Community Health Nursing Lecture Notes 2

COMMUNITY HEALTH NURSING LECTURE NOTES COURSE OUTLINE
COMMUNITY HEALTH NURSING

• COMMUNITY
• GOALS
• PHILOSOPHY
• HEALTHY COMMUNITY CHARACTERISTICS
• VALUES AND ATTITUDES FOR COMMUNITY DEVELOPMENT
• NURSING ASSESTMENT OPERATIONAL FRAMEWORK

• BAG TECHNIQUE
• THERAPEUTIC COMMUNICATION SKILLS INCLUDING THE PROPER USE
OF ASSESSMENT DATA BASE TOOL
• PROBLEM IDENTIFICATION PROCESS
COMMUNITY
• Is a group of people sharing a common geographic boundary and/or common values
and interests.
• A group of people who live in the same area such as town, city or neighborhood.
GOALS OF COMMUNITY HEALTH NURSING

• People’s Empowerment
• Building Relatively Permanent Structures & People’s Organizations
• Building Alliances
• Improved Quality of Life / Status of Living
• Popular Democracy
PHILOSOPHY OF COMMUNITY HEALTH NURSING

• People have the capacity to CHANGE and INFLUENCE conditions in their environment
which oppress and affect their lives. The community organization will have the capacity
to promote SELF-AWARENESS, SELF DETERMINATION and COLLECTIVE EFFORT
among the neighborhood.
HEALTHY COMMUNITY CHARACTERISTICS
1. “We are community” – awareness
2. Conservation of natural resources
3. Recognition, respect, and existence
4. Participation in community affairs
5. Preparation to meet crises
6. Problem-solving collaboration
7. Open Communication
8. Availability of resources
9. Setting of disputes through legitimate mechanisms
10. Decision making participation
11. Wellness of a high degree among its members
VALUES AND ATTITUDES FOR COMMUNITY DEVELOPMENT

1. Patience, Tolerance & Consideration
2. Compassion & Empathy
3. Friendliness & Warmth
4. Openness, Honesty and Sincerity
5. Support
6. Politeness, Courteousness and Respect
7. Mutuality
8. Self-Awareness
9. Cooperation with Co-Workers
10. Respect of Culture & Traditions
NURSING ASSESTMENT OPERATIONAL FRAMEWORK
• Is a strategy that of a nurse uses to motivate, orient, and organize her tasks around a
common vision to achieve predefined goals and objectives within a set timeframe.
NURSING ASSESTMENT OPERATIONAL FRAMEWORK includes:

A. Mastery of Utilization of Public Health Nurse Bag
B. Therapeutic Communication Skills including the Proper Use of Assessment
Data Base Tool
C. Problem Identification Process
A. PUBLIC HEALTH NURSE BAG

o Is a tool used by the nurse during home and community visit to be able to provide
nursing care safely and efficiently
o The contents of the bag depend upon agency policies and the type of service
expected of the nurse while he/ or she is in the community or in the client’s
home.
o An essential and indispensable equipment public health nurses has to carry
along during her home visit
o It contains basic medications and articles which are necessary for giving nursing
care.
SPECIAL CONSIDERATIONS USING THE BAG TECHNIQUE
• The bag should contain all necessary articles, supplies and equipment which
may be used to answer emergency needs.
• The bag and its contents should be cleaned as often as possible, supplies
replaced and ready for use at any time.
• The bag and its contents should be well protected from contact with any article in
the home of the patients. Consider the bag and its contents clean and /or sterile
while any article belonging to the patient as dirty and contaminated.
• The arrangement of the contents of the bag should be the one most convenient
to the user to facilitate the efficiency and avoid confusion.
• Hand washing is done as frequently as the situation calls for, helps in minimizing
or avoiding contamination of the bag and its contents
• The bag when used for a communicable case should be thoroughly cleaned and
disinfected before keeping and re-using.
MATERIALS of CHN BAG
• ARTICLES FOR INFECTION CONTROL
 Soap in a covered soap dish
 linen or disposable paper towel for handwashing
 paper lining
 apron
 70% alcohol
 ARTICLES FOR NURSING CARE
 Sterile items
 2 pairs of scissors (1 surgical, 1 bandage)
 2 pairs of forceps (1 curved, 1 straight)
 Syringes (5 ml and 2 ml)
 Hypodermic Needles (g. 19, 22, 23, 25)
 Sterile dressings (OS)
 Sterile Plastic cord clamp
 Sterile Gloves
 Clean Items and Solutions
 Clean gloves
 Betadine
 Ophthalmic ointment
 Hydrogen peroxide
 Spirit of ammonia
 Acetic acid
 Benedict’s solution
 Pieces of paper
B. Therapeutic Communication Skills
 As a NURSE EDUCATOR, you must have:

o 1. Persuasions capability- are capabilities of influencing a person's beliefs,
attitudes, intentions, motivations, or behaviors.
o 2. Exhortations capability- are capabilities on addressing or communication
emphatically urging someone to do something.
o 3. Motivation capability- are capabilities that focuses on the general desires
or willingness of someone to do something.
VERBAL/ NON-VERBAL CUE ASSESTMENT

• Nursing Assessment
• Data Collection
• Data Analysis or Interpretations
• Problem Definitions / Nursing Diagnosis
• Need Assessment
• In-depth Interview
• Presenting Reality
• Understanding Perceptions
• Attitudes toward assumption
• Performance of Health Tasks
• Observation of the Environment
• Verbal with Non-Verbal Cues
• Data Analysis
• Clustering / Groupings
• Distinguishing Relevant from Irrelevant Data
• Identify Patterns
• Relate Family Data to Relevant Clinical Data and Research Findings
• Compare Patterns with Norms or Standards
• Interpret Results
• Make Inferences / Draw Conclusions
C. Problem Identification Process

IMPORTANT VERBAL CUES
1. “Wala pong may trabaho sa amin.”
2. “Masarap uminom ng alak gabi gabi.”
3. Naninigarilyo ako araw araw.”
4. Pagala gala lang ang aso namin, hindi din siya bakunado.”
5. “Nilalagay lang naming ang basura namin kung saan.”
6. “Hindi kami nagsesegregate ng basura.”
7. “Palagi nagkakagalis ang anak ko.” 8. “May kuto ang anak ko.”
8. “May kuto ang anak ko.”
9. “Hindi ako gumagamit ng family planning, pero ayoko ng magbuntis.”
10. “Bukas ang aming kanal, minsan pinamumugaran ng lamok.”
11. “Masikip ang mga tulugan naming, halos di na kami magkasya.”
12. “Kapag nagkakasakit ako, bumubili ako ng gamot sa botika pero di na ko
nagpapacheckup.”
FACTORS AFFECTING MODIFIABILITY OF THE PROBLEM
1 Current knowledge, technology and interventions to enhance wellness state or manage

the problem
2 Resources of the family- physical, financial and manpower
3 Resources of the nurse- knowledge, skills and time
4 Resources of the community- facilities and community organization and support
FACTORS AFFECTING PROBLEM CATEGORIZATION SCORE
1 Gravity/Severity Refers to progress of the disease indicating the damage to the

of Problem patient
2 Duration of the
Refers to the length and time of the problem it has been existing
Problem
3 Current Refers to the presence and appropriateness of interventions to

Management remedy the problem
4 Exposure to Any Refers to the increase of preventive potential of a condition or

Variable problem
PRIORITY-SETTING SCALE
1 Nature of the
Problems are classified as health status, health resources or
Condition/Proble
health-related problem
m presented
2 Refers to the severity of the problem which can be measured in

Magnitude of the
terms of the proportion of the population affected by the
Problem
problem
3 Modifiability of the Refers to the probability of controlling, reducing or eradicating

Problem the problem
Preventive Refers to the probability of controlling or reducing the effects

Potential posed by the problem
4 Refers to the perception of the population / community as they

Social Concerns are affected by the problem and readiness to act on the
problem
COMMUNITY HEALTH NURSING PROBLEM CATEGORIZATION
1 Health Status Described in terms of increased or decreased morbidity,

mortality, fertility or seduced capability for wellness
Described in terms of lack of or absence of manpower,

2 Health Resource money, materials or institution necessary to solve health
problems
Described in terms of existence of social, economic,

Health-related
3 environmental and political factors that aggravate the illness-
Problem
inducing situation in the community.
PRIORITIZING HEALTH CONDITIONS/PROBLEM SCORING SYSTEM
Criteria Score Weight
❑ Health Status 3
Nature of the
❑ Health Resources 2 1
problem
❑ Health-related 1
❑ High 3
Modifiability ❑ Moderate 2
of the 4
Problem ❑ Low 1
❑ Not Modifiable 0
❑ High
3
Preventive ❑ Moderate
2 1
Potential
❑ Low 1
❑ Urgent community concerns;

expressed readiness for action 2
Social
❑ Recognized as a problem but not 1 1
Concern
needing immediate action
0
❑ Not a community concern

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COMMUNITY HEALTH NURSING LECTURE NOTES COURSE OUTLINE

COMMUNITY HEALTH NURSING

• NURSING ASSESTMENT OPERATIONAL FRAMEWORK

GOALS OF COMMUNITY HEALTH NURSING

PHILOSOPHY OF COMMUNITY HEALTH NURSING

VALUES AND ATTITUDES FOR COMMUNITY DEVELOPMENT

NURSING ASSESTMENT OPERATIONAL FRAMEWORK includes:

A. PUBLIC HEALTH NURSE BAG

B. Therapeutic Communication Skills

 As a NURSE EDUCATOR, you must have:

VERBAL/ NON-VERBAL CUE ASSESTMENT

C. Problem Identification Process

1 Current knowledge, technology and interventions to enhance wellness state or manage

2 Resources of the family- physical, financial and manpower

3 Resources of the nurse- knowledge, skills and time

4 Resources of the community- facilities and community organization and support

FACTORS AFFECTING PROBLEM CATEGORIZATION SCORE

1 Gravity/Severity Refers to progress of the disease indicating the damage to the

3 Current Refers to the presence and appropriateness of interventions to

4 Exposure to Any Refers to the increase of preventive potential of a condition or

2 Refers to the severity of the problem which can be measured in

3 Modifiability of the Refers to the probability of controlling, reducing or eradicating

Preventive Refers to the probability of controlling or reducing the effects

4 Refers to the perception of the population / community as they

COMMUNITY HEALTH NURSING PROBLEM CATEGORIZATION

1 Health Status Described in terms of increased or decreased morbidity,

Described in terms of lack of or absence of manpower,

Described in terms of existence of social, economic,

PRIORITIZING HEALTH CONDITIONS/PROBLEM SCORING SYSTEM

Criteria Score Weight

❑ Urgent community concerns;

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