PRINCIPLE & SCOPE OF COMMUNITY HEALTH NURSING AND ROLE OF COMMUNITY HEALTH NURSE

PRINCIPLE & SCOPE OF COMMUNITY HEALTH NURSING AND ROLE OF COMMUNITY HEALTH NURSE

1. CLASS PRESENTATION ON PRINCIPLE & SCOPE OF COMMUNITY HEALTH NURSING AND ROLE OF COMMUNITY HEALTH NURSE PRESENTED BY SABNAM MUSTARI 2 ND YEAR STUDENT, POST BASIC BSC NURSING CON, MCH

2. INTRODUCTION The term ‘Community health’ has gained wide acceptance . WHO expert committee on community health nursing ‘1974’ defined community health as follows- “Community health refers to the health status of the member of the community , to the problems affecting their health, and to the totality of health care provided to the community “

3. DEFINITION Community health nursing is a synthesis of nursing and public health practice applied to promoting and preserving the health of population Treat “ population as a whole” Focus on individual, family, groups,community Utilizing health promotion , health maintenance, health education,and management, coordination, and continuity of care for meeting population needs

4. OBJECTIVES To increase life expectancy To decrease IMR, MMR, and other morbidities To provide health care service To find out the cause effect relationship To make community diagnosis To assess the need of vulnerable group To enhance the standard of nursing profession To provide referral service at various health care levels To provide complete well being of community and maintain their optimum level of functioning

5. PRINCIPLE OF COMMUNITY HEALTH NURSING The recognized need of individuals, families and communities  provides the basis for CHN practice. Its primary purpose is to further apply public health measures within the framework of the total CHN effort.  Knowledge and understanding of the objectives and policies of the agency facilities goal achievement.  The mission statement commits Community Health Nurses to positively actualize their service to this end . CHN considers the family as the unit of service.  Its level of functioning is influenced by the degree to which it can deal with its own problems. Therefore the family is an effective and available channel for the most of the CHN efforts.  Respect for the values, customs and beliefs  of the clients contribute to the effectiveness of care to the client. CHN services must be available sustainable and affordable to all regardless of race, creed, color or socio-economic status.

6. Collaborative work relationships with the co-workers and members of the health team facilities accomplishments of goals.  Each member is helped to see how his/her work benefits the whole enterprise CHN integrated health education and counseling as vital parts of functions.  These encourage and support community efforts in the discussion of issues to improve the people’s health . Periodic and continuing evaluation provides the means for assessing the degree to which CHN goals and objectives are being attained.  Clients are involved in the appraisal of their health program through consultations, observations and accurate recording. Continuing staff education program quality services to client and are essential to upgrade and maintain sound nursing practices in their setting.  Professional interest and needs of Community Health Nurses are considered in planning staff development programs of the agency. .

7.   Active participation of the individual, family and community in planning and making decisions for their health care needs, determine, to a large extent, the success of the CHN programs.  Organized community groups are encouraged to participate in the activities that will meet community needs and interests. Utilization of indigenous and existing community resources maximizing the success of the efforts of the Community Health Nurses.  The use of local available ailments. Linkages with existing community resources, both public and private, increase the awareness of what care they need what are entitled  Supervision of nursing services by qualified by CHN personnel provides guidance and direction to the work to be done.  Potentials of employees for effective and efficient work are developed. Accurate recording and reporting serve as the basis for evaluation of the progress of planned programs and activities and as a guide for the future actions.  Maintenance of accurate records is a vital responsibility of community as these are utilized in studies and researches and as legal documents .

8. SCOPE Home care Nursing care MCH & Family Planning School health nursing Community health nursing Industrial health nursing Domiciliary nursing services Mental health nursing Rehabilitation services Geriatric health nursing

9. Home Care providing nursing care to the actual situation of home. History taking , physical examination, assess the characteristics of illness , providing nursing care and treatment and providing health education to the family Nursing Home Nursing home provides health care mainly medicine and nursing care to the individual and family

10. MCH & Family Planning Periodic care is provided to the mother and child during antenatal , perinatal and post natal period School health nursing School health nurse provides care to the school going children following care- immunisation, first aid , detection of diseases , sanitation health records

11. Industrial nursing services First aid care , emergency care, periodic health check up care during sickness period etc . Domicilary nursing services Providing care to the mother and child during home delivery

12. Mental health nursing Providing care to the mentally ill person mainly in psychiatric hospital Rehabilitation services Providing care in the rehabilitation centre Geriatric Nursing services Providing care to the old people mainly in medical and nursing care

13. ROLE OF COMMUNITY HEALTH NURSE Role of community health nurse are determined by place of posting and designation. Area of work is very vast. The community health nurse must be Capable of performing multiple roles of the setting of employmenet

14. CHN ROLES INCLUDE CARE PROVIDER SENSITIVE OBSERVER EDUCATOR SUPERVISOR CO –ORDINATOR MANAGER ADVOCATOR CONCERNED ADVISOR CHANGE AGENT CONTROLLER AND EVALUATOR LEADER COLLABORATOR RESEARCHER