___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
NUR 422: Community Health Nursing
Midterm
What is community/public health nursing?
Looking at the roles of public health nursing
Caregivers - providing care to patients such as home care
Educator - able to educate more on one to one basis and may see clients for a longer
period of time
Advocacy - supporting the patient
Manager - managing the patient's care
Community health nursing is the synthesis of nursing and public health practice applied
to promote and protect the health of population. It combines all the basic elements of
professional, clinical nursing with public health and community practice.
Community health nursing is essential particularly at this point
in time because it maximizes the health status of individuals,
families, groups and the community through direct approach with them. ( Mengistu, D &
Misganaw, E, 2006)
This occurs at the individual, community and population level
What is the community health nursing process?
Establishing and monitoring a working relationship
Assessing the health and nursing situation
Establish the goal for health and nursing care
Construct and implement a program of action
Evaluating the action
How to evaluate our outcomes?
Have to have a baseline of what is the problem such as how many children that are not
immunized
Such as Goal is to immunized 30% of the population that are not immunized
Scope or standard of practice - that dictate how we should practice, how do we provide
quality level of practice and each discipline has their own scope and standards of
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
practice and some of things that community nurses do is stablish a working relationship
so working with people and developing a trusting relationship.
What is the concept of health?
Health - The state of complete physical, mental and social wellbeing and not just the
absence of disease. (WHO)
The concept of health is wide and the way we define health also depends on individual
perception, religious beliefs. Cultural values, norms and social class.
Nurses and the work environment - stressful, other healthcare providers, wearing the
appropriate PPE
Increase incidences with children with birth defects
Increase incidences of asthma
Work with a cleaning products and what are the implications of using that cleaning
products
What is social determinants of health?
Your zip code is more important in determining how long you will live your life than your
genetics. Even with your behavior because of the environment which you live in is an
indicator of what kind of healthcare you receive, what kind of healthy foods you are able
to eat
So zip code is a determinant of what is your long term health
For example, Kensington Neighborhood in Philadelphia
Badland, poorest of the poor
People have access to food such as little corner places and not healthy food
Healthy food is expensive and not as accessible
You can feed an entire family for 8 dollar on McDonalds
Increase risk of CVD, childhood obesity and DM
In Manhattan, there was a program in which they developed a food prescription
program where family would come into the clinic and the doctors were giving them
prescriptions for healthy fruit and vegetables that families could use to go to the food
markets and use the voucher to get fruits and vegetables
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
What is primary health care?
Primary Health Care: "Essential health care based on practical scientifically sound, and
acceptable methods and technology, made universally accessible to individuals and
families in the community through their full participation and at a cost that the
community and country can afford to maintain at every state of their development in the
spirit of self reliance-and self determination. (WHO)
Based on the primary, secondary and tertiary healthcare
https://www.youtube.com/watch?v=Lk3qnb6gekU (10 min)
How the other half lives
https://www.youtube.com/watch?v=EACoIbokOcc
Jacob Riis wrote a book on how immigrants live in cities such as NYC
10 minutes video
Nursing Care in the Community
It is very important to have full knowledge of community/population/public health care no
matter the setting you choose to work in after graduation.
Focus on health
State of complete physical, mental and social wellbeing and not merely the absence of
disease or infirmity
Community nursing definitions
Community-Oriented Nursing Practice is a philosophy of nursing service delivery that
involves the generalist or specialist public health and community health nurse providing
"health care" through community diagnosis and investigation of major health and
environmental problems, health surveillance, and monitoring and evaluation of
community and population health status for the purposes of preventing disease and
disability and promoting, protecting, and maintaining "health" in order to create
conditions in which people can be healthy.
Public Health Nursing Practice is the synthesis of nursing theory and public health
theory applied to promoting and preserving health of populations. The focus of practice
is the community as a whole and the effect of the community's health status (resources)
on the health of individuals, families, and groups. Care is provided within the context of
preventing disease and disability and promoting and protecting the health of the
community as a whole. Public Health Nursing is population focused, which means that
the population is the center of interest for the public health nurse. Community Health
Nurse is a term that is used interchangeably with Public Health Nurse.
Community-Based Nursing Practice is a setting-specific practice whereby care is
provided for "sick" individuals and families where they live, work, and go to school. The
emphasis of practice is acute and chronic care and the provision of comprehensive,
coordinated, and continuous services. Nurses who deliver community-based care are
generalists or specialists in maternal-infant, pediatric, adult, or psychiatric-mental health
nursing.
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
Community and Population
Community
Group of people who share something in common
Interact together
May show a commitment with one another
May share geographical boundary
i.e. Night Shift Nurses in the CCC at Jefferson
Population
Group of people who have at least one thing in common but may or may not have
interaction.
i.e. All night shift nurses
Population vs public health care
Population Focused Care
Focuses on health promotion, disease prevention that shapes the community's overall
health status
Public Health Nursing
Population focused with knowledge of nursing, social, public health sciences
Goal is to promote health and prevent disease/disability for all people by creating
conditions which people can be healthy
Communities priorities and needs
May have a relationship within the community (or not)
Grounded in social justice, compassion, sensitivity and respect for all populations
especially those who are vulnerable
Medicare is the driver of good standard of care
Such as the hospital doesn't get paid if someone has a readmission rate within 30 days
of the discharge
Public health vs Medical care
Individual vs. Population
Healing vs. Prevention
Diagnoses vs. Assessment
Treatment plan vs. Policy Development (EBM)
Treatment vs. Assurance
Achievements in public health care more difficult to recognize. Often taken for granted.
Such as when I turn on the tap water, Im going to have clean water - may not be the
case in other countries
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
NUR 422: Community Health Nursing
Midterm
What is community/public health nursing?
Looking at the roles of public health nursing
Caregivers - providing care to patients such as home care
Educator - able to educate more on one to one basis and may see clients for a longer
period of time
Advocacy - supporting the patient
Manager - managing the patient's care
Community health nursing is the synthesis of nursing and public health practice applied
to promote and protect the health of population. It combines all the basic elements of
professional, clinical nursing with public health and community practice.
Community health nursing is essential particularly at this point
in time because it maximizes the health status of individuals,
families, groups and the community through direct approach with them. ( Mengistu, D &
Misganaw, E, 2006)
This occurs at the individual, community and population level
What is the community health nursing process?
Establishing and monitoring a working relationship
Assessing the health and nursing situation
Establish the goal for health and nursing care
Construct and implement a program of action
Evaluating the action
How to evaluate our outcomes?
Have to have a baseline of what is the problem such as how many children that are not
immunized
Such as Goal is to immunized 30% of the population that are not immunized
Scope or standard of practice - that dictate how we should practice, how do we provide
quality level of practice and each discipline has their own scope and standards of
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
practice and some of things that community nurses do is stablish a working relationship
so working with people and developing a trusting relationship.
What is the concept of health?
Health - The state of complete physical, mental and social wellbeing and not just the
absence of disease. (WHO)
The concept of health is wide and the way we define health also depends on individual
perception, religious beliefs. Cultural values, norms and social class.
Nurses and the work environment - stressful, other healthcare providers, wearing the
appropriate PPE
Increase incidences with children with birth defects
Increase incidences of asthma
Work with a cleaning products and what are the implications of using that cleaning
products
What is social determinants of health?
Your zip code is more important in determining how long you will live your life than your
genetics. Even with your behavior because of the environment which you live in is an
indicator of what kind of healthcare you receive, what kind of healthy foods you are able
to eat
So zip code is a determinant of what is your long term health
For example, Kensington Neighborhood in Philadelphia
Badland, poorest of the poor
People have access to food such as little corner places and not healthy food
Healthy food is expensive and not as accessible
You can feed an entire family for 8 dollar on McDonalds
Increase risk of CVD, childhood obesity and DM
In Manhattan, there was a program in which they developed a food prescription
program where family would come into the clinic and the doctors were giving them
prescriptions for healthy fruit and vegetables that families could use to go to the food
markets and use the voucher to get fruits and vegetables
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
What is primary health care?
Primary Health Care: "Essential health care based on practical scientifically sound, and
acceptable methods and technology, made universally accessible to individuals and
families in the community through their full participation and at a cost that the
community and country can afford to maintain at every state of their development in the
spirit of self reliance-and self determination. (WHO)
Based on the primary, secondary and tertiary healthcare
https://www.youtube.com/watch?v=Lk3qnb6gekU (10 min)
How the other half lives
https://www.youtube.com/watch?v=EACoIbokOcc
Jacob Riis wrote a book on how immigrants live in cities such as NYC
10 minutes video
Nursing Care in the Community
It is very important to have full knowledge of community/population/public health care no
matter the setting you choose to work in after graduation.
Focus on health
State of complete physical, mental and social wellbeing and not merely the absence of
disease or infirmity
Community nursing definitions
Community-Oriented Nursing Practice is a philosophy of nursing service delivery that
involves the generalist or specialist public health and community health nurse providing
"health care" through community diagnosis and investigation of major health and
environmental problems, health surveillance, and monitoring and evaluation of
community and population health status for the purposes of preventing disease and
disability and promoting, protecting, and maintaining "health" in order to create
conditions in which people can be healthy.
Public Health Nursing Practice is the synthesis of nursing theory and public health
theory applied to promoting and preserving health of populations. The focus of practice
is the community as a whole and the effect of the community's health status (resources)
on the health of individuals, families, and groups. Care is provided within the context of
preventing disease and disability and promoting and protecting the health of the
community as a whole. Public Health Nursing is population focused, which means that
the population is the center of interest for the public health nurse. Community Health
Nurse is a term that is used interchangeably with Public Health Nurse.
Community-Based Nursing Practice is a setting-specific practice whereby care is
provided for "sick" individuals and families where they live, work, and go to school. The
emphasis of practice is acute and chronic care and the provision of comprehensive,
coordinated, and continuous services. Nurses who deliver community-based care are
generalists or specialists in maternal-infant, pediatric, adult, or psychiatric-mental health
nursing.
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
,___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
Community and Population
Community
Group of people who share something in common
Interact together
May show a commitment with one another
May share geographical boundary
i.e. Night Shift Nurses in the CCC at Jefferson
Population
Group of people who have at least one thing in common but may or may not have
interaction.
i.e. All night shift nurses
Population vs public health care
Population Focused Care
Focuses on health promotion, disease prevention that shapes the community's overall
health status
Public Health Nursing
Population focused with knowledge of nursing, social, public health sciences
Goal is to promote health and prevent disease/disability for all people by creating
conditions which people can be healthy
Communities priorities and needs
May have a relationship within the community (or not)
Grounded in social justice, compassion, sensitivity and respect for all populations
especially those who are vulnerable
Medicare is the driver of good standard of care
Such as the hospital doesn't get paid if someone has a readmission rate within 30 days
of the discharge
Public health vs Medical care
Individual vs. Population
Healing vs. Prevention
Diagnoses vs. Assessment
Treatment plan vs. Policy Development (EBM)
Treatment vs. Assurance
Achievements in public health care more difficult to recognize. Often taken for granted.
Such as when I turn on the tap water, Im going to have clean water - may not be the
case in other countries
___________________________________________________________________________________________________________________________________
_____________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))________________________________________________________________________________________
NUR 422_ Community Health Nursing Midterm.pdf!#()*_*$_!*$__________________________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))__________________
