Nội dung text NCM 113 - PRELIMS
NCM 113 BY TONS and MADS WEEK 2 LEC: COMMUNITY HEALTH NURSING: DEFINITION,FEATURES & MODELS KEY CHN CONCEPTS VIDEO Video Transcript of KEY CHN CONCEPTS Public health nursing ● synthesis of public health and nursing practice. COMMUNITY HEALTH NURSING ● Synthesis of nursing practice and public health practice applied to promoting and preserving the health of population ● scope of nursing practice making use of the nursing process ● Clients: individuals, population groups or aggregates The Role of the Community Health Nurses ● To assist in transition of Philippine healthcare system from disease-oriented system to health-oriented system Practical Implications of Community Health Nursing ● Represents a profession that responds to all categories of demands of the people ● Opportunity for nurses to learn & develop partnership skills with all stakeholders and key actors in their communities. COMMUNITY SCENARIOS Both need community health nursing to intervene in its problem, to promote and preserve wellness 1. Downside scenario - Problems: psychological, physical, socioeconomic and emotional 2. Wellness State DISTINGUISHING FEATURES OF CHN I. Population-Focused A. To move beyond providing direct care to individuals and families B. Concentration is placed on specific groups of people and focuses on health promotion and disease prevention regardless of geographical location C. Employs ongoing data collection for assessment and management D. Would not have exclusive interests in assessing the individual or family's health. E. Ex: if a nurse is attending to an individual, she will not only assess that patient but transcends beyond (always minding of the groups) II. Levels of Clientele A. The Individual B. The Family C. The group / aggregate - the whole population III. Framework for Practice / INTERVENTION WHEEL A. Framework for CHN & PHN B. Contains 3 important elements 1. Population based 2. 3 levels of practice: a) Individual/ family focus practice b) Community focus practice c) Systems focus practice 3. Identifies and defines 17 public health interventions C. Gearing towards case finding and other concerns in the community 17 PUBLIC HEALTH INTERVENTIONS AND DEFINITIONS PUBLIC HEALTH INTERVENTION DEFINITION Surveillance Describes & monitors health events through ongoing & systematic collection, analysis, interpretation of health data for purpose of planning, implementing, & evaluating public health interventions Disease and other health event investigation Systematically gathers and analyzes data regarding threats to health of populations, ascertains source of threat, identifies cases and others at risk, and determines control measures Outreach Locates populations of interest or populations at risk and provides information about nature of the concern, what can be done about it, and how services can be obtained Screening Identifies individuals with unrecognized health risk factors or asymptomatic disease conditions, Case finding Locates individuals and families with identified risk factors and connects them with resources Referral and follow-up Assists individuals, families, groups, organizations, and/or communities to identify and access necessary resources to prevent or resolve problems or concerns Case management Optimizes self-care capabilities of individuals and families and the capacity of systems and communities to coordinate and provide services Delegated functions Carries out direct care tasks under the authority of a health care practitioner as allowed by law Health teaching Communicates facts, ideas, and skills that change knowledge, attitudes, values, beliefs, behaviors, and practices of individuals, families, systems, and/or communities Counseling Establishes an interpersonal relationship with a community, system, and family or individual, with intention of increasing or enhancing capacity for self-care and coping Consultation Seeks information and generates optional solutions to perceived problems or issues through interactive problem solving with community system and family or individual Collaboration Commits two or more persons or organizations to achieve a common goal through enhancing capacity of one or more members to promote & protect health Coalition building Promotes & develops alliances among organizations or constituencies for a common purpose Community organizing Helps community groups to identify common problems or goals, mobilize resources, and develop and implement strategies for realizing goals they collectively have set Advocacy Pleads someone’s cause or acts on someone’s 1