2. Population-focused Nursing
“Community” or “public” health
nursing is population based.
Care may be given to individuals and
families, but its purpose is the
improvement of the health of the
population as whole.
3. Community Health Nursing
A synthesis of nursing knowledge and
practice and the science and practice of
public health, implemented via
systematic use of the nursing process
and other processes, designed to
promote health and prevent illness in
population groups.
4. Tenets of Community Health
Nursing - 1
Systematic and comprehensive population-
based assessment, policy development, and
assurance.
Partnering with representatives of the
people.
Priority for primary prevention.
Intervention to create conditions for health.
5. Tenets of Community Health
Nursing - 2
Active outreach
Concern for the population as a whole
Resource allocation supports maximum
gain for the population.
Interdisciplinary collaboration
Source: Quad Council of Public Health
Organizations. (1999).
6. Community Health Nursing
Standards of Care - 1
Standard I. Assessment
Standard II. Diagnosis
Standard III. Outcomes identification
Standard IV. Planning
Standard V. Assurance
Standard VI. Evaluation
Source: Quad Council of Public Health
Organizations. (1999).
7. Community Health Nursing
Standards of Performance - 1
Standard I. Quality of care
Standard II. Performance appraisal
Standard III. Education
Standard IV. Collegiality
8. Community Health Nursing
Standards of Performance - 2
Standard V. Ethics
Standard VI. Collaboration
Standard VII. Research
Standard VIII. Resource utilization
Source: Quad Council of Public
Health Organizations. (1999).
9. Attributes of Community Health
Nursing - 1
Population consciousness
Health orientation
Autonomy
Creativity
10. Attributes of Community Health
Nursing - 2
Continuity
Collaboration
Intimacy
Variability
11. Population Consciousness
An awareness of how information
about individual clients or families
relates to the health status of the total
population
12. Health Orientation
An emphasis on health promotion and
maintenance rather than the cure of
disease or disability
13. Autonomy
Independent judgment and action by
the community health nurse
Active client participation in health
decision making
14. Creativity
An ability to develop innovative solutions
to community health problems using
available resources
15. Continuity
Long term relationships with clients
Provision of care across time as old
problems are solved and new ones
occur
Provision of care across multiple
needs
16. Collaboration
Interaction and joint decision making
with multiple health-related and non-
health-related disciplines to address the
health needs of population groups
17. Intimacy
Potential for developing awareness of
intimate details of clients’ lives
Potential for increased accuracy of
nursing assessment
28. Primary Care Provider
Provides essential health services to
promote health, prevent illness, and
deal with existing health problems
29. Case Manager
Coordinates and directs the selection
and use of health care services to meet
client needs, maximize resource
utilization, and minimize the expense
of care
37. Change Agent
Initiates and facilitates change in
individual or client behaviors or
conditions or those affecting
population groups
38. Community Developer
Mobilizes residents and other
segments of the population to take
action regarding identified community
health problems or issues
39. Coalition Builder
Promotes the development and
maintenance of alliances of individuals
or groups of people to address a
specific health issue
40. Researcher
Conducts studies to explain health-
related phenomena and to evaluate the
effectiveness of interventions to
control them