This document compares and contrasts community health nursing and institutional nursing. Community health nursing involves providing care in the community where people live and work, such as homes, farms, schools and clinics. It focuses on primary care and serving the overall community. Institutional nursing provides care in hospitals and involves secondary and tertiary care for sick individuals. It focuses on diagnostic and therapeutic care for episodic illnesses. The key differences between the two are their place of work, clientele, level of care provided, and roles and responsibilities of the nurses.

1. DIFFERENCE BETWEEN
COMMUNITY HEALTH
NURSING & INSTITUTIONAL
NURSING
DR. MAHESWARI JAIKUMAR.
maheswarijaikumar2103@gmail.com

3. • Community
health
nursing and
institutional
nursing are
two sides of
the same
coin.

4. • 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…

5. • Whereas the institutional
nursing is the nursing which is
given in hospitals of different
levels. (Peripheral hospitals,
District hospitals, Referral
centres).

6. THE DIFFERENCE
CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
PLACE OF
WORK
HOME,
SCHOOL, FARM
AND HEALTH
CENTRE
VARIOUS LEVEL
HOSPITALS AND
NURSING
HOMES.

7. HOSPITAL/COMMUNITY

8. CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE CLIENTELE THE
COMMUNITY,
FAMILY, THE
GROUP IN A
DEFINED AREA
THE SICK
INDIVIDUALS

9. CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE CLIENTELE
REACH
THE COMMUNITY
HEALTH NURSE
VISITS THE
COMMUNITY &
PROVIDES NEED
BASED SERVICES,
MOTIVATES TO
UTILIZE THE
HEALTH CARE
SERVICES
THE PATIENT
COMES TO
HOSPITAL AND
DEMANDS FOR
HEALTH CARE
SERVICES AND
SERVICES ARE
RENDERED AS
REQUIRED.

10. CRITERIA COMMUNITY
HEALTH NURSING
INSTITUTIONAL
NURSING
THE NATURE
OF HEALTH
CARE
COMPREHENSIVE :
PROMOTIVE,
PREVENTIVE,
CURATIVE &
REHABILITATIVE,
CONTINUOUS
CARE.
MAINLY
DIAGNOSTIC &
THERAPEUTIC
CARE.
EPISODIC CARE
WHEN THE
PERSON IS SICK.

11. INSTITUTION/COMMUNITY

12. CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
THE LEVEL OF
CARE
PRIMARY LEVEL
CARE
SECONDARY &
TERTIARY LEVEL
CARE

13. CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
WORK
ENVIRONMENT
PRIMARY LEVEL
HEALTH CARE
FACILITY TO
PROVIDE
GENERALIZED
HEALTH CARE &
NURSING
SERVICES
WELL
STRUCTURESD
MEDICAL &
NURSING
ENVIRONMENT
WITH ALL THE
DIAGNOSTIC
FACILITIES TO
PROVIDE NEED
BASED CARE

14. CRITERIA COMMUNITY
HEALTH
NURSING
INSTITUTIONAL
NURSING
ROLES AND
RESPONSIBILITIES
MORE OF
INDEPENDENT
ROLE ; MAKES
DECISIONS &
TAKES
DECISIONS
BASED ON
SITUATIONS.
ACCOUNTABLE
FOR CARE
MORE OF
DEPENDANT
ROLE. i.e.,
carries on
medical &
administrative
orders.

15. DIFFERENCE BETWEEN A
HOSPITAL AND A PRIMARY
HEALTH CENTRE

16. HOSPITAL HEALTH CENTRE
SERVICES PROVIDED
ARE MOSTLY CURATIVE
THE SERVICES ARE
PREVENTIVE,
PROMOTIVE AND
CURATIVE-ALL
INTEGRATED.

17. 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

18. HOSPITAL HEALTH CENTRE
THE TEAM CONSISTS OF
ONLY CURATIVE STAFF
(DOCTORS, NUSES,
COMPOUNDERS)
HEALTH TEAM IAS AN
OPTIMUM MIX OF
MEDICAL &
PARAMEDICAL
WORKERS)

19. CURATIVE/PREVENTIVE

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