1. COMMUNITY DIAGNOSIS
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2. CONCEPT OF DIAGNOSIS
The term ‘diagnosis’ comes from
the Greek word “diagignoskein”
meaning to distinguish. This term
was derived from “dia” meaning
through, apart and from
‘gignoskein’ meaning to know.
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3. The community diagnosis
depends on understanding of
the social science, vital
statistics and epidemiological
investigations.
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4. DEFINITION
Community diagnosis may be
defined as “determining the
pattern of health problems in
a community, including factors
which influence this pattern”.
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5. Community diagnosis is a
comprehensive assessment of
the state as an entire community
in relation to its social, political,
economic, physical and biological
environment”
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6. PURPOSES
1. It helps in identification and
quantification of health problems.
2. Help in identification of those
individuals or groups at risk or
those who needs health care.
3. It helps to identify community
needs and problems.
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7. 4. It helps to decide strategies for
community involvement.
5. Effectively help in understanding
the social, cultural, and
environmental characteristics of
community.
6. it can be used to help the
community becomes conscious
of its existing problems and find
solution.
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8. CONTENT
Hard measurable facts
1. Age
2. Sex distribution
3. Literacy status
4. Prevalence of disease
5. Sanitary conditions
6. Others
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9. Not measurable facts (soft facts)
1. Customs
2. Belief
3. Taboos
4. Attitudes
5. Values towards various situations
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10. Steps in community
diagnosis
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11. Defining area- who and what
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12. Identifying the needs of community
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13. Specifying priority health needs of the
community
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14. Steps continue………
Identifying community resources for
facilitating health problems
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15. Setting priorities for action
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16. Steps continue………
Community needs in proportion to
national capacity
intersectional co-operation in
planning
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17. COMMUNITY HEALTH PLANNING
Analyzing health needs/health
problems.
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18. Establishing priorities.
Establishing priorities refers to
ranking of health problems
identified by determining their
relative importance on the basis
of predetermined criteria.
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19. C. H. planning Continue….
Setting goals & objectives
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20. SETING OBJECTIVES
Related to problem statement
Client-centred
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21. Clear and concise
Observable and measurable
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22. Time limited
Realistic
Determined by the client and the
nurse.
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23. FORMULATING COMMUNITY
HEALTH ACTION PLANS
Agency policy
The resources available
The nature of problem
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24. The
community’s
interest and
feasibility
Competencies of
health
personnel.
Practicability
and efficiency
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25. IMPLEMENTATION OF
COMMUNITY HEALTH
Three types of nursing intervention
Supplemental: : i.e. doing things
for the families, groups and
community at a large which they
arte not able to do eg. Nursing
care of sick at home or in centre
or in any setting
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26. Facilitative
: i.e. removing barrier, obstacles
etc. she helps them to mobilize
and develop their resources. The
nurse need to know community
resources- health and health
allied, know their functions and
establish functional relationship
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27. Developmental
i.e. helping families, groups and
people at large to develop and
improve their capacities. She
educate members to recognize
their health problems, health
needs, find solutions, mobilize
and develop their resources and
abilities to implement action etc.
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28. Evaluation
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29. ROLE AND RESPONSIBILITIES OF
COMMUNITY HEALTH NURSE
PRACTIONER
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30. Acc. To Benner, an expert nurse
passes through five level of proficiency,
when acquiring and developing
generalized and specialized nursing
skills. The five levels are….
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31. Novice: (beginner)
Advance beginner (who has some
level of experience)
Competent (nurse who has been in
clinical position for 2-3 years)
Proficient (a nurse with more than 3
years experience)
Expert (a nurse with diverse
experience)
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32. Clinician
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33. Educator
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34. Administrator
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35. Consultant
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36. Researcher
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37. STANDARDS OF NURSING
PRACTICE
Nurse should have license of
practice
Confidentiality of the
communications between nurse and
client is protected in section two of
the code for nurses
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38. Privileged communication is the
privilege of the client not to disclose
treatment information to a court of
law.
The uniformity of the assessment and
subsequent documentation of the
assessment indicate that a standard
of practice was followed
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39. DECISION MAKING SKILL
The decision making in the community
diagnosis refers to deciding in advance,
planning for community assessment.
When planning for programme, the
community health nurse should take
some measures as follow:
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40. Know the problem or needs of
community, by observing, interviewing,
seeing, records, and report and by
conducting surveys.
Know the people and place
Find out available resources, fund,
staff and equipments.
Select methods and materials for
programme
Launch the programme
Study the results
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41. LEGAL ISSUES IN COMMUNITY
DIAGNOSIS
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42. Some difficult ethical issues in community
diagnosis today are faced.
Who shall be the priority recipients of
community health nursing practice?
Who shall have access to care?
Who is assessed by community health
nurse: the individual, family, or group?
What do community health nurse
assess?
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43. How community health nursing evaluated
for quality of care, cost effectiveness, and
outcomes assessment?
Who shall pay for care?
What should be the level of care?
What type of nursing interventions do
community nurse use in practice?
What nursing diagnosis do community
health use?
How organized data collection can be
conducted in community?
How community health nurses prepared
at the following levels is used?
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