UNIVERSIDAD DE MANILA

Republic of the Philippines

City of Manila

NCM 104
Community Health Nursing 1

Dr. Maria Charito Laarni S. Indonto

Professor
National Health Situation
Assume responsibility for lifelong learning, own
personal development, maintenance of competence after
understanding the Philippine National Health Situation.
Definition of Community Health Nursing

Community Health Nursing

“The utilization of nursing process in the different levels of clientele –
individuals, families, population, groups and communities, concerned
with the promotion of health, prevention of disease and disability and
rehabilitation.”
Maglaya, et al.
Fundamental Concepts of Community Health Nursing

Discuss appropriate community health nursing concept.

Community Health Nursing involves these basic concepts:
- Promote healthy lifestyle.
- Prevent disease and health problems.
- Provide direct care
- Educate community about managing chronic conditions and making healthy
choices
- Evaluate a community’s delivery of patient care and wellness projects
- Institute health and wellness programs
- Conduct research to improve healthcare
Community health Nursing is the synthesis of nursing and public
health practice applied to promote and protect the health of
population.

It combines all the basic elements of professional, clinical nursing with

public health and community practice.
CONCEPT, OBJECTIVES ,SCOPE, PRINCIPLES OF COMMUNITY
HEALTH NURSE

What are the concepts of community health?

Community health is a field of public health that focuses on studying,

protecting, or improving health within a community.

It does not focus on a group of people with the same shared characteristics, like age
or diagnosis, but on all people within a geographical location or involved in specific
activity.
Concept of Health

- Biomedical concept
- Ecological concept
- Psychosocial concept
- Holistic concept
Biomedical Concept
Health is “absence of disease”
Example: if one is free from disease then he is considered healthy.

Based on germ theory of disease.

Question: malnutrition, chronic disease, accidents, drug abuse, mental

illness , environmental pollution etc. which lead to ecological concept
Ecological Concept
Ecologists – health is dynamic equilibrium between man and his
environment, and disease is maladjustment of the human organism to
his environment.

“Health implies the relative absence of pain and discomfort and a

continuous adaptation and adjustment to the environment to ensure
optimal function”
Ecological concept : (Cont.)
Raised two questions – Imperfect man – Imperfect environment

History shows that improvement in human adaptation to natural

environment can lead to longer and better quality of life- even with the
absence of modern health delivery services.
Psychosocial concept
Development in social science.

Health is not only a biomedical phenomenon, but it is influenced by:

social, psychological, cultural, economic and political factors of the
people concerned.

“Health is both a biological and social phenomenon”

Holistic concept
Holistic community Nursing completes the circle of care by moving
beyond the particular part to focus on the greatest health for the
community.

The intent is to help nurses describe their unique areas of expertise

within the complex community system and to establish a basis for
collaboration and partnership.
Community
“ A small act of kindness can have a very large
impact on someone else.”

Christian Taylor
Olympic Gold Medalist, World Champion Track and Field