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CHC unit-2 GNM 1 st year community health nursing.pptx

Community health nursing combines nursing and public health practices to promote the health of individuals and communities. Key objectives include assessing health needs, reducing mortality rates, and providing accessible healthcare, while the nurse's role encompasses assessment, planning, implementation, and evaluation of services. Essential qualities of a community health nurse include strong observational and communication skills, decision-making abilities, technical knowledge, and leadership capabilities.

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Amit Singh M.sc Nursing COMMUNITY HEALTH CENTRE
DEFINITION "According WHO, Community health refers to the health status of the members of the community to the problems affecting their health and to the totality of health care provided for the community.“ According to American Association Community health nursing is a synthesis of nursing practice and public health practice applied for promoting and preserving the health of people.
Objectives of community health nursing are as follows- 1. To assess health needs and problems of the community members and to provide essential health care as per need. 2. To reduce Infant Mortality Rate(IMR) and Maternal Mortality Rate(MMR) 3. To reduce incidence and prevalence of various communicable and non communicable diseases. 4. To raise expectancy of life. 5. 5.To plan and implement various national health programmes properly. 6. 6.To evaluate health services which arebeing provided to the people, andreplan and reimplement as per need. OBJECTIVES
1. Before planning and implementation of community health nursing services it is very essential for a community health nurse to know about the community. A map of the working area should be prepared by the community health nurse. 2. Community health nursing services should be based on the identified health needs and problems of the community members. 3. Community health nursing services should be accessible to all the community members ir-respective of their sex, religion, caste, socio- economic status, political background etc. 4. Health services should be planned and implemented as per availability work of resources. As far as possible, or locally available resources should be given priority. PRINCIPLES OF COMMUNITY HEALTH NURSING
 5.There should be well defined aims and objectives of community health nursing services.  6.There should be active participation of the community members in the planning, implementation evaluation of these services.  7. All the health personnel involved in the planning and implementation of health services should be worked as a team.They should co operate each other.  8. Health personnel must not accept any gifts or bribe. Continue…….
Community health nurse is a nurse who provides preventive , promotive and curative health services to the individuals , families and group of community in the community settings. COMMUNITY HEALTH NURSE
1. Good observer - Community health nurse should be a good observer. As she provides nursing care independently so she should have the ability to recognize physical, mental and psychological status of an individual. She should also be capable to recognize abnormal sign and symptoms of a patient. QUALITIES OF COMMUNITY HEALTH NURSE
2. Good communicator- Community health nurse should be a good communicator. She talks with the individuals and families to find out their health related needs and problems so she should be well known about the principles of good communication. 3. Ability to take proper decisions- While providing community health nursing services, most of the decisions are to be taken by her independently based on health needs and problems of an individual or family. So she should have ability to take proper decisions. Continue…….
4. Technically Sound- For providing good quality of preventive, promotive, diagnostic and curative health services, the community health nurse should be technically sound. She must be well known about the basic principles of nursing including public health nursing. 5. Having knowledge about the community- As community health nursing services are provided in the community setting so she should be well known about the community. She should have knowledge. Continue…….
6. Physically, Mentally and Socially healthy- For providing good quality of comprehensive nursing care, community health care should be physically, mentally and socially healthy. 7. Ready to play a much wider role- Community health nurse assesses the World health status of people to identify their health needs and problems, makes a planning, performs various activities and finally evaluates the effectivity of health services. Continue…….
7. Ability to act as a leader- Community health nurse should be a good teacher, guide, administrator of programmes and manager. She should have ability to co-ordinate, guide and supervise her team members. 8. Resourceful and proper use of resources- Community health nurse should have an ability to use available resources properly. Before planning and implementation of health services she should acquire information regarding available resources. Continue…….
9. Managerial abilities- As community health nurse participates in implementing various national health programmee and organizing various camp in her area so she should have good managerial abilities 10. Other qualities- are professional nurse such as emotional stability, ptience, polite,caring,intelligent, alert active etc. Continue…….
i. It provides opportunity for an community health nurse to make direct observation. ii. It is helpful in rendering health services to the needy people who are unable to go to hospitals and health centres. iii. It makes possible to have active involvement of community members in planning, implementation and evaluation of health care services. iv. It provides an opportunity for maintaining good interpersonal relations and understanding with the community members. It makes the health care more effective. ADVANTAGS OF COMMUNITY HEALTH NURSING
Community health nurse plays a wider role than an institutional nurse. An institutional nurse performs various nursing activities as per instructions given by doctor or her seniors. On other hand community health nurse works independently. Functions of community health nurse are as follows- a) Assessment b) Planning c) Implementation d) Evaluation e) Administrative work f) Teaching g) Communication FUNCTION OF COMMUNITY HEALTH NURSE
Community health nurse assesses the health status of the community members to identify their health related needs and problems. During assessment following information are collected - Health needs problem of the community members. Various social, economical, psychological and political factors that influence their health. Living standard and education level etc. Assessment
After identification of health needs and problems of the community members, the nurse makes a planning for providing nursing care. During this, nurse carries out following activities -Analysis of the data which have been collected during assessment Setting up of short term and long term goals She makes a plan regarding methods and techniques that will be used during implementation phase PLANNING
Implementation of health care services to the people as per their requirement is an important function of community health nurse. During implementation, several nursing activities decided upon as being most effective are carried out by the community health nurse in order to fulfil people,s health needs and to resolve their health problems. IMPLEMENTATION
Once all the nursing activities have been carried out, the nurse completes an evaluation to find out effectivity of nursing care. After evaluation, the possible outcomes are usually described under three terms-  Fully effective  Partially effective  Ineffective EVALUATION
Community health nurse supervises her sub ordinates and provides necessary guidance to ensure implementation of better health services to community members. She is also responsible for planning, implementation and evaluation of health services which are being provided by subcentres and Primary Health Centres located in her area. ADMINISTRATIVE WORK
Community health nurse participates in the teaching programme of dais, ANMS, Health workers (Male), GNM students, ANM students etc. She provides informations to her sub ordinates regarding latest techniques and instruments. TEACHING
Community health nurse acts as a bridge between health services which are being provided by the government and community members. She provides informations to the people regarding health services, health programmes and schemes. COMMUNICATION
Community health nurse also participates in health related research works.These research work enable her to learn about new techniques and therapeutic methods. RESEARCH