Community Health Nursing II (Population Groups and

Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

Lesson Title: COMMUNITY AND SOCIETY, COMMUNITY AND Materials:

HEALTH
Pen, paper, index card, book, and class List
Learning Targets:
At the end of the module, students will be able to:
1. Analyze issues affecting health; References:
2. Formulate possible solutions;
3. Describe the relationship of community to health; Famorca, Z., Nies, M., McEwen, M. (2013).
4. Enumerate the role of community to health; and Nursing Care of the Community. Singapore:
5. Enumerate the responsibility of the community to the health Elsevier
care delivery system. Other References:

Cuevas, F. P., (2007). Public Health Nursing

in the Philippines (10th edition). Manila,
Philippines.
De Belen, R. & De Belen, D. V., (2008). A
Praxis in Community Health Nursing. 1672
Quezon Avenue South Triangle, Quezon City.

Maglaya, A., (2004). Nursing Practice in the

Community (4th edition). Philippines

A. LESSON PREVIEW/REVIEW

Modified TRUE or FALSE: Write the word TRUE if the statement is correct and if not, underline the word or statement
that sentence incorrect and write the correct answer on the space provided.

1. The nurses’ responsible of care is the family.

Answer: ________________________________________

2. The priority needs of the community are based on the nurses’ assessment.
Answer: ________________________________________

3. The community is the equal partner of the nurse.

Answer: ________________________________________

4. A healthy community allows people to participate in decision-making regarding community matters.

Answer: ________________________________________

5. People in a healthy community have a sense of belongingness.

Answer: ________________________________________

B. MAIN LESSON

DEVELOPMENT OF COMMUNITY AND SOCIETY

Components of a Community
⎯ People- represents the core that makes up a community
⎯ 8 Sub-systems

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 1

 Community Health Nursing II (Population Groups and
Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

8 Sub-systems

1. Housing
Types of Housing Materials
▪ Concrete – made of hollow blocks and cement
▪ Semi-concrete – made of hollow blocks and wood
▪ Light materials – made of wood
▪ Makeshift – made of available resources and other used materials like tarpaulin, plywood, sacks, and the
like.
2. Education
▪ Level of education (elementary graduate or elementary level)

3. Fire and Safety

▪ Availability of fire station and policemen

4. Politics and government

▪ Type of government
o Authoritarian
o Democracy

5. Health
▪ Availability, accessibility and affordability of health and health services

6. Communication
▪ Available way of communication
o Network signal
o Telephone and cellular phone signal

7. Economics
▪ Availability of trades
▪ Resources of the community

8. Recreation
▪ Public recreations like parks, available spaces for exercise and activities

SOCIAL SYSTEM

⎯ A social system is the patterned series of interrelationships existing between individuals, groups, and institutions and
forming a coherent whole. Social system components that affect health include the family, economic, educational,
communication, political, legal, religious, recreational, and health systems.

⎯ While carrying out several roles simultaneously, an individual serves as a part of several social system components at
the same time. One may be a son or a daughter in the family, a nurse employed in a hospital, a church member, a
member of a neighborhood basketball team, and a citizen all at one time.

⎯ As in other systems, the composite parts of the social system of the community affect and interact with one another.
During these interactions, patterns and communications transpire, which form the basis of organizations.
Organizations within the social system can be formal or informal. A government agency, a bank, and a school are
examples of formal organizations, whereas neighborhood friends and volunteers in a barangay clean up drive are
examples of informal organizations. Organizations that have interactions and linkages and that carry out similar
functions form community system or subsystems. For example health centers, private clinics, hospitals, health
laboratories, and drugstores are elements of the health system of a community.

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 2

 Community Health Nursing II (Population Groups and
Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

⎯ Because of the multifactorial nature of health, all the components of the social system of a community influence its
health. In providing care to a community, the nurse has to take into account the totality of its social system. The health
care delivery system, however, is considered of central importance precisely because of its social role in community
health promotion and maintenance and risk reduction. In fact, the nurse is a part of this system.

DEVELOPMENT OF COMMUNITY AND SOCIETY

⎯ Every human community has institution for socialization of its members
⎯ Development of community requires sanction of a group members
⎯ A community or a group reflects all functional relationships that occur among its members
⎯ A community or a group can change because of conflict among members
⎯ Family is the primary group
⎯ Peer group
⎯ Group membership

⎯ Type of leadership in a group

⎯ Types and role assumed by members of the group
⎯ Community is a social organization that is considered the individual’s secondary group

COMMUNITY AND HEALTH

a. Role of the Community

⎯ plays an influential role in individual growth and maturation
⎯ partners in health and wellness
⎯ influences others’ health choices
⎯ Consumers of health services
⎯ Health is intrinsic to social and economic development – as a determinant, a measure of progress and an
outcome.

b. Health Agency as a Social Institution

⎯ Health Institution means an institution (other than a hospital) by or at which health services or health support
services are provided
⎯ Either public or private

c. Delivery of Health Services: Responsibility of the Community

⎯ Healthy communities are those that have well-integrated, interdependent sectors that share responsibility to
resolve problems and enhance the well-being of the community.
⎯ Hence, for a community to successfully receive the health services, the community sub- systems must be well-
integrated. Collaboration and coordination must be observed from the multiple community sectors.
⎯ Community must:
✓ Avail the health services provided
✓ Give feedback of the services
✓ Report any health-related concern
✓ Be responsible in the equitable use of services
✓ Efficiently use health services

d. Hospital as a Substitute of the Community

⎯ once a sick individual needs remedies that is beyond the capacity of the community, hospital takes charge until
the sick individual recovers
⎯ health restoration
⎯ disease treatment
⎯ rehabilitation

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 3

 Community Health Nursing II (Population Groups and
Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

RELATIONSHIP BETWEEN COMMUNITY DEVELOPMENT AND HEALTH

1. Economic development
⎯ Business and commercial investment can improve the stability of local economies through job creation and
enhanced access to goods and services. This stability increases household income and positive health outcomes.

2. Infrastructure
⎯ The physical attributes of the community like streets, parks and other recreational areas influences physical
activities, social interactions and sense of safety. Therefore, presence of these attributes affect health outcome
physically (cardiovascular health) and psychologically (mental health).

3. Community organizing
⎯ Mobilizing people with shared values and concerns to influence institutions, policies, and government decision
making can facilitate health promoting changes in the community. Civic participation and strengthen relationships
among residents can affect range of health outcomes including mental health substance abuse and cancer.

4. Resources
⎯ Services and support to meet individual and family needs affect the quality of life and health outcomes. Services
and support like job training, childcare and counselling as well as transportation, open space, healthcare and
quality schools can improve the lives of people.

COMMUNITY RESPONSIBILITIES
1. Vision for their community (principal responsibility)
2. Play an active role in involving all stakeholders
3. Educating the public about problems and opportunities

INDIVIDUAL’S RESPONSIBILTIES TO THE COMMUNITY

1. Cooperate – work jointly toward the same end
2. Respect – regard to the vision of the community
3. Participate – to take part/involve to the community activities

CHECK FOR UNDERSTANDING

You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed.

1. It is the patterned series of interrelationships existing between individuals, groups, and institutions and forming a
coherent whole.
A. Community
B. Sub-systems
C. Health
D. Social system
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2. A sub-system component that affects health due lack of understanding is:

A. Economic
B. Educational
C. Communication
D. Political
Answer: ________

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 4

 Community Health Nursing II (Population Groups and
Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

3. It is part of the social system and considered of central importance because of its role in health promotion and
maintenance and risk reduction:
A. Family
B. Economic
C. Educational
D. Health
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

4. To determine the root cause of deaths in the community, the PHN must assess the:
A. Location of the barangay
B. Socio-economic status of the community
C. Health care system
D. Political system
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

5. The primary group in a society:

A. Client
B. Family
C. Community
D. Population group
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

6. As partners in health, community must:

A. Consume the services provided
B. Avail health services
C. Influence others
D. Work hand in hand with the community health workers
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

7. What is the role of health in the community? (select all that apply)
A. Social development
B. Economic development
C. Projects progress or regress
D. Policy implementation
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 5

 Community Health Nursing II (Population Groups and
Community as Clients)

Module #2 Student Activity Sheet

Name: _________________________________________________________________ Class number: _______

Section: ____________ Schedule: ________________________________________ Date: ________________

8. In order to improve community services, people in the community must:

A. Influence others to avail the services
B. Provide feedback
C. Efficiently use services
D. Report any health-related concern
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

9. People in the community shows cooperation when they:

A. actively join in the community’s activities
B. regard community’s programs essential in their growth
C. take part in the community’s goals
D. work towards to the community’s vision
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

10. Community in terms of health acts as center of: (select all that apply)
A. Disease prevention
B. Health promotion
C. Critical care
D. Continuity of care
Answer: ________
Rationale:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

C. LESSON WRAP-UP

AL Activity: Minute Paper:

1) What was the most useful or the most meaningful thing you have learned this session?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

2) What question(s) do you have as we end this session?

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

THIS DOCUMENT IS THE PROPERTY OF PHINMA EDUCATION 6