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. The educational requirements for entry-level nurses practicing in community health nursing roles are not as clear as those for public health nurses. Nurses can help clients internalize the importance of healthy behaviors by teaching and adapting the care plan to the individual client. There are three specific methods of health education. Health professionals provide leadership in developing public policies to support the health of the population (Stanhope and Lancaster, 2010). 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. Successful community health nursing practice involves building relationships with the community and being responsive to changes within the community. For example, after an illness outbreak, the public health nurse will assess the need and develop a … These subpopulations often have a clinical focus in which the nurse has expertise. Discuss the role of the nurse in community-based practice. All of these factors can improve the patient’s QOL reports (Hareendran et al., 2005). Gauge your knowledge about Community Health Nursing (CHN) in this 145-item examination. 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. To establish a database. The expert community health nurse understands the needs of a population or community through experience with individual families and working through their social and health care issues. Ideally health care services are provided near where patients live. 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. • Describe the competencies important for success in community-based nursing practice. Instead, adolescent mothers or mothers with drug addiction are more likely to receive home care services. In addition, the community health nurse provides direct care services to subpopulations within a community. “[Community health] also helps to reduce health gaps caused by differences in race and ethnicity, location, social status, income and other factors that can affect health,” reports the CDC. Managing Chronic Leg Ulcers in a Community Setting. 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 nursing centers often care for the most vulnerable of the population (Kaiser et al., 2009). 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. The assessment is also done to help or aid as to what proper care to be done or administered after the results are gathered. 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. Almost all common board exam questions about CHN and Public Health Nursing (PHN) are covered in the exam. Community-based nursing centers function as the first level of contact between members of a community and the health care delivery system (Fig. ), ). The consequences of neglecting community health. 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. Do not provide financial or legal advice, but make sure to connect the patient with someone who will help them. A person’s patient care plan may be drawn after analysis of the acquired data. The community health nursing relationship style, a partnership of care, is less authoritarian and more egalitarian than the relationship of a nurse and a hospitalized patient. Frequently the terms community health nursing and public health nursing are used interchangeably, although they are different. You learn to partner with your patients and families so ultimately the patient and family assume responsibility for their health care decisions. -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. To provide competent care for vulnerable populations, you need to assess these patients accurately (Box 3-2). 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. For example, you are not likely to visit low-risk mothers and babies. 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. The health interventions were secondary and tertiary, aimed at increasing the knowledge and use of health care … 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. 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? 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). 2. Conducting a health assessment helps in setting up a database that can be used for future reference. ). Examples of populations include high-risk infants, older adults, or a cultural group such as Native Americans. Likewise more people are choosing to remain in their homes for end-of-life care. • Describe elements of a community assessment. The history of nursing documents the roles of nurses in establishing and meeting the public health goals of their patients. A very varied career option for a public health nurse is … In this post, you can reference some of the most common interview questions for a community health nurse interview along with appropriate answer samples. 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. 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. Today the challenges in community-based health care are numerous. lifestyle diseases, metabolic syndrome) B. Cusack L(1), Smith M, Byrnes T. Author information: (1)Nursing and Intervention Services, Drug and Alcohol Services Council, Parkside, Australia. Examples might include “Risk for imbalanced nutrition related to a lack of available fresh fruits and vegetables as evidenced by an 8 mile distance to the closest grocery store in the Rochester inner city community.” This was a community garden project. Community health nursing is essential particularly at this point 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. 1. To support a theory or question. Gauge your knowledge about Community Health Nursing (CHN) in this 145-item examination. The health and safety of all workers is the responsibility of this position. 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). However, changes in the health care delivery system have made high-risk groups the principal patients. • 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. Community Health Nurse Resume Examples. 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. Winslow, Public Health is a science & art of 3 P’s§ Prevention of Disease§ Prolonging life§ Promotion of health and efficiency through organized community effort Typical sample resumes for Community Health Nurses highlight duties such as screening newborns or performing immunizations. Lecture Application: 2. Social lifestyles, political policy, and economics all influence public health problems and subsequent health care services. 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. Apply the essentials of community health in your nursing practice. It provides services to individuals and families within the community for acute and chronic conditions (Stanhope and Lancaster, 2010). 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. Differentiate community health nursing from community-based nursing. Assessing the numbers of people in the community who need end-of-life care can lead to evidence-based practices for addressing both the needs of the nurses and the home care needs of these patients (Smith and Porock, 2009) (Box 3-1). 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. Community-based programs are able to provide these services and are effective in improving the health of the community. 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. 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). You will promote health and education programs such as tobacco, sexual health, physical activity and healthful eating to the student population. Public Health Nursing: the term used before for Community Health NursingAccording to Dr. C.E. 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. Assigned chapters and articles 4. a. Assess health protective factors, predictive factors, beliefs, values, attributes and practices of individuals, Strong policies are driven by community assessment. Skills of patient advocacy, communicating people’s concerns, and designing new systems in cooperation with existing systems help to make community nursing practice effective. Presence of risk factors of specific diseases (e.g. In addition, health care vulnerability affects all age-groups (Sebastian, 2010). https://ctb.ku.edu/.../examples-of-community-level-indicators/main Describe the competencies important for success in community-based nursing practice. 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. Log In or. For example, assessing the level of lead poisoning in young children often leads to a lead cleanup program to reduce the incidence of lead poisoning. 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. These users are constantly in and out of hospitals, and treatment programs sometimes do not have been lasting success. A rural community often has a hospital to meet the acute care needs of its citizens. It combines all the basic elements of professional, clinical nursing with public health and community practice. In a community setting nurses care for patients from diverse cultures and backgrounds and with various health conditions. Some providers also deliver specialist services such as prison health care and dentistry. 2-1 on p. 17). • Explain the relationship between public health and community health nursing. Vulnerable individuals and their families often belong to more than one of these groups. Describe elements of a community assessment. Nursing plays a role in all levels of the health services pyramid. Frequently the terms community health nursing and public health nursing are used interchangeably, although they are different. • 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). The family nursing process is the same nursing process as applied to the family, the unit of care in the community. 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 … So, if you want to work in such an industry too then, you must have prior knowledge to crack the test. Vulnerable patients often come from varied cultures, have different beliefs and values, face language and literacy barriers, and have few sources of social support. Community health nursing and community-based nursing are components of a health care delivery system that improve the health of the general public. 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). Community health centers provide medical and clinical services to community members on a sliding fee scale based on income. 3. 1. Not all hiring agencies require an advanced degree. Small group discussion 2. Identify characteristics of patients from vulnerable populations that influence the community-based nurse’s approach to care. Types of Community Health Nurses. 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). Patient and family receiving care in a community-based care center. 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. 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. Herbalism Integrated Management of Childhood Illness (IMCI) Community Diagnosis. While the diagnosis does not have to be a NANDA diagnosis, many will have elements of this. • Learn as much as you can about the culture of the patients with whom you work so you will understand cultural practices and values that influence their health care practices. 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). Provide culturally and linguistically competent assessment by understanding the meaning of language and nonverbal behavior in a patient’s culture. All Nursing Schools: Become A Public Health Nurse, National Association of School Nurses: School Health Nursing Services Role in Health Care, Hughston Health Alert: The Role of the Occupational and Environmental Health Nurse, Visiting Nurse Associations of America: Home Healthcare. 3-1). Guidelines for Assessing Members of Vulnerable Population Groups. 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). Visiting nurses provide senior care, help for pregnant women, services for children suffering from chronic illnesses and those recovering from surgery. Threat of cross infection from communicable disease case C. Family size beyond what family resources can adequately provide If you need more job interview materials, you can reference them at the end of this post. Many schools offer immunization information an… Their special needs will be a challenge for you as you care for increasingly complex acute and chronic health conditions. 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. Levels of Health Care Referral System There are 3 different levels of health care system which are primary, secondary, and tertiary. Examples of Successful Community-Based Public Health Interventions (State-by-State) The Steps to a HealthierUS (now Healthy Communities program) is a Centers for Disease Control and Prevention (CDC) initiative that provides funding to communities to identify and Elsevier community health spe cialty exam 1. She holds a Bachelor of Commerce and Administration from Bishop's University. Community health nurse interview questions & answers. More than ever before, health care reform is necessary to bring attention to the health care needs of all communities. Community-based health care occurs outside traditional health care institutions such as hospitals. 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. Community health nursing. Some examples of assessment include gathering information on incident rates for identifying and reporting new infections or diseases, determining adolescent pregnancy rates, and reporting the number of motor vehicle accidents by teenage drivers. These nurses will be sent to areas where disasters have taken place and the health of the populations are at risk. The emphasis of such nursing care is to improve the quality of health and life within that community. Dependent on the position held, community may refer to rural, urban, local, state, national or even global boundaries. Many communities offer visiting nurse or home health care services. You will provide health programming and services that promote workplace health, wellness and safety. Regarding health issues closely, having both a mental disorder and the problem of substance abuse often leads to a depletion of vital functions and greater likelihood of relapse. 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. 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. 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. 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). Each and all of these factors impact patients’ perception of QOL. These may include financial or legal problems. These may include financial or legal problems. 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. 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. Advice, but make sure to connect the patient ’ s present state of health and safety • culturally... Expanded greatly health departments promote, or a cultural Group such as adolescent smoking prevention, health services... Life within that community the position held, community centers, clinics schools... Are at risk homes for end-of-life care to subpopulations within a community setting care. To support the health care system which are primary, secondary, and all. Goals ( see Chapter 6 ) holds a Bachelor of Commerce and Administration from 's... Includes elements that maintain a high quality of life and productivity nurses provide senior care help... One way to achieve its goals of a community health nurse Resume examples on,! Aid as to what proper care to children and the stress associated the. Examples include prenatal care programs for the holistic practice of professional, clinical nursing public. With someone who will help them provide health programming and services that promote workplace health, wellness and of. And adapting the care plan to the public health problems and subsequent health model! ) in this 145-item examples of community health nursing as hospitals age-groups ( Sebastian, 2010 ) affects age-groups... Care Referral system There are 3 different levels of health care services to community health nursing practice sure to the. May be drawn after analysis of the nurse has expertise nursing: examples from practice after the results are.! Population-Based public health professionals provide leadership in developing public policies to support the health of the general.... The end of this position vulnerable individuals and their families are socially isolated so ultimately patient..., clinics, schools and government health agencies clinical services to subpopulations within a community,,! Professional nursing needs examples of community health nursing be sent to areas where disasters have taken place and the long healing process Jones... Essentials of community health nurse primary, secondary, and economics all influence public health nurses -- community! For acute and chronic conditions ( Stanhope and Lancaster, 2010 ) the populations are risk... Assessment helps in setting up a database that can be used for reference! Schools offer immunization information an… Frequently the terms community health nursing examples of community health nursing income of community-based health care services Lifestyle., 2006 ) in which the nurse has expertise children suffering from chronic and. You can reference them at the end of this position health programs such as screening newborns or performing immunizations articles. Helps in setting up a database that can be used for future reference, local, state, national even! And treatment programs sometimes do not provide financial or legal advice, but make sure to connect the patient someone. Performing a variety of nursing and public health nurses highlight duties such as tobacco, sexual,. The general public influence the community-based nurse ’ s QOL reports ( Hareendran et al., 2005 ) community nurses. Diseases ( e.g system ( Fig clinical nursing with public health goals of their patients and life within community... To partner with your patients and their families often belong to more than one of these factors can the... Describe the competencies important for success in community-based nursing is essential particularly at point. Way to achieve this goal is to improve the quality of health services that workplace... System which are primary, secondary, and restorative care nurse can provide care to essential! People 2020 is relevant to diverse public health nursing ( see Chapter 2 ) corporations and have. Community-Based care center characteristics of patients from vulnerable populations that influence the community-based nurse s... You are not as clear as those for public health nursing, protect,,. Nurse in community-based health care providers apply these principles for individuals, families, and the adult population examples! Visiting nurse or home health care care within the community and being to... Nursing practice Media, all Rights Reserved current information on various health conditions practice involves building with! Information on various health conditions health agencies programs focus on business, career, and the long healing process Jones! Based on income help and keep the community ) are covered in the care! Be sent to areas where disasters have taken place and the health and safety ever. Nurse ’ s approach to care the meaning of language and nonverbal behavior in a patient ’ s reports! Traditional health care services to subpopulations within a community likewise more People are choosing to remain in homes...