, burying the dead)
Phoebe a friend of St Paul and the first
Deaconess and visiting nurse.
MIDDLE AGES (500-1500)
 Beguines of Flanders- worked as nursing sister in
the hospital, but also gave care to the sick in
their homes, staying with the dying and consoling
the families of the bereaved.
RENAISSANCE (1500-1700)
St Vincent De Paul- introduced modern principles
of visiting nurse, social services, taught that
indiscriminate giving was harmful, emphasized
the concept of helping people. maintained the
family is the unit of the service and recognized
the importance of supervision of those who
render service to the sick
EARLY 19 TH CENTURY
 Pastor Theodor Fliedner- German Lutheran
pastor, went tour to raise funds when the main
industry of his community failed, came back
with money and ideas for a program social
work.
 Fredericka Munster Fliedner- a wife pastor
organized women society for visiting nursing the
sick poor in their homes Couple recognized the
need for preparing the training those who care
for the sick , organized a hospital school of
nursing in Germany ( Kaiserswerth Institute for
the training of Deaconesses)
Development of Modern PHN
Characterized by:
Clean-up measures in the control of communicable
disease
Removal of refuse Clean-up campaign of prison and
asylums Improvement of working conditions of women
and children
 William Rathbone- Father of modern district
nursing with the encouragement of Florence
Nightingale, organized a training school for nurses
in the Liverpool Royal Infirmary which provided
training for hospital nurses, private duty nurses
and district nurse.
STANDARDS IN CHN
 Theory
 Data Collection
 Diagnosis
 Planning
 Intervention
 Evaluation
 Quality Assurance and Professional Development
 Interdisciplinary Collaboration
 Research
Legal basis of CHN Practice

Code of Ethics for Nurses

R.A. # 9173(Nursing Law of 2002)
Competency Standards of
Nursing Practice in the Philippines
COMMUNITY HEALTH NURSE ROLES and
FUNCTIONS

Qualifications
Bachelor of Science in Nursing
Registered Nurse of the Philippines
 Planner/Programmer
 Identifies needs, priorities, and problems of individuals, families,
and communities.
 Formulates municipal health plan in the absence of a medical
doctor.
 Interprets and implements nursing plan, program policies,
memoranda, and circular for the concerned staff personnel.
 Provides technical assistance to rural health midwives in health
matters.
 Provider of Nursing Care
 Provides direct nursing care to sick or disabled in the home,
clinic, school, or workplace
 Develops the family’s capability to take care of the sick,
disabled, or dependent member
 Community Organizer
 Motivates and enhances community participation in terms of planning, organizing, implementing, and
evaluating health services
 Initiates and participates in community development activities
 Coordinator of Services
 Coordinates with individuals, families, and groups for health related services provided by various members of
the health team.
 Coordinates nursing program with other health programs like environmental sanitation, health education,
dental health, and mental health
 Trainer/Health Educator
 Identifies and interprets training needs of the RHMs and Barangay Health Workers (BHW).
 Conducts training for RHMs and BHW on promotion and disease prevention
 Conducts pre and post-consultation conferences for clinic clients; acts as a resource speaker on health and
health related services
 Initiates the use of tri-media (radio/TV, cinema plugs, and print ads) for health education purposes
 Conducts pre-marital counseling
 Health Monitor
 Detects deviation from health of individuals, families, groups, and communities through contacts/visits with
them
 Role Model
 Provides good example of healthful living to the members of the community
 Change Agent
 Motivates changes in health behavior in individuals, families, groups, and
communities that also include lifestyle in order to promote and maintain health
 Recorder/Reporter/Statistician
 Prepares and submits required reports and records
 Maintain adequate, accurate, and complete recording and reporting
 Reviews, validates, consolidates, analyzes, and interprets all records and reports
 Prepares statistical data/chart and other data presentation
 Researcher
 Participates in the conduct of survey studies and researches on nursing and
health-related subjects
 Coordinates with government and non-government organization in the
implementation of studies/research
 NURSING CORE VALUES AS A COMMUNITY
HEALTH NURSE

Mission
 The National League for Nursing promotes
excellence in nursing education to build a
strong and diverse nursing workforce to
advance the health of our nation and the
global community.
 CORE VALUES
 CARING: promoting health, healing, and hope in response to the human condition
 A culture of caring, as a fundamental part of the nursing profession, characterizes our
concern and consideration for the whole person, our commitment to the common good, and
our outreach to those who are vulnerable.
 INTEGRITY: respecting the dignity and moral wholeness of every person without conditions or
limitation;
 A culture of integrity is evident when organizational principles of open communication,
ethical decision-making, and humility are encouraged, expected, and demonstrated
consistently.
 DIVERSITY: affirming the uniqueness of and differences among persons, ideas, values, and
ethnicities.
 A culture of inclusive excellence encompasses many identities, influenced by the
intersections of race, ethnicity, gender, sexual orientation, socio-economic status, age, physical
abilities, religious and political beliefs, or other ideologies.
 EXCELLENCE: co-creating and implementing transformative strategies with daring ingenuity.
 A culture of excellence reflects a commitment to continuous growth, improvement, and
understanding. It is a culture where transformation is embraced, and the status quo and
mediocrity are not tolerated.

 Community Health Nurses face daily challenges not experienced in a hospital setting, and
experience more autonomy than hospital-based nurses. Nursing ethics and professional core
values play a substantial role in the decision-making process outside of the hospital setting.