Principles of CHN New Updated

PRINCIPLES OF CHN
(MARY S. Gardner and Leahy, Cobb and Jones)
 CHN is based on recognized needs of communities, families, groups and

individuals.
 The CHN must understand fully the objectives and policies of the agency she
represents.
 In CHN the family is the unit of service.
 CHN must be available to all regardless of race, creed and socioeconomic
status.
 Health teaching is a primary responsibility of the CHN.
 The CHN works as a member of the health team
 There must be provision for periodic evaluation of community health nursing
services.
 Oppurtunities for continuing staff education programs for nurses must be
provided by the chn agency. the chn also has a responsibility for his/her own
professional growth.
 The CHN makes use of available community health resources.
 The community health nurse untilizes the already existing active organized
groups in the community
 There must be provision for educative supervision in chn
 There should be accurate recording and reporting in chn
DISTINGUISHING FEATURES OF COMMUNITY HEALTH NURSING PRACTICE
 In addition to its preventive approach to health, community health nursing is

characterized by its being population-or aggregate-focused, its developmental
nature, and existence of prepayment mechanism for consumers of community
health nursing services. Also, unlike nurses who work in hospital settings,
community health nurses care for different levels of clientele.
POPULATION-FOCUSED NURSING
 Concentrates on specific groups of people and focuses on health promotion and
disease prevention, regardless of geographical location.
 FOCUSED PRACTICE:
1. Focuses on the entire population
2. Is based on asssessment of the populations’ health statis
3. Considers the broad determinants of health
4. Emphasized all levels of prevention
5. Intervenes with communities, systems, individuals and families
CHN PRACTICE REQUIRES THE FOLLOWING TYPES OF DATA FOR SCIENTIFIC

APPROACH AND POPULATION
1. The epidemiology or body of knowledge of a particular problem and its solution

2. Information about the community
INFORMATION USEFUL FOR POPULATION FOCUS
TYPES OF
SOURCES
INFORMATION
VITAL STATISTICS,
DEMOGRAPHIC DATA CENSUS
HEALTH
STATISTICS;
GROUPS AT HIGH
DISEASE
RISK
STATISTICS
SERVICES/PROVIDERS CITY DIRECTORIES,

AVAILABLE PHONE BOOKS,
LOCAL OR
REGIONAL SOCIAL
WORKERS, LIST OF
LOW INCOME
PROVIDERS, CH
NURSES
LEVELS OF CLIENTELE OF CHN

1. Individual
2. Damily (basic unit of care)
3. Group/aggregate
4. Community
THE INTERVENTION WHEEL

 Previously known as the Public Health Model, later revised ad termed
Intervention Wheel.
 Recognized as a framework for community and public health nursing practice.
 Contains 3 important elements:
1. It is population-based
2. It contains 3 levels of practice (- community, systems and
individuals/family)
3. it identifies and defines 17 public health interventions.
17 PUBLIC HEALTH INTERVENTIONS
1. SURVEILLANCE – monitors health events

2. DISEASE AND OTHER HEALTH EVENT INVESTIGATION
3. OUTREACH – locates populations of interests or populations at risk
4. SCREENING – identifies individuals with unrecognized health factors
5. CASE FINDING – identifies risk factors and connects the with resources
6. REFERRAL AND FOLLOW-UP – Assist to identify and access necessary
resources
7. CASE MANAGEMENT – optimizes self-care capabilities of individuals and
families
8. DELEGATED FUNCTIONS – direct care tasks that the nurse carries out
9. HEALTH TEACHING – communicates facts, ideas, and skills that change
knowledge, attitudes, values, beliefs. behaviors and practices
10. COUNSELING – establishes an interpersonal relationship with the intention of
increasing or enhancing their capacity for self-care and coping.
11. CONSULTATION – seeks information and generates optional situations to
perceived problems
12. COLLABORATION – commits two or more persons or an organization to
achieve a common goal
13. COALITION BUILDING – promotes and develops alliances among organizations
or constituencies for a common purpose
14. COMMUNITY ORGANIZING – helps community groups to identify common
problems or gaols, mobilize resources, and develop and Implement strategies for
realizing the goals they collectively have set.
15. ADVOCACY – pleads someone’s cause or acts on someone’s behalf.
16. SOCIAL MARKETING – utilizes commercial marketing principles for programs
17. POLICY DVELOPMENT AND ENFORCEMENT – place issues on decision
makers agendas, acquires plan of resolution, and determines needed resources,
resulting in rules, laws, regulations, ordinances and policies.

Principles of CHN New Updated

Uploaded by

Copyright:

Available Formats

Principles of CHN New Updated

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Principles of CHN New Updated

Uploaded by

Copyright:

Available Formats

PRINCIPLES OF CHN

(MARY S. Gardner and Leahy, Cobb and Jones)

 CHN is based on recognized needs of communities, families, groups and

DISTINGUISHING FEATURES OF COMMUNITY HEALTH NURSING PRACTICE

 In addition to its preventive approach to health, community health nursing is

CHN PRACTICE REQUIRES THE FOLLOWING TYPES OF DATA FOR SCIENTIFIC

1. The epidemiology or body of knowledge of a particular problem and its solution

INFORMATION USEFUL FOR POPULATION FOCUS

SERVICES/PROVIDERS CITY DIRECTORIES,

LEVELS OF CLIENTELE OF CHN

THE INTERVENTION WHEEL

17 PUBLIC HEALTH INTERVENTIONS

1. SURVEILLANCE – monitors health events

You might also like