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
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
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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
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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
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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
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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)
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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
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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
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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
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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
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18. Community-oriented nursing practice
Public health nursing practice
Community-based nursing practice
Community health nursing practice
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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
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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
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