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MANISHA PRAHARAJ
TUTOR
SUM NURSING COLLEGE
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier
Inc. 2
 More nurses are engaging in community-based nursing (CBN),
where the focus is on “illness care” of individuals and families
across the life span.
 Community-oriented nursing focuses both on the health care of
entire communities or populations and the health care of
individuals, families, and groups; this category includes the
specialty of public health nursing.
3
 Goal of community oriented nursing:
Prevent disease and preserve, promote, restore and
protect health for the community and the population
within it.
 Goal of public health nursing:
Organize community efforts that will use scientific and
technical knowledge to prevent disease and promote
health.
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 4
 Public health
 A scientific discipline that includes the study of epidemiology,
statistics, and assessment as well as program planning and policy
development.
5
 Dramatic increase in life expectancy
 Decreased number of deaths from communicable and
non communicable diseases
 Declines in death rates of adults and children
6
7
Assessment
Policy
development
Assurance
 Assessment
 Systematic data collection on the population, monitoring the population’s
health status, and making information available about the health of the
community
 Policy development
 Efforts to develop policies that support the health of the population
 Assurance
 Making sure that essential community-oriented health services are available
8
9
Tertiary
Secondary
Primary
 Primary: to meet the basic needs of people in communities at an
affordable cost
 Secondary: services designed to detect and treat disease in the
early acute stage
 Tertiary: services designed to limit the progression of disease or
disability
10
1. Monitor health status to identify community health
problems
2. Diagnose and investigate health problems and hazards in
the community
3. Inform, educate, and empower people about health issues
4. Mobilize community partnerships to identify and solve
health problems
11
5. Develop policies and plans that support individual and
community health efforts
6. Enforce laws and regulations that protect health and
ensure safety
7. Link people to needed personal health services and ensure
the provision of health care that is otherwise unavailable
(cont’d on next slide)
12
8. Ensure a competent workforce for public health and personal
health care
9. Evaluate effectiveness, accessibility, and quality of personal and
population-based health services
10.Research for new solutions to health problems
13
1. Population-focused
2. Community-oriented
3. Health and prevention focused
4. Interventions at the community and/or population
level
5. Concern for the health of all members of the
population or community, particularly vulnerable
populations.
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 14
 In public health nursing, the nurse often reaches out to
those who might benefit from a service or intervention
 In other forms of nursing, the client is more likely to seek
out help from the nurse
15
 Focus is on “illness care” of individuals and families
across the life span
 Provide acute and chronic illness care and the provision of
comprehensive, coordinated, and continuous care
 A setting-specific practice – care is provided where people
live, work, and attend school
16
 Focus is on “health care” of
individuals, families, and groups in
community
 Provide health care to promote quality of
life
 Community diagnosis, health surveillance,
monitoring and evaluation of community
and population
17
 Community-oriented nursing practice
 Public health nursing practice
 Community-based nursing practice
 Community health nursing practice
18
 Goal
 Preserve, protect, promote, or maintain health of individuals,
families, and groups in a community
 Practice focus
 Health of individuals, families, and groups—
and how their health status affects the community as a whole
19
 Goal
 Prevent disease and disability and promote and protect the
community as a whole
Practice focus
 The community as a whole
 The effect of the community’s health status (resources) on
the health of individuals, families and groups
20
Assignment:
1. Core functions of public health.
2. Goal of public health nursing.
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 21
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 22

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Community oriented nursing

  • 1.
  • 2. MANISHA PRAHARAJ TUTOR SUM NURSING COLLEGE Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 2
  • 3.  More nurses are engaging in community-based nursing (CBN), where the focus is on “illness care” of individuals and families across the life span.  Community-oriented nursing focuses both on the health care of entire communities or populations and the health care of individuals, families, and groups; this category includes the specialty of public health nursing. 3
  • 4.  Goal of community oriented nursing: Prevent disease and preserve, promote, restore and protect health for the community and the population within it.  Goal of public health nursing: Organize community efforts that will use scientific and technical knowledge to prevent disease and promote health. Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 4
  • 5.  Public health  A scientific discipline that includes the study of epidemiology, statistics, and assessment as well as program planning and policy development. 5
  • 6.  Dramatic increase in life expectancy  Decreased number of deaths from communicable and non communicable diseases  Declines in death rates of adults and children 6
  • 8.  Assessment  Systematic data collection on the population, monitoring the population’s health status, and making information available about the health of the community  Policy development  Efforts to develop policies that support the health of the population  Assurance  Making sure that essential community-oriented health services are available 8
  • 10.  Primary: to meet the basic needs of people in communities at an affordable cost  Secondary: services designed to detect and treat disease in the early acute stage  Tertiary: services designed to limit the progression of disease or disability 10
  • 11. 1. Monitor health status to identify community health problems 2. Diagnose and investigate health problems and hazards in the community 3. Inform, educate, and empower people about health issues 4. Mobilize community partnerships to identify and solve health problems 11
  • 12. 5. Develop policies and plans that support individual and community health efforts 6. Enforce laws and regulations that protect health and ensure safety 7. Link people to needed personal health services and ensure the provision of health care that is otherwise unavailable (cont’d on next slide) 12
  • 13. 8. Ensure a competent workforce for public health and personal health care 9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services 10.Research for new solutions to health problems 13
  • 14. 1. Population-focused 2. Community-oriented 3. Health and prevention focused 4. Interventions at the community and/or population level 5. Concern for the health of all members of the population or community, particularly vulnerable populations. Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 14
  • 15.  In public health nursing, the nurse often reaches out to those who might benefit from a service or intervention  In other forms of nursing, the client is more likely to seek out help from the nurse 15
  • 16.  Focus is on “illness care” of individuals and families across the life span  Provide acute and chronic illness care and the provision of comprehensive, coordinated, and continuous care  A setting-specific practice – care is provided where people live, work, and attend school 16
  • 17.  Focus is on “health care” of individuals, families, and groups in community  Provide health care to promote quality of life  Community diagnosis, health surveillance, monitoring and evaluation of community and population 17
  • 18.  Community-oriented nursing practice  Public health nursing practice  Community-based nursing practice  Community health nursing practice 18
  • 19.  Goal  Preserve, protect, promote, or maintain health of individuals, families, and groups in a community  Practice focus  Health of individuals, families, and groups— and how their health status affects the community as a whole 19
  • 20.  Goal  Prevent disease and disability and promote and protect the community as a whole Practice focus  The community as a whole  The effect of the community’s health status (resources) on the health of individuals, families and groups 20
  • 21. Assignment: 1. Core functions of public health. 2. Goal of public health nursing. Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 21
  • 22. Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc. 22