Community health nursing and services


COMMUNITY HEALTH NURSING

Introduction

“Community health nursing is a synthesis of nursing practice applied in promoting and preserving the health of the population. Community health implies integration of curative, preventive and promotional health services. The aim of community diagnosis is the identification of community health problems. Remarkable development in public health was successful control of many communicable diseases. Nursing and medical services were strengthened to promote positive health. Now a days more emphasis is focused on the sick to the well person, from the individual to the community. To attain Health For All through Primary Health Care led to the restructuring of the rural health services. At present Public health nurses are called as Community health nurses who are registered nurses (RN) trained to work in public health settings. It includes nursing services in all phase of health services which is organized for the welfare of the community. In 1958 Indian Nursing Council has integrated Community health into basic curriculum in nursing.
Community Health Nurse (Village Health Nurse, Sector Health Nurse, and Community Health Nurse) is responsible for her defined area of work in the provision of community health services.

Community Health nursing

Definition

·  It is a synthesis of nursing and public health practice applied to promoting and preserving the health of the people.
·  Public health: It is the art and science of preventing illness, prolonging life and promoting through organized efforts of the society.
·  Community health: It refers to the health status of the members of the community, to the problems affecting their health and to the totality of the health care provided for the community.

Aims of Community Health Nursing

·  To promote health and efficiency.
·  Prevention and control diseases and disabilities.
·  Need based health care to prolong life.

Objectives of Community Health Nursing

·  Provide antenatal, intranatal and postnatal, care to ensure safe pregnancy and delivery.
·  Immunization
·  Provide under five children care
·  Health education
·  To improve the ability of the community to deal with their own health problems
·  To strengthen the community resources
·  To prevent and control communicable and non-communicable diseases
·  To provide specialized services
·  To conduct research

Principles of Community Health Nursing

·  It should be planned based on the needs of the community.
·  It is based on identified needs and functions.
·  Integration of Health education, guidance and supervision with community health nursing services.
·  Health services should be realistic in terms of available resources.
·  Community is the focus which is the unit of health care services.
·  Professional relationship with etiquette and dignity
·  Community participation is the integral part of the community health services.
·  Individual and family members participation in decision making.
·  Health services must be continuous.
·  Proper records and reports are essential.
·  Proper evaluation of health services
·  Health services must be available to all without any difference. 



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Notes
12 Principles of Community Health Nursing
By Matt Vera, BSN, R.N.- Updated on December 18, 20135

Community Health Nursing (CHN) is a vital part of Public Health and there are 12 principles the govern CHN.

1. The recognized need of individuals, families and communities provides the basis for CHN practice. Its primary purpose is to further apply public health measures within the framework of the total CHN effort.

2. Knowledge and understanding of the objectives and policies of the agency facilities goal achievement. The mission statement commits Community Health Nurses to positively actualize their service to this end.


3. CHN considers the family as the unit of service. Its level of functioning is influenced by the degree to which it can deal with its own problems. Therefore the family is an effective and available channel for the most of the CHN efforts.

4. Respect for the values, customs and beliefs of the clients contribute to the effectiveness of care to the client. CHN services must be available sustainable and affordable to all regardless of race, creed, color or socio-economic status.

5. CHN integrated health education and counseling as vital parts of functions. These encourage and support community efforts in the discussion of issues to improve the people’s health.

6. Collaborative work relationships with the co-workers and members of the health team facilities accomplishments of goals. Each member is helped to see how his/her work benefits the whole enterprise.

7. Periodic and continuing evaluation provides the means for assessing the degree to which CHN goals and objectives are being attained. Clients are involved in the appraisal of their health program through consultations, observations and accurate recording.

8. Continuing staff education program quality services to client and are essential to upgrade and maintain sound nursing practices in their setting. Professional interest and needs of Community Health Nurses are considered in planning staff development programs of the agency.

9. Utilization of indigenous and existing community resources maximizing the success of the efforts of the Community Health Nurses. The use of local available ailments. Linkages with existing community resources, both public and private, increase the awareness of what care they need what are entitled.

10. Active participation of the individual, family and community in planning and making decisions for their health care needs, determine, to a large extent, the success of the CHN programs. Organized community groups are encouraged to participate in the activities that will meet community needs and interests.

11. Supervision of nursing services by qualified by CHN personnel provides guidance and direction to the work to be done. Potentials of employees for effective and efficient work are developed.

12. Accurate recording and reporting serve as the basis for evaluation of the progress of planned programs and activities and as a guide for the future actions. Maintenance of accurate records is a vital responsibility of community as these are utilized in studies and researches and as legal documents.

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