DEFINITION OF NURSING (WINSLOW, JACOBSON)

 Assisting sick individuals to become healthy and healthy individuals achieve

optimum wellness.

DEFINITION AND FOCUS OF PUBLIC HEALTH AND COMMUNITY HEALTH

a. C. E. Winslow - "Public health is the science and art of (1) preventing disease,
(2) prolonging life, and (3) promoting health and efficiency through organized
community effort for:
1. sanitation of the environment,
2. control communicable infections,
3. education of the individual in personal hygiene,
4. organization of medical and nursing services for the early diagnosis and
preventive treatment of disease, and
5. "development of the social machinery to ensure everyone a standard of living
adequate for the maintenance of health, so organizing these benefits as to
enable every citizen to realize his birthright of health and longevity."
(Hanlon,1960 p.23)
b. Jacobson - achievement of Optimum level of functioning (OLOF) through health
teaching,

PUBLIC HEALTH
 key phrase definition: "through organized community effort".
 connotes organized, legislated, and tax- supported efforts that serve all people
through health departments or related governmental agencies.

COMMUNITY HEALTH NURSING VS PUBLIC HEALTH NURSING

COMMUNITY HEALTH NURSING

 The synthesis of nursing practice and public health practice applies to promoting
and preserving health of the populations (ANA)
 o RUTH B. FREEMAN - “Service rendered by a professional nurse with
communities. groups, families, individuals at home, in health centers, in
clinics, in schools, in places of works for the promotion of health,
prevention of illness, care of the sick at home and rehabilitation”
o JACOBSON – “Nursing practice in a wide variety of community services
and consumer advocate areas and a variety of roles, at times including
independent practice… community nursing is certainly not confines to
public nursing agencies”

PUBLIC HEALTH NURSING

 Term coined by lillian wald, to denote a service that was available to all people.
 It refers to the practice of nursing in national and local government health
departments (which includes health centers and rural health units), and public
schools. it is a community health nursing practiced in the public sector.
 Is a subspecialty nursing practice generally delivered within

COMMUNITY-BASED NURSING
 “Application of the nursing process in caring for individuals, families and groups
where they live, work or go to school or as they move through the health care
system (MCEWEN AND PULLIS)”

COMMUNITY HEALTH NURSING VS COMMUNITY BASED NURSING (ZOTTI)

COMMUNITY HEALTH COMMUNITY-BASED

NURSING NURSING
GOAL:
GOAL:
PRESERVATION AND
MANAGING ACUTE AND
PROTECTION AND
CHRONIC CONDITIONS
HEALTH
CLIENT: CLIENT:
COMMUNITY INDIVIDUAL AND FAMILY
SERVICES: SERVICES:
 INDIRECT AND DIRECT DIRECT

PHILOSOPHY
 According to dr. margaret shetland, the philosophy of chn is based on the worth
and dignity of man.

GOAL OF CHN
The goal of community health services is to raise the level of health of the citizenry.

 To enhance the capacity of individual, families and communities to cope with

their health needs.

OBJECTIVES OF CHN
 To participate in the development of an over-all health plan for the community
and its implementation and evaluation
 To provide quality nursing services to individuals, families, and communities
utilizing as basis, the standards set for the chn practice.
 To coordinate nursing services with various members of the health team,
community leaders and significant others, government and non-government
agencies/organization in achievening the aims of public health services within the
community
 To participate in and or conduct researches relevant to community health and
community health nursing services and disseminate their results for improvement
of healthcare
 To provide community health nursing personnel with oppurtunities for continuing
education and professional growth through staff and development.