Community diagnosis


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Community diagnosis

  2. 2. CONCEPT OF DIAGNOSISThe term ‘diagnosis’ comes fromthe Greek word “diagignoskein”meaning to distinguish. This termwas derived from “dia” meaningthrough, apart and from‘gignoskein’ meaning to
  3. 3. The community diagnosisdepends on understanding ofthe social science, vitalstatistics and
  4. 4. DEFINITIONCommunity diagnosis may bedefined as “determining thepattern of health problems ina community, including factorswhich influence this pattern”
  5. 5. Community diagnosis is acomprehensive assessment ofthe state as an entire communityin relation to its social, political,economic, physical and biologicalenvironment”
  6. 6. PURPOSES1. It helps in identification andquantification of health problems.2. Help in identification of thoseindividuals or groups at risk orthose who needs health care.3. It helps to identify communityneeds and
  7. 7. 4. It helps to decide strategies forcommunity involvement.5. Effectively help in understandingthe social, cultural, andenvironmental characteristics ofcommunity.6. it can be used to help thecommunity becomes consciousof its existing problems and
  8. 8. CONTENTHard measurable facts1. Age2. Sex distribution3. Literacy status4. Prevalence of disease5. Sanitary conditions6.
  9. 9. Not measurable facts (soft facts)1. Customs2. Belief3. Taboos4. Attitudes5. Values towards various
  10. 10. Steps in
  11. 11. Defining area- who and
  12. 12. Identifying the needs of
  13. 13. Specifying priority health needs of
  14. 14. Steps continue………Identifying community resources forfacilitating health
  15. 15. Setting priorities for
  16. 16. Steps continue………Community needs in proportion tonational capacityintersectional co-operation
  17. 17. COMMUNITY HEALTH PLANNINGAnalyzing health needs/
  18. 18. Establishing priorities.Establishing priorities refers toranking of health problemsidentified by determining theirrelative importance on the basisof predetermined
  19. 19. C. H. planning Continue….Setting goals &
  20. 20. SETING OBJECTIVESRelated to problem
  21. 21. Clear and conciseObservable and
  22. 22. Time limitedRealisticDetermined by the client and
  23. 23. FORMULATING COMMUNITYHEALTH ACTION PLANSAgency policyThe resources availableThe nature of
  24. 24. Thecommunity’sinterest andfeasibilityCompetencies ofhealthpersonnel.Practicabilityand
  25. 25. IMPLEMENTATION OFCOMMUNITY HEALTHThree types of nursing interventionSupplemental: : i.e. doing thingsfor the families, groups andcommunity at a large which theyarte not able to do eg. Nursingcare of sick at home or in centreor in any
  26. 26. Facilitative: i.e. removing barrier, obstaclesetc. she helps them to mobilizeand develop their resources. Thenurse need to know communityresources- health and healthallied, know their functions andestablish functional
  27. 27. Developmentali.e. helping families, groups andpeople at large to develop andimprove their capacities. Sheeducate members to recognizetheir health problems, healthneeds, find solutions, mobilizeand develop their resources andabilities to implement action
  28. 28.
  30. 30. Acc. To Benner, an expert nursepasses through five level of proficiency,when acquiring and developinggeneralized and specialized nursingskills. The five levels are…
  31. 31. Novice: (beginner)Advance beginner (who has somelevel of experience)Competent (nurse who has been inclinical position for 2-3 years)Proficient (a nurse with more than 3years experience)Expert (a nurse with diverseexperience)
  32. 32.
  33. 33.
  34. 34.
  35. 35.
  36. 36.
  37. 37. STANDARDS OF NURSINGPRACTICENurse should have license ofpracticeConfidentiality of thecommunications between nurse andclient is protected in section two ofthe code for
  38. 38. Privileged communication is theprivilege of the client not to disclosetreatment information to a court oflaw.The uniformity of the assessment andsubsequent documentation of theassessment indicate that a standardof practice was
  39. 39. DECISION MAKING SKILLThe decision making in the communitydiagnosis refers to deciding in advance,planning for community assessment.When planning for programme, thecommunity health nurse should takesome measures as
  40. 40. Know the problem or needs ofcommunity, by observing, interviewing,seeing, records, and report and byconducting surveys.Know the people and placeFind out available resources, fund,staff and equipments.Select methods and materials forprogrammeLaunch the programmeStudy the
  42. 42. Some difficult ethical issues in communitydiagnosis today are faced.Who shall be the priority recipients ofcommunity health nursing practice?Who shall have access to care?Who is assessed by community healthnurse: the individual, family, or group?What do community health nurseassess?
  43. 43. How community health nursing evaluatedfor quality of care, cost effectiveness, andoutcomes assessment?Who shall pay for care?What should be the level of care?What type of nursing interventions docommunity nurse use in practice?What nursing diagnosis do communityhealth use?How organized data collection can beconducted in community?How community health nurses preparedat the following levels is used?
  44. 44.