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Lahore School of Nursing

The University of Lahore

Course Syllabus
Title: Community Health Nursing (NUR123)
Credit (3CH): (Theory2, Clinical 1)
Placement: 4-Year BS Nursing Year I, Semester II
Day & Time: Theory: See the attached Schedule
Faculty Ms. Alina Hameed
Email: alina.hameed@lsn.uol.edu.pk

Course Description:
This course will introduce students to the basic concepts of Community Health Nursing with the
emphasis on Primary Health Care and Environmental Effects on health. This course introduces
students to the factors influencing on health of individual, family and community. Students will
also develop knowledge about Pakistan’s Health Care System, components of health education,
community services and organizations through field visits.

Course Objectives:
By the completion of this course, students will be able to:
1) Discuss the role of a community health nurse and other health team members.
2) Identify services provided by the government health care system in Pakistan.
3) Discuss the effects of environment on health.
4) Learn the process of Health Education.
5) Use Nursing Process with guidance to provide nursing care to the clients in communities
through Home visits and health education

Teaching/Learning Strategies:
Interactive discussions, presentation, group activities, visual aids, case studies, slides, role-plays
and field visits.
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Online updated Evaluation Criteria:

Evaluation Criteria
Graded Activity Marks Weightage
Quiz I 5 29/10/21/Fri./R401

Quiz II 5 05/11/21/Fri./R401

Quiz III 5 15% 19/11/21/Fri./R401

Quiz IV 5 26/11/21/Fri./R401

Quiz V 5 10/12/21/ Fri./R401

Assignment 1 10 12/11/21/Fri./R401
15% 03/12/21/ Fri./R401
Assignment 2 5

Assignment 3 5 17/12/21/ Fri./R401

Mid Term 20 20% 23/12/21/Thru.

Final Exam 50% 50%

Pass/Fail

Physical Evaluation Criteria

Evaluation Criteria
Graded Activity Marks Weightage
Quiz I 10 10% 05/11/21/Fri./R401
Field visits (practical 10
book) / in department 24/12/21/ Fri./R401
chart presentation 10%
Health Education 10 10% 17/12/21/ Fri./R401

Mid Term 20 20%

Final Exam 50% 50%

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Pass/Fail

COURSE SCHEDULE

Wk. Date Time Topic

23/09/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.1 Course Orientation
24/09/21/Fri./R401 08:00:09:00 Unit I: Introduction to Community Health Nursing
24/09/21/ Fri /R401 11:00-12:00 Unit I: Introduction to Community Health Nursing
30/09/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.2 01/10/21/ Fri./R401 08:00:09:00 Unit I: Introduction to Community Health Nursing
01/10/21/ Fri./R401 11:00-12:00 Unit I: Introduction to Community Health Nursing
07/10/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.3 08/10/21/ Fri./R401 08:00:09:00 Unit I: Introduction to Community Health Nursing
08/10/21/ Fri./R401 11:00-12:00 Unit II: Primary Health Care
14/10/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.4 15/10/21/ Fri./R401 08:00:09:00 Unit II: Primary Health Care
15/10/21/Fri./R401 11:00-12:00 Unit II: Primary Health Care
21/10/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.5 22/10/21/ Fri./R401 08:00:09:00 Unit II: Primary Health Care
22/10/21/Fri./R401 11:00-12:00 Unit II: Primary Health Care
28/10/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.6 29/10/21/Fri./R401 08:00:09:00 Unit III: Pakistan Health Care System
29/10/21/Fri./R401 11:00-12:00 Unit III: Pakistan Health Care System
04/11/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.7 05/11/21/Fri./R401 08:00:09:00 Unit III: Pakistan Health Care System
05/11/21/Fri./R401 11:00-12:00 Unit-IV: Nursing Organization
11/11/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.8 12/11/21/Fri./R401 08:00:09:00 Unit-IV: Nursing Organization
12/11/21/Fri./R401 11:00-12:00 Unit-IV: Nursing Organization
18/11/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.9 19/11/21/Fri./R401 08:00:09:00 Unit-IV: Nursing Organization
19/11/21/Fri./R401 11:00-12:00 Quiz
25/11/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.10 26/11/21/Fri./R401 08:00:09:00 Unit V (A): Environment
26/11/21/Fri./R401 11:00-12:00 Unit V (B): Water
02/12/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.11 03/12/21/ Fri./R401 08:00:09:00 Unit V (B): Water
03/12/21/ Fri./R401 11:00-12:00 Unit V (C): Community Wastes Management
09/12/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.12 Health Education
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10/12/21/ Fri./R401 08:00:09:00 Unit V (C): Community Wastes Management

10/12/21/ Fri./R401 11:00-12:00 Unit V (D): Food Sanitation
16/12/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.13 17/12/21/ Fri./R401 08:00:09:00 Unit V (E): Air/ Ventilation & Housing
17/12/21/ Fri./R401 11:00-12:00 Unit V (E): Air/ Ventilation & Housing
23/12/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.14 24/12/21/ Fri./R401 08:00:09:00 Unit VI: Health Education
24/12/21/ Fri./R401 11:00-12:00 Unit VI: Health Education
30/12/21/Thru. 08:00-1400 Community Ali Raza Abad
Wk.15 31/12/21/ Fri./R401 08:00:09:00 Unit VI: Health Education
31/12/21/ Fri./R401 11:00-12:00 Unit VI: Introduction to Home Visiting
06/01/22/Thru. 08:00-1400 Community Ali Raza Abad
Wk.16 07/01/22/ Fri./R401 08:00:09:00 VII: Introduction to Home Visiting
07/01/22/ Fri./R401 11:00-12:00 VII: Introduction to Home Visiting
Wk.17 13/01/22 Final Exam

Unit Objectives.
Unit I: Introduction to Community Health Nursing
In this unit students will discuss the history, philosophy and definition of Community Health
Nursing. In this unit they will also discuss concepts of health and illness and the role of public
health care team members.
Unit objectives:
At the completion of this unit, students will be able to:
1) Define the terms:
a) Community
b) Community health, and
c) Community health nursing
d) Urban & rural communities
2) Discuss the historical background of Community Health Nursing from Public Health
Nursing.
3) Describe the philosophy of Community Health Nursing.
4) Discuss the concepts of health, wellness, illness and disease.
5) Discuss the roles of the Community Health Nurse in community settings.

Unit II: Primary Health Care (PHC)

In this unit, students will have an opportunity to discuss the Declarations of Alma Ata and its
strategy: Primary Health Care. Furthermore, they will discuss the elements principle and
application of PHC in Pakistan.
Unit Objectives:
At the completion of this unit, students will be able to:
1) Define Primary care and PHC
2) Describe the five basic principle of PHC
3) Explain the elements of PHC in relation to health
4) Discuss application of PHC in Pakistan.
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Unit III: Pakistan Health Care System

In this unit, students will be introduced to Health Services/Organizations available in Pakistan. In
addition students discuss health services available within the Government/Private Health Care
System. Furthermore, they will explore the roles of the health team members within the system.
Unit Objectives:
At the completion of this unit, students will be able to:
1) Define the terms, system, and health care system.
2) Identify the health services available to community by Government Health Care System.
3) Explain the roles of health care team members within the health care system.
4) Discuss the Devolution Plan of 2000

Unit-IV: Nursing Organization

1) International Council of Nursing
2) World Health Organization
3) Pakistan Nursing Association, Federation and Council

Unit V: The Environment and Its Impact on Community Health

In this unit, students will explore the effects of environment on individuals‟ and community
health. In addition, these students will discuss the CHN role, is played to maintain healthy
environment.
Unit Objectives:
At the completion of this unit, students will be able to learn the:
A. Environment
1) Definition of environment
2) Component of environment and
3) Factors and its impact on community health
B. Water
1) Definition of safe and wholesome water
2) Uses of water
3) Daily requirements for one person.
4) Sources of water and its pollution
5) Water-borne diseases (viral, bacterial, protozoan, worms etc.)
6) Water purification at small and large scales.
C. Community Wastes Management
1) Definition of refuse / solid waste, and sewage
2) Methods for solid waste and sewage disposal
3) Types of latrines used in communities
4) Fecal-borne diseases
5) Control of fecal-borne diseases
6) Types of rodents
7) Disease transmission by rodent
8) Control of rodents
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D. Food Sanitation
1) Definition of healthy foods
2) Methods of food preservation.
3) Principles of safe food handling.
4) Prevention at transmission of food-borne diseases
5) Control of food-borne disease.
E. Air/ Ventilation & Housing
1) Define ventilation
2) Discuss the importance of air & ventilation
3) Discuss effects of poor ventilation on health
4) Describe the types standard, and needs of housing,
5) Discuss effects of poor housing on health

Unit VI: Health Education

In this unit, students will be introduced to concepts related to health education and its principles
including various approaches to its provision.
Unit Objectives:
At the completion of this unit, students will be able to:
1) Define the term;
a) Teaching
b) Learning
c) Health education
2) Explain the purpose and goal of health education
3) Discuss principles of teaching learning.
4) Describe various strategies, which can be used to deliver health education.

Unit VII: Introduction to Home Visiting

In this unit, students will be this unit students will discuss the principles, purposes and steps of
home visiting
Unit Objectives:
At the completion of this unit, students will be able to:
1) Define homes visiting
2) Discuss the principles, purposes and advantages of Home Visiting in community
3) Describe the steps of Home Visiting

GUIDELINES FOR HEALTH EDUCATION PROCESS (20 %)

S# Criteria for Assessment Date Actual Marks Marks

(100) obtained
1 Family Assessment:
Collection of demographic data 23-09-21 15
Completion of household survey form 30-09-21
2 Identify and Prioritize Problems:
List all identified problems 14-10-21 05
Select top priority problem
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3 Develop Written Teaching Plan:

Develop and submit written teaching 28-10-21 30
plan according to the guidelines
4 Implementation:
The learners will conduct teaching 02-12-21 40
session.
5 Evaluation:
This will be evaluated by using the 02-12-21 10
attached criteria

Teaching Plan
Evaluation Criteria

Assessment Objectives Content Teaching Time Evaluation

strategies
Subjective By the end of Note: write Write in Subjective
Data the teaching content in line minutes Data
participants with objective
will be able
to:

Objective
Objective Define Data
Data _________
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Health Education Guidelines

1 Define the identified problem of community. 05

2 Describe the risk factors/causes related to the problem. 05
3 Discuss the clinical manifestation of problem. 05
4 Give the preventive measures of identified problem. 10
5 Discuss treatment modalities involving pharmacological, 10
non-pharmacological and home remedies.
6 Conclude and summarize the topic. 05

Teaching Plan Implementation

Evaluation Criteria
Faculty: ______________________________ Date: ____________________
Name of Presenter (s): ____________________________________________
Topic: ______________________________ Final Mark: ________________

Ratings: 4=Excellent, 3=Good, 2=Fair, 1=Poor, N/A=Not Applicable

Criteria: Circle the most appropriate number

1 Submit planning on time 4 3 2 1 N/A

2 Set conducive learning environment 4 3 2 1 N/A
3 Communicate leaning objectives clearly 4 3 2 1 N/A
4 Use teaching strategies like stories, poems appropriately. 4 3 2 1 N/A
5 Use relevant simple examples, quotes 4 3 2 1 N/A
6 Maintained good eye contact 4 3 2 1 N/A
7 Logical content flow 4 3 2 1 N/A
8 Within time limits 4 3 2 1 N/A
9 Encouraged questions & answers 4 3 2 1 N/A
1 Clear and audible speech 4 3 2 1 N/A
0

Mark out of 40. _______ (For each N/A deduct 4 from 40)
Place mark out at top of sheet.
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P Describe what you liked best about the presentation:

Q Suggestions for improvement:

Introduction to Community Health Nursing

Field Visits
Clinical Objectives:
On completion of field visits the students will be able to:
1) Discuss the structure and functions of health care facilities run by government and non-
government organizations
2) Identify the role and responsibilities of staff working in each visited facility
3) Describe the processes of:
a. Sewerage treatment
b. Water purifications at large scale
c. Milk transportation & preservation
d. Meat slaughtering, handling and distribution
4) Identify environmental issues exist and their effects on health
5) Discuss the role of CHN in maintaining healthy environment
6) Begin to use nursing process during the home visits.

Sr Field Visit Dates

#
1 Basic Health Unit (BHU) 07-10-21
2 Rural Health Center (RHC) 21-10-21
3 Bulk Water Supply Plant 28-10-21
4 Sewage Treatment Plant 11-11-21
5 Slaughter House 18-11-21
6 Rehabilitation center 25-11-21
7 Non-Governmental Organization (NGO) 02-12-21
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8 Milk Plant & Dairy Farm 09-12-21

Group I
Sr# Name Registration#
1
2
3
4
5
6
7
8
9
10

Group II
Sr# Name Registration#
11
12
13
14
15
16
17
18
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19
20

Group III
Sr# Name Registration#
21
22
23
24
25
26
27
28
29
30

Group IV
Sr# Name Registration#
31
32
33
34
35
36
37
38
39
40
Group V
Sr# Name Registration#
41
42
43
44
45
46
47
48
59
50
50
51
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References:
AVAILABLE IN LIBRARY
Allender, J. A., & Spradley, B. W. (2010). Community Health Nursing: Promoting and
Protecting the Public's Health (7th ed.). Philadelphia: Lippincott Williams & Wilkins.
Anderson, E. T., & McFarlane, J. M. (2008). Community as partner: Theory and Practice in
Nursing (5th ed.). Philadelphia: Lippincott Williams & Wilkins.
Basavanthappa, B. T. (2008). Essentials of Community Health Nursing (2nd ed.). India: Jaypee.
Clark, M. J. D. (1999). Community Health Nursing Handbook Value Pack. Stamford: Prentice
Hall.
Hitchcock, J. E., Schubert, P. E., & Thomas, S. A. (2003). Community Health Nursing: Caring
In Action (2nd ed.). Clifton Park, NY: Thomson/Delmar Learning.
Hunt, R. (2001). Introduction to Community-Based Nursing (2nd ed.). Philadelphia: Lippincott
Williams & Wilkins.
Kahssay, H. M., Taylor, M. E., & Berman, P. A. (1990). Community Health Workers: The Way
Forward. World Health Organization.
Naidu, K. M. (2010). Community Health Nursing. India: Gyan Publishing House.
Patney, S. (2008). Text Book of Community Health Nursing. New Delhi: CBS
Thornbory, G. (2009). Public Health Nursing: A Textbook for Health Visitors, School Nurses
and Occupational Health Nurses. Chichester: Wiley-Blackwell.
Whitehead, D., & Irvine, F. (2010). Health Promotion and Health Education in Nursing: A
Framework for Practice. UK: Palgrave & McMillan.