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DIFFERENCE BETWEEN
COMMUNITY HEALTH
NURSING & INSTITUTIONAL
NURSING
Mr. Kuldeep Vyas
M.Sc. Community Health Nursing
• Community
health
nursing and
institutional
nursing are
two sides of
the same
coin.
• Community health nursing is the
nursing care which is given in the
community where people live,
work and gather formally and
informally (Home. Farms, School,
Clinics, Health Centre)…
cont…
• Whereas the institutional
nursing is the nursing which is
given in hospitals of different
levels. (Peripheral hospitals,
District hospitals, Referral
centres).
THE DIFFERENCE
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
PLACE OF HOME, VARIOUS LEVEL
WORK SCHOOL, FARM HOSPITALS AND
AND HEALTH NURSING
CENTRE HOMES.
HOSPITAL/COMMUNITY
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE CLIENTELE THE THE SICK
COMMUNITY, INDIVIDUALS
FAMILY, THE
GROUP IN A
DEFINED AREA
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE CLIENTELE THE COMMUNITY THE PATIENT
REACH HEALTH NURSE COMES TO
VISITS THE HOSPITAL AND
COMMUNITY & DEMANDS FOR
PROVIDES NEED HEALTH CARE
BASED SERVICES, SERVICES AND
MOTIVATES TO SERVICES ARE
UTILIZE THE RENDERED AS
HEALTH CARE REQUIRED.
SERVICES
CRITERIA COMMUNITY
HEALTH NURSING
INSTITUTIONAL
NURSING
THE NATURE COMPREHENSIVE : MAINLY
OF HEALTH PROMOTIVE, DIAGNOSTIC &
CARE PREVENTIVE, THERAPEUTIC
CURATIVE & CARE.
REHABILITATIVE, EPISODIC CARE
CONTINUOUS WHEN THE
CARE. PERSON IS SICK.
INSTITUTION/COMMUNITY
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE LEVEL OF
CARE
PRIMARY LEVEL
CARE
SECONDARY &
TERTIARY LEVEL
CARE
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
WORK PRIMARY LEVEL WELL
ENVIRONMENT HEALTH CARE STRUCTURED
FACILITY TO MEDICAL &
PROVIDE NURSING
GENERALIZED ENVIRONMENT
HEALTH CARE & WITH ALL THE
NURSING DIAGNOSTIC
SERVICES FACILITIES TO
PROVIDE NEED
BASED CARE
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
ROLES AND MORE OF MORE OF
RESPONSIBILITIES INDEPENDENT DEPENDANT
ROLE ; MAKES ROLE. i.e.,
DECISIONS & carries on
TAKES medical &
DECISIONS administrative
BASED ON orders.
SITUATIONS.
ACCOUNTABLE
FOR CARE
DIFFERENCE BETWEEN A
HOSPITAL AND A PRIMARY
HEALTH CENTRE
HOSPITAL HEALTH CENTRE
SERVICES PROVIDED THE SERVICES ARE
ARE MOSTLY CURATIVE PREVENTIVE,
PROMOTIVE AND
CURATIVE-ALL
INTEGRATED.
HOSPITAL HEALTH CENTRE
IT HAS NO CATCHMENT
AREA. PATIENTS MAY
BE DRAWN FRON M
ANY PART OF THE
COUNTRY
IT HAS DEFINITE AREA
AND POPULATION
HOSPITAL HEALTH CENTRE
THE TEAM CONSISTS OF
ONLY CURATIVE STAFF
(DOCTORS, NUSES,
COMPOUNDERS)
HEALTH TEAM IAS AN
OPTIMUM MIX OF
MEDICAL &
PARAMEDICAL
WORKERS)
CURATIVE/PREVENTIVE
THANK YOU

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