The community health nursing (CHN) process focuses on assessing, planning, implementing, and evaluating health care for communities rather than individuals. It involves systematic identification of health problems, resource allocation, and active community participation, emphasizing a structured approach to enhance health outcomes. The process includes key steps such as community assessment, nursing diagnosis, planning, implementation, evaluation, and re-planning as necessary.

1. Astha K. Patel
R.N.R.M
Community Health Nursing
Community Health Nursing
Process
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2. Introduction
• In CHN Process, whole community is considered as a client.
• Here, Health services are provided not only to the one
individual but it is provided to all the people of
family/community.
• When nursing process is used to promote community
health, it becomes Community Health Nursing Process.
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3. Definition 1
• Community Health Nursing Process is an
orderly, systematic & rational method of
assessing the health problems & needs,
Planning & implementation of nursing care
for the prevention of d’se & promotion of
health of community.
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4. Definition 2
•CHN Process is scientific method of
assessing & solving the health
problems of the community.
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5. Objectives
To identify
health problem
To formulate plan
of nursing action
To implement plan
of Nursing action
To evaluate the
nursing care
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6. Importance
Provide
continuous
care
Utilizes
resources
Improve
functioning
of C.H team
Participation
of
community
in each step
of process
Provide job
satisfaction
Contribute
to
professional
growth
Provide
QA in
CHN
Increase
status of
CHN
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7. Steps/Components of CHN Process
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8. 1. Community Assessment
• Assessment is the 1st step of CHN Process.
• Nurse collects information from individual, family &
community.
• Assessment is imp. Step in Nursing process on which whole
nursing care depends.
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9. Types of Assessment
Subjective
Assessment Objective
Assessment
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10. Community Assessment Includes-
Community
Identification
Identification of
Health problem
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11. (A) Community Identification
• It is a systematic process of colleting various
information regarding community for assessing
health status of a community members.
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12. Information collected during Community
Identification
Geographical characteristic
Population related information
Information about risky group
Vital events
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13. Environmental characteristic
Availability of resources
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14. (B) Identification of Health problem
• After community identification, data are collected to identify
health needs & Health problems.
• During this phase severity of problem, duration, intensity are
also assessed.
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15. Source of information
• Client
• Client’s family member & neighbor
• Community people
• Census
• Village health guide
• Anganwadi worker
• ASHA
• Gram Panchayat
• Records & reports maintained at health centre
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16. Methods of information collection
• Survey
• Questioning
• Discussion
• Listening
• Investigation
• Examination
• Reviewing Health records.
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17. 2. Nursing Diagnosis
• It also an imp. Step.
• This step is imp. To plan & implement health care services.
• Nursing diagnosis means to write down community member’s
actual or potential health problem.
• After information is analysed all the Health Problems are converted
into Family Diagnosis.
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18. 3. Planning
In this step, decisions are made about –
What care to be given?
By whom care to be given?
When the care to be given?
How the care to be given?
What resources are required for care?
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19. Steps in Planning
Analyzing health problem
Setting priorities
Setting goals
Assessment of resources
Selecting nursing intervention
Prepare CHN care plan
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20. 4. Implementation
• This means putting the plans into actions to achieve family
goals & objectives.
• These activities are performed based on planning.
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21. 5. Evaluation
• It is a final step of CHN process.
• In this step Nursing actions/care is checked.
• Evaluation of goals have been achieved or not.
• Evaluation of degree to which health problem is solved.
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22. 6. Replanning
• If the pre decided goals have not been achieved
completely then REPLANNING of nursing care is
done as per need.
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