Professional Documents
Culture Documents
Complied by
Dr. / Essmat Mohamed Gemeay Dr./ Mona El -Nady Assistant Professors Faculty of Nursing King Saud University
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Communi
Objectives:
ursing
After completion of this session the students should be able to : 1. Define community health, and public health, 2. Identify Community health nursing practice and practice settings for the community health nurse 3. Identify the scope of community health nursing 4. Compare the community health nursing process and the individual/family/nursing process 5. Discuss roles of the community health nurse
Introduction
Community health nurses actually action usually not apparent to the general population. The impact of their work becomes evident only over the longer term through population data such as a reduction in the number of low-birth-weight infants, more buildings and municipalities with smoke-free bylaws, and more elderly persons with less debilitating chronic illness remaining in their own homes because they are provided appropriate home health nursing services. The larger health -promoting changes that occur over time are an accumulation of smaller ini tiatives by community health nurses working in partnership with other professionals, sectors, and communities.
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d) Organization of medical and nursing services for the early diagnosis and preventive treatment of disease e) Development of the social machinery to insure everyone a standard of living adequate for the maintenance of health
It promote clients responsibility and self care y synthesizes knowledge from public health sciences and professional nursing theory; y promotes linkages between individuals, communities, the broader health system and other health determining sectors; and works with communities to develop specific services .
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The CHN implements same roles as other nurse specialists, because she works with individuals, families, the community, and selected subgroups of the community, her roles are: Advocate Provider Counselor Planner Consultant Educator Evaluator Researcher Coordinator
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Care provider
Advocate
The definition of advocate is the act of informing and supporting a person so that he can make the best decisions possible for himself. The CHN can work directed to providing care which promotes and preserves the health and well-being of communities. The CHN can provide the client with information about options available, allows the client to make a decision & support the final decision. The CHN can write letters, talk to the agency involved to care & provide appropriate information, and plead the case for the family. Community advocacy involves workings with the community members to determine solutions for identified problems and supporting ultimate decisions.
Consultant
The community health nurse may serve as consultant to a number of different groups. This includes consultation to other health care p roviders, health care agencies, agencies who relate to health care agencies, politicians and special interest community groups. The most commonly role applied with individuals and families is counselor. The counselor can provide crisis intervention, supportive counseling & other types of counseling that are appropriate with education and skills.
Coordinator
The CHN is often responsible for coordinating activities of other health care agencies.
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Educator
The role of educator includes education of individuals clients, family & specific community groups. Skills of teaching are incorporated with knowledge of the learning process in order to provide the best possible educational experience.
Evaluator
The evaluator role of the CHN is implemented in many ways. A nurse may be involved in evaluating health care programs through inspection duties. The role of evaluator requires careful preparation of the evaluation process to be used in selected situations. Preparation for the role of evaluator will include becoming familiar with the purpose of the evaluation, the person or content to be evaluated and the communication skills needed to communicate effectively the findings of the evaluation.
Planner
The role of the CHN in planning ranges from planning nursing care for individuals and families to participating in large community programs planning for specific health related needs and also participate in implementation of the planning phase of the nurse process. This role could involve gathering data. The role of provider, the type of nursing care provided may vary depending on the employing agency e.g. the administration of specific nursing treatments prescribed by a physician & performs various assessment activities.
Researcher
Depending on educational preparation, the CHN may participate in research, the preparation for undergraduates includes learning the nature of inquiry, introduction to research grand, process and methodology and
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the use of research findings. Some CHN specialize in a particular aspect of nursing care. A clinical specialist may be employed in a community health agency as well as in a hospital. Clinical specialists are prepared on the masters level with a specialty in a specific field, e.g. family health, pediatrics, midwifery, mental health counseling and family therapy.
three roles that the CHN may practice in an acute c are setting include discharge planner, emergency department nurse, and epidemiologist (infection control nurse). the nurse interviews the family, determines their resources and needs, and facility a smooth transfer from hospital to home or another health or another health care facility.
The nurse conducts an investigation of the source and course of the disease, completes required forms, and makes referrals to appropriate health departments.
Ambulatory Care Settings
The CHN can practice in a variety of ambulatory care settings including doctors offices, clinics (both community based and those connected with hospitals), community mental health centers, and health maintenance organizations. In these settings, the nurses commonly provide instruction for self-care, and make appropriate referrals in addition to providing physical or emotional care. Nurses are usually available for consultation
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and maintaining independence of home visits, responsible for nursing assessment and for making recommendations to th e physician.
Community Settings
CHN practice in community settings includes schools, industry, prisons, home health agencies, health departments, private practice, or voluntary organizations. Health departments including sanitarians & vital record statisticians, communicable disease investigation, home visiting (focus on health promotion, assessment, education & referral), inspection (nursing homes, day care), school nursing: participation in clinics. Home health agencies provide home nursing care primarily for individuals. Services is initiated via physicians orders, and nurses provide tertiary care, including monitoring of health status & the performance of nursing treatments. School nursing services are including health evaluation, counseling, education & first aid. The school nurses practice focuses on primary and secondary prevention and serves not only students but also parents and teachers. Occupational health nurses are providing nursing services to employees (first aid, complete insurance forms, participate in health assessment, counseling, education and research).
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