PRINCIPLE & SCOPE OF COMMUNITY HEALTH NURSING AND ROLE OF COMMUNITY HEALTH NURSE

1. CLASS PRESENTATION
ON
PRINCIPLE & SCOPE OF COMMUNITY HEALTH NURSING
AND
ROLE OF COMMUNITY HEALTH NURSE
PRESENTED BY
SABNAM MUSTARI
2ND YEAR STUDENT, POST BASIC BSC NURSING
CON, MCH

2. INTRODUCTION
◦ The term ‘Community health’ has gained wide acceptance .
◦ WHO expert committee on community health nursing ‘1974’ defined community
health as follows-
“Community health refers to the health status of the member of the
community , to the problems affecting their health, and to the
totality of health care provided to the community “

3. DEFINITION
◦ Community health nursing is a synthesis of nursing and public health practice
applied to promoting and preserving the health of population
◦ Treat “ population as a whole”
◦ Focus on individual, family, groups,community
◦ Utilizing health promotion , health maintenance, health education,and management,
coordination, and continuity of care for meeting population needs

4. OBJECTIVES
◦ To increase life expectancy
◦ To decrease IMR, MMR, and other morbidities
◦ To provide health care service
◦ To find out the cause effect relationship
◦ To make community diagnosis
◦ To assess the need of vulnerable group
◦ To enhance the standard of nursing profession
◦ To provide referral service at various health care levels
◦ To provide complete well being of community and maintain their optimum level of functioning

5. PRINCIPLE OF COMMUNITY HEALTH NURSING
◦ 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.
◦ 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.
◦ 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.
◦ 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.

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
◦ 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.
◦ 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.
◦ 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.
.

7. ◦ 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.
◦ 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
◦ 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.
◦ 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.

8. SCOPE
◦ Home care
◦ Nursing care
◦ MCH & Family Planning
◦ School health nursing
◦ Community health nursing
◦ Industrial health nursing
◦ Domiciliary nursing services
◦ Mental health nursing
◦ Rehabilitation services
◦ Geriatric health nursing

9. ◦ Home Care
providing nursing care to the actual situation of home.
History taking , physical examination, assess the
characteristics of illness , providing nursing care and
treatment and providing health education to the family
◦ Nursing Home
Nursing home provides health care mainly medicine and nursing
care to the individual and family

10. ◦ MCH & Family Planning
Periodic care is provided to the mother and child during
antenatal , perinatal and post natal period
◦ School health nursing
School health nurse provides care to the school going
children following care- immunisation, first aid , detection
of diseases , sanitation health records

11. ◦ Industrial nursing services
First aid care , emergency care, periodic health check up
care during sickness period etc .
◦ Domicilary nursing services
Providing care to the mother and child during home delivery

12. ◦ Mental health nursing
Providing care to the mentally ill person mainly in psychiatric
hospital
◦ Rehabilitation services
Providing care in the rehabilitation centre
◦ Geriatric Nursing services
Providing care to the old people mainly in medical and
nursing care

13. ROLE OF COMMUNITY HEALTH NURSE
Role of community health nurse are
determined by place of posting and
designation.
Area of work is very vast.
The community health nurse must be
Capable of performing multiple roles of
the setting of employmenet

14. CHN ROLES INCLUDE
◦ CARE PROVIDER
◦ SENSITIVE OBSERVER
◦ EDUCATOR
◦ SUPERVISOR
◦ CO –ORDINATOR
◦ MANAGER
◦ ADVOCATOR
◦ CONCERNED ADVISOR
◦ CHANGE AGENT
◦ CONTROLLER AND EVALUATOR
◦ LEADER
◦ COLLABORATOR
◦ RESEARCHER