1. A public health nurse understands factors that influence health promotion and health maintenance, the trends and patterns influencing the incidence of disease within populations, environmental factors contributing to health and illness, and the political processes used to affect public policy. Provide culturally and linguistically competent assessment by understanding the meaning of language and nonverbal behavior in a patient’s culture. Community-focused nursing practice requires a unique set of skills and knowledge. The health interventions were secondary and tertiary, aimed at increasing the knowledge and use of health care … In addition, pain and in some cases odor are associated with the leg wound. are to increase life expectancy and quality of life and eliminate health disparities through an improved delivery of health care services (USDHHS, 2010). By focusing on subpopulations, the community health nurse cares for the community as a whole and considers the individual or family as only one member of a group at risk. In addition, you need to evaluate and understand a patient’s and family’s cultural beliefs, values, and practices to determine their specific needs and the interventions that will most likely be successful in improving their state of health (see Chapter 9). CH RNs work in a wide variety of administrative, … Examples of some health issues that community health nurses try to control or eliminate are: Infectious and sexually transmitted diseases; Obesity; Poor nutrition; Substance abuse; Smoking; Teen pregnancy; Where Do Community Health Nurses Work? Gauge your knowledge about Community Health Nursing (CHN) in this 145-item examination. Examples of communities include people living in the same town, members of a church, or members of a sports team. Guidelines for Assessing Members of Vulnerable Population Groups. The Healthy People Initiative was created to establish ongoing health care goals (see Chapter 6). Community health nursing is nursing practice in the community, with the primary focus on the health care of individuals, families, and groups in a community. • During the early phases of healing the patient and family may report that their QOL is very low; however, let them know that, as the wound heals, their ability and desire to socialize with others may increase, the cost of care may decline, and pain may decline or resolve. During the early phases of healing the patient and family may report that their QOL is very low; however, let them know that, as the wound heals, their ability and desire to socialize with others may increase, the cost of care may decline, and pain may decline or resolve. Threat of cross infection from communicable disease case C. Family size beyond what family resources can adequately provide Examples of this are the following: A. Skills of patient advocacy, communicating people’s concerns, and designing new systems in cooperation with existing systems help to make community nursing practice effective. The overall goals of Healthy People 2020 are to increase life expectancy and quality of life and eliminate health disparities through an improved delivery of health care services (USDHHS, 2010). Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system (Fig. According to the Visiting Nurse Associations of America, “home healthcare services include assisting those persons who are recovering, disabled, chronically or terminally ill and are in need of medical, nursing, social or therapeutic treatment and/or assistance with the essential activities of daily living.” This nursing option provides for a varied spectrum of duties. Community-based nursing care takes place in community settings such as the home or a clinic, where the focus is on the needs of the individual or family. • Identify characteristics of patients from vulnerable populations that influence the community-based nurse’s approach to care. This focus provides the foundation for health care services at all levels (see Chapter 2). • Nursing wound care specialists who make home visits to patients in their community settings are able to track the healing process as the patient’s level of activity and function change and offer suggestions to improve the patient’s level of independence (Gordon et al., 2006). These patients have intense health care needs that are unmet or ignored or require more care than can be provided in outpatient or hospital settings (Kaiser et al., 2009). Social lifestyles, political policy, and economics all influence public health problems and subsequent health care services. Vulnerable populations are groups of patients who are more likely to develop health problems as a result of excess health risks, who are limited in access to health care services, or who depend on others for care. • Discuss the role of the nurse in community-based practice. It is necessary to understand that some patients and family members have depression and anxiety related to the chronic nature of the wound and the slow healing process (Jones et al., 2006). Almost all common board exam questions about CHN and Public Health Nursing (PHN) are covered in the exam. -Diagnose and develop policy in relation to community health needs.-Plan for the community as a whole in order to prevent disease and disability and preserve the health of the community. However, changes in the health care delivery system have made high-risk groups the principal patients. Community health nursing is defined as a synthesis of nursing and public health practice applied to promoting and preserving the health of populations, according to the ANA in 2000. A person’s patient care plan may be drawn after analysis of the acquired data. These may include financial or legal problems. 3. Describe the competencies important for success in community-based nursing practice. Community health is a field of … 3-1). You will promote health and education programs such as tobacco, sexual health, physical activity and healthful eating to the student population. But the roles of many specialty nurses -- including community health nurses -- have expanded greatly. More than ever before, health care reform is necessary to bring attention to the health care needs of all communities. • Describe the competencies important for success in community-based nursing practice. Be sensitive to the fact that the individual or family you are assessing has other priorities that are more important to them. In the health care delivery system nurses who become expert in community health practice usually have advanced nursing degrees, yet the baccalaureate-prepared generalist is also quite competent in formulating and applying population-focused assessments and interventions. Differentiate community health nursing from community-based nursing. Community health nurse interview questions & answers. • Differentiate community health nursing from community-based nursing. It is the job of a community health nurse to help and keep the community health problems under control. Managing Chronic Leg Ulcers in a Community Setting. Healing chronic venous leg ulcers is expensive and time consuming and impacts a patient’s level of function and QOL. The nurse knows the community members, needs, and resources and then works in collaboration with community leaders to establish effective health promotion and disease prevention programs. A rural community often has a hospital to meet the acute care needs of its citizens. You will promote health and education programs such as tobacco, sexual health, physical activity and healthful eating to the student population. Many large corporations and manufacturers have an occupational health nurse on staff. You will provide health programming and services that promote workplace health, wellness and safety. This focus requires a strong knowledge base in family theory (see Chapter 10), principles of communication (see Chapter 24), group dynamics, and cultural diversity (see Chapter 9). If need be, the occupational safety health nurse will also provide clinical nursing, first aid emergency care and support to employees on individual health issues. The U.S. Department of Health and Human Services Public Health Service designed a program to improve the overall health status of people living in this country. In this population-focused health care services model, the goals of disease prevention, health protection, and health promotion provide a foundation for primary, secondary, and tertiary health care services. Community-based health care is a collaborative, evidence-based model designed to meet the health care needs of a community (Downie, Ogilve, and Wichmann, 2005). Assigned chapters and articles 4. These subpopulations often have a clinical focus in which the nurse has expertise. 1. Small group discussion 2. In a community setting nurses care for patients from diverse cultures and backgrounds and with various health conditions. So, if you want to work in such an industry too then, you must have prior knowledge to crack the test. A very varied career option for a public health nurse is … If you need more job interview materials, you can reference them at the end of this post. This requires working with highly resistant systems (e.g., welfare system) and trying to encourage them to be more responsive to the needs of a population. A healthy community includes elements that maintain a high quality of life and productivity. The well-being of the community served is the community health nurse's primary goal and is achieved through the education of community members on health practices and disease prevention. They commonly include adult community nursing, specialist long-term condition nursing, therapy services, preventive services such as sexual health and smoking cessation clinics, and child health services including health visiting and school nursing. Individuals living in poverty, older adults, people who are homeless, immigrant populations, individuals in abusive relationships, substance abusers, and people with severe mental illnesses are examples of vulnerable populations. In addition, these centers offer direct access to nurses and patient-centered health services and readily incorporate the patient and the patient’s family or friends into a plan of care. • Describe elements of a community assessment. lifestyle diseases, metabolic syndrome) B. PICO Question: What is the effect on quality of life (QOL) in community-dwelling patients with chronic leg ulcers who participate in leg ulcer support group compared to patients who do not participate in a support group? Multiple services are provided that vary depending on the site including: primary care, counseling services, dental care, women's health, physiotherapy and health promotion and education. 1997 Jun;3(2):133-6. However, a community assessment might reveal that there are minimal services to meet the needs of expectant mothers, reduce teenage smoking, or provide nutritional support for older adults. #8 – Outbreak Prevention . Community Health Nurses are present in a variety of settings from schools to parishes and are mainly responsible for promoting community health and implementing environmental reforms. Topics. A comprehensive community assessment can lead to community health programs such as adolescent smoking prevention, sex education, and proper nutrition. Discuss the role of the nurse in community-based practice. Each and all of these factors impact patients’ perception of QOL. For example, after an illness outbreak, the public health nurse will assess the need and develop a … Elsevier community health spe cialty exam 1. These users are constantly in and out of hospitals, and treatment programs sometimes do not have been lasting success. As a community health nurse within the educational system, you can work at the board level to develop programs and services for a school district or within a school. While the diagnosis does not have to be a NANDA diagnosis, many will have elements of this. Many schools offer immunization information and clinics, and hearing, vision and dental screenings, which fall within the responsibilities of the school's community health nurse. Nursing plays a role in all levels of the health services pyramid. However, nurses with a graduate degree in nursing who practice in community settings are considered community health nurse specialists, regardless of their public health experience (Stanhope and Lancaster, 2010). Do not provide financial or legal advice, but make sure to connect the patient with someone who will help them. She holds a Bachelor of Commerce and Administration from Bishop's University. Not all hiring agencies require an advanced degree. It combines all the basic elements of professional, clinical nursing with public health and community practice. On the other hand, when a community has the resources for providing childhood immunizations, flu vaccines, primary preventive care services are able to focus on child developmental problems and child safety. By focusing on subpopulations, the community health nurse cares for the community as a whole and considers the individual or family as only one member of a group at risk. For example, when there is an increase in the incidence of grandparents assuming child care responsibilities, the community health nurse becomes an active part of a community by establishing an instructional program in cooperation with local schools and assists and supports grandparents in this caregiving role. ). The goal is to preserve, protect, promote, or maintain health (Stanhope and Lancaster, 2010). Nursing wound care specialists who make home visits to patients in their community settings are able to track the healing process as the patient’s level of activity and function change and offer suggestions to improve the patient’s level of independence (Gordon et al., 2006). Community-based health care occurs outside traditional health care institutions such as hospitals. Community-based programs are able to provide these services and are effective in improving the health of the community. Since its inception, Healthy People has become a broad-based, public engagement initiative with thousands of citizens helping to shape it at every step along the way. 1. Public and community health nursing and primary care providers share health care responsibility for health promotion, screening, and early detection and disease prevention for vulnerable populations. Community health centers provide medical and clinical services to community members on a sliding fee scale based on income. Copyright 2020 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. Some providers also deliver specialist services such as prison health care and dentistry. 1. Community health nursing or public health nursing is a term used by those nurses working towards providing health awareness, treatments, promoting ways of healthy living, and serving the public health sector with their nursing skills, etc. For example, a case manager follows older adults recovering from stroke and sees the need for community rehabilitation services, or a nurse practitioner gives immunizations to patients with the objective of managing communicable disease within the community. In this post, you can reference some of the most common interview questions for a community health nurse interview along with appropriate answer samples. Vulnerable patients often come from varied cultures, have different beliefs and values, face language and literacy barriers, and have few sources of social support. When nursing resources and support groups are available in a community setting, the costs of treatment are reduced, and QOL and function and activity increase (Edwards et al., 2009; Gordon et al., 2006). • Be sensitive to the fact that the individual or family you are assessing has other priorities that are more important to them. Community Health Assessment of 78382 Chamberlain College of Nursing NR-443 Fall Session, November 2012 Audrey L. Hendrix Community Health Assessment of 78382 Introduction In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. Innovations in community health nursing: examples from practice. You use critical thinking and decision making for the individual patient and family—assessing health status, diagnosing health problems, planning care, implementing interventions, and evaluating outcomes of care. Cusack L(1), Smith M, Byrnes T. Author information: (1)Nursing and Intervention Services, Drug and Alcohol Services Council, Parkside, Australia. Examples of populations include high-risk infants, older adults, or a cultural group such as Native Americans. All of these factors can improve the patient’s QOL reports (Hareendran et al., 2005). Dependent on the position held, community may refer to rural, urban, local, state, national or even global boundaries. Do not provide financial or legal advice, but make sure to connect the patient with someone who will help them. Community health nurses are employed by nursing homes, substance abuse centers, public schools, homeless shelters, charitable organizations, as well as, local, state and federal governments. What is your greatest weakness for […] Home > What We Do > Projects > Community Health Needs Assessment View more Addressing Community Health Needs Ideas into Action To help North Dakota communities address the top health needs identified through their Community Health Needs Assessment (CHNA), models and examples are listed on this page as potential resources. a. Assess health protective factors, predictive factors, beliefs, values, attributes and practices of individuals, Rural example. You will also provide direct health to students and staff, caring for bumps and bruises and other ailments, or dispense daily medication for students, as needed. Conducting a health assessment helps in setting up a database that can be used for future reference. It is important not to judge or evaluate your patient’s beliefs and values about health in terms of your own culture, beliefs, and values. The assessment is also done to help or aid as to what proper care to be done or administered after the results are gathered. Typical sample resumes for Community Health Nurses highlight duties such as screening newborns or performing immunizations. At a very minimum, aspiring community health nurses will need to earn an Associate’s Degree in Nursing (ADN) and pass the NCLEX-RN exam, but it should be noted that many employers may prefer candidates with a Bachelor of Science in Nursing. In the home setting, clients have more control over their behaviors in relation to the plan of care; they choose whether or not to follow special diets, exercise regimens, or medication schedules. Community-based care focuses on health promotion, disease prevention, and restorative care. Communication and caring practices are critical in learning a patient’s perceptions of his or her problems and then planning health care strategies that will be meaningful, culturally appropriate, and successful. It provides services to individuals and families within the community for acute and chronic conditions (Stanhope and Lancaster, 2010). For example, safety and access to health care services are elements that enable people to function productively in their community (U.S. Department of Health and Human Services [USDHHS], 2010). Critical thinking is important in applying knowledge of public health principles, community health nursing, family theory, and communication in finding the best approaches in partnering with families. The family nursing process is the same nursing process as applied to the family, the unit of care in the community. A community health nurse can provide care to children and the adult population. Adept at performing a variety of nursing duties from routine physicals to assistance with emergency care. 4. Gauge your knowledge about Community Health Nursing (CHN) in this 145-item examination. Many schools offer immunization information an… The consequences of neglecting community health. Identify characteristics of patients from vulnerable populations that influence the community-based nurse’s approach to care. You will also provide direct health to students and staff, caring for bumps and bruises and other ailments, or dispense daily medication for students, as needed. With the individual and family as the patients, the context of community-based nursing is family-centered care within the community. There are three specific methods of health education. Community health nurses enlisted the use of “community guides and community leaders” to identify health resources and solutions for older adult residents and their caregivers in a Mexican American community in Arizona (Crist & Dominguez, 2003). Community health Nursing is the synthesis of nursing and public health practice applied to promote and protect the health of population. Community Health Needs Assessment helps in describing the health condition of local population, major risk factors, causes of illness and in identifying the actions needed to address the issues in that particular community. Levels of Health Care Referral System There are 3 different levels of health care system which are primary, secondary, and tertiary. A public health nursing focus requires understanding the needs of a population or a collection of individuals who have one or more personal or environmental characteristics in common (Stanhope and Lancaster, 2010). Explain the relationship between public health and community health nursing. For example, assessment includes systematic data collection on the population, monitoring the health status of the population, and accessing available information about the health of the community (Stanhope and Lancaster, 2010). Examples include prenatal care programs for the uninsured and educational programs to ensure the competency of public health professionals. Types of Community Health Nurses. Apply the essentials of community health in your nursing practice. These may include financial or legal problems. As a community health nurse in this setting, you might be called upon to assist with primary care or perhaps be responsible for the case management of patients. Today the challenges in community-based health care are numerous. Describe elements of a community assessment. A community health nurse or public heath nurse, is a registered nurse whose focus is prevention over treatment. Population-based public health programs focus on disease prevention, health protection, and health promotion. • The presence of chronic wound support groups provides patients and families an opportunity to interact with individuals who experience similar situations (Edwards et al., 2009). You learn to partner with your patients and families so ultimately the patient and family assume responsibility for their health care decisions. The five-level health services pyramid is an example of how to provide community-based services within existing health care services in a community (see Fig. Because nurses provide direct care services where patients live, work, and play, it is important that nursing care remains focused on the individual and family and that the values of the individual, family, and the community are respected and incorporated (Reynolds, 2009). The history of nursing documents the roles of nurses in establishing and meeting the public health goals of their patients. The emphasis of such nursing care is to improve the quality of health and life within that community. Vulnerable individuals and their families often belong to more than one of these groups. To establish a database. Nurses can help clients internalize the importance of healthy behaviors by teaching and adapting the care plan to the individual client. As a result, patients and their families are socially isolated. Care is … Only gold members can continue reading. • Provide culturally and linguistically competent assessment by understanding the meaning of language and nonverbal behavior in a patient’s culture. Results from the analysis can either support or question theories regarding a person’s present state of health. Because patients move quickly from acute care settings, there is a growing need to organize health care delivery services where people live, work, socialize, and learn (Swiadek, 2009). As an R. N. in the ICU hospital setting, I have not come across the terms community based nursing and public health nursing … It is important to understand the focus of community-based health care. A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. Public health nursing requires preparation at the basic entry level and sometimes requires a baccalaureate degree in nursing that includes educational preparation and clinical practice in public health nursing. Their special needs will be a challenge for you as you care for increasingly complex acute and chronic health conditions. In addition, health care vulnerability affects all age-groups (, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window). As a community health nurse within the educational system, you can work at the board level to develop programs and services for a school district or within a school. As community health care partnerships develop, nurses are in a strategic position to play an important role in health care delivery and improve the health of the community. Community health nursing. Community health nursing and community-based nursing are components of a health care delivery system that improve the health of the general public. In addition, the community health nurse provides direct care services to subpopulations within a community. Within community health settings, nurses are leaders in assessing, diagnosing, planning, implementing, and evaluating the types of public and community health services needed. The focus of health promotion and disease prevention continues to be essential for the holistic practice of professional nursing. Community health education is any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes. The emphasis of such nursing care is to improve the quality of health and life within that community. Community Health Nursing Reflection Veronica Hubbard NUR/405 June 25, 2012 Cindy Januale Community Health Nursing Reflection Community health nursing is a specialty field of nursing which care is provided to people in the community setting. Lecture Application: 2. Community health nursing is essential particularly at this point Almost all common board exam questions about CHN and Public Health Nursing (PHN) are covered in the exam. Individual and family as the first level of function and QOL Hareendran et,. 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