B.Sc.

Nursing

Subject: Community Health Nursing – II

Placement: Fourth Year

Time: Theory – 90 hours Practical – 135 hours

Course description: This course is designed for students to practice community health nursing for the individual, family and
groups at both urban and rural settings by using concepts and principles of health and community health nursing

Specific objectives: At the end of the course student will be able to:
1. define concepts, scope, principles, and historical development of community health and community health nursing.
2. describe health plans, policies, various health committees, and health problems in India.
3. describe the system of delivery of community health services in the rural and urban list.
4. list the functions of various levels and their staffing pattern.
5. explain the components of health services.
6. describe an alternative system of health promotion and health maintenance.
7. describe the chain of referral systems.
8. describe community health nursing approaches and concepts.
9. describe the roles and responsibilities of community health nursing personnel.
10. describe and appreciate the activities of community health nurses in assisting individuals and groups to promote and maintain their
health.
11. describe national health and family welfare programs and the role of nurses.
 12. describe the various health schemes in India.
13. explain the roles and functions of various national and international health agencies.

UNIT NO. & TOTAL OBJECTIVES CONTENT T/L METHOD OF

HRS. METHOD EVALUATION
UNIT-I 4hrs. At the end of the unit 1. Definition, concept &  Lectures & 1. Essay type
students are able to scope of Community Discussion 2. Short answers
Cognitive: Health and Community  Films and 3. Objective type
 Define Community Health Nursing (2hrs) slides
Health and 2. Historical development of  Seminars
community health Community health,  Clinical
Nursing. Community health practice
 Explain concepts, Nursing. – Pre
scope & principles independence Post
of CHN. independence (2 hrs)
 Describe historical
development of
Community Health
and community
health Nursing.
Psychomotor:
 Practice
community health
Nursing in different
settings.
Affective:
  Differentiates Pre
& Post-
independence
health status &
concept of health.
Unit II 6hrs At the end of the unit 1. National health planning  Lectures & 1. Essay type
student are able to in India – five-year Discussion 2. Short answers
Cognitive : plans(1 Hr)  Charts, 3. Objective type
 Describe health 2. Central council for health graphs
plans, policies, and family welfare (CCH models,
various health and FW) (1 Hr) films, and
committees, and 3. National health policies slides
health problems in (1983, 2002) National  Seminar
India population policy (2 Hr)  Clinical
Psychomotor: 4. Various committees and practice
 Identify the commissions on health
changing pattern in and family welfare (2Hr)
health problems
Affective:
 Participates in
implementing
health plans,
policies effectively.
Unit-III 15hr At the end of the unit 1. Planning, budgeting and  Lectures & 1. Essay type
student are able to material management of Discussio 2. Short answers
Cognitive : SCs, PHC and, CHC.  Charts , 3. Objective type
 Describe the (2 hrs) graphs
 health care 2. Rural: Organization, models,
delivery system staffing and functions of films and
of India. rural health services slides
 List the provided by government  Clinical
functions of at: practice
various levels Village, Sub center, debate
and their Primary health  problem
staffing pattern. centre ,Community health based
 Describe the center / sub divisional learning
chain of referral Hospitals , District, State,
system. Center (2hrs)
Psychomotor: 3. Urban: Organization,
 Contributes in staffing and functions of
improving urban health services
health status of provided by government
the community. at: Slums, Dispensaries,
Affective: Maternal and child health
 appreciates the centers, Special Clinics
utility & Hospitals Corporation /
acceptance of Municipality / Board
Alternative (2 hrs)
health care 4. Components of health
system services
 Environmental sanitation
 Health education
 Vital statistics (1 hr)
 M.C.H.-antenatal, natal,
 postnatal, MTP Act,
female feticide act, child
adoption act Family
Welfare (1 hr)
 Referral system (1 hr)
 National health
programmes, School
health services (1 hr),
Occupational health
,Defense services,
Institutional services
(2 hrs)
5. Systems of medicine and
health care Allopathy
Indian System of
Medicine and
Homeopathy Alternative
health care systems like
yoga, meditation, social
and spiritual healing etc
(2 hrs)
Unit-IV 25 Hrs. At the end of the unit Community health nursing  Lectures & 1. Essay type
student are able to approaches, concepts and roles Discussion 2. Short answers
Cognitive : and responsibilities of nursing  Charts , 3. Objective type
 Describe personnel graphs
Community health  Approaches models,
Nursing  Nursing theories And films and
 approaches and Nursing process slides
concepts  Epidemiological approach  Clinical
 Describe the roles  Problem solving approach practice
and responsibilities  Evidence based approach debate
of Community  Empowering people to  problem
health nursing care for themselves (2 hr)  based
personnel  Concepts of Primary Health learning
Psychomotor: Care:
 Planning &  Equitable distribution
organizing in- Community participation
service education Focus on prevention
programs for  Use of appropriate
personnel in the technology
health care system.  Multi-sectoral approach
Affective: (3 hrs)
 Apply principles Roles and responsibilities of
of adult learning in Community health nursing
planning & personnel in
implementing in-  Family health services
service education (1 hr)
programs.
 Information Education
Communication (IEC)
(1 hr)
 Management Information
System (Mis):
Maintenance of Records
& reports(1hr)
 Qualities of Community
Health Nurse (1 hr)
 Maternal and child health
and Family welfare (2 hr)
 Treatment of Minor
ailments (1 hr)
 School Health Services (2
hrs)
 Occupational Health (2
hrs)
 National Health
Programmes:
Environmental sanitation
(1 hr)
 Training and supervision
of various categories of
health workers (2 hrs)
 Organization of clinics,
camps: Types,
Preparation, planning,
conduct and evaluation
(2 hrs)
 Waste management in the
center, clinics etc. (1hrs)
4. Home visit: Concept,
Principles, Process,
Techniques: Bag
 technique home visit.
(2 hrs)
5. Job Description of
Community health
nursing personnel (1hrs)
Unit-V 15 Hrs. At the end of the unit Empowerment for self care of  Lectures & 1. Essay type
students are able to individuals, families and groups Discussion 2. Short answers
Cognitive: in –  Charts , 3. Objective type
 assess & 1. Assessment of self and graphs
interpret the family models,
health status of  Monitoring growth and films and
individuals, development , slides
family & Milestones, Weight  Seminar
community. measurement, Social  Clinical
Psychomotor: development (1hrs) practice
 organize &  Temperature and Blood debate
provide need- pressure monitoring  problem
based health (1hrs) based
services  Menstrual cycle learning
Affective:  Breast self-examination
1. appreciate the and testicles, Warning
activities of Signs of various diseases
community (1hrs)
health nurses in  Tests: Urine for sugar
assisting and albumin, blood sugar
individuals and (1hrs)
groups to
promote and 2. Seek health services for
maintain their Routine check up
health  Immunization
Counseling
 Diagnosis
 Treatment
 Follow up (1hr)
 Maintenance of health
records for self and
family(1hr)
 Continue medical care
and follow up in the
community for various
diseases and
disabilities(1hr)
 Carryout therapeutic
procedures as
prescribed / required for
self and family. (1hr)
3. Waste Management
 Collection and disposable
of waste at home and
community(1hr)
4. Sensitize and handle
social issues affecting
health and development
for self and family
  Women
Empowerment
 Value
Education(1hrs)
 Women and child
abuse ,Abuse of elders
,Female Foeticide,
Commercial sex
workers(1hr)
 Food adulteration
(1hrs)
 Substance abuse
(1hrs)

5. Utilize community
resources for self and
family
 Trauma services
 Old age homes
Orphanage
 Homes for physically
and mentally
challenged individuals
 Homes for destitute (2
hrs)

UNITVI 20 hrs. At the end of the unit 1. National ARI Programme  Lectures & 1. Essay type
student are able to 2. Revised National Discussion 2. Short answers
Cognitive: Discuss Tuberculosis Control Charts , 3. Objective type
National Health and Programme (RNTCP) graphs
Family Welfare (1hrs) models,
Programmes and Role 3. National AIDS Control films and
of Nurse Programme STD Control slides
Psychomotor: Programme (1hrs)  Seminar
Motivate health team 4. National Programme for  Clinical
members to achieve Control of Blindness practice
the targets Affective: (1hrs) debate
appreciates the 5. Expanded Programme on  problem
importance of the Immunization (1hrs)  based
effective contribution 6. Minimum need learning
of community health programme (1hrs)
nurse in achieving 7. National Leprosy
national health goals. Eradication Programme
(1hrs)
8. National Family Welfare
Programme – RCH
Programme Historical
Development,
Organization,
Administration, Research,
Constraints (1hrs)
9. National Water Supply &
Sanitation Programme
(1hrs)
10.Nutritional Anemia
Prophylaxis Programme
(1hrs)
11.20 Point Programme
(1hrs)
12.ICDS Programme ,Mid-
day Meal Applied
Nutritional Programme
(1hrs)
13.National Mental Health
Programme (1hrs)
14.National AntiMalaria
Programme (1hrs)
15.National Filaria control
Programme (1hrs)
16.Iodine Deficiency
Disorder Programme
(1hrs)
17.National Diabetics
Control Programme
(1hrs)
18.Polio Eradication: Pulse
Polio Programme(1hrs)
19.National Cancer Control
Programme (1hrs)
20.Yaws eradication
programme (1hrs)
 21.National Guinea worm
eradication Programme
(1hrs)
22.Health schemes:
ESI
CGHS
23.HEALTH
INSURANCE(1hrs)
Unit-VII 5 hrs. At the end of the unit 1. International  Lectures & 1. Essay type
student are able to WHO, UNFPA, UNDP, World Discussion 2. Short answers
Cognitive: - Bank, UNICEF, Red cross, ILO, Charts , 3. Objective type
 Enlist the CARE, etc. (1 hrs) graphs
various national 2. National – models,
and  Indian Red Cross, Indian films and
International Council for child welfare, slides
health Agencies Family Planning  Seminar
& their roles & Association of India  Clinical
functions. (FPAI), (1hrs) practice
Psychomotor:  Tuberculosis Association debate
 Utilizes India, Hindu Kusht  problem
assistance of Nivaran Sangh, Central  based
national & Social Welfare Board, learning
international All India women’s
health agencies conference, Blind
in improving Association of India etc.
the health status (1 hr)
of the  DANIDA, European
 community. Commission (EC), FAO,
Affective: Central Social Welfare
 seeks assistance Board (1hrs)
of national &  USAID, UNESCO,
international Colombo Plan (1hrs)
health agencies
whenever
needed
 REFERENCES

1. Jayawanti, TNAI Nursing Manual, TNAI publication

2. K.Park, ‘Text Book of Preventive & Social Medicine’

3. K.Park, Essentials Of Community Health Nursing,

4. Rao Kasturi, ‘An Introduction To Community Health Nursing’, I publications.

5. Freeman Ruth, ‘Community Health Nursing Practice’

6. Stanthope Lancaster, ‘Community Health Nursing Process & Practice’, Popular publication.

7. Basvantappa B.T, ‘Community Health Nursing’

8. Anderson, ‘Community as Partner, Theory & Practice’.

9. Allender, ‘Community Health Nursing’ B.I. Publications

10. Harpson, ‘Hand Book of Community Health Nursing’

11. Shastr , ‘Preventive & Social Medicine’, National Publications

12. Sathe , ‘Epidemiology & management of Health Care’, Popular Publications

13. Vasundhara & Basvantappa , ‘Community Health Nursing’, Jaypee Publication

14. Mc. Evens M. ‘Community based Nursing’, Sanmdess publication

15. Kulkarni & Baride, ‘Text Book of Community medicine’, Vora Publications.

16. Cookfair Joan, ‘Nursing Care in Community’, Moby Publications

17. Maxey Public, ‘Health & Preventive Medicine’, Applin Colage Publications

18. Lippincotts, ‘Community Health Nursing’, Lrppincotts Publications

19. K.Park , ‘Text Book of Preventive & Social Medicine’

20. Saunder, ‘Essentials of Community based Nursing’, Jones & Balet Publications

21. Mahajan Gupta, ‘Textbook of Preventive & Social Medicine’, Jaypee Publications

22. Walton, ‘Community Concepts & Practice’, Scuzt Foresmen Publications

23. Ghai Gupta, ‘Essential Preventive Medicine’, Vikas Publications

24. Babu Sheshu, ‘Review in Community Medicine’, Paras Publication

25. Lancaster, ‘Community Health Nursing Process and Practice for Promoting Health’, Morby

Publications

26. Bhalerao, ‘Synopsis in Preventive & Social Medicine’, National Publications

27. Fromer Margareg, ‘Community Health care & the Nursing Process’, CV Mosby & Company

Publications
28. Clarke, ‘Preventive & Community Medicine’, Boston Little Brown Company.