Module 1

Fabon, Aggiem Dave R.
BSN 2
NCM 104 - E
➢ PUBLIC HEALTH
The Science and Art of Preventing Disease, Prolonging Life, Promoting Health and
efficiency through organized community effort for the sanitation of the environment, control of
communicable diseases, the education of individuals in personal hygiene, the organization of
medical and nursing services for the early diagnosis and preventive treatment of disease, and the
development of social machinery to ensure everyone a standard of living adequate for the
maintenance of health, so organizing these benefits as to Enable Every Citizen to Realize His
Birthright to Health and Longevity
- Dr. C.E. Winslow
Art of applying Science in the Context of Politics to Reduce Inequalities in Health while
ensuring the best health for the greatest number.
- WHO
➢ Public Health Nursing

• Special Field of Nursing that combines the skills of nursing, public health, and
some phases of social assistance and functions as part of the total public health
program for the promotion of health, the improvement of the conditions in the
social and physical environment, rehabilitation of illness and disability.
-WHO
➢ Community Health Nursing
• Service rendered by a professional nurse with communities, groups, families,
individuals at home, in health centers, in clinics, in schools, in places of work for
the promotion of health, prevention of illness, care of the sick at home and
rehabilitation.
- Ruth B. Freeman
• Nursing Practice in a wide variety of community services and consumer advocate
areas, and in a variety of roles, at times including independent practice…
community nursing is certainly not confined to public health nursing agencies.
- Jacobson
• The utilization of the Nursing Process in the Different Levels of Clientele-
Individuals, Families, Population Groups and Communities, concerned with the
Promotion of Health, Prevention of Disease and Disability and Rehabilitation
- Dr. Araceli Maglaya
➢ Brief History of Nursing

• The Community is the patient in CHN; The Family is the Unit of Care; and there
are four levels of clientele: Individual, Family, Population Group (those who
BSN 2
NCM 104 - E
share common characteristics, developmental stages, and common exposure to
health problems—e.g. children, elderly), and the Community
• In CHN, the client is considered as an Active Partner, not a passive recipient of
care.
• CHN Practice is affected by developments in Health Technology, in Particular,
Changes in Society, in General.
• The goal of CHN is achieved through Multi-Sectoral Efforts
• CHN is a part of the Health Care System and the larger Human Services System
A. Philosophy of CHN
• A philosophy is defined as a system of beliefs that provides a basis for a guides
action. A philosophy provides the direction and describes the whats, the whys,
and the hows of activities within a profession.
• CHN Practice is guided by the following beliefs:
Humanistic values of the nursing profession upheld
Unique and distinct component of health care
Multiple factors of health considered
Active participation of clients encouraged
Nurse considers availability of resources
Interdependence among health team members practiced
Scientific and up-to-date
Tasks of CHN vary with time and place
Independence or self-reliance of the people is the end goal
Connectedness of health and development regarded
➢ Roles of the CHN

• Clinician or Health Care Provider: utilizes the nursing process in the care of the
client in the home setting through home visits and in public health care facilities;
conducts referral of patients to appropriate levels of care when necessary
• Health Educator: utilizes teaching skills to improve the health knowledge, skills
and attitude of the individual, family and the community and conducts health
information campaigns to various groups for the purpose of health promotion and
disease prevention
• Coordinator and collaborator: establishes linkages and collaborative
relationships with other health professionals, government agencies, the private
sector, non-government organizations and people’s organizations to address
health problems
• Supervisor: monitors and supervises the performance of midwives and other
auxiliary health workers; also initiates the formulation of staff development and
BSN 2
NCM 104 - E
training programs for midwives and other auxiliary health workers as part of their
training function as supervisors
• Leader and Change Agent: influences people to participate in the overall process
of community development
• Manager: organizes the nursing service component of the local health agency or
local government unit; also, as program manager, the PHN is responsible for the
delivery of the package of services provided by the health program to target
clientele
• Researcher: participates in the conduct of research and utilizes research findings
in practice
➢ Responsibilities of the CHN
• Be a part in developing an overall health plan, its implementation and evaluation
for communities.
• Provide quality nursing services to the four levels of clientele
• Maintain coordination/linkages with other health team members, NGO/
government agencies in the provision of public health services
• Conduct researches relevant to CHN services to improve provision of health care
• Provide opportunities for professional growth and continuing education for staff
development
➢ Specialized Fields of CHN
• Community Mental Health Nursing: a unique clinical process which includes an
integration of concepts from nursing, mental health, social psychology,
psychology, community networks, and the basic sciences
• Occupational Health Nursing: the application of nursing principles and
procedures conserving the health of workers in all occupation
• School Health Nursing: the application of nursing theories and principles in the
care of the school population

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Fabon, Aggiem Dave R.

➢ Public Health Nursing

➢ Brief History of Nursing

➢ Roles of the CHN

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